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Dr. Alind Kishore

M.S Orthopaedics, M.B.B.S

Orthopedist, motihari

9 Years Experience  ·  300 at clinic
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Dr. Alind Kishore M.S Orthopaedics, M.B.B.S Orthopedist, motihari
9 Years Experience  ·  300 at clinic
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Personal Statement

My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Alind Kishore
He has had many happy patients in his 9 years of journey as a Orthopedist. He has done M.S Orthopaedics, M.B.B.S . Save your time and book an appointment online with Dr. Alind Kishore on Lybrate.com.

Lybrate.com has a number of highly qualified Orthopedists in India. You will find Orthopedists with more than 35 years of experience on Lybrate.com. Find the best Orthopedists online in Motihari. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
M.S Orthopaedics - Manipal hospital Bangalore - 2012
M.B.B.S - Sri B.M Patil Medical College. - 2008
Languages spoken
English
Hindi

Location

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City Orthopaedic Hospital

Sadar hospital roadmotihari Get Directions
300 at clinic
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I am 17 years old any having severe pain in my legs from 2 days, I have tried many creams but they didn't work what should I do as this start after my workout.

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist, Bangalore
I am 17 years old any having severe pain in my legs from 2 days, I have tried many creams but they didn't work what s...
Most leg pain results from wear and tear, overuse, or injuries in joints or bones or in muscles, ligaments, tendons or other soft tissues. Leg pain can also be caused by blood clots, varicose veins or poor circulation. To relieve mild pain: stay off your leg as much as possible apply an ice pack or bag of frozen peas to the affected area for 15 to 20 minutes three times a day elevate your leg whenever you sit or lie down please go to a physiotherapist if: you have pain during or after walking you have swelling in both legs your pain gets worse your symptoms don't improve after a few days of home treatment you have painful varicose veins leg pain happens when your muscles are tired or dehydrated. Drink more water if you're prone to leg cramps. Also low blood levels of either calcium or magnesium directly cause cramps. Pleas check you calcium and magnesium levels.
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I am 25 years old. I am not able to sleep and feel restless in the night. Can't sleep in the day as well. Feel a lot of pain in my right arm and leg. Please advise.

MBBS, cc USG
General Physician, Gurgaon
I am 25 years old. I am not able to sleep and feel restless in the night. Can't sleep in the day as well. Feel a lot ...
Hello, Kindly follow advises given below: 1. strict to sleep time schedule 2. Do regular Physical activity 3. Regular meditation/ yoga 4. avoid Tea coffee after 7 pm 5. you can take bath at bed time 6. Avoid day time sleep I am giving to some common reasons for LEG PAIN 1. generalized weakness 2. Anemia 3. physical exertion 4. lack of protein in Diet 5. any infection present on leg or foot 6. muscle weakness 7 abrupt start/ stop of physical exercise 8. Vit D and Calcium Deficiency so we have to evaluate cause in your case
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I have pain in my legs over 7 days ago what kind of medicine or excersice I have to do?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Numbness in leg & feet is due to pressure on the nerves. This could be due to lumbar spondylosis with nerve root compression. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Use no pillow under the head. Any way take paracetamol 250mg od & sos you will need other supportive medicines also. Do back (spine) exercises make sure you are not allergic to any of the medicines you are going to take you may have to use lumbosacral support for some time. Avoid painful act/activities. Take medicines as prescribed it may have to be further investigated. Do ask for detailed treatment plan. Do not ignore. It could be beginning of a serious problem.
1 person found this helpful
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Hi, my father have be facing problem from 1 years ago his right hand is paining from shoulder.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Hi, my father have be facing problem from 1 years ago his right hand is paining from shoulder.
Hot Fomentation. Gentle Shoulder Stretching. Core Strengthening Exercises. Gentle Neck Exercises. Avoid sleeping on affected side..
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Delayed Onset Muscle Soreness (DOMS)

Physiotherapy In Cerebral Palsy and Leprosy, MPT Neurology
Physiotherapist,
Delayed Onset Muscle Soreness (DOMS)

Delayed onset muscle soreness (doms), also called muscle fever, is the pain and stiffness felt in muscles several hours to days after unaccustomed or strenuous exercise.

The soreness is felt most strongly 24 to 72 hours after the exercise. It is thought to be caused by eccentric (lengthening) exercise, which causes microtrauma to the muscle fibers. After such exercise, the muscle adapts rapidly to prevent muscle damage, and thereby soreness, if the exercise is repeated.

Delayed onset muscle soreness is one symptom of exercise-induced muscle damage. The other is acute muscle soreness, which appears during and immediately after exercise.

Characteristics

The soreness is perceived as a dull, aching pain in the affected muscle, often combined with tenderness and stiffness. The pain is typically felt only when the muscle is stretched, contracted or put under pressure, not when it is at rest. This tenderness, a characteristic symptom of doms, is also referred to as" muscular mechanical hyperalgesia.

Although there is variance among exercises and individuals, the soreness usually increases in intensity in the first 24 hours after exercise. It peaks from 24 to 72 hours, then subsides and disappears up to seven days after exercise.

Cause

The soreness is caused by eccentric exercise, that is, exercise consisting of eccentric (lengthening) contractions of the muscle. Isometric (static) exercise causes much less soreness, and concentric (shortening) exercise causes none.

Mechanism

The mechanism of delayed onset muscle soreness is not completely understood, but the pain is ultimately thought to be a result of microtrauma mechanical damage at a very small scale to the muscles being exercised.

Doms was first described in 1902 by theodore hough, who concluded that this kind of soreness is" fundamentally the result of ruptures within the muscle. According to this" muscle damage" theory of doms, these ruptures are microscopic lesions at the z-line of the muscle sarcomere. The soreness has been attributed to the increased tension force and muscle lengthening from eccentric exercise. This may cause the actin and myosin cross-bridges to separate prior to relaxation, ultimately causing greater tension on the remaining active motor units.[6] this increases the risk of broadening, smearing, and damage to the sarcomere. When micro-trauma occurs to these structures, nociceptors (pain receptors) within muscle connective tissues are stimulated and cause the sensation of pain.

Another explanation for the pain associated with doms is the" enzyme efflux" theory. Following microtrauma, calcium that is normally stored in the sarcoplasmic reticulum accumulates in the damaged muscles. Cellular respiration is inhibited and atp needed to actively transport calcium back into the sarcoplasmic reticulum is also slowed. This accumulation of calcium may activate proteases and phospholipases which in turn break down and degenerate muscle protein. This causes inflammation, and in turn pain due to the accumulation of histamines, prostaglandins, and potassium.[7][9]

An earlier theory posited that doms is connected to the build-up of lactic acid in the blood, which was thought to continue being produced following exercise. This build-up of lactic acid was thought to be a toxic metabolic waste product that caused the perception of pain at a delayed stage. This theory has been largely rejected, as concentric contractions which also produce lactic acid have been unable to cause doms. Additionally, lactic acid is known from multiple studies to return to normal levels within one hour of exercise, and therefore cannot cause the pain that occurs much later

Relation to other effects

Although delayed onset muscle soreness is a symptom associated with muscle damage, its magnitude does not necessarily reflect the magnitude of muscle damage.

Soreness is one of the temporary changes caused in muscles by unaccustomed eccentric exercise. Other such changes include decreased muscle strength, reduced range of motion, and muscle swelling. It has been shown, however, that these changes develop independently in time from one another and that the soreness is therefore not the cause of the reduction in muscle function.

Possible function as a warning sign

Soreness might conceivably serve as a warning to reduce muscle activity so as to prevent further injury. However, further activity temporarily alleviates the soreness, even though it causes more pain initially. Continued use of the sore muscle also has no adverse effect on recovery from soreness and does not exacerbate muscle damage. It is therefore unlikely that soreness is in fact a warning sign not to use the affected muscle.

Repeated-bout effect

After performing an unaccustomed eccentric exercise and exhibiting severe soreness, the muscle rapidly adapts to reduce further damage from the same exercise. This is called the" repeated-bout effect.

As a result of this effect, not only is the soreness reduced, but other indicators of muscle damage, such as swelling, reduced strength and reduced range of motion, are also more quickly recovered from. The effect is mostly, but not wholly, specific to the exercised muscle: experiments have shown that some of the protective effect is also conferred on other muscles.

The magnitude of the effect is subject to many variations, depending for instance on the time between bouts, the number and length of eccentric contractions and the exercise mode. It also varies between people and between indicators of muscle damage. Generally, though, the protective effect lasts for at least several weeks. It seems to gradually decrease as time between bouts increases, and is undetectable after about one year.

The first bout does not need to be as intense as the subsequent bouts in order to confer at least some protection against soreness. For instance, eccentric exercise performed at 40% of maximal strength has been shown to confer a protection of 20 to 60% from muscle damage incurred by a 100% strength exercise two to three weeks later. Also, the repeated-bout effect appears even after a relatively small number of contractions, possibly as few as two. In one study, a first bout of 10, 20 or 50 contractions provided equal protection for a second bout of 50 contractions three weeks later.

The reason for the protective effect is not yet understood. A number of possible mechanisms, which may complement one another, have been proposed. These include neural adaptations (improved use and control of the muscle by the nervous system), mechanical adaptations (increased muscle stiffness or muscle support tissue), and cellular adaptations (adaptation to inflammatory response and increased protein synthesis, among others).

Prevention

Delayed onset muscle soreness can be reduced or prevented by gradually increasing the intensity of a new exercise program, thereby taking advantage of the repeated-bout effect.

Soreness can theoretically be avoided by limiting exercise to concentric and isometric contractions. But eccentric contractions in some muscles are normally unavoidable during exercise, especially when muscles are fatigued. Limiting the length of eccentric muscle extensions during exercise may afford some protection against soreness, but this may also not be practical depending on the mode of exercise. A study comparing arm muscle training at different starting lengths found that training at the short length reduced muscle damage indicators by about 50% compared to the long length, but this effect was not found in leg muscles.

Static stretching or warming up the muscles does not prevent soreness.[12][13][needs update] overstretching can by itself cause soreness.

The use of correctly fitted, medical-grade, graduated compression garments such as socks and calf sleeves during the workout can reduce muscle oscillation and thus some of the micro-tears that contribute to doms, proper nutrition to manage electrolytes and glycogen before and after exertion has also been proposed as a way to ease soreness.[15][16] consuming more vitamin c may not prevent soreness, but oral curcumin (2.5 gram, twice daily) likely reduces it.

Treatment

The soreness usually disappears within about 72 hours after appearing. If treatment is desired, any measure that increases blood flow to the muscle, such as low-intensity activity, massage, hot baths, or a sauna visit may help somewhat.

Immersion in cool or icy water, an occasionally recommended remedy, was found to be ineffective in alleviating doms in one 2011 study, but effective in another. There is also insufficient evidence to determine whether whole-body cryotherapy compared with passive rest or no whole-body cryotherapy reduces doms, or improves subjective recovery, after exercise.

Counterintuitively, continued exercise may temporarily suppress the soreness. Exercise increases pain thresholds and pain tolerance. This effect, called exercise-induced analgesia, is known to occur in endurance training (running, cycling, swimming), but little is known about whether it also occurs in resistance training. There are claims in the literature that exercising sore muscles appears to be the best way to reduce or eliminate the soreness, but this has not yet been systematically investigated.

I am a female 40 years of age. When I take any pain killer tablet it affect badly on me results in swelling. What is this?

Post Graduate Diploma in Echocardiography, Mbbs
General Physician, Ernakulam
I am a female 40 years of age. When I take any pain killer tablet it affect badly on me results in swelling. What is ...
Do not take it again. They create some problems. It can be dangerous. Try only dolo 650 or ultraset for pain.
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I am 28 year old I have back pain from last 8 month my job sitting job and I don't have time to workout pls help me what should I do ?

BHMS
Homeopath, Sindhudurg
I am 28 year old I have back pain from last 8 month my job sitting job and I don't have time to workout pls help me w...
Homeopathy is one of the most important and effective therapy for back pain. Homeopathy produces excellent results in backache treatment without producing any side effect and is extensively used in all over the world. Homeopathy is a nature system of healing and that is why it can heal whole symptoms of illnesses and it also cure the illness from its root. Tips for backache: heavy objects should be pushed rather than pulled. The weight of the objects should be taken in your bent legs and arms and not in your back. During an acute attack sleep with a pillow under the knees. Choose shoes that offer good support in the arch and have low, but not flat, heels. Prop up one foot on a box or low stool when you're standing for a long time. Use a chair that provides support for your back, or tuck a little pillow behind your lower back. Tips to improve balance/alignment/motion: lift your leg so your thigh is parallel to the ground while touching a wall. Hold it for five breaths. For alignment, move side to side while sitting on a balance ball. For motion, try moving forward and backward on the ball.
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My father is suffering from ankle spondylitis and not getting rid of the pain what'd should be done to reduce his pain.

DHMS (Hons.)
Homeopath, Patna
Dear lybrate-user, give him homoeo medicine@ ruta g 1000-6 pills, wkly @ rhus tox 200-6 pills, thrice a day. Do not lift heavy wt. Keep your heel in hot saline water at bed time. Please, report after a wk. Take care.
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I am having severe pain in the left leg, back pain due to vanicose vein leftleg (dilated gsv and incompetent perforation. Without laser operation, is there any way for diagnising with medicines. Thanks.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Coimbatore
Try using stockings elevate your leg and do ankle and toe exercises reply I can help you and consult privately to have a detailed discussion to solve your problem.
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I am 31 years old and suffering from rhumatolgy and arthritis and I am having psoriasis too. Just before I got a blood test and in that report its confirmed that I am having hiv too. So please help me with the doctor.

M.D,Psychiatry
Psychiatrist, Amritsar
You just contact art center of any medical college. They will guide you properly and treat u. Take care.
1 person found this helpful
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When I am sleeping after few hours of sleep I am having pain in my both legs. And I can't sleep for this pain. When I lay down I feel little pain on my waist. This is happening with me over past 3-4 days. What should I do ?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
When I am sleeping after few hours of sleep I am having pain in my both legs. And I can't sleep for this pain. When I...
Extension exercises x 15 times x twice daily. Bhujang asana. Core strengthening exercises. Back stretching stretch.
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Daily I'm facing some back pain when I wake up and when I work at home or outside.

BHMS
Homeopath, Solan
Daily I'm facing some back pain when I wake up and when I work at home or outside.
Hi, please take homeopathic medicine lacnanthus 1m, cimcifuga 200 5 drops in few luke water, calcflour 200 plus calc phos 200 6 pills twice a day and report back after with feedback.
3 people found this helpful
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I have meet with an accident and have a fracture in my leg and I have a lots of pain right now. What should I do.

MBBS
General Physician, Mumbai
I have meet with an accident and have a fracture in my leg and I have a lots of pain right now. What should I do.
Kindly contact a orthopaedic surgeon as early as possible and For pain take tablet paracetamol 650 mg
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I am male age 54 running. No B.P/ Sugar. Weight 82 kg. Past two months I am noticed cracking sound in my knee joints. My food habits no alcohol / pure vegetarian from child hood please advice.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I am male age 54 running. No B.P/ Sugar. Weight 82 kg. Past two months I am noticed cracking sound in my knee joints....
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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Mere pair m jhunjhunahat hoti hai uske bad m black and white dikhne lahta hai kuch time ke liye. Can you tell me what's the reason for this problem. Please advise me immediately.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Mere pair m jhunjhunahat hoti hai uske bad m black and white dikhne lahta hai kuch time ke liye. Can you tell me what...
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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She was suffering from arthritis since 6 years n soo she was taking steroids unknowingly for joints pain. Now she is eating typhoid medicine only.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Avoid sitting Cross legged. Avoid Squatting- Quadriceps Exercises- Lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain. Core Strengthening Exercise- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day.
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I have problem with my right shoulder, I can't able to lift my right hand towards sky. I have server pain when it reached half night. I had an accident once and was hit on my shoulder. After the wound was cured I tried to play cricket. But I got pain while lifting my hand and throwing ball. Please find me some cure.

FIPP, MD - Anaesthesiology, M.B.B.S, AAFIPM ( aesculap Academy Fellow in Pain Practice )
Pain Management Specialist, Ahmedabad
I have problem with my right shoulder, I can't able to lift my right hand towards sky. I have server pain when it rea...
Get done sonography of rt shoulder to rule out rotator cuff tear. Also get done the reports rbs, esr, s. Uric acid.
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My age is 42 & height is 5.5 & wt is 67 kg- l feel to be heavier legs are paining. I have tried all ways to lose wt but my wt is in thigh & leg areas. Kindly give some remedies. Thanking you

D.P.T
Physiotherapist, Hyderabad
My age is 42 & height is 5.5 & wt is 67 kg- l feel to be heavier legs are paining. I have tried all ways to lose wt b...
dear user, avoid taking medicines if any to lose weight. just try legs excercises like lying flat on bed or floor. lift gently both the legs up and down repeat it 10 times. then do legs folding excercise 10 times if possible do situps 20 times. take a walk for 1km daily in early morning. this will helps you in reducing weight and pain and gains strength in muscles.
2 people found this helpful
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Hello. I am 20 years old. These days I have lower back pain. How to get rid of it.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Hello. I am 20 years old. These days I have lower back pain. How to get rid of it.
Homoeopathic medicine---------------- spondyaid (bakson) drink 10 drops in 20 ml fresh water 3 times daily------------- magnesia phos 6x (dr reckeweg) chew 4 tab every 2-3 hrly depending on pain daily------------- drink 2 glass milk and an egg daily----------------- report after 15 days---------------------------
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