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Panchakarma is an ayurvedic technique which is used to detoxify the body, boost the immune system and restore the balance in the body. Due to lack of exercise and a poor diet, the waste material generated by the body is not effectively discharged. This causes accumulation of toxins in the body that can result in diseases.
Panchakarma can be used to treat and heal the pain in the joints and the spine. There are specific treatments in panchakarma that targets these regions, they are:
1. Abhyanga - Abhyanga is a technique where warm oil is used to cover the entire body. The oil is then gently massaged so that it can penetrate the underlying tissues. It is used to lubricate the joints, muscle toning and to increase blood supply around nerve endings.
2. Pindasweda - In this technique hot cotton bags consisting of herbs, rice, and sand or medical powder are used to massage the body. This rejuvenating therapy induces perspiration in the body by which the herbs and the heat penetrates into the body. It is used to treat problems of the joints such as gout, arthritis, and sciatica.
3. Upanaha - A combination of herbal medicine is applied to the affected part and then covered with medicinal leaves. The herbs help in easing the muscles and tendons of the affected part. It relieves pain, reduces swellings and improves mobility in the joint.
4. Kati vista - In this treatment, medicated oil is pooled into a collar made from dough and then placed on the lower back for a specific amount of time. It strengthens the lower back, lubricates the spine and acts as a muscle pain reliever.
Restless leg syndrome is a condition where the nervous supply to the lower legs (and sometimes hands) is affected. The person has a constant urge to move the legs due to the tingly sensation or the pins and needles sensation and so this condition is called as restless legs syndrome (RLS). It is almost never a standalone condition and is often associated with other nervous system conditions.
It is a progressive condition and aggravates with time. The patient may experience episodes of this disease. Most people might experience this problem at night due to which a lot of patients complain of disturbed sleep and restlessness while sleeping.
While there is no permanent solution to this condition, there are various home remedies and techniques which can help control the condition. Read on to know more.
- Trigger agents: Some people are able to identify triggers like caffeine or chocolate which induce the condition. The first step would then be to avoid using these, especially before sleeping.
- Exercise: Any form of exercise, which gives a good workout for the leg muscles is recommended. This could range from a 30-minute brisk walk to stretches depending on the person’s overall health status. This is known to induce a good sleep, reduce muscle tension and relax the mood. Choose yoga, gym, cycling, or any form which suits your overall health and schedule.
- Massages:Hot or cold massages, often used alternately, can help in relaxing the muscles. This also helps in reducing tension and improving overall sleep. The ideal time for the massage is the evening so that RLS does not affect during nighttime.
- Diet: A diet rich in vitamins and minerals can prove to be helpful. This is because proper muscle and nerve function requires various minerals like zinc, potassium, calcium, sodium, etc. Diet rich in these helps in improving muscle and nerve function and thereby control RLS.
- Sleep pattern: Sound sleep practices like having an early dinner, a quiet room free of digital media, optimal temperature, and relaxing ambience helps in a better sleep. This has shown to reduce the incidence of RLS and evidence of sound sleep.
- Medications: RLS can also cause mild to moderate pain in the affected legs, and so pain killers can be used once in a while if the pain is not bearable. These should be used only rarely and continued use can lead to stomach ulcers and bleeding. The above mentioned nonmedical methods should be tried before trying medications. Anticonvulsants have been used to control RLS if pain killers alone are not adequate. In more severe cases, antiparkinson drugs are used with great success.
Physiotherapy is important for treating and preventing many musculoskeletal disorders as well as for the simple things like posture correction. Below is the list of top physiotherapists in Mumbai for an intensive and comprehensive care are:
BPTh/BPT, Bachelor In TCM, DTCM
Dr. Varun Shanbhag is a Physiotherapist with specialisation in treating neuro, sports and musculoskeletal. He has 5 years of experience and practices at Exercise Clinic, Mumbai. He has many international certification like MOTNS, Crossfit L1, Neurolinguistic programmer, sports nutritionist, Neurodevelopmental Therapy. He has also done advanced certifications in Kinesiology Taping, Dry Needling and Mulligan Therapy.
Consultation fees: ₹500
MSPT (Master of Physical Therapy)
Dr. Pooja Mehta is founder of Dr.Pooja Mehta clinic. She has been part of Sports Physio for Maharashtra women's football team was associated with tennis team. She is certified in manual therapy, Dry Needing, Cupping, Trigger Point, Soft tissue release, MFR, Sports Taping, Kinesio Taping, Dynamic Taping.
Consultation fees: ₹1000
Dr. Dimple Kapasi runs her own clinic- Dr Dimple Kapasi's Physiotherapy Clinic. She has an experience of 14 years in the field of physiotherapy in India and USA. In her career she has successfully treated people with all age groups from Children to old age. Her areas of expertise are orthopedic, neurology, surgery and pre/post natal conditions. She has conducted various workshops on hip and knee joint replacement in USA with team of orthopedic surgeons.
Consultation fees: ₹1000
Dr. Kumar is a well known physiotherapist with 9 years of experience. He currently practices at Saachi. His clinic is known for using the best and latest technology in machines for treating any pain and bone related ailments. Areas of specialization are general, orthopedic, neurology, geriatric, sports injuries and joint pain.
Consultation fees: ₹400
MDT(Mc Kenzie) , P.G-Dietitian, N.D.T-( Neuro Development Technic )
Dr. Khan has an experience of 10 years as a physiotherapist. After his pos graduation he has done a specialisation inNutrition and dietetics. He is certified by neuro-ortho institute, Australia. He specialises as Neuromuscular Physiotherapist and is known to practice using advance techniques like dry needling for trigger point and movement enhancement. He also home visits in special cases or you can visit him at Millennium Scan Centre in Kurla Nursing Home, Mumbai
Consultation fees: ₹300
MPTh- Musculo Skeletal Conditions
Dr. Priti Mehendale is a renowned physiotherapist with 15 years of experience in Mumbai. She currently practices at Physiologix - Physical Therapy Centre By Priti Mehendale. She specialises in treating cervical & back pain, obesity, diabetes, PCOD and sport injuries .
Consultation fees: ₹700
Dr.Tapan Haresh Shah is consultant physiotherapist with 15 years of experience. He specializes in the field of musculoskeletal and sports. He is good at diagnosing foot problems and providing orthotic prescription. He currently practices at Beyond Movement, Mumbai.
Consultation fees: ₹1000
Dr. Deepa Verma has 13 years of experience and practices at Movement For life. She specializes in treatment of coccydynia or tailbone pain. Other than this she also has special interest in cases of post surgery, knee pain, sports, geriatric physical physiotherapy. She is a member of Indian Association of Physiotherapist & Indian Red Cross Society.
Consultation fees: ₹400
BPTh/BPT, Diploma in Acupuncture, MPTh/MPT - Sports & Musculoskeletal Physiotherapy
Dr. Sanjay Bakhshi is practicing from last 20 years and is currently working as a consultant and neurorehabilitation specialist at his own clinic- Dr Sanjay Bakhshi Physioline. He is pioneer in India for using Robotic Glove Gloreha therapy for the treatment of Paralysis in India. He has treated many cases of paralysis in India including some renowned film personalities like late Mr. Sunil Dutt.
Consultation fees: ₹1500
MPTh/MPT, MSC CVR, MANUAL THERAPIST
Dr. Vivek Kakkar is a famous physiotherapist who is practicing in Mumbai from last 15 years. in these fields. He currently runs his own clinic- Dr. Kakkar's Physiotherapy & Rehabilitation Center in different parts of Mumbai. He is a certified manual therapist in spine and a member of Indian Association of Physiotherapist.
Consultation fees: ₹550-1000
Hi, An irregular growth in toes, causes pain during walk or when it's pressed i'm advised to use corn-cap but the pain doesn't go away .What else can I do to get rid of it?
I am having pain in my shoulders for the last three to four months. What may be the causes and what is the remedy. Is it due to deficiency of vitamin D?
Heel bone spur is a form of calcium deposit that causes a bony protrusion under the heel bone. An X-ray can reveal up to a half inch elongation under the hill. Without image report, this condition is commonly known as heel spur syndrome. Heel spurs are mostly painless but reports of pain in not uncommon. They are often related to plantar fasciitis. The latter is an inflammation of the connective tissue that stretches through the foot bottom connecting the heel bone and the football.
What causes heel spurs?
Heel spurs are a result of prolonged calcium deposit. This condition can result from the heavy strain on the muscle of the foot and ligament, stretching of fascia and wear and tear of the heel bone membrane. These injuries are frequently observed among athletes who are involved with activities such as jumping and running.
What are the risk factors?
1. Walking abnormalities that involve putting more than normal stress on the bone, nerve and ligament in and around the heel.
2. Running on surfaces that are hard in nature
3. Shoes lacking arch support
4. More than normal body weight
5. Spending too much time on the feet
6. Too flat or too high arches
7. A person suffering from diabetes
8. In case the protective pad of the heel is fading away due to old age or other bone disorder
Unlike common belief, only rest may not be the best way to treat heel bone spurs. On the contrary, a patient might feel sharp pain immediately after sleep. This happens when he tries to walk and the plantar fascia elongates all of a sudden. The pain decreases with more walking. Some treatment methods that work for 90 percent of the sufferers includes wearing the right shoe, stretching exercises, wearing orthotic devices inside the shoes and physical therapy. Over the counter medicine such as Aleve, Tylenol and Advil can be consumed to reduce the pain and for improving the overall condition. Corticosteroid injection also tends to give relief from the inflammation.
If heel spurs persist for more than 8-9 months, surgical options should be explored by the patient. There are two angles on which a doctor works, either removing the spur or release the plantar fascia. Pre-surgical exams are necessary to ensure that a person is eligible for surgery and all non-surgical avenues are explored. Post-surgical activities are equally important for the process of healing. Usage of bandages, crutches, splints and surgical shoes is a mandate to avoid complications such as infection, numbness, and scarring. Possible side effects should be discussed with the surgeon well before the surgery. The estimated healing time from this procedure is close to 8-12 weeks.
Did you know that in addition to your diet, exercise is one of the best ways to make sure that you never lie on a hospital bed with a surgeon treating you for a bone disorder? Medical expertise has constantly pointed out to the fact that regular exercise makes your bones less likely to suffer from wear and tear during old age.
As you exercise, your muscles become stronger, your bone density increases and your balance improves. Of course, it goes without saying that you need to follow certain precautions before you exercise to avoid certain injuries.
Before starting any exercise program, make sure that you prepare your body for exercise. A brief warm up helps you to get your muscles ready for exercise. It also makes sure that your chances of injury are drastically reduced.
Weight lifting: Weight lifting is a type of exercise that, if done correctly, will be extremely beneficial for your bones. You can opt for simple bodyweight exercises such as pushups and squats, which build muscle as well as strength. Avoid using very heavy weights as it causes back-related problems such as slipped disk.
Yoga: Yoga is another method of exercise which is very beneficial for bones and joints. The premise of yoga is static strength building wherein you hold a pose or an exercise for a certain period of time; this helps in strengthening your muscles. Along with your muscles, your bones also become stronger as you get fitter. Yoga is repetitive stress which is good for flexibility and hence keeps your joints supple and muscles in good shape. There are certain asanas which are weight bearing and anti-gravity postures can strengthen your bones.
Swimming: Swimming again is a good aerobic exercise and is good for back and over all fitness but doesn't strengthen bone per se. It is a way to keep you healthy. Swimming is a cardiovascular exercise, which is also known for its calorie burning capabilities. It is also very effective is incinerating fat and keeping your skeletal system healthy. Whereas walking and jogging and running certainly build your bones as they are weight bearing exercises.
Pilates: Pilates is a new form of exercise that has been gaining a lot of steam lately. It does not require much equipment, as you can get started with just a mat. It is very effective in working your spine and the hips, thus keeping your lower back strong. A weak lower back increases the chances of bone disorders drastically.
Torn or damage cartilage is not just a problem for the sportsmen. It can occur to anyone. It is generally caused due to a direct hit on the body parts. Its treatment is far more complicated than a simple bone injury. The best sign to know whether or not you have injured your cartilage is to check out your activities. If you have hurt your joint and don’t notice major symptoms, like if you are still capable of putting weight on and move the joint, you might have had a cartilage injury. It doesn’t hurt you a lot in the beginning, but might get worse later.
Here are the initial care and self-treatment procedure:
- Protection: It is the first thing that has to be kept in mind. You must protect the affected area from any further injury. Thus, providing an external support, for example, use a knee brace.
- Rest: Provide complete rest to the affected joint. The rest is must during the first two or three days. Crutches may help the situation if you’ve got an injury around your knee or ankle. It is then advisable to return back to light activity over the next few days or weeks, as prescribed by the doctor.
- Ice: It is best to apply an ice pack to the injured area for about 15 to 20 minutes in every two to three hours. This must be repeated in the first two to three days.
- Compression: Use a bandage to provide the needed compression to the injured area to avoid any swelling and movement. This will not let things go beyond control.
- Elevation: You must keep the injured area raised. Keep it supported on a pillow to reduce swelling.
If there is an unbearable pain, take painkillers such as paracetamol or non-steroidal anti-inflammatory drugs (NSAIDs). If your condition doesn’t improve after the initial therapy, you must consult a doctor immediately.
- Physiotherapy: It can be helpful in treating the affected joint. If there is any difficulty in moving the affected joint, you must opt for physiotherapy. A professional will be able to teach you exercises that will strengthen your muscles and provide support to the joint. This will help you in getting rid of the pain. It can be also beneficial at a time when you are recovering from any surgical procedure.
- Surgery: If physiotherapy doesn’t work, it means you have severe cartilage damage. In that case, you might be advised to take up surgical procedures to set things in proper shape. Surgery is done either by opening the joint or by Arthroscopy. There are various types of surgery which can be done. 1st the old and successful surgery wherein damaged part of the cartilage is debrided and filled with normal cartilage from the non-weight bearing part of the joint. 2nd is ACI (Autologous Chondrocyte Implantation) is a 2 stage procedure wherein chondrocyte is grown using stem cell and implanted in defect part in 2nd stage. 3rd is multiple drilling of the area usually done in children.