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Dr. Vikrant Tandon

MPTh/MPT

Physiotherapist, Delhi

7 Years Experience
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Dr. Vikrant Tandon MPTh/MPT Physiotherapist, Delhi
7 Years Experience
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Personal Statement

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. Vikrant Tandon
Dr. Vikrant Tandon is a renowned Physiotherapist in Paschim Vihar, Delhi. He has over 7 years of experience as a Physiotherapist. He has done MPTh/MPT . He is currently practising at Sehgal Neo Hospital in Paschim Vihar, Delhi. Book an appointment online with Dr. Vikrant Tandon and consult privately on Lybrate.com.

Lybrate.com has a nexus of the most experienced Physiotherapists in India. You will find Physiotherapists with more than 30 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

Education
MPTh/MPT - Meerut University - 2011
Languages spoken
English
Hindi

Location

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Sehgal Neo Hospital

B-364, Meera Bagh, Outer Ring Road, Paschim Vihar 110063Delhi Get Directions
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I have back pain for over 10 days. What should I do? I can not understand any thing about that. Please help me.

BPT, MPT, Certified Mulligan Practitioner
Physiotherapist, Bardhaman
I have back pain for over 10 days. What should I do? I can not understand any thing about that. Please help me.
Hello lybrate-user. Commonest type of back pain is mechanical in nature. If you have such a pain then try the following remedies 1. Hot fomentation. Minimum 10 minutes at a stretch. 2. Drink a lot of fluids. 3 litres a day minimum. 3. Posture: correct posture is to be maintained in sitting and standing 4. Exercise: google following exercise a. Extension in lying b. Extension in standing. Hope this helps.
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4 years back I took finasteride 1 mg for 27 days for hairloss n quit the drug after I experienced a lot of side effects such as loss of libido, brain fog, acute lower back pain, depression, gynecomastia, weight gain on hips n mid section, water retention, sleeplessness, erectile dysfunction etc. Though symptoms have been getting better after 4 years but some symptoms still persists. Recently I have diagnosed with hypothyroidism, kidney n gall stone as well. Please help. I don't want to take medicine for hypothyroidism as I have had side effects from it thyronorm 50 mcg. My estradiol is 45 n serum testosterone is around 350 which is low for 32 year young guy who don't even smoke n drink.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
4 years back I took finasteride 1 mg for 27 days for hairloss n quit the drug after I experienced a lot of side effec...
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. 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.
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I'm having back pain for a month .Why is that. Is that the cause of cancer. No fever, weight loss, or nothing Like that. Only pain that is there for one month which changes its position from left to right or from front to back.

DNHE, BPTh/BPT, weight management specialist
Dietitian/Nutritionist, Kolkata
I'm having back pain for a month .Why is that. Is that the cause of cancer. No fever, weight loss, or nothing Like th...
These days back pain is a most common problem which is faced by even younger generation cos of our lifestyle, posture issues, sedentary work etc besides various other reasons. Take cold pack 2-3 times a day and engage in yoga or swimming or pilates etc. But if you have injured your back then better would be to consult a physiotherapist and start with a suitable exercise program or therapy whatever is the best.
1 person found this helpful
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Doctors I am having back pain from several days I cannot sit on chair for so long I cannot sit on the floor for so long. It hurts very bad like I cannot do things sitting. And it gets worse and and it hurts a lot more when I masturbate. The backpain is doubled when I masturbate.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Doctors I am having back pain from several days I cannot sit on chair for so long I cannot sit on the floor for so lo...
Postural Correction- Sit Tall, Walk Tall. Extension Exercises x 15 times x twice daily. Apply Hot Fomentation twice daily. Avoid bending in front.
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I am 49 year old female and i have keen joint pain and backache pain for last 8 years and i used approx all pain relief medicines and oil and ointments. taken medicine some relief 1 or 2 days only otherwise my life is very difficult with this acute pain ? so please help and suggested me what should i do? Please help.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I am 49 year old female and i have keen joint pain and backache pain for last 8 years and i used approx all pain reli...
physiotherapy treatment must for few days to reduce pain after relief do strength exercise of both joint avoid toward bending lifting weight and long standing.
2 people found this helpful
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I am having so much pain. While I get up my back shoulder can't hold the pressure. So I dont know that what'll I do in this time.

BPTh/BPT
Physiotherapist, Mumbai
I am having so much pain. While I  get up my back shoulder can't hold the pressure. So I dont know that what'll I do ...
Hi I can understand your problem 1) avoid activities that make your symptoms worse 2) apply hot packs 3) start physiotherapy treatment as electrotherapy will reduce pain inflammation 4) exercise and manual therapy will help in pain free movement. Describe your problem in detail and do share related reports and prescription if you have. Best wishes.
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Back Pain Management

BPTh/BPT
Physiotherapist, Pune
Back Pain Management

Spondylitis includes swelling of the vertebra. It happens because of wear and tear of the ligament and bones found in your cervical spine, which is in your neck. While it is to a great extent because of age, it can be brought on by other reasons too. Side effects incorporate pain and stiffness starting from the neck to the lower back. The spine's bones (vertebrae) get fused, bringing about an unbending spine. These changes might be mellow or extreme, and may prompt a stooped-over posture. Some of the non-surgical methods to treat spondylitis are as follows-

Exercise based recovery/physiotherapy: your specialist may send you to a physiotherapist for treatment. Non-intrusive treatment helps you extend your neck and shoulder muscles. This makes them more grounded and at last, relieves pain. You may neck traction, which includes using weights to build the space between the cervical joints and decreasing pressure on the cervical disc and nerve roots.

  • Medications: your specialist may prescribe you certain medicines if over-the-counter medications do not work. These include:
  • Muscle relaxants, for example, cyclobenzaprine, to treat muscle fits
  • Opiates, for example, hydrocodone, for pain relief
  • Epileptic medications, for example, gabapentin, to ease pain created by nerve damage
  • Steroid infusions, for example, prednisone, to decrease tissue irritation and diminish pain
  • Home treatment: in case your condition is less severe, you can attempt a couple of things at home to treat it:
  • Take an over-the-ounter pain reliever, for example, acetaminophen or a calming medication, for example, advil or aleve.
  • Use a warming cushion or an ice pack on your neck to give pain alleviation to sore muscles.
  • Exercise routinely to help you recover quickly.
  • Wear a delicate neck prop or neckline to get transitory help. In any case, you shouldn't wear a neck brace for temporary pain relief.
  • Acupuncture: acupuncture is a highly effective treatment used to mitigate back and neck pain. Little needles, about the extent of a human hair, are embedded into particular points on the back. Every needle might be whirled electrically or warmed to improve the impact of the treatment. Acupuncture works by prompting the body to deliver chemicals that decrease pain.
  • Bed rest: severe instances of spondylitis may require bed rest for close to 1-3 days. Long-term bed rest is avoided as it puts the patient at danger for profound vein thrombosis (dvt, blood clots in the legs).
  • Support/brace use: temporary bracing (1 week) may help get rid of the symptoms, however, long-term use is not encouraged. Supports worn for a long time weaken the spinal muscles and can increase pain if not continually worn. Exercise based recovery is more beneficial as it reinforces the muscles.
  • Lifestyle: losing weight and eating nutritious food with consistent workouts can help. Quitting smoking is essential healthy habits to help the spine function properly at any age.

Once the conservative treatment fails:

Early aggressive treatment plan of back leg pain has to be implemented to prevent peripherally induced cns changes that may intensify or prolong pain making it a complex pain syndrome. Only approx 5% of total lbp patients would need surgery approx 20% of discal rupture or herniation with neurologically impending damage like cauda equina syndrome would need surgery. Nonoperative treatment is sufficient in most of the patients, although patient selection is important even then. Depending upon the diagnosis one can perform combine properly selected percutaneous fluoroscopic guided procedures with time spacing depending upon patient`s pathology response to treatment. Using precision diagnostic therapeutic blocks in chronic lbp, isolated facet joint pain in 40%, discogenic pain in 25% (95% in l4-5 l5-s1), segmental dural or nerve root pain in 14% sacroiliac joint pain in 15% of the patients. This article describes successful interventions of these common causes of lbp after conservative treatment has failed.

Need for non-surgical options: outcome studies of lumber disc surgeries documents, a success rate between 49% to 95% and re-operation after lumber disc surgeries ranging from 4% to 15%, have been noted. “in case of surgery, the chance of recurrence of pain is nearly 15%. In fbss or failed back surgery the subsequent open surgeries are unlikely to succeed. Reasons for the failures of conventional surgeries are:

  • Dural fibrosis
  • Arachnoidal adhesions
  • Muscles and fascial fibrosis
  • Mechanical instability resulting from the partial removal of bony ligamentous structures required for surgical exposure decompression
  • Presence of neuropathy.
  • Multifactorial aetiologies of back leg pain, some left unaddressed surgically.

Epidural adenolysis or percutaneous decompressive neuroplasty is done for epidural fibrosis or adhesions in failed back surgery syndromes (fbss). A catheter is inserted in epidural space via caudal/ interlaminar/ transforaminal approach. After epidurography testing volumetric irrigation with normal saline/ l. A./ hyalase/ steroids/ hypertonic saline in different combinations is then performed along with mechanical adenolysis with spring loaded or stellated catheters or under direct vision with epiduroscope sciatica gets complicated by pivd with disco-radicular conflict causing radicular pain sometimes disabling. In this era of minimally invasive surgery lot many interventional techniques have evolved to address the disc pathology. We are still working for the ideal, safe effective technique to tackle disco- radicular interphase. Here now we have devised a mechanical neuroplasty or foraminoplasty technique using an inflatable balloon tip catheter with guide wire via targeted transforaminal or interlaminar route aided by drugs instillation. Selected patients are procedured fluoroscopic guided with local anesthesia under prescribed sedation aseptically via preselected route depending upon location type of pivd causing root insult. First a suitable size needle is placed at desired site confirming with radiolucent dye through which hyaluronidase with saline or la was injected. A flexible guide wire is passed at selected location direction on which the inflatable balloon is threaded to the area of interest.

Adhesiolysis is achieved mechanically with inflating balloon for 10 seconds at a time location. We inflated the balloon with contrast agent to have visualization of adhesiolysis opening up of adhesions or root route. Here the balloon pressure time has to be kept in minimum to avoid neurological damage, for which we inflate balloon for 10 seconds at a time. Close observation is made to balloon shape, pressure patient`s response. Once dilatation is done the drug mixture of steroid with la or hynidase/ hypertonic saline is instilled over nerve in epidural space. We have logically used same approach for our balloon neuroplasty foraminoplasty as it is safe targets exactly the area of disco-radicular interphase or conflict. We can manage to address both the exiting and traversing nerve roots with single entry just by manipulating our guide wire to the place of offence. The procedure can be done via transforaminal route at level or level above or below, especially via s1 foramen. Now we are employing this technique for fresh cases coupling with intradiscal decompression aided by instant disc retrieval by epidural balloon inflation with good results. The idd is done by coblation/ laser/ dekompressor or rf biacuplasty. There is scope of coupling this technique with endoscopic spine surgery. By adding “balloon neuroplasty” to the armamentarium of the interventional pain management many patients can be benefited relieved of previously interventionally unmanageable disco-radicular pain including fbss sufferers.

Intradiscal procedures:

Provocative discography: coupled with ct a diagnostic procedure prognostic indicator for surgical outcome is necessary in the evaluation of patients with suspected discogenic pain, its ability to reproduce pain (even with normal radiological finding), to determine type of disc herniation /tear, finding surgical options in assessing previously operated spines.

Percutaneous disc decompression (pdd): after diagnosing the level of painful offending disc various percutaneous intradiscal procedures can be employed.

Ozone-chemoneucleoplasty: ozone discectomy a least invasive safe effective alternative to spine surgery is the treatment of choice for prolapsed disc (pivd) done under local anaesthesia in a day care setting. This procedure is ideally suited for cervical and lumbar disc herniation with radiculopathy. Total cost of the procedure is much less than that of surgical discectomy. All these facts have made this procedure very popular at european countries. It is also gaining popularity in our country due to high success rate, less invasiveness, fewer chances of recurrences, remarkably fewer side effects meaning high safety profile, short hospital stay, no post operative discomfort or morbidity and low cost. If despite the ozone therapy the symptoms persist, percutaneous intradiscal decompression can be done via transforaminal route with drill discectomy/ laser or coblation nucleoplasty/ biacuplasty/ disc-fx / endoscopic discectomy are good alternatives before opting for open surgerical discectomy; which has to be contemplated in those true emergencies, as mentioned above as the first choice. In biacuplasty radiofrequency energy is used in bipolar manner heating shrinking the disc  making it harder as well for weight bearing. It also seals the annular defect ablates annular nerves relievingback pain. In laser or coblation nucleoplasty energy is used to evaporate the disc thereby debulking it to create space for disc to remodel itself assisted by exercises. 

Dekompressor: a mechanical percutaneous nucleotome cuts drills out the disc material somewhat like morcirator debulking the disc reducing nerve compression. A mechanical device cuts drills out the disc material debulking the disc reducing nerve compression curing sciatica brachialgia. It comes in needle size of 17g for lumbar discs 19 g for cervical discs. In lumbar region postero-lateral approach is used  in cervical discs anterolateral approach is used. 

Disc-fx : endoscopic discectomy: in this novel technique a wide bore needle is inserted placed sub-annular in post disc just under the disc protrusion. Disc is then mechanically extracted with biopsy forceps to empty the annular defect. This painful sensitive annular defect supplied be sinuvertebral nerve is thermo-ablated with radiofrequency which also seals the defect to prevent decrease recurrences. Next higher procedure, endoscopic discectomy is done with endoscope put through sheath inserted via posterolateral transforaminal or posterior interlaminar approach. Mostly done under local anaesthesia its fast becoming standard of care for disc protrusion extrusions causing spinal canal stenosis with root or cord compression with leg pain.

Laser discectomy done for closed bulging discs is an outpatient procedure with one-step insertion of a needle into the disc space. Disc material is not removed; instead, nucleus pulposus is debulked by evaporating it by the laser energy. Laser discectomy is minimally invasive, cost-effective, and free of postoperative pain syndromes, and it is starting to be more widely used at various centers. 

Seld: epiduroscopic laser neural decompression is considered an effective treatment alternative for chronic refractory low back and/or lower extremity pain, including lumbar disc herniation, lumbar spinal stenosis, failed back surgery syndrome with morbid adhesion neuritis that cannot be alleviated with existing noninvasive conservative treatment. This procedure is done under vision via an epiduroscope inserted via caudal canal or transforaminally employing front or side firing laser fibers /or fine instruments. If you wish to discuss about any specific problem, you can consult a pain management specialist.

2 people found this helpful

I got this 2 fractures 1 month Back when I fell down, it was paining still, got plaster on second day of fracture, how many days it will pain? Will the pain remain forever. In future? I'm worried please reply.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Delhi
pain would be there until range of movt resumes n stiffness decreases...slowly muscle strength will increase once plaster is removed
1 person found this helpful
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My brother has got operated decompression and leminectomy at spine d- 10 & d - 11 by apollo, chennai. But he can't walk without support due to pain and weakness in his thigh, seems it's neither flail-back-syndrome nor myosist. Please reply to whom can I consult for my brother's treatment

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. You will have to write a detailed history, send all reports and discharge summary, latest mri and current neurological charting so that I can understand and then reply accordingly. Do not hesitate to contact me if you need any further assistance.
1 person found this helpful
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I have some problem in my legs. It is not working properly. Some stresses are in turning point sobcan you remove this problem. I am very appreciate you.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have some problem in my legs. It is not working properly. Some stresses are in turning point sobcan you remove this...
Keep your leg raised while sitting or lying quadriceps strengthening exercises hamstring stretching calf muscles stretching contrast bath.
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