I am Dr Gaurav Tyagi. I am head of department of physiotherapy anahat hospital gurugram phase street.
Today I will discuss about what we do here me and my team work here to benefit the patients we do not work just for temporary pain relief to the patients we try our best to provide best available treatment we work on specific muscles and joints to strengthen them so we prevent the further injury of the same issue for every patients we go for the sorrow investigation and the assessment of the patients after we provide our treatment this is the difference of many other centres and us so for further information about our treatment and charges you can visit us directly or you can give us a call so we can help you better.read more
Hello, I am Dr Gaurav. I am senior Physiotherapist and HOD in Anaath Clinic. I have worked in different multi speciality Hospitals and and clinic before. I have around 10 years of experience. I this time, I have seen many kinds of cases. Today, I will discuss Spinal cord injury.
In Spinal cord Injury, patients generally do not go to Physiotherapist for a longer duration or they just go for few days in the starting injury phase. At that time they are not able to walk or depending upon their level of injury and everything. They might not able to take care of themselves also. But here we try to make them independent as much as they can to help them move their body accordingly. We try to make them stand. We try to focus on their sitting and their walking also. So, it will be more of the confidence increasing for those kinds of patients.
We generally prescribe patients to do movements and increase their strength and motivations. In this condition, if they do not move, there might be different kinds of serious problems like bed su, the stiffness of the joints which will again lead to major issues which will hinder their improvement and progress. So, we prescribe our patients to move as much as they can to help them and gain their mobility soon.
In our clinic, we are just not focusing to maintain the range of motion in their body. We focus to make them motivated, to help gain them the confidence so that they will be able to do their own work.
For any query or treatment, you can contact me through Lybrate.read more
Hi, I am Dr Gaurav Tyagi. I am HOD of Physiotherapy in Anath Multispeciality Clinic, Phase-3, Gurgaon.
Today I am going to discuss the major things which nowadays every person is experiencing in their life. Because of the busy schedule, the work culture, the diet and the environment, everyone is facing issues of the spine injuries. It might be their neck pain, or it might be their back pain or anything regarding this.
But it happens mainly because of their body posture. Bad posture leads to weakness of the muscle and that lead to pain and dysfunction of the joints which will hinder their movement, give irritation, pain, inflammation or inability to move their body or to perform certain activities.
Here, we focus on maintaining and gaining the strength of the muscle so that the weakened muscle can be improved and help gain their mobility and to help do the routine work easily. For that, we have different techniques, different exercises and some kind of modality also. But e generally do it, manually. The modality does not go for long, it will help the muscle to get stronger and is better for a longer duration.
For any query, you can contact me through Lybrate.read more
Doctor in Anahat Multi Speciality Clinic
Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Nerve And Muscle Disorders
Treatment of Hip Disorders
Neuro Physiotherapy Treatment
Treatment of Knee Injury
Pregnancy Exercise Therapy
Treatment of Sports Injuries
Treatment of Splinting
Treatment of Spondylosis
Arthritis And Pain Management Treatment
Heat Therapy Treatment
Post Pregnancy Classes
Orthopedic Physical Therapy
Treatment of Shin Splints
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Patient Review Highlights
I saw Gaurav Tyagi clinic's advertisement in newspaper and that is how we referred him. I am almost my normal self post the treatment and for that my Gaurav Tyagi is the reason. Gaurav Tyagi has so much knowledge that for everything my family takes his reference. They took very nice care of me, i never felt that I am in a Anahat Multi speciality Clinic. Overall pain treatment was very effective. The Anahat Multi speciality Clinic is decorated very nicely and doesn't look like a hospital. Gaurav Tyagi is really like god send person. I was suffering from pain treatment. So many doctors I consulted, but his treatment was the best.
It's been so long, I have lost all hope, but then I met Gaurav Tyagi and I am hopeful again that I will be fine. I was diagnosed with neck swelling. Even in case of emergency, the staff is always willing to help. Gaurav Tyagi is really like god send person. Gaurav Tyagi is well aware about innovative techniques to treat problems. I am so thankful that Gaurav Tyagi has given me the best advice and I am now finally able to get back to my normal self.
Overnite my neck pain aggravated. He is very professional and is a really patient listener. Even though my problem was very big, the entire experience of undergoing neck pain treatment was very relaxing. The nurses at the Anahat Multi speciality Clinic were really helpful. He definitely is aware about the latest and advanced ways to treat serious cases. It was so quite pleasant in the Anahat Multi speciality Clinic.
Even though I was fit and fine, it was shocked when I got to know that I have sciatica. Thanks to Dr Gaurav, I am much better now. I have consulted so many doctors but nobody till now was able to understand my concern properly, until i consulted Dr Gaurav. Its been more than 3 months now, and I have noticed considerable change in myself. The facilities available in the Anahat Multi speciality Clinic are very nice.
Over the period of time the knee pain treatment has helped me a lot. He is very courteous and behaves very aptly with elder patients. One of my colleague referred Dr Gaurav Tyagi. he has so much knowledge that for everything my family takes his reference. I am so happy with the results of my treatment, that I will surely recommend him to anyone gladly.
I referred Dr Gaurav Tyagi for treatment for knee pain. I am so thankful that he has given me the best advice and I am now finally able to get back to my normal self. he has so much knowledge that for everything my family takes his reference. The overall atmosphere in the Anahat Clinic is very soothing.
I was suffering from acute shoulder pain for which I consulted Dr Gaurav. He is very professional and is a really patient listener. He has so much knowledge in the field of physiotherapy. During the treatment, he supported me a lot. And I am quite benefitted with this treatment. I owe him a big thank.
I found the answers provided by the Dr. Gaurav Tyagi to be very helpful. Very useful
Dr. Gaurav Tyagi provides answers that are thorough. Thanks sir for your kind reply
Many people tend to gain weight and it accumulates on your hips resulting in a boarder rear. The buttocks comprise of three muscles known as gluteus minimus, gluteus medius and the gluteus maximus. Out of these, the maximum muscle is responsible for giving shape to the butt. To get an A shaped butt is the dream of many, but very few people have it. This being said, there are many workout options which can tone down the fat at the lower portion of the body and present a person with a perfect butt.
- Squats: Squats are the most popular exercise when it comes down to trim the fat at the lower portion of the body. It reduces fat of the thighs, buttocks and lower muscles. No equipment is required to perform this exercise. Squats should be performed in 2 sets with 20 repetitions. One legged squat can be performed to get fast results.
- Standing lunges: This is a simple exercise where the feet and the hip are kept at a wide angle with the toe pointing forward. The hand is kept on the hips and then the one step is taken forward, the knee is then slowly bent and both the legs should be kept at right angles. This position should be held for a couple of seconds only to repeat the same with the other feet. 2 sets of 20 repetitions should be performed on a daily basis. Apart from standing lunges, some other exercises that help to tone down the fat of the lower body include lateral lunges, forward lunges, multi-directional lunges etc.
- Butt lift: This is a training that involves strength training. It helps to tone the muscles of the buttocks and the lower back. The procedure is simple. It involves lying flat down with both knees bent and both the hands by the side. Both the foot should have a distance of around 1 meter. Then the hips should be slowly raised by keeping the back straight. Breathe out while raising the hips and breath in, while lying flat again. 2 sets of 10 repetitions should be performed in each exercise session.
- Stability Ball: This is a very effective exercise when it comes to reducing the size of the hamstring and the gluteus muscles. Apart from the, it pays rich dividends to the abdomen, lower back, and buttocks. It is a simple exercise which should be started by lying flat with an exercise ball under the heel. The hip should be slowly pulled up by bending the knees. The heel should be dug and the ball should be dragged towards the body till the knee finally bends. It should be done in 2 sets of 8-10 repetitions.
Heel pain is a common problem in the body where the affected person experiences pain radiating from the heel bone. Heel pain usually progresses slowly over time, it is recommended to consult a medical professional, if heel pain turns severe. The pain tends to most severe after one has been inactive for some time such as after waking up in the morning.
Heel pain is usually caused when tissues present in the bottom of the heel (Plantar fascia) is damaged. These tissues connect the heel bone with the bones of the feet and help in absorbing shocks. Tears are formed in these tissues when they are damaged or when they get thicker. These tissues are at an increased risk of wear and tear for those who are over 45 years old. The risks also tend to increase if the person is obese or whose occupation requires standing for lengthy periods of time.
Among other causes of heel pain are heel bone fractures, fat pad atrophy (a condition where a layer of fat present under the heel bone is reduced) and bursitis (inflammation of the fluid filled sacs present around the joints). Peripheral neuropathy is a condition where damage occurs in the peripheral nerves (that transmits signals between the central nervous system and the rest of the body), this can cause pain in the heel.
The symptoms of heel pain include:
- Experiencing pain while jogging or walking
- A feeling of pins pricking the heels after waking up in the morning
- Inability to bend the heel
- Painful swelling
- Pain in the heel accompanied by fever
Prevention and treatment
Heel pain can be prevented by taking certain preventive measures such as restricting usage of high heeled shoes without proper support and stretching the heel regularly. Medications such as painkillers are used to treat symptoms of heel pain.
Exercising should not a dreaded but enjoyed. Exercising in the water can be as challenging and intense as any other form of exercise but without the sweating. Aquatic exercises are ideal for every age and especially beneficial to those with injuries and joint limitations like arthritis. Exercising in water also helps with weight loss and stress management. If you want a reason to start exercising in water, here are three:
Water is unpredictable in its movements. When exercising in water, the body has to push against water and faces water resistance. This resistance can be up to 42 times more than the resistance you would encounter when exercising on land. Thus while adjusting to the push and pull of water, the body is forced to move in various directions. This helps increase the range of motions in all the joints. The upward thrust of water or buoyancy also negates the effect of gravity and cushions the body. This reduces strain on weight bearing joints, muscles, ligaments and tendons. As a result, the body becomes more flexible.
One of the biggest differences between exercising on land and exercising in water is the impact of the exercise on joints. For example, running on land puts a lot of stress on your knees. However, if you were to run in water, your knees would not make you cry in pain. This is because of the buoyancy of water. By cushioning your body, it supports half your body weight and thus makes you bear only half your body weight. This reduces the impact on your joints and makes exercising in water appealing to those with joint problems or those undergoing physical rehabilitation after an injury.
Makes the heart work efficiently
Water has a unique property that makes it makes the heart work more efficiently. By pushing against he entire body surface, the hydrostatic pressure aids in the flow of blood from the all parts of the body to the heart and thus improves blood circulation. This puts less stress on your heart muscles. Thus by exercising in water, you can lower your blood pressure and heart rate.
Apart from these benefits, exercising in water also helps build endurance and increases muscle strength. It is also one of the most cooling and enjoyable ways to burn calories. It would be rare for you to be in a pool all by yourself and hence exercising in water is also a social exercise. So when are you stepping into the pool? In case you have a concern or query you can always consult an expert & get answers to your questions!
Sprains and strains:
Sprains and strains are common injuries that share similar signs and symptoms, but involve different parts of your body. A sprain is a stretching or tearing of ligaments — the tough bands of fibrous tissue that connect two bones together in your joints. The most common location for a sprain is in your ankle. A strain is a stretching or tearing of muscle or tendon. A tendon is a fibrous cord of tissue that connects muscles to bones. Strains often occur in the lower back and in the hamstring muscle in the back of your thigh.
Initial treatment for both sprains and strains includes rest, ice, compression and elevation. Mild sprains and strains can be successfully treated at home. Severe sprains and strains sometimes require surgery to repair torn ligaments, muscles or tendons.
Signs and symptoms will vary, depending on the severity of the injury.
-Limited ability to move the affected joint
-At the time of injury, you may hear or feel a "pop" in your joint
-Limited ability to move the affected muscle
When to see a doctor:
Mild sprains and strains can be treated at home. But the injuries that cause sprains can also cause serious injuries, such as fractures. You should see a doctor if you:
-Can't walk more than four steps without significant pain
-Can't move the affected joint
-Have pain directly over the bones of an injured joint
-Have numbness in any part of the injured area
1. Carpal tunnel syndrome is caused by irritation of the median nerve at the wrist.
2. Any condition that exerts pressure on the median nerve can cause carpal tunnel syndrome.
3. Symptoms of carpal tunnel syndrome include numbness and tingling of the hand.
4. Diagnosis of carpal tunnel syndrome is suspected based on symptoms, supported by physical examination signs, and confirmed by nerve conduction testing.
5. Treatment of carpal tunnel syndrome depends on the severity of symptoms and the underlying cause.
What is carpal tunnel syndrome?
The wrist is surrounded by a band of fibrous tissue that normally functions as a support for the joint. The tight space between this fibrous band and the wrist bone is called the carpal tunnel. The median nerve passes through the carpal tunnel to receive sensations from the thumb, index, and middle fingers of the hand. Any condition that causes swelling or a change in position of the tissue within the carpal tunnel can squeeze and irritate the median nerve. Irritation of the median nerve in this manner causes tingling and numbness of the thumb, index, and the middle fingers -- a condition known as "carpal tunnel syndrome."
What are carpal tunnel syndrome symptoms?
People with carpal tunnel syndrome initially feel numbness and tingling of the hand in the distribution of the median nerve (the thumb, index, middle, and thumb side of the ring fingers). These sensations are often more pronounced at night and can awaken people from sleep. The reason symptoms are worse at night may be related to the flexed-wrist sleeping position and/or fluid accumulating around the wrist and hand while lying flat. Carpal tunnel syndrome may be a temporary condition that completely resolves or it can persist and progress.
As the disease progresses, patients can develop a burning sensation, and/or cramping and weakness of the hand. Decreased grip strength can lead to frequent dropping of objects from the hand. Occasionally, sharp shooting pains can be felt in the forearm. Chronic carpal tunnel syndrome can also lead to wasting (atrophy) of the hand muscles, particularly those near the base of the thumb in the palm of the hand.
How a physio can help?
Determining the cause and contributing factors is important in the management. Reducing inflammation associated with a fracture or an injured tendon will help reduce pressure in the carpal tunnel. If symptoms are related to vibration then modifying work practices to avoid prolonged exposure is important. Similarly avoiding prolonged positioning of the wrist in a flexed or extended position is important. Splints, different equipment, different grips may all be useful to change and support the wrist mechanics.
Wear a splint:
A specific carpal tunnel splint that helps to keep the wrist in a neutral position helps minimise the pressure in the carpal tunnel. Initially the splint may need to be worn for long periods to allow symptoms to settle. As symptoms settle the splint is worn for shorter periods.
Rest from aggravating activities is important, it helps settle inflammation and alleviates symptoms.
Your physiotherapist will give you stretches and exercises that help to mobilise the median nerve, help strengthen the muscles around the wrist and stretches to stretch the structures around the wrist to help settle and alleviate symptoms and to prevent recurrences.
In cases that are left untreated, serious cases, or cases that don’t respond to treatment, surgery is sometimes needed. Surgery involves decompression of the nerve. Most people do well after such surgery.
Hello sir. I am feeling like my neck muscles strain and shoulder muscles pain and sometimes twitching in my arms. Feeling like head weighted and tingling in my hands and head.
Physiotherapy for "Parkinson's Disease":
Parkinsons Disease Physical Therapy, emphasizing gait retraining and motor control relearning, may help overcome postural instability. The individual can be trained to focus on foot positioning to provide a more stable base for posture and gait. Other helpful techniques include teaching the individual to turn around in a wide arc, rather that pivoting, in order to avoid the risk for loss of balance and postural stability, thus decreasing the risk for falls. Instructing the individual to consciously take longer steps with the help of verbal and visual (object) cues may help overcome the effects of freezing and festination. With the help of a neurologic music therapist, the physical therapist can provide parkinson's disease physical therapy exercises in a rhythmic fashion, that is, movements coupled with musical or drum-beating rhythm. Other specific exercises should include aerobic conditioning to improve endurance, strengthening of back extensor and abdominal muscles in order to promote a more upright posture, and stretching of trunk flexor muscles.
Impairments Resulting from Parkinson's Disease:
3.Movement initiation and execution
12.Behavioral and affective
17.Swallowing and nutrition
Physiotherapy treatment for Parkinson's disease will include:
1.Relaxation techniques to decrease rigidity
2.Slow rhythmic rotational movements
3.Gentle range-of-motion and stretching exercises to prevent contractures, quadriceps and hip extensor
5.Neck and trunk rotation exercises
6.Back extension exercises and pelvic tilt
7.Proper sitting and postural control (static and dynamic); emphasis whole body movements
8.Breathing exercises stressing both the inspiratory and expiratory phase
9.Functional mobility training, including bed mobility, transfer training, and learning to rise out of a chair by rocking; may require a chair lift
10.Stationary bicycle to help train reciprocal movements
11.Training in rhythmic pattern to music or with auditory cues such as clapping may help in alternating movements. Standing or balancing in parallel bars (static and dynamic) with weight shifting, ball throwing
Slowly progressive ambulation training (large steps using blocks to have patients lift legs, teaching proper heel-to-toe gait patterns, feet 12-15 inches apart, arm swing; use inverted walking stick, colored squares, or stripes as visual aids)
12.Use of assistive devices (may need a weighted walker)
13.Aerobic conditioning (swimming, walking, cycling)
14.Frequent rest periods
15.Family training and home exercise program
Many times patients complain about the pain in their back, neck and wrist while driving a bike. This happens because of the wrong driving habits and the poor condition of your muscles physical fitness and the broken roads.
Whenever you drove the bike in a broken road your body gets a big amount of pressure on all your upper body that includes your wrist joint back and neck and repeated shock makes your muscles weaker over the time and it started giving you pain. The repeated trauma can be minimized by using correct biking gears to protect your joints and driving the bike on the road, not off the road and skip the holes. The neck is already balancing the weight of the head while driving if your helmet is not of the correct size and weight it will give extra force on your neck to hold and over the time it will start to give problems like pain, headaches, stiffness etc.
Do always check for correct posture while driving. Try to do small stretching of your body before and after a long drive. And if you feel any problem do consult your Physiotherapist/Doctor before any small problem comes in a big picture. Always remember "Prevention is better than cure"
Hi Sir, Mere age abhi 20 yeara hai but before 5 years mere ko bahut fever ho gaya tha or m 10 din Tak admit Raha tha. Tab se mere right knee m pain hone start ho gaya fir glutes m or hips and back pain or ab sari problem left legs m bhe Start ho gaye h. Please tell how to remove these problem Also my walking style is also little bit change. Due to which people laugh on me.
Joints form the connections between bones. They provide support and help you move. Any damage to the joints from disease or injury can interfere with your movement and cause a lot of pain.
Many different conditions can lead to painful joints, including
- Rheumatoid arthritis
- Strains, sprains and other injuries of joints and around joints.
- Inflammation in and around joints
- CFS (Chronic Fatigue Syndrome)
- Ankylosing Spondylitis(A.S.)
Joint pain is extremely common. In one national survey, about one-third of adults reported having joint pain within the past 30 days.
Knee pain was the most common complaint, followed by shoulder and hip pain, but joint pain can affect any part of your body, from your ankles and feet to your shoulders and hands. As you get older, painful joints become increasingly more common.
For joint pain treatment we can use following techniques:
-Corrective devices if needed (orthotics)
-Manual therapy etc. depending upon the case.