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Dr. Raman Srivastava

Physiotherapist, Delhi

500 at clinic
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Dr. Raman Srivastava Physiotherapist, Delhi
500 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. Raman Srivastava
Dr. Raman Srivastava is a renowned Physiotherapist in Daryaganj, Delhi. You can visit him at Temple Nursing Home in Daryaganj, Delhi. Book an appointment online with Dr. Raman Srivastava and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Physiotherapists in India. You will find Physiotherapists with more than 36 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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Hindi

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Temple Nursing Home

#1, Ansari Road, Darya Ganj Indraprastha H.O. Landmark: Even Book Store, DelhiDelhi Get Directions
500 at clinic
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Carpal Tunnel Syndrome

DNB GENERAL SURGERY, MBBS
General Surgeon, Mumbai
Carpal Tunnel Syndrome

The median nerve goes through a tunnel in the wrist that is formed by the bones of the wrist and a tough band of tissue called a" ligament. Experts do not know exactly how the nerve can get pinched, but they think it might happen when:

●tendons that go through the same tunnel get swollen (tendons are bands of tissue that connect muscles to bones)

●tissues surrounding the tendons harden

●people hold their hands in a position that makes the tunnel smaller

●people use their hands for work that involves repetitive or forceful movements

The median nerve carries signals about sensation – it tells the brain what the hand is" feeling" it gets input from these parts of the hand:

●thumb

●index finger

●middle finger

●parts of the ring finger

●parts of the palm closest to the thumb

Women are more likely than men to get carpal tunnel syndrome. Being overweight probably increases the risk of carpal tunnel syndrome. Examples of other conditions that might increase the risk include pregnancy, diabetes, and rheumatoid arthritis.

What are the symptoms of carpal tunnel syndrome? — the symptoms include pain and tingling in the thumb and the index, middle, and ring fingers. Symptoms are typically worst at night and can wake you up from sleep. Often the symptoms affect both hands, but one hand might have worse symptoms than the other.

In some cases, pain and tingling can extend to the whole hand or even up to the wrist and forearm. Rarely, pain and tingling extends past the elbow to the shoulder.

The symptoms can also flare up when you do things that involve bending and unbending your wrist or raising your arms. Some activities can trigger symptoms in people with carpal tunnel syndrome. But they do not actually cause the condition. Examples include:

●driving

●reading

●typing

●holding a phone

In many people, the symptoms come and go. But some people eventually have symptoms all the time. They can end up having trouble moving their fingers or controlling their grip.

Is there a test for carpal tunnel syndrome? — yes. Electrical tests of the nerves can show if you have carpal tunnel syndrome, but these tests are not always necessary.

Your doctor will probably be able to tell if you have carpal tunnel syndrome by learning about your symptoms and doing an exam. During the exam, he or she might tap on or press on your wrist, or ask you to hold your hands in ways that are known to make symptoms worse.

Electrical nerve tests can prove if you really have carpal tunnel syndrome. Doctors usually order these tests for people who might need surgery to treat their condition.

●nerve conduction studies – nerve conduction studies can show whether the median nerve is carrying electrical signals the right way. In people with carpal tunnel syndrome, signals can be slow or weak.

●electromyography – electromyography, also called emg, can show whether the muscles in the hand and wrist are responding the right way to electrical signals. This test is most useful in checking whether another condition besides carpal tunnel syndrome might be causing the symptoms.

Should I see a doctor or nurse? — see your doctor or nurse if you develop the symptoms described above, and they bother you.

How is carpal tunnel syndrome treated? — treatments are often combined and can include:

●wrist splints – some people feel better if they wear splints at night that keep their hands in a" neutral position" the neutral position is when the wrist is not bent forward or backward and the fingers are curled naturally toward the palm.

●steroid shots or pills – steroids are a group of medicines that control inflammation and swelling. To treat carpal tunnel syndrome, doctors sometimes inject steroids into the carpal tunnel. People who do not want to get a shot can take steroids in pill form instead. But the pills are less effective than the shot.

●other physical treatments – there is weak evidence that yoga or another treatment called" carpal bone mobilization" might help some people with carpal tunnel syndrome. For carpal bone mobilization, a physical or occupational therapist moves your hand or wrist around in a special way, so that the bones in the wrist move.

●surgery – doctors offer surgery to people who have ongoing or severe nerve damage that is causing the symptoms of carpal tunnel syndrome. Surgery for carpal tunnel syndrome involves cutting the ligament that stretches across the wrist to form the tunnel. However, women who get carpal tunnel syndrome during pregnancy usually don't need surgery. In most cases, the symptoms gradually improve after the baby is born.

Can carpal tunnel syndrome be prevented? — it's unclear whether there is any way to prevent carpal tunnel syndrome. People sometimes think that the condition happens because they use a computer too much. But studies have shown that computer use is probably not related to carpal tunnel syndrome.

What is carpal tunnel syndrome? — carpal tunnel syndrome is a condition that causes pain and numbness in the fingers and hands, and sometimes the arms. It happens when a nerve in the wrist called the" median nerve" gets pinched or squeezed.


The median nerve goes through a tunnel in the wrist that is formed by the bones of the wrist and a tough band of tissue called a" ligament. Experts do not know exactly how the nerve can get pinched, but they think it might happen when:

●tendons that go through the same tunnel get swollen (tendons are bands of tissue that connect muscles to bones)

●tissues surrounding the tendons harden

●people hold their hands in a position that makes the tunnel smaller

●people use their hands for work that involves repetitive or forceful movements

The median nerve carries signals about sensation – it tells the brain what the hand is" feeling" it gets input from these parts of the hand:

●thumb

●index finger

●middle finger

●parts of the ring finger

●parts of the palm closest to the thumb

Women are more likely than men to get carpal tunnel syndrome. Being overweight probably increases the risk of carpal tunnel syndrome. Examples of other conditions that might increase the risk include pregnancy, diabetes, and rheumatoid arthritis.

What are the symptoms of carpal tunnel syndrome? — the symptoms include pain and tingling in the thumb and the index, middle, and ring fingers. Symptoms are typically worst at night and can wake you up from sleep. Often the symptoms affect both hands, but one hand might have worse symptoms than the other.

In some cases, pain and tingling can extend to the whole hand or even up to the wrist and forearm. Rarely, pain and tingling extends past the elbow to the shoulder.

The symptoms can also flare up when you do things that involve bending and unbending your wrist or raising your arms. Some activities can trigger symptoms in people with carpal tunnel syndrome. But they do not actually cause the condition. Examples include:

●driving

●reading

●typing

●holding a phone

In many people, the symptoms come and go. But some people eventually have symptoms all the time. They can end up having trouble moving their fingers or controlling their grip.

Is there a test for carpal tunnel syndrome? — yes. Electrical tests of the nerves can show if you have carpal tunnel syndrome, but these tests are not always necessary.

Your doctor will probably be able to tell if you have carpal tunnel syndrome by learning about your symptoms and doing an exam. During the exam, he or she might tap on or press on your wrist, or ask you to hold your hands in ways that are known to make symptoms worse.

Electrical nerve tests can prove if you really have carpal tunnel syndrome. Doctors usually order these tests for people who might need surgery to treat their condition.

●nerve conduction studies – nerve conduction studies can show whether the median nerve is carrying electrical signals the right way. In people with carpal tunnel syndrome, signals can be slow or weak.

●electromyography – electromyography, also called emg, can show whether the muscles in the hand and wrist are responding the right way to electrical signals. This test is most useful in checking whether another condition besides carpal tunnel syndrome might be causing the symptoms.

Should I see a doctor or nurse? — see your doctor or nurse if you develop the symptoms described above, and they bother you.

How is carpal tunnel syndrome treated? — treatments are often combined and can include:

●wrist splints – some people feel better if they wear splints at night that keep their hands in a" neutral position" the neutral position is when the wrist is not bent forward or backward and the fingers are curled naturally toward the palm.

●steroid shots or pills – steroids are a group of medicines that control inflammation and swelling. To treat carpal tunnel syndrome, doctors sometimes inject steroids into the carpal tunnel. People who do not want to get a shot can take steroids in pill form instead. But the pills are less effective than the shot.

●other physical treatments – there is weak evidence that yoga or another treatment called" carpal bone mobilization" might help some people with carpal tunnel syndrome. For carpal bone mobilization, a physical or occupational therapist moves your hand or wrist around in a special way, so that the bones in the wrist move.

●surgery – doctors offer surgery to people who have ongoing or severe nerve damage that is causing the symptoms of carpal tunnel syndrome. Surgery for carpal tunnel syndrome involves cutting the ligament that stretches across the wrist to form the tunnel. However, women who get carpal tunnel syndrome during pregnancy usually don't need surgery. In most cases, the symptoms gradually improve after the baby is born.

Can carpal tunnel syndrome be prevented? — it's unclear whether there is any way to prevent carpal tunnel syndrome. People sometimes think that the condition happens because they use a computer too much. But studies have shown that computer use is probably not related to carpal tunnel syndrome.

1 person found this helpful

I have always pain in my left arm. So what I will do. It is very critical for me.

Diploma in Acupuncture, Pranic Healing, MD - Acupuncture
Acupuncturist, Bangalore
I have always pain in my left arm. So what I will do. It is very critical for me.
Massage with your thumbs from the mid points of the shoulder blades on both sides towards the lower back of your head up to lower level of the ears. Use oil or water for massage. Rotate your head clockwise and anticlockwise, forward and down, left and right a few times. Do for 5 to 10 times morning and evening. Give pressure the dipping point on the portion between the thumb and the index finger on the back of the palm. Press and release for 15 times where the pain is more. This will solve the problem. Further do some wrist rotation exercise. Inform after 5 days.
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I am 38 year old male, have a travelling job, average weight (80Kg Height 174 cm (5" 8. I am having pain in my right Knee. I have got an X-Ray done; no issues with Bones. There is a kind of throbbing pain on right side of right knee when kept in folded position; also have slight pain on inner side left of the right knee. I am walking and working without much discomfort but while sitting and lying down pain is felt. I have applied Crepe Bandage in night with a pain balm.

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
I am 38 year old male, have a travelling job, average weight (80Kg Height 174 cm (5" 8. I am having pain in my right ...
Hello. I have gone through your question about knee pain. I understand your concern. I feel that these symptoms are because of your weight. You will have to reduce your weight. Atleast 15 kg over 2 years period. You need diet modification. Stop oily food. Don't eat rice at night. Very low calories diet at night atleast 2 hours prior to sleeping. Take vitamin B12 medicines. Calcium and Vitamin D medicines. You will feel better.
1 person found this helpful
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I have knee pain for last 4 months when bend my leg. Sometimes it get severe pain. May I know the reason why it caused? I will do squat regularly, but after pain I stopped. Still pain persist.

Bachelor of Physiotherapy
Physiotherapist, Kolkata
I have knee pain for last 4 months when bend my leg. Sometimes it get severe pain. May I know the reason why it cause...
Hi reduce your weight first. Use cold application. Regularly do exercise. Consult me after 5 days.
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My mother is a house wife and he have pain in his both knees and have marks on the knees.

MPT, BPT
Physiotherapist, Noida
My mother is a house wife and he have pain in his both knees and have marks on the knees.
Sports Taping- stretch the tape from both ends and apply on the affected area Contrast Fomentation (Hot and Cold).
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Am a 28 unmarried male, from birth to till now am having a tightforeskin with pinhole, 2months back I search on the internet about thisproblem and then know am suffering from phimosis, somebody toldstretching cure this problem, so am doing stretching exercise for the last 2months, now I have lot of improvements, now I fully slip back myforeskin behind the glans without any pain, my inner and outer foreskinare two different colors, am I need any further treatment for thiscondition, suppose if I stop stretching exercises again phimosis occuror what, am so much depressed of this problem, please give me a correctsolution, am avoiding my marriage also because of this condition, if any doctor gives email id means I will send the pictures.

Masters In Clinical Psychology
Psychologist, Lucknow
Am a 28 unmarried male, from birth to till now am having a tightforeskin with pinhole, 2months back I search on the i...
Hi, You can go ahead with marriage its not a problem. Phimosis is a condition that occurs in all ages of men, where the foreskin does not fully retract over the head of the penis. The non retractable state can be considered normal for males up to adolescence. It is possible to acquired phimosis from damage or scarring to the penis, it can show as a white ring around the tip that is hardened non elastic skin. It can also be caused by narrowness. Some men may have trouble during sex and masturbation, even pain. If this happens once, let it heal. If it happens continually you will want to take action. Seeking a doctor is always the best step, but here we go into depth on some home remedies that may work, or get your started. Along with stretching (which I hope you are doing it in right way), Although it’s not necessary, your doctor can prescribe betamethasone cream to help speed up the process. Apply a tiny dab of cream twice a day to the inside of the tight ring, after stretching, and rub it in. This will make your skin produce less collagen, so it is more likely to stay stretched out between sessions. Try not to get much on your glans, but it may be unavoidable. Never use soap on your penis. Wash it using only water. You can gently retract the foreskin when you urinate. Again, over time, this will help to stretch the foreskin. Consult me for query. All the best.
1 person found this helpful
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I am 61 years,60 kgs, 5'5" My BP is normal but sugar level is mildly high. I have a pain around left arm joint near shoulder, last 1 month. Is it a arthritis pain or anything else? Please suggest the proper medication or treatment.

BPTh/BPT
Physiotherapist, Hyderabad
I am 61 years,60 kgs, 5'5" My BP is normal but sugar level is mildly high. I have a pain around left arm joint near s...
Hello Sir So there can be chances of Arthritis. I would suggest you to get your shoulder assessed first by a Physiotherapist and start with shoulder mobilization and strengthening exercises immediately. Thanks.
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Hi sir I'm 24 years old now I'm suffering from hands and legs fingers pain 5dys nw this problem how to cure sir.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Hi sir I'm 24 years old now I'm suffering from hands and legs fingers pain 5dys nw this problem how to cure sir.
avoid strain like gym and computer work.,heavy weight. tk muscle relaxant medicine and stretching exercise
1 person found this helpful
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I have pain in my carfs, and can see the veins coming out, Dr. said external varicose veins, but no treatment, and I have a lot of pain, please suggest something for pain.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD (AM), PGDPPHC, ACLS
Alternative Medicine Specialist, Chandigarh
I have pain in my carfs, and can see the veins coming out, Dr. said external varicose veins, but no treatment, and I ...
Yes, the condition may be varicose veins. Doing stretching exercise helps. Taking Calcium supplement may help. If a picture of the veins on legs can be transferred it can help reach the conclusion better. There are remedies for initial stage of varicose veins which we treat people with very good results. Do get in touch if you need further assistance. Consult us in private, will be able to help you.
1 person found this helpful
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My grandmother is 82 nd she suffers lot from nody pain. Mostly back nd below pain please help.

MPT, BPT
Physiotherapist, Noida
My grandmother is 82 nd she suffers lot from nody pain. Mostly back nd below pain please help.
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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