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Dr. Jha

Orthopedist, Delhi

300 at clinic
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Dr. Jha Orthopedist, Delhi
300 at clinic
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Jha
Dr. Jha is an experienced Orthopedist in Ashok Vihar, Delhi. Doctor is currently associated with Shanti Multispeciality Clinic And Diagnostic Centre in Ashok Vihar, Delhi. Save your time and book an appointment online with Dr. Jha on Lybrate.com.

Lybrate.com has an excellent community of Orthopedists in India. You will find Orthopedists with more than 27 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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Shanti Multispeciality Clinic And Diagnostic Centre

A-636, New Ashok Vihar. Landmark:-Near HDFC ATM, DelhiDelhi Get Directions
300 at clinic
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Sir I got back pain since so many days I can't able 2 sit properly without supporting sir on 2009 I got a appendix operation sir when completion of 3 months start back pain sir I don't region sir.

BHMS
Homeopath, Faridabad
Sir I got back pain since so many days I can't able 2 sit properly without supporting sir on 2009 I got a appendix op...
Hello, you should take Arnica 200, 5 drops twice daily. Staphysagria 1m, 5 drops as a single dose. Revert after 15 days.
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My husband 50 years male and have right shoulder pain for last 4 days . He used pain relief ointment for 2 days but haven't got any relief. What should he do now?

M.P.T. (Neuro), BPTh/BPT
Physiotherapist, Lucknow
My husband 50 years male and have right shoulder pain for last 4 days . He used pain relief ointment for 2 days but h...
Start hot saline fomentation followed by volini gel and shoulder exercises. For detailed information about exercises please refer my health tips. Or chat with me on private consultation for proper and complete management.
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My back pains a lot. At times pain becomes more. I am not able to study even what do I do? please suggest me? I cant sit for a long time.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
My back pains a lot. At times pain becomes more. I am not able to study even what do I do? please suggest me? I cant ...
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.
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Hello, my age is 49 ,There is a pain in my joints and my uric acid is 7, I am a badminton player, when I take medicine it will be fine but when I don't there is pain starts in my joints and legs. So guide me which doctor ,medicine and food is helpful for me.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello, my age is 49 ,There is a pain in my joints and my uric acid is 7, I am a badminton player, when I take medicin...
lybrate-user, You may try and reduce uric acid level to around 5 mg or so. That may reduce joint pains. If you take non vegetarian food the avoid organ meat, red meat, certain fishes like herring, haddock, salmon, sardines, trout, scallops, mushrooms, mussels etc. Avoid alcohol, high fat milk products. If need be then take uric acid reducing drugs. Thanks.
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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 a 51 yrs. Male having pain in my right hand from elbow till palm for last 6 days. Is this due to long work on computer or any other reason. Suggest any pain relief medicine for this problem.

BPTh/BPT
Physiotherapist, Mumbai
I am a 51 yrs. Male having pain in my right hand from elbow till palm for last 6 days. Is this due to long work on co...
Hi yes it can overuse injury or tennis elbow/golfers elbow. Apply cold pack for 20 min. Thrice a day for 5 days. Still pain doesn't go and need further advice contact me via lybrate. Wishing you a good health.
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I am 25 years old. I have back pain & little cough. What should I do? Please suggest me.

DNB (Respiratory diseases), MBBS
Allergist/Immunologist, Nagpur
Back pain and cough may be related to your eating pipe disorder. Assess whether you have burning in stomach, belching, choking sensation in chest while eating. If yes, then first and foremost you should avoid painkillers.
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Hello sir, I am suffering from lower back pain (between joint) from long time ,the pain is not more but when blood circulation increases or when we take some vitamin tablets than pain also increases in comparison to previous pain. Sometimes also pain in ankle. Can anyone suggest me what I can do.

BSc
Ayurveda, Ujjain
Hello sir,
I am suffering from lower back pain (between joint) from long time ,the pain is not more but when blood ci...
Change food habites add in your daily food calcium vitamins minirales proteins milk end milk products dry fruites fruites and green vegitabales salad. Do aerobic excersices yoga will help you. Take Ķeva ortho Care capsule 1 capsule 30 minutes before lunch end dinner. Massage Ķeva anti pain oil on painful area morning end night for a month than consult me for further treatment.
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Hello sir. I m sidharth. I m 18 years old. I have getting pain in my foot when I walk. Please ask me some tips or name of medicine.

BPTh/BPT
Physiotherapist, Mumbai
Hello sir. I m sidharth. I m 18 years old. I have getting pain in my foot when I walk. Please ask me some tips or nam...
Hello you may have plantar fasciitis. Stretching is the best treatment for plantar fasciitis. It may help to try to keep weight off your foot until the initial inflammation goes away. Apply ice to the sore area for 20 minutes three or four times a day to relieve your symptoms. Do following exercises- in one exercise, you lean forward against a wall with one knee straight and heel on the ground. Your other knee is bent. Your heel cord and foot arch stretch as you lean. Hold for 10 seconds, relax and straighten up. Repeat 20 times for each sore heel. It is important to keep the knee fully extended on the side being stretched. Another exercise, you lean forward onto a countertop, spreading your feet apart with one foot in front of the other. Flex your knees and squat down, keeping your heels on the ground as long as possible. Your heel cords and foot arches will stretch as the heels come up in the stretch. Hold for 10 seconds, relax and straighten up. Repeat 20 times. Revert me after 7 days. Thanks.
5 people found this helpful
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I am facing severe pain in my legs and is it any sign of arthritis. I face problems walking and the gap between my legs is minimum causing anal portion to rise up from central portion between legs. When I wake up I feel swollen pain in legs in morning.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am facing severe pain in my legs and is it any sign of arthritis. I face problems walking and the gap between my le...
Knee Advice... Avoid sitting Cross legged. Avoid Squatting. Quadriceps Exercises. Core Strenthening Exercises. Hams Stretching. Sports Taping Hot Fomentation.
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Since from 2 months whenever I stand anywhere for 1 to 2 minutes my back was start paining just like that someone is injecting niddle to my back. I felt so hard to stand for longer what should I do?

BPTh/BPT
Physiotherapist, Mumbai
Since from 2 months whenever I stand anywhere for 1 to 2 minutes my back was start paining just like that someone is ...
Hi start physiotherapy treatment as you will get relief by mckenzie exercise which you can learn by physiotherapist. Do spine flexion exercise. Best wishes.
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I am 70 years old. Visit the gym and do weight raining 6 days a week. Recently I experience pain in my joints and legs. I take 1/2 COMBIFLAM once or twice a week. This gives me a lot of relief. Is it O K ans safe? Is there any alternate homeopathic medicine?

BAMS
Ayurveda, Gandhinagar
I am 70 years old. Visit the gym and do weight raining 6 days a week. Recently I experience pain in my joints and leg...
Mr. lybrate-user I would like to suggest you that if you have not done gym before then stop first because every person has own ora .start with fast morning walk and light exercises then start gym ,regular painkillers are not safe but you can take your antihypertensive medicine regularly if you need to weight loss you can manage your diet, your age not allow to you for heavy gym or exercise, for any pain in your body ,can take homeopathy as well ayuveda its very safe .if you wish to weight loss you can call, I will priscribe for the best result.
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Hii one year before I backslide on the tiles of my house. Because of that my back got injured and after one day I am not able to walk. I look rest for two days and applied ointments like move. It got recover that time. But now once again my back starts paining. Please suggest me what to do.

BHMS
Homeopath, Faridabad
Hii one year before I backslide on the tiles of my house. Because of that my back got injured and after one day I am ...
Hello, Take homoeopathic medicines - Arnica 200 and Rhus Tox. 200 - take both of them thrice daily for 1 week. Also, apply Schwabe's Topi-Arnica and Topi MP Gel on the affected area in circular motions gently thrice a day. Get back to me thereafter.
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I am 25 year old male and have a backache for last 1 months. I have used pain relief ointment but there is no relief.

D.P.T
Physiotherapist, Hyderabad
I am 25 year old male and have a backache for last 1 months. I have used pain relief ointment but there is no relief.
Dear lybrate-user, only ointments will not be working sometimes, I suggest you to apply heat fermentation or visit a physiotherapy center for inferential therapy and swd treatment.
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Sir I heard that not to use soap for face and neck can we use shower gel or can you suggest something.

C.S.C, D.C.H, M.B.B.S
General Physician,
Sir I heard that not to use soap for face and neck can we use shower gel or can you suggest something.
WEll soap is used by all and may things are told by many people and of course yu can use shower gel It is same as soap
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I have so much pain in my shoulder please tell me how to fix it reply soon otherwise I will die.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I have so much pain in my shoulder please tell me how to fix it reply soon otherwise I will die.
This treatment is being suggested on bases of the information provided. I would like to examine & investigate you in detail. Rule out Diabetes. Any way it may be tried, --.Acetaminophen 250mg OD & SOS. X 5days. --.Caldikind plus (from Mankind)1 tab OD x 5 days. --. Fomentation with warm water. --. Sleep on a hard bed with soft bedding. -- .Do mild exercises for neck & shoulder. (Take help of a physiotherapist). --. Use no pillow under the head. Kindly make sure, there is no allergy to any of these medicines. (Contact family doctor, if needed). For emergency treatment visit nearest hospital. Do not ignore, let it not become beginning of a major problem. Do ask for a detailed treatment plan. If no relief in 2-3 days, contact me again.
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Yesterday morning my wife in fever 99.4 she take crocin advanced in evening fever is 99.9 and pain hand leg and head she take 7 pm calpol 650 mg 11 pm fever is 98.8 1 am today again calpol 650 mg in morning she suffer from head hand leg pain tell me some medicine.

MD
Yoga & Naturopathy Specialist, Delhi
Yesterday morning my wife in fever 99.4 she take crocin advanced in evening fever is 99.9 and pain hand leg and head ...
Taking medicines without consulting a doctor is not a wise thing to do. Pl do not take such medicines. Drink lots of water. If temperature rises apply ice cold packs on fore head and lower abdomen. Give a sponge. Give 5-6 glasses of fruit juice and one cup og spinach juice every day. Do not give any other food. She should be fine in 4-5 days. In the meantime do consult a doctor if the fever persists.
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