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Dr. Sumit Malhotra

Physiotherapist, Delhi

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Dr. Sumit Malhotra Physiotherapist, Delhi
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Sumit Malhotra
Dr. Sumit Malhotra is a trusted Physiotherapist in Rohini, Delhi. You can meet Dr. Sumit Malhotra personally at Dr. Sumit Malhotra Clinic in Rohini, Delhi. Save your time and book an appointment online with Dr. Sumit Malhotra on Lybrate.com.

Lybrate.com has an excellent community of Physiotherapists in India. You will find Physiotherapists with more than 25 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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F-25/65, Rohini Sector-3, Delhi - 110085. Landmark: Near Kewal Kunj Apartment, DelhiDelhi Get Directions
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I am 25 years female. Im having severe low backache from 2months. Suggestion please.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist
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I am 25 years female. Im having severe low backache from 2months. Suggestion please.
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. You are very young to actually have persistent back pains. If you have localized back pain with no other symptoms like radiating leg pain, neurological symptoms like numbness, weakness, paresthesias etc, then you can start with following recommendations for initial period of 2-3 weeks: - to maintain proper posture of your back while working and sleeping - if pain is more then you can take a short course of an anti-inflammatory medication like tab etoshine or paracetamol or one which suits you - physical therapy initially under supervision of a trained physiotherapist and then to continue at home - adequate calcium & vitamin d intake if levels are low in body - ice packs can applied if your pain is acute, then hot fomentation can be done at home - analgesic spray for local application can be used and is easily available. - avoid lifting heavyweight/ acute forward bending in mornings etc we will observe you for next 2-3 weeks how you respond to this conservative management protocol. If you are not feeling better, then we will have to get some investigations like, dynamic x rays of lower back and few blood tests for evaluation. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation.

Last month I got periods again after 14 days counting day one as first day. And this time it was for 10 days. 3/4 days Before commencement I used to get pinching pain only I the tip of my breasts. It went away after the period started those ended on 6th march. Again I M getting pain in the tips. Some times its really bad, I have to hold them, rub gently, press lightly for few mins. It's more on one side. FYI I am going through a lot of stress. Stress beyond my capabilities. Nowadays. Financial crises, no mediclaim. Is it due to that.. Or is this Menopause. Please help. Pleaaassseee.

MD - Obstetrtics & Gynaecology
Gynaecologist
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Last month I got periods again after 14 days counting day one as first day. And this time it was for 10 days. 3/4 day...
Irregualr menses durin 43 years age is common because of perimenopause. During this phase hormones are on decline and along with stress menses can come like this. Brest pain is also suggestive of hormonal disturbance. As it is happening more than once you should get ultrasound done and pap test to find out the exact cause and accordingly it can be treated.

He through sperms daily that's why his body getting week and spondylitis taken place in his body and his body get bend and back pane is a lot.

MD-Dermatology, MBBS
Sexologist
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He through sperms daily that's why his body getting week and spondylitis taken place in his body and his body get ben...
- Masturbation is a normal phenomenon and does not cause any harm. But don’t get addicted to it, divert your mind and keep yourself busy. no relation with back pain.

I'm 32 years old male. I am biking daily 50 km. Last 4 year I have back pain. What can I do.

MBBS, MS - Orthopaedics
Orthopedist
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Kindly show me digital x rays of affected part.(ls spine) rule out diabetes & vit. D deficiency or any other metabolic disorder. 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. Ibuprofen 200mg od & sos x 5days bio d3 max 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. Do reply back for detailed treatment plan. Do not ignore. It could be beginning of a serious problem.

I work in accounts and due to my writing habit I choose noting everything, but at the end of day my fingers mostly the thumb starts paining. As firstly it was not such bad as now it hurts more. Please help.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist
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I work in accounts and due to my writing habit I choose noting everything, but at the end of day my fingers mostly th...
It might be of mcp joint syndrome do consult neuro physio and have tens and laser therapy for 12 days followed by wrist rehabilitation.

Dear Doctor Last 10 Years I am suffering knees pain in this regards I have taken so many medicines use oil but did not get relief. Please home pathology medicines. Regards.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda
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Dear Doctor
Last 10 Years I am suffering knees pain in this regards I have taken so many medicines use oil but did no...
Hi Apply pranacharya restopain oil or prasarini oil on your affected part then give hot fomentation. Take maha rasnadi kwath 2-2 tsf twice a day. And agni tundi vati and maha yograj guggul 1-1 tab twice a day.

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
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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.
Do learn postural and spinal strengthening exercise from neuro physio and do consult opthalmologist.

I have fever and joint pain from more then 55 days. Severel test are done. Alot of antibiotis and painkiller I have taken but there is not permanent relief. From where and what treatment should I take ?

BHMS
Homeopath
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I have fever and joint pain from more then 55 days. Severel test are done. Alot of antibiotis and painkiller I have t...
You can try homeopathic medicine rhus tox 200c 3 times a day for 3 days stop medicine if you get relief in 1 day.

She is continue having shoulder pain. She is a primary teacher and use to sit for hours. Could it be a big problem?

BPTh/BPT
Physiotherapist
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She is continue having shoulder pain. She is a primary teacher and use to sit for hours. Could it be a big problem?
Dear, Tell her to do hot water fomentation everyday with few exercises initially like shoulder-ladder exercise, shoulder circumduction, shoulder shrugging and bracing exercise and theraband exercises.

Dear doctor I suffering from backache from past 3 months. I am a sportsman and its become a great problem for me.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist
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Hello, thanks for your query and welcome to lybrate. I am dr akshay from fortis hospital, new delhi. You will have to elaborate your problem as to a detailed discussion of your back pain which means duration of pain and mode of onset. I would also like to ask you 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 Dr Akshay Kumar Saxena

Iam 22 old male iam suffering some times burning in mouth and chest muscle pain. Dout in chest muscle causes heart attack. And in heart any problem which symptoms is formed.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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Iam 22 old male iam suffering some times burning in mouth and chest muscle pain. Dout in chest muscle causes heart at...
Homoeopathy has good treatment for your gastric problem and burning sensation. Without adverse effects. Take nux vomica 200 in the morning and in the evening for 4 days and give feedback.

How the frozen shoulder should be treated for a person having age 45 years with no history of sugar, cholesterol and blood pressure.

B.P.T
Physiotherapist
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How the frozen shoulder should be treated for a person having age 45 years with no history of sugar, cholesterol and ...
You can treated with physiotherapy treatment by taking short-wave diathermy and pendullar exercises.

I am 45 yrs old and having back ache and left hip sciatica pain. When I get up in the morning or after sitting long in the office my back become stiff. When I sit on toes on floor for doing some work for half an hour, I feel my hips little bit senseless.

MBBS
General Physician
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I am 45 yrs old and having back ache and left hip sciatica pain. When I get up in the morning or after sitting long i...
It could be due to lumbar spondylosis. take xray of Lumbposacral spine and consult orthopedic specialist

Sometimes I have cramp in my leg in heels to the hip. What should I do? I am still so young I get bit worried when I have cramp in my leg.

MBBS, Diploma In Orthopaedics (D. Ortho)
Orthopedist
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Sometimes I have cramp in my leg in heels to the hip. What should I do? I am still so young I get bit worried when I ...
Hi cramps can be due to nutritional issues, substitution with Evion 600mg once daily for 15 days, Lyrica75mg twice a day for 2 weeks and methycobalamin once daily for 15 days may help. if you wear high heels,avoid that..take high protein diet rich in calcium, milk and milk products. Get serum calcium and vitamin D3 levels tested often these deficiencies cause cramps.Substitute, if low calcirol d3 sachet once a week for 6 weeks along with shellcal 500mg twice a day best wishes

I am completing 76 years by this july. Have foot /sole burning pain. In 5 minutes of walking the feet become hot and painful and the tendons and calf muscles become stiff.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist
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Hi Thanks for your query and Welcome to Lybrate. I am Dr Akshay from Fortis Hospital, New Delhi. These symptoms are called as Paresthesias and there can be many causes for this at your age. It can be due to compression of nerves at lower spine level, it can be due to long standing diseases like Diabetes or anything which can lead to Neuropathy , also it can be vascular in nature. There are medications for neuropathic symptoms like Pregabalin or Gabapentin which can be initiated in small doses , but we have to be sure that these symptoms are not due to vascular cause as you have mentioned in your history. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation. Thanks & Regards Dr Akshay Kumar Saxena Consultant Orthopaedics Fortis Hospital, New Delhi

I am having cervical spondylosis . My right hand is paining seriously . Tell me proper medicine that can cure it . I am diabetic . Doctor has prescribed me to check (MRI of cervical spine with screening of brain ) is it necessary to check it. Doctor has prescribed this medicine are they perfect : Medicine are as follows Defical -os capsule MyCo -folio acid, B-complex & lipoic Acid tablets HD3 softgel capsule Pregalin x Dr. 75. REMARKS OF MY MRI SCAN REPORT The C6/7 disc shows an asymmetric left bulge with prominent left paracentral and posture-lateral and foramina components indenting the ventral thecal sac and causing severe left and causing severe left and along with the uncovertebral hypertrophy causing severe left exit foramina narrowing impinging on the existing left C7 nerve root The C5/6 disc shows an asymmetric right bulge with prominent uncovertebral hypertrophy contributing to severe right exit foramina narrowing and impinging on the existing right C6 nerve root Milder changes at C3/4 and C4/5 Any serious problem tell me any options and Dr. told me to be admitted to hospital is it needed for me let me know and any other medicine needed tell me.

BPTh/BPT, MPTh/MPT
Physiotherapist
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I am having cervical spondylosis . My right hand is paining seriously . Tell me proper medicine that can cure it . I ...
Hot fomentation x twice daily. Neck Exercises. Neck Stretching. Postural Correction. Shoulder Shrugs . Core Strengthening Exercises. Take frequent Breaks at work Use cervical pillow. Use Back Support. Self Massage the back of neck.

Cervical Lordosis Straightening Treatment

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

I am suffering from acute knee pain. I have swollen knees. I cannot walk properly. But due to my job I travel a lot. What type of shoe should I use? Suggest me some solutions.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist
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I am suffering from acute knee pain. I have swollen knees. I cannot walk properly. But due to my job I travel a lot. ...
Apply ice pack for 20 minutes and apply pain relief ointment and do a roll of towel put under the knee and press for 10 second then release do 10 to 15 times in once time.

I am a software enggr. I am working 15 yrs. Nowadays I have slice pain in my back bottom. Even I drive bike too. How can manage this. What is solution for this?

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist
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I am a software enggr. I am working 15 yrs. Nowadays I have slice pain in my back bottom. Even I drive bike too. How ...
posture correction must . avoid long sitting toward bending lifting heavyweight. do hot fermentation and stretching exercise

My father has right arm pain for many days. Suggest me what to do and which type of doctor should I consult.

BPTh/BPT
Physiotherapist
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My father has right arm pain for many days. Suggest me what to do and which type of doctor should I consult.
Hi it can be overuse injury. Apply cold pack for 20 min. Thrice a day for 5 days. Still pain doesn't go consult physiotherapist or contact me via lybrate. Wishing you a good health.
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