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Dr. Debashish Das

BPTh/BPT, MPTh/MPT

Physiotherapist, Delhi

19 Years Experience
Dr. Debashish Das BPTh/BPT, MPTh/MPT Physiotherapist, Delhi
19 Years Experience
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Debashish Das
Dr. Debashish Das is a trusted Physiotherapist in Greater Kailash, Delhi. He has had many happy patients in his 19 years of journey as a Physiotherapist. He studied and completed BPTh/BPT, MPTh/MPT . He is currently practising at My Physio. in Greater Kailash, Delhi. Book an appointment online with Dr. Debashish Das on Lybrate.com.

Lybrate.com has top trusted Physiotherapists from across India. You will find Physiotherapists with more than 37 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.

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Specialty
Education
BPTh/BPT - Dr. M G R Medical University, Chennai, Tamil Nadu, India, - 1998
MPTh/MPT - University of South Australia, Adelaide, Australia, - 2001
Languages spoken
English
Hindi
Professional Memberships
Delhi Council of Physiotherapists and Occupational Therapists (DCPTOT - PR3290)
Physiotherapy Board of Australia Certificate of Registration (PHY0001233192)
Member of the Australian Physiotherapy Association (April 2004- 53560)
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Associate Member of Sports Physiotherapy Australia (SPA)
Member Sports Medicine Australia (SMA)

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E-51 GreaterKailash part 2,Delhi, DelhiDelhi Get Directions
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I have a leg pain from 2 months and I take homeopathic medicine but I don't feel any relief.

D.P.T
Physiotherapist, Hyderabad
I have a leg pain from 2 months and I take homeopathic medicine but I don't feel any relief.
Dear user, is it the pain you are suffering from is in the leg or from the hip. It may be sciatic pain. Apply diclofenac ointment with heat fermentation. This will reduce your pain.
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Hello sir, I am facing problem in spinal cord. Because I use to study more then 3 hours. What should i do?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
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 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.
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Without taking medicine how can we recover our fever , back pain and cartilage problems and how we recover.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Without taking medicine how can we recover our fever , back pain and cartilage problems and how we recover.
Body has its own defense mechanism to fight any illness.By taking medicines we assist the defense system of the body to overcome the disease.
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My right hand joint has very pain in night times. In that time I apply (move) it will be lightly relif. How to reduce that one.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
My right hand joint has very pain in night times. In that time I apply (move) it will be lightly relif. How to reduce...
You should take acupressure treatment and take biochemic nat phos12x 4 tab thrice a day with warm water and take it 5 day's.
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I am having knee pain for that what precious do I have to take tell me some tips to get relief from this knee pain.

MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
I am having knee pain for that what precious do I have to take

tell me some tips to get relief from this knee pain.
There are various causes of knee pain for example excessive standing, excessive walking, obesity or even some kind of injury. To relieve the pain: 1. Avoid standing or walking for too long at a stretch. 2. Avoid climbing stairs if possible. 3. Do some knee strengthening and stretching exercises. 3. To relieve pain do til oil or mahanarayana tail massage over the knee and some hot fomentation. If however there is any swelling associated with the pain consult a doctor immediately.
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My wife has blood sugar Fasting 130 Pp 150 Now when she walk abouts 500 meters. She feeling pain in left arm What is problem Kya ye enjiana ka pain he?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My wife has blood sugar Fasting 130
Pp 150 Now when she walk abouts 500 meters. She feeling pain in left arm
What is ...
Hi, looking at the details mentioned her sugar levels look good. In fact fasting should come down to about 100 mg. Walking 500 mts is as good as doing nothing. She is already over weight with a bmi of 25.44 kg / m2 (normal <23 kg/m2). Her ideal body weight should be 45 kgs. So weight reduction is a necessity. Anginal pain usually comes on exertion. If you have any doubt get an ecg done to see if there is any problem or a stress test (tmt). But as regards diabetes control she needs to increase her walking to at least 45 minutes plus.
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I am 42 year old female .After slip disc L1toL4 problem, pain in left heel and becomes severe at times. Is it spur in the foot ,slip disc or something else.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I am 42 year old female .After slip disc L1toL4 problem, pain in left heel and becomes severe at times. Is it spur in...
Do Take IFT and laser Therapy for pain relief for 12 days followed by strengthening exercise from physiotherapist and need to be with Clinical examination.
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Hello I want to ask for relief from arthrites and knee pain.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist,
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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Sir, my left hand first finger & thumb exactly in the center front side getting pain where as no injury or other defects. The pain also get off automatically after some time. What could be the reason?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
It could be due to cervical spondylosis this is quite a common condition rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Use no pillow under the head. Any way take caldikind plus (mankind) 1tab odx10days paracetamol 250mg od & sos x 5days do neck & back (spine) exercises contact me again if need be. Use of cervical collar will give you relief. Make sure you are not allergic to any of the medicines you are going to take.
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Recently I got married from 6 months back. So when we do realize our sexual life did not get any satisfaction. When I touch to her, she could not realize feelings. I got more feelings whenever I involved the sex but she didn't get the feel.

DHMS (Hons.)
Homeopath, Patna
Recently I got married from 6 months back. So when we do realize our sexual life did not get any satisfaction. When I...
Hi, to generate interest in sexual coition, one should consume, apples, milk, carrots, cheese, almonds, papaya, soya been, spinach, pumpkins, mangoes, regularly. There r the certain, factors to b sorted out to inculcate, interest to join, sexual coition. One should go for meditation to reduce stress, and to nourish cells, tissues and to calm down one's nerve to cooperate on d occasion. Both d partners should, respect feelings of each others, realising, any physical disorder one may suffer, such as pain in lumber area, she / he is weak due to anaemic condition, any mental block, against coition may cause aversion from sexual coition. Consume, apples, carrots, cheese, mangoes, spinach, garlics, almonds, walnuts, pumpkins, fish, black chocolate, regularly, black berries, milk, regularly. Tk, plenty of water. Her diet b easily digstable, on time. She should take, homoe medicines: @ sepia 200- at bed time. @ ignatia30-6 pills, thrice a day. Avoid, caffiene, pollution, junk food. Report, fortnightly. Tk, care.
9 people found this helpful
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My back is paining since one months. Pain start from chest to one side with whole back side and some time this pain goes with ear side and my neck always paining too. I took lots of medicine but there's no effect. I worked as tailor for 8 hours. What should I do?

Fellowship in Pain Management
Pain Management Specialist, Aurangabad
My back is paining since one months. Pain start from chest to one side with whole back side and some time this pain g...
It can be myofacial pain. Still to rule out any pain generator from spine you should get spine mri done. With exercises n medications you will be better.
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I am 42 years old and having a back pain, and headache.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist,
I am 42 years old and having a back pain, and headache.
Several lifestyle changes may be required. Most back pain gets better with a few weeks of home treatment and careful attention. Over-the-counter pain relievers as prescribed by me may be all that you need to improve your pain. A short period of bed rest is ok, but more than a couple of days actually does more harm than good.
2 people found this helpful
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I am 17 year old male having backbone pain.

MS - Orthopaedics, MBBS
Orthopedist,
I am 17 year old male having backbone pain.
Kindly show me 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. Use no pillow under the head. Kindly take biod3 max 1 tab dailyx10 paracetamol 250mg od & sos x5days do back (spine)/shoulder/knee exercises make sure you are not allergic to any of the medicines you are going to take do not ignore it. It could be beginning of a serious problem. If no relief in 4_5 days, then contact me again.
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My mom have severe pain at knee joint while standing or walking or working. Is there osteoarthritis? I m worried. Wht should she do?

COMT, MPTh/MPT
Physiotherapist, Surat
My mom have severe pain at knee joint while standing or walking or working. Is there osteoarthritis? I m worried. Wht...
After 50 plus age generally females have hormonal changes due to which they have a complain of knee pain, back pain etc. There may be many reasons for knee pain like arthritis because its very common at this age or there may be vit or uric acid deficiency which is also common nowadays. So in general I would advise you to please go for her proper investigation so that the reason can be diagnosed. In the mean time to get relief from pain and stiffness please follow the physio measures: precautions- 1. Avoid prolong standing. Standing on one leg or running for time being if its painful. 2. Take care while bending your knees, it should not directly strain your joint. 3. Avoid heavy weight lifting. 4. Wear shoes with good arch support, do not wear high -healed shoes. 5. Use the correct positions during activities so that you do not strain your muscles. 6. Try to change your sitting position every 15 min so that it should not give strain on your knees. 7. Avoid sitting on floor with both knees bending. 8. Take diet rich in calcium like milk, dairy products, banana etc which will enhance your calcium and gives you strength. Treatment - 1. Use of cold or hot packs which ever suits you - apply ice or hot pack to the painful area and massage for near about 10 minutes. Make a habit for doing atleast twice a day initially. 2. After this using your thumb massage your knee area gently. 3. Do some knee (quads) isometrics atleast 10-15 times with the hold of 5 -10 seconds. Also you can do some knee strengthening in the mean time. The above treatment will give her pain relief and discomfort. In the meantime please contact any physio who will study her daily routine, symptoms etc and check the reason if there is any arthritis or any other discorde and then accordingly will give her the best treatment plan. Good luck and get well soon.
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I am 28 years old, I have gained around 20kg in past few months and my bp now days stay around 170/150, I am now taking medicine for that. I feel like I have lost a lot and I have been losing on all fronts till date. I have back ache and feel like my head is heavy all the time. I don' t drink but I do smoke and mainly when I start feeling discarded. I am all the time angry.

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
The problem with you is that you are taking this very lightly, come out of it you are suffering from depression don' t get late get treatment. Requires detailed questioning so as to ascertain your personality and to treat you symptomatically. Treatment is available for depression and psychosomatic problems, safe and without side effects in biochemic system of medication. Consult me in private. In mean time try (biochemic) kali phos 30x
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I am 26 year old . I am having Stiffness and pain in joints early in the morning.do help

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query. I need to know the elaborate history from you so that I can understand cause of pain, duration of joint pains and any associated symptoms like stiffness which you have stated that you are having. There is a workup for polyarthralgia ( multiple joint pains ) which needs to be done if history and clinical examination point to it. At this age I would like you to get some tests like cbc, esr and crp levels done. Also ra factor, anti ccp needs to be done. I also need hla b27 levels, serum calcium, vitamin d levels done do not hesitate to contact me if you need any further assistance or when you get reports of these blood tests. Thanks & regards Dr Akshay Kumar Saxena
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I am 46 years man and have backache and other joints pain also. I am getting pain relief tablet and oil from last few years but no relief yet. What to do?

M. sc Psychology, BHMS
Homeopath, Hyderabad
I am 46 years man and have backache and other joints pain also. I am getting pain relief tablet and oil from last few...
Mr. Lybrate user, in this age jt pains& backache became common for majority of people. But by taking pain killers will give instant but temporary releif only, & more over long time intake of those rx will effect other organs. So, better you need to choose the any other alternative system of medicine. As a homeopath I could suggest you to take homeo medicines, which will show good results without any side or adverse effects though you need to use for some time.& at the same time, you can follow physiotherapy also additionally.
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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.

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My husband is suffering from knee pain due to arthrites we want to do prole ntreatment or ozone treatment to knee instead of surgrey will it be permanante relief.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
My husband is suffering from knee pain due to arthrites we want to do prole ntreatment or ozone treatment to knee ins...
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Kindly send me relevant x rays and other clinical details so that I can see and advise accordingly. Also please let me know what is your analgesic requirement on a day to day basis and how much distance can he ambulate and walk at a stretch? as far as arthritis is concerned, I am not aware of results of ozone treatment or something similar to that but if there is a change of mechanical alignment of knee, the I can say for sure that nothing less than a joint replacement will work for a long time. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation.
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