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Dr. Ritu Aggarwal

Anesthesiologist, Delhi

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Dr. Ritu Aggarwal Anesthesiologist, Delhi
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Ritu Aggarwal
Dr. Ritu Aggarwal is an experienced Anesthesiologist in Paschim Vihar, Delhi. You can meet Dr. Ritu Aggarwal personally at Sri Balaji Action Medical Institute in Paschim Vihar, Delhi. Save your time and book an appointment online with Dr. Ritu Aggarwal on Lybrate.com.

Lybrate.com has an excellent community of Anesthesiologists in India. You will find Anesthesiologists with more than 32 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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Sri Balaji Action Medical Institute

#FC 34, A-4 Paschim Vihar EAST. Landmark:-Opposite Dda Sports Complex, DelhiDelhi Get Directions
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I am 25 years old and someday I am having backache in upper region and gradually it slows down. What could be the reason?

BPTh/BPT
Physiotherapist, Delhi
Start with physiotherapy sessions and learn exercise for spine. Don't sit on floors. Take calcium supplement and methylcobalamine supplement also.
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I have got a severe lower back and shoulder pain and pain on the heel and toe please advice.

Diploma in Acupuncture, Pranic Healing, MD - Acupuncture
Acupuncturist, Bangalore
I have got a severe lower back and shoulder pain and pain on the heel and toe please advice.
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. Consult after 5 days. For further guidance and treatment.
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I'm 25 year old female and I have a lot of back ache for past few days. I sweep the floor daily by bending for at least 15-30 mins daily. Do you think that is the cause for the problem?

BPTh/BPT
Physiotherapist, Mumbai
Hello Stop the activities which are aggravating pain... like bending and sweeping for few days and take rest. You can start physiotherapy sessions and learn specific exercise for your back pain. Meanwhile take hot fomentation for 20 min. at every 3 hrs. interval. Do reply for private consultation and detailed treatment plan Best wishes.
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I am having sever backpain and the local doctors recommended calcium pills. No effect can be seen.

BPTh/BPT
Physiotherapist, Delhi
I am having sever backpain and the local doctors recommended calcium pills. No effect can be seen.
Calcium will not give you relief. Start with physiotherapy treatment. Learn exercise for spine. Don't sit on floor. Don't lift heavy things. Use lumber spine belt.
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Leg Pain

D.P.T
Physiotherapist, Hyderabad
Leg Pain

Treating leg pain at home

You can usually treat leg pain at home if it's due to cramps or a minor injury. Try the following home treatments when your leg pain is from muscle cramps, fatigue, or overuse:

  • Rest your leg as much as possible, and elevate your leg with pillows.
  • Take an over-the-counter pain reliever, such as aspirin or ibuprofen, to help ease discomfort as your leg heals.
  • Wear compression socks or stockings with support.
  • Apply ice

Apply ice to the affected area of your leg at least four times per day. You can do this even more frequently in the first few days after the pain appears. You can leave the ice on for as long as 15 minutes at a time.

Take a warm bath and stretch

Take a warm bath, and then gently stretch your muscles. If you have pain in the lower part of your leg, try pointing and straightening your toes when sitting or standing. If you have pain in the upper part of your leg, try to bend over and touch your toes. You can do this while sitting on the ground or standing up. Ease into each stretch, holding each position for five to 10 seconds. Stop stretching if your pain gets worse.

Preventing leg pain

You should always take time to stretch your muscles before and after exercising to prevent leg pain due to physical activity. It's also helpful to eat foods that are high in potassium, such as bananas and chicken, to help prevent injuries of the leg muscles and tendons.

You can help prevent medical conditions that may cause nerve damage in the legs by doing the following:

  • Exercise for 30 minutes per day, five days per week.
  • Maintain a healthy weight.
  • Avoid smoking.
  • Monitor your cholesterol and blood pressure, and take steps to keep them under control.
  • Limit your alcohol consumption to one drink per day if you're a woman or two drinks per day if you're a man.
  • Talk to your doctor about other ways to prevent the specific cause of your leg pain.
  •  
2 people found this helpful

Back Pain

MBBS, MD - Anaesthesiology, DNB Anaesthesiology, PDCC - Pain Management
Pain Management Specialist, Mumbai
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Few daily habits to get rid of Back Pain

Hi I am Dr. Sidharth Verma and today I will tell you about Back Pain and how to prevent back pain. So back pain is, one of the most common pain which hampers the activities of mankind and it is so common that all of us will suffer from it at some point in our lifetime.

So how can you prevent that?

You can very easily prevent back pain and most of the cases which we see in our daily practice are due to lifestyle disorders and some other factors. So as far as lifestyle is concerned. Humans, when they evolved and became erect, so their back pain is the cost they have to give; and as the back is made of very small, small bones which are known as vertebrae. This is a model of the human back, you can see there are small, small bones which make up the back and there are a lot of small intervertebral discs in between. These are the structures that provide cushion and hold the vertebrae and there are a lot of small, small joints and many nerves and structures which are coming out, therefore, the back is a very complex structure and if you do not maintain it properly then you might have back pain. Now, this is all complicated stuff. Furthur, I will tell you how to easily prevent it.

First and foremost is which you can do from day 1 is maintain adequate hydration. Human body is 70% water, and if you see the back, The back has intervertebral discs and they are 90% water. So if you are not hydrated well then you will probably have more problems.

Number 2 is to control your body weight. So it has been seen that in patients or in persons who are obese, this problem occurs more. That is, they have more back pain. The causes are many but you should try to control your weight this will result in lesser back pain.

Number 3 is proper posture while you are you are doing your jobs or in your workplace or while you are driving or you are travelling. By proper posture, I mean that you should always sit with your back straight, and not hunching forward. This is one of the techniques.

Number 4 you should avoid sitting for long period of time without taking a break. This will help you to redistribute the weight of the back to different muscles and this will avoid fatigue, thereby resulting in lesser incidence of back pain.

Number 5 is selecting ergonomic furniture. Ergonomic furniture means which is designed for your body. If you go to the market usually the furniture and the kind of furniture you will get is designed more or less for a similar kind of individual maybe 5 ft 5 inches height or maybe who is sitting for a few hours. However, in actual practice, if you see that nobody is the same so everyone is different and hence you will need to have ergonomic furniture which will be specifically designed for you or there is kind of furniture available which has lots of keys or levers with which you can adjust the height, for example, the chair or the table where you are going to sit or at your workplace, you can get it all adjusted. And it may seem very difficult but if you actually start doing it is very easy. Most of the chairs which we use in our offices, they are rolling chairs which have adjustable levers and height as well as the seat quality and backrest all of it can be adjusted. Similarly the height of the tables can also be adjusted in many cases, if not all. So you can have these ergonomic furniture and this also will help.

Another factor which is responsible for majority of back pain, is unaccustomed activity. By unaccustomed activity I mean, that if you are not used to a particular activity and you do it once then probably you will have some problems. Say for example there is a folder which is kept at a height and you want to fetch it and you stretch your hand and you stretch it so much that your back muscles and your full arms, hand has to stretch so much which is unphysiological. So in these cases, it may result in micro injuries or macro injuries and this may result in back pain. Another common example can be, while lifting heavy loads. So in our routine structure, most of the people are sitting or doing jobs which do not involve lifting of heavy loads. So if you lift some heavy load on one particular day say for example, I got something to install in my house and when that thing comes and I lift it and I try to fit somewhere then that is unaccustomed for me because I am not doing it every day. So this may result in unaccustomed stress and sprains and strains to my back and this may result in back pain. So these are how you can prevent it.

Another very common cause is sleeping on very soft mattress or sleeping for inadequate amount of time. Some people have a habit of surfing mobile phone for a long period of time and they sleep on their table chair maybe on their bed with unphysiological postures. So these will result in increased incidents of back pain. Another common cause which you can prevent is while travelling. So if you are travelling and you are driving a car for example you should adjust your seat so that your back is always upright. And while taking the support, many people ask me if it is helpful to use fancy supports that are available for the car seats. The answer is no. They will not help you. In most cases, they are just fancy items and they will not help you. However, straightening your seat will help you a lot. If you straighten your seat to a point where you are sitting independently and you are seeking only the lower back support from your seat and you are sitting on your own then probably the chances of you getting back pain are less.

Another common thing which you can apply when you are travelling is do not drive for extended period of hours like, I have seen people who drive for maybe 6 hours at a stretch so if this is done occasionally or frequently then it may result in back pain. So if you can avoid and take a break maybe around 45 minutes to an hour every 45 minutes or an hour you can stop and walk around maybe for one or two minutes or you can get out of your car or you can just get down and have a break then you can continue driving so you can drive in bits and bytes then you can travel long distances also. But please be sure to take a small break at least so that your back is not strained unnecessarily.

Another common reason why people come with this back pain are these motorcycle riders or scooter riders who are travelling these long distances throughout the day. What they often do is that they carry these bags. So they carry these bags and backpacks and they funnily carry it on one shoulder. So it will be like a strap and they will carry it on one shoulder and they will do this throughout the day and then after one month or two months they will start having a pain on one side. So this one-sided stress is one of the reasons why people have back pain. If you are not driving a vehicle, then also if you are carrying a load or a backpack or if you are a student or if you are an office goer who has to carry these laptops. Because I have often seen these laptops come in suitcases or briefcases and obviously you have to carry them with one hand. SO it is better to switch from these one handed or one sided carrying devices to devices or bags which are distributing the load equally to both shoulders and back. So that the load is distributed and there is no asymmetrical stress that is the back, on one side, is not stressed unnecessarily.

Another common reason for people who travel a lot is that their legs are not properly placed. So, in addition to the back of the seat, the height of the seat also plays a role. In majority of vehicles however, the height is not an adjustable portion. So the one thing you can do is, you can go forward or you can go backwards that is towards the steering and away from the steering. This mechanism is available for most of the cars or most of the vehicles and with the help of this, you can have enough distance between the steering and your body so that your thighs are touching your seat till the point they can leave the seat that is until the maximum point they should be able to touch the seat. So this will again be helpful to reduce the stress on the back.

Another common cause of back pain is the lack of exercise. For exercise, I don’t mean well I don’t advise that you should go to the gym and lift weights or something like that. But by exercise, I mean exercises like walking. Even simple walking is one of the best exercises for back, swimming or even cycling, or even exercises for your abs. You may underestimate the importance of the exercises for your abs but you should know that abs they support the back to a great extent and weak abs or abdominal muscles are the common causes of back pain in healthy adults.

Other than these, there are causes like nutritional causes. By nutritional causes I mean the deficiency of specific nutrients in your diet. This may be deficiency of Vitamin D .This is one of the most common deficiencies which I see in my practice that most of the people who come to me with these deficiencies they are normal healthy individuals otherwise but due to some reasons, they have this Vitamin D deficiency. Many of them are non-vegetarians so it is a myth that you cannot have Vitamin deficiency if you are a non-vegetarian. So you may have deficiency of Vitamin D, which is necessary for the calcium metabolism and in the deficiency of this Vitamin you are more likely to have weak bones and this pain.

In elderly individuals, however, you may have other causes of weak bones and they may also lead to this back pain. So last but not the least, we have population which is ageing now. So we have more number of people who are above 40 years of age. In these people there are conditions known as degenerative conditions which is, due to age, the body starts degenerating. So if you don’t use your body properly, it will start to degenerate. In many people, who are using the body properly also, due to genetic reasons, and environmental factors, it starts to degenerate. So in these patients there are lot of conditions that develop, and these may affect the intervertebral discs, the joints of the back, the muscles, as well as the ligaments. So these conditions can lead to the back pain in this age group, the elderly age groups that is. So these are the common causes and if you are careful enough, you can easily prevent them and help yourself to prevent your back pain. Prevention is always better than cure, so I will strongly recommend that you take my advice and follow these steps, and you are less likely to have back pain.

To know more, you can always visit my Lybrate website on www.lybrate.com/drsidharthverma or you can also visit my website www.pain.org.in. Thank You.



 

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hello doctors! I'm 25 years old. Unmarried and working lady. I've been suffering from a number of problems, some from my adolescence which are still there and have become chronic and some have developed recently. I have many health issues at the same time, below is the list:- 1- i'm exhausted all the time, I feel lethargic and slouchy. 2- few years back I used to have extreme pelvic pain; I couldn't stand the pain and my Dr. Gave me injections of voveran. Now from the last year my periods are not regular, I just menstruate for one day. 3- i'm constantly putting on weight, especially around my belly. I exercise but it doesn't help. 4- when I was 13 years old my knees used to knuckle/crack a lot. This condition remained for 8-9 years. Now it doesn't happen but i've severe pain in my knees and ankles; i'm not able to climb stairs, I can't do cycling I can't walk fast, cannot jump/jog, in short I feel like a 60 years old lady. 5- also I pent when I climb stairs or walk fast. My folks say that i'm a lazy girl and not at all attentive. 6- i'm absent minded, so much forgetful. I misplace things most of the time. One doctor said i've dementia or alzheimer's. I'm shocked. 7- I look pale and have many skin problems, like breakouts, scars, black head white heads, patchy skin. Did consult doctors. But nothing did really help. Blood test already done, there's no blood infection. 8- i've consulted a gynaecologist too for my periods and skin issues, conducted some tests which were normal. I feared of pcos but luckily it was not that but there was some watery discharge from my left breast. 9- i'm short sighted too and my number is -8. Severe headache is common. 10 - in 2013 I was down with typhoid. My haemoglobin was 7.8 at that time and I took iron tabs (dexorange) for three months. 11- four five years back I had a bone marrow test which indicated my bones were weak. In later years I consulted an specialist he said I hv arthritis, I didn't continue the medicines. 12- my tongue has unusual black spots. My metabolism isn't good. Constipation is not a regular problem. 13- recently i'm realising that my body's tiny hair including my face is growing dark. I fear of hormonal problem. 14- from last one month i've chronic bony pain especially in my hands, feet and legs. My finger joints are paining like anything, I can't keep my feet on the floor, it hurts badly. I'm not able to sleep due to unbearable pain. In fact I can't explain my condition. Every part of my body pains, I feel sick, very very sick. Please help, what should I do, i'm stressed out, not even able to work properly in my office. Where to start? who's the right doctor? please help out.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. It appears that you have multiple problems, from an orthopaedic point of view I will require certain tests to be done empty stomach, once we have the results I can let you know certain things: cbc, esr, crp, serum electrolytes, kft, lft, thyroid profile, serum vitamin d levels, ra factor, anti ccp antibodies, ana, hla b 27 these tests should guide us to why you have bone pains, maybe fatigue and tiredness. Also you should consult a general physician and a gynaecologist as well and if required get your hormonal workup done as well. Do not hesitate to contact me if you need any further assistance.
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I am 30 yrs old and have waist pain for few days. This problem is started after my 1st normal delievery in april 2014. What should I do?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Please tell me whether you mean that you are experiencing lower back pain or something else? also tell me if it is associated with any leg pain or any other neurological symptoms like numbness, paraesthesias (electrical shock like abnormal sensations) or any weakness in limbs. Please also tell me about any associated symptoms like fever, weight loss etc. What medications you generally take and what has been your treatment history till now for existing problem. Do not hesitate to contact me if you need any further assistance. Thanks & regards
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Hello Doctor, I am 28 Years old Male and have pain in joints for last 6 months and also weakness. I am Vegetarian and No Habit of Smoking and Drinking. I Also Consulted with Dr.(MD & Physician - Delhi), Suggested me For the Test - Metabolic V H. What should I do?

Diploma in Acupuncture, Pranic Healing, MD - Acupuncture
Acupuncturist, Bangalore
Hello Doctor, I am 28 Years old Male and have pain in joints for last 6 months and also weakness. I am Vegetarian and...
Identify the mid point between the ankle bone and tendons and give pressure with a blunt edge on either side of your foot for 2 minutes. Also give pressure in the web between 2nd and 3rd finger from your toe for 2 minutes. Finally give a good massage for both feet in hot water. Identify the dipping portion on the back of your knee folding. Press this dip with both middle fingers and hold your knee with your thumbs for support. Please swing 20 times morning and evenings.
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