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Dr. Manoj

MPT, BPTh/BPT

Physiotherapist, Delhi

13 Years Experience
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Dr. Manoj MPT, BPTh/BPT Physiotherapist, Delhi
13 Years Experience
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Personal Statement

Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Manoj
Dr. Manoj is one of the best Physiotherapists in New Delhi, Delhi. He has been a practicing Physiotherapist for 13 years. He studied and completed MPT, BPTh/BPT . You can visit him at Bhagat Chandra Hospital in New Delhi, Delhi. Book an appointment online with Dr. Manoj and consult privately on Lybrate.com.

Lybrate.com has a nexus of the most experienced Physiotherapists in India. You will find Physiotherapists with more than 33 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
MPT - NIMS University, Jaipur - 2014
BPTh/BPT - Allahabad University - 2005
Past Experience
Head of the Department and Physiotherapist at Delhi Council for Child Welfare,Janakpuri, New Delhi i
HOD,Deptt of Physiotherapy at Dwarka Hospital,Dwarka,New Delhi
Sr Physiotherapist at Arya Hospital,Janakpuri
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Physiotherapist at Bhagwan Mahavir Hospital,Rohini,New Delhi
Physiotherapist at Physio-Focus,Rohini,New Delhi
Languages spoken
English
Hindi
Professional Memberships
Indian Association of Physiotherapist

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Bhagat Chandra Hospital

Mahavir Enclave,Near Dwarka-Palam Flyover,New Delhi Delhi Get Directions
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Anterior Cruciate Ligament Injury - Know Everything About It!

M.CH. (Ortho), MS - Orthopaedics, MBBS
Orthopedist, Delhi
Anterior Cruciate Ligament Injury - Know Everything About It!

In general, anterior cruciate ligament injuries, or ACL injuries, are understood to be tears in any of the several knee ligaments joining the upper leg bone and the lower leg bone. This can vary from minor injuries, such as small ligament tears, to more serious cases, like complete tears or when the ligament and one of the bones gets displaced from the other. These injuries usually occur during sports activities, like soccer, basketball, football, gymnastics, tennis, volleyball, etc. An untreated ACL injury can lead to a condition called an ACL deficiency. This can cause a lot of problems with regard to knee movements as the bones may rub against each other, causing a lot of pain. In some cases, the cartilage covering the ends of the bones may get damaged, eventually tearing and trapping the cushion pads supporting the knee joints.

Symptoms

Signs and symptoms of anterior cruciate ligament may include:

  1. You are unable to move properly.
  2. You experience immense pain while walking up and down stairs.
  3. You are unable to engage much in physical activities.
  4. Your knee begins to swell gradually.
  5. You can sense a loud popping sensation when moving your knee.
  6. You experience feelings of instability.

Causes
Anterior cruciate ligament injuries generally occur during sports. Here are some common possible instances that might happen during a game:

  1. Sudden arrest in motion
  2. An unsteady landing from a jump
  3. Direct blows to the knee from tackles
  4. Sudden shifts in direction

Treatment
Treatment of ACL injuries normally involves the following:

  1. Immediate medical attention along with intense first aid care
  2. Sincere adherence to the R.I.C.E model of self care -
    • Rest: Proper rest for a couple of weeks or months depending upon the severity of the injury
    • Ice: Using ice packs to help cool the nerves
    • Compression: Ice treatment further helps in compression
    • Elevation: When lying down in bed, it is strongly recommended that you keep your affected leg at a slightly higher position, through the use of pillows or cushions
  3. Success rehabilitative therapy for several weeks
  4. Anterior cruciate ligament surgery or reconstruction

In case you have a concern or query you can always consult an expert & get answers to your questions!

2611 people found this helpful

My health is very ill. There some thing problem my backbone. Any time pain like that so much irritated me.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
My health is very ill. There some thing problem my backbone. Any time pain like that so much irritated me.
Homoeopathic medicine spondyaid (bakson) drink 10 drops in 20 ml fresh water 3 times daily magnesia phos 6x (dr reckeweg) chew 4 tab every 2-3 hrly depending on pain daily drink 2 glass milk and an egg daily report after 15 days.
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I am 26 years old male and I have backache for last three months. What should I do?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am 26 years old male and I have backache for last three months. What should I do?
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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I am a 52 years male. I have pain of my knees and my hip joints damaged lavishly.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
This could be due to oa knee &/or obesity. Physiotherapy along with medicines will help. Do knee exercises. It may have to be further investigated rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with a soft bedding on it. Any way take multivitamins & other antioxidants along with. Ibuprofen 200mg od & sos x 5days caldikid plus (mankind) 1 tab odx10days you will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. Do ask for detailed treatment plan. Don't ignore. It could be beginning of a serious problem. Show me x-rays of pelvis with hips.
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My vitamin D level is 6.24.backache nd erection problem. Please suggest me treatment. TIA.

BHMS, DEMS
Homeopath, Pune
My vitamin D level is 6.24.backache nd erection problem. Please suggest me treatment.
TIA.
Hello Natural foods high in vitamin D include fish oils, fatty fish, mushrooms, beef liver, cheese, and egg yolks. Vitamin D is also naturally made by your body when you expose your skin to the sun and is called the sunshine vitamin. Make sure you get enough calcium by including a selection of dairy products, leafy vegetables, fish, tofu, Brazil nuts and almonds in your diet. Eat foods rich in vitamin D. Good sources include eggs, liver, and fatty fish such as mackerel, herring and salmon. Homeopathic medicine will give you best result without any side effects.
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I mean 10 years old and I m suffering from back pain please give me the solution of this pain.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I mean 10 years old and I m suffering from back pain please give me the solution of this pain.
Homoeopathic medicine MAG PHOS 6X ( SBL) Chew 4 tab every 2 hrly till pain ssubside. Drink 2 glass Milk daily
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I am getting sounds from knees course and crack sounds since last 6 years when ever I sit and up and movement at any time so please give me solution sound is coming like audible to others clearly that much intensity of sound please help me with proper diet .and I am doubt about my masturbation I do it daily since last 8 years one. Bad boy thought me this masturbation since that I am doing this please help me and clear my doubt is it due to masturbation or any other reason.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
I am getting sounds from knees course and crack sounds since last 6 years when ever I sit and up and movement at any ...
Although your age is too less but is may due to arthritis, check x ray knee and vit d3 calcium ,cbc esr ra test uric acid and crp test. Masturbation has no role donot worry.
1 person found this helpful
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I had been diagnosed with a ankle sprain! Can any doctor give medicines and routine of how to take tbem!

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I had been diagnosed with a ankle sprain! Can any doctor give medicines and routine of how to take tbem!
Apply ice pack and bandage avoid movement and standing tk muscle relaxant medicine ya wax and ultrasonic therapy.
1 person found this helpful
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I play Cricket and when I am on field when I throw the Cricket ball a pain is create in my soldier but when I ball no pain in my soldier.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I play Cricket and when I am on field when I throw the Cricket ball a pain is create in my soldier but when I ball no...
Hot Fomentation. Gentle Shoulder Stretching. Core Strengthening Exercises. Gentle Neck Exercises. Avoid sleeping on affected side.. Warm up and cool down is a must. Hot fomentation.
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I am 22 year old boy I have backache problem from childhood I can't sit straight what should I do?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am 22 year old boy I have backache problem from childhood I can't sit straight what should I do?
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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I got fracture in my left leg's finger 2 3 4 and I got plaster for 1 month .If I remove it in its time but there is pain when I walk ,Is there any pain killer for it pls.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Avoid long standing long walk keep equal balance on both legs and do gentle movement of fingers tk heat fermentation twice a day.
1 person found this helpful
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Hi my name is anil vishwakarma age 26 years. I am doing a job of driver. I jave a back pain before 5 months and I was take pain relief tablet also but this is not giving satisfaction from pain. Please tell me what will I do?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma in Pharmacy
Ayurveda, Mumbai
Hi my name is anil vishwakarma age 26 years. I am doing a job of driver. I jave a back pain before 5 months and I was...
You are getting pain because of your sitting position for long hours. You need to strengthen your back muscles by doing regular exercise and yoga. Avoid eating chilled and sour food items. Medication. Dashmoolarishta kadha 2spoons twice a day with equal quantity of warm water. Mahayograaj guggul 2-2-2 trayodashaang guggul 2-2-2. All for 6months.
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Hello sir my wife is 23 year old and when she is siting is legs are go to sleep and so much pain when she is stand up so pls advise me some home remedies treatment and yoga or any thing else. Thank you.

BHMS, MD HOM.
Homeopath, Mumbai
Hello sir my wife is 23 year old and when she is siting is legs are go to sleep and so much pain when she is stand up...
Start with Homeopathic medicine:-- Cal carb. 200 Colocynthis 200 4 pills each medicine x 3 times daily x 30 days Take medicine as advised.
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I have a regular pain behind my heels. Whenever I walk continuously the pain goes away but once I take a break, And then start walking again I feel pain on back of my heels which do not let me walk properly for few minutes (5-20 min). When I press on it I can feel pain in my heel bone that is at back side of my heel. Please tell me why it is happening? And suggest me what could I do for this?

Pain Management Specialist,
I have a regular pain behind my heels. Whenever I walk continuously the pain goes away but once I take a break, And t...
This condition is known as heel or calcaneum spur. Contrast bath faradic under pressure ultrasonic therapy and lesser therapy part of physiotherapy will give you permanent relief. And you can also use heel cushion in your shoes.
1 person found this helpful
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I have a severe back pain due to lots of work what should I do to get relief form it.

BPTh/BPT
Physiotherapist, Kota
I have a severe back pain due to lots of work what should I do to get relief form it.
Ankle Pumps •Lie on your back. •Move ankles up and down. Repeat 10 times. •Repeat 10 times. Heel Slides Lie on your back. Abdominal Contraction •Lie on your back with knees bent and hands resting below ribs. •Tighten abdominal muscles to squeeze ribs down toward back. •Be sure not to hold breath. •Hold 5 seconds. •Relax. •Repeat 10 times. ••Slowly bend and straighten knee. •Repeat 10 times Wall Squats •Stand with back leaning against wall. •Walk feet 12 inches in front of body. •Keep abdominal muscles tight while slowly bending both knees 45 degrees. •Hold 5 seconds. •Slowly return to upright position. •Repeat 10 times.
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When I work in field then my hand and foot are scratch and pain what is reason for this problem.

DHMS (Hons.)
Homeopath, Patna
When I work in field then my hand and foot are scratch and pain what is reason for this problem.
Hello, It's due to allergy with dryness of your skin. Tk, plenty of water to hydrate your body, making your skin more flexible. Go for meditation to nourish your body, conditioning your skin to sustainable dust & Sun in the field. Avoid, scorching Sun, polluted atomospher, dust and pollen grain. Tk, homoeopathic medicine:@ Antim crud 1000-5 drops, weekly. Tk. Care..
2 people found this helpful
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For the last one month I am suffering from pain in the right hip joint that is in the lower part n now I can feel it going down to the back of my thigh n even lower leg till my heel.

Master of Occupational Therapy (MOT), Bachelor of Occupational Therapy (BOT)
Occupational Therapist, Delhi
For the last one month I am suffering from pain in the right hip joint that is in the lower part n now I can feel it ...
These are sciatica like symptoms Do stretching of hamstrings & quadriceps Apply hot fomentation Avoid bending forward activities Avoid lifting heavy objects Do straight leg raising exercise twice a day Do ankle pumps twice a day Do spinal extension twice a day
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She wants to reduce her weight, but she has cardiac problem and back ache problem. She cannot do difficult exercises. What should be done so that she can reduce little weight?

B.H.M.S
Homeopath, Patna
She wants to reduce her weight, but she has cardiac problem and back ache problem. She cannot do difficult exercises....
Calotropis q Fucus v q take one of each 5 drop in a glass of water at interval of 1 hour morning and evening report me after 5 days.
7 people found this helpful
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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.

Hiii I'm suffering from Soviet back pain after the delivery. So much medicines are used. But no use. Please tell me the medicine.

BHMS
Homeopath, Faridabad
Hiii I'm suffering from Soviet back pain after the delivery. So much medicines are used. But no use. Please tell me t...
Hi, homoeopathic medicines are very useful in getting relief, so do take ledum pal 30 and hypericum 30 - both thrice a day daily for 4 weeks. (these are safe to take even if you are lactating). Revert for further guidance.
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