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Dr. Sameer Malhotra

Physiotherapist, Ghaziabad

400 at clinic
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Dr. Sameer Malhotra Physiotherapist, Ghaziabad
400 at clinic
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Personal Statement

I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Sameer Malhotra
Dr. Sameer Malhotra is a renowned Physiotherapist in Patel Nagar, Delhi. He is currently practising at Malhotra Clinic in Patel Nagar, Delhi. Book an appointment online with Dr. Sameer Malhotra and consult privately on Lybrate.com.

Find numerous Physiotherapists in India from the comfort of your home on Lybrate.com. You will find Physiotherapists with more than 37 years of experience on Lybrate.com. We will help you find the best Physiotherapists online in Delhi. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Malhotra Clinic

patel nagarGhaziabad Get Directions
400 at clinic
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I am 46 year old female and I have backpane since 2 years. Not diabetic, no bp, nor obese or ortho problem. What should I do?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hello, thanks for your query and welcome to lybrate. I am dr akshay from fortis hospital, new delhi. You will have to elaborate your problem as to a detailed discussion of your back pain which means duration of pain and mode of onset. I would also like to ask you if it is associated with any leg pain or any other neurological symptoms like numbness, paraesthesias ( electrical shock like abnormal sensations) or any weakness in limbs. Please also tell me about any associated symptoms like fever, weight loss etc. What medications you generally take and what has been your treatment history till now for existing problem. Do not hesitate to contact me if you need any further assistance. Thanks & regards dr akshay kumar saxena consultant orthopaedics fortis hospital, new delhi
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I have been in problem of sciatica for 5 years. Is there any permanent cure for it.

BPTh/BPT
Physiotherapist, Hyderabad
I have been in problem of sciatica for 5 years. Is there any permanent cure for it.
Hi lybrate-user, good morning. First consult orthopaedic and diagnose the level of injury. Do hot water fomentation for 15 minutes. If you are still having pain take ift under supervision of physiotherapist for 8 to 10 days followed by spinal extension exercises, core muscle strengthning and stretching exercises. Please avoid bending movements.
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I am 18 years old and I have pain in my bones Is this lack of calcium or any other reason?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am 18 years old and I have pain in my bones
 Is this lack of calcium or any other reason?
Requires detailed investigation and examination Presently investigations suggested: hb, tlc, dlc, esr, blood sugar fasting & pp, uric acid vit d xray of the affected part. Anyway you may try sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick mattress are harmful use no pillow under the head do hot fomentation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck back knee & general exercises. It may have to be further investigated. Do not ignore it. Let it not become beginning of a bigger problem. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, inform.
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I am 20 years old and I have lower backpain. Whenever I try to bend backwards it hurts at a point in lower back. What could be the possible reason?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I am 20 years old and I have lower backpain. Whenever I try to bend backwards it hurts at a point in lower back. What...
I cant say right now what can be the problem as correct diagnosis can be made only after Physical examination.But for the time being I can suggest ypou a homoeopathic medicine.May be it ssuits your problem but dont worry this medicine will have no side effect as it iss purely homoeopathic SPONDYAID ( BAKSON) Drink 10 drops in 20 ml fresh water 3 times daily CALCAREA PHOS 6X ( Dr Reckeweg) Chew 4 tab 3 times daily Report after 15 days
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I had 2 carpal tunnel surgeries on right hand, six months ago and one year ago. Both were unsuccessful. A surgery on left hand, 15 months ago was successful but now again same problem of tingling and pain has started. What happens if I bear the pain and don't do surgery again? Because now I am used to tingling and pain and doesn't bother me. Do I just ignore it? Will it cause more problems in future?

BPTh/BPT
Physiotherapist, Agra
I had 2 carpal tunnel surgeries on right hand, six months ago and one year ago. Both were unsuccessful. A surgery on ...
Hi in your case the median nerve is compress on carpel tunnel ,this is harmful to you to ignore tingling and numbness in your hand its result to become permanent damage to that nerve .well go with physiotherapist for learn exercise and by stretching loosen the transverse ligament which help you to abate yours symptoms. Or if you attent surgery then after that physiotherapy is must to maintain flexiblite.
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I am on 9 days fast but I feel very week socially my legs are very hearting so please suggest me what should should I eat?

Master of Occupational Therapy (MOT), Bachelor of Occupational Therapy (BOT)
Occupational Therapist, Delhi
I am on 9 days fast but I feel very week socially my legs are very hearting so please suggest me what should should I...
Apply hot fomentation Do leg stretching followed by strengthening of legs Drink plenty of fluids Go for morning & evening walk Do cycling
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Natural Posture and Mechanical Low Back Pain

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

Natural Posture: 

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

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

Mechanical Pain

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

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

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

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

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

 Mechanical Low Back Pain

If an engineer were to examine which area in the back is subjected mostly to mechanical stress, he would conclude that most strain must be placed on that part of the spine which is located just above its junction with the pelvis. This conclusion is correct, for statistics show that back problems arise more often in the low back than in any other part of the spine.

Low back pain is not caused by draughts, chills, or the weather. It. was once believed that these weather-related phenomena were responsible for back and neck pains. Today our understanding is better, and it is generally agreed by specialists that most backache is caused by mechanical strains, similar to those described in the previous section.It is often thought that low back pain is caused by strained muscles.

Muscles, which are the source of power and cause movement,can indeed be overstretched or injured. This requires a considerable amount of force and does not often happen. 

Moreover,muscles usually heal very rapidly and seldom cause pain lasting for more than a week or two. On the other hand, whenever the impact of the injuring force is severe enough to affect the muscles, the underlying soft tissues and ligaments will be damaged as well. 

In fact, usually these tissues are damaged long before the muscles.

Most low back pain is caused by prolonged overstretching of ligaments and other surrounding soft tissues. Just as pain arises in the overstretched finger as I have described above, pain can also arise in the lower back when ligaments in this region are overstretched. Pain produced by overstretching in this manner is common and arises particularly when we develop poor postural habits.

 Whenever we remain in a relaxed position, be it standing, sitting, or lying, prolonged overstretching can easily occur.

When pain arises because we have allowed our posture to slouch,it is really our own fault and we have no one to blame but ourselves.This type of strain is easily avoided, and once we have been properly educated, the prevention of pain produced in this manner becomes our responsibility.

However, mechanical pain may also be caused by over stretchingof such severity that some tissues are actually damaged. Over stretching causing damage may occur when an outside force places an excessive strain on the low back. For example, this type of strain can occur due to a fall while playing tennis, or from a contact sport such as football where severe forces develop when players are tackled. 

Lifting excessive weights is also likely to cause overstretching and damage to the supporting ligaments of the spinal joints. These types of injury cannot easily be avoided as they occur unexpectedly and without warning signs.

When soft tissues surrounding a joint are overstretched, it is usually the ligaments that first give rise to pain. When the spinal joints are considered, there are additional factors, for the surrounding ligaments are also the retaining walls for the soft discs that act as shock absorbers between the vertebrae.

Overstretching of these will, under certain circumstances, affect the discs. This may significantly influence or alter the intensity of the pain that you have, the distribution of the pain you feel, and the behavior of the pain, which may be made better or worse by certain movements or positions.

Complications of another sort arise when the ligament surrounding the disc is injured to such an extent that the disc loses  its ability to absorb shock and its outer wall becomes weakened. 

This allows the soft inside of the disc to bulge outward and, in  extreme cases, to burst through the outer ligament, which may cause severe pain. When the disc bulges far enough backward, it may press painfully on the sciatic nerve. This can cause some of the pains or other symptoms (numbness, sensation of pins and needles,,  weakness) that may be felt well away from the source of the trouble, for example in the lower leg or foot. 

Should the soft inside of the disc bulge excessively, the disc may  become severely distorted. This will cause the vertebrae to tilt forward or to one side and prevent the vertebrae from lining up  properly during movement. In this case some movements will be blocked partially or completely and any movement may cause severe pain. 

This is the reason why some people with severe back pain are forced to stand with the trunk off-centre or bent forward. Those of you who experience a sudden onset of pain and following this are unable to straighten up or move the back properly are likely to have some bulging of the soft disc material. This need not be cause for alarm. Once soft tissues are damaged, pain will be felt until healing is complete and function is fully restored. It is important that during the healing process you avoid movements that pull the healing surfaces apart. 

For instance, if you have overstretched ligaments of the lower back by bending forward, it is likely that any repetition of this movement will continue to open and separate the healing tissues, and this will further delay the repair of the damage. If, on the other hand, you avoid bending forward and instead keep a hollow in the lower back, the damaged surfaces will remain together and healing will not be interrupted.It is difficult perhaps to visualize this process occurring in the lower back. Using the finger once more as an example may help understanding. Let us imagine that you have accidentally cut a the back of your knuckle with a sharp instrument. If you are to bend the injured finger joint every day, you would open up the wound and delay recovery. However by keeping the finger straight for about a week, you would allow the healing surfaces to remain together and complete healing would result. 

You could then commence bending the finger without risking any further damage.The same strategy works for the problems arising in the lower back. 

When tissues heal they form scar tissue. Scar tissue is less elastic than normal tissue and tends to shorten over time. If shortening occurs, movement may stretch the scars and produce pain. Unless appropriate exercises are performed to restore normal flexibility,the healed tissue may produce a continuous source of back pain and/or stiffness. Such problems can persist for years. 

Even though the original damage is repaired, the scar itself restricts movement and causes pain when stretched.

I am 45 yrs of old. I suffering with joint pains. Can you suggest me what to do ?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Stiffness & pain in back & other joints is quite a common condition. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful use no pillow under the head. Any way take ibuprofen 200mg od & sos x 5days you will need other supportive medicines also. Take multivitamins & other antioxidants along with. Do back (spine) exercises contact me again if need be. Make sure you are not allergic to any of the medicines you are going to take do reply back for private consultation and detailed treatment plan.
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My left hand bone brake in accident n Dr. Operate the hand. Which food I take easily join bone.

MBBS
General Physician, Hyderabad
My left hand bone brake in accident n Dr. Operate the hand. Which food I take easily join bone.
Hi lybrate-user, take calcium rich food like cheese, yogurt, milk, sardines, dark leafy greens like spinach, kale, turnips, and collard greens, fortified cereals such as total, raisin bran, corn flakes, fortified orange juice, soybeans, fortified soymilk, enriched breads, grains, and waffles & also take calcium supplements. I guess your orthopedician has prescribed the calcium supplements.
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