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Dr. Riyana Kushal

Gynaecologist, Delhi

100 at clinic
Dr. Riyana Kushal Gynaecologist, Delhi
100 at clinic
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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.
More about Dr. Riyana Kushal
Dr. Riyana Kushal is a renowned Gynaecologist in Pahar Ganj, Delhi. You can meet Dr. Riyana Kushal personally at indraprastha Nursing Home in Pahar Ganj, Delhi. Book an appointment online with Dr. Riyana Kushal and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 30 years of experience on Lybrate.com. You can find Gynaecologists 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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2141/2, 1st Flr, Pahar Ganj. Landmark: Chuna Mandi, DelhiDelhi Get Directions
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How Physiotherapy Can Help Through pregnancy and After Pregnancy

BPTh/BPT
Physiotherapist, Gurgaon
How Physiotherapy Can Help Through pregnancy and After Pregnancy

How physiotherapy can help through pregnancy and after pregnancy:

Pregnancy and childbirth throw a woman's daily routine out for a toss. During and after pregnancy is the time when her body undergoes a number of hormonal and physical changes. Mundane tasks like sitting, standing, walking, and working become a challenge.

Research suggests that almost all pregnant women experience musculoskeletal discomfort but around 25% become temporarily disabled because of it. All these occur due to the incredible changes taking place in the body during a normal pregnancy.

Pregnancy discomfort has been accepted as a part of the normal process of pregnancy for years now. But just because you are pregnant does not necessarily mean that you have to accept problems like a backache and pelvic girdle pain as unmanageable. Doctors of today have realized that physiotherapy is the key to enhancing a woman's health during pregnancy. The main aim of physiotherapy is to reduce discomfort, to prepare the body for delivery and to speed-up recovery after childbirth.

Physiotherapy through pregnancy

The basic aim of physiotherapy during pregnancy is to help the body deal with issues related to mobility, musculature, circulation and respiration. Prior to starting an effective antenatal (before birth) program, a thorough evaluation is done to recognize which exercises would be best suited to the woman's needs. These exercises are aimed at strengthening muscles,
decreasing joint pain, correcting muscle imbalances, and increasing the overall range of motion of the body. Therapists may also advise you about correct sleeping positions as your normal sleeping routine may be disturbed during pregnancy.

Here's how physiotherapy deals with some common complaints experienced by women during pregnancy.

Lower back pain: almost all pregnant women experience low back pain, though it tends to become severe after third trimester begins because the woman's centre-of-gravity shifts due to the increase in the stomach size. Lower back pain is treated with manual and passive physiotherapy, back support, postural education, and some pilates exercises. Home exercises are also taught which the women are encouraged to continue at home.

Pain in the sacroiliac joints: sacroiliac joints are present in the lowest region of the lower back. This pain is usually concentrated in the buttock region. During pregnancy, due to excessive hormone release, the body's connective tissues tend to relax so that the muscles can stretch to aid in delivery. This may cause the sacroiliac muscles and ligaments to become excessively mobile, causing extreme joint movements. Due to this, the woman may experience difficulty in lifting the leg, swelling in the joints, pain in the hips, and difficulty while standing and sitting. Strengthening exercises are provided by the physiotherapist to stabilize the joints and hands-on therapy is given to reduce the pain by realigning the pelvis.

Urinary incontinence (due to pelvic floor weakness): progesterone, which is known as the pregnancy hormone, relaxes the muscles of the pelvic floor in order for it to be supple and ready for delivery. Therefore, these muscles can weaken and strain during pregnancy and childbirth, which leads to urinary incontinence (unable to contain or retain urine) and pelvic floor dysfunction. Physiotherapists will teach you strengthening exercises to strengthen the pelvic floor muscles. They may also provide you with a pilates based exercise program to help reduce the muscle weakness that may occur after childbirth.

Sciatica: sciatica is a problem that a lot of pregnant women experience. Continuous pressure or strain on the sciatic nerve can lead to backache, and weakness, numbness and tingling in the leg or associated areas. Physiotherapy uses stretching exercises and manual therapy to relieve you of these symptoms.

Carpal tunnel syndrome: this condition is caused due to build-up of excessive fluid resulting in swelling in the carpal tunnel in the wrist. You may experience symptoms like pain, numbness, tingling, and loss of coordination in your hands and fingers. Physiotherapy techniques such as mobilization, strengthening exercises, stretching, and soft tissue techniques help to reduce these symptoms. In severe cases, a wrist brace may be provided to put on during specific activities to minimize inflammation.

Physiotherapy after pregnancy

Physiotherapy does not stop once your baby is born. It is very much part of post-natal care too. Gentle physiotherapy exercises must be started two days after the baby's birth. However, this must only be done after consulting with your doctor. Most hospitals have physiotherapists who will offer their services before you are discharged. For the first six weeks after childbirth, your body is still in the recovery phase and walking is the best exercise for you. Start with short walks, and then slowly increase time, distance, and speed of your walks, according to your comfort. Swimming is another good exercise, but you can only start with this after you have recovered properly. If you experience any pain and discomfort, discontinue the activity immediately and consult your doctor. After six weeks, with the go-ahead from your doctor, you can start with sports and exercise classes.

Women also experience certain post-natal complications. Here is how physiotherapy helps you recover from them.

Low back pain: physiotherapy techniques such mobilization, stretching, strengthening, soft tissue techniques, and hydrotherapy are very beneficial in reliving post-natal backache. Certain pilates exercises are also helpful.

Weakness of pelvic floor muscles: immediately after childbirth, the pelvic floor muscles are weakened. These muscles can be strengthened by pilates based exercise program and other exercises specific to pelvic floor muscle strengthening, which the physiotherapist will teach you.

Sacroiliac joint pain: this pain can continue after pregnancy too. Strengthening exercises and hydrotherapy can help in regaining normal muscle tone.

Diastasis recti or abdominal separation: generally this condition occurs in women who have undergone multiple pregnancies. A physiotherapist will provide you strengthening exercises to strengthen the abdominal muscles.

A woman's body undergoes incredible strain during pregnancy, and physiotherapy is something that can make the entire process so much easier. It aims not only at your recovery but enhances your body's ability to have a smooth and easy delivery. Physiotherapy makes the experience of pregnancy positive and joyful, just as it should be.

1 person found this helpful

I have a problem if white discharge n I feel wet while sitting on table at ma school time what can I do to get rid from this thing.

MBBS
Sexologist, Panchkula
I have a problem if white discharge n I feel wet while sitting on table at ma school time what can I do to get rid fr...
You have white discharge problem and feel wet. I advise you to take proper balanced vegetarian diet. Take lots of water daily. Do meditation for mental strength.
3 people found this helpful
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Benefits of tulsi

Fellowship of College of General Practice (FCGP), MD - General Medicine, MBBS
General Physician, Nagapattinam
Take tulsi

Research suggests that this ayurvedic herb, also called holy basil, may help manage levels of the stress hormone cortisol, helping to boost your mood. Look for teas and supplements in health-food stores and follow package directions.
44 people found this helpful

My gf took abortion pills in 6th week, will it be possible for others to know about this in future.

MD, MBBS, Advanced Infertility
Gynaecologist, Jalandhar
No! but she must get a usg 10 days after the kit usage and ensure that the uterus is empty and the abortion is complete.
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Hi, I did sex with my wife on 21 th june. Her period was started on 11th of this month. But her period totally completed by 3 days. Where as her period always take 5 days. Is she pregnant. Her age is 27.

BHMS
Homeopath, Mumbai
Hi, I did sex with my wife on 21 th june. Her period was started on 11th of this month. But her period totally comple...
She is not pregnant! she had her periods so that is fine! if this happens continuously then it is a cause of concern! then we need to do further tests and usg.
1 person found this helpful
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Hiee I'm 24 years old I'm suffering from heavy menstrual bleeding. It's strtd on 27th of July. What to do.

DHMS (Hons.)
Homeopath, Patna
Hiee I'm 24 years old I'm suffering from heavy menstrual bleeding. It's strtd on 27th of July. What to do.
Hello, tk homoeo medicine to check your heavy flow/ @ sepia 200-6 pills, thrice. A day. @ hemamelis q-10 drops, thrice with little water. *tk, plenty of water to hydrate your body and to diluter blood. *>your diet be regular, easily digestible on time. *tk, rest for most of the time during menstrual period. * avoid, junk food, caffeine, dust, smoke. Report, wkly. Your feedback matters. Tk care.
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13 Signs You May Be Pregnant

EMDR, FRCOG (LONDON) (Fellow of Royal College of Obstetricians and Gynaecologists), MFSRH , Diploma in psychosexual therapy, Medical diploma in clinical Hypnosis, Diploma in Evidence Based Healthcare, DNB (Obstetrics and Gynecology), MD - Obstetrics & Gynaecology, MBBS
Gynaecologist, Pune
13 Signs You May Be Pregnant

Early indications of pregnancy are not generally perceived, but the modest changes in your body capacity might be telling you something. Here are some signs, which mean, perhaps you are pregnant.

  1. Missed Period or Late Period: The clearest indication of pregnancy is a missed period. However, a missed period doesn't always mean you are pregnant. If your period is late when your menstrual cycle is quite regular, it might be an indication of pregnancy.
  2. Swollen breasts: Soreness or shivering in your breasts is one of pregnancy's most basic symptoms. Right on time in pregnancy, the breasts will round out and change shape as they get ready to deliver milk.
  3. Nausea: Nausea is among one of the most well known symptoms of pregnancy. It's brought about by an increase in the hormone levels. Almost 80 percent of women experience "morning sickness" during the initial three months of pregnancy. For some, this sickness is not just confined to the mornings and may take place throughout the entire day.
  4. Spotting: After 5 to 10 days of conceiving, light spotting might be found when the embryo implants itself in t"he uterus.
  5. Enhanced Urine Frequency: If you're pregnant, your uterus puts pressure directly on the bladder prompting more urination. The additional weight and intestinal changes may bring about a blockage.
  6. Fatigue: Women feel exceptionally tired and drained during pregnancy. Fatigue is one of the primary indications of pregnancy.
  7. Mood Swings: Avid emotional mood swings occur in women during pregnancy. If your temper is always fluctuating or going up and down, it may be an indication that you might be pregnant.
  8. Enhanced Sensitivity to Smell: Women during pregnancy develop an enhanced smell sensitivity. Any common or normal smell may seem to be intense and long lasting. This is a genuine signal.
  9. Darkening of the areolas: Areolas are the circles around your nipples. During pregnancy, due to increased hormone secretion, the areolas become dark and wide. This is a common indication.
  10. Enhanced Craving For Food: Pregnancy increases the drive for food craving in women. Pregnant women find themselves consuming a huge amount of food, which is abnormal.
  11. Headache: Headaches due to migraine increase during pregnancy. This is more common during early pregnancy.
  12. Strange Metallic Taste In The Mouth: Some women may feel an odd metallic taste in their mouth, which may signify pregnancy.
  13. Constipation: Added pressure on the kidneys and bladder may lead to constipation in pregnant women. This is another indication.

These are some common signs, which may imply that you are pregnant, and should take a pregnancy test soon. For more information, visit your doctor.

3788 people found this helpful

I'm 30 years and marriage is of 9 year. Every months my period is normal. I have a daughter of 7year. But this months date of my period is 1march but there is no bleeding at all. Im also done 2times pregnancy test but it show negative. What should I do.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I'm 30 years and marriage is of 9 year. Every months my period is normal. I have a daughter of 7year. But this months...
Pregnancy test should be done only after 7 days of missed period. So if it was expected on 1march then it should be done on 10 march (added 2 days for the feb). If negative then keep repeating it every week till menses comes. You have to read it within 5 min of putting the urine and even faint second line is positive.
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Am 21 years I had sex one day before my period ended now my period is late ,i have little cramps and white mucous discharge. No vomit, no fatigue or any other sign of pregnancy only late period with little cramps and white mucous discharge. Am I pregnant?

MS - Obstetrics and Gynaecology
Gynaecologist, Agra
Am 21 years I had sex one day before my period ended now my period is late ,i have little cramps and white mucous dis...
Helo having sex one day before period ended. Well its highly unlikely that you ll be pregnant. U can do a urinary pregnancy test to remove your fears regards
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She had a skip of 1 month in her periods (i.e had not periods in september bt had in december) and got periods in this month bt she is having very much pain in her back. Would you please tell me is there anything to worry and wht is this happening and how can one get rid of it and llz tell me do amd do needs during periods.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
She had a skip of 1 month in her periods (i.e had not periods in september bt had in december) and got periods in thi...
Hello, Please get evaluated to rule out PCOD, hypothyroidism and hyperprolactinemia which are the common causes for irregular menses. Please rule out pregnancy first.
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I am 30 recently married my wife doesn't have interest in sex. I have tried different types of foreplay for getting into mood but no use she doesn't feel anything when ever we talk about sex she is getting angry on me she does want to talk on sex Please tell how to solve this problem. For this issue our relationship is in trouble now.

M.Sc - Applied Psychology
Psychologist, Bangalore
I am 30 recently married my wife doesn't have interest in sex. I have tried different types of foreplay for getting i...
It's very frustrating and confusing when one of the partner appears to be very elusive of an intimate part of the relationship. Lack of intimacy does impact the relationship in many ways. Meet a sexologist and relationship therapist or a psychologist along with your wife to understand what's happening in the relationship and what's stopping your wife from indulging in intimacy. Don't ignore or delay thinking that time will make everything alright. The sooner you resolve this issue, the better it will be. All the best.
2 people found this helpful
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The importance of Ergonomics in the GYM

Ergonomist, MPTh/MPT, Trained in Mulligan Concept, BPTh/BPT
Physiotherapist, Gurgaon
The importance of Ergonomics in the GYM

Most people are familiar with ergonomics as it applies to the workplace But the benefits of ergonomics shouldn’t be limited to the confines of the office cubicle. Ergonomic processes are just as important in the gym setting, and could mean the difference between a game-changing fitness routine and one that goes belly-up.

 

1.       Ergonomics improves your performance. 

 2.       Ergonomics simplifies your tasks

Most people are familiar with ergonomics as it applies to the workplace But the benefits of ergonomics shouldn't be limited to the confines of the office cubicle. Ergonomic processes are just as important in the gym setting, and could mean the difference between a game-changing fitness routine and one that goes belly-up.

1.Ergonomics improves your performance.

2.Ergonomics simplifies your tasks

3.Ergonomics is personal.

4.Ergonomics for specific jobs

5.Ergonomics improves your safety.

6.Ergonomics saves you money.

Live Painfree

 3.       Ergonomics is personal.

 4.       Ergonomics for specific jobs

 5.       Ergonomics improves your safety. 

6.       Ergonomics saves you money. 

Live Painfree

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I am a boy and I do sex 2-3 time without safety my question is its causes any type of issue?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), L.C.P.S, PhD,D.P.S.M
Sexologist, Ahmednagar
It is always dangerous to do the sex without precaution. Check the hiv status of both. If it is negative then there is nothing to worry.
1 person found this helpful
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My mom is 51 year old and she had done her ferritin, serum test. So I am providing the report i. E, 51.30 ng/ml bio ref interval- (10.00-291.00). Can you please let me know is it fine or not.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
Hi, the levels are definitely towards the lower range and hence suggested that she should be placed on iron and multivitamin tabs for well being. Regards.
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mjhe pregnant nai hona h isliye mjhe ye bta do ki periods ke kitne days baad sex krna chahitye ?

PG Dip(psycosexual diseases), MBBS
Sexologist, Delhi
mjhe pregnant nai hona h isliye mjhe ye bta do ki periods ke kitne days baad sex krna chahitye ?
Period band hone ke 7 days and agle period se 7 din pehle se agle period tak intercourse karna safe hai
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PCOS

MD - Obstetrics & Gynaecology, MBBS
Gynaecologist, Noida
PCOS

PCOS Treatment?

Treatment for PCOS is not curative. Treatment focuses on controlling symptoms and managing the condition to prevent complications. The treatment will vary from woman to woman, depending on specific symptoms.

A healthy diet and regular exercise are recommended for all women with PCOS, particularly those who are overweight. This can help to regulate your menstrual cycle and lower your blood glucose levels.

Women who don't want to become pregnant may be prescribed birth control pills. These can help treat acne, regulate the menstrual cycle, and lower levels of male hormones, such as testosterone, in the body. If a woman with PCOS is suffering from infertility, fertility drugs may be administered for helping her to ovulate.

Anti-androgens are drugs that reduce male hormone levels. These can help stop excess hair growth and reduce acne. Diabetes medications may also be prescribed to lower blood glucose and testosterone levels.

Surgery may be recommended for some women with PCOS. Ovarian drilling is a procedure in which the doctor punctures patient's ovary with a small needle that carries an electric current, in order to destroy part of the ovary. This is a short-term solution that can promote ovulation and reduce male hormone levels.

Potential Complications of PCOS?

Women with PCOS have a higher risk of developing:

  • hypertension (high blood pressure)
  • high cholesterol
  • anxiety and depression
  • sleep apnea (when a person stops breathing periodically during sleep)
  • endometrial cancer (cancer caused by thickening of the lining of the uterus)
  • heart attack
  • diabetes
  • breast cancer

If you become pregnant, your doctor may refer you to a doctor who specializes in high-risk pregnancies. Women with PCOS have a higher rate of miscarriage, gestational diabetes, and premature delivery. They may also require extra monitoring during pregnancy.

The earlier the PCOS is diagnosed and treated, the lower is the risk of developing these complications. Avoidance of tobacco products and participating in regular exercise can also reduce the risk of some of these co-morbidities. The patients must talk to the Gynae about what PCOS means for your overall health and how you can prevent serious complications.

5 people found this helpful

In her 1st time sex a huge amount of pain should occur It should habitual or not.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
It is not necessary that a severe pain should occur. Generally during first time, pain is felt because of hymen and lack of lubrication.
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I have sex on 19th july. But my girlfriend is not getting periods till now. Her last month periods date was 24th ok june. Is she pregnant? Please reply fast.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Vadodara
I have sex on 19th july. But my girlfriend is not getting periods till now. Her last month periods date was 24th ok j...
Chances are very less for her to get pregnant, but still wait right now, after 1 week of her due date i. E. Till 31st if she donot get her periods then tell her to undergo urine pregnancy test once. Till then wait and watch.
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