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Dr. Vibhu Bhel

Orthopedist, Delhi

400 at clinic
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Dr. Vibhu Bhel Orthopedist, Delhi
400 at clinic
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Vibhu Bhel
Dr. Vibhu Bhel is one of the best Orthopedists in Bapa Nagar, Delhi. You can visit him at Aditya Varma Medical Centre in Bapa Nagar, Delhi. Book an appointment online with Dr. Vibhu Bhel and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Orthopedists in India. You will find Orthopedists with more than 43 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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Aditya Varma Medical Centre

#32,Chitra Vihar, Vikas Nagar. Landmark: Near V3s Mall, DelhiDelhi Get Directions
400 at clinic
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I'm 34 years old female suffering from severe hail fall for past 1 year and backache problem for last2-3 weeks. please advise.

BHMS
Homeopath, Faridabad
I'm 34 years old female suffering from severe hail fall for past 1 year and backache problem for last2-3 weeks. pleas...
Hi. Let me tell you about hairfall. In layman's language, hairfall can be divided into 2 types - temporary hairfall and permanent (which is called as 'Hairloss' rather). In temporary hairfall, hair grows back again from the same hair root, but in case of permanent hairloss, may be because of formation of DHT (Di- Hydro -Testosterone) around hair root it gets choked up, subsequently affects the blood supply to the hair and thus hair root is lost forever. (There are different pattern and types of hairloss, because of different reasons like Alopecia Areata, Telogen Effluvium, Scarring Alopecia, Traction Alopecia, etc.) Causes of hairloss: Many factors are responsible formation of this DHT or male/ female pattern baldness - hereditary, post-illness/ ailment, post-delivery, post- chemotherapy, nutritional deficiencies, hormonal imbalance, insufficient sleep, sudden loss of weight, stress/ tensions/ excessive anger, use of bore water, any other underlying diseases, etc. Need to rule out any causative factor or underlying medical condition. Management: Take diet rich in protein like non-veg., eggs (it's loaded with essential nutrients such as proteins, Vitamin B12, iron, zinc and Omega 6 fatty acids in large amounts and biotin) , different pulses & legumes, sprouts, nuts (sp. walnuts and almonds); iron-rich food like green vegetables, dates, carrots, prunes, green peas; also oats, shrimp, take flaxseeds, sunflower seeds, sesame seeds, green tea, soyabean, fruits, salads, etc. Take low-fat dairy products (they also contain whey and casein, two high-quality protein sources) Take proper 6-9hrs of sound sleep. Give up the habit of smoking and excessive alcohol intake. Avoid junk food and any kind of beverages (tea, coffee, aerated drinks, cold drinks, etc.) Avoid canned/ tinned food or food that contains preservatives (eat fresh ones). Avoid use of hard water to wash the head rather use boiled water for head wash. Avoid use of harsh hair colour, hair treatment like rebonding, straightening, perming, etc. Avoid vigorous exercises or any supplements provided by the gym! Cover your head with scarf or cap while stepping outside. Use Rose wood/ any wooden hair comb to brush your hair. Regular exercising is also one of the important point, but should be done under some good, qualified yoga teacher or instructor for proper guidance; it also releases the stress/ tension in the mind and the body and keeps you FIT and YOUNG!! Medication: Take homoeopathic Rx - Schwabe's Wiesbaden 200 & Alfalfa Tonic twice a day for 1 month and revert. Also, use Schwabe's Arnica shampoo and Hair Growth oil regularly as per the condition of your scalp (minimum 3 times a week). After shampooing, use Bakson's Arnica Hair conditioner as well after every head wash. Apart from this, take Follihair tablets (multivitamin) - 1 tab. daily once for 1 month. Investigations advised: Get your blood tested for (empty stomach) - CBC, S. Iron, S. Folic acid, S. Ferritin, S. Calcium, S. Vitamin D3, S. Vitamin B12. If there is any family history of Thyroid dysfunction, get Thyroid function test done as well.
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Natural Posture and Mechanical Low Back Pain

MPT, BPT
Physiotherapist, Noida
Natural Posture and Mechanical Low Back Pain

NATURAL POSTURE 

The side view of the human body in the standing position  shows that there is an inward curve in the small of the back just above the pelvis. This hollow in the low back is called the lumbar lordosis. The lumbar lordosis is a natural feature of the lumbar spine in all humans, having been formed during the evolutionary process. Our understanding of the function of the lumbar lordosis is an important feature.

When standing upright, the lordosis is naturally present, though varies from person to person. The lordosis is lost whenever the Iow back is rounded, and this usually occurs during sitting and bending forward. If the lordosis is lost often and for long enough periods, then low back problems may develop. The ligamentous stays become fatigued or over stretched, and may result in a painful episode.

MECHANICAL PAIN

This section on mechanical pain is very important, as it explains exactly why you hurt when you do. if you take the time to well understand this you will be more than halfway toward solving your problems.  Research has found that the better the patient understands the problem, the better will be the results of treatment.

Pain of mechanical origin occurs when the joint between two bones has been placed in a position that overstretches the surrounding  Lordosis ligaments and other soft tissues.This is true for mechanical pain in any joint of the body, including the spine. To help you understand how easily some mechanical pains can be produced, you may like to try a simple experiment.First, bend one finger backward,  until you feel a strain. If you cause the finger to remain in this strained position, you will initially feel minor discomfort only,but, as time passes, pain will eventually develop. In some cases,pain caused by prolonged stretching may take as much as an hour to appear.

Try the experiment once more,but now keep bending the finger past the point of strain until you feel pain. The sensation of pain is immediate. You have overstretched, and your pain warning system is telling you that to continue movement in that particular direction will cause damage.

Should you ignore the warning and continue to overstretch,damage will occur. Of course, the pain warning tells you to stop overstretching,and when you do so,the pain ceases immediately. No damage will have occurred to your finger and the pain will have gone.No lasting problems will arise from this short-lived strain providing you take note of the pain warning system.

If you fail to heed the warning and keep the finger in the overstretched position, the ligaments and surrounding soft tissues that hold the joint together will be tom. This tearing will result in an ache which continues even when you stop overstretching. The pain will continue even when the finger is at rest. The pain will increase with movement and reduce at rest but it will not cease until some healing has occurred. Healing may take several days but will be prolonged if, every day, you continue to apply the same strains to the finger.

 MECHANICAL LOW BACK PAIN

  • If an engineer were to examine which area in the back is subjected mostly to mechanical stress, he would conclude that most strain must be placed on that part of the spine which is located just above its junction with the pelvis. This conclusion is correct, for statistics show that back problems arise more often in the low back than in any other part of the spine.
  • Low back pain is not caused by draughts, chills, or the weather. It. was once believed that these weather-related phenomena were responsible for back and neck pains. Today our understanding is better, and it is generally agreed by specialists that most backache is caused by mechanical strains, similar to those described in the previous section.It is often thought that low back pain is caused by strained muscles.
  • Muscles, which are the source of power and cause movement,can indeed be overstretched or injured. This requires a considerable amount of force and does not often happen. 
  • Moreover,muscles usually heal very rapidly and seldom cause pain lasting for more than a week or two. On the other hand, whenever the impact of the injuring force is severe enough to affect the muscles, the underlying soft tissues and ligaments will be damaged as well. 
  • In fact, usually these tissues are damaged long before the muscles.
  • Most low back pain is caused by prolonged overstretching of ligaments and other surrounding soft tissues. Just as pain arises in the overstretched finger as I have described above, pain can also arise in the lower back when ligaments in this region are overstretched. Pain produced by overstretching in this manner is common and arises particularly when we develop poor postural habits.
  •  Whenever we remain in a relaxed position, be it standing, sitting, or lying, prolonged overstretching can easily occur.
  • When pain arises because we have allowed our posture to slouch,it is really our own fault and we have no one to blame but ourselves.This type of strain is easily avoided, and once we have been properly educated, the prevention of pain produced in this manner becomes our responsibility.
  • However, mechanical pain may also be caused by over stretchingof such severity that some tissues are actually damaged. Over stretching causing damage may occur when an outside force places an excessive strain on the low back. For example, this type of strain can occur due to a fall while playing tennis, or from a contact sport such as football where severe forces develop when players are tackled. 
  • Lifting excessive weights is also likely to cause overstretching and damage to the supporting ligaments of the spinal joints. These types of injury cannot easily be avoided as they occur unexpectedly and without warning signs.
  • When soft tissues surrounding a joint are overstretched, it is usually the ligaments that first give rise to pain. When the spinal joints are considered, there are additional factors, for the surrounding ligaments are also the retaining walls for the soft discs that act as shock absorbers between the vertebrae.
  •  Overstretching of these will, under certain circumstances, affect the discs. This may significantly influence or alter the intensity of the pain that you have, the distribution of the pain you feel, and the behavior of the pain, which may be made better or worse by certain movements or positions.
  • Complications of another sort arise when the ligament surrounding the disc is injured to such an extent that the disc loses  its ability to absorb shock and its outer wall becomes weakened. 
  • This allows the soft inside of the disc to bulge outward and, in  extreme cases, to burst through the outer ligament, which may cause severe pain. When the disc bulges far enough backward, it may press painfully on the sciatic nerve. This can cause some of the pains or other symptoms (numbness, sensation of pins and needles,,  weakness) that may be felt well away from the source of the trouble, for example in the lower leg or foot. 
  • Should the soft inside of the disc bulge excessively, the disc may  become severely distorted. This will cause the vertebrae to tilt forward or to one side and prevent the vertebrae from lining up  properly during movement. In this case some movements will be blocked partially or completely and any movement may cause severe pain. 
  • This is the reason why some people with severe back pain are forced to stand with the trunk off-centre or bent forward. Those of you who experience a sudden onset of pain and following this are unable to straighten up or move the back properly are likely to have some bulging of the soft disc material. This need not be cause for alarm. Once soft tissues are damaged, pain will be felt until healing is complete and function is fully restored. It is important that during the healing process you avoid movements that pull the healing surfaces apart. 
  • For instance, if you have overstretched ligaments of the lower back by bending forward, it is likely that any repetition of this movement will continue to open and separate the healing tissues, and this will further delay the repair of the damage. If, on the other hand, you avoid bending forward and instead keep a
  • hollow in the lower back, the damaged surfaces will remain together and healing will not be interrupted.It is difficult perhaps to visualize this process occurring in the lower back. Using the finger once more as an example may help understanding. Let us imagine that you have accidentally cut a the back of your knuckle with a sharp instrument. If you are to bend the injured finger joint every day, you would open up the wound and delay recovery. However by keeping the finger straight for about a week, you would allow the healing surfaces to remain together and complete healing would result. 
  • You could then commence bending the finger without risking any further damage.The same strategy works for the problems arising in the lower back. 
  • When tissues heal they form scar tissue. Scar tissue is less elastic than normal tissue and tends to shorten over time. If shortening occurs, movement may stretch the scars and produce pain. Unless appropriate exercises are performed to restore normal flexibility,the healed tissue may produce a continuous source of back pain and/or stiffness. Such problems can persist for years. 
  • Even though the original damage is repaired, the scar itself restricts movement and causes pain when stretched .

My daughter is 9 1/2 yrs. Old, not very thin. Few days back she went for swimming and came back with pain in right leg toe finger joint. Now the pain is unbearable and she can not walk. The toe has swelled up a bit also. I applied heat compress. What to do, please advise.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Coimbatore
Do not apply heat apply ice and give rest for 2 days for further queries consult privately to have a detailed discussion to solve your problem.
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My name is saurabh. I ma 22 year old. I have backbone pain since 1 month. I used move cream over it but can not relief at all. So what should I do for that?

MPT, BPT
Physiotherapist, Noida
My name is saurabh. I ma 22 year old. I have backbone pain since 1 month. I used move cream over it but can not relie...
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.
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I feel pain in my legs when I start running Is this shine split problem or any other please tell.

International Academy of Classical Homeopathy, BHMS
Homeopath, Pune
I feel pain in my legs when I start running Is this shine split problem or any other please tell.
Take Below treatment you wil improve 2.Rhus tox 200 once a day for 4 days Rita 200 as above Sympht 200 as above Hyper200 once day for 5 days Bell3 c liquid 4tims day.
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I used to run daily but in my knee I have problem if put some pressure on my knee it got pain otherwise normal. Pain is slightly minute but not getting over.

MD - Alternate Medicine, PGDIP.IN Geriatric Care, Post Graduate Diploma In Holistic Healthcare
Ayurveda, Balasore
I used to run daily but in my knee I have problem if put some pressure on my knee it got pain otherwise normal. Pain ...
Hello, Hope you are suffering from knee pain during running.Have support to knees bilaterally with knee caps.Run slowly or walk only.Stiffness,pain and tenderness if seen try to massage an oil Mahamash oil and Rumatil oil.Have rest for one week you will be free from pain.OK.
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I am 45 years old, in my childhood I did hard work to live. Now am getting hip pain and knee pains, am still doing hard work as Daily wage labour for growth of my children's and me. I should I do for this.

MPT, BPT
Physiotherapist, Noida
I am 45 years old, in my childhood I did hard work to live. Now am getting hip pain and knee pains, am still doing ha...
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 get right knee pain while climbing up stairs ,no pain while climbing down. Earlier it was negligible but now it is painful. Please suggest the remedy.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), M.D.Ayu, BAMS, MD, Ph.D
Ayurveda, Hyderabad
We need Rt. knee joint x-ray report if your age is more 50 yrs. You need sandhi vata treatment with panchakarma therapy having good results. For further details it would be better if you give one visit.
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I am 42yr old male I had a back ache now I feel tension on my right leg what should I do?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
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 consultant orthopaedics fortis hospital, new delhi
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