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Dr. A4 Clinics

MBBS Bachelor of Medicine and Bachelor of Surgery

Physiotherapist, Indore

29 Years Experience  ·  500 at clinic  ·  ₹200 online
Dr. A4 Clinics MBBS Bachelor of Medicine and Bachelor of Surgery Physiotherapist, Indore
29 Years Experience  ·  500 at clinic  ·  ₹200 online
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Personal Statement

A4 Clinics is Indore's Most Advanced Center for Robotic Neuro Rehabiliation and Brain Stimulation for patients with Neurological and Psychiatric Disorders....more
A4 Clinics is Indore's Most Advanced Center for Robotic Neuro Rehabiliation and Brain Stimulation for patients with Neurological and Psychiatric Disorders.
More about Dr. A4 Clinics
We are a center of excellence for patients with ACUTE (NEW) or CHRONIC (OLD) Stroke (paralysis) for BEST OUTCOMES.

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Education
MBBS Bachelor of Medicine and Bachelor of Surgery - Sn Medical College - 1989

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A4 Clinics

404 Shekhar Central, Palasia SquareIndore Get Directions
500 at clinic
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I have a pain in every single joint of my body. And can't even sit, stand and lay properly because of my back bone. Please help me out.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I have a pain in every single joint of my body. And can't even sit, stand and lay properly because of my back bone. P...
OK according ur condition tk X-Ray and MRI. do physiotherapy treatment immediate. avoid exercise till relief. a check of vit d and calcium levels
2 people found this helpful
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Is Sitting in Car Increasing Your Back Pain?

MPT, BPT
Physiotherapist, Noida
Is Sitting in Car Increasing Your Back Pain?

The pressure inside the discs is higher with sitting than standing or lying. The sacral table rams up under the descending spine and the base is pinched in the middle as if caught in a vertical vice. Over time, fluid leaks out of the discs (they lose approximately 10 percent of their total fluid) and the stacked bony segments settle together, becoming a semi-rigid tubular mass. 

Most of the fluid escapes within the first hour or two of sitting, but the discs keep squeezing drier the longer they stay compressed.People who sit for long hours to work usually feel cast in the back when they get up. It can take several minutes before the base of the spine drops down and movement gets easier. If long hours of sitting are combined with low levels of activity the lowest discs never properly reflate.The discs puff up again with fluid faster than they expel it.

This is partly due to the concentration of electrolytes in the nuclear gel which drags in water under osmotic pressure, but also through the suction effect of the spine elongating when unweighted. 

The disc puffs up more quickly if you lie on your back and bring your knees to your chest which is why this simple action is such an important part of self-treatment. Bouncing your knees to chest and squatting exercises through the day help counteract the fluid loss from the discs, mainly by hinging open the back of your spine.

On the other hand, using a back block opens the front of your spine. It passively hyper-extends (over arches) your spine which not only opens the front of the discs and drags fluid in but also reverses the slumped posture of sitting. As part of yourself treatment program, you should use the block every day. I promise you will get addicted to the sensation of the segments pulling apart when you can almost feel the flattened mesh walls of the discs being tugged up and water being dragged in from the vertebral bodies through the sieve-like vertebral end-plates.

Many hours of sitting can also cause adaptive shortening of other structures around the low back which makes resuming a normal posture even more difficult. For example, the hip flexor muscles at the front of your hips are very powerful and tighten quickly when they spend long periods puckered in a shortened state.

Their tethering causes a sense of tightness across the front of the hips and down the thighs which makes it difficult to stand up straight. In the long term, this tightness has adverse consequences because it causes the front of the pelvis to tilt down at the front, which throws the spine out of balance and creates a typical ‘bottom out’ appearance.

Tight hip flexors also make you take much shorter steps because the legs cannot angle back properly at the hips. Again this is bad for the back because in making a decent stride, the spine must twist lefts and right to compensate for the poor hip mobility. If the sitting posture is especially slumped it causes adaptive contracture of the anterior longitudinal ligament which runs down the front of the vertebral bodies like a long elastic tape. 

In healthy circumstances its role is to limit the backward arching movement of the spine, but when it adaptively shortens it tethers the spine over in a hoop at the front, like an over-tight bowstring. People are often aware of their worsening posture and feel they are being kept stooped as if their shirt is tucked into their waistband.

Using the back block is the natural antidote for sitting. It helps undo all the problems acquired by hours spent crimped at the hips and knees with the shoulders curled forward over the task at hand. It opens out the bowed-over spine and chest; it pushes in the bottom and stretches out the front of the hips as the legs drop down to the floor. 

Hi I am suffering from joint pains n back pain n recent blood test has shown aso test positive with value 232 what it means n is there any problem I am suffering from.

BPTh/BPT
Physiotherapist, Delhi
Hi I am suffering from joint pains n back pain n recent blood test has shown aso test positive with value 232 what it...
1. Start with Physiotherapy treatment 2. Get X ray done for Lumber spine 3. Learn exercise from Physiotherapist 4. Don't sit on floor 5. Take calcium vitamin D 3 and Methylcobalmine supplement for one month minimum 6. Don't lift heavy things 7. Don't do forward bending 8. Do hot fermentation twice a day 9. Apply volini cream before sleeping 10. Wear Lumber spine belt.
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My Age 24 years Problem is 1 year back she got fibroid surgery and after that she is getting menses 1 month almost 30to35 days and next month 12to15 days this cycle is repeated month to month wat was the problem is there any chance to re appear fibroid. Uterus has not removed in last surgery.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
My Age 24 years Problem is 1 year back she got fibroid surgery and after that she is getting menses 1 month almost 30...
hi lybrate user, she is in reproductive age group you should plan for pregnancy as early as possible ,as if fibroid comes again can create problem in fertility. their is always possiblity of new fibroid and recurrence of the fibroid.
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I am 18 years old boy from two days due to a severe back pain I can not sleep I have tried all medical remedies but I did not work.

MPT, BPT
Physiotherapist, Noida
I am 18 years old boy from two days due to a severe back pain I can not sleep I have tried all medical remedies but I...
Avoid bending in front. Postural correction- sit tall, walk tall. Extension exercises x 15 times x twice daily. Bhujang asana. Core strengthening exercises. Back stretching.
2 people found this helpful
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I am a 30 years old women. I have a joint pain from last 1 month. What should I do?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am a 30 years old  women. I have a joint pain from last 1 month.
What should I do?
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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I am 29 year old, having burning sensation in my right side under the rib from 1 month. Past history, I had gerd and ulcer.

BPTh/BPT
Physiotherapist, Mumbai
I am 29 year old, having burning sensation in my right side under the rib from 1 month. Past history, I had gerd and ...
Hi learn spine mobility and strengthening exercise from physio. Do reply for private consultation and detailed treatment plan.
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MY mother ,above 75 years ,recently undergone ( 2 moths back ),for DHS fracture /dislocation hippe joint ,is on bed ,she developed Fissure in annus ,unbearable pain ,is there any solution .Without surgery ?

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist, Ahmedabad
Dear Your mother has fissure which is due to constipation and passage of hard faeces, Suggest: 1.Give emollient laxative like Duohaklax or cremaffin plus at night. 2.Give naturolax granules one sachet with a glass full of water at night or Isabgol powder 3-4 tsf in glass full of water at night. 3.Apple Zinc ointment inside and twice a day. This is a castor oil based ointment like a nappy rash cream. 4. Increase fluid intake 5.Five high fibre diet in form of green leafy vegetable, fruits like papaya, banana , mango etc. 6.If she can do some exercise in the bed 7. If she is still constipated then use suppository for toilet 8 If that doesn't work then use enema which are available in market regularly. Dr. Kiran Mehta.
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Know How Physiotherapy Can Help to Reduce Knee Pain!

BPTh/BPT, MPT - Orthopedic Physiotherapy
Physiotherapist, Jamshedpur
Know How Physiotherapy Can Help to Reduce Knee Pain!

Knee pain is one of the most common and painful ailments that can limit mobility. Injuries can result in cartilage or meniscal tears or sprains too. Obesity is another reason because of which knee pain is on the rise. Also, regular wear and tear of ligaments and tendons around the knees due to old age is another cause. These days, with reduced physical activities and sedentary lifestyles, the rate at which knees are wearing out has also become accelerated. Whatever the reason, a correct diagnosis followed by prompt treatment can help. Over the years, physiotherapy has been playing an important role in treating knee injuries. Whether to supplement the various drugs to reduce pain and inflammation or to avoid surgery, physiotherapy has helped many and its popularity is growing every day. Here are some ways that physiotherapy can help reduce pain.

  • Improve flexibility of tendons: The knee cap is an area where there are lot of tendons and ligaments, coordinating to enable movement. Careful exercising can ensure that the flexibility of tendons and ligaments is improved, thereby making your knee movement easier and less painful.
  • Improves blood supply: As we all know, proper movement requires good blood supply. Exercising with special focus on the knee ensures that blood supply is improved, and thereby the supporting ligaments and tendons function optimally.
  • Enhances the knee cap function: The knee cap is that portion which joins your thigh bone to your calf bones. This is prone to slip out of place, especially with arthritis and injuries. This can be painful and limit movement to a great degree. Focused exercises aimed at improving knee cap function will ensure that the knee cap has a wider range of function, and does not slip out of its socket easily.
  • Reduce rigidity: Once you start physiotherapy, you will feel your knees getting more flexible. The rigidity that had set in as a result of injuries and/or old age will also reduce over a period of time.
  • Slow down the wear and tear: When you start physiotherapy after knee damage, continuing the exercise routine, of course with expert guidance, can reduce the pace at which further damage might happen. A word of caution though. Be sure to consult an experienced physiotherapist before you begin. Exercising in a bad manner can do equal or more harm than the original injury or old age itself.
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