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Dr. B S Murty

Orthopedist, Delhi

600 at clinic
Dr. B S Murty Orthopedist, Delhi
600 at clinic
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. B S Murty
Dr. B S Murty is a popular Orthopedist in Safdarjung Enclave, Delhi. You can visit him at Sukhmani Hospital in Safdarjung Enclave, Delhi. Save your time and book an appointment online with Dr. B S Murty on Lybrate.com.

Lybrate.com has an excellent community of Orthopedists in India. You will find Orthopedists with more than 39 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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#126a, Block B7, Extension, Main Road, Safdarjung Enclave, Landamrk:-Opposite Arya Samaj Mandir, DelhiDelhi Get Directions
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I am having occasional muscle twitching on my body, some times on lower arm, some times on legs and some times on abdomen. I get at least 3 twitches every day and it lasts for few seconds, the first twitch I got in was year 1999, when I got twitch in wrist but I did no medical checkup. Now you please tell me that should I go for eeg, I have heard that emg is costly and I cannot afford. No pain. Is it normal or not.

Occupational Therapist, Kolhapur
I am having occasional muscle twitching on my body, some times on lower arm, some times on legs and some times on abd...
Cosult a neurologist and get ncv study done for legs and arms if you have muscle wasting. It may be sign of motor neuron disease. Get it done only if you have difficulties in holding objects in any hand. Or have other functional limitations.
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Meri mom ka left leg me ek rod pada hai hip side me pr doctor kah rhe hai ki waha ka bone create nahi ho rha hai aur rod nikal kr phir se opretion kerne ke liye kah rhe hai aur kisi type ka cement bharene ke liye kah rhe hai. Bone kaise create hoga. Please suggest me urgently. I am so depressed about my mother.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Meri mom ka left leg me ek rod pada hai hip side me pr doctor kah rhe hai ki waha ka bone create nahi ho rha hai aur ...
tk rich source of calcium and check ur vit d levels if it work then OK otherwise surgery best option
2 people found this helpful
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I am 60 years old. I am getting calf muscles pain both the leg. Suffering from for the past 10 years. Need solution.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am 60 years old. I am getting calf muscles pain both the leg. Suffering from for the past 10 years. Need solution.
Requires detailed examination and investigation. Preliminary investigations suggested: hb, tlc, dlc, esr, blood sugar fasting & pp, uric acid vit d urine r/e x-ray of the affected part. Anyway it may be tried sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick mattress 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, knee & general exercises. It may have to be further investigated. Do not ignore it. Let it not become beginning of a bigger problem. Make sure that patient is not allergic to any of the medicines that he/she is going to take. If it does not give relief in 4-5days, inform.
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I AM 13 Years old I am male and having back ache since 2 days and I had used pain relief cream but it did not work so what should I do?

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist, Bangalore
I AM 13 Years old I am male and having back ache since 2 days and I had used pain relief cream but it did not work so...
Try few things for your back pain: - Apply Ice and Heat Heating pads and cold packs can comfort tender trunks. Most doctors recommend using ice for the first 48 hours after an injury -- particularly if there is swelling — and then switching to heat. You can use whichever you find comforting as long as your skin is protected. - Limit Bed Rest Studies show that people with short-term low-back pain who rest feel more pain and have a harder time with daily tasks than those who stay active. -Keep Exercising Activity is often the best medicine for back pain. Simple exercises like walking can be very helpful. But remember to move in moderation, Stay away from strenuous activities like gardening and avoid whatever motion caused the pain in the first place. -Maintain Good Posture most people have poor posture when going about their daily activities, putting unnecessary strain on their backs. -Strengthen Your Core Most people with chronic back pain would benefit from stronger abdominal muscles. If the abdominals are weak, other areas must pick up the slack. When we strengthen the abdominals, it often reduces the strain on the lower back. - Improve Flexibility Too much tension and tightness can cause back pain. By increasing flexibility you need to put an equal load throughout the body from the feet all the way up to the head. -Sleep the Right Way The amount of rest you get is important, and so is the position you get it in. Sleeping in a bad position or on a mattress without support can cause back pain. Back sleepers should put pillows under their knees. Side sleepers should place pillows between their knees to keep their spine in a neutral position. Stomach sleeping causes the neck and head to twist and can put undue stress on the back. -Use Relaxation Techniques Research shows that practices such as meditation, deep breathing and yoga, which help put the mind at rest, can do wonders for the back. -See a Specialist Developing an individualized exercise plan is essential to managing chronic back pain. Some patients need more core strengthening while others benefit mainly from stretching and improving flexibility. Please consult a Orthopedic Physiotherapist for the right exercise plan. Best wishes.
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I have been suffering from acute headache in the morning and chest pain and continuous pain in the neck and shoulder pain as well.

MBBS
General Physician, Cuttack
I have been suffering from acute headache in the morning and chest pain and continuous pain in the neck and shoulder ...
1.Take one tablet of paracetamol 500mg 2-3 times daily after food 2. Drink plenty of water 3. Take rest 4. If no relief, consult for further advice
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I have soo much pain in my leg What can I do? please help and suggest me a proper solution.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I have soo much pain in my leg What can I do? please help and suggest me a proper solution.
Do Take IFT and laser Therapy for pain relief for 7 days regularly Do revert for further assistance Best Wishes
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I have knee pain, my age is 75 and I have liver ceriosisplease suggest homoeopathy medicine.

BHMS
Homeopath, Faridabad
I have knee pain, my age is 75 and I have liver ceriosisplease suggest homoeopathy medicine.
Hello, take Five phos 6x, 5 tabs twice daily. Take no. 19 , 5 tabs thrice daily. The liver is the largest gland in the human body. 'Cirrhosis' of liver is a condition wherein the normal liver tissues get damaged and replaced by scar tissue. Homoeopathic medicines treat the underlying cause of Cirrhosis of Liver, such as viral infection, genetic tendency, bad effects of alcohol, metabolic changes, etc. and thus help to treat effects of Cirrhosis of Liver. So please share more symptoms because a complete totality of symptoms is necessary to prescribe the medicine. Healthy liver cells get substituted with fibrotic scar tissue in a very slow and gradual process.
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I am suffering from ankle joint pain from last 3 years kindly tell me some solution.

BPTh/BPT, MSC IN YOGA THERAPY
Physiotherapist, Bangalore
I am suffering from ankle joint pain from last 3 years kindly tell me some solution.
Hi, take wax therapy and ultrasound therapy (physiotherapy) for 15 days, and in home take ice water in tub and put your legs inside the tub above your ankle for 10 min for 7 days, hope it will help you take care.
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I am 28 year old male and get lower back pain on and off. What is the issue and what should be done?

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I am 28 year old male and get lower back pain on and off.
What is the issue and what should be done?
avoid strain full activity like long sitting toward bending. posture correction must. do hot fermentation. stretching exercises. otherwise physiotherapy treatment and x-ray
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I am 23 years old (male). I am having a pain on my right hip. (on the top part of my right buttock). Pain started in march this year when I was playing volleyball. Neglected it as there was no outside injury. Usually I can touch my feet without bending my knees. But ever since this incident happened, its paining a lot if I am trying to bend or something like that. Please help. Thanks in advance.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Coimbatore
Can you squat and sit cross legged is the pain travelling down the leg you could have strained your back or sacro iliac joint reply I can help you and consult privately to have a detailed discussion to solve your problem.
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I am 18 and suddenly my small finger in my left hand has gone numb for about half an hour now, its a strange feeling. I have high blood sugar as well.

C.S.C, D.C.H, M.B.B.S
General Physician,
You need to follow diabetic status. Keep in constant touch. With blood sugar levels, fasting and 2 hour after diet. Ask privately
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Hello, I am saket and I am 27 years old. I have pain in shin area of both my leg below knee. I have this pain since 4 -5 years. I have consulted doctors and they said that I should take a brisk walk and it would be okay. But the pain is still there. Please help.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
Some common home care techniques for knee pain that control inflammation and help to break the inflammatory cycle are protection, rest, ice, compression, and elevation do reply back for private consultation. And detailed treatment plan.
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I am 16years old I have backache In exam for 15days and I use? Ray but not effect what exercise I do.

BAMS
Ayurveda, Ambala
I am 16years old I have backache In exam for 15days and I use? Ray but not effect what exercise I do.
First of all check your posture when you are lifting any material like heavy bucket. And try to lift the heavy bucket without bending your back. You may lift the bucket after bending your knees only. This will definitely help you. * gentle massage with lukewarm mustard oil of your waist area will also give you relief. * surya namaskar is only exercise which you need to do. * in diet vegetable protein of cereal, b complex supplements and half teaspoon of haldi in a cup of milk for seven days will give you enough relief.
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I am 38 years old male I have pain in elbow for last week I have lifted some 30 kg weight now what to do?

B.P.T
Physiotherapist, Chandigarh
I am 38 years old male I have pain in elbow for last week I have lifted some 30 kg weight now what to do?
You might have a tennis elbow (tendinitis), try wearing a band around the elbow and avoid lifting any heavy weights till the pain subsides, also you will need to take physiotherapy treatment by visiting the nearest physio clinic.
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I am 32 years old and I have pain in my back since 1 yr. Got a MRI done it says there is gap in L4 and L5. Many doctors suggest surgery is there any other alternative.

Homeopath, Delhi
I am 32 years old and I have pain in my back since 1 yr. Got a MRI done it says there is gap in L4 and L5. Many docto...
U can wait fr sometime and give homoeopathic medicine a try. We hv sm wonderful medicines fr backache. Alongwid this you need to do few strengthening exercises fr your back regularly. This is going to help you in a big way. Al d best.
2 people found this helpful
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Because of joint pain, not able to walk properly. Even not able to keep the legs straight. Any suggestion or any advice regarding medication.?

BPTh/BPT
Physiotherapist, Gurgaon
Because of joint pain, not able to walk properly. Even not able to keep the legs straight. Any suggestion or any advi...
Take hot and cold fermentation 1 min each, for 5 reps. Do atleast twice in a day for 1 week. If pain improves fine, otherwise take physiotherapy sessions. Thank you.
10 people found this helpful
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I have back pain severiouly at sometimes when I sleep on floor. What I have to do?

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist, Bangalore
I have back pain severiouly at sometimes when I sleep on floor. What I have to do?
The most common form of morning stiffness and pain is due to muscle imbalances and poor conditioning of the muscles themselves. Here are some tips for how to handle your back pain: -while sleeping, try lying in a curled-up, fetal position with a pillow between your legs. If you usually sleep on your back, place a pillow or rolled towel under your knees to relieve pressure. -find a mattress with back support. A good mattress should provide support for the natural curves and alignment of the spine. Medium-firm mattresses usually provide more back pain relief than firm mattresses. -do not perform activities that involve heavy lifting or twisting of your back -avoid bending forward and sitting in a place for long time -stretching and strengthening exercises are important. -a physiotherapist can tell you when to begin stretching and strengthening exercises and learn how to safely, easily, stretch and strengthen the weak and tight areas of your lower back and hips which cause pain while sleeping. Best wishes.
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Delayed Onset Muscle Soreness (DOMS)

Physiotherapy In Cerebral Palsy and Leprosy, MPT Neurology
Physiotherapist,
Delayed Onset Muscle Soreness (DOMS)

Delayed onset muscle soreness (doms), also called muscle fever, is the pain and stiffness felt in muscles several hours to days after unaccustomed or strenuous exercise.

The soreness is felt most strongly 24 to 72 hours after the exercise. It is thought to be caused by eccentric (lengthening) exercise, which causes microtrauma to the muscle fibers. After such exercise, the muscle adapts rapidly to prevent muscle damage, and thereby soreness, if the exercise is repeated.

Delayed onset muscle soreness is one symptom of exercise-induced muscle damage. The other is acute muscle soreness, which appears during and immediately after exercise.

Characteristics

The soreness is perceived as a dull, aching pain in the affected muscle, often combined with tenderness and stiffness. The pain is typically felt only when the muscle is stretched, contracted or put under pressure, not when it is at rest. This tenderness, a characteristic symptom of doms, is also referred to as" muscular mechanical hyperalgesia.

Although there is variance among exercises and individuals, the soreness usually increases in intensity in the first 24 hours after exercise. It peaks from 24 to 72 hours, then subsides and disappears up to seven days after exercise.

Cause

The soreness is caused by eccentric exercise, that is, exercise consisting of eccentric (lengthening) contractions of the muscle. Isometric (static) exercise causes much less soreness, and concentric (shortening) exercise causes none.

Mechanism

The mechanism of delayed onset muscle soreness is not completely understood, but the pain is ultimately thought to be a result of microtrauma mechanical damage at a very small scale to the muscles being exercised.

Doms was first described in 1902 by theodore hough, who concluded that this kind of soreness is" fundamentally the result of ruptures within the muscle. According to this" muscle damage" theory of doms, these ruptures are microscopic lesions at the z-line of the muscle sarcomere. The soreness has been attributed to the increased tension force and muscle lengthening from eccentric exercise. This may cause the actin and myosin cross-bridges to separate prior to relaxation, ultimately causing greater tension on the remaining active motor units.[6] this increases the risk of broadening, smearing, and damage to the sarcomere. When micro-trauma occurs to these structures, nociceptors (pain receptors) within muscle connective tissues are stimulated and cause the sensation of pain.

Another explanation for the pain associated with doms is the" enzyme efflux" theory. Following microtrauma, calcium that is normally stored in the sarcoplasmic reticulum accumulates in the damaged muscles. Cellular respiration is inhibited and atp needed to actively transport calcium back into the sarcoplasmic reticulum is also slowed. This accumulation of calcium may activate proteases and phospholipases which in turn break down and degenerate muscle protein. This causes inflammation, and in turn pain due to the accumulation of histamines, prostaglandins, and potassium.[7][9]

An earlier theory posited that doms is connected to the build-up of lactic acid in the blood, which was thought to continue being produced following exercise. This build-up of lactic acid was thought to be a toxic metabolic waste product that caused the perception of pain at a delayed stage. This theory has been largely rejected, as concentric contractions which also produce lactic acid have been unable to cause doms. Additionally, lactic acid is known from multiple studies to return to normal levels within one hour of exercise, and therefore cannot cause the pain that occurs much later

Relation to other effects

Although delayed onset muscle soreness is a symptom associated with muscle damage, its magnitude does not necessarily reflect the magnitude of muscle damage.

Soreness is one of the temporary changes caused in muscles by unaccustomed eccentric exercise. Other such changes include decreased muscle strength, reduced range of motion, and muscle swelling. It has been shown, however, that these changes develop independently in time from one another and that the soreness is therefore not the cause of the reduction in muscle function.

Possible function as a warning sign

Soreness might conceivably serve as a warning to reduce muscle activity so as to prevent further injury. However, further activity temporarily alleviates the soreness, even though it causes more pain initially. Continued use of the sore muscle also has no adverse effect on recovery from soreness and does not exacerbate muscle damage. It is therefore unlikely that soreness is in fact a warning sign not to use the affected muscle.

Repeated-bout effect

After performing an unaccustomed eccentric exercise and exhibiting severe soreness, the muscle rapidly adapts to reduce further damage from the same exercise. This is called the" repeated-bout effect.

As a result of this effect, not only is the soreness reduced, but other indicators of muscle damage, such as swelling, reduced strength and reduced range of motion, are also more quickly recovered from. The effect is mostly, but not wholly, specific to the exercised muscle: experiments have shown that some of the protective effect is also conferred on other muscles.

The magnitude of the effect is subject to many variations, depending for instance on the time between bouts, the number and length of eccentric contractions and the exercise mode. It also varies between people and between indicators of muscle damage. Generally, though, the protective effect lasts for at least several weeks. It seems to gradually decrease as time between bouts increases, and is undetectable after about one year.

The first bout does not need to be as intense as the subsequent bouts in order to confer at least some protection against soreness. For instance, eccentric exercise performed at 40% of maximal strength has been shown to confer a protection of 20 to 60% from muscle damage incurred by a 100% strength exercise two to three weeks later. Also, the repeated-bout effect appears even after a relatively small number of contractions, possibly as few as two. In one study, a first bout of 10, 20 or 50 contractions provided equal protection for a second bout of 50 contractions three weeks later.

The reason for the protective effect is not yet understood. A number of possible mechanisms, which may complement one another, have been proposed. These include neural adaptations (improved use and control of the muscle by the nervous system), mechanical adaptations (increased muscle stiffness or muscle support tissue), and cellular adaptations (adaptation to inflammatory response and increased protein synthesis, among others).

Prevention

Delayed onset muscle soreness can be reduced or prevented by gradually increasing the intensity of a new exercise program, thereby taking advantage of the repeated-bout effect.

Soreness can theoretically be avoided by limiting exercise to concentric and isometric contractions. But eccentric contractions in some muscles are normally unavoidable during exercise, especially when muscles are fatigued. Limiting the length of eccentric muscle extensions during exercise may afford some protection against soreness, but this may also not be practical depending on the mode of exercise. A study comparing arm muscle training at different starting lengths found that training at the short length reduced muscle damage indicators by about 50% compared to the long length, but this effect was not found in leg muscles.

Static stretching or warming up the muscles does not prevent soreness.[12][13][needs update] overstretching can by itself cause soreness.

The use of correctly fitted, medical-grade, graduated compression garments such as socks and calf sleeves during the workout can reduce muscle oscillation and thus some of the micro-tears that contribute to doms, proper nutrition to manage electrolytes and glycogen before and after exertion has also been proposed as a way to ease soreness.[15][16] consuming more vitamin c may not prevent soreness, but oral curcumin (2.5 gram, twice daily) likely reduces it.

Treatment

The soreness usually disappears within about 72 hours after appearing. If treatment is desired, any measure that increases blood flow to the muscle, such as low-intensity activity, massage, hot baths, or a sauna visit may help somewhat.

Immersion in cool or icy water, an occasionally recommended remedy, was found to be ineffective in alleviating doms in one 2011 study, but effective in another. There is also insufficient evidence to determine whether whole-body cryotherapy compared with passive rest or no whole-body cryotherapy reduces doms, or improves subjective recovery, after exercise.

Counterintuitively, continued exercise may temporarily suppress the soreness. Exercise increases pain thresholds and pain tolerance. This effect, called exercise-induced analgesia, is known to occur in endurance training (running, cycling, swimming), but little is known about whether it also occurs in resistance training. There are claims in the literature that exercising sore muscles appears to be the best way to reduce or eliminate the soreness, but this has not yet been systematically investigated.

I am 44 old year male of 90 kg weight. My coccyx is bent and I am uncomfortable while sitting what should I do?

BPTh/BPT
Physiotherapist, Mumbai
I am 44 old year male of 90 kg weight. My coccyx is bent and I am uncomfortable while sitting what should I do?
Hi use orthopaedic seat for sitting. Learn spine mobility and strengthening exercise. Consult physiotherapist or reply me via lybrate. Best wishes.
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Hello sir, madam. A day I was doing exercise got a huge pain on spine like some bone HV dislocated or broke. Next day I went to doctor done MRI. Reports came and result was disk slip. From 1and a half year I am suffering from it. Some time I feel much pain on lower body. I am unable to bend down. Right led got shivering. Unable to stand longer. Unable to sit properly for long time. What should I do.

Fellowship in Neurological Rehabilitation, BPTh/BPT
Physiotherapist, Gurgaon
Hello sir, madam.  A day I was doing exercise got a huge pain on spine like some bone HV dislocated or broke. Next da...
Hi, what I believe from your query, you have low back (lumber) disk slip. The disc often presses on a nerve root which can cause pain and other symptoms in a leg. As you are had this problem from last 1.5 yrs. Due to constant pressure on nerve and associated muscle get weak so you have shivering of right leg also core muscles of back get weak also so you have problem in sitting for long or or bend down. Bending in awkward position or for long time increases the pressure on disc so may increases the pain. You should do 1) conditioning, strengthening and flexibility exercise under experienced physiotherapist. 2) be back aware like avoid twisting movement of back or lifting objects in bad back posture 3) wear belt only when required like while driving 4) avoid staying in one position for long time thanks.
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