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Dr. Alekhya

Anesthesiologist, Mumbai

770 at clinic
Dr. Alekhya Anesthesiologist, Mumbai
770 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
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Dr. Alekhya is a trusted Anesthesiologist in Mumbai, Mumbai. You can consult Dr. Alekhya at Qi Spine Clinic - Ghatkopar in Mumbai, Mumbai. Save your time and book an appointment online with Dr. Alekhya on Lybrate.com.

Find numerous Anesthesiologists in India from the comfort of your home on Lybrate.com. You will find Anesthesiologists with more than 33 years of experience on Lybrate.com. You can find Anesthesiologists online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Mukteshwri Building, R.B.Mehta Marg, Off MG Road, Opp. Satyam Shopping Center, Ghatkopar (E), MumbaiMumbai Get Directions
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I am 38 years old male I have pain in elbow for last week I have lifted some 30 kg weight now what to do?

B.P.T
Physiotherapist, Chandigarh
I am 38 years old male I have pain in elbow for last week I have lifted some 30 kg weight now what to do?
You might have a tennis elbow (tendinitis), try wearing a band around the elbow and avoid lifting any heavy weights till the pain subsides, also you will need to take physiotherapy treatment by visiting the nearest physio clinic.
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Meri spine ke right side waist k pas hamesha dard bna rhta hai. Chahe aage jhooka ya pichhe ya chlne pr hr wqt. Agr train me continuously 7-8 ghanta baith jao to wha hlka sujan aa jata hai. Agar kabhi dard jyda bdh jata hai to phir pure right leg me bhi dard suru ho jata hai.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Meri spine ke right side waist k pas hamesha dard bna rhta hai. Chahe aage jhooka ya pichhe ya chlne pr hr wqt. Agr t...
Sciatica pain is there go physiotherapy treatment swd and ultrasonic therapy for few days and do stretching exercise it will best for you.
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Sir I have very high pain in my ankle during about two yrs. No relief from any pathy treatment. Pain increase from move and morning after rising. What I do?

BPTh/BPT
Physiotherapist, Mumbai
Sir I have very high pain in my ankle during about two yrs. No relief from any pathy treatment. Pain increase from mo...
Hi I can understand your problem. *take rest *increase fluid intake *gently stretch or massage your leg muscle. * apply heat to tight muscles or cold to tender muscles. * there are various treatment options in physiotherapy which depends on your health and severity of your symptoms. Kindly reply for private consultation to discuss detailed treatment plan. Wishing you good health.
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Sir my calcium is very low so what can I do for that, and I have born pain in behind part of body and neck pain.

MBBS, MBA (Healthcare)
General Physician, Delhi
Sir my calcium is very low so what can I do for that, and I have born pain in behind part of body and neck pain.
Apply volini gel on neck. do warm fomentation. do neck muscle exercises in pain free period. avoid high pillow. consult if not ok. take calcium containing diet, take gemcal one daily for one month, consult again.
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I am 18 years old male I have pain on my neck I also take medicine but there is no result please consult me what I have to do?

Ergonomist, MPTh/MPT, Trained in Mulligan Concept, BPTh/BPT
Physiotherapist, Gurgaon
Firstly at this age if you have neck pain then it might be because of over smartphone use or wrong use of laptop or wrong sleeping postures so dear you need to find out the reason of this pain. If there is swelling and recent pain then apply ice otherwise use hot packs. Do see a good physio nearby get well soon.
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I feel back pain when I continuously sitting more than 7-8 hours, and also face problem of constipation regularly, what can i do?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I feel back pain when I continuously sitting more than 7-8 hours, and also face problem of constipation regularly, wh...
You should go for tests stool r/m, stool c/s, Lft . blood sugar , Examination of the rectum and lower, or sigmoid, colon (sigmoidoscopy).Examination of the rectum and entire colon (colonoscopy). An X-ray of the rectum during defecation (defecography). Avoid smoking/alcohol if you take. Eat green veg. More fiber foods. Avoid fatty foods,junk foos,oily meal,avoid stress,non-veg.,. drink plenty of water.take digestive meal ,salaad,green veg,whole grain foods,oats.go for walk. You can take tab. Charcol at night. Syp. Aristozyme 10 ml thrice a day.syp. Livoluk 10 ml at night. These can help cure in constipation.
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Hello Doctor. I am a 30 year old male lean in body structure. Yesterday afternoon, while lifting a heavy object at home my lower back got hurt after that I am in pain lying on bed. I have taken ibuprofen along with a muscle relaxant and applying hotpack with gentle massage at regular intervals. There was slight improvement this morning and I am able move around my flat and perform gentle stretches for some time. However, my pain worsens when I try to get out of bed or bend or sit. I am not sure what this means. How long does it take to recover. Please advise.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Hello Doctor. I am a 30 year old male lean in body structure. Yesterday afternoon, while lifting a heavy object at ho...
It needs to be investigated. Investigations advised - hb, tlc, dlc, esr, sugar f & pp, uric acid, vit d3 urine r/e x ray of the affected part. Anyway you may try- 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 fomentation. Paracetamol 250 mg od & sos x 5 days. Caldikind plus 1tab od x10. Do neck back knee & general exercises. It may have to be further investigated. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5 days, inform.
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I have heavy back pain from last 3 hours, m going to bed now, but I don't feel comfortable, I don't know, whats going to happen WD me, in morning, when I trying to get up, please suggest me what should I do? It's 1st time experience with backpain, I can't do anything with it.

D.P.T
Physiotherapist, Hyderabad
I have heavy back pain from last 3 hours, m going to bed now, but I don't feel comfortable, I don't know, whats going...
Dear user. Reduce your weight. Correct your sitting posture. Do not lift heavy objects. Take heat fermentation with diclofenac gel. Do back strengthing excercises to reduce pain.
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I have taken a injection on my hip more than one months back. After 15 days I am feeling uneasiness in my hip. Some times it is like a burning sensation. Now it is very much discomforting me. Please give advice what to do.

MD, DYA, PGDCR
Ayurveda, Nashik
I have taken a injection on my hip more than one months back. After 15 days I am feeling uneasiness in my hip. Some t...
Apply Shatdhout ghrut + Kailas jeevan ointment there twice a day fr a week. And yes if still no improvement consult a Physician.
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I am suffering from severe back pain since last 6 months and though some medicines could lessen my pain for days still I couldn't get total relief from my pain. Help me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
I am suffering from severe back pain since last 6 months and though some medicines could lessen my pain for days stil...
Do massage with warm sesame oil or suitable oil for 15 min., afterwards take hot fomentation for 10 min. Start natural calcium supplement. Do regular stretching exercise In yoga DO BHUJANGASAN, HALASAN & SURYANAMASKAR. This will give you relief in mild to moderate cases. If you’re not satisfied please do consult u need medicines to achieve complete relief.
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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.

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Dear Sir, I am 36 old men. I have feels a lot of pain my whole body. After test I found my Vitamin D hydroxy value is only 10.3.Kindly suggest me I will go with medicines or Injection?

MD - Psychiatry
Psychiatrist, Chennai
Dear Sir, I am 36 old men. I have feels a lot of pain my whole body. After test I found my Vitamin D hydroxy value is...
Vit D levels have been over inflated and even according to WHO they r not be routinely taken. Since u say total body pains, try 1st with it, if not working, re work the reasons with your doctor. All the best
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I am 55 yr old from last two days having lower back pain, it seems some nerve is pressed, more on movement n getting up from bed.

BPTh/BPT
Physiotherapist, Mumbai
I am 55 yr old from last two days having lower back pain, it seems some nerve is pressed, more on movement n getting ...
Hi I can understand your problem. # relax & stay positive. # take hot and cold fomentation. # change sleeping position. # use lumbar support. # take break every 20 minutes. # do strengthening exercise of back and core muscles not all back pains are same, you need specific treatment plan according to your symptoms.
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There is a loin pain severe in nature. Spreading to groin. Pain i'd colicky. Associated with fever. Vomiting present. What is the reason ?

MBBS
General Physician, Kota
There is a loin pain severe in nature. Spreading to groin. Pain i'd colicky. Associated with fever. Vomiting present....
Most probably you are suffering from renal colic due to stone. I advise you to do a sonography and xray kub. And then consult me
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I have a problem in my left knee and elbow that is every time when I do sit-up and push-up it make a sound like cut -cut or tak -tak. But I don't have any pain while doing workout. Please help me sir, what it is and how I can reduce or eliminate it.

MBBS, M. S. Orthopedics, M.ch. Orthopaedics, MD - Sports Medicine
Orthopedist, Delhi
I have a problem in my left knee and elbow that is every time when I do sit-up and push-up it make a sound like cut -...
There are many theories regarding joint sounds. But these sounds are considered normal if not associated with pain. Strengthening of the muscles around your elbow and knee will help to reduce the sound. But it will not eliminate it.
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Hell lot of back pain below the waist. Cannot sit. Knee pain also frustrates and has left me bed stuck.

Pain Management Specialist, Chennai
Hell lot of back pain below the waist. Cannot sit. Knee pain also frustrates and has left me bed stuck.
Hi you need to get evaluated for both your knee pain and backpain. Simple analgesics like paracetamol should give you some relief till then.
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I have been suffering from back pain, mainly in my lower back bone and I have used different pain relief gels such as move, volini etc, but still I don't have any relief. Please guide me further to cure this pain.

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist, Bangalore
I have been suffering from back pain, mainly in my lower back bone and I have used different pain relief gels such as...
Here are some tips for how to handle your back pain: -stop normal physical activity for the first few days. This will help relieve your symptoms and reduce any swelling in the area of the pain. -Apply heat or ice to the painful area. One good method is to use ice for the first 48 to 72 hours, and then use heat. Take pain relievers medicine. --While sleeping, try lying in a curled-up, fetal position with a pillow between your legs. If you usually sleep on your back, place a pillow or rolled towel under your knees to relieve pressure. -Find a mattress with back support. A good mattress should provide support for the natural curves and alignment of the spine. Medium-firm mattresses usually provide more back pain relief than firm mattresses. -Do not perform activities that involve heavy lifting or twisting of your back for the first 6 weeks after the pain begins. -Avoid bending forward and sitting in a place for long time -Good posture plays a key role in your spine health, helping to prevent additional back and neck pain and even injuries to spinal structures. Try to be aware of your posture and make good posture part of your normal routine. -head up, shoulders back, rear tucked under -Stand and walk with correct posture -Sit with support -Lift and carry carefully -And finally, keep moving:-Maintaining a static position for too long—more than twenty or thirty minutes at a time—is hard on the back. Prolonged static posture can slowly deplete elasticity from the tissues. By simply moving—be it a change of position, a stretch, or a short walk—the tissue elasticity needed to protect your joints can be restored and the associated discomfort reduced. -Stretching and strengthening exercises are important. But, starting these exercises too soon after an injury can make your pain worse. -Some Physiotherapy treatment like IFT current can give you relief. -Consult a Physiotherapist for detail assessment and management of your back pain. Best wishes.
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Back pain near lower spinal. It is from two days. I was all ok when I went to sleep. But from nxt morning its paining and not letting me move properly. I am not able to bent down

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
It is most probably muscle strain due to bad posture while sleeping at night. If you pain is only a localised back pain with no other associated symptoms, then I advise you: 1) ice packs 2) analgesic + muscle relaxant as per your suitability 3) local analgesic spray 4) rest for 5-7 days 5) then after that we can start with gentle physical therapy. Please consult me if you have any other questions, Thanks & regards Dr Akshay Kumar Saxena
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I am 25 years old woman and suffering back pain since one month. I want treatment for my illness as soon as possible.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I am 25 years old woman and suffering back pain since one month. I want treatment for my illness as soon as possible.
Hello Lybrate user according to Ayurveda Vata vikriti is the main factor for pain. Treatment- 1-apply prasarini oil or pranacharya restopain oil on your affected part and give hot water fomentation. 2-take yograj guggul and agni tundi vati after lunch and dinner with warm water. 3-Take maha rasnadi kwath 2-2 tsf twice a day. 4-Take pranacharya vatari capsule and syrup twice a day. Diet- Avoid fermented food. Junk food. Potato rice. Sleep well.
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