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Dr. Varun Singh

BPTh/BPT

Physiotherapist, Delhi

10 Years Experience  ·  200 at clinic
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Dr. Varun Singh BPTh/BPT Physiotherapist, Delhi
10 Years Experience  ·  200 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. Varun Singh
Dr. Varun Singh is a popular Physiotherapist in Mayur Vihar, Delhi. He has had many happy patients in his 10 years of journey as a Physiotherapist. He has done BPTh/BPT . He is currently practising at Physiotherapy Clinic in Mayur Vihar, Delhi. Book an appointment online with Dr. Varun Singh on Lybrate.com.

Lybrate.com has top trusted Physiotherapists from across India. You will find Physiotherapists with more than 35 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.

Info

Specialty
Education
BPTh/BPT - - 2008
Languages spoken
English
Hindi

Location

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Physiotherapy Clinic

#41-B, A-2, Mayur Vihar Phase - III, DelhiDelhi Get Directions
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Physiotherapy & Rehabilitation Centre

# House No. 3A, Pocket B-1, DelhiDelhi Get Directions
200 at clinic
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I'm 43 years old having back pain since 3 months after digonise it is a l4 l5 bulge n sciatica pain said Dr. Now after a one month medicine still mild pain is there on right leg lower back. Done physiotherapy for 2 days they said no pain so no therepy just do some stretch excerise it vll be ok they said. Will it get normal or surgery is necessary I used to drive for long journey by road gym walking please suggest.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I'm 43 years old having back pain since 3 months after digonise it is a l4 l5 bulge n sciatica pain said Dr. Now afte...
Kindly show me a photograph of the affected part. 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 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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Actually she is taking treatment for thyroid. But nowadays she is feeling from joint pain and also numbness in early morning as soon as she got up.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Actually she is taking treatment for thyroid. But nowadays she is feeling from joint pain and also numbness  in early...
for joint pain you should be test uric acid, calcium and vit.D. there is weakness so take coffee in the morning. and also take cap. multivitamin at night with milk. it minimised numbness in morning. take tab. dolo sos for pain.
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Hello sir, my mom feeling severe pain in both knees, while during the pain swelling occurs around the knee. But. These kind of pain and swelling get lowered after 2/3 days by the application of pain relief dream/gel and after 2/3 weeks she gets again. Could you tell me the scenario and suggest a type of treatment.

Ayurveda, Trichy
Hello sir, my mom feeling severe pain in both knees, while during the pain swelling occurs around the knee. But. Thes...
those who are standing for long time and due to age knee problem happen. avoid long standing calcium rich diet are advisable. should not take pain killer.local application will help little much
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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.

Hello sir, I'm getting pain on my right hand arm from around an year. Whenever I apply any pressure or do some quick work from that hand, my arm gets stiff and it starts paining immediately. Every time now and then it happens whenever I take my right hand back side or so.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Hello sir, I'm getting pain on my right hand arm from around an year. Whenever I apply any pressure or do some quick ...
Muscle relaxant medicine and heat formation twice a day and in slight process so strength exercise but slight process mean day by day increase ok.
2 people found this helpful
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I am suffering from fever and pain is in my leg and body. What to do? Please help me.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
I am suffering from fever and pain is in my leg and body. What to do? Please help me.
-Dolo-650 mg twice or thrice daily can be taken to lower a fever ,, . -Wear loose fitting clothes and don’t overdress. Overdressing can cause temperature to rise further. -Tepid water (85 F [30 C]) baths may help bring down a fever -The body should be cooled with a wet sponge. -Fever can cause severe dehydration. Drink plenty of fluids.. Have citrus fruits, particularly Vitamin C rich ones like mausami,Amla juice etc. -Take light and easily digestible home cooked meals .avoid outside food
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I am 24 male and having muscle pain in hand last one year some time it wil come for that I had consulted to doctors once hevhad given two tablets if I take that it wil go that tablets names was unflem and pragrmer may be but I forgot unflem is sure.

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist, Bangalore
I am 24 male and having muscle pain in hand last one year some time it wil come for that I had consulted to doctors o...
Pain in the arm/hand can result from a number of factors. Abnormalities or injury of the skin, nerves, bones, joints, blood vessels, and soft tissues of the arm can all result in pain. Arm pain may be the result of referred pain from another part of the body. Please go to a physiotherapist to assess and treat the underlying condition. If pain is caused by an activity, modify or stop the activity. Rest the arm and resume activity gradually. Monitor the response to the activity. Pain experienced in the right arm is usually not serious, but when it is coupled with other symptoms like pain in the leg or tightness of the chest, it may be more serious. Try some home remedies: ice will reduce pain and swelling. Apply ice or cold packs immediately to prevent or minimize swelling. Apply the ice or cold pack for 10 to 20 minutes, 3 or more times a day. Elevate the painful area on pillows while applying ice and anytime you are sitting or lying down. Try to keep the area at or above the level of your heart to help minimize swelling. Apply heat and begin gentle exercise with the aid of moist heat to help restore and maintain flexibility. Some experts recommend alternating between heat and cold treatments. Gently massage or rub the area to relieve pain and encourage blood flow. Do not massage the area if it causes pain. Do not smoke or use other tobacco products. Smoking slows healing because it decreases blood supply and delays tissue repair. Please consult a physiotherapist for detail assessment and management of your arm pain. Best wishes.
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Hello I want to know if feet, pams of hands and elows swells and pain so what it is and what should be done. Please answer as soon as early.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
Hello I want to know if feet, pams of hands and elows swells and pain so what it is and what should be done. Please a...
You should take Acupressure therapy and take Biochemic Mag phos 200x + Nat phos 200x 4 tab each thrice a day with warm water and take it 5 days than consult private online.
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Left scapula pain with neck bent down. Pain during neck back. It's been for a long time. Why to do? Whats the coz?

B.P.T, M.P.T(ORTHO), Certification in Gym Instructor & Prenatal and Post natal
Physiotherapist, Gurgaon
Left scapula pain with neck bent down. Pain during neck back. It's been for a long time. Why to do? Whats the coz?
Dear the causes your history would describe best. Like you hv sitting job with laptop on, jerk,postural problem in sleeping etc once your history is clear like your pain is constant aggravation at times or shifting we can not guide you proper
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