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Dr. Koshy

MBBS, MS

Orthopedist, Delhi

27 Years Experience
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Dr. Koshy MBBS, MS Orthopedist, Delhi
27 Years Experience
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Personal Statement

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. Koshy
Dr. Koshy is a trusted Orthopedist in Chattarpur, Delhi. Doctor has over 27 years of experience as a Orthopedist. Doctor studied and completed MBBS, MS . You can consult Dr. Koshy at Aipf Mission Hospital in Chattarpur, Delhi. Book an appointment online with Dr. Koshy and consult privately on Lybrate.com.

Lybrate.com has a nexus of the most experienced Orthopedists in India. You will find Orthopedists with more than 33 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.

Info

Specialty
Education
MBBS - KMC,MANIPAL - 1991
MS - KMC,MANIPAL - 1997
Languages spoken
English
Hindi

Location

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Aipf Mission Hospital

Khasra No.175 Fatehpuri Dairy PostMehroli-Dlr-74 Chattar Pur Chandanhola Chattarpur Delhi Get Directions
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I am 35 M, and just started to play badminton 3 months back. I am not able to play continue daily basis just because pain in my both legs. So I have to make rest for 2 to 3 days than can able to play for further 2 days. What could be the reason behind this?

BPTh/BPT
Physiotherapist, Agra
I am 35 M, and just started to play badminton 3 months back. I am not able to play continue daily basis just because ...
Hi lybrate-user. You should first check you haemoglobin level sometime it is due to low hb count, other is low calcium and vit d level and muscles weekness also hence counsul your physiotherapistr for further treatment.
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Back Pain

BPTh/BPT
Physiotherapist, Kota
Back Pain

For many people, back pain seems like an unavoidable discomfort. But you may have more control than you think.

You can wreck your back in any number of ways, but a few major offenders stand out: not stretching, not paying attention to your movements and years of wear and tear, says nick shamie, md, associate professor of orthopedic neurosurgery at ucla and a spokesman for the American academy of orthopaedic surgeons.

Here are five habits that put your spine at risk and simple strategies to stop them before the damage is done.

Back wrecker #1: weekend warfare

'most often, I see people who injured themselves during a weekend basketball game or a round of golf' shamie says these people think they're athletes, but don't train like the pros, and as a result, their backs suffer'

Slideshow 10 health myths debunked start

Tackling those 'honey-do' lists at home can also set you up for injury, especially if you were idle for most of the week. Cleaning out the garage, bending over a workbench, or spending hours in the yard or garden can be just as hard on your back as anything you do on a playing field.

Prevent it'the only preventive solution I've found for back pain is exercise' says Michael Hisey, md, orthopedic surgeon and president of the texas back institute in Denton, texas's fix is to stretch and strengthen your core muscles'

The obliques -- the abdominal muscles on your sides -- are especially important for back stability, hisey tells webmd.

Hisey's tip: get an inflatable exercise ball. Use it in your workouts and sit on it, instead of a chair, to engage your abs.

Back wrecker #2: poor lifting technique

'improper bending and lifting causes back injury; that's all there is to it' says dan mcmackin, a spokesman for ups.

Prevent it: engage your abs to help support your back. Here are the basic principles that ups uses for safe lifting, according to mcmackin:

Bend your knees and keep your back straight. Don't bend at your waist.
Keep the object close to you. The farther away you hold it from your body, the more it stresses your back.
Never hold an item higher than your armpit or lower than your knees.
Don't move something that weighs more than 20% of your body weight.
Don't pivot, twist, or turn while lifting. Point your feet at the item you're lifting and face it as you pick it up. Change direction with your feet, not your waist.

Back wrecker #3: absentmindedness during daily activity

Simple tasks like taking out the trash or washing the dishes can get your spine bent out of shape if your body isn't ready.

'the movement doesn't necessarily have to be exaggerated or involve a heavy object' hisey says you can hurt your back grabbing a paperclip off the floor or loading the dishwasher'

And if your mind is running on auto-pilot instead of focusing on what you're doing, you could be in trouble.

'at ups, we've seen a higher proportion of injuries occur at the end of the shift, due to fatigue of the mind and body' mcmackin says.

Prevent it: train yourself to keep your core muscles engaged.

Slideshow: surprising reasons you're in pain start

A simple way to do that is to pull your navel toward your spine and imagine you're wearing a corset that pulls the sides of your abs inward. Doing that throughout the day -- and especially when lifting or bending -- strengthens and supports your back, says esther gokhale, author of8 steps to a pain-free back and owner of esther gokhale wellness center in palo alto, calif.

Back wreckers #4 and #5: commuting and computing

You sit, and you sit, and you sit some more -- at work, while driving, and in front of the tv. And your back doesn't like it. Here's why.

Your discs are spongy and cushion the vertebrae in your spine, but discs have poor blood supply, hisey says. When you move, fluid circulates through the discs. When you sit still, the fluid is wrung out, so you're depriving discs of nutrition, he says. Spending so much time behind the wheel of a car or sitting in front of a computer adds mileage to our discs, which leads to stress in your back.

'the discs in your spine are nourished by motion' hisey says'so sitting still is hard on your back and neck, and can do long-term damage' studies have also shown that sitting puts more pressure on your spine than lying down or standing up.

'the worst posture is sitting and leaning forward' shamie says. This makes you lock your pelvis and flex your spine, putting pressure on the front of the vertebrae, where your discs are. The more you arch forward and exaggerate the curve of the spine, the more pressure you're putting on your discs this uneven pressure on a disc puts it at high risk of rupture' shamie explains.

Back wreckers #4 and #5: commuting and computing continued.

Prevent it: you're going to sit. So try these tactics to lessen its impact on your back:

Get up and move at least once every 20 minutes, unless you're driving. Set your screen saver to remind you; make a habit of going for a drink of water; when you answer the phone, stand up to stretch and change positions.
Keep your spine properly aligned by holding reading material at eye level (when sitting or standing) rather than bending over. Don't lean over a desk or table to work. Whenever possible, your spine should be straight.
Choose a chair that supports your back. Adjust the chair so that your feet stay flat on the floor. If the chair doesn't support your lower back's curve, place a rolled towel or small pillow behind your lower back. Remove anything from your back pockets, especially a wallet, if you'll be seated for long periods of time because this puts your spine out of alignment.
Gokhale suggests doing the following exercises to help lengthen your spine:

Get on your hands and knees. Reach your left arm straight ahead and straighten your right leg behind you. Use your stomach muscles to stabilize. Hold for 5-10 seconds and slowly return to starting position. Switch arm and leg. Repeat 3-5 times on each side.
Sit tall, lengthen your spine, and let your shoulders relax. Concentrate on squeezing your shoulder blades together, keeping your arms hanging at your sides. Hold for 3-5 seconds, then release. Repeat 10-20 times.

27 year old Male with lower back pain when sitting on a chair (in front of a computer) continuously for longer than 20 mins which intensifies if sitting for longer than 1 hour. Pain extends a bit into the legs. Pain is not too much but I feel like I cannot continue sitting and am forced to get up. I understand that you should not sit for extended periods but pain every 20 mins is a huge problem.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
27 year old Male with lower back pain when sitting on a chair (in front of a computer) continuously for longer than 2...
Apply Hot Fomentation twice daily. Avoid bending in front. Postural Correction- Sit Tall, Walk Tall. Extension Exercises x 15 times x twice daily - lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times. Bhujang Asana -- Lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily. Core Strengthening Exercises- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day.
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I am 64 years old and suffering from restless leg syndrome for about 20 years. For last 5 years I am taking pramipexole 25 mg bid. Up to last year is was doing good but now is has very little or no effect. What should I do?

Hand Surgery, M.S. (Orthopaedics
Orthopedist, Ahmedabad
Dear, I need more information to make a complete diagnosis but still you can visit my website www. Eswtindia. In and get a lot of information and we have successfully treated case like yours. Kindly go to calf cramps and get the details in faq.
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Am 30years old my problem is paning from back to hip bones and thighs please advice me what to do.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Am 30years old my problem is paning from back to hip bones and thighs please advice me what to do.
Advic hot fomentation twice daily. Avoid bending in front. Postural correction. Sit tall, walk tall. Extension exercises twice daily. Bhujang asana twice daily. Back stretching.
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What exactly is a spine block injection? Will it work long-term for low back pain due to disc problems?

Fellowship in Joint Replacement, MS - Orthopaedics
Orthopedist, Dhamtari
What exactly is a spine block injection? Will it work long-term for low back pain due to disc problems?
Spine block injection is a technique of putting pain relieving medicine cocktail in the epidural space of the spine. It is most helpful in neuritic pain and can also relieve discogenic pain. Pain relief can last for long duration in most of the cases if the roots are not too much compressed.
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I have got undisplaced intercondylar fracture of tibia 3 weeks back. Ryt now there is no pain and swelling. I have been in bed rest since 3 weeks and now started doing SLR exercises. I want to know from when I can put weight on my knees and starts walking?

MPTh/MPT, M.B.A.
Physiotherapist, Hyderabad
I have got undisplaced intercondylar fracture of tibia 3 weeks back. Ryt now there is no pain and swelling. I have be...
Hi minimum rest for 8 weeks. After that start partial weight bearing exercises after that full weight bearing walking and consult near qualified Physiotherapist he will give perfect assessment and treatment and home exercises.
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I am feeling ache in my neck, it feel pain when I turn my neck, I applied pain reliever cream, but no satisfying solution. I think it is neck cramp. Kindly guide me.

BPTh/BPT
Physiotherapist, Mumbai
Hello do cold fomentation for 15 min. Thrice in a day. Avoid using computer, take rest for 5 min after working for 1 hour. You can use thin pillow while sleeping. Maintain proper body posture while watching tv/studying. Take ust followed by ift for 15 days. Learn strengthening & stretching exercises from physiotherapist. Thanks.
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I feel blocked at my waist at times. These instances are rare but is painful whenever it happens. Please advise.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I feel blocked at my waist at times. These instances are rare but is painful whenever it happens. Please advise.
posture correction must. physiotherapy treatment must. after relief do stretching exercise. avoid long sitting toward bending lifting weight
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I have been diagnosed with coccydynia and besides I have continuous low back pain caused by facial OA. My age is 62 and I have to do lot of sitting. What is the way forward. What do you advise.

Fellowship in Interventional Pain management , Diploma in Anesthesia, DA, MBBS
Pain Management Specialist, Jaipur
I have been diagnosed with coccydynia and besides I have continuous low back pain caused by facial OA. My age is 62 a...
dear it's medical condition that can be managed up to great extent with some safety precautions along with some medicine. but in cases where prohibited is not relived by 6 months. then no doubt rf ablation of definitely a option to treat it non surgical way.coccygectomy is not first choice. But all options depending on clinical status of patients
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