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Dr. Sanjeev Divyadarshi

Orthopedist, Delhi

Dr. Sanjeev Divyadarshi Orthopedist, Delhi
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Sanjeev Divyadarshi
Dr. Sanjeev Divyadarshi is a renowned Orthopedist in Dwarka, Delhi. You can consult Dr. Sanjeev Divyadarshi at Excel Ortho Spine Clinic in Dwarka, Delhi. Book an appointment online with Dr. Sanjeev Divyadarshi on Lybrate.com.

Lybrate.com has top trusted Orthopedists from across India. You will find Orthopedists with more than 41 years of experience on Lybrate.com. You can find Orthopedists 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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Ramphal Chowk , Sector - 7 , Dwarka, DelhiDelhi Get Directions
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RZ-F 1/1, Mahavir Enclave Palam Dabri Road, Near Dwarka Airport Flyover, Dwarka, DelhiDelhi Get Directions
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Hi sir, my both foots are having pain. No BP and diabetic. Pain remains even on rest. What should i do please tell me?

BHMS
Homeopath, Sindhudurg
Hi sir, my both foots are having pain.  No BP and diabetic. Pain remains even on rest. What should i do please tell me?
Homoeopathic treatment-phyto 30 4 pills 3 times. Mag phos 6x -4 pills 3 times for 8 days and revert back.
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My grandmother and grandfather are having knee pain. Doctor ask them to replace their knees with new one. Please guide.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
My grandmother and grandfather are having knee pain. Doctor ask them to replace their knees with new one. Please guide.
Knee advice. 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).
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I have problem of backaches from few days. After midnight it increases. So, pls advice me the solution to get rid of it.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I have problem of backaches from few days. After midnight it increases. So, pls advice me the solution to get rid of it.
Heat fermentation and rest tk muscle relaxant medicine if it work then ok otherwise physiotherapy treatment and a x-ray.
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My father has O.A. Knee jts - both. Whenever he gets pain, he goes to physio and take diathermy. He gets relief, again after a month or two, he gets pain, again he goes to physio. Treatment repeats. Tell me are there any side effects of short wawe diathermy?

Physiotherapist, Bangalore
My father has O.A. Knee jts - both. Whenever he gets pain, he goes to physio and take diathermy. He gets relief, agai...
Dear lybrate-user, regular exercise is required for all knee related problem, muscle strength is very important when it come to the stabily of the knee. I guess he will not be able to bend his knee to the full range. But one he starts to do strengthen, he can feel the difference.
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Hello sir Good Morning. My name is pawan kumar I have left knee pain please advise me.

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist, Bangalore
Hello sir Good Morning. My name is pawan kumar I have left knee pain please advise me.
Hi, knee pain is a common complaint that affects people of all ages. Knee pain may be the result of an injury or some other medical conditions including arthritis, patellar tendinitis, acl injury, knee bursitis, torn meniscus, gout and infections. Try some home remedies for your pain- - ice is useful for the control of pain and swelling. It can be applied to the knee for 15 to 20 minutes as often as every two to four hours. The swollen knee should be elevated above the level of the heart while icing. -activities that cause pain should be avoided temporarily. -if the knee is swollen or sore, the following positions and activities should be avoided until knee pain and swelling resolve: squatting kneeling twisting and pivoting jogging aerobics, dancing playing sport specific exercises will help you improve range of motion, strength, and endurance. It is especially important to focus on strengthening and stretching your quadriceps since these muscles are the main stabilizers of your kneecap. Core exercises may also be recommended to strengthen the muscles in your abdomen and lower back. Also maintaining a healthy body weight to avoid overstressing your knees are very important. -a full history of your problem should be taken and your movements assessed by a physiotherapist. Please consult a physiotherapist for the same. Best wishes.
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Hi, my wife having severe cracks in her legs leading pain, any remedies to cure this? Why this happening?

BPTh/BPT
Physiotherapist, Delhi
Hi, my wife having severe cracks in her legs leading pain, any remedies to cure this? Why this happening?
This is because of lack of intake of water and fluids. Take vitamin E for one month. Eat Almond in morning. Drink plenty of water
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I am 28 yes old my problem is morning time dirt and joint pain 8 hrs sleeping affect the chicken guniya 10 years back so joint pain not relief.

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist, Bangalore
I am 28 yes old my problem is morning time dirt and joint pain 8 hrs sleeping affect the chicken guniya 10 years back...
Try some remedies for joint pain: -ice packs can be used to soothe hot, swollen joints. -heat packs help to relax tense, tired muscles. -splinting of swollen or painful joints may be helpful, a physiotherapist or an occupational therapist (ot) may provide temporary splints for you. -pace yourself: overdoing things can increase your pain, but so can not doing enough. Your physiotherapist can advise you on increasing your activity level at a rate you can cope with and on finding the right balance between rest and activity. -take regular graded exercise: graded exercise starts slowly and increases in small steps. This will help you to strengthen your muscles and joints and increase your fitness. Improving your general fitness and stamina will help you to increase your activity level without increasing your pain. -mobilising, stretching and strengthening: your physiotherapist will assess your muscle strength and the range of movement in your joints, and advise on techniques and exercises so you can keep your joints working as well as possible. Best wishes.
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I had both the hand fingers painful. So I took blood Test yesterday reports ECR 28 and RA Factor Positive. So what medicine you will advise me doctors. Thanks in advance.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I had both the hand fingers painful. So I took blood Test yesterday reports ECR 28 and RA Factor Positive. So what me...
Please discuss with me the history of your Rheumatoid Arthritis ,how and when these pain started and what all treatment have you gonee through till now.
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Hello sir, I am 26 years old. One year back I was travelled on uneven road. From that day onwards I feels back pain, I can't able to wash my clothes& bending works etc. What is the reason for that? How can I reduce that?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Hello sir, I am 26 years old. One year back I was travelled on uneven road. From that day onwards I feels back pain, ...
Apply hot fomentation twice daily. Avoid bending in front. Postural correction- sit tall, walk tall. Extension exercises x 15 times x twice daily. Bhujang asana. Core strengthening exercises. Back stretching. Do the cat/cow stretch.
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I am getting back pain from three days so I am unable to sit for long time before system work on ti.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am getting back pain from three days so I am unable to sit for long time before system work on ti.
Requires detailed examination and investigation. Preliminary investigations suggested: hb, tlc, dlc, esr, blood sugar fasting & pp, uric acid vit d urine r/e x-ray of the affected part. Anyway it may be tried sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick mattress 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, knee & general exercises. It may have to be further investigated. Do not ignore it. Let it not become beginning of a bigger problem. Make sure that patient is not allergic to any of the medicines that he/she is going to take. If it does not give relief in 4-5 days, inform
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I am suffering from thimmri in legs from so many years can you help me in avoiding this.

BHMS, PGD PPHC, BMCP, TRAINING IN USG
Homeopath, Kolkata
I am suffering from thimmri  in legs from so many years can you help me in avoiding this.
Take IGNATIA 1M IN GLOUBLES. 4 pills twice daily for 15 days and consult after that for follow up and further medication.
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Am suffering from diabetes from last three years, am also patient of hypertension, joint pain in my knees, I want medicine,

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Am suffering from diabetes from last three years, am also patient of hypertension, joint pain in my knees, I want med...
Firstly maintain your diabetes and bp problem then do stretching exercise in daily routine hot and cold pack alternative for 20 min do quadriceps exercise.
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I have severe upper back pain and neck pain, but I couldn't find the reason, please help me to resolve the issue, how to overcome with pain.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I have severe upper back pain and neck pain, but I couldn't find the reason, please help me to resolve the issue, how...
according ur age X-Ray must seems CS. do physiotherapy treatment must . stretching and isometric exercise. avoid towards bending lifting weight
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I am a 19 year oldboy. I play football so I get ankle injury so much. Sprained ankle. So how I can cure it at home? Any exercise for it?

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
It looks like you are anaemic. And also you have to check with your vitamin and calcium, if the bones are weak then automatically the pain gets triggered more as there is less energy during any metabolic activity. that could be the main reason for your ankle injury when you play sports as calcium and vitamin deficiency will definitely affect the firm joints as Ankle is one of the firm joint in the lower limbs
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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.

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Sir, I have pain in Right down peripheral area of backbone, from 4 days. * No any previous injuries have suffered in past.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Sir, I have pain in Right down peripheral area of backbone, from 4 days.
* No any previous injuries have suffered in ...
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
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Sir I am having calcaneal spur on right ankle. What should I do. Please advise.

Diploma in Diabetology, Master of Hospital Administration, MBBS
General Physician,
Use soft slippers and pull your foot towards your leg daily 10 times and revert back to me for further assistance.
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I am a 30 year old male. I had a spots injury in the heel (back side of the heel - matches the symptoms of plantar fasciitis injury) . First few steps after long rest gets a severe pain on heel , pain calf muscle stretch.

Fellowship of the Royal College of Surgeons (FRCS), Membership of the Royal College of Surgeons (MRCS), MBBS, Fellow of Academy of General Education (FAGE)
Orthopedist, Hyderabad
I am a 30 year old male.
I had a spots injury in the heel (back side of the heel - matches the symptoms of plantar fa...
What you are describing is achilles tendonitis. You can start achilles stretching physio and use heel shoes with insoles to offload the pressure.
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Dr. I am suffering from back pain for the last 15 years, and undergone mri scan, says disc prolapse pressing nerves, now undergoing ayurveda treatment only, as a side effect I have foot drop too, I am expecting your valuable advice sasi nair.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Do consult neuro physiotherapist or neuro physician asap regarding your pain you need to be clinically examined by them best wishes
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