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Dr. Shruti Garg

BPTh/BPT

Physiotherapist, Delhi

5 Years Experience  ·  150 at clinic
Dr. Shruti Garg BPTh/BPT Physiotherapist, Delhi
5 Years Experience  ·  150 at clinic
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Personal Statement

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. Shruti Garg
Dr. Shruti Garg is one of the best Physiotherapists in Goyal Hospital, Delhi. She has been a successful Physiotherapist for the last 5 years. She has done BPTh/BPT . You can visit her at Kaushik Physiotherapy & Rehabilitation Clinic in Goyal Hospital, Delhi. Book an appointment online with Dr. Shruti Garg on Lybrate.com.

Lybrate.com has top trusted Physiotherapists from across India. You will find Physiotherapists with more than 38 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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BPTh/BPT - - 2012
Languages spoken
English
Hindi

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No. 11/304. Landmark: Near Happy English School, DelhiDelhi Get Directions
150 at clinic
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Cervical Lordosis Straightening Treatment

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Cervical Lordosis Straightening Treatment

Most commonly known as a military neck a straight or forward curve of the neck is abnormal and may cause an unkind progression of symptoms leading ultimately to cervical disk degeneration.

Reversal of cervical lordosis explained

The anatomy of the neck features a lordotic curvature in its typical and healthy state. This means that the cervical region has a gentle curvature with the open end of that curve facing the rear of the body. The base and top of the curve will be further posterior than the mid point, which will be further anterior.

When the lordosis is straightened, the neck becomes more upright and linear. This is more common than the next progression of atypical curvature, which is the subject of this article.

Actual reversal of curvature means that part or all of the cervical spine develops a kyphotic profile, with the open end of the curve facing anteriorly. Usually, this reversal is extremely mild, but is still very abnormal. What we now see is the middle of the curve being positioned posterior to the top and bottom.

In essence, picture the letter c and now turn it backwards: This is the shape of a reversed cervical lordosis.

Reversal of cervical lordosis causes

The spinal curvature in the neck is constantly in flux to some degree.

Congenital conditions and developmental conditions can have lasting effects on the natural degree of curvature typically demonstrated from patient to patient. These circumstances may be explainable due to injury or degeneration, or may be idiopathic:

Scoliosis can affect the normal lordotic curvature in the neck.

Cervical spondylolisthesis is a major source of reversed lordotic curvature.

Severe disc pathologies can facilitate a gradual loss or reversal of cervical lordosis.

Vertebral irregularities, such as wedging, can definitely contribute to lordotic alteration.

Traumatic injury, including vertebral fracture, can create the ideal circumstances for a reversal of lordosis to take place.

Severe neck muscle spasms can actually reshape the spinal curves, although these are usually temporary expressions and not actual structural conditions.

Effects of reversal of cervical lordosis
The neck is designed to curve in order to balance the spine, absorb stress, distribute force and provide proper movement of the head. When this curvature is diminished or reversed, symptoms may result, although this is not an inherent part of any altered lordotic condition.

Patients may experience stiffness and tension in the neck. Pain may be present and may even be severe in rare cases. Neurological dysfunction is possible in extreme cases, since the neuroforamen might not align properly, thereby causing a cervical pinched nerve.

In the worst circumstances, central spinal stenosis in the neck might affect the viability of the spinal cord, possible enacting the most dire of symptoms throughout the body.

Patients will also be more prone to injury, since the normal shock absorption qualities of the typical curvature have been lost.

While all these effects are certainly possible, they are not usual. In fact, a great majority of patients have minor symptoms or even no symptoms at all from mild reversed lordotic curvatures.

The pathology leading to a neck curve reversal (cervical kyphosis shown below right) may be inspired by a multitude of conditions as follows:
Post whiplash
Post head injury
Stomach sleeping
Poor sitting/working postures
Congenital spinal curvatures
Osteoporosis
Degenerative cervical discs (a form of osteoarthritis that can either be the cause of or the result of a cervical kyphosis)
Compression fracture of vertebral body
Infection of the cervical spine

Anatomy: straight vs. Curved

I've always heard that it was good to stand up straight.

stand upright, stick your chest out and hold your shoulders back! otherwise you're going get widows hump.

Are these expressions as familiar to you as they are to me? one might think that having a curved neck goes against what we heard from parents and teachers as we were growing up, but the reality is that there is a little bit a truth in both. Maintaining good posture throughout our lives is crucial to both the health of our spine and vital organs. On the contrary, a special type of curve called a lordosis is a good thing, both in the neck and lower back.

When we look at a person from the back their spine should be truly straight, so that the left and right sides of one's body is symmetrical. However, when we view a person from the side, the front and back of their body is different and this is reflected in a coinciding curvature of the spine. Both the lower back and neck are hollowed out (concave) and the mid or thoracic spine is protrudes (convex). Thus there is an alternation of curves functioning to provide stability, shock absorption and aid in propulsion. A straight spine would be very stiff and not flexible. Imagine the plight of a pole vaulter with an inflexible pole.

Nature's design of our spine and rib cage facilitates breathing and offers protective and supportive framework for vital organs. Spinal disks are shock absorbers and because they are in the front of the spine, lordotic curvatures keep them from having to bear weight. Kyphosis or loss of such curvatures bears weight upon the disks, leading to their ultimate degeneration. This process of deterioration is a form of osteoarthritis and in the spine is known as degenerative spondylosis.

Diagnosis
Although most physiotherapists or conservative orthopedists can recognize a cervical curve reversal upon viewing the patient's posture, a definitive diagnosis may be obtained via a standing lateral (side view) x-ray of the neck. Cause can often be determined by corroborating a comprehensive history, a thorough examination, x-rays and questions about sleep, work and lifestyle.

In my professional career I found that the majority of young adults presenting with cervical kyphosis either had a whiplash or were stomach sleepers from an early age. For desk jockeys 40-60 years of age, many hours of sitting with their head flexed forward almost dictates the fate of developing kyphosis. In prior years I considered cervical kyphosis a job hazard for the careers of accountants, attorneys and often teachers because of years spent with their head in a book or paperwork. However, the digital age offers some relief in that respect. A well-planned, ergonomically-friendly office can do wonders for protecting the spine in the sedentary worker.

Treatment for cervical curve reversal (kyphosis)
During my chiropractic practice I had the opportunity to note a good percentage of correction toward a more normal lordosis (noted on x-ray) for 70% of patients under my care. This was almost always consistent with those patients that followed all recommendations and were model participants in their own care. Here is the recommended treat plan:

Spinal manipulation of stiff and fixated spinal segments by a qualified physio
Flexibility exercises for flexion and extension of cervical spine
Resistance exercises for flexors and extensors of the neck
Learn the Alexander technique for maintaining good posture (hint: the basic philosophy is to sit and stand like you were hanging by a string from the vertex of your skull. Liken it to a puppet on a string).
Elimination of stomach sleeping
Avoid standing on your head, although some yoga postures may be beneficial
Use of orthopedic neck pillow while sleeping.

1 person found this helpful

I am 43 years old I am feeling some pain when get up from sitting or from sleep at my back i.e. lower back. Please help me to solve my health issues.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am 43 years old I am feeling some pain when get up from sitting or from sleep at my back i.e. lower back. Please he...
Do the cat/cow stretch. Get on all fours, with your arms straight and your hands directly under your shoulders; your knees hip-width apart.
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I am a 28 yr old female and have backache & leg swelling for last 2 months. What should I do?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am a 28 yr old female and have backache & leg swelling for last 2 months. What should I do?
Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress 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 & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, contact me again. Do not ignore. It could be beginning of a serious problem.
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I am 26 year old. I am suffering from backache since last one year. I tried homeopathy for 2 months that time I was ok but it has started again. It getting more severe from back to waist pain.

BPT, BPTh/BPT
Physiotherapist, Lucknow
I am 26 year old. I am suffering from backache since last one year. I tried homeopathy for 2 months that time I was o...
Avoid forward bending. use hard bed to lie. Improve your posture. start hot saline fomentation followed by volini gel and back exercises. For detailed information about exercises please refer my health tips.
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I am suffering with cervical spondylitis due to which I have suffered with radiating pain in my right hand.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I am suffering with cervical spondylitis due to which I have suffered with radiating pain in my right hand.
physiotherapy treatment must and after relief start stretching and strength exercise of neck and shoulder. avoid toward bending and computer work
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Hy I have very back pain in early morning to wake up what I do? please reply to my question.

BHMS
Homeopath,
Hy I have very back pain in early morning to wake up what I do? please reply to my question.
Change the mattress. Have calcium rich diet. Exercise your back to improve muscle tone so that circulation is maintained while sleeping.
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Sir, I am suffering from SPONDELO arthritis. I feel pain whole body. Now what I do for totally fit. please suggest me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ernakulam
Hello lybrate user, your pain can be corrected. At this young age, recovery is possible. I would suggest to have external and internal ayurvedic treatment. External means massage, fomentation like that. Please try to consult in person near by ayurvedic physician and do necessary treatment.
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I'm 21 years old, I have shoulder pain when I raised my hand and when I rotate it for past 1 month! What should I do?

Diploma in Acupuncture, Pranic Healing, MD - Acupuncture
Acupuncturist, Bangalore
I'm 21 years old, I have shoulder pain when I raised my hand and when I rotate it for past 1 month! What should I do?
Identify the midpoint 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. 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.
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I AM 26 YR OLD LADY. SUFFERING FROM THYROID. USING MEDICINE SINCE 2 YEAR. HOW CAN I CHECK MY THYROID. NOW I AM SUFFERING FROM KNEE JOINT PAIN. PLEASE SUGGEST THE MEDICINE.

M.P.T-Ortho, Bachelor of physiotherapy
Physiotherapist,
I AM 26 YR OLD LADY. SUFFERING FROM THYROID. USING MEDICINE SINCE 2 YEAR. HOW CAN I CHECK MY THYROID. NOW I AM SUFFER...
You can check simple tsh blood test for thyroid. Do some knee exercises. Avoid prolong standing and sitting. For short time you can take any anti inflammatory and analgesic. Otherwise you can consult me.
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Mujhe back , neck mein hai I feel meri haddy uth gayi swelling rahti hai pain main computer mein work karti hoon.Please help sir .

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Mujhe back , neck mein hai I feel  meri haddy uth gayi swelling rahti hai  pain main computer mein work karti hoon.Pl...
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. Back Stretching- lie flat, pull one of the knee forward to chest, hold for 3 seconds, then bring the other knee forward to the chest and again hold for 3 seconds. Then pull both knees towards the chest and hold for 3 seconds. Repeat 10 times each exercise twice a day.
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I have much problem in my legs and back and head severe pain occur at regular interval's. Please help.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have much problem in my legs and back and head severe pain occur at regular interval's. 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. Back Stretching- lie flat, pull one of the knee forward to chest, hold for 3 seconds, then bring the other knee forward to the chest and again hold for 3 seconds. Then pull both knees towards the chest and hold for 3 seconds. Repeat 10 times each exercise twice a day. Do the cat/cow stretch. Get on all fours, with your arms straight and your hands directly under your shoulders; your knees hip-width apart.
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Sir what can I do for my mom she's suffer knee joint problem and lubrication is reducing. Between them.

BHMS
Homeopath,
Sir what can I do for my mom she's suffer knee joint problem and lubrication is reducing. Between them.
You should ask her to avoid excessive strain on knees. Take diets rich in calcium and visit a good homeopath. Medicines will eventually reduce the speed of degeneration taking place in her knees. You can consult a homeopath for complete cure. For quick relief you can even visit an orthopedic doctor.
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Back pain starts after 2-3 hours of sleep. It is since last 3-4 years. Please advise.

BPTh/BPT
Physiotherapist, Delhi
Always take good posture in sleeping take some strengthening exercise for back stabilizers especially core muscles
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She is having type 2 diabetes. And now inflammation in left kidney. I thought that it may be a side effect of medicine for diabetes. So I want to know if there is any medicine in HOMOEOPATHY? ADDITIONAL SYMPTOMS ARE; -Backache -oedema Patient having a history of uterine cyst.

MBBS, Diploma in Diabetology, Certificate Course in Gestational Diabetes Mellitus (CCGDM), Post Graduate Course in Diabetology
Endocrinologist, Mumbai
She is having type 2 diabetes. And now inflammation in left kidney. I thought that it may be a side effect of medicin...
It is a misconception that diabetes medicines cause kidney damage. On the contrary not taking medicines regularly leading to high blood sugar, or a constantly fluctuating blood sugar level causes urine and kidney infections. Other cause of kidney damage could be stones or high blood pressure.
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Hello sir, I am 25 years male, working computer related work in 8 hours. So lot of trouble in back pain & eye problems.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Hello sir, I am 25 years male, working computer related work in 8 hours. So lot of trouble in back pain & eye problems.
Do learn postural and spinal strengthening exercise from neuro physio and do consult opthalmologist.
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MPT
Physiotherapist, Mumbai
Electric pads, hot water bottles, and gel packs or moist such as damp clay packs are the common hot agents used for hot therapy.
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I am 34 year male and off late I am getting pain in my right toe when moved to the right side or left. Kindly suggest me.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I am 34 year male and off late I am getting pain in my right toe when moved to the right side or left. Kindly suggest...
Do Take UST and laser Therapy for pain relief 12 days followed Mobilisation exercise from physiotherapist Best wishes.
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Sir from a last week I have Labour pain in my back which causes very pain in my back bone sir please tell me what I have to do.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Sir from a last week I have Labour pain in my back which causes very pain in my back bone sir please tell me what I h...
Back Pain Advice…. Hot Fomentation x twice daily. Avoid bending in front. Postural Correction. Sit Tall, Walk Tall. Extension Exercises x twice daily. Bhujang Asana x twice daily. Back Stretching.
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