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Pace Physiotherapy & Rehabilitation Centre

Physiotherapist Clinic

Toli Chowki Main Road, Toli Chowki, Beside Majestic Garden Function Hall Hyderabad
1 Doctor
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Pace Physiotherapy & Rehabilitation Centre Physiotherapist Clinic Toli Chowki Main Road, Toli Chowki, Beside Majestic Garden Function Hall Hyderabad
1 Doctor
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Our mission is to blend state-of-the-art medical technology & research with a dedication to patient welfare & healing to provide you with the best possible health care....more
Our mission is to blend state-of-the-art medical technology & research with a dedication to patient welfare & healing to provide you with the best possible health care.
More about Pace Physiotherapy & Rehabilitation Centre
Pace Physiotherapy & Rehabilitation Centre is known for housing experienced Physiotherapists. Dr. Mohsin Khan, a well-reputed Physiotherapist, practices in Hyderabad. Visit this medical health centre for Physiotherapists recommended by 43 patients.

Timings

MON-SAT
12:00 PM - 06:00 PM

Location

Toli Chowki Main Road, Toli Chowki, Beside Majestic Garden Function Hall
Toli Chowki Hyderabad, Andhra Pradesh - 500008
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Doctor

Dr. Mohsin Khan

Physiotherapist
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Having herpes Zoster for last 18 days. Antiviral medicine taken for 01 week. Now there is severe pain in left arm to shoulder. Taking Ultracet SOS and tryptomer 20 mg at night. Pls advice duration of this pain and advice other effective medicine to recover from pain and herpes Zoster.

BHMS
Homeopath, Pune
Having herpes Zoster for last 18 days. Antiviral medicine taken for 01 week. Now there is severe pain in left arm to ...
Hello herpes zoster is one type of viral infection duration is maximum 30 days one homoeopathic medicine I suggest you it can really help you rananculus bulbous 200.
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Knee Pain - How to Stop It With Strengthening Exercises?

Diploma In Physiotherapy, PGCR, Diploma in Sports Medicine
Physiotherapist, Delhi
Knee Pain - How to Stop It With Strengthening Exercises?

The knee is one of the largest and most important joints of our body. It is also susceptible to wear and tear as well as injuries. Knee pain can occur due to a variety of reasons starting from conditions like arthritis and osteoporosis as well as injuries that can affect the ligaments, the joint, the menisci and femur. These are the various parts of the knees, which can suffer from degeneration or even injuries. The best way to combat chronic knee pain is through rest, ice compress and with the help of pain relieving and anti-inflammatory medication. 

While rest and ice compress for chronic knee pain and pain relieving and anti-inflammatory medication are the best ways to combat knee pain, orthopaedics also recommend the use of various strengthening exercises which can alleviate knee pain. Here are a few of the best ones!

  1. The Towel Hook: Lie down flat on your back and raise one leg, Hook a towel under the foot and press it against the towel as you pull both ends downwards, creating slight pressure. This can be done for a few seconds at a time. Remember to do this at least ten times for each foot and increase gradually. This exercise helps in strengthening your entire leg from the calf to the knee and even the thighs so that the pain subsides.
  2. Towel Roll: In towel roll exercise, after pushing knee, should do dorsiflexion and hold for 20 seconds.. Hamstring exercises are also given by placing roll towel under your feet, push down, dorsiflexion and hold for 20 seconds Adductor exercises are also given by placing small ball between your legs just above the knee joint, press and hold for 20seconds.
  3. Swing: For this exercise, you will need to sit down on a chair. Now take one leg and swing it up until it is in line with your hip. Hold it out like this before you slowly bring it down again. Do this at least twenty to thirty times for each leg and gradually increase the frequency and the number of seconds for which you hold the knee. This will also help in pain management.
  4. Knee Marches: You can also do knee marches by sitting down on a chair. You will need to march each knee up and down at least twenty to thirty times. You will need to do this for a few minutes every day and you can easily do it twice a day even when you are at work, sitting in front of a desk. You must ensure that your posture is straight and upright for this exercise.
1 person found this helpful

Im 40 year old, facing back problems, will thermal therapy like crocin bed massager help me?

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Im 40 year old, facing back problems, will thermal therapy like crocin bed massager help me?
This is a general low back ache and for this you can follow these measures: one keep a pillow right under the knee while sleeping, next is you can keep ice in the painful area for about 5--10 minutes, if pain still persists you can stretch your body by twisting the waist on both sides how we used to do in the school drill similarly you can try which will help you relax as well will reduce the pain. It looks like you are anaemic. If you have back pain after you sit for long hours then it is due to your haemoglobin levels as it is important to check that. Anaemia always leads to the symptoms of being tired and also having back / leg pain though there may not be any pathological reasons for back pain. Back pain / Sciatica: If you have low back pain and sciatica you can undergo intermittent pelvic traction where in your half of your body weight will be added in the electronic traction so that that would help you to reduce the pain, along with Interferential therapy stimulations which would help you to get relieved from the radiating pain. Apply ice for the pain to get subsided immediately. If you cannot go immediately for the physiotherapy treatment. Ice can be kept in the low back where you have back pain. It is suggestible to wear Lumbo sacral belt which would help you to build the abdominal muscle tone which itself would make you feel better. You can also wear MCR chappals which would help you to have less weight falling in the painful back.
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Hand Pain - 5 Reasons Behind It!

MBBS, DNB - Orthopedics, Fellowship in Upperlimb and Limb Reconstruction (Australia)
Orthopedist, Bangalore
Hand Pain - 5 Reasons Behind It!

There are 27 bones in the human hand. An injury to any one of them or a disease that affects the bones, tendons, muscles or blood vessels in the hand, are the most likely causes for pain in the hand and tenderness.

Some of the most common conditions that cause hand pain are:

  1. De Quervain's Tendinitis: Pain on and around the thumb is the characteristic sign of this condition. This pain may develop gradually or come on suddenly and can travel the length of the thumb and forearm. De Quervain's tendinitis is caused by the swelling of wrist tendons at the base of the thumb. Repetitive actions and overuse are the most common triggers for this condition.

  2. Carpal Tunnel Syndrome: The symptoms of carpal tunnel syndrome are felt mainly in the thumb, index finger and middle finger. This pain is often worse at night and is caused by the swelling of inflamed tendons at the base of the hand that puts pressure on the median nerve. This syndrome can make it very difficult for a person to grip objects.

  3. Fractures: The fracture can cause extreme pain along with stiffness, swelling and loss of movement. A fracture refers to the breaking of a bone and can be of many types including simple fractures, complex fractures, comminuted fractures and compound fractures. The type of fracture dictates the type of treatment required. Spraining a muscle in the hand is another leading cause of pain in the hands.

  4. Arthritis: This is one of the most common causes of pain in the hand that is related to ageing. Arthritis causes loss of cartilage that makes the movement of one bone against the other extremely painful. It may or may not also be accompanied by swelling. When it comes to the hand, arthritis affects the base of the thumb and middle or top joints of the fingers. Osteoarthritis may also cause bony nodules to be formed on the fingers.

  5. Trigger Finger: This condition is also known as stenosing tenosynovitis. This condition locks the fingers or thumb in a bent position. This condition is triggered by the flexor tendons getting irritated. These tendons control the movements of the thumb and fingers. As the tendon is inflamed, the sheath that surrounds the tendons may also thicken and nodules may form of the affected tendons. People suffering from rheumatoid arthritis, gout and diabetes are at a high risk of suffering from this condition. If you wish to discuss about any specific problem, you can consult an orthopedist.
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Maine MRI krwai thi kuch saal pahle. Usme mere bone marrow me problem thi. Ab tk bhut medicine le chuki hun bhut Dr. se dikha chuki hun. Koi khas frk nhi pda. Dr. kahte h mere manke damage ho chuke h uski vjah se mere dono legs kam chlte h unme jaise blood circulation hi ruk gya h. But ruka b nhi kuj chl RHA h.

Master of Physiotherapy, Bachelor of Physiotherapy
Physiotherapist, Chennai
Better get daily sunlight exposure in early morning from 7 to 7.30 or till 8 am. Take maximum amount of calcium content fresh items.
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Hi my back and front neck is paining what are symptoms is there is thyroid please tell me.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Hi my back and front neck is paining what are symptoms is there is thyroid please tell me.
This is cervical pain (neck pain) If you keep ice that would help and along side you can do hot water fermentation. You shall use cervical collar which would help you to reduce the radiating pain ie. Due to the nerve compression.
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Im 40 year old, facing back problems, will thermal therapy like crocin massager help me?

MPTh/MPT
Physiotherapist, Lucknow
Im 40 year old, facing back problems, will thermal therapy like crocin massager help me?
Immediately avoid massager. Do some hot water formantation at back. Spinal extension exercises. Ultrasonic therapy. Take some medicine and apply Rhumasyl oil for gental massage on pain areas for now. Msg me for further information and treatment. Thank you.
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How Long Do You Need Physiotherapy Post-Fractures?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
How Long Do You Need Physiotherapy Post-Fractures?

A broken bone or a fracture can be painful and it requires medical attention for the fracture to heal properly. Proper healing is necessary for the right alignment of the bone. A doctor chooses to either reduce or set the bone in terms of new alignment. The bone reduction can happen manually or surgically depending on the severity of the injury. A Surgical procedure known as the open reduction internal fixation is performed for serious fractures. It ensures that the all the broken pieces are fixed together and the injury can heal properly.

Post the fracture, the bone need to be immobilised for proper healing. This is generally achieved by imposing a cast. For fractures that are not severe in nature, a doctor might choose to impose a temporary cast so that simple motion can happen around the site of the injury. For serious fractures, a permanent cast is placed around the injury site. In the case of a shoulder injury, a patient is required to wear a sling so that the bones are immobilised.

Time Duration of a Therapy Session:

While the exact duration of physiotherapy can vary from individual to individual, it takes a minimum of 2-8 weeks for the fracture to completely heal. Certain fractures take more time to heal. The rate of healing also depends on the severity of the injury, pain threshold level of the patient, extent of work with the physiotherapist, the robustness of the physiotherapy program, extent of the injury of the soft tissue and certain other factors. Typically shoulder and neck injuries heal quicker than a fracture of the legs. The time duration of fracture healing also depends on the type of bone that has been affected.

Physiotherapy in a Hospital:

If the fracture happens in the ankle or leg, a physiotherapist might have to intervene in the hospital in order to teach patient about using assistive devices such as crutches and cane. Things that are taught during this time include using the device in order to climb stairs, right walking posture, getting into a car, taking the device off while sitting and such other techniques.

Physiotherapy at Home:

Physiotherapy can also happen from home if the doctor specifically instructs to do the same. This is typically done for people where the condition is too serious to go outside and get the physiotherapy done. Certain weight bearing restrictions are imposed around this time. The training remains the same as in the case with a hospital.

In the Clinic:

Once the patient becomes mobile enough, a doctor might suggest a patient go to a clinic to get the physiotherapy done. A physiotherapist evaluates certain things such as pain, range of motion, gait, flexibility etc. of the patient before suggesting a certain exercise plan.

 

How Ayurveda Helps Reduce Knee Pain?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Raipur
How Ayurveda Helps Reduce Knee Pain?

Ayurveda is a very old system of medicine, which originated in India. Using herbs found in nature to cure various illnesses, knee pain can also be permanently cured with this method indigenous to India. It reduces knee pain caused by various illnesses including arthritis, inflammation of the cartilage and wearing of the patella among others.

Here are some common Ayurvedic remedies, which help reduce knee pain:

  1. Alfalfa: Alfalfa is medically known as Medicago Sativa. Alfalfa is excellent for making sure that your joint pain reduces, when taken in liquid form four times a day.
  2. Ashwagandha: Ashwagandha is medically known as Withania Somnifera. In the West, Ashwagandha is popularly known as Winter Cherry. Also, it has a lot of therapeutic properties, which include reducing joint pains. 
  3. Banyan: The Banyan tree's medical name is Ficus Benghalensis. It has a sap very similar to the form of rubber known as latex is derived from the Banyan tree. The Banyan tree's sap is externally applied over the joints and the pain usually disappears after a few regular applications. 
  4. Bishop's weed: The medical name for Bishop's weed is Trachyspermum Ammi. The oil extracted from this herb is usually applied to the knees to reduce the intensity of such knee pains.
  5. Celery: The medical name for celery is Apium Graveolens. Celery is not only an effective treatment for rheumatoid arthritis and associated pains in the knees, but it is also helpful in treating gout. It is usually agreed upon that this particular treatment is usually long lasting because of its alkaline nature.
  6. Dandelion: Dandelion's biological name is Taraxacum Officinale. It is rich in magnesium and is crucial for the correct mineralization of the bones. This mineralization allows the bones to become stronger and also prevents knee pain.
  7. Garlic: The medical name for garlic is allium sativum. Five to six cloves eaten everyday has proved to reduce knee pains.
  8. Ginger: Ginger is biologically called Zingiber Officinale. These can be easily included in your diet and go a long way in curbing knee pain.

What's The Treatment For Rotator Cuff Tear?

Diploma In Orthopaedics (D. Ortho), DNB (Orthopedics), Diploma SICOT, Fellowship in Spine Surgery, Fellowship in Endoscopic Spine Surgery
Orthopedist, Vadodara
What's The Treatment For Rotator Cuff Tear?

Adhesive capsulitis: an overview
If you are taken aback by the very mention of this condition, you must know this is something you face every now and then. The problem is not too serious until it persists and hence people do not bother to look up terrifying medical terms for the case. Adhesive capsulitis or frozen shoulder is a condition that could arise from a host of reasons. It is usually characterized by a marked stiffness in and around the shoulder blade felt either in the middle of the night, early in the morning or while trying to move a hand close to the end of its reach. Frozen shoulder might become a chronic problem in which case remedying it takes a minimum of one or two years.

Factors leading to Adhesive capsulitis

  1. This condition is prevalent amongst patients of diabetes.
  2. Lack of movement of a limb, either of the two hands, due to a fracture or a surgery can result in the same.
  3. Adhesive capsulitis occurs when the capsule of connective tissues ensconcing the ligaments and bones of your shoulder joint tightens around them hindering free and easy movement.

How is Adhesive Capsulitis Treated?
There are various treatments for adhesive capsulitis. Even though the condition usually gets better on its own, improvement can take two to three years. Over 90% of patients improve with non-surgical treatments, including the following:

  1. Physical therapy
  2. Heat
  3. Corticosteroid injections
  4. Anti-inflammatory medications

Surgery can be performed for patients who see no improvement after non-surgical measures are taken.

How is subacromial bursitis different from Adhesive capsulitis?

While a frozen shoulder affects your entire shoulder area, subacromial bursitis affects a single point in the shoulder blade. The topmost boney part of the shoulder blade is referred to as the acromion. The acromion is placed above the ball- and- socket joint without touching the bones directly. The subacromial bursa is a soft cushion like thing that prohibits friction between the muscles or tendons of the shoulder joint and the acromion. An irritable subacromial bursa is referred to as subacromial bursitis.

How is Subacromial Bursitis Treated?

Subacromial Bursitis can be treated in a number of ways, including:

  1. Avoiding activities that aggravate the problem
  2. Resting the injured area
  3. Icing the area the day of the injury
  4. Taking over-the-counter anti-inflammatory medicines
  5. What do you mean by rotator cuff tear?

Rotator cuff is a group of tendons and muscles located on top of the upper arm bone or humerus. The cuff helps to hold your arm in place allowing easy movement. Acute stress or physical exertion can lead to muscle cramps or might even make the tendons tear apart. Tennis players, swimmers, or people lifting heavy weights are prone to Rotator Cuff Tear. This condition leads to excruciating pain and tenderness in your shoulder blade.

What's the Treatment for a Rotator Cuff Tear?

As bad as these injuries can be, the good news is that many rotator cuff tears heal on their own. You just need to give them a little time. You also should:

  1. Rest the joint as much as possible. Avoid any movement or activity that hurts. You may need a sling.
  2. Ice your shoulder two to three times a day to reduce pain and swelling.
  3. Perform range-of-motion exercises, if your doctor recommends them.
  4. Consider physical therapy to strengthen the joint.
  5. Use anti-inflammatory painkillers, or NSAIDS, like Advil, Aleve, or Motrin.

More serious rotator cuff tears require surgery. One procedure is shoulder arthroscopy, usually an outpatient procedure.

I am suffering from knee sounds crazy chruk and pain is there when I sit and up please tell me how to prevent and let me know what's the reason to that.

BHMS
Homeopath, Sindhudurg
I am suffering from knee sounds crazy chruk and pain is there when I sit and up please tell me how to prevent and let...
calsivita syrup 1spoonful 3times daily .. kali mur 30x 4pills 3times calc fluor 30x 4pills 3times for 15days and revert back for further treatment
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I am 17 year old and I have hip pain it is because I overstretched my hip and jumping workouts and pain increases when I seat for long time and walking for long time I met the doctor he told that it is inflammation of hip and gave me medicine it didn't cure me hips are still paining please tell me how to recover from it completely as my football matches are there in next month.

BAMS, MD, Panchakrma
Ayurveda, Nashik
I am 17 year old and I have hip pain it is because I overstretched my hip and jumping workouts and pain increases whe...
hi ,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.
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Hi doctor I'm 25 years old and now suffering with ankylospondylo arthritis which is ankylosing spondylitis I'm facing allot of pain in my knee and leg joints and stiffness is too much due to it I am unable to perform my daily task and some time its too much paining is their any home remedies or something which controls this as this is non curable.

BHMS
Homeopath, Chennai
Hi doctor I'm 25 years old and now suffering with ankylospondylo arthritis which is ankylosing spondylitis I'm facing...
Ankylosing spondylitis affects males 2-3 times more commonly than females. Researches suggest that there is a strong link of AS being genetically inherited. The HLA-B27 gene can be detected in most patients with ankylosing spondylitis. This disease is thought to be an auto immune disorder, which means that body’s own defense cells damage the joints of the spine Homoeopathic treatment can be a great boon to the patients if the intervention is started well in time. In this disorder too, the homoeopathic medicines work by optimising the body’s overactive immune (defense) system. The stage of the disease at which the homeopathic treatment is started, is a major factor in determining the outcome of the treatment. For example if the treatment is started in the initial stages when not too much of the elastic tissue is lost, the prognosis are very good and the condition can be reversed in most of the cases .In stages where extensive bone formation has replaced elastic tissue, homeopathic medicines may not be able to reverse the situation but can still help in easing many symptoms. You can easily take an online consultation for further treatment guidance and permanent cure without any side effects
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2 months back dog bite me. I took anti rabies shots. But now I feeling my leg pain since 2 days. Bitten muscle pains allot. Help me what to do now?

Diploma in Body Spa, P.hd (Acupuncture) Sri Lanka, Diploma in Reflexology and Acupressure, MD in Acupuncture, Diploma in Acupuncture, REIKI 1, II, III Levels
Acupuncturist, Chennai
2 months back dog bite me. I took anti rabies shots. But now I feeling my leg pain since 2 days. Bitten muscle pains ...
Hello Hope you hv done some home remedies. Place a clean towel over the injury to stop any bleeding. Try to keep the injured area elevated. Wash the bite carefully with soap and water. Apply a sterile bandage to the wound. Apply antibiotic ointment to the injury every day to prevent infection.
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Back Pain - 3 Stretch Exercises You Must Follow!

BPTh/BPT
Physiotherapist, Delhi
Back Pain - 3 Stretch Exercises You Must Follow!

Does you back hurt only when you wake up in the morning or is it a chronic problem? If yes, then you need to take immediate steps to treat it. Back pain, being the common physical anomaly for people primarily in the age range of 35-50, is one of the top causes for office absenteeism and mid-life lethargy and fatigue. Usually back pain indicates an underlying problem that involves the nerves, bones and muscles.

Here are some risk factors for back pain:

  1. Pregnancy
  2. Stress related to work
  3. Leading a sedentary lifestyle
  4. Anxiety and depression
  5. Being overweight
  6. Over exercising
  7. Strenuous physical work outs
  8. Smoking

There are varied reasons as to why back pain may occur. Discussing the causes of back pain is beyond the purview of this article; the focus is now going to be on some of the stretches one can practice to get relief from back pain: 

  1. Downward dog: A classic yoga pose, the downward dog stretches the entire back, hamstrings and the whole of the leg. Begin the process in a classic push up pose with the palms and toes on the floor. Keeping your back straight, lift your tailbone up and straighten your legs. Push the heels to the floor and breathe to get the most out of this stretch.
  2. Child’s pose: A simple stretch, it begins with you sitting back on your buttocks and then stretching the arms in front of you. Keep your forehead on the floor and breathe slowly.
  3. Cat cow pose: If your common complaint is that of a sore and painful back, then this is one of the best stretches for you. A very simple pose, you begin by sitting on all fours, then transitioning into the cat pose by pushing your spine upwards. Hold the pose for one breath and then go to the cow pose wherein you lift your buttocks and the head while scooping your spine. If you wish to discuss about any specific problem, you can consult a Physiotherapist.
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How Stretching Routines Can Help Boost Your Flexibility?

MPTh/MPT, BPTh/BPT
Physiotherapist, Guwahati
How Stretching Routines Can Help Boost Your Flexibility?

Stretching is very important for your well-being. Not only does it help you become more agile and flexible, it helps you become better at sports and also makes sure that you have fewer injuries when you are playing sports. Here are some exercises, which are guaranteed to make sure that your flexibility will improve:

1. The runner's stretch
In this stretch, put your right foot forward and then try to touch the floor with your fingertips. If your fingers do not reach the floor, place them as far down as possible. You have to then inhale, and go back to your starting position.

2. The standing side stretch
This stretch starts when you are standing straight upwards with your arms raised above your head and your fingers interlocked. When you breathe out you have to slowly bend your upper body to the right then return to the starting position. After you have reached the starting position, you inhale again and after you have inhaled, you have to stretch your upper body to the left.

3. The forward hang
In this stretch, your starting position is when you stand with your legs apart and then you lock your fingers together and place them behind your back. Once this is done, you breathe in. After breathing in, you have to exhale by bending forward and keeping your hands interlocked above your head. You have to hold this position for 5 seconds.

4. The low lunge arch
This stretch involves bringing your right leg as forward as possible and then lowering your left knee onto the floor. You then have to lock your hands together with your palms facing the floor and your hands in front of your body. You then have to inhale for the stretch. The stretch involves lifting your arms as far up as possible and then stretching as far back as possible keeping your legs in the position they were already in. Once you have finished this exercise, you have to do the exact same thing with the left leg in front.

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How is fibromyalgia different from spinal problems. And how can we co relate it with psychosomatic pains?

Physiotherapist, Greater Noida
How is fibromyalgia different from spinal problems. And how can we co relate it with psychosomatic pains?
Fibromylgia is muscles related issue so can't co-relate this to spinal or any kind of bony problems. Pain of fibromylgia is localised most of d time its being radiated if it is chronic. You need to go & take some physiotherapy sessions for dis problem if you hav any other query regarding this please ask anytime. Thanks & Regards
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Meri wife ka operation se bachha hua hai. Ek saal ho chuke hain Aksar kamar me dard rahta hai Ultrasound kiya to left kidney me four. Six mm ki stone hai. Jiski homeopathy ki dawa chal rahi hai Sir mujhe kamar drad k liye kuch oil ya spray bataye.

Advanced Aesthetics
Ayurveda, Gulbarga
Meri wife ka operation se bachha hua hai. Ek saal ho chuke hain Aksar kamar me dard rahta hai Ultrasound kiya to left...
stone ki wajah se kamar me dard ho raha hai .. mahanarayana taila ye ayurvedic shop me milega is se halke massage karo... aur stone keliye 5days ka dawayi bhi ayega jo 5din me nikal jayega
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I had a surgery after injury in right hand humerus near elbow. There are plates inside and will be there life long as advised by doctors. It's now 2 years. However, when I do push ups, I feel pain near the place where surgery was done. Other exercises like planks are all ok. But with push-ups, I feel something is moving near elbow and feel pain. Could you advise if there is any problem?

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I had a surgery after injury in right hand humerus near elbow. There are plates inside and will be there life long as...
yes little problem is there after surgery physiotherapy must. if you had done so plz a check around elbow joint may be possible during pushup spasm created. so you feel pain .avoid pushup till relief and again start in gradually. physiotherapy for 5 days
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