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Dr. Ksrs Prasad

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    The c curve is a movement of the spine that strengthens the deep abdominal while stretching the muscles of the back. The c curve is a basic movement in pilates that is used in many different exercises.

    The classic c curve is always initiated by the abdominal. Try a c curve by sitting up tall with your legs slightly bent in front of you. Imagine someone punching you in the lower stomach, and allow your spine to round by scooping in your deep abdominals. Your upper back, neck, and head may naturally follow this motion and round forward. So you initiate the c curve with the lower back (lumbar spine), then you add the upper back (thoracic spine), and finally you add the head and neck (cervical spine). Now your whole spine is making a capital c. This movement should feel like a big stretch for your whole spine and all the muscles that surround it.

    Here's a little more specific information about the three natural curves of the spine and how they participate in the c curve movement.

    Pilates lumbar c curve
    The lumbar c curve movement is always initiated by your lower abdominals. This is the most difficult spinal movement to initiate because the lumbar spine has thick vertebrae that are meant to stabilize and hold the weight of the body. When you're standing or lying, the natural curve of your lumbar spine is in slight extension (like neutral spine), so when performing a lumbar c curve, you must pay much attention to pulling in your abdominals from the lowest part of your abdomen and attempting to reverse the natural curve of your low spine. You can accomplish this only by deep and strong low abdominal engagement.

    The lumbar c curve in pilates.

    Pilates thoracic c curve

    101692. Image1
    The upper back (thoracic region) naturally curves forward in a c shape. When performing a thoracic c curve, think of pulling your ribs in and allowing your shoulders to round forward. Doing so creates a nice stretch in the upper back.

    The thoracic c curve naturally follows the lumbar c curve, but it is easy to do the thoracic c curve without actually starting from the lower back. In other words, it's easy for people to round their upper back because the back naturally rounds in that direction. Initiating the rounding from the lower back is more difficult and takes low abdominal work. The idea in pilates is generally to try to do more work from the belly and to move the spine starting from the lower back and then adding in the upper back afterward.

    The thoracic c curve in pilates.

    101693. Image2
    Pilates cervical c curve
    The cervical c curve is a way to visualize the correct way to lift your head off the mat during an abdominal exercise. If you know the right way to lift your head up and understand proper neck alignment, you won't overstrain your neck when doing the abdominal-related exercises in pilates.

    Lie on your back with your hands interlaced behind your head to support the neck. Lift your head off the mat by lengthening the back of the neck and by imagining that you're squeezing a tangerine under your chin to bring the head up (kind of like nodding your head yes as you lift it off the mat). Don't lead up with your chin. Once your head is off the mat, you have created your cervical c curve; the c shape begins at the top of your head and ends at the base of your sternum (or rib cage). You must lift your head high enough to form the shape of the c. Think of your abdominal muscles lifting up the weight of the head, not the neck muscles. If you're very tight in your neck or very weak in your tummy, you may not be able to make a complete c shape. But if you keep doing the work, you will!

    The cervical c curve in pilates.


    What are muscle knots?
    Muscle knots are points within a muscle where contracted fibers are unable to release 1, or, as the dictionary puts it: highly irritable localized spots of exquisite tenderness in a nodule in palpable taunt bands of muscle tissue.

    A common problem for active people, muscle knots technically called myofascial trigger points, or mtps feel like a small knot to your fingertips. These knots can range from the size of a pinhead in smaller muscles to the size of your thumb in larger muscles. 2

    Muscle knots can cause pain in two ways: (1) latent trigger points, which are knots that only hurt when you put pressure on them, and (2) active trigger points, which are knots that actively refer pain along your neural pathways, causing it in non-localized areas.

    Trigger points in a constant state of contraction have excess metabolic waste and oxygen use because blood flow to this area stops this sends pain signals to the brain. Because your brain wants to stop the pain, it commands the muscle to rest, which leads to under-usage of the muscle. This is what makes the muscle shorten and tighten up.

    What causes muscle knots?
    The most common causes of muscle knots are:

    1) accidents acute trauma, such as bad falls sports injuries that strain you joints and muscles
    2) postural stress sitting too long with poor posture, sitting with no support, lifting improperly
    3) overstimulation


    Causes and risk factors of hunchback
    Hunchback results when the vertebrae in the upper back become increasingly wedge-shaped and the cause for this can be various problems such as:
    Disc degeneration.
    Cancer and treatment for cancer.
    Scheuermann's disease.
    Congenital/birth defects.

    Risk factors: there are certain groups of people who are at increased risk for developing hunchback such as:
    Adolescent girls who have a poor posture.
    Boys aged between 10 and 15 are at increased risk of developing scheuermann's kyphosis.
    Older patients suffering from osteoporosis are at a higher risk for spinal fractures which can contribute to hunchback.
    Patients having connective tissue disorders (marfan syndrome) are more prone to developing hunchback.
    Signs and symptoms of hunchback

    Patient may not have any signs or symptoms if the hunchback is mild.
    Abnormally curved spine.
    Stiffness in the back.
    Pain in the back.
    Investigations for hunchback

    Physical exam.
    Neurological exam to check reflexes and muscle strength.
    X-rays to determine the degree of curvature and to detect deformities of the vertebrae.
    Computerized tomography (ct scan) for more detailed images.
    Magnetic resonance imaging (mri) to rule out tumor or infection.
    Nerve tests are done if the patient is experiencing any muscle weakness or numbness to check the nerve impulses.
    Lung function tests are done for severe hunchback to check if the curve is affecting the patient's ability to breathe.

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  • PGD IN ULTRAASONOGRAPHY, Non invasive cardiology course, MD - Medicine, MBBS
    General Physician

    More than millions of people worldwide suffer from joint and knee ache on a daily basis. Usually, this type of pain comes with age, although it can also be a consequence of wearing uncomfortable shoes and having a poor body posture.

    Luckily for those who have this health issue, there is a 100% effective and natural cure. The ingredients of this remedy are rich in magnesium and silicon, known as pain-soothing compounds that have the power to strengthen the tendons and ligaments as well.

    Let's take a look at the recipe for the so called gelatin treatment:

    2 tbsp of unflavored gelatin
    1 orange
    A ripe banana
    2 tbsp of honey

    First, squeeze the orange. Next, peel off the banana and mash it. Afterwards, add the honey to the mashed banana. Then, dissolve the gelatin in water. Use a double boiler to heat it and improve its consistency. After you do this, warm up the orange juice a bit, and add the gelatin to it. Stir the mixture to prevent lumps.

    Next, transfer the gelatin blend into molds and put them in the fridge for 20 minutes. Then, remove the gelatin from the molds, turning it upside down on a plate, and add the honey and banana mixture.

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  • MS - Obstetrics and Gynaecology, MBBS

    A menstrual cramp is something which every woman complains of for a day or two every month. Menstrual cramps are usually the pains felt in the lower abdomen, which can occur both before and during a woman's menstrual period. These cramps are caused by a hormone called prostaglandin that causes the uterine muscles to contract during menstruation. When the uterus contracts to shed its natural lining during your period it releases a hormone called prostaglandins which causes pain and inflammation. So higher the level of prostaglandins more severe the menstrual cramps.

    It might be just a minor discomfort for some, but for others it can be severe. The symptoms of menstrual cramps include pain in the abdomen, pressure in the abdomen and pain in the hips, lower back, and inner thighs as well. However, if the cramps are severe you might have an upset stomach, loose stools and vomiting too.

    Three out of four women experience menstrual pains and every one out of 10 women experiences severe cramps. Here are few remedies that might help in relieving the pain:

    1. Exercise, brisk walking or any type of physical activity can help to ease your belly pain as by being physically active your body pumps more blood, which helps in releasing endorphins to counteract the prostaglandins and reduce your cramps.
    2. Apply heat on the lower abdomen or the area where you feel the pain as it helps to relax the contracting muscles in your uterus.
    3. Improve your diet by reducing fat and increasing vegetables. However, avoid foods that contain caffeine and salt.
    4. Take a warm bath as it may also provide some relief.
    5. Add ginger in your food as it helps in lowering the levels of the pain-causing prostaglandins.
    6. Drink chamomile tea at least three times a day.
    7. Take fish oil supplements, vitamin B1 or both.
    8. Make sure to get enough vitamin D.
    9. Have an orgasm as it releases endorphins which has a pain-relieving effect and helps in boosting your mood as well.
    10. Include more dietary magnesium such as dry almonds and boiled spinach as it helps to ease the pain of cramps.
    11. Acupuncture also has an anti-inflammatory effect.
    12. Take a safe painkiller to reduce pain.
    13. Birth control pills may help relieve painful cramps, but they do come with side effects which may include spotting, breast tenderness, nausea and low sex drive.
    14. Refrain yourself from smoking and drinking alcohol.
    15. Finally, have appropriate rest.

    Note: If you still do not get any relief despite trying some of these options then you must visit your doctor to rule out more serious health issues as the menstrual cramps are sometimes caused or worsened by other conditions and any sort of medications for such cramps are to be taken after consulting a Gynaecologist.

  • DNB (Orthopedics), Diploma in Orthopaedics, MBBS

    Knee replacement surgery is a procedure that is used to replace a worn out knee joint with an artificial knee joint. Such a surgery is advised if your knee is causing pain and limiting your daily activities, provided other treatments have failed to cause the desired impact. (Learn more to maintain bone and joint health)

    Once the knee replacement surgery is completed, the focus shifts to the recovery phase.

    1. The duration of the recovery depends on the type of surgery and the individual.

    2. After the surgery, painkillers are administered to provide relief from the pain.

    3. In some cases, oxygen is administered through various tubes if required.

    4. A blood transfusion may also be required after a knee replacement surgery.

    5. The surgical wound will require a dressing to allow it to heal faster and prevent infection.

    6. A drain will be attached to the wound to drain out the blood from it and prevent accumulation of blood in the wound.

    7. The dressing of the wound should be changed regularly.

    Post- Surgery Care

    • Post-surgery, you will need assistance to help you walk. If the surgery that you underwent was minimally invasive, then you should be able to walk on the very same day. Your physiotherapist will prescribe and show you some exercises to strengthen the knee. It is important that you follow his/her instructions to avoid complications.

    • A passive motion machine is sometimes prescribed as it helps to restore the movement of the knee. It helps in reducing the swelling by keeping your leg elevated and moving the knee when you are lying down.

    Here are some knee replacement recovery tips:

    1. Avoid doing any work that puts pressure on the knees.

    2. Eat nutritious meals so that the body receives proper nourishment, thus allowing your leg to heal faster.

    3. Avoid heavy exercises which can strain your knees.

    4. Perform all the exercises prescribed by your physiotherapist to speed up the recovery process.

    5. Do not sit with your legs crossed for a few months after the surgery.

    Being diagnosed with cancer is something no one looks forward to and Gynaecological Cancer is every woman’s worst nightmare. However, if diagnosed in time, it can be treated. Cancer in any part of a woman’s reproductive system is termed as gynecological cancer. It is of five types:

    1. Cervical cancer

    2. Ovarian cancer

    3. Vaginal cancer

    4. Vulvar cancer and

    5. Uterine cancer

    Paying attention to your body and understanding its natural rhythm can help you recognize signs of gynecological cancer. This is because signs of gynecological cancer can be difficult to identify unless you know your body. Here are a five signs to watch out for-

    1. Abnormal Vaginal Bleeding: Bleeding in between periods is okay once in a while but if it happens continuously over a period of 2 to 3 months, do not ignore it. Vaginal bleeding after menopause should also never be ignored. Abnormal bleeding could be triggered by a number of conditions including cancer of the lining of the uterus. Sudden changes in your menstrual blood that persist for over 2 cycles such as heavy bleeding can also be a symptom of uterine cancer. Heavy bleeding can be defined as a period that lasts for over 7 days.

    2. Changes in the Vulva: Any change in colour of development of bumps, sores of thickened skin should be immediately shown to a gynecologist. Any form of vulvar itching or burning should also not be ignored. These conditions could be symptoms of vulvar cancer. Hence, it is important to know what your vulva looks like normally.

    3. Bloating: Persistent bloating that lasts for over a fortnight can be a sign of ovarian cancer. This is especially true in cases of bloating accompanied by sudden weight loss or between-period bleeding.

    4. Change in Bathroom Habits: Due to the proximity of the bladder to the reproductive organs, a tumour or swelling in the reproductive organs can trigger symptoms similar to those of a urinary tract infection. This includes pain while urinating, difficulty passing urine, diarrhea or constipation. Urinary incontinence could also a sign of gynecological cancer.

    5. Abdominal or Back Pain: In rare cases, lower back pain could be a sign of ovarian cancer or uterine cancer. Pain in the lower abdomen or pelvic area can also be a sign of ovarian cancer.

    The above could also be signs of other health disorders. The only way of knowing for sure is by consulting a doctor. Hence, understand your body and if you notice any of these symptoms consult your gynecologist at the earliest.  

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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
    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.

    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.


    What are muscle knots?
    Muscle knots are points within a muscle where contracted fibers are unable to release, or, as the dictionary puts it: highly irritable localized spots of exquisite tenderness in a nodule in palpable taunt bands of muscle tissue.

    A common problem for active people, muscle knots technically called myofascial trigger points, or mtps feel like a small knot to your fingertips. These knots can range from the size of a pinhead in smaller muscles to the size of your thumb in larger muscles. 2

    Muscle knots can cause pain in two ways: (1) latent trigger points, which are knots that only hurt when you put pressure on them, and (2) active trigger points, which are knots that actively refer pain along your neural pathways, causing it in non-localized areas.

    Trigger points in a constant state of contraction have excess metabolic waste and oxygen use because blood flow to this area stops this sends pain signals to the brain. Because your brain wants to stop the pain, it commands the muscle to rest, which leads to under-usage of the muscle. This is what makes the muscle shorten and tighten up.

    What causes muscle knots?
    The most common causes of muscle knots are:

    1) accidents acute trauma, such as bad falls sports injuries that strain you joints and muscles

    2) postural stress sitting too long with poor posture, sitting with no support, lifting improperly

    3) overstimulation

  • MD - Skin,VD & Lepxsy, MBBS

    As children we wait to grow up and have a strong body as endorsed by our favorite movie stars, athlete, close friends and family members. We all strongly believe that a good physique is a great ways to attract people. What we often fail to recognize is that reaping a healthy body and a good physique requires small daily inputs. There are small things which most of us can do to help our muscles remain young and strong. Read on to know more about some magical ways to look youthful.

    1. Lift those Weights: While most think of cardio workouts, not everybody turns to the weights (learn more to maintain the healthy weight). Weights are one of the best ways to maintain muscle mass. Include it as a part of your routine, do it often, and gradually increase the frequency and the weights to cover all body parts including arms, back, shoulders, chest and legs.
    2. Eat more protein: A protein-rich diet reduces the risk of muscle loss. While most people tend to just move to an all-protein diet, that is not the best way. For 1 kg of your weight, add 1.5 g of protein in your diet. For muscle building, you need about double what a normal person would need, which is about 0.8 g per kg. As a safe practice, check with your trainer and dietitian to arrive at a diet that would suit your requirements (Read more about Importance of Protein)
    3. Plan your meals: As your body needs all essential ingredients, plan your meal to ensure it covers all nutrients. From a muscle building point of view, ensure the required amount of protein is packed in all the 3 meals. It is good to spread out the protein intake through your meals rather than have one protein-loaded meal in a day.
    4. Pomegranates: These so called 'wonder fruits' contain a molecule which reduces the effects of ageing in the muscles. There are even pomegranate extracts which are believed to provide the same benefits, so the season is not a problem.
    5. Get some sun: While it is definitely not advisable to sun bath daily, getting a good amount of sun on a daily basis is very good for both the mind and the body. Sunlight, which is the main source of vitamin D, can reduce muscle weakness. It is also essential for calcium absorption, which is essential for muscle and bone health. Reduced amounts of vitamin D have been shown to lead to muscle wasting. A good idea is to walk or run out in the sun instead of in the gym. You get the benefits of both the sun and the workout, leaving you rejuvenated.

    Try these simple tricks and see your muscle take time to lose their firmness and strength.

    3129 Thanks
  • Masters Of Science In Dietetics And Food Service Management Msc. (DFSM), Certified Diabetes Educator (CDE), Advanced Clinical Nutrition Program, Post Graduate Diploma In Clinical Nutrition And Dietetics PGD, Bachelors Degree In Applied Nutrition Bhsc

    World osteoporosis day 20 October 2016
    Osteoporosis is a medical condition in which the bones become brittle and start thinning due to the loss of tissues. Doctors advise food rich in calcium, vitamin d and vitamin c to help maintain healthy bones as well as to reduce the risk of this condition. Regular muscle-strengthening exercises are also helpful in preventing osteoporosis. According to recent studies, the following foods help prevent osteoporosis and relieve painful symptoms.

    It is no big surprise that the superstar of foods for osteoporosis is milk. Milk brims with bone strengthening calcium which is a crucial nutrient for healthy bones. Milk is packed with vitamin d, which is important for the absorption of calcium in the body, improves bone health and also boosts the immune system. If you are worried about the weight gain factor, go for low-fat or skimmed milk.

    A perfect osteoporosis diet should always include fish as it is an impeccable source of calcium. Fish, especially salmon is packed with vitamin d, an important nutrient which helps the body absorb and process calcium. Sardines are also a rich source of calcium. The calcium in fish helps maintain bone mass and also maintain bone structure.

    Almonds are a great source of vitamin e, manganese, calcium and riboflavin, and are an inseparable part of the osteoporosis diet plan. It supports bone health in many ways. Almonds are a chock-full of essential nutrients that help build strong and healthy bones. For people suffering from osteoporosis, it is must to incorporate a handful of almonds in their daily diet plan.

    An ideal diet for osteoporosis is never complete without eggs. Eggs are packed with vitamin d, vitamin k, vitamin e, vitamin a, phosphorous, folate and selenium. They are one of the best natural sources of protein which protects our bones and promotes healthy hair and nails. The phosphorous in the eggs is an important component for healthy bones and aid in strong bone formation.

    Yogurt is one of the most noted food items that can be incorporated in your diet to reduce the problems of osteoporosis. Yogurt is a milk product and is a great source of animal protein. It also contains several other nutrients like calcium, potassium, vitamin b2, vitamin 12, vitamin d and magnesium. In women, during their menopause, there is a notable deceases in the estrogen levels which in turn can cause thinning of bones, yogurt restores the estrogen levels and ensures bone health.

    Bananas are very nutritious fruits and one of the most effective foods to prevent osteoporosis. One of the main reasons to incorporate bananas into the osteoporosis diet plan is its high potassium content. Regular intake of banana helps the body to absorb calcium and other essential bone healthy nutrients that ensure bone health and lowers the risk of osteoporosis.

    Cabbage is one of the best foods for osteoporosis and ensures strong, healthy bones. It is a great source of fiber, vitamin b6, vitamin d, folate, iron, magnesium, calcium and potassium. Folate plays a pivotal role in carrying out many bodily functions like bone repair and bone maintenance. Cabbage also helps in the process of bone metabolism.

    Original contents of article written by #dietician#geetanjaliahujamengi#mumbai#gmnclinic#dietexpert


  • Fellowship in spinal tumor surgery, Fellowship in Cervical spine surgery, FNB Spine Surgery, Fellowship in spinal deformity, fellowship in MInimalli invasive(Keyhole) surgery, CPC paliative care, MS-Orthopaedics, MBBS

    What is osteoporosis?

    Osteoporosis is a disease concerning the bones. Decreased strength of the bones poses a risk for them to break. Osteoporosis is very common among older people, whose bones become brittle with age. The most common bones affected by this disease include the backbone, forearm bones and the hip bone. There are no such symptoms until a broken bone occurs. The bones weaken to such an extent that a break may happen in case of very minor stress. Usually, a broken bone is followed by chronic pain and the disability to perform daily activities. Surveys show that 15% of white people in their 50s and 70% of white people in their 80s are affected by osteoporosis.

    What are the common causes and symptoms of osteoporosis?

    1. May occur due to the lowering of the 'peak bone mass index'.
    2. In women, bone loss increases after menopause stage due to lowering down of estrogen level.
    3. Also occurs because of another disease or previous treatments. This includes alcoholism, surgical ovary removal, hyperthyroidism, anorexia or any form of kidney disorder.
    4. Anti-seizure medicines, chemotherapy, selective serotonin reuptake inhibitors and taking of performance-enhancing drugs like steroid increase the bone loss rate.
    5. Lack of regular exercise may lead to osteoporosis.
    6. Osteoporosis is defined as a 'bone density of 2.5 standard deviations below than that of a young adult'.
    7. Osteoporosis is hereditary in nature. People having a family history of osteoporosis are at a high risk of getting the disease.
    8. More than thirty genes are linked with osteoporosis development.
    9. If you have had a fracture before, you are at a risk of a repeat.
    10. Early menopause in women is also responsible for osteoporosis.
    11. People with a small structure and body build are at a risk of getting osteoporosis.
    12. Protein and vitamin deficiency makes your bones weak and makes you vulnerable to osteoporosis.
    13. Phosphoric acid present in soft drinks is another threat, which may cause the disease.
    14. People suffering from malnutrition are likely to get osteoporosis.
    15. Over replacement of L-Thyroxine may lead to osteoporosis.
    16. Use of heparin and warfarin for a long time decreases the bone density.

    How can Osteoporosis be prevented?
    The best way to avoid getting osteoporosis in the future is to maintain a preventive lifestyle.

    1. Exercise regularly
    2. Indulge in natural calcium sources
    3. Maintain intake of vitamin D and K
    4. Do not smoke and consume alcohol
    5. Don't undertake stressful physical activities
    6. Go for regular health checkups
    7. Stay fit and stay away from obesity

    Osteoporosis is a disease you must stay away from. It leaves you physically incapable and unfit.

    2452 Thanks
  • Canadian Academy Of Homeopathy, VLIR Belgium, BHMS

    Pain in back, joints or in muscle can be very troublesome. And, if it continues, then it can cause a lot of discomfort as you then find it difficult to perform even day-to-day activities. Homeopathy can very effectively deals with any pain. Let us check the remedies:

    Homeopathic remedies for back pain:

    1. Arnica: Injured back often leads to severe back pain and it can be well treated by this homeopathic medicine. Both recent and past back injuries can be treated using this medicine. This medicine is absolutely safe and thus you will not face any side-effects at all. Unwanted back stiffness and soreness within back muscles can also be minimized to a great extent with the consistent application of this medicine. Back motions can be made much more flexible by curtailing restlessness.
    2. Bryonia: There are some prominent symptoms of back pain and they can be easily and efficiently alleviated by this medicine. If you are tired of applying homemade therapies, then you can try out this solution. This medicine can reduce your pain and inflammation within a few hours and you can get back to your daily activities with great energy. Apart from taking this medicine, you have to take enough rest so that your back can get relaxed. Your back motion can be smoothened and made flexible by taking the concerned medicine.

    Ways in which homeopathy can cure Joint and muscle pain:

    1. Moving and shifting joint or muscle pains: Many patients have this problem where they face joint or muscle pain, but instead of it being constant in one area, it moves around the body. Pulsatilla is known to effectively reduce the symptoms in these cases.
    2. Arthritis: One of the most common problems that many people report is that of arthritis and rheumatoid arthritis, which causes a lot of pain in many people. In many cases, the use of Natrum Muriaticum and Bryonia has been known to allay the pain.
    3. Tennis elbow or tendon related problems: This is a common ailment, which in many cases is caused by strenuous activities, such as sports. Rhus tox has been known to be effective in such cases.
    5258 Thanks
  • DNB (Psychiatry), DPM, MBBS

    Vaginismus is a condition characterized by significant pain in the vagina generally during sexual intercourse. This pain occurs on penetration due to the contraction of the vaginal muscles.


    The exact cause of Vaginismus is not exactly known to the doctors. But some researchers suggests that the pain might result from severe anxiety or illogical fears before sex.

    Vaginismus can be primary or secondary depending on the concerned woman’s previous sexual experiences. Vaginismus can be linked to an earlier sexually painful experience, sexual trauma or psychological factors. In some cases, the pain tends to exist without any direct physical cause. The causes of the pain might vary from women to women and might occur in some cases with only one specific partner and not with others.

    Sometimes the pain might stem from underlying infections or any other underlying complications.

    The symptoms of Vaginismus are as follows:

    1. Severe pain during intercourse.

    2. Severe pain during insertion of tampons or during any medical check-ups.

    The following treatments can be useful to treat Vaginismus:

    1. If the pain arises due to anxiety or fear, counselling sessions can help you to a remedy.

    2. If the pain arises whenever something penetrates the vaginal walls, progressive desensitization can be useful to treat the pain. The process aims to loosen the vaginal muscles so that you don’t experience any pain during sexual intercourse.

    Kegel exercises (at least 20 of them) can help in the initial stage to relax the vaginal muscles. After you exercise for a few days, you should try inserting one finger inside your vagina while doing the exercises. Try doing it gently and if it still hurts, try doing it with a lubricating jelly. This continuous procedure will help in the contraction of the vaginal muscles which eventually relax.

    3428 Thanks
  • spine surgery fellowship of association of spine surgeons of india (ASSI), DNB (Orthopedics), MBBS

    Osteoporosis wreaks havoc in many senior citizens, especially women. This is a disorder that systematically weakens the bone and can fracture the spine and the hip. If not treated early, it poses a serious threat to mobility. While medicine is a prerequisite to treating this condition, exercise goes a long way in helping patients of osteoporosis. Regular exercise can improve balance and strengthen the muscle. This being said a doctor should be consulted for a fitness assessment and bone density test before going ahead with any exercise routine.

    What is the right exercise for you?
    Exercises are recommended depending on the degree of osteoporosis a person is suffering from. Some exercises may not be suitable for a person while some can greatly help. It is therefore suggested that a doctor or physiotherapist is consulted before starting any exercise. Here is a list of exercise that doctors often suggest:

    1. Strength training: Strength training aims at strengthening the spine and other muscles. It includes the usage of free weights and lifting own body weight. In case the exercise involves the usage of weight machines, utmost care should be taken to ensure that the spine does not get twisted. Resistance training, on the other hand, should be designed in such a way that it fits the tolerance and ability to cope up.
    2. Flexibility exercises: When the joints are allowed to go through the range of motion, it helps in muscle function. Stretching, for instance, should only be done when the muscle is warmed up. Care should be taken that stretching is done gently which is devoid of any bouncing. The spine should not be flexed. Any exercise that demands to bend towards the waist should also be avoided. An experienced physiotherapist should be able to suggest which stretching exercise is suitable for patients with osteoporosis.
    3. Aerobic training: Aerobic training necessarily means that the bone supports the body weight. This exercise helps the bone from mineral loss and is good for body balance strength and flexibility. Some aerobics that can be easily performed by patients with osteoporosis include dancing, stair climbing, cycling and walking. These exercises also help in blood circulation and cardiovascular diseases.
    4. Exercises you must avoid: High-impact body activity exercises such as jogging, jumping and running should be strictly avoided in order to avoid bone fracture and weaken muscle. Unlike exercises with controlled movements, these exercises can twist the spine and cause severe immobility in movement.
    5. Twisting: For patients with osteoporosis, an exercise that involves forward bending resulting the waist to come down should be avoided. Exercise such as this can cause compression fractures leading to restriction in physical movement for a temporary to longer duration. Any sort of bending and twisting, therefore, should be avoided.
    2494 Thanks
  • Fellow In Arthroscopy, Fellow In Joint Replacement , MS - Orthopaedics, MBBS

    The knee joint is made up of several elements including the knee cap, meniscus, connective tissue, tendons, ligaments, cartilage, and muscles. Damage to any part of the knee can cause chronic pain.

    What can cause knee pain:

    Fractures: These are caused by the breaking up of the kneecap due to falls or collisions.

    ACL Injuries: Caused due to the tearing of the anterior cruciate ligament (that connects the femur and the shinbone). Especially common in sportspersons such as footballers or basketball players.

    Meniscus tears: The meniscus or the rubber-like cartilage (that acts as a shock absorber) can be torn by sudden jerks or excess pressure.

    Arthritis: The chief cause of lingering knee pain, arthritis itself can be of a number of types.

    • Osteoarthritis, which is a result of deterioration of cartilages due to wear and tear
    • Rheumatoid Arthritis, an inflammatory chronic disorder
    • Septic Arthritis, causing pain, swelling and redness.
    • Gout caused due to the development of uric acid crystals in the joints

    How to deal with it:

    • Exercise: Moderate to intense exercise is prescribed for one and all. This, of course, depends on one's overall health and age. If you are already suffering from joint pain, then you may want to go easy on the exercise with a focus on building muscle strength and foundation. If you are healthy, then some amount of daily exercise as a routine will keep those knees in prime working condition and well lubricated as well. Inactivity and a sedentary lifestyle can affect the knees very badly.
    • Dealing with Load: Losing weight is an important factor as carrying around extra pounds and kilograms can be detrimental for your knees in the long run. Your knee is not equipped to handle the excessive weight. It already supports three to five times your weight when you get up and walk around or indulge in some mild jogging. One must be careful of those extra pounds to take the load off the knee and keep it from falling prey to damage.
    • Do not Ignore: Warning signals such as chronic or acute knee pain should not be ignored. Remember to consult a doctor or an orthopaedic specialist to find out if you have contracted an infection or if you may have suffered a fracture due to an injury.

    Ligament Injuries

    The ligaments around the knee are strong. However, sometimes they can become injured. They may be stretched (sprained), or sometimes torn (ruptured). A ligament rupture can be partial (just some of the fibres that make up the ligament are torn) or complete (the ligament is torn through completely). The majority of knee ligament injuries are sprains and not tears and they tend to settle down quickly.

    ACL injury and other ligament injuries can be caused by:

    • Twisting your knee with the foot planted
    • Getting hit on the knee
    • Extending the knee too far
    • Jumping and landing on a flexed knee
    • Stopping suddenly when running
    • Suddenly shifting weight from one leg to the other

    These injuries are common in soccer players, football players, basketball players, skiers, gymnasts, and other athletes.


    1. Rest the knee
    2. Ice your knee to reduce pain and swelling
    3. Compress your knee
    4. Elevate your knee on a pillow when you're sitting or lying down
    5. Wear a knee brace to stabilise the knee
    6. Practise stretching and strengthening exercises if they are recommended

    For severe collateral ligament tears, you may need surgery to attach the ligament back to the bone if it was pulled away, or to the other part of the ligament if it was torn in the middle.

    Meniscus Tear
    A meniscus tear is a common knee injury. The meniscus is a rubbery, C-shaped disc that cushions your knee. Each knee has two menisci (plural of meniscus)-one at the outer edge of the knee and one at the inner edge. The menisci keep your knee steady by balancing your weight across the knee. A torn meniscus can prevent your knee from working right.

    A meniscus tear is usually caused by twisting or turning quickly, often with the foot planted while the knee is bent. Meniscus tears can occur when you lift something heavy or play sports. As you get older, your meniscus gets worn. This can make it tear more easily.

    Treatment may include:

    1. Rest, ice, wrapping the knee with an elastic bandage, and propping up the leg on pillows
    2. Physical therapy
    3. Surgery to repair the meniscus
    4. Surgery to remove part of the meniscus
    3938 Thanks
  • M. Ch. (Ortho), DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS

    Adhesive capsulitis is the medical term for a frozen shoulder, which can be caused due to a variety of reasons. Scar tissues can grow in the shoulder joint when the said joint becomes thicker. This development keeps the shoulder from rotating in a normal manner, which can lead to a frozen shoulder. The most common symptoms of this condition include severe pain and stiffness as well as inflammation. Here are the causes and ways to treat this condition.

    Causes: A frozen shoulder can be caused due to a sports injury as well as an accident. Also, a hormonal imbalance can cause this condition. A weak immune system may cause inflammation in various joints of the body, which makes motion difficult. Also, diabetes can give rise to a frozen shoulder as a side effect. If you have a sedentary lifestyle and do not exercise often enough, or have just been through surgery which has led to a prolonged period of inactivity, then you can be prone to this condition. Surgery will also leave your tissue and adhesions sensitive to inflammation. Scar tissue may end up forming in very extreme cases, over a period of at least nine months. This can limit your motion.

    Risk Factors: Besides diabetes, hormonal changes and inactivity, people who have been through a stroke or surgery are most susceptible to this condition. Also, patients who are suffering from thyroid disorders can end up developing a frozen shoulder too.

    Physical Therapy: One of the most recommended ways to deal with this condition is with physical therapy. This kind of therapy will help you in stretching your shoulder so that you get back some motion over a period of time. This process can take anywhere between a few weeks to a few months, depending on the severity of your condition. You must ask your doctor about other treatment options if this kind of therapy does not show results even after six months of intense and regular practice. Physical therapy can also be practiced at home, once you have learnt the technique from a physiotherapist.

    Medication: One of the other ways to deal with a frozen shoulder is with the help of medication. Anti-inflammatory and pain relieving medicines can soothe the discomfort. These include aspirin, ibuprofen, as well as naproxen sodium. Also, if you are undergoing a lot of pain, the doctor can administer a steroid injection in the shoulder joint.

    Surgery: If medication and physical therapy do not help in treating the condition effectively, then one can go in for an arthroscopic surgery to remove the scar tissue with a small incision and other kinds of surgery for breaking the adhesions as well.

    2503 Thanks
  • MCh - Neurosurgery, MBBS

    Pain causes a lot of discomfort in the body no matter whether the pain is in the back, legs or in the head. Almost all people experience lower-back pain at some point in their lives, which can be extremely painful and can cause considerable annoyance. The first medical specialty that comes to mind for relief of lower-back pain is Orthopedics. The other two specialists that play a vital role in treating lower-back pain are the neurosurgeons and the physiatrists.

    Pain in the Back
    It is very difficult for the body to source the pain when it is deep and this pain could be due to infection, disease or injuries in the back, stomach and heart. It is even possible that the pain radiates to different places in the body. Often back pain is accompanied by body changes like redness, fever, neurological problems, heat, and changes in body functions and for that diagnosis of the back pain may be very severe. Patients suffering from lower-back pain and with symptoms that comprise of weakness in the foot or other symptoms of a neurologic insufficiency must definitely see a neurosurgeon.

    Back pain that occurs due to reversible problems is known to vanish in a few hours or in a day. However, if it continues longer and is accompanied by body changes, then there are chances that the condition can become worse. You must consult your doctor for back pain, if any of such characteristics are witnessed. It is always better to get evaluated by a physician.

    When to Consult a Doctor Immediately

    1. Back pain that is followed by a shock like a car accident.
    2. The pain in the back worsens and is constant
    3. Back pain continues for more than 4-6 weeks
    4. The pain does not improve even after taking typical remedies such as taking pain relievers or after resting.
    5. Severe pain in the back in the night and that is alleviated by rest
    6. The back pain is accompanied by abdominal pain
    7. Numbness in the upper thighs, buttocks, groin or in the genital area
    8. Weakness or tingling sensation in the arm or legs

    Role of a Neurosurgeon
    The neurosurgeon provides non-surgical as well surgical care depending upon the nature of the illness or the injury, and he does not just operate. The neurosurgeons are experts and offer treatment to patients suffering from any spine injury or disease, brain or peripheral nerves that deal with arms, hands, feet and legs. But there are many other neurosurgeons that confine their practice to treating back pain.

    3525 Thanks
  • Diploma in Gastroenterology, Diploma In Pulmonary Medicine , MSCP, BHMS, SVD( skin and veneral diseases)

    Back pain is one the most common problems that you are most likely to experience, given the rigors of the modern day lifestyle. Back pain is usually characterized by a mild to severe pain in your lower back area. Some of the causes of back pain can be:

    1. An accident or an injury
    2. Heavy lifting
    3. Obesity
    4. Stress and Depression
    5. Pregnancy
    6. Bad posture

    Homeopathy, with its plethora of medicines, serves as a better alternative as compared to its allopathic counterpart in curing back pain permanently, both acute as well as chronic. Homeopathic remedies are completely natural remedies without any side effect whatsoever.

    Here are some basic homeopathic remedies for back pain:

    1. Arnica: If the cause of your back pain is an injury, Arnica can be one of the best homeopathic medicines. In this sort of a pain, you experience stiffness and soreness at the back of your muscles.
    2. Bryonia: If your backache worsens with movement, Bryonia can help to cure this problem. You experience a stiff and tearing pain which worsens in humid and hot conditions. Try not to lie on a soft surface if you experience this sort of a pain. Proper rest with this medicine is suggested.
    3. Kali Carb: Kali carb is best in treating low back pain, especially in females after a delivery. This medicine caters to the sort of a pain which renders a great amount of weakness to your back muscles.
    4. Mag Phos: It is one of the best homeopathic remedies if you experience a sort of a pain, which is relieved by external application of heat. Pain, both of acute and chronic stages, can be cured by this medicine.
    5. Rhus tox: If your pain gets worse with movement, Rhus-tox is one of the most potent homeopathic remedies which can treat the issue. This sort of a pain causes stiffness in the back and at times, gets aggravated when you are resting.
    6. Bellis Per: This homeopathic wonder takes care of pain which is chronic, or which has been left untreated since a long time. Any surgical related back pain problem can also be remedied by this medicine.

    Even though some of the medications are mentioned here, it is better to take proper advice from your homeopathic practitioner, as the dosage and frequency must be decided by your doctor only based on the symptoms and your medical history.

    5099 Thanks
  • MNAMS, DNB (General Medicine), Certified in Evidence Based Diabetes Management, MBBS
    Internal Medicine Specialist

    The human body is able to move fluidly because there are various joints, muscles, tendons and cartilages that work together to make this happen. Movements of the hands, legs, back, hips, knees and wrists are controlled this way. For various reasons, however, these tissues grow stiff, thereby, reducing free movement. Any movement causes pain and stiffness and swelling of the joints, which forces the patient to reduce physical activity. This reduced activity further leads to the joints becoming stiff, thus putting the patient in a difficult position.

    What causes it?

    The ends of the bone are covered by softer tissue called cartilage, which is responsible for allowing the free movement. In patients with osteoarthritis, this cartilage is lost and the bones rub against each other, producing pain and a crackling sound with the movement. Some of the most common causes include the following:

    1. Age is the most common cause for osteoarthritis, with lifestyle habits playing a major role in this condition. Most joints would be affected here.
    2. Obesity is another major cause for osteoarthritis, as the additional weight of the person puts extra pressure on the knees and the legs, leading to the wearing of the joints. The back and lower extremities are more affected than the hands in this case.
    3. Joint injuries are another common cause for osteoarthritis, which is more localised to the area of injury.

    What are the signs and symptoms?

    As noted already, painful movement is the most common symptom of osteoarthritis. There could also be swelling and redness around the affected joint(s).
    Diagnosis: The doctor will usually be able to identify osteoarthritis after an examination, but in some cases, an X-ray or MRI may be required to confirm the diagnosis.

    Treatments available

    The treatment for osteoarthritis is multipronged.

    1. For immediate relief of the pain, non-steroidal and anti-inflammatory drugs are used. In cases of localised symptoms, even topical creams or gels may be used.
    2. Weight loss is extremely essential, if there is obesity that is causing the osteoarthritis.
    3. Vitamins and supplements in good amounts can improve bone health and help in preventing and reversing the damage in some patients.
    4. Heat therapy has proven to be quite useful in many cases to provide temporary relief
    5. As much as the movement of the joints is painful for the patient, it is only with regular exercise that the joints can be made more flexible and mobile.
    6. The affected joints need to be specially cared for by avoiding injury and reducing unnecessary movements.
    7. Role of physiotherapy in the management of OA - Strengthening exercises, Taping, Manual therapy, Education/lifestyle changes,  Modalities, Agility and perturbation training.
    8. The definitive therapy of OA is joint replacement (total/partial knee/hip joint replacement).

    In addition, support groups and counselling may also help significantly in patients who find their quality of life being reduced due to this condition. Remember, not all is lost with osteoarthritis. It is definitely possible to get your life back to its earlier days when you were able to move about freely.

    3178 Thanks
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