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Dr. Vijayalaxmi


Physiotherapist, Hubli-Dharwad

14 Years Experience  ·  200 at clinic  ·  ₹200 online
Dr. Vijayalaxmi MPT Physiotherapist, Hubli-Dharwad
14 Years Experience  ·  200 at clinic  ·  ₹200 online
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Vijayalaxmi
Dr. Vijayalaxmi is a renowned Physiotherapist in Hubli, Hubli-Dharwad. She has over 14 years of experience as a Physiotherapist. She has done MPT . You can meet Dr. Vijayalaxmi personally at FITTNESS FIRST in Hubli, Hubli-Dharwad. Don’t wait in a queue, book an instant appointment online with Dr. Vijayalaxmi on has an excellent community of Physiotherapists in India. You will find Physiotherapists with more than 36 years of experience on Find the best Physiotherapists online in Hubli-Dharwad. View the profile of medical specialists and their reviews from other patients to make an informed decision.




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How can we permanently get rid of ankle edema. I Am totally disappointed with it as I am a working women. Pls tell me it's treatment.

DHMS (Hons.)
Homeopath, Patna
How can we permanently get rid of ankle edema. I Am totally disappointed with it as I am a working women. Pls tell me...
Hello,lybrate user , You are obessed and overweight can cause decreased blood circulation to cause retention of fluid in ankle,feet& legs resulting oedema. You should go for reducing your weight, first. You should keep your feet on 180°instead of hanging them down on 90°. Avoid, junk food, cold intake, alcohol, nicotine . Go for meditation to charge your body with plenty of Oxygen. Homoeopathy can assist you to combat your problem successfully. Tk, care.
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I am 32 year old. From delhi, india. I had met with road accident n have kind of disease name. Avn in my hip joints. Got operated in january 2014. It was kind of regrowth regenerate process related surgery of joints head. But still I am feeling pain near lower back. Obviously, not a natural walk now. Not as smooth. I consulted with my doctor that day he said 2 points. 1. It taken this year and bone is regenerate well. 2. You must have to decide when you willing to get operation n we will fix the artificial joints. I am confused abt the answer. When I ask him abt the previous followup conversation. He denied abt the points he made in past. What kind of treatment I should take? please. Give me guidance.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Avascular necrosis is a condition in which the head of the femur due to lack of blood supply become non viable, collapses and may lead to arthritic changes in the joint. Also progressively as the disease progresses, it can lead to a limping way of walking and subsequently diminished movements and pain. Your earlier surgery must have been an attempt for re vascularization of the head but it seems that has not worked and that is common. I can advise you if I have the following information: - latest x ray pelvis with both hips-ap view - you examination of affected hip with note of movements present - your previous surgery details and if possible, follow up doctor's notes. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation.
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I am 41 years old having anklosing spondylitis please guide how to get ride off, cause of it having lower back pain.

Physiotherapist, Lucknow
Try to straight your spine during sitting or walking n do spinal exercises n hot fomentation of spine.
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Natural Posture and Mechanical Low Back Pain

Physiotherapist, Noida
Natural Posture and Mechanical Low Back Pain


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.


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.


  • 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 .

Hi, I am 40 and having continuous pain on right leg from ankle to toe and bottom. It start with cramp feeling and reducing upto a mild level. Cold water is very helpful to reduce pain. But looking for permanent solutions.

Physiotherapist, Mumbai
You might be having muscle knots in calf muscle, find a physio who does dry needling can help you reilef faster and may try slow and easy calf release.
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I am 23 years old female, I have back ache and also back neck pain. What should I do? can I do exercises?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
With the pain don't do any exercises unless been clinically assessed and advised by neuro physiotherapist or orthopaedician or neuro physician for pain apply hot water and cold water fomentation thrice a day for 12 days of 15 minutes duration each time if still pain persists do consult neuro physiotherapist or orthopaedician or neuro physician asap regards
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I was playing cricket and suddenly my ankle twisted. It pains a lot and it seems that I cannot walk. Help please.

DNB (Orthopedics), MS - Orthopaedics, MBBS
Orthopedist, Bhopal
Take rest, put some ice (4 hrly), take pain killers. But before all this get an xray done to rule out any fracture.
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I have joint pain in my knee. Its very painful. How I relief from it? Its not only my but also my all family problem. Is this a genetic problem?

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I have joint pain in my knee. Its very painful. How I relief from it? Its not only my but also my all family problem....
Ice therapy would definitely help to reduce the inflammation. We also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. Simple Knee Exercises would help to strengthen the quadriceps muscle which is the key muscle. Specific knee exercises will also help ie. Keeping a soft ball underneath the knee and you have to keep pressing it. That's the simple exercise which will help you to strengthen the knee. We also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone.
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Since from 2 months whenever I stand anywhere for 1 to 2 minutes my back was start paining just like that someone is injecting niddle to my back. I felt so hard to stand for longer what should I do?

Physiotherapist, Mumbai
Since from 2 months whenever I stand anywhere for 1 to 2 minutes my back was start paining just like that someone is ...
Hi start physiotherapy treatment as you will get relief by mckenzie exercise which you can learn by physiotherapist. Do spine flexion exercise. Best wishes.
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I am 35 years old lady. I am suffering from back pain since 1 month earlier. Currently using pain relief spray but no effect.

Physiotherapist, Noida
I am 35 years old lady. I am suffering from back pain since 1 month earlier. Currently using pain relief spray but no...
Chiropractic Mobilization will help. Do the cat/cow stretch. Get on all fours, with your arms straight and your hands directly under your shoulders; your knees hip-width apart.
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