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Dr. Navneet Kumar

MBBS

Anesthesiologist, Delhi

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Dr. Navneet Kumar MBBS Anesthesiologist, Delhi
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
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Dr. Navneet Kumar is a popular Anesthesiologist in Janakpuri, Delhi. He studied and completed MBBS . You can meet Dr. Navneet Kumar personally at Lok Clinic & Hospital in Janakpuri, Delhi. Save your time and book an appointment online with Dr. Navneet Kumar on Lybrate.com.

Lybrate.com has an excellent community of Anesthesiologists in India. You will find Anesthesiologists with more than 34 years of experience on Lybrate.com. You can find Anesthesiologists 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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MBBS - - -

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Lok Clinic & Hospital

#A-2-7, Pankha Road, Janakpuri. Landamrk: Opp. to Jeewan Park, DelhiDelhi Get Directions
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Lok Clinic And Hospital

A-2/7, Pankha Road, Janak Puri, New Delhi, 110058Delhi Get Directions
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I Am having Back Pain. Though I think Its because of Studying Hard Without any support But What Should I Do Now?

MBBS, MS - Orthopaedics
General Physician, Hyderabad
I Am having Back Pain. Though I think Its because of Studying Hard Without any support But What Should I Do Now?
Hi lybrate-user. Backpain mostly occurs due to improper posture while standing sitting sleeping or walking. As you are telling that you are studying long time without any support, that is the main cause of your back pain. Sit on a study chair or use a study table while studying. Sit straight. Do stretches in between. Take rest.
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Hi Sir, I am 37 years old female. I have writing difficulty. I am a mathematics teacher for 12 years. I have no problem for doing any other activities. Doctors said it is writers cramp. What is the solution for this?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Sri Ganganagar
Hi Sir, I am 37 years old female. I have writing difficulty. I am a mathematics teacher for 12 years. I have no probl...
You should massage with mahanarayana tail than immersion of hands in warm saline water. Vishatinduka vati 2 bd Yogendra Rasa 1 bd With warm milk
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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
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I am getting knee pain. I can't stand continuously. I can't kneel down even a minute.

MPT, BPT
Physiotherapist, Noida
I am getting knee pain. I can't stand continuously. I can't kneel down even a minute.
Contrast bath---It is a form of treatment knee is applied warm water followed by the immediate application of the knee with ice water. This procedure is repeated several times, alternating hot and cold. Note that the treatment should always end in the ice water, as heat will induce the body's inflammatory response, while cold helps to decrease inflammation.
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Mucus in throat from approx 10 month Submandibular lymph node enlarged non tender 2 month Gas from mouth 6 month face slight dark in colour indigestion problem from 1 month Lower back pain 1 month.

BHMS, PGD PPHC, BMCP, Training In USG
Homeopath, Kolkata
Mucus in throat from approx 10 month
Submandibular lymph node enlarged non tender 2 month
Gas from mouth 6 month
face...
take phytolaca decn 30.in gloubles 4-6pills thrice daily for 7 days.only and consult after that 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.

Cervical lymphadenopathy. With pain during deep inspiration and brown sputum. Neck pain. Wat can it be.

MBBS
General Physician, Faridabad
get various test done, sputum examination, fnac, cbcx ray of the cervical and chest, back with the report so i can help. thanks
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I am a regular teacher, age 35ye, my problems pain of knee ,and legs. Please give a proper solution for peace.

MPT, BPT
Physiotherapist, Noida
I am a regular teacher, age 35ye, my problems pain of knee ,and legs. Please give a proper solution for peace.
Avoid sitting cross legged. Avoid squatting- quadriceps exercises- lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain. Core strengthening exercise- straight leg raised with toes turned outward, repeat 10 times, twice a day. Hams stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube or normal belt. Repeat 10 times, twice a day. Sports taping- stretch the tape from both ends and apply on the affected area contrast fomentation (hot and cold). Keep your leg raised while sitting or lying quadriceps strengthening exercises- quad clenches: lie flat on your back or sit upright on a chair with leg kept horizontally on another surface. Now, tighten the muscle on the front of the thigh by pushing your knee down. You should feel your thigh muscles clench, hold for 3 secs. Repeat 10 times twice a day. Short arcs: lie flat on your back or sit upright with your leg placed horizontally on a flat surface like a chair or bed. Place a rolled up towel under the knee. Pull your toes towards you and clench you thigh muscles. Slowly lift your foot up off the bed until your knee is straight (keep your knee resting on the towel). Hold for 3 secs and slowly lower them on the chair. Repeat 10 times twice a day. Straight leg raise: lie flat on your back. One leg and knee will be straight and other leg should be bent. Pull your toes towards you and tighten/clench the muscle on the front of the thigh, locking your knee straight. Lift your foot up in the air, about 6 inches off the bed. Hold for 3 secs and slowly lower the leg. The knee must remain straight the whole time you are doing this exercise.
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I am 28 year old and I have a regular ache on my lower half of the body including legs, knees and all the way down to the feet.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
I am 28 year old and I have a regular ache on my lower half of the body including legs, knees and all the way down to...
1. Heavy meals must be avoided as they take a long time to digest. This may exert undue pressure on the lower back region. 2. While sleeping, lie straight on your back or with bent knees supported by a pillow. 3. Do some light sciatica exercise such as light walking and jogging. Do not exercise if your condition is extremely painful. 4. Taking hot and cold compresses on an alternate basis can be quite helpful in relieving pain. 5. Warm mustard oil or sesame oil (1 teaspoon) with 3-4 cloves of crushed garlic and 1 tsp of ajwain (carom) seeds until it roasts to a reddish brown colour. Ensure that it does not get burned. Massage this oil on your affected areas. After that do hot fomentation with salt potli (bag).
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I am 62 year female. I am having back ache for 4 months. MRi result shows bulging in lower disc. L3 L 4.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I am 62 year female. I am having back ache for 4 months. MRi result shows bulging in lower disc. L3 L 4.
Posture correction must do strength exercise in gradually process. In pain condition do hot fermentation and rest ya physiotherapy treatment. Avoid long sitting toward bending lifting heavyweight.
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