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Dr. Anil Sharma

Orthopedist, Delhi

60 at clinic
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Dr. Anil Sharma Orthopedist, Delhi
60 at clinic
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Anil Sharma
Dr. Anil Sharma is an experienced Orthopedist in Bawana, Delhi. He is currently associated with Mangalam Medical And Surgical Centre in Bawana, Delhi. Save your time and book an appointment online with Dr. Anil Sharma on Lybrate.com.

Lybrate.com has an excellent community of Orthopedists in India. You will find Orthopedists with more than 29 years of experience on Lybrate.com. You can find Orthopedists online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Mangalam Medical And Surgical Centre

154/81,Main Bawana Road, Pooth Khurd, Bawana. Landmark: Near M.b. Hospital (Govt .), DelhiDelhi Get Directions
60 at clinic
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Osteoporosis and Exercises

Fellowship in Neurological Rehabilitation, BPTh/BPT
Physiotherapist, Gurgaon
Osteoporosis and Exercises

Hello Friends,

What is osteoporosis?

The components of the word 'osteoporosis' literally mean 'porous bones' - 'osteo' is for bones, and 'porosis' means porous - helpfully describing this condition that results in reduced bone density and increased fragility of the bones.The thinning of the bones in osteoporosis, combined with the formation of weaker bone crystals, puts people at a higher risk of Fall and  Fractures.

It can affect anyone of any gender, but it is particularly prevalent in postmenopausal women due to the sudden decrease in protective oestrogen levels after menopause.

Signs and Symtom

Bone loss that develops slowly, leading to osteoporosis, does not cause any symptoms or outward signs.

As such, a patient may only discover that they have osteoporosis due to an unexpected fracture after a minor fall or a slip or strain - or even a simple cough or sneeze - may result in a fracture.Breaks in the spine can lead to altered posture, with compressed vertebrae creating the stooped appearance often seen in older people

Diagnosis

  • Osteoporosis may be diagnosed directly through the use of a bone scan that measures bone mineral density (BMD). Central or peripheral DXA.
  • Osteoporosis is diagnosed when the T-score is -2.5 or below.
  • Other methods of measuring bone density include x-ray, ultrasound, and CT scan

Treatment

It is important to ensure the cause of low bone denisty has been properly diagnosed as the treatment will vary greatly.the decision about what treatment you need – if any – will also be based on a number of other factors. These include your:

  • age
  • sex
  • risk of fracture
  • previous injury history

Treating osteoporosis involves treating and preventing fractures and using medication to strengthen bones.

How Can a Physical Therapist Help?

Your physical therapist can develop a specific program based on your individual needs to help improve your overall bone health, keep your bones healthy, and help you avoid fracture. Your physical therapist may teach you.

  • Specific exercises : to build bone or decrease the amount of bone loss
  • Proper posture
  • How to improve your balance so as to reduce your risk of falling
  • How to adjust your environment to protect your bone health

 Typically, exercises are performed 2 to 3 times a week as part of an overall fitness program.Your exercise routine should include exercises in each of the following areas:

  • Strengthening exercise
  • postural exercise
  • balance exercise
  • weight-bearing
  • Flexibility exercise

1) Strength training

Strength training is a type of exercise with the goal of improving muscular strength. It involves performing movements against resistance; it is sometimes referred to as resistance training. Exercise bands, weights, machines or even your own body weight can be used for resistance. Strength training may increase spine and hip bone mineral density.

2) Posture training

Posture training involves paying attention to how the parts of our body are aligned with each other. Some kyphosis, or curvature of the upper back, is normal, but fractures or weak back extensor muscles can cause the spine to curve more than usual, resulting in an exaggerated kyphosis or excessively curved upper back.Attention to alignment during activity and at rest, along with exercises targeting the back extensor muscles, can improve the alignment of the spine. Flexion exercises are often CONTRAINDICATED. .

3) Balance training

Balance training exercises are those that challenge your balance.Balance exercises are also important to incorporate to further reduce the risk of falls Examples include:Shifting weight to the limits of support (e.g., moving your weight more to one foot than another).

Physical activities like Tai Chi, that involve balance and coordination may also reduce falls and fractures.

Tai Chi is a very safe and effective low impact form of exercise that improves balance and reduces the risk of falls.

4) Weight bearing Aerobic (water) physical activity

Aerobic exercise  is a rhythmic activity that you do for at least 10 minutes at a time continuously and it increases your heart rate and makes you breathe harder than you usually do during your daily activities.For individuals with osteoporosis, we often recommend weight-bearing aerobic exercise or physical activity like walking or cycling or swiming or guided exercises to be done in swimmimng pool

5 flexibility exercise:

These can help improve the individuals overall physical function and postural control

Start by speaking with a physical therapist or consult me to ensure you are choosing safe , specific  and appropriate physical activities for you.
Remember: if you have osteoporosis, aerobic exercise is not enough. Strength training and balance training are essential to maintain bone and muscle, and prevent falls.

 

"Osteoporosis is not a inevitable part of aging it is preventable.So it is vital that all of us,start taking care of our bones now, before its too late"..quote by Camila Parler Bowles

Thanks

17 people found this helpful

Have a terrible back pain for 3 days and not able slep on my back have to sleep in one position. Also tried all kind of ointment but pain not reduced. What can I do to reduce pain.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
Have a terrible back pain for 3 days and not able slep on my back have to sleep in one position. Also tried all kind ...
1) Do massage with warm sesame oil or suitable oil for 15 min., afterwards take hot fomentation for 10 min. 2) Start natural calcium supplement. 3) Do regular stretching exercise 4) In yoga DO BHUJANGASAN, HALASAN & SURYANAMASKAR. This will give you relief in mild to moderate cases. Give feedback after 4 days. LIFE-STYLE CORRECTION 1) Correct your sitting posture. 2) Take small pillow or back rest for lower back. 3) Foot should rest to floor easily. 4) Take small break after 1 hr & walk few steps. 5) Do neck & upper back extension, give feedback after 4 days
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Last 2 to 3 days pain at ribsline of right side. I was given medicine for gas. Pain killer. I felt good now again its paining. What to do? What must b the reason?

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Last 2 to 3 days pain at ribsline of right side. I was given medicine for gas. Pain killer. I felt good now again its...
Gastric Pain / Trouble: Whenever you do breathing in and out you will feel pain in the upper back, middle back and also the pain will radiate upwards until the shoulder and also up to the chest. You might feel chest congestion and tightness and that be due to gastric trouble. Kindly do breathing exercises which might help you to get reduced with pain in the back and shoulder. Drink hot water to reduce the gastric trouble. Kindly consult gastroenterologist if you doesn’t improve.
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After finishing gym I am getting pain in my left wrist , if I won't go for gym then pain will not be there, the pain actually started while working out in gym 3 months back , please tell me the solution .

DHB
Homeopath, Sagar
After finishing gym I am getting pain in my left wrist , if I won't go for gym then pain will not be there, the pain ...
Dear your wrist pain appears due to some muscles pulled while doing your workout in the gym. It is common to people doing weight lifting type exercise. Take homoeopathic medicines arnica 200 rush tox 200 both 5 drops twice daily.
6 people found this helpful
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Headache from 1 year and hand pain also. Please help me and back pain from 3 years and let pain from 4 year.

MD - Alternate Medicine, BHMS
Homeopath, Surat
Headache from 1 year and hand pain also. Please help me and back pain from 3 years and let pain from 4 year.
Take Belladonna 6C one dose now, 2nd dose tomorrow morning and 3rd dose day-after tomorrow. This will relieve you within few mins. For any more queries, please ask, you are welcome. Take care. :)
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I have back pain from last two 3 days. I used pain relief spray and also applied ointment but it's not getting better. Should I go to doctor or is there any home remedy. Please suggest me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma In Panchkarma
Ayurveda, Jhalawar
I have back pain from last two 3 days. I used pain relief spray and also applied ointment but it's not getting better...
Hi Mr. lybrate-user 1. Stay warm. One of the main qualities of vata dosha is that it's cold. That's why, whenever I used to wander around in the cold outdoors while growing up in Ohio, I used to notice that my pain would increase immediately, though I could not connect this cause of coldness and its effect of pain at that time. You know how we always want to be warmly tucked away in our bed whenever we feel ill? An important part of this picture of comfort is the warmth factor, which also applies to pain relief. 2. Reduce your intake of very pungent spices. Consuming extremely pungent spices in your food, such as red and green chilies and wasabi, can have a very drying effect on the body. Because dryness is another one of the main qualities of vata dosha, it gets increased with drying substances, and this can lead to constipation, as well as lower back pain due to stasis of the stools. 3. Eat warm foods. Because of the principle that like increases like, consuming cold food and drinks causes an increase in vata dosha, which leads to pain. Coldness creates constriction and congestion in the body, while the appropriate amount of heat provides expansion and allows the stool-carrying channels in the body (called srotas) to stay open so that we can optimally eliminate our food. And healthy elimination equals less pain. 4. Practice Padahastasana. Padahastasana (standing forward fold pose) is a great Yoga pose for lower back pain in particular because it allows vata dosha to flow optimally throughout the body, eliminating the constriction of the stool-carrying channels that causes both constipation and lower back pain. Whenever Ayurveda clients suffer from lower back pain that is not due to muscular reasons, we recommend this pose as a way to help with elimination. I have personally noticed that when I have had difficulty eliminating and then have done so, my lower back pain has left my body at the same time as the stools have. 5. Oil your body. My lower back pain has always intensified during stressful periods of my life. Ayurveda teaches how stress, exertion, depletion, and tiredness all increase vata dosha, and too much accumulated buildup of vata dosha leads to early aging, in addition to pain in various parts of the body, especially the lower back. Thanks regards.
1 person found this helpful
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Hi doctor, I am male and 24 years young. I have back pain since 3 years. what to do.?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Hi doctor, I am male and 24 years young. I have back pain since 3 years. what to do.?
Kindly show me a photograph of the affected part. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful use no pillow under the head. Do hot fomantation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, contact me again. Do not ignore. It could be beginning of a serious problem.
1 person found this helpful
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I have pain on my neck. So tell me how to remove my neck pain. Give answer in details.

MBBS, MBA (Healthcare)
General Physician, Delhi
apply volini gel on neck. do warm fomentation. do neck exercise in pain free period. avoid high pillow. if not ok in 6 month, do x ray neck ap/lat.
1 person found this helpful
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Back Pain - Why It Happens?

MS (Surgery), Mch (Neurosurgery)
Neurosurgeon, Guwahati
Back Pain - Why It Happens?

Having a backache is one of the most common complaints heard by doctors. Pain anywhere on the back from below the neck to just above the buttocks is termed as back pain. A backache can be caused by a number of factors. The seriousness of back pain depends on the factors triggering this pain.

Back pain can affect people of all ages but is more commonly experienced by those between the ages of 35 and 55 years. A sedentary lifestyle, stress, anxiety, obesity and pregnancy are some conditions that can increase the risk of suffering from back pain. Some of the common causes of back pain are:

  1. Strain: Strained muscles or ligaments are the most common triggers for a back ache. This is a common occurrence that happens while trying to lift a heavy weight improperly or as a result of an abrupt movement. A muscle spasm can also cause a back ache.
  2. Structural problems: Backaches can also be caused by structural problems with the spinal column and musculoskeletal system. The rupturing or inflammation of spinal discs that cushion each vertebra of the spinal column are common structural problems that cause back pain. Back pain known as sciatica pain is also caused by structural problems like an inflamed or herniated disc that presses on a nerve.
  3. Musculoskeletal conditions: Osteoporosis and arthritis are other musculoskeletal conditions that may cause back pain.

A thorough physical examination is the first step to diagnosing the cause of back pain. If the pain persists for a long duration, tests such as MRI or CT scans, X-rays, EMGs or bone scans may be advised. This will help the doctor understand the cause of the back pain and treat it accordingly.

Treatment for a back ache depends on the factors triggering it, how long the pain persists and the intensity of the pain. Rest is usually advised along with posture exercises, heat therapy and other simple exercises to improve flexibility and tone the back muscles. Over the counter painkillers can provide temporary relief for intense back pain.

In some cases, nonsteroidal anti-inflammatory drugs may also be needed. Surgery is usually the last resort for back pain and is considered only in cases where severe structural problems that do not respond to medications are the cause of the pain. If you wish to discuss about any specific problem, you can ask a free question.

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