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Dr. Jacob

Physiotherapist, Rajahmundry

100 at clinic
Dr. Jacob Physiotherapist, Rajahmundry
100 at clinic
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
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I have always leg pain that hurts and I can't run or walk for long.what should I do?

BPTh/BPT
Physiotherapist, Mumbai
I have always leg pain that hurts and I can't run or walk for long.what should I do?
Hi I can understand your problem. *take rest *increase fluid intake *gently stretch or massage your leg muscle. * apply heat to tight muscles or cold to tender muscles. * there are various treatment options in physiotherapy which depends on your health and severity of your symptoms. Kindly reply for private consultation to discuss detailed treatment plan. Wishing you good health.
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I am 53 year old. I am suffering from leg and knee pain. Please suggest me best solution.

BPTh/BPT
Physiotherapist, Delhi
I am 53 year old. I am suffering from leg and knee pain. Please suggest me best solution.
Start with physiotherapy session for knee joint. Use knee cap also. Do regular knee exercise. Don't sit on floor. Take calcium.
3 people found this helpful
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Sir I have problem in my lower back. I do my investigation like MRI. I found my l4l5 buldge so I want to know to treatment of my slip disk.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
Sir I have problem in my lower back. I do my investigation like MRI. I found my l4l5 buldge so I want to know to trea...
1) do massage with warm sesame oil or suitable oil for 15 min. Afterwards take hot fomentation for 10 min. 2) start natural calcium supplement. 3) do regular stretching exercise 4) in yoga do bhujangasan, halasan & suryanamaskar. Life-style correction 1) correct your sitting posture. 2) take small pillow or back rest for lower back. 3) foot should rest to floor easily. 4) take small break after 1 hr & walk few steps. 5) do neck & upper back extension, give feedback after 4 days. Best treated with ayurved & panchakarma procedures. 1) massage + steam 2) pinda swedan 3) agnikarma you must start ayurvedic medicines to 1) strengthen bones & muscles. 2) stop further degeneration of joint. 3) healing of joint. 4) release muscular spasm even chronic. 5) reduce swelling & pain.
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I have pain in my calf and foot heal from last one n half year. What do I do for relief and why I have this pain. Kindly help me.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I have pain in my calf and foot heal from last one n half year. What do I do for relief and why I have this pain. Kin...
do take ust and laser therapy for 12 days followed by mobilisation and stretching exercises from physio best wishes
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5 Winning Ways to Stop those Nasty Muscle Cramps

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
5 Winning Ways to Stop those Nasty Muscle Cramps
5 Ways to Stop Muscle Cramps

Muscle cramps are feared and loathed by all of us alike – they hurt, they slow us down and they just give us a helpless feeling! The most common cause of these cramps is premature fatigue which affects the reflex control of muscles. Here are 5 ways guaranteed to beat these troublesome muscle cramps:

1. Take rest
The most easy and sure-shot way to kill a muscle cramp is to take rest. Just rest your body, be at one place and the cramp will not last more than 3-4 minutes. Moving around will only cause the pain to be aggravated and eventually affect other areas as well.

2. Consume solutions rich in salt
Whenever you encounter a troublesome cramp, the first instinct is to reach for water. However, studies have shown that salt solutions are far more effective in countering cramps as compared to plain water. You can have pickle juice and similar drinks which have a high salt concentration.

3. Be physically active
The most common reason for muscle cramps is over-straining of the body. If you are planning to indulge in an extremely intensive physical activity, make sure to train well in advance. Also, keep the duration and intensity of the training at a similar level to that of the actual activity.

4. Keep your body hydrated
Dehydration is the root of a number of troublesome conditions, muscle cramps being one of them. Make sure to always carry a water bottle with you and drink a minimum of 7-8 glasses of water on a daily basis.

5. Indulge in light passive muscle stretching
When faced with a muscle cramp, in addition to resting, try and gently stretch the affected muscle. This continuous and light passive stretching lets the brain know that it can relax the muscle and help it return to normal.




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3927 people found this helpful

Knees ache what to do?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist,
Knees ache what to do?
Your daily habits or age may be the root of your knee problems. Some common home care techniques for knee pain that control inflammation and help to break the inflammatory cycle are protection, rest, ice, compression, and elevation, glucosamine supplement has also may help, I can prescribe a detailed treatment plan. Do reply back for medication prescriptions. Being also a general physician and registered dietitian, I prescribe both evidence based herbal as well as allopathic medicines complementing with dietary guidelines and home remedies carefully personalized for each individual patient.
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I am having back pain on my right side. What steps do I need to take to get rid of this, please suggest.

BPTh/BPT
Physiotherapist, Mumbai
I am having back pain on my right side. What steps do I need to take to get rid of this, please suggest.
Hi I can understand your problem. 1 relax & stay positive. 2 take hot and cold foementation. 3 change sleeping position. 4 use lumber support. There are various non sugical treatment options for back pain according to your health and severity of symptoms. Kindly reply in private consultation to discuss detailed treatment plan. Wishing you a good health.
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I suddenly have backache from last 2 weeks continually. I am overweight with 98 kg and my age is 34 years. Pls help me what should I do?

BHMS
Homeopath, Faridabad
I suddenly have backache from last 2 weeks continually. I am overweight with 98 kg and my age is 34 years. Pls help m...
Hello, first of all you should know what is backache and by which factors it caused and aggravated. The usual cause of low back pain is the sedentary lifestyle that we lead these days. There is hardly any movement. We remain seated most of the time and stand for very short periods of time. Unfortunately walking, running and cycling like activities are also not a part of our daily routine. To add to it, our diet consists more and more of junk food. Fresh fruits, vegetables and high fibre foods are consumed less and less. These daily practices lead to obesity. The increased body weight puts lot of pressure on the spine which has to bear all the extra unwanted weight. The back muscles which are already weak due to lack of exercise and wrong posture are unable to cope with this increased load. This causes pain in the back muscles. there is a need to work on the local muscle strengthening. Back muscles need to be strengthened so that they can bear the weight of the upper body. For this exercises of the back muscles are very helpful. Regular walking is also very helpful as it is a wholesome exercise of the body, improves blood circulation and helps lose weight. Most importantly in your case you are overweight then losing weight is an important part of the whole treatment plan .Long term use of painkillers for low back pain is harmful Treatment for back pain:- Homeopathic medicines are very helpful. They not only treat the acute stages but are also used for the treatment of chronic back pain.Selection of the exact remedy depends upon the individual symptoms of the person.So share the complete symptom picture for the proper treament. In the mean time take Arnica 200, 3 drops in the morning and Rhus tox. 200, 3 drops at night for 7 days.Take care.
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I am having severe pain in my right leg near by knee I am taking voveran SR 100 mg and Jointace C2 but no effect Can anyone help me.?

Master in Psychology, MD - Ayurveda, Dems, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
I am having severe pain in my right leg near by knee I am taking voveran SR 100 mg and Jointace C2 but no effect Can ...
If voveron sr is not helping you then there may be some major problem. You should consult the doctor as soon as possible for perfect diagnosis. If there is any history of injury then go for xray first. You may also apply any analgesic ointment at affected part.
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When this test is required(HLA-B27)

FASM (Singapore), MNAMS (Ortho), FISOC (USA), Dip SICOT (Belgium), MS Ortho, DNB (Orthopedics), MBBS
Orthopedist,
It is quiet specific for ankylosing spondylitis which is an inflammatory condition of the spine and joints.
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Sitting posture while driving

Fellowship in Neurological Rehabilitation, BPTh/BPT
Physiotherapist, Gurgaon
Sitting posture while driving
Hello,

I constantly try to educate patients on proper posture, but because people (myself included) spend so much time driving and sitting for prolonged periods of time. Driving can mean different for different people. It may be a way of leisure for some or as an everyday activity to commute to office. Driving for long time has always accompanied with some or the other musculoskeletal problems. It become a leading cause of back pain to our fast pace life.The problem is treated but the root cause of it is never looked after or we just don't bother about it much..

Why we get the pain or associated problems when we drive for long time?

Poor posture while driving can produce a repetitive load to the tissues that causes sustained stress. Daily prolonged drives apply loads to the spine that can cause viscoelastic tissues to slowly deform and creep. Simply staying in the car seat with poor posture long enough will eventually ensure damage. Sustained load and resultant deformation/creep causes a progressive reduction in tissue strength.With your hands in the proper position on the steering wheel, the thoracic spine, scapula and shoulder joint have a better chance of remaining in neutral. usually, we hold steering wheel with one hand and lean to other side.due to leaning hip bone( iliac crest) and 12th rib approximate; this will contribute to shortness (tightness) of the quadratus lumborum or latissimus dorsi

If the pelvis is rotated, it will contribute to lumbar or SI pathology and overactivity of the TFL(muscle). If the knees are even slightly superior to the hips, then there will be hip flexors muscles over activity or shortness, and hip extensor inhibition or weakness. Prolonged sitting on the glutes can cause poor circulation and lack of oxygen to the tissue, contributing to inhibition.

A person driving with a clutch who has poor or limited ankle dorsiflexion (like after ankle fracture) can perpetuate overly active hip flexors because they will pull the foot off the clutch using the hip flexors, instead of dorsiflexion at the ankle.

Some Do’s:
1) Select a car that matches your height and suits your work.
2) Change posture as much as possible take frequent Microbreaks ,recommended atleast 15 minutes, every 2 hours
3) Place hand on steering wheels so that elbows are close to your side and not so high that you have to reach up for the wheel.
4) Place hands at 3 o’clock or 9 o’clock position this will reduce the amount of strain on shoulders and put hands in safer position.
5) It is advisable to keep two hands in steering wheel except while shifting gears. Change hand posture frequently to reduce fatigue and improve circulation.
6) Learn Microbreaks: An example of a "microbreak" for driving in the car is squeezing the shoulder blades together for 20-30 seconds and repeating 2-3 times. Repeating anterior and posterior pelvic tilts and lateral tilts for a minute or two is sometimes helpful. Other microbreaks for driving include cervical range of motion, and shoulder retraction with elevation and depression.
Some Dont’s:
1) Avoid lifting after driving long hours because your muscles are tired your ligaments are stretched and disc are at risk of injury, give yourself some time to stretch and relax.
2) The death grip posture, the one arm cool dude” the Wrist resting at 12 o’clock position on steering wheel and fingers flop over the top, arm straight out in front and one arm propped on your window.


The longest journey begins with a right sitting posture, not with a turn of the ignition key !!!! dive safe
.
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I have so much pain in my shoulder please tell me how to fix it reply soon otherwise I will die.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I have so much pain in my shoulder please tell me how to fix it reply soon otherwise I will die.
This treatment is being suggested on bases of the information provided. I would like to examine & investigate you in detail. Rule out Diabetes. Any way it may be tried, --.Acetaminophen 250mg OD & SOS. X 5days. --.Caldikind plus (from Mankind)1 tab OD x 5 days. --. Fomentation with warm water. --. Sleep on a hard bed with soft bedding. -- .Do mild exercises for neck & shoulder. (Take help of a physiotherapist). --. Use no pillow under the head. Kindly make sure, there is no allergy to any of these medicines. (Contact family doctor, if needed). For emergency treatment visit nearest hospital. Do not ignore, let it not become beginning of a major problem. Do ask for a detailed treatment plan. If no relief in 2-3 days, contact me again.
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I have pain in my leg since last 10 day. I have tried many medicine but nothing happened.

BHMS
Homeopath, Faridabad
I have pain in my leg since last 10 day.
I have tried many medicine but nothing happened.
Hi, take Five phos 6x, 5 tabs twice daily. Take no. 19 , 5 tabs thrice daily. Revert me after 10 days.Thanks.
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I am a 60 years male and have less gap in both knees with mild pain. 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. Please tell me duration of pain and what are aggravating factors? how much distance can you walk and what is the analgesic requirement to carry out activities of daily routine? what medications you generally take and what has been your treatment history till now for existing problem. I also need to see your latest knee x rays so that I know what grade of arthritis are we dealing with on your case? do not hesitate to contact me if you need any further assistance.
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Im a 18 year old male and last year I got my knee internally internally by due to hitting an object twice on same place. So now I face a pain in that knee whenever I do sit ups and some exercise with that knee aur even on walking for 30min I found my leg paining. So please advice me some solution. Thank you.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Im a 18 year old male and last year I got my knee internally internally by due to hitting an object twice on same pla...
For confirmation tk x-ray is there any injury. If x-ray is normal then tk physiotherapy treatment for few days.
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I'm 30 years old female suffering from backache last 3 years doctor told due to deficiency of vitamin I'm also complete vitamin D injunction course n again same problem happen. Suggest me what to do?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
I'm 30 years old female suffering from backache last 3 years doctor told due to deficiency of vitamin I'm also comple...
1) do massage with warm sesame oil or suitable oil for 15 min. Afterwards take hot fomentation for 10 min. 2) start natural calcium supplement. 3) do regular stretching exercise 4) in yoga do bhujangasan, halasan & suryanamaskar. Life-style correction 1) correct your sitting posture. 2) take small pillow or back rest for lower back. 3) foot should rest to floor easily. 4) take small break after 1 hr & walk few steps.
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I started going to gym. I am working out fr 1 an half hour daily is is good fr me with the knee pain as my insecure is telling me the exices suitable for my problem.

MD - Anaesthesiology
Anesthesiologist, Anand
I started going to gym. I am working out fr 1 an half hour daily is is good fr me with the knee pain as my insecure i...
Yes lybrate-user ji according to your height your weight is much much more. Your weight should be 64 kg. So you need to reduce minimum 21 kg. And for that you need to go to gym and exercise for one and half hours. Your knee pain is due to overweight and not due to exercise. And if you wil go to gym only for one hour than you will not loose your weight. So to reduce weight go to gym for obe and half hoyears along with you need to take care of your calory intake. Do not take any hard or cold drinks avoid fried food and sweets. After you loose some 9 or 10 kg they wil advice you some muscle strengthening exercise for your knee. So its a long term program. I think will take some obe year.
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Lifting Objects Overhead - How It Causes Pain in Shoulders?

M.Ch - Orthopaedics, Fellowship in Arthroscopy & Sports Medicine, MS - Orthopaedics, MBBS
Orthopedist, Delhi
Lifting Objects Overhead -  How It Causes Pain in Shoulders?

Shoulder pain while lifting overhead objects might be a result of strenuous activity involving tendons impinging bones of the shoulder. Impingement syndrome is also called swimmer’s syndrome.

What causes it?
It is caused by activities involving tendons and bones of the shoulder, for example strenuous activities, such as swimming, tennis and gym activities involving muscles of the shoulder. Even reaching for overhead objects and painting might aggravate impingement syndrome. If not treated at the right time, the syndrome might become extremely painful as the tendons begin to tear.

Symptoms
General pain in the shoulder is one of the most common symptoms, especially while reaching for overhead objects or using shoulder and arm muscles in general. If it occurs for a prolonged period of time, then it might actually lead to a tendon tearing and leading to a rotator cuff tear. This would overtime lead to decreased ability to use the arm muscles and the bicep muscles might tear as a result of prolonged negligence, despite swimmers syndrome. A doctor would recommend a physical exam and x-ray to rule out possibilities for bone abnormalities and arthritis.

How to prevent and treat it? 
Those who have extreme shoulder pain and have been diagnosed with swimmer’s shoulder are referred to a physiotherapist with whom, regular sessions help restore mobility of the affected areas. The physiotherapist recommends the patient numerous stretching exercises to practise, preferably under a hot shower. In addition to physiotherapy, a doctor will prescribe powerful painkillers which have to be administered orally on a regular basis. 

These oral painkillers, such as ibuprofen have to be taken under the guidance and prescription of a doctor as they will have a host of side effects such as acidity and should be taken post meals. In case of ineffectiveness of orally administered painkillers, cortisone based injections might be given, but it is a double-edged sword as the effectiveness of these injections decrease over time and it might make the muscles and tendons weak. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

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I have back pain problems for last 45 days.please suggest me what kind of medicine should I take.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have back pain problems for last 45 days.please suggest me what kind of medicine should I take.
Core strengthening exercises. Back stretching. Do the cat/cow stretch. Postural correction- sit tall, walk tall.
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