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Dr. Alfven E. Vieira

MS (ORTHO)

Orthopedist, Mumbai

18 Years Experience
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Dr. Alfven E. Vieira MS (ORTHO) Orthopedist, Mumbai
18 Years Experience
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Personal Statement

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.
More about Dr. Alfven E. Vieira
Dr. Alfven E. Vieira is a renowned Orthopedist in Mumbai, Mumbai. He has over 18 years of experience as a Orthopedist. He studied and completed MS (ORTHO) . You can meet Dr. Alfven E. Vieira personally at Surya Hospital in Mumbai, Mumbai. Save your time and book an appointment online with Dr. Alfven E. Vieira on Lybrate.com.

Lybrate.com has a nexus of the most experienced Orthopedists in India. You will find Orthopedists with more than 44 years of experience on Lybrate.com. You can find Orthopedists 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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Specialty
Education
MS (ORTHO) - Jawaharlal Nehru Medical College Belgaum - 1999
Languages spoken
English
Hindi

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Surya Hospital

Sec-11, nerul navi mumbaiMumbai Get Directions
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I have back pain in lower part. I do believe it due to my regular and continue work on computer. Please suggest

BPT, MPT- Ortho
Physiotherapist, Delhi
It might be because of your work but you need to go for diagnosis first. As for your posture you need to sit straight on chair, your leg should not hang, adjust hight of chair and your work table level should be correct with respect to your eyes.
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I am Kanchan, I had a stomach surgery last week. I am taking digeplex for food indigestion. Is it ok to take back to back? Or should I take intervals? What is the correct dosage I can take in a day? How long should I take this medicine for?

MBBS, DNB, Diploma Dyslipidemia, CCEBDM, CCMTD
General Physician, Gurgaon
I am Kanchan, I had a stomach surgery last week. I am taking digeplex for food indigestion. Is it ok to take back to ...
Dear user with the limited amount of information available it is difficult to comment on your condition. It is advisable if you can revert back with your diagnosis at the time of discharge so that we can have a better understanding of your situation. Digeplex is a digestive enzyme substitute, though harmless but it is advisable that it should be taken only on the prescription of a registered medical practitioner. Hope that solves your query.  Anything more then please feel free to revert.
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Oftenly My knees and feet remain cold compared to rest of my body. And usually I have headaches when I wake up.

MBBS, cc USG
General Physician, Gurgaon
Oftenly My knees and feet remain cold compared to rest of my body. And usually I have headaches when I wake up.
Hello, you may be having headache because of stress/ refractory problems/ any ENT problem or may be Migraine Headache follow advises given below: You can take(If No drug allergy) : 1. Tablet Crocin (Paracetamol 500 mg) one tablet after food when required for headache after food for 2-3 days (maximum 2 tablets with gap of 12 hour can be taken in a day) 2. Adequate sleep 6-8 hr in a day 3. Get check eyes for refractive error 4.We need to go for ENT evaluation to rule out sinusitis 5. Get BP checked 6. Regular physical exercise and meditation and yoga complete history of your headache for further management like duration, severity, aggravating factors/relieving/ triggering/ associated factor to reach diagnosis You can do Olive oil massage in upward direction this will increase your Blood supply of legs and foot consult physician/me for further management.
1 person found this helpful
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Hai. This is sairam. I am 22 years old. From the last 20 days I am suffering with leg pain. Can you give me any suggestion. than.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Hai. This is sairam. I am 22 years old. From the last 20 days I am suffering with leg pain. Can you give me any sugge...
Leg pain- for leg pain, please follow the below advise: keep your leg raised while sitting or lying quadriceps strengthening exercises-
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I got an accident 2 months ago I badly injured and got my middle hand finger fractured. Now finger is jointed but it not fold properly what should I do?

BPTH/BPT, MPTH/MPT-Orthopedic Physiotherapy, Post Graduate Diploma In Ergonomics (PGDHSC - Ergonomics)
Physiotherapist, Gurgaon
I got an accident 2 months ago I badly injured and got my middle hand finger fractured. Now finger is jointed but it ...
It is because of stiffness of the interphallangeal joint. You need to take physiotherapy sessions to regain the normal range of motion ot joint.
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I have been suffering from lower back pain for the last few months. Acute back spasm was diagnosed and I was advised complete bed rest with physiotherapy and medicines. The x-ray didn't report anything serious as well It's been sometime now I still feel pain in my back with the pain sometime increasing towards the thigh muscles as well. Is there any sort of exercise/medication that I should undertake on a longer term? It's affecting my travel plans to work a lot.

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist, Bangalore
I have been suffering from lower back pain for the last few months. Acute back spasm was diagnosed and I was advised ...
Try few things for your back pain: - Apply Ice and Heat Heating pads and cold packs can comfort tender trunks. Most doctors recommend using ice for the first 48 hours after an injury -- particularly if there is swelling — and then switching to heat. You can use whichever you find comforting as long as your skin is protected. - Limit Bed Rest Studies show that people with short-term low-back pain who rest feel more pain and have a harder time with daily tasks than those who stay active. -Keep Exercising Activity is often the best medicine for back pain. Simple exercises like walking can be very helpful. But remember to move in moderation, Stay away from strenuous activities like gardening and avoid whatever motion caused the pain in the first place. -Maintain Good Posture most people have poor posture when going about their daily activities, putting unnecessary strain on their backs. -Strengthen Your Core Most people with chronic back pain would benefit from stronger abdominal muscles. If the abdominals are weak, other areas must pick up the slack. When we strengthen the abdominals, it often reduces the strain on the lower back. - Improve Flexibility Too much tension and tightness can cause back pain. By increasing flexibility you need to put an equal load throughout the body from the feet all the way up to the head. -Sleep the Right Way The amount of rest you get is important, and so is the position you get it in. Sleeping in a bad position or on a mattress without support can cause back pain. Back sleepers should put pillows under their knees. Side sleepers should place pillows between their knees to keep their spine in a neutral position. Stomach sleeping causes the neck and head to twist and can put undue stress on the back. -Use Relaxation Techniques Research shows that practices such as meditation, deep breathing and yoga, which help put the mind at rest, can do wonders for the back. -See a Specialist Developing an individualized exercise plan is essential to managing chronic back pain. Some patients need more core strengthening while others benefit mainly from stretching and improving flexibility. Please consult a Orthopedic Physiotherapist for the right exercise plan. Best wishes.
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My mother recently developed pain in joints specially in interphalyngeal joints. She took a glass of lemon with warm water in the morning daily for 1 month. After which she developed these joint pains. She is a known diabetic, hypertensive, hypothyroid, and dyslipedimia patient and on medication for them. All the medical conditions are under normal values (she follows a good diet, takes regular medications and does her lab tests and medical checkups regularly) my question is. What could be the possible cause? does taking lemon water causes weakness? her triglycerides, cholesterol, hdl levels were in upper limit and now after taking lemon water for 1 month her lipid profile has decreases to. Triglycerides 100mg/dl, hdl 44 mg/dl, sr. Cholesterol 120mg/dl. She is using tab. Atocar f for dyslipidemia. Thankyou in advance for your patience to go through this lengthy question:-)

Diploma in Acupuncture, Pranic Healing, MD - Acupuncture
Acupuncturist, Bangalore
My mother recently developed pain in joints specially in interphalyngeal joints. She took a glass of lemon with warm ...
Try this for joint pains try this. Identify the mid point between the ankle bone and tendons and give pressure with a blunt edge on either side of your foot for 2 minutes. Also give pressure in the web between 2nd and 3rd finger from your toe for 2 minutes. Finally give a good massage for both feet in hot water. Identify the dipping portion on the back of your knee folding. Press this dip with both middle fingers and hold your knee with your thumbs for support. Please swing 20 times morning and evenings. This will relieve your problem. Consult after 10 days.
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I am suffering lower back pain and left leg pain every day I take high power painkillers if I don't take painkiller I can't walk also, In MRI scam L4 and L5 bit problem, one of doctor said to me sayatic.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), D.Y.N.P.
Ayurveda,
I am suffering lower back pain and left leg pain every day I take high power painkillers if I don't take painkiller I...
Take ayurvedic medicine for 6 months it will be completely cured ras raj ras 1 tab vatkulantak 1 tab gugyoga ds 1 tab triloric cap 1 cap thrice a day with milk.
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10 Ways to Manage Chronic Back Pain

FIPP ( UK ), DA, MBBS
Pain Management Specialist, Navi Mumbai
10 Ways to Manage Chronic Back Pain

Chronic back pain may occur due to a variety of reasons. Sometimes, it may be due to conditions like osteoporosis or arthritis and at other times, it may be due to an injury or a slip disc caused by such an injury. Injuries to the spinal cord can also trigger chronic back pain. There are numerous ways of dealing with chronic back pain, which may be debilitating, if not treated properly.

10 ways of managing this pain.

  1. Medication: One of the ways of managing chronic back pain is with the help of anti-inflammatory drugs as well as pain killers like ibuprofen. However, do keep in mind that these medicines must be consumed only if they are prescribed by the doctor. Anticonvulsants and anti-depressants can also help in preventing pain that emanates from the nerves of the region.
  2. Surgery: Surgery can be done by the doctors in case the pain is extreme and severe. This kind of surgery usually aims at implanting devices and tools that can support the slipped disc, which may cause pinched nerves.
  3. Electrotherapy: This kind of therapy can help in reducing pain by releasing low-voltage electric stimulation that helps in dealing with the sensory nervous system.
  4. Exercises: Muscle strengthening exercises will help in a better balance. Also, other physiotherapy exercises can help in reducing back pain significantly by targeting the points that create pain and by pinching of the nerves.
  5. Relaxation techniques: There are a number of relaxation techniques that one can turn to so as to reduce the pain. This pain can also be managed with the help of meditation and breathing exercises, which can serve as an alternative means of treatment.
  6. Rest: With proper rest, one can do away with chronic pain. Yet, if it is a nerve-based issue, then the doctor may ask you not too lie down for long stretches and to walk regularly so that inflammation and pain does not set in.
  7. Heat: Heat therapy or heat compresses as well as hot water bags can be used for pain relief.
  8. Prolotherapy: In this method, an irritant solution is injected into the back so as to stimulate better blood circulation. This process also aids in faster ligament repair.
  9. Opioid fusion pump installation: These pumps are surgically implanted so that opioid agents are delivered straight to the spinal cord, which can treat and manage chronic back pain.
  10. Injections: These are usually considered as blocks that deliver steroids to the ligaments and joints. Also, one may have to take corticosteroid injections in order to deal with a very painful case. These epidural injections are usually best for temporary relief. One will need more long term treatment or management methods in order to effectively deal with and reduce pain.
2 people found this helpful

Sir my wife's ankle bone is increasing Due to that it pain and is problem in walking.

D.P.T
Physiotherapist, Hyderabad
Sir my wife's ankle bone is increasing Due to that it pain and is problem in walking.
dear user. contact in person with orthopaedic for proper diagnosis and treatment. meanwhile for reducing pain you can take inferential and ultrasonic therapy for her.
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Hi, I am 41 years old I have been told by my doctor that I have gouty arthritis & after a test of" serum uric acid" the value of uric acid in my blood has come 7.2mg/dl normal range being 2.5-6.2. Can you please recommend a diet plan for me so that my uric acid comes in control. My weight is 63kg & height 5" 2.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. There are ways to keep your uric acid value in body to low levels. General recommendations are: - decreasing intake of red meat, alcohol, rice in your diet and other purine rich sources - also increase your water intake so that uric acid is excreted from body well. - keeping your weight to normal levels will also help you. - intake of fresh fruits, citrus fruits and cherries has been implicated in reducing uric acid values in the body as well. Nowadays there is a medication by the name of febuxostat which helps in lowering uric acid levels in body but kindly check out that it suits your body. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation.
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Hello I am student of 18 yr I have low back pain it do not pain continuously but some time I have noticed increase in pain when I sit for study. How to reduce the pain?

Bsc(Med.), DHMS (Diploma in Homeopathic Medicine and Surgery), NDDY(Naturopathy and Yoga)
Homeopath, Mohali
Hello
I am student of 18 yr
I have low back pain it do not pain continuously but some time I have noticed increase in...
Hi madhurani You improve your sitting posture. Take exercise . Do not bend your back forward. Take hard bed to sleep.Take milk and dairy products. Revert back with feedback.
1 person found this helpful
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I have been playing foot ball for the last 10years now I who admitted with back pain for the last 6months can you please help me?

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist, Bangalore
I have been playing foot ball for the last 10years now I who admitted with back pain for the last 6months can you ple...
Any athlete who places stress on the spine is vulnerable to a back strain. Here are some tips for how to handle your back pain: rest your back for 24-48 hours, but do not stay completely immobile; limited, mild movement is better than bed rest. Apply ice packs for 15-20 minutes, 3-4 times a day for the first 48-72 hours. Apply moist heat after the first 48-72 hours if it makes you more comfortable. Aspirin, ibuprofen may relieve pain and reduce inflammation. If you sleep on your side, place a pillow between your knees. If you sleep on your back, place a pillow under your knees. Avoid sitting in one position for long periods of time. Get up and stretch every 20-25 minutes. Execute each movement required in your sport, gradually increasing the speed of movement, before returning to normal training and competition. Use a lower back support to keep the pressure distributed evenly on the muscles of the lower back. When lifting heavy objects, keep your back as straight as possible and use your legs. Do not bend at the waist. Avoid slouching when sitting. See a doctor immediately if the pain is intense, spreads down one or both legs, causes weakness or numbness, or follows a fall or a blow to your back.
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I have problem in my low back from 15 days some time the pain moves from one side to other side can you please suggest me what should I do to relief from lower back pain.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I have problem in my low back from 15 days some time the pain moves from one side to other side can you please sugges...
Kindly show me a photograph of the affected part. 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 Do hot fomantation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, contact me again. Do not ignore. It could be beginning of a serious problem.
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I have a desk job I do have back pain so what medicine i should take what is the symptoms of thyroid.

BPTh/BPT
Physiotherapist,
I have a desk job I do have back pain so what medicine i should take what is the symptoms of thyroid.
Here is some best exeecises for your back. No need to use medicine try volini or other pain relief spray n do some exercise The 12 Best Stretching Exercises at Your Desk Just stand up and sit down -- no handsYou might have gotten a gold star in preschool for sitting still, but it just goes to show you (best sellers notwithstanding) that not all of us learned everything we need to know in kindergarten. "If you stand up and sit down (over and over) -- without using your hands -- it can be a challenge, says Smith. "Do it while you're on the phone; no one will know. Substitute exercise for sitting -- while you workGet rid of your desk chair and substitute an exercise ball, suggests Smith. "I used it for a while when I was having low-back problems; it was great, Smith says. "All day you are engaging all the muscles in the back, legs, butt, everything, to stay balanced. Hame knows one man who put a treadmill in his office and conducted all his business while walking. (He lost weight, too, Hame says) Shrug your shoulders -- to release the neck and shouldersInhale deeply and shrug your shoulders, lifting them high up to your ears. Hold. Release and drop. Repeat three times. Shake your head slowly, yes and no. You might as well amuse yourself while you do it to relax even further. Ask yourself silly questions: "Is your boss an idiot? Move your head up and down, "Yes, yes, yes. Side to side: "No. No. No. (Shedding tension is as much mental as physical) Loosen the hands with air circlesClench both fists, stretching both hands out in front of you. Make circles in the air, first in one direction, to the count of ten. Then reverse the circles. Shake out the hands. Point your fingers -- good for hands, wrist, and forearmsStretch your left hand out in front of you, pointing fingers toward the floor. Use your right hand to increase the stretch, pushing your fingers down and toward the body. Be gentle. Do the same with the other hand. Now stretch your left hand out straight in front, wrist bent, with fingers pointing skyward. Use your right hand to increase the stretch, pulling the fingers back toward your body. Do the same on the other side. Release the upper body with a torso twistInhale and as you exhale, turn to the right and grab the back of your chair with your right hand, and grab the arm of the chair with your left. With eyes level, use your grasp on the chair to help twist your torso around as far to the back of the room as possible. Hold the twist and let your eyes continue the stretch -- see how far around the room you can peer. Slowly come back to facing forward. Repeat on the other side. Do leg extensions -- work the abs and legsGrab the seat of your chair to brace yourself and extend your legs straight out in front of you so they are parallel to the floor. Flex and point your toes five times. Release. Repeat.Stretch your back with a "big hug" Hug your body, placing the right hand on your left shoulder and the left hand on your right shoulder. Breathe in and out, releasing the area between your shoulder blades. Cross your arms -- for the shoulders and upper backExtend one arm out straight in front of you. With the other hand, grab the elbow of the outstretched arm and pull it across your chest, stretching your shoulder and upper back muscles. Hold. Release. Stretch out the other arm in front of you -- repeat. Stretch your back and shoulders with a "leg hug" Sit on the edge of your chair (if it has wheels, wedge the chair against the desk or wall to make sure it does not roll). Put your feet together, flat on the floor. Lean over, chest to knees, letting your arms dangle loosely to the floor. Release your neck. Now bring your hands behind your legs, right hand grasping left wrist, forearm (or elbow if you can reach that far), left hand grasping the right. Feel the stretch in your back, shoulders and neck. Hold. Release your hands to the floor again. Repeat three times or as often as it feels good. Look up to release upper bodySit up tall in your chair, or stand up. Stretch your arms overhead and interlock your fingers. Turn the palms to the ceiling as you lift your chin up, tilt your head back, and gaze up at the ceiling, too. Inhale, exhale, release. Substitute walks for email -- and don't eat at your deskInstead of emailing a colleague "and copying 25 people who don't want to be copied anyway, Smith says, "walk over to the colleague you really want to talk to. Instead of a lunch meeting at your desk, walk together to a neighborhood sandwich shop. "Talk while you walk -- it's more efficient and productive, Smith says. "You're getting more oxygen to the brain, you have no distractions, and you're more likely to remember what is said.
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I am 35 years old I am getting pain in my 2 legs back of anclet s upper lower both. When I was sitting or sleeping after that when I walk I face the problem.

MBBS
General Physician, Mumbai
I am 35 years old I am getting pain in my 2 legs back of anclet s upper lower both. When I was sitting or sleeping af...
For pain take tablet paracetamol 650 mg and avoid walking on hard surface and use a soft heel inside your shoes for walking and get an xray done to rule out any extra growth of the bone called as calcaneal spur and follow up with reports.
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I am facing a back pain problem. I have used a back pain remover but he didn't work well. Now I do.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am facing a back pain problem. I have used a back pain remover but he didn't work well. Now I do.
Apply hot fomentation twice daily. Avoid bending in front. 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. Core strengthening exercises- straight leg raised with toes turned outward, repeat 10 times, twice a day.
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Sir I am facing severe pain in ankle. Level of uric acid is about 9 and R A factor is 10. What to do ?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Avoid protein diets,bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed. Take tab. Zyloric 100 mg once a day. Tab. Bencid 500 mg once a day. tab. naproxen for pain .
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I am a 25 year old male I have a backache problem for last 2 months. What should I do?

BPTh/BPT
Physiotherapist, Gurgaon
I am a 25 year old male I have a backache problem for last 2 months. What should I do?
You can go a good physiotherapist first. They will do electrotherapy for pain relief. Advice some exercises for your lower back and also teach you proper posture.
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