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Dr. Raghunath

Physiotherapist, Hyderabad

150 at clinic
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Dr. Raghunath Physiotherapist, Hyderabad
150 at clinic
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
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Dr. Raghunath is a trusted Physiotherapist in Ramanthapur, Hyderabad. Doctor is currently associated with Hrishikesh physiotherapy clinic in Ramanthapur, Hyderabad. You can book an instant appointment online with Dr. Raghunath on Lybrate.com.

Lybrate.com has a nexus of the most experienced Physiotherapists in India. You will find Physiotherapists with more than 31 years of experience on Lybrate.com. Find the best Physiotherapists online in Hyderabad. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Hrishikesh physiotherapy clinic

H.NO 3-10-57, Gokhale Nagar, Ramanthapur, Hyderabad, HyderabadHyderabad Get Directions
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Natural Posture and Mechanical Low Back Pain

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Natural Posture and Mechanical Low Back Pain

NATURAL POSTURE 

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.

MECHANICAL PAIN

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.

 MECHANICAL LOW BACK PAIN

  • 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 .

I am feeling pain in right shoulder in shoulder. What do I should do. Kindly advise.?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am feeling pain in right shoulder in shoulder. What do I should do. Kindly advise.?
Requires detailed examination and investigation. Preliminary investigations suggested: hb, tlc, dlc, esr, blood sugar fasting & pp, uric acid vit d urine r/e x-ray of the affected part. Anyway it may be tried sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick mattress are harmful use no pillow under the head. Do hot fomantation paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back, knee & general exercises. It may have to be further investigated. Do not ignore it. Let it not become beginning of a bigger problem. Make sure that patient is not allergic to any of the medicines that he/she is going to take. If it does not give relief in 4-5days, inform.
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Sir/mam I have problem uparback pain since 2 year. Every report and MRI report is normal but I'm tried this pain every time. So I want treatment by homeopathic so just suggest me which homeopathic medicine good for me please sir.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Sir/mam I have problem uparback pain since 2 year. Every report and MRI report is normal but I'm tried this pain ever...
Postural Correction- Sit Tall, Walk Tall. Extension Exercises x 15 times x twice daily - lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times. Bhujang Asana -- Lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily.
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I'm a 19 year old boy and I'm having a pain in my leg for 2 months. It's really annoying every time I tend to walk it hurts. Please help.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I'm a 19 year old boy and I'm having a pain in my leg for 2 months. It's really annoying every time I tend to walk it...
Keep your leg raised while sitting or lying quadriceps strengthening exercises- quad clenches: lie flat on your back or sit upright on a chair with leg kept horizontally on another surface. Now, tighten the muscle on the front of the thigh by pushing your knee down. You should feel your thigh muscles clench, hold for 3 secs. Repeat 10 times twice a day. Short arcs: lie flat on your back or sit upright with your leg placed horizontally on a flat surface like a chair or bed. Place a rolled up towel under the knee. Pull your toes towards you and clench you thigh muscles. Slowly lift your foot up off the bed until your knee is straight (keep your knee resting on the towel). Hold for 3 secs and slowly lower them on the chair. Repeat 10 times twice a day. Straight leg raise: lie flat on your back. One leg and knee will be straight and other leg should be bent. Pull your toes towards you and tighten/clench the muscle on the front of the thigh, locking your knee straight. Lift your foot up in the air, about 6 inches off the bed. Hold for 3 secs and slowly lower the leg. The knee must remain straight the whole time you are doing this exercise. Hamstring stretching towel hamstring stretch lie on the back, supporting the thigh with the hand or with a towel wrapped around it. Slowly straighten the knee until a stretch is felt in the back of the thigh, trying to get the bottom of the foot to face the ceiling, one leg at a time. Hold the position initially for 10 seconds, and gradually work up to 20 to 30 seconds. Seated hamstring stretch while sitting at the edge of a chair, straighten one leg in front of the body with the heel on the floor. Then, sit up straight and try pushing the navel towards the thigh without leaning the trunk of the body forwards. Hold this stretch for 30 seconds repeat 3 times for each leg.
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Dear sir/madam Sir while I am drive two wheeler, suddenly another two wheeler comes at that time I put my strength on both hands to control bike to not to get accident later my Left hand wrist got pain it happens twisting of hand and weight lifting, but there is no inflammation and nothing if I massage with OMNIGEL IT WILL get relief and again the Lt hand wrist muscle get rigid to I unable to twist or unable to lift even bucket of water, For my problem please suggest any ointment or tablets. But I can work normally with the Lt hand it happen only twisting of hand.

Master of Occupational Therapy (MOT), Bachelor of Occupational Therapy (BOT)
Occupational Therapist, Delhi
Dear sir/madam
Sir while I am drive two wheeler, suddenly another two wheeler comes at that time I put my strength on...
Apply hot fomentation twice a day Where wrist compression band Apply pain relieving gel twice a day Do wrist curls twice a day Do wrist & hand stretches Do ball squeezing activity multiple times a day Avoid performing twisting movements & lifting heavy weights for a while, give muscles proper relaxation Avoid exertion
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My back is paining may be due to too much of bike riding. Now it always pains. Just by sitting also it pains. What to do.

DNB (Orthopedics), fellowship in arthroscopy and sports medicine
Orthopedist, Ghaziabad
My back is paining may be due to too much of bike riding. Now it always pains. Just by sitting also it pains. What to...
Stop riding bike. Use hot packs avoid sitting continuously. Do back muscles strengthening exercises.
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I am 22 year old male and have backache for last 4 months. I have used pain relief ointment cream for couple of days but haven’t got any relief. What should I do now?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am 22 year old male and have backache for last 4 months. I have used pain relief ointment cream for couple of days ...
Postural correction- sit tall, walk tall. Extension exercises x 15 times x twice daily. Apply hot fomentation twice daily. Avoid bending in front.
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I am about 53 yrs old male in sales trade where I have to make regular journey through bus/train/bike. I drink also. Since april 2014 I have develop a back pain (lower part of the back) it started after loose motion. During morning hour when I leave bed it disturb me a lot. I use to take omeprazole medicine to avoid acidity since 2 yrs, at least 20 days a month. I want complite rest from this problem.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Stop drinking. Backache is the commonest ailment. Do not worry, rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful use no pillow under the head. Any way take ibuprofen 200mg od & sos x 5days you will need other supportive medicines also. Take multivitamins & other antioxidants along with. Do back (spine) exercises contact me again if need be. Make sure you are not allergic to any of the medicines you are going to take do reply back for private consultation and detailed treatment plan. Prolonged use of omeprazole causes osteoporosis. Be careful about it.
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I am 32 years old male and have a back pain for last 7 months. I have used so many Ointment Cream for couple of days but haven't got any relief. What should I do now?

BHMS
Homeopath, Raebareli
I am 32 years old male and have a back pain for last 7 months. I have used so many Ointment Cream for couple of days ...
I suggest you follow the below for your condition: Take Mag Phos 6x - thrice daily for next 2 weeks and update. Also do x-ray of the affected area. Heat and Ice Packs. Heat and/or cold therapy helps relieve most types of low back pain by reducing inflammation. Often patients use ice, but some prefer heat. Both may be used alternately.
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Whenever atmosphere gets cold .I feel knee pain and my leg muscles get stiff. Is there any problem with this?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Zirakpur
Whenever atmosphere gets cold .I feel knee pain and my leg muscles get stiff. Is there any problem with this?
Yes. 'Sandhivata' is coming up. Start with cleansing of intestines and 'janudhara' oil application to keep knee disease free. Diet modifications and weight control must.
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Hello Doctor, I am 38 years old woman. I have been noticing that if I have lot of work standing for long my legs below knees entire calfs pain a lot. I am house wife . Is this due to weakness. I eat limited and my weight is 63 height is 5.5" I do not have sugar or bp. My thyroid recently TSH was 5.2. Please advise. I can not walk at home without slippers.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Hello Doctor,
I am 38 years old woman. I have been noticing that if I have lot of work standing for long my legs belo...
not weakness its strain do hot fermentation and gentle massage ya physiotherapy treatment after relief do stretching exercise. avoid long standing
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Sir I have joint pain in last 2 week. I got medicine butt it doesn't reduce my pain. please tell me what shall I do please and me?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Sir I have joint pain in last 2 week. I got medicine butt it doesn't reduce my pain. please tell me what shall I do p...
Hi Apply pranacharya restopain oil or prasarini oil on your affected part then give hot fomentation. Take maha rasnadi kwath 2-2 tsf twice a day. And agni tundi vati and maha yograj guggul 1-1 tab twice a day..
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Hi, I have gap in backbone. So, I am doing physio exercise. But, I want to start jogging. Is it safe?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Sri Ganganagar
Hi, I have gap in backbone. So, I am doing physio exercise. But, I want to start jogging. Is it safe?
In the back bone gap situation you should not start jogging, take advice of physiotherapist or ortho dr, than start it.
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My shoulders are jerking continuously from week. Sometimes its left shoulder, sometimes its right. It only stop when I get slept. I have somewhat depression too. Doctor said its due to depression and I am on medicine from week, but still not benefit. I can not live with this. Please help.

BPTh/BPT
Physiotherapist, Delhi
My shoulders are jerking continuously from week. Sometimes its left shoulder, sometimes its right. It only stop when ...
1. Start with Physiotherapy treatment and learn shoulder exercises. 2. Take half kg milk per day. 3. Start with calcium, vitamin D 3 and Glucosamine supplement for one month minimum.
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I am 39 yr old male and I have back bone problem for last 2 months. What should I do.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hello, thanks for your query and welcome to lybrate. I am dr akshay from fortis hospital, new delhi. You will have to elaborate your problem as to a detailed discussion of your back pain which means duration of pain and mode of onset. I would also like to ask you if it is associated with any leg pain or any other neurological symptoms like numbness, paraesthesias ( electrical shock like abnormal sensations) or any weakness in limbs. Please also tell me about any associated symptoms like fever, weight loss etc. What medications you generally take and what has been your treatment history till now for existing problem. Do not hesitate to contact me if you need any further assistance. Thanks & regards Dr Akshay Kumar Saxena
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I have burning sensation in knee some times mostly I when I do gym also there is a pain in my knee and in legs joint.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I have burning sensation in knee some times mostly I when I do gym also there is a pain in my knee and in legs joint.
Tk vit b12 and calcium supplements and avoid exercise just nw do only stretching exercise of legs avoid strain do hot fermentation.
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I don't have regular pain in shoulder joint. But whenever I play tennis or throw a ball. The shoulder tends to pain a lot. What is the reason and remedy for the same?

BPTh/BPT
Physiotherapist, Mumbai
I don't have regular pain in shoulder joint. But whenever I play tennis or throw a ball. The shoulder tends to pain a...
Hi there are multiple causes for shoulder pain like. Muscular, tendonitis, ligament tear etc. It will be good if you visit physiotherapist or orthopaedic doctor for diagnosis. Meanwhile apply cold pack for 20 minutes thrice a day for 5 days. Need further assistance contact me via lybrate. Wishing you good health.
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Pls pls help too much leg pain backs pain wo sab nhi Saha jata hau islye main zolefresh cyclopam Khati hu yar.

DHMS (Hons.)
Homeopath, Patna
Pls pls help too much leg pain backs pain wo sab nhi Saha jata hau islye main zolefresh cyclopam Khati hu yar.
Hello, you are obeased causing lethargic attitude, fatigue with sleepy mood need to reduce our weight, first. Correction of your posture be needed. Tk, plenty of water rob hydrate your body. Go for meditation to reduce your stress nourishing your body to ease your problem. Your diet be easily digestible on time. Tk, homoeopathic medicine:@.Rhus tox 1000-6 pills, weekly. Avoid, junk food, cold intake. Tk, care.
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I have pain in back bone or hip bone since my pregnancy now its 6 months after delivery but its continue after sitting work unable to stand to move due to pain.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have pain in back bone or hip bone since my pregnancy now its 6 months after delivery but its continue after sittin...
Advice. Hot fomentation x twice daily. Piriformis stretching quadratus lumborum stretching bridging.
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