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Pain Free Physiotherapy Clinic

Physiotherapist Clinic

31 A, DDA Flats, Pocket 2, Dwarka,Landmark: Behind Sector 6 Market Delhi
1 Doctor · ₹250
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Pain Free Physiotherapy Clinic Physiotherapist Clinic 31 A, DDA Flats, Pocket 2, Dwarka,Landmark: Behind Sector 6 Market Delhi
1 Doctor · ₹250
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By combining excellent care with a state-of-the-art facility we strive to provide you with quality health care. We thank you for your interest in our services and the trust you have place......more
By combining excellent care with a state-of-the-art facility we strive to provide you with quality health care. We thank you for your interest in our services and the trust you have placed in us.
More about Pain Free Physiotherapy Clinic
Pain Free Physiotherapy Clinic is known for housing experienced Physiotherapists. Dr. Roshan Jha, a well-reputed Physiotherapist, practices in Delhi. Visit this medical health centre for Physiotherapists recommended by 76 patients.

Timings

MON-SAT
09:30 AM - 09:00 PM

Location

31 A, DDA Flats, Pocket 2, Dwarka,Landmark: Behind Sector 6 Market
Dwarka Delhi, Delhi - 110075
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Doctor in Pain Free Physiotherapy Clinic

Dr. Roshan Jha

Physiotherapist
250 at clinic
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I am suffering from elbow pain. Tell me what to do? some recommendations Ayurveda.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I am suffering from elbow pain. Tell me what to do? some recommendations Ayurveda.
Apply ice in the painful area which would definitely help to greater extent. And you can wear elbow brace which would help you to keep your elbow warm and will give you protection.

Heel Pain - What Are The Causes & Treatments Of It!

MBBS, MS - Orthopaedics, TORT Centre, Ninewells Hospital, University of Dundee
Orthopedist, Jaipur
Heel Pain - What Are The Causes & Treatments Of It!

Oh my aching Heel!! The combination of foot and ankle consists of 26 bones, 33 joints and an excess of 100 tendons. The longest bone present in the foot is the heel. Over usage or injury to the heel would lead you to experience pain in the heels. The severity of the heal pain can range from mild to excruciating. 

The cause behind heel pain is typically associated with excess usage of the heel bone (learn more about to maintain bone and joint health). Straining of your heel occurs if you excessively pound your feet on surfaces that are hard, or you are overweight or even if you wear shoes that do not fit your feet properly. These strains cause irritation in the muscles, bones or tendons that are present in the heels. Some of the other common causes include: 

  1. Heel Spurs: Development of heel spurs occurs due to the continuous stretching of the lining, which covers the heel. Upon continuous stretching, pieces of the lining tend to break off. Development of heel spurs is common in athletes who frequently jog or run. People who are obese also tend to experience pain due to heel spurs.
  2. Plantar Fasciitis: Development of Plantar Fasciitis occurs due to the inflammation of the tendinous tissue that connects the heel to the ball of the foot. Development of Plantar Fasciitis is common in athletes who frequently jog or run as well as people who wear shoes that don't fit the feet properly. It may occasionally be associated with Vitamin B12 deficiency and raised uric acid in blood 
  3. Achilles Tendinitis: This is the inflammation of the Achilles tendon. Achilles Tendinitis occurs commonly in people who have active lifestyles, such as people who are joggers, runners or even dancers. 

Treatment-

Physical therapy, medication or alternative treatments can be used to treat this form of pain. Medications for heel pain can only be in the form of anti-inflammatory drugs. Although these oral medications cannot significantly relieve heel pain, some injections containing substances such as corticosteroids, as well as Arthrocentesis (removal of fluid present in joints using hollow needles) might be able to provide relief. Recently PRP (Platelet Rich Plasma) injection have been found very useful in treating recalcitrant Plantar fasciitis and heel pains. 

Common practices that can be used to relieve discomfort include: 

  1. Application of ice to the heel for a duration of 15 minutes daily. 
  2. Utilize over-the-counter pain medications .
  3. Have adequate amounts of rest .
  4. Wear shoes that fit properly .
  5. Walking on tip toes to stretch the plantar fascia helps to relieve heel pain.

Exercises For Sciatica - Learn More!

COMT, MPTh/MPT
Physiotherapist, Surat
Exercises For Sciatica - Learn More!

The sciatic nerve is one of the largest nerves in the body. It goes from the lower back all the way down to the base of the leg. When there is a disorder associated with the sciatic nerve, it is known as sciatica. Sciatica, however, does not necessarily need a surgery or a very elaborate procedure to fix the problem. Most commonly, it is treated simply by practicing a number of simple exercises.

Here are some of the most common exercises prescribed to treat sciatica:

1. Reclining pigeon pose:
There are three main forms of the pigeon pose. These are sitting, reclining and forward. It is recommended that if you are just starting your treatment for sciatica that you use the reclining pose. In this pose, you are supposed to hold your left leg in the air at a right angle to your back. Then you are supposed to hold your ankle against the knee. Finally, repeat this stretch with the right leg as well.

2. Knee to opposite shoulder:
In this stretch, the starting position is on your back side. You have to have your legs out and feet upwards. From this position, try to bring your right leg towards your left shoulder. Hold this for 30 seconds and then release and relax. Repeat this exercise three times and then repeat the whole procedure with your other leg. Only take your leg as far as it will go.

3. Sitting spinal stretch:
At the start of this exercise, sit on the ground with your legs going straight outwards and your feet flexed in the upward direction. Pull your left knee and then put it on the outside of your right knee. Finally, place your right elbow on the left knee so that your body turns to the left. Hold for 30 seconds and then relax before repeating with the other knee.

4. Standing hamstring stretch:
Put your foot on an elevated surface such that it is above the floor but not above hip level. Flex your toes forward such that your feet and legs are nearly in a straight line. Bend as far towards the foot as possible. However, do not stretch so far that you feel pain. Finally, repeat this procedure on the other side after release.

5. Butler Mobilisation:
Your physiotherapist may also provide you butler mobilisation to help you get rid of the sciatic nerve. This has been a very successful way of treating this problem.

6. Self nerve mobilisation:
This is also a very effective technique for providing immediate relief to the sciatic nerve patients. It is a widely used by physiotherapists to help their patients.

Sciatica Pain - 5 Ways You Can Treat It!

Fellowship in Pain Management, MD, MD - Anaesthesiology , MBBS , Observer post
Pain Management Specialist, Pune
Sciatica Pain - 5 Ways You Can Treat It!

Sciatica pain arises from the sciatic nerve which is the single largest nerve in our body. It consists of individual nerve roots, which branching out from the lower back of the spine to the back of each leg and combining together forms the sciatic nerve. The origination of the sciatic pain lies in the lower back of the body and radiates down the buttock to the sciatic nerve.

Causes of the sciatica pain

  1. ArthritisIf an individual is diagnosed with arthritis, then he or she can expect a throbbing pain or numbness down till the leg.
  2. Herniated discAnother cause could be a herniated disc in the lower back of the body.
  3. SpondylosisSpondylosis in the lower back would also be a reason for the development of the sciatica pain.
  4. PIVD/DISC bulge

Other causes are a spinal injury, diseased degenerative disc, infection on and around the lower back. The pain would worsen, if an individual is in an occupation where he or she has to stand or sit for hours at length. The lifting of heavy things would strain the sciatic nerves as well.

How to identify sciatica pain?

Sciatica pain varies from infrequent to a constant throbbing down the lower back. So initially it is difficult to detect whether it is sciatic pain or not. But when the constant pain in the lower back leads right down till the toes and foot, it is really time for an individual to get in touch with a doctor. The pain can give a burning sensation almost searing making it difficult for the person to stand up or walk properly. Along with the pain, one can feel fatigued. An involvement of the spinal cord is rare in the sciatic pain but is possible.

Treatment for sciatica pain

Sciatica can be treated in both surgical and non-surgical way. Surgical treatment is rare as sciatica tends to respond well with non-surgical treatments. If the pain continues for over a month despite treatment, surgical treatment will be considered. The non-surgical pain treatment would include physical exercises and oral medications along with natural treatment.

  1. Medications: Painkiller medications prescribed by the doctor can be used to reduce sciatica. Medicines like aspirin, non-steroidal or oral steroids can help reduce the pain.
  2. Steroid injection: Epidural steroid injection acts faster as it is injected in the affected area, thus providing relief from the pain quickly.
  3. Exercise: Early morning exercises can be quite helpful.
  4. Percutaneous Endoscopic DiscectomyThe surgical treatment of Percutaneous endoscopic disc dissectomy constitutes a large part of interventional pain physicians and it has evolved considerably in terms of surgical technique and instrumentation. Percutaneous endoscopic discectomy is a relatively new technique for removing lumbar disc herniation. It involves using an endoscope to visualize the disc removal. The discectomy is performed through a posterolateral approach using specially developed instruments. The advantage of percutaneous endoscopic discectomy is that the disc is approached posterolaterally through the triangle of Kambin without the need for bone or facet resection thus preserving spinal stability. The procedure is day care and is done under local anaesthesia.
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What To Do After A Muscle Strain Or Ligament Sprain?

Multi Speciality, Mumbai
What To Do After A Muscle Strain Or Ligament Sprain?

Muscle sprains and ligament tears are one of the most common injuries that medical practitioners encounter on a regular basis. These injuries are painful and can also limit one’s movement, needless to say. However, there are simple things that can be done as soon as the injury happens so that the impact of the injury can be reduced, the symptoms minimised, and recovery improved.

A sprain is a tear of the ligament. The ligament is responsible for connecting the tissue strands that connect the bone to the muscle. When this sprain affects the muscle or even the tendon, it is known as a strain.
Sprains are very common and can occur due to a fall, twist, or impact. Most commonly affected areas are the ankles and wrists. Sprains happen when there is a pull or a twist of the ankle or the joint. This is very common in athletes and can be caused by repetitive motions in the knees, wrists, elbows, etc.

The most common symptom is pain, swelling, limited movement, and sometimes bruising. The degree of these injuries depends on its severity. The most common ways to treat such injuries are as follows.

  1. RICE therapy: RICE is an acronym for rest, ice, compress, and elevate. Rest the affected area immediately by stopping any further activity. Ice the area using an ice wrap, with the ice cubes wrapped in a towel or a cotton cloth. Repeat this exercise if possible for every 20 minutes. This will reduce the swelling and pain. Compress the area using a sling or a wrap. This will help in reducing the swelling. Elevate the affected area if possible above the heart. This will help control the blood flow and thereby reduce the swelling and pain.
  2. Pain control: If there is pain that needs medication, go for the non-steroidal drugs like ibuprofen or acetaminophen. If it is a child that is injured, it is advisable to give non-aspirin ones.
  3. Seek professional help: Most sprains can be self-limiting over a couple of days. However, it is advisable to seek medical help if there is significant pain, swelling, or numbness, open wounds or bruises, or inability to move the joint.

The doctor may decide to do the following.

  1. Scanning or imaging to rule out any internal hard/soft tissue injury like fracture or tear
  2. Immobilise the joint with a splint or a cast
  3. Start physical therapy if there is severe pain and immobility
  4. Surgical repair if there is a ligament injury

A word of caution to athletes or people who are very active physically is to go easy on the joint. In an eagerness to quickly get back to their routine, more and severe damage may be caused. This can be avoided by allowing time for complete healing.
 

Knee Replacement - Know Procedure Of It!

MS - Orthopaedics, MBBS Bachelor of Medicine and Bachelor of Surgery, Fellowship in Joint Replacement, MCh (Ortho)
Orthopedist, Delhi
Knee Replacement - Know Procedure Of It!

Knee is a hinge joint where the lower leg bone tibia meets the thigh bone femur. During osteoarthritis, cartilage or ligament defects and degenerative arthritis, knee replacement surgery is recommended worldwide to get relief from extreme pain. Knee replacement surgery, also known as knee arthroscopy, is a surgical procedure, in which the affected knee joint is replaced with synthetic material. The most likely candidates for total knee replacement are the patients with severe destruction of the knee joint coupled with progressive pain and impaired function.

Modern technological advances have made computer-assisted knee replacement surgery extremely popular around the globe. In this surgery, the surgeon is assisted by a computer to remove the optimum amount and angle of the bone, which otherwise is done by inspecting manually. This is an excellent example of surgery through a small incision and it eliminates the chances of human error. Perfect alignment and balance are achieved and hence longevity is also increased to 20 - 30 years. Knee replacement surgery is also specific to gender as the anatomy of male and female patients is different.

There are many types of knee replacements, most common being the total knee replacement or Total Knee Arthroplasty. In addition, there is a partial knee replacement, bilateral knee replacement, revision knee replacement and knee arthroscopy.

In knee replacement surgery, the worn out surfaces of joints of the knee are replaced with an artificial implant of plastic and metal. The lower end of the femur bone is removed and replaced with a metal shell. The upper end of the lower leg bone (tibia) is also removed and replaced with a channelled plastic implant with a metal stem. A plastic ball is also added under the kneecap depending on its condition. These artificial components are commonly referred as prosthesis. The design of these highly flexible implants replicates knee, with the rotating knee replacement implants assist in the backward and forward swing of the legs.

Patients whose knee joints have been damaged by either trauma or progressive arthritis should consider total knee replacement surgery. Post-surgical hospital stay after knee joint replacement is usually three to five days. The surgery has a very high success rate and shows dramatic improvement after a month. This improvement is most notable one month or more after surgery. The pain caused by the damaged joint is reduced significantly when the new gliding surface is constructed during surgery. Initially, patient will walk with the help of a walking aid until the knee is able to support full body weight. After six weeks, patient can walk comfortably with minimal assistance. Patients with artificial joints are prescribed to take antibiotics during the course of any elective invasive procedures including dental work. Physiotherapy is an essential part of rehabilitation and it will increase the muscle strength and patient can enjoy most activities, except running and jumping.

Acl ligament is absent in my right leg, adn due to overcompensation, my left leg is having knee problems, relieved by esgipyrin, but only for a few hours. Also, both legs are taking a bow shape due to my weight gain and sedentary work. Can bow legs by this phenomenon be corrected, and please suggest something for my left leg.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Acl ligament is absent in my right leg, adn due to overcompensation, my left leg is having knee problems, relieved by...
Knee ligament laxity if you have problem in your legs then it might be due to ligament laxity where your legs would become very weak due to the old ligament injury and that should be treated immediately. Wear knee cap so that you will feel firm while walking or climbing stairs. This is a general strain and for this you can follow these measures: one keep a pillow right under the knee while sleeping, next is you can keep ice in the painful area for about 5--10 minutes, if pain still persists you can stretch your body by twisting the waist on both sides how we used to do in the school drill similarly you can try! one time you can do hot water fermentation that would help to reduce the muscle strain. You have to do knee strengthening exercises, ie. Knee rehabilitation exercises which will strengthen your knee. Exercises will give you permanent cure than the surgery. Physiotherapy management: you can take ultrasonic therapy in one of the nearby physiotherapy clinics which would help to heal the damaged cartilages along with shortwave diathermy which would help to improve the blood circulation.

I had back pain and I went to neurologist I told I have lower back pain it goes from back to hip .then Dr. Said it's pelvic inflammation I didn't know about pelvic inflammation he prescribed medicine for 15 days and told me not to lift heavy weight and not to bend my back forward etc. And said if after 15 days pain is still there go for mri (spine) then come back. After I read about pelvic inflammation then I got confused because I didn't have any symptoms that should be in pelvic inflammation like vaginal white discharge, itching on that area ,fever, pain during sex ,then why Dr. Said it's pid .i went for mri because pain was there .after seeing my mri Dr. said it's diffuse disk bulge in l4 l5 and l5s1 still he said it's pelvic inflammation too. And for disc bulge he prescribed 15 days medicine and told me for 15 days bed rest. What medicines I am taking are vasfree ,gabapin 300 for 5 days then gabapin 450 for 10 days, neuhenz,pantocid ,filjack ,flexon Mr. for 5 days .so I want to ask in mri it shows that someone has pelvic inflammation? Without asking any symptoms he said I have pelvic inflammation so do I really have pid I read about pid if someone has pid then antibiotics are given to patient but he didn't give me any antibiotics and didn't suggest me to go to gynecology. So please answer and clear my confusion so I can ask some questions to Dr. when I will go to see him after a few days. Thank you!

MBBS, MD - Physical Medicine & Rehabilitation
Orthopedist, Mumbai
I had back pain and I went to neurologist I told I have lower back pain it goes from back to hip .then Dr. Said it's ...
If it is pid it will be visible in mri. It is better for free you to consult gynaecologist to confirm it even an uss scan of the abdomen can show this since your mri show mild disc related problems also your back pain could be due to this. As you are young it is better to avoid long term use of pain medications. Please join a proper back care programe.

Hi, I recently was playing a game of netball and, I’m not sure exactly what happened, but a girl went backwards and hit my finger so it sort of bent back or something. It did not immediately bruise, but did swell a bit. Overtime the swelling and a little bit of bruising came out. It’s been about 27 hours since the incident and the bruising is more noticeable, but again, not to the extent where it is fully blue/ purple. I cannot bend it or make a fist as it hurts a lot, and feels as though my bone will crack- but I can straighten it. Is it possibly fractured or just strained?

BHMS
Homeopath, Rourkela
Hi, I recently was playing a game of netball and, I’m not sure exactly what happened, but a girl went backwards and h...
Hello lybrate-user. Go for x ray if you cannot hold things of swelling is there. After that consult with doctor for knowing report. Now you can start medicine arnica 200 4 globule 3 times a day for 3 days so that your blueness will decrease then consult with homoeopathic doctor for further continuation of medicine for how many days, or not. If you are getting any problem then consult with us. Thank you.

I am married 2 year back and because of job i'm staying away frm my husband since 4 months. During these 4 months we had lot of quarrels bcz I amfriendly with other male colleagues. Now they are sorted out. But I can't participate in sex with same interested as before. May I know the reason and how to improve my interest.

MD-Ayurveda, Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Sexologist, Haldwani
I am married 2 year back and because of job i'm staying away frm my husband since 4 months. During these 4 months we ...
Hello- The stress may be the culprit behind your issue. Think of sex as one giant chemical reaction of neurochemicals and hormones working in unison to provide stimulation and pleasure. The mind releases hormones to power an erection and lubricate the vagina. The body’s neurotransmitters communicate between the brain and organs to prepare and sustain sexual inhibitions, while the mind releases stimulants to keep the body pleased. No sex can be frustrating for both men and women. Fearful or anxious women tend to avoid sex. The key for women is to reduce the anxiety and fear. How? Well, most can find methods to alleviate the stress. Hitting the gym, practicing yoga, punching someone in the face, swimming and reading all provide great stress-reliving activities. Try Sensual Aromatherapy to reduce your nervousness with calming botanical essential oils. Also, the body can benefit from powerful nutrients and many natural ways to ignite your desire again. Stress-alleviating herbs that may prove helpful include Ashwagandha, know to alleviate stress and power your libido, and Sacha inchi, a plant revered for improving serotonin production to improve mood.
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