Book Clinic Appointment with Dr. Kapilchand Narra
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
During the treatment, my Kapilchand Narra supported me a lot. Our family physician personally recommended this Kapilchand Narra. It's been so long, I have lost all hope, but then I met Kapilchand Narra and I am hopeful again that I will be fine. The overall atmosphere in the Jaya Physio Clinics is very soothing. Kapilchand Narra certainly knows the in and out of his speciality. The Jaya Physio Clinics is designed in such a way that every patient feels at ease. I was in so much pain due to my neck pain. My previous experiences were not so good, but Kapilchand Narra has completely changed my opinion as he is very helpful and humble.
I consulted a number of specialists but the way he treated me was the best. i was suffering from joint pain. He is a very practical doctor. The atmosphere in the Jaya Physio Clinics is always so positive and full of life.Dr Kapilchand Narra has in depth knowledge and ensures that he explains the problem in detail. I am almost my normal self post the treatment and for that Dr Kapilchand Narra is the reason.
Thanks to him I am much better now. During the complete physiotherapy program he always supported and motivated me. All the staff members were very helpful. By chance, I approached Dr Narra for second opinion and thank god, i did because, he treated me without any medicines and all. The interior of the Jaya Physio Clinics was no nicely done, it was so clean.
Due to my spinal deformity correction i was feeling very depressed and had no hope. One of my neighbour referred Dr Kapilchand. He is not just friendly, but also is very motivating. He has in depth knowledge and ensures that he explains the problem in detail. The atmosphere in the Jaya Physio Clinics is always so positive and full of life.
I wa suffering from muscle cramps, I searched Dr Kapilchand Narra online and saw his reviews. He ensures that she listens to his patients. He definitely is aware about the latest and advanced ways to treat serious cases. Thanks to him that the muscle cramps treatment he gave me has given brilliant results.
I was having this stomach pain, but the symptoms were not very visible. I am so much benefitted with Dr Kapilchand's treatment, that i am perfectly fine now. Over the period of time the stomach pain treatment has helped me a lot. He is so pleasant to talk to and always ready to answer your doubts.
I was suffering from shoulder pain for which I consulted Dr Kapilchand. My problem was such that it required a number of sessions, and I must say after all the sessions, I am feeling much better now. I am back to my normal self post treatment, And I am happy that I consulted him for my treatment.
I was in so much pain as I got splinting treatment. But even after the treating I started experiencing pain so I preferred consulting Dr Kapilchand. He is a well knowledgeable physiotherapist. I am so much benefitted with his treatment that I am perfectly fine now.
I feel strange that I am suffering from kneepain. Dr Kapilchand is really like god send person. The overall atmosphere in the Jaya Physio Clinics is very soothing. He definitely is aware about the latest and advanced ways to treat serious cases.
he indeed motivated me big time to get rid of my strain...he has a well qualified physio at his clinic in Besant Nagar..best in chennai!
It was really good now my shoulder is quite better than before
Today ‘working’ usually implies sitting at a desk from morning to evening. While this may seem more comfortable than working in the fields, sitting at a desk can trigger a host of back problems. This is because sitting in the same position all day makes the spine bend forward and lowers the efficiency of the back muscles. Working at a desk not only strains your back, but also restricts your movements to typing on a keyboard and moving a mouse.
Once a back problem begins, it usually lasts a lifetime hence; here are a few tips to save your back.
- Get yourself a good chair: Your chair is crucial to your back’s health. Avoid the hard backed plastic chairs and pick a more flexible mesh backed office chair if you sit at the table for a long span of time. Ergonomic chairs may seem expensive, but are worth the expense in the long run.
- Stretch your muscles: Sitting in the same position all day, puts the muscles under stress and with time can constrict the muscles. Make it appoint to stand up every 30 minutes and stretch your back and sides. Also try rotating your hips and shoulders form time to time.
- Take a break: No matter how much work you have in front of you, take a break at the end of each hour. Taking even 2 minutes off out of 60 every hour can have a huge impact on your health. If you still feel guilty skip using the phone to connect with your colleague and walk over to their desks instead.
- Get a pedometer: Keeping a pedometer will help you track the number of steps taken in a day. Ideally, a person should take 10,000 steps a day to stay healthy. If you sit at a desk for majority of the day, take every opportunity you can to up the count on your pedometer. Go for a walk around your office after lunch or park your car a little way off from the office to create opportunities to walk.
- Take the stairs: As far as possible avoid escalators and elevators. Instead climb stairs for a quick workout. If your office is on the 20th floor, walking up may not be feasible, but you could get off the elevator on the 18th floor and walk up the remaining two floors.
- Eat healthy: Lastly, pay attention to what you eat. Avoid eating at the office canteen or picking up a bite at the coffee shop and carry lunch from home. This ensures that you eat a balanced meal.
You might be an elite athlete or just a commoner. There is always a possibility for you to develop back pain while carrying out your daily activities. You might not be aware, but regular activities—like sitting at the computer, running on the treadmill or simply crawling into your bed for a good night's sleep—can affect the health of your spine. You are always at the risk of damaging your spine. These damages lead to back pain. It has been found that faulty postures can cause back pain by causing straining of the back muscles, injuring the tendons and damaging the vertebrae or ligaments. Back pain can be caused due to the overuse of a particular activity or for undertaking a new activity. Besides all these possibilities, most people put the blame on their discs for back pain.
What is a disc?
The human spine is composed of 24 bony vertebrae. These are placed one on top of the other. There is a thin intervertebral disc between each vertebrae. These discs look like jam doughnuts. They are made up of a hard outer shell known as the annulus fibrosis. They have a soft, jelly-like inner core known as the nucleus pulposus. They are shock absorbers.
What Happens To The Discs When An Injury Occurs?
The jelly-like soft core in the discs can often get shifted as a result of the accident or injury. Thus, the discs become a reason behind back pain. The pain could be due to the problems with the disc while carrying out tasks like
Symptoms Of Disc-Related Pain:
Symptoms tend to vary due to the nature of the injury and the damage caused. However, some common symptoms have been listed below:
Localised back pain
Pain in thighs, lower legs and feet
Numbness or muscular weakness
It is best to consult a doctor to know about the treatment needed for back pain related to disc. Initial treatment after detection of the problem includes the following ways:
Intake of non-steroidal anti-inflammatory and pain medication.
Application of heat and ice packs.
Home exercise program as suggested by the doctor.
Practicing of core and lumbar strengthening exercises.
One must stop movements that aggravate the pain and don’t take difficult physical activities. You must take adequate rest to set things right.
Do You Need Any Surgery?
It is not always needed for all disc related problems. Most issues with the disc vanish after a week. Surgery is sought only after nonsurgical treatments prove useless. The decision must be taken by a doctor.
Over the years of adulthood, a combination of bad posture along with wear and tear means that a significant amount of the adult population is affected by back pain. But is this normal for children, as well? Well, in most cases, the answer is a 'No'.
Children and adolescents have a greater degree of flexibility than adults, that is they do not complain of back pain as much as adults do. So when should a parent be worried if their child complains of acute back pain?
If a child is very active, then this could be a cause for concern when it comes to injury to the back. Due to the rough nature of the sort of activity that he or she is engaged in, stress fractures are possible. These injuries are generally explained by overuse. What a parent needs to keep an eye out for is, if the child complains of pain when certain actions are performed. So, back pain which occurs, say, during butterfly stroke when the child swims could mean that the child has a case of spondylolysis or a stress fracture.
If the back pain is so bad that the sleep of the child is disturbed and he or she wakes up on account of it, the parent should take this seriously. The reason for this is that the pain could be caused by a tumour to the spine or an infection. A possibility apart from these two could also be arthritis.
A parent should also be worried when the back pain is not the only thing that the child complains of. That is, if there are other things such as a fever and weakness, as well as pain extending down either or both legs, it could be a sign that the trouble is more than just superficial. In a similar way, when there is trouble walking or there are problems related to the functioning of either the bowel or the bladder, a doctor is to be consulted.
One of the most common cases of back pain in children happens to be Scheuermann’s disease, which is also known as Scheuermann’s kyphosis. What this means is that the spine is rounded in the middle. While this causes pain, it is usually not debilitating enough to hinder normal movement. But, after all, who would want their child to go untreated and suffer as a result?
Carpal tunnel syndrome is a painful disorder of the hand caused by pressure on your median nerve as it runs through the carpal tunnel of the wrist. Symptoms include numbness, pins and needles, and pain (particularly at night). Anything that causes swelling inside the wrist can cause carpal tunnel syndrome, including repetitive hand movements, pregnancy and arthritis.
Cause of Carpal Tunnel Syndrome
Carpal Tunnel Syndrome symptoms begin when the pressure inside the tunnel becomes too high. This results in your median nerve becoming compressed as it passes through the small tunnel.
The carpal tunnel pressure increase occurs when either of two things happens:
- The tunnel space decreases, such as when the wrist swells eg after a traumatic injury, partial subluxation of the carpal bones or fracture or tenosynovitis.
- When the contents of the tunnel (median nerve, blood vessels and tendons) enlarge.
- Both of these situations increase the pressure on the nerve, leading to the carpal tunnel symptoms.
Symptoms of Carpal Tunnel Syndrome
Carpal Tunnel Syndrome (CTS) sufferers will usually experience the following symptoms in their hand or fingers:
- hand pain or aching
- pins and needles
- numbness esp at night of with wrist flexing
- weakness or cramping
- perceived swelling
The symptoms are usually worse at night and your grip will weaken as the condition progresses. Eventually you will notice muscle atrophy of the thenar (thumb) muscles and loss of hand function or clumsiness. If this sounds like you, suspect carpal tunnel syndrome.
Physical Therapy Treatment
- Gliding Exercises: Moving your fingers in a specified pattern of exercises may help your tendons and nerves glide more smoothly through your carpal tunnel. While there’s some evidence that gliding exercises can help relieve symptoms when used alone, these exercises appear to work better in combination with other treatments -such as splinting.
- Graston Technique/Manual Therapy: The Graston Technique incorporates a patented form of instrument-assisted soft tissue mobilization that enables clinicians to effectively detect and treat scar tissue and restrictions that effect normal function. Manual therapy techniques such as myofascial release or Active Release Technique are hands-on techniques that release tight tendons and musculature.
- Ultrasound: Deep, pulsed ultrasound directed at the carpal tunnel can reduce pain and numbness, and improve hand strength. Continuous superficial ultrasound doesn’t help.
- Traction: Some people obtain relief from carpal tunnel symptoms by using a hand traction device, called C-Trac. You might try this device, which can be purchased for home use, if other conservative treatment options have failed.
- Splints: Splints (braces) are the most commonly used nonsurgical treatment for carpal tunnel syndrome. Splints that immobilize the wrist in a neutral (unbent) position are most likely to relieve discomfort. An unbent wrist maximizes the size of the carpal tunnel, which reduces pressure on the median nerve, relieving your symptoms.
Cubital Tunnel Syndrome is also known as Ulnar Neuropathy, a nerve compression syndrome where the Ulnar nerve, also known as the funny bone nerve, gets compressed due to heightened pressure or stretching. It can lead to numbness or a tingling sensation in little and ring fingers, sometimes pain in forearm and an overall weakness in the hand. Ulnar nerve is one of the three main nerves in the arm. It runs in a groove on the inner side of the elbow. Since it travels through a narrow space and has very little protective tissue, the nerve is quite vulnerable to compression.
The symptoms of this condition may range from mild to severe. Some of the mild symptoms include:
- Numbness in little and ring finger as the fingers fall asleep
- A tingling sensation, usually like the pinch of pins and needles in ring and little finger
- Pain in forearm
- Weakness in the hand
- Some of the severe symptoms include:
- Reduction in overall hand grip
- A claw like deformity in hand
- Wasting of muscles of the hand
Bending elbow over a long period of time like while using cell phone or during sleep can cause ulnar nerve compression. Resting the elbow for a long period over a hard surface can also cause an irritation of the nerve, leading to such symptoms. In some cases, the nerve snaps back and forth over a bony bump, resulting in an irritated nerve. People who undertake intense physical activity, especially using their arms, are more likely to develop this problem. Eg. baseball pitchers. Apart from this, people who have suffered from a dislocated elbow or have arthritis are also at risk.
Generally, doctors diagnose this condition through the symptoms. However, nerve tests are also conducted to check the level of nerve compression. Electromyography is a procedure in which electrodes are placed on the skin and muscles to measure muscle health. Determining muscle health and level of compression helps decide the mode of treatment. Generally, the symptoms of cubital tunnel syndrome are managed through a conservative treatment. However, in cases of severe compression, surgery can be considered as an option to relieve pressure, moving nerve to the front of the elbow or removing a part of the bone.
For mild cases, a towel or a protective cover for elbow is recommended. The towel should be wrapped around the elbow loosely. An elbow splint can be worn at night to protect the elbow from being bent for long time.
How can a physical therapist help?
A physiotherapist has an essential role to play in treatment of this syndrome. A therapist can help the patient to learn ways of avoiding pressure to the nerve. After surgery, with restrictions of movement, a therapist can help achieve smooth recovery and movement of the elbow. Your physical therapist will determine the activities that bring on your symptoms. The recommendations at this point will be to avoid those activities for a time. Remember, the nerve is irritated and at times swollen. If the irritation and swelling are reduced, the symptoms should resolve.
Taking into account the hectic lifestyle we lead, most of us end up suffering from aches and pains. But that does not mean we have to continue to suffer from them. There are plenty of easy exercises that one can follow in order to keep themselves healthy and problem free!
In order to avoid aches and pains, the first thing that a person needs to do is
- Practise hamstring stretches regularly: What this entails is that he or she needs to lie on the back, raise a leg and hold the back of it with both hands. While it may be called the hamstring stretch and one would probably normally think that the beneficial impact of doing it would be limited to the hamstring, it works quite a bit of special magic which has an ability to ease the pain in the lower back. Now, for an exercise which is so simple, is it not worth it?
- Side Stretch: Talking about stretches, another form of a stretch happens to be the side stretch. Even this is rather simple and all that needs to be done is to lie on one’s side and pull the ankle of the leg which is not in contact with the ground towards the back. While this is being done, the ankle of the lower leg should apply pressure on the thigh.
- Straight leg raise: It may seem that most of the exercises which reduce pain are stretches! However, this is not really the case as there is a place for exercises such as the straight leg raise and the like. What exactly is the straight leg raise? Well, it can be done when a person is either in a sitting position or is lying on his or her back. The toes are to be kept pointed upwards and the leg is to be raised. It is to be kept in mind that the challenge of the straight leg raise is that the knee should not be bent, at all.
- The cat and camel exercise: The terms cat and camel generally refer to members of the animal kingdom. However, jointly, in terms of exercises, the cat and camel is an exercise well worth remembering as it can save the individual quite a lot of pain. All that needs to be done is to alternatively arch one’s back towards the floor and the ceiling while resting on one’s hands and knees.
While our way of living may come with certain side-effects, but it would not be right to say that we are helpless. We need to take charge and make little changes to enjoy a healthy and happy lifestyle. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
Physiotherapy can greatly help a patient of paralysis by making him/her independent to the maximum extent. Physiotherapy also plays an important role in negating potential complications after a paralysis. Although the process of rehabilitation can take time, it produces significantly encouraging result for a patient to continue with it until full recovery. The recovery depends on the type of paralysis a person has undergone. Notably, there are four types of paralysis:
Role of Physiotherapy-
The process of physiotherapy should resume as soon as the patient is stabilized. It not only helps in relaxing muscles, but also helps in smooth blood circulation. Long-term therapy can ensure muscle tone and overall well-being of an individual.
In the case of an external injury related to the brain, physiotherapy can speed up the recovery and reduce swelling to a significant extent. Some of the benefits are-
Physiotherapy can help a person regain the highest possible mobility.
Physiotherapy can increase the respiratory function of a person.
It helps the person in bringing down blood pressure and contracture.
A physiotherapist also focuses on unaffected area and works on them to ensure that the unaffected part of the body, in no way, loses mobility and retains the natural strength.
Physiotherapy also helps to manage a paralyzed bladder.
A physiotherapist suggests proper wheelchair, splint, braces, orthosis etc. These help a person to reintegrate quickly after the paralysis.
It also serves as a perfect guide for the family of the patient.
Exercises that a Physiotherapist Suggests-
Aerobic Exercise: This is a set of physical exercises that lets the muscle tissues exchange oxygen at a rapid rate. The goal is to enhance the function of the motor neuron and the aerobic capacity of a patient. Support straps and gain belts might be required for a patient to stand on feet. A handrail helps to walk during this phase.
Physical Conditioning: Balance, stability, and coordination is the motive of any physical program for a paralyzed individual. Passive or active motion exercises help an individual to regain function of the limbs. Passive exercise also helps to regain strength. A physiotherapist rotates the thumb of a patient in such a way that the back of his hand faces forward.
- Leg Rotations: One common exercise that is tried by a physiotherapist is to make the patient lie down on a mat with his/her legs straightened. Supporting the knee joint and the ankle, the right leg is moved outward and pulled backward. This is again repeated with the other leg.
Being flexible is not always about doing splits or doing some random bending. It is about achieving a level of mobility that will not hold you back from doing whatever you are able to do. Most people think that stretching or flexing your muscles and body as the first method to defend you from pain. But if stretching and flexing can be done correctly, it can lengthen one's muscles and give one relief from pains and aches. Stretching is also done to increase the functional range of one's joints and muscles. There are various ways by which one can stretch their muscles. However, the question which looms over here is which is the correct procedure and which is the wrong one.
The Wrong Vs the Right Way: Before discussing about the correct way, let us talk about the various wrong ways in which stretching can be done. The first rule is that if stretching is causing you pain or if it is hurting you, then you are probably taking it too far. A muscle needs to relax as much as possible, if it needs to stretch. If one is stretching so hard that he or she cannot relax then the muscle will not lengthen. Stretching should never be painful.
One should also avoid stretching for an insufficient length of time. Only a few seconds of stretching will not hold the therapeutic effects of stretching.
The following methods are few of the correct ways to stretch:
- Always start with the warm muscles. Warm your muscles by doing some aerobic movement or by applying heat with the help of a warm bath.
- After warming your muscles, monitor your level of discomfort. Let it go once you feel pain.
- Hold any stretch for at least 30 seconds.
Stretching the Correct Muscle: There are muscles, which need to be stretched and there are muscles, which should not be. So getting to know the correct muscles to be stretched is as important as knowing the correct procedure to stretch your muscles. Every muscle, which does not hurt should not be stretched. There are different types of muscles that cause pain like stiff, tight, short muscles and long muscles. Muscles that are tight should only be subjected to stretching. Stretching muscles that are too long is not a good idea.
Using Physiotherapists: Most people who cannot determine which muscle should be stretched and which should not be should consult a physiotherapist. Physiotherapists can quickly and easily diagnose muscular issues. They will also show ways to stretch which are most effective for particular needs.
Stretching should be made a part of one's life. It is a way by which one can become their healthiest self and avoid muscular imbalances.
Frozen shoulder (also known as adhesive capsulitis) is a condition in which the shoulder is stiff, painful, and has limited motion in all directions. A person suffering from a frozen shoulder can be pretty uncomfortable.
Frozen shoulder treatment should be done immediately once it has been detected. Stretching exercises are considered as the best-frozen shoulder treatment exercises. A proper warm up becomes very necessary before any exercise. Making the area warm by using a heating pad is one of the warm-up methods. However, a warm shower covers it all. Physiotherapy for frozen shoulder includes various exercises that should be first confirmed by a doctor. There are a number of exercises for frozen shoulder.
Some very important frozen shoulder exercises are listed below:
- Pendulum Stretch: To start with, you can do the pendulum stretch. This dictates that the shoulders should be in a state of relaxation, initially, following which the arm which is affected should be allowed to hang down slightly. Once this is done, the arm is to be swung in a small circle i.e. about a foot in diameter. This is to be done consistently so that there can be a gradual improvement in the condition. As there is an improvement, the size of the circle can be increased and once the shoulder can take sufficient weight again, minor weights (up to five pounds) can be used.
- Finger Walk: A simple exercise which can be done almost anywhere is the finger walk. What this exercise entails is that the person stands about three-fourths of an arm’s length away from a wall and then places his or her fingers on the wall itself, at around the level of the waist. The fingers are to crawl or walk up the wall till the point that it becomes a little uncomfortable. While this is just one repetition, after the fingers have been lowered, it is to be done again. In order to have the best results in combating frozen shoulder, the finger walk exercise is to be repeated about twenty times in a day.
- Towel Stretches: Towels do not serve a greater role apart from drying up post a bath or over the course of a visit to the spa, right? Well, this is not really true due to the fact that they can be used to even help with frozen shoulder! Indeed, towel stretches done by holding the towel with each hand across one’s back. The arm which is normal should then pull the affected arm so it is stretched. As is the case with the finger walk, about 20 repetitions a day is ideal for good results.
If one goes a step forward and follows a regime of with all these exercises, the person suffering due to frozen shoulder will be back to normal in almost no time at all!