Lybrate.com has an excellent community of Physiotherapists in India. You will find Physiotherapists with more than 38 years of experience on Lybrate.com. You can find Physiotherapists online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. Anand Ashok Verma
Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Knee replacement
Treatment of Nerve And Muscle Disorders
Treatment of Hip Disorders
Neuro Physiotherapy Treatment
Treatment of Knee Injury
Pregnancy Exercise Therapy
Treatment of Sports Injuries
Treatment of Splinting
Treatment of Spondylosis
Arthritis And Pain Management Treatment
Heat Therapy Treatment
Post Pregnancy Classes
Orthopedic Physical Therapy
Treatment of Shin Splints
Submit a review for Dr. Anand Ashok VermaYour feedback matters!
Last night i watched that my sprain's colour became reddish, please help and suggest me, what the resigned.
When I get up in morning my hands has no senses I squeeze my fingers it's work after some times. I used 2 do heavy weight work I stopped tht also now I have knee pain periodically. I can't sit more time in flat chair my bum sense also goes.
My symptoms are tiredness, fatigue, muscle pain and little joint pain sometimes. If I take 200mg of hcqs per day, I feel good and normal. If I take 400mg of hcqs per day, I get headache, nausea, dizziness, tiredness, muscle pain etc. So, pls suggest me the strength of hcqs I should take?
I am a woman of 52 years weighing 68 kg with height being and 5 feet. I have slight problem in the L5 region of the spine as a result I feel pain in the right leg. The pain runs through the hip to the foot. I feel weak in the legs. Wish to reduce some weight. Please suggest the best. Thank you.
Head and limbs pain me so much pain that I do and sometimes the whole body is rigid, so all told me that treatment should be erased hajj jnnn.
I have two babies both are cesarean the younger one is of 10 months. Now I am suffering with a heavy lower back pain which sometimes become unbearable and difficult to move what should I do and what can be the causes? Please suggest some home remedy if possible.
Knee replacement can be extremely painful. Previously, opioids or narcotics were administered for pain relief. But excessive addition of opioids is not exactly effective for controlling pain.
Multimodal pain management has become an important part of the perioperative care of patients undergoing total joint replacement. The principle of multimodal therapy is to use interventions that target several different steps of the pain pathway, allowing more effective pain control with fewer side effects. Many different protocols have shown clinical benefit. The goal of this review is to provide a concise overview of the principles and results of multimodal pain management regimens as a practical guide for the management of joint arthroplasty patients.
Multimodal denotes administering two or more than two types of medications that work with different mechanisms. The following are the techniques used:
Pre-operative Femoral Nerve Block: Prior to the surgery, a catheter is placed beside the femoral nerve for blocking it. This nerve is located in the upper thigh. Medication is delivered through the catheter for the nerve to be numbed for 24 hours. Thus, pain signals to the brain are blocked. This method reduces the use of narcotics and the consequent side effects.
Patient Controlled Analgesia (PCA): This method is also known as ‘Pain Pump’. An intravenous pump is used to administer pain relief medications, such as oxymorphone or morphine, after the surgery. The control button of the machine could be pressed, by the patient for 6 to 10 times per hour. The machine is used for two post-operative days.
Oral Medications: The oral medications include Non-Steroidal Anti-Inflammatory drugs or NSAID; such as Celebrex which is similar to aspirin, structurally. Alternatively, acetaminophen, such as Tylenol or its equivalent composition, can also be used.
Acetaminophen: It acts on the Central Prostaglandin Synthesis and relieves the patient of pain through multiple mechanisms.
Epidural Analgesia: It produces lower pain scores and involves less time for achieving physical therapy goals. However, this is subject to side effects such as dizziness, urinary retention and itchiness.
Gabapentinoids: These medications include membrane stabilizers such as Gabapentin and Pregabalin.
The objective of multimodal treatments is to provide quick relief to the patient and immediately so. Earlier the rehabilitation, more successful will be the knee replacement surgery.
In case you have a concern or query you can always consult an expert & get answers to your questions!