Lybrate.com has a nexus of the most experienced Occupational Therapists in India. You will find Occupational Therapists with more than 34 years of experience on Lybrate.com. Find the best Occupational Therapists online in Hyderabad. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. Suman
Speech Therapy Treatment
Sensory Integration Therapy
Occupational Therapy Treatment
Control Program Occupational Health - Pcmso
Minor Ot Service Procedures
Submit a review for Dr. SumanYour feedback matters!
Rotator cuff is the name given to four muscles and their tendons, which keep your arms in your shoulder sockets, allowing you to lift your arms and do day-to-day stuff like combing your hair, cutting vegetables etc.
The shoulder joint is a very important joint of the body and this is why any tear that happens in the rotator cuff can be devastating.
Tears can happen in rotator cuff due to a number of factors like injury and degeneration due to age. Tears that happen due to an injury to the shoulder are called acute. Degenerative tears are tears that happen due to degeneration of the tendon over time.
Common causes of degeneration are lack of proper blood circulation, which impedes the rotator cuff’s ability to repair itself. Repetitive stress is another cause where we stress the tendon by repeating the same shoulder motions again and again while playing games like tennis, cricket etc. and doing jobs that require us to extend our arms upwards a lot. Lifting heavy objects can also lead to tears.
Chronic shoulder and arm pain are good reasons for you to see your doctor. If you suffer from pain in your shoulder at rest, while sleeping on the affected shoulder or pain while lifting and lowering your arm, then there is no time to wait.
The doctor will do a physical examination by moving your arm in different directions. He may follow it up with X-rays and MRI to check how big the tear is in your rotator cuff.
Once confirmed that you indeed have a rotator cuff tear, your doctor will start the treatment. The goal of any treatment is to reduce pain and make your shoulder joint work properly again.
Nonsurgical treatments include rest, using of a sling to protect the shoulder and modifying your daily activities. This means you may not be able to do activities that cause shoulder pain. Your doctor can also prescribe pain and anti-inflammatory medicines. Strengthening and physical therapy bring up the rear of this type of treatment.
What you must remember is that nonsurgical treatment relieves pain and improves function in the shoulder, but does not improve shoulder strength. The size of your tear may also increase over time.
Surgery, which attaches the rotator cuff to your bone, is done if you suffer from continuous pain and symptoms over a year or so. If you have a large tear, conservative treatments will not work and surgery will have to be resorted to.
If you have been suffering from chronic shoulder or arm pain, waiting and watching is definitely not an option. You must visit an orthopedic surgeon at the earliest. Remember, if treatment is not started soon enough, your rotator cuff tear will get larger and will require only surgery.
Meri dadi 65 sal ki hai unko joint pain hai unka pair sukhta jarha h or dard bhi hai chlna firna nhi hopata hai haddiyon ki majbuti ke liye koi dawai hai toh please btaye.
Hello sir or madam I m volleyball player after playing the volleyball match everyday. My hand is paining.
I'm diagnosed with Cervical Radiculopathy after a gym injury. I'm prescribed Pregabalin 150 mg at night and Ultracet twice a day once in the morning and one at night. My question is, Is Pregabalin having Methyl Cobalamin better than plain Pregabalin without Methyl Cobalamin. Thanks.
I have a severe leg pain in the left leg. I can't walk long. After few steps only I feel pain. I have taken many medicine and applied oil also.
Hiatal Hernia takes place when the upper portion of the stomach pushes itself through an opening in the diaphragm, into the chest cavity. The diaphragm is a wall of thin muscles, which separates the chest cavity and the abdomen.
In most cases, a small hiatal hernia doesn't cause problems, and you may never know you have a hiatal hernia unless your doctor discovers it when checking for another condition.
But a large hiatal hernia can allow food and acid to back up into your oesophagus, leading to heartburn. Self-care measures or medications can usually relieve these symptoms, although a very large hiatal hernia sometimes requires surgery.
Hiatal hernia is primarily or most commonly caused due to the increase in pressure in the abdominal cavity. Sometimes, a lot of pressure may be felt around the stomach accompanied by coughing, vomiting, strain during bowel movements. For people born with an abnormal hiatus, the chance of getting hiatal hernia is more.
The two common types of hiatal hernia are:
-Sliding Hiatal Hernia, which occurs during the sliding out of the stomach and oesophagus into and out of the chest through the hiatus. This type of hiatal hernia is less intense and has no symptoms.
-Fixed Hiatal Hernia or Paraoesophageal Hernia is an uncommon type of hernia where a part of the stomach pushes through the diaphragm and stays there.
Usually, no symptoms are experienced during Hiatal Hernia. Some symptoms are experienced that happen due to stomach acids, bile or air, which enters the oesophagus. Some common symptoms include:
-Heartburns which become worse when a person lies down.
-Chest pain, better called epigastric pain.
-Problem in swallowing food.
Tests for Diagnosis-
Several tests can be carried out for the diagnosis of hiatal hernia. They include:
-Barium X-ray, where a person is made to drink a liquid filled with barium before the x-ray. The x-ray provides a clear image of the upper digestive tract region, and the location of the stomach can be seen. If it is protruded out, hiatal hernia is signified.
-Endoscopy is another test for detection of hiatal hernia. A thin tube slides down the throat which reaches up to the oesophagus and stomach. This will determine whether the stomach is pushing through the diaphragm or not.
Medicines which are used to cure a hiatal hernia may include antacids for neutralizing stomach acid, H2 receptor blockers to lower acid production and proton pump inhibitors.
Sometimes fundoplication surgery is required for the treatment of hiatal hernia, although it is rare. Some common surgical techniques are rebuilding of oesophageal muscles or a surgery to put the stomach back in its actual place. Laparoscopic surgery methods are used.
Hiatal hernia may reoccur even after surgery; so general precautions should be taken. You should:
-Exercise regularly and maintain a healthy weight.
-Avoid lifting heavy objects and ask for help.
-Avoid any kind of strain on the abdominal muscles.
Hiatal hernia is a disorder which is more common among people over the age of fifty. Necessary precautions and treatment should be adopted in case of hiatal hernia.