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Dr. Arjan Dive

Orthopedist, Mumbai

500 at clinic
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Dr. Arjan Dive Orthopedist, Mumbai
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
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Dr. Arjan Dive is an experienced Orthopedist in Andheri East, Mumbai. You can visit him at Ichhapurti Polyclinic & Diagnostic Centre in Andheri East, Mumbai. Save your time and book an appointment online with Dr. Arjan Dive on Lybrate.com.

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Ichhapurti Polyclinic & Diagnostic Centre

Shop No 8 & 9, B Wing, Poonam Kirti Building, Poonam Nagar, Andheri East, Landmark:- Near St Xaviers High School, MumbaiMumbai Get Directions
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Causes and Diagnosis of Neck Pain

D.P.T
Physiotherapist, Hyderabad

A sudden-onset (acute) bout of neck pain is common. Two out of three of us will have neck pain at some time in our lives. In most cases it is not due to a serious disease or neck problem and often the exact cause for the pain is not clear. This is called 'nonspecific neck pain'. Most are probably due to minor sprains or bad posture. Full recovery occurs in most cases. The usual advice is to keep the neck active. Painkillers are helpful until the pain eases. Persistent (chronic) pain develops in some cases, and further treatment may then be needed.

Understanding the neck

The back of the neck includes the cervical spine and the muscles and ligaments that surround and support it. The cervical spine is made up of seven bones called vertebrae.

  • The first two are slightly different to the rest, as they attach the spine to the skull and allow the head to turn from side to side.
  • The lower five cervical vertebrae are roughly cylindrical in shape - a bit like small tin cans - with bony projections.

The sides of the vertebrae are linked by small facet joints.

Between each of the vertebrae is a 'disc'. The discs are made of a tough fibrous outer layer and a softer gel-like inner part. The discs act as 'shock absorbers' and allow the spine to be flexible.

Strong ligaments attach to adjacent vertebrae to give extra support and strength. Various muscles attached to the spine enable the spine to bend and move in various ways. (The muscles and most ligaments are not shown in the diagram, for clarity.)

The spinal cord, which contains nervous tissue carrying messages to and from the brain, is protected by the spine. Nerves from the spinal cord come out from between the vertebrae in the neck to take and receive messages to the neck and arms. A major blood vessel called the vertebral artery also runs alongside the vertebrae to carry blood to the rear (posterior) part of the brain.

What are the types and causes of neck pain?

Neck pain is common. About 2 in 3 people develop a bout of neck pain at some time in their lives. One survey done in the UK found that, of adults aged 45-75 years, about 1 in 4 women and about 1 in 5 men had current neck pain. Types and causes of neck pain include:

Nonspecific neck pain

This is the most common type. This is sometimes called 'simple' or 'mechanical' neck pain. Often the exact cause or origin of the pain is not known. It may include minor strains and sprains to muscles or ligaments in the neck. Bad posture may also be a contributing factor in some cases. For example, neck pain is more common in people who spend much of their working day at a desk, with a 'bent-forward' posture.

A 'whiplash' jolt to the neck

This is most commonly due to an accident involving a vehicle, such as a car crash. It can cause neck pain. See separate leaflet called Whiplash Neck Sprain for details.

Sudden-onset (acute) torticollis

This is sometimes called 'wry neck'. A torticollis is when the head becomes twisted to one side and it is very painful to move the head back straight. The cause of acute primary torticollis is often not known.

However, it may be due to a minor strain or sprain to a muscle or ligament in the neck. Some cases may be due to certain muscles of the neck being exposed to cold ('sleeping in a draught'). It is common for people to go to bed feeling fine and to wake up the next morning with an acute torticollis. The pain usually eases and clears away over a few days without any treatment.

How can I tell if the pain is due to a more serious cause?

A doctor's assessment and examination can usually determine that a bout of neck pain is nonspecific and not due to a more serious cause. The following are the sort of symptoms that may indicate a more serious problem:

  • If neck pain develops when you are ill with other problems such as rheumatoid arthritis, AIDS, or cancer.
  • If the pain becomes progressively worse.
  • If some function of an arm is affected. For example, weakness or clumsiness of a hand or arm, or persistent loss of feeling (numbness). (As mentioned, some pins and needles may occur with nonspecific neck pain. However, this is mild and usually goes within four weeks.)
  • If you feel generally unwell and have 'general' symptoms such as weight loss or a high temperature (fever).
  • If the neck bones (vertebrae) are very tender (which may indicate a bone problem).
  • If you develop any problems with walking or with passing urine.This may indicate problems with pressure on the spinal cord

Some other treatments which may be advised include:

 

  • A good posture may help. Check that your sitting position at work or at the computer is not poor. (That is, not with your head flexed forward with a stooped back.) Sit upright. Yoga, pilates, and the Alexander Technique all improve neck posture, but their value in treating neck pain is uncertain.
  • A firm supporting pillow seems to help some people when sleeping. Try not to use more than one pillow.
  • Physiotherapy:
  1. Various treatments may be advised by a physiotherapist. These include traction, heat, cold, manipulation, etc. The value of each of these treatments is uncertain, as the results of research studies looking at which treatments work best can be conflicting.
  2. However, what is often most helpful is the advice a physiotherapist can give on neck exercises to do at home.
  3. A common situation is for a doctor to advise on painkillers and gentle neck exercises. If symptoms do not improve over a week or so, you may then be referred to a physiotherapist to help with pain relief and for advice on specific neck exercises.

Treatment may vary and you should go back to see a doctor:

  • If the pain becomes worse.
  • If the pain persists beyond 4-6 weeks.
  • If other symptoms develop such as loss of feeling (numbness), weakness, or persistent pins and needles in part of an arm or hand, as described previously.

Other pain-relieving techniques may be tried if the pain becomes persistent (chronic). A pain management programme may be offered to help you control and live with your pain. Chronic neck pain is also sometimes associated with anxiety and depression which may also need to be treated.

1 person found this helpful

My 23 year old son is having a severe neck pain (with shoulder and back pain) since last night as he had a very rigorous travel by flight. It seems he slept with a wrong posture for an hour because of which all this started. Doctor kindly suggest some safe way out since he has 9 hours of work which he cannot neglect He is also having dizziness. Thankingyou.

M.P.T. (Neuro), BPTh/BPT
Physiotherapist, Lucknow
My 23 year old son is having a severe neck pain (with shoulder and back pain) since last night as he had a very rigor...
Contact orthopaedic surgeon or physiotherapist neary as soon as possible for maximum releif. Improve posture. Start hot saline fomentation followed by volini gel and neck exercises under supervision of expert physiotherapist. Use pillow in side lying.
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Since last 10 years I have spine problem, and I have consulted many doctors but the conditions are still the same, now even to wake up in the morning I have to take a pain killer. Doing exercise regularly as stated by the physiotherapist but there is no improvement at all. Please show me some right way to come up from this pain.

Master of Occupational Therapy (MOT), Bachelor of Occupational Therapy (BOT)
Occupational Therapist, Delhi
Since last 10 years I have spine problem, and I have consulted many doctors but the conditions are still the same, no...
Do back isometrics Apply hot fomentation Avoid those exercises which increase your pain Avoid long standing Avoid bending forward activities Take care of your posture- while sitting, sit straight & support your lower back with cushion/ thin pillow Avoid being in one position for long duration Avoid lifting heavy weight Take bath with warm water adding salt to it Before exercise apply hot pack & after exercise apply cold pack
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How Ayurveda Helps Treat Rheumatoid Arthritis?

BAMS, MD, Panchakrma
Ayurveda, Nashik
How Ayurveda Helps Treat Rheumatoid Arthritis?

Rheumatoid arthritis is allopathic terminology used for disease. According to ayurveda, it comes under vatvyadhi among all vatvyadhi, you can compare it with amavata and vatrakta it depends upon person to person symptoms. According to ayurveda, when a person comes to you first give langhana that is fasting so that amapachana is done i.e. for toxin removal then give dipan pachan drugs like guduchi amalaki mustha. Its kashay gives good resultm then in panchakrama, vaitarana basti plays an important role. It removes avarodha in the Channel.

Sarvanga with saindhvadi tail is useful in medicines. You can take tablet - Rhumalya forte tablet, sinhanada guggul tablet, punarnava guggul syrup, rasna saptak kashay also plays an important role, for the local application you can use vishagarbha tail to avoid potato bringal toor dal, chana dal, thus by this way ayurveda helps in treating rheumatoid arthritis.

Inflammation of this space leads to painful, swollen joints that can also turn red and become stiff over a period of time. The joint surfaces can gradually progresses to produce deformities (the swan-neck deformity of the hand for instance) and disability.

Because it is an autoimmune disorder, the exact etiology is not known but lifestyle, stress, cold weather are supposedly predisposing factors. That being the case, it is not surprising that Ayurveda has a variety of options, both in terms of do's and don't's to manage rheumatoid arthritis - both the severity of symptoms and further progression of the disease.

Do's: A well-planned diet will help by supporting optimal functioning of the immune system and nourish the affected joints.

  1. People diagnosed with RA should follow a diet that is rich in fruits and vegetables. Drumsticks, bitter gourd, carrot, papaya, green leafy vegetables, cabbage, etc., reduce inflammation and hyperactivity of the immune system. The antioxidant properties in these neutralize the free radicals circulating in the body (responsible for increasing inflammation). This helps control the longstanding inflammation of the joints
  2. It is also advisable to eat them as whole fruits and not as juices. The fiber in the whole fruits helps digestion
  3. Sprinkle pepper powder over cooling food items like cucumber and radish
  4. Include garlic which is an excellent remedy for RA, can be mixed with buttermilk
  5. Whole grains such as wheat, brown rice, millet, barley are beneficial for RA, their high fiber content helps in proper digestion and promotes regular bowel movements
  6. Honey mixed with water
  7. Drink boiled milk to which dry ginger powder is added; this can replace tea and coffee
  8. Milk mixed with turmeric powder is also helpful in controlling inflammation
  9. Work at reducing weight

Don'tsIn addition to adding the above to your diet, there are some things to avoid, which can worsen symptoms of inflammation.

  1. Avoid overall unhealthy and irregular diet habits which affects the immune system and aggravates symptoms
  2. Avoid sleeping during daytime and staying awake at nights
  3. Avoid deep fried foods and fermented food items
  4. Given its autoimmune nature, it is better to avoid regular allergy-inducing foods like dairy products, soy, peanuts, processed foods, artificial additives, etc. These could trigger an enhanced allergic reaction.
  5. Avoid alcohol, tobacco
  6. Avoid tea and coffee and other caffeinated drinks

With simple daily food habit and lifestyle changes, the severity of RA can be managed effectively. Along with do's and don'ts, follow ayurvedic treatment with proper ayurvedic physician. It will give much relief. RA is treated in Ayurveda very nicely but you require patience and dos pathya regularly.

With the help of Panchakarma, ayurveda breaks the pathology of rheumatoid arthritis. With the help of medicines, we remove the toxins. And helps to treat the patient. Some drugs like mahavatvidvans ras. Vatgajankush ras mahrasnadi kadha. Helps to treat rheumatoid arthritis. If you wish to discuss about any specific problem, you can consult an Ayurveda.

3652 people found this helpful

Suffering from back pain from a few days, drives motor bike 70 km daily and also goes to gym daily. What may be the cause, shall I stop going gym? Remedies please.

MBBS, D (ORTHO), DNB (Orthopedics), MCH (Orthopedic), Spine Fellowship DePUY, Medtronics Spine Fellowship
Orthopedist, Delhi
Suffering from back pain from a few days, drives motor bike 70 km daily and also goes to gym daily. What may be the c...
Back pain from few days can only be because of lumbar muscle spasm .but as travelling and gym is involved most of these patients suffer from degenerative disc ds .do some hot fomentation for few days .if it settles good if it does not then please get your mri.
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Have chronic feeling of warmth in chest and pain in neck and back. Diagnosed with cervical spondylitis and have frequent reflex. Please help me.

BHMS
Homeopath, Chennai
Have chronic feeling of warmth in chest and pain in neck and back. Diagnosed with cervical spondylitis and have frequ...
Cervical Spondylitis is a problem that affects almost half the adult population and most of the computer users. It affects the joints of the cervical spine. It is a normal process of wear and tear that is related to aging but has struck earlier due to various reasons, mainly related to our modern lifestyle. While there may not be much that can be done in the Allopathic system of medicine to cure this problem, Homeopathy has a lot to offer in the treatment of cervical spondylitis or neck pain. It not only relieves the spasm present in the neck and shoulder muscles but also strengthens the muscles. The pain in the neck, shoulders, head and arms is cured permanently. Even the vertigo which is commonly present with the other symptoms of cervical spondylitis is cured. There is no need for taking painkillers or any traction. You can easily take an online consultation for further treatment guidance and permanent cure without any side effects
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I have digestion problem. And frequent back ache. I am female. I am 20 years old.

PGDHHM, MBBS
General Physician, Delhi
I have digestion problem. And frequent back ache. I am female. I am 20 years old.
Mild alteration in lifestyle and diet can help u deal with this problem. Eat healthy and fresh diet .Eat smaller meals frequently than heavy food. Avoid carbonated drinks and spicy food and processed foods. Drink plenty of liquids. Eat 3-4 servings of fruits everyday. Digestive enzymes containing medicines might be helpful to you. Hope this helps u .
4 people found this helpful
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Sir I am suffering from rheumatoid arthritis and osteoarthritis. I have been taken homeopathic medicine rhustox 30 and kalmia 6 from 1 year my health is now improve but my right knee on which I have an acl surgery and left elbow still has sever pain so I ask for homeopathic anti miasmatic deep acting medications please sir suggest me some anti miasmatic deep acting medicine.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Sir I am suffering from rheumatoid arthritis and osteoarthritis. I have been taken homeopathic medicine rhustox 30 an...
As arthritis is very common that you get generally bilaterally. Ice therapy would definitely help to reduce the inflammation. We also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. You can take Ultrasonic therapy in one of the nearby physiotherapy clinics which would help to heal the damaged cartilages along with shortwave diathermy which would help to improve the blood circulation. Knee cap will also help to prevent the damaged cartilages Simple Knee Exercies Specific knee exercises will also help ie. Keeping ball underneath the knee and keep pressing it. That's the simple exercise which will help you to strengthen the knee Ice therapy would definitely help to reduce the inflammation. We also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. I also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. If your pain is more in the distal joints, ie. In the upper limbs if the pain is present in the fingers/wrist and in the lower limbs it the pain is present in the toes/ ankle, then we shall definitely say it is Rheumatic arthritis. Wear elbow brace and wrist brace which will make you to feel warm and that will make the joints become firm. Hot water fermentation will help Knee cap will also help to prevent the damaged cartilages.
2 people found this helpful
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I'm 23 year old man, and I'm having knee joint pain for last 1 month. I tried various medications but it still persists. What should I do. Please help me!

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I'm 23 year old man, and I'm having knee joint pain for last 1 month. I tried various medications but it still persis...
Put a towel roll under knee and press for 10 second then release repeat 10 times. And do hot fermentation if it work then ok otherwise tk physio treatment.
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I get tired soon, and feel lack of stamina when playing any sports, joints also pain if play continuously please advise for the above?

MPT NEUROPHYSIOTHERAPY/NEUROLOGY, CMS & ED
Physiotherapist, Rajkot
I get tired soon, and feel lack of stamina when playing any sports, joints also pain if play continuously please advi...
You should check for diabetes and blood pressure. And start regular exercises like running cycling and swimming with proper healthy diet. Thank you.
7 people found this helpful
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I have back and joint pain. I do Ayurvedic massage but have not got any relief. I am using pain killer also. Can you please help what should I do?

BPTh/BPT
Physiotherapist, Kota
I have back and joint pain. I do Ayurvedic massage but have not got any relief. I am using pain killer also. Can you ...
Dear, low back pain are often referred for physical therapy for four weeks as an initial conservative (nonsurgical) treatment option before considering other more aggressive treatments, including back surgery. The goals of physical therapy are to decrease back pain, increase function, and teach the patient a maintenance program to prevent future back problems. Common forms of physical therapy include: 1.Passive physical therapy (modalities), which includes things done to the patient, such as heat application, ice packs and electrical stimulation. For example, a heating pad may be applied to warm up the muscles prior to doing exercising and stretching, and an ice pack may be used afterward to sooth the muscles and soft tissues. OSee Physical Therapy: Passive PT (Modalities) for Back Pain 2.Active physical therapy, which focuses on specific exercises and stretching. For most low back pain treatments, active exercise is the focus of the physical therapy program. This article focuses on active physical therapy and exercise as a means to help recover from back problems and prevent or minimize future flare-ups of low back pain Low back pain has lasted between two and six weeks, or if there are frequent recurrences of low back pain, physical therapy is often recommended. Some spine specialists consider physical therapy sooner, particularly if the pain is severe. •Read more: Exercise and Back Pain In general, the goals of physical therapy are to decrease pain, increase function, and provide education on a maintenance program to prevent further recurrences. A physical therapy program for back pain usually has two components: 1.Passive physical therapy to help reduce the patient's pain to a more manageable level 2.Active exercises Passive Physical Therapy - Modalities Acutely, the physical therapist may focus on decreasing pain with passive physical therapy (modalities). These therapies are considered passive because they are done to the patient. Examples of modalities include: •Heat/ice packs •TENS units •Iontophoresis •Ultrasound.
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I am 25 year male, my left ear & from back of my head left side upto shoulder is paining since 01 month, and pain in left hand also, what should I do.

BPTh/BPT
Physiotherapist, Delhi
Start with physiotherapy sessions and learn exercise. Don't sit on floors. Don't lift heavy things. Take calcium and methylcobalamine supplement also.
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Dear sir I am suffering from high levels of uric acid as a result often have gout pains in my feet. Please suggest what kind of medicine and diet should I follow?

MBBS
General Physician, Faridabad
take tab febutaz 1tab od for 15 days, avoid protein diet, milk and its product, paneer, cheese, non veg etc.drink 3-4 liter of water daily, morning walk for 1 hr daily, it will help you. Thanks
6 people found this helpful
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I have mouth ulcer since very long time. It goes of for 1-2 days and again come back and little pan in right side of tongue root while food gulp.

MDS Prosthodontics, BDS
Dentist, Mumbai
I have mouth ulcer since very long time. It goes of for 1-2 days and again come back and little pan in right side of ...
There are various causes for mouth ulcers: *diet *deficiency *irritating fillings *stress/ allegries *late night *wisdom tooth *broken teeth etc. You need to find out the exact cause. It could be one of the above. You need to see your nearest dentist at your earliest. Till then you can apply this gel called rexidin m forte on the affected area twice a day.
1 person found this helpful
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I am 34 years old and in last 4 months, I had 4 gout attack (Dec 24, Feb 8, Mar 1) on my right leg toe. Since last one month (Mar 5) I am taking Allopurinol 100mg as prescribed by my doctor for 3 months (daily 1 tablet). After starting this tablet around Mar 14th again I got Gout attack. Its already 20 days over, but that bulges on the toe has not gone completely it has reduced a bit not going completely. And because of this I am not able to walk fast or jog, can’t even wear shoe because it pains. Did 2 blood test once in Dec and then in Mar in both Uric Acid level is normal. Since Jan I have controlled by food habits as well no red meat, no shell fishes no alcohol, no soda based drinks, regularly drinking 3 litres of water. Need your suggestion how to reduce the swelling caused by this gout attack and to avoid in future so I can run and wear show freely. Thanks in advance.

BHMS
Homeopath,
Dear lybrate user, protein is one of the most vital nutritional substances which are required for human body. Almost every high protein diet contains purine. This purine produces uric acid on oxidation. Excess uric acid is accumulated at the joints of human beings as urate salts. This accumulation of urate salts lead to gout. You should avoid high protein rich diet like mutton, chicken, beef, eggs, sea fish, spinach, garden pea, tomato, lentils etc. Also you need to take homoeopathic mother tincture urtica urens q, 30 drops, thrice daily, after meals, in a cup of water. This medicine will help to dissolve the accumulated excess urate salts from the joints.
1 person found this helpful
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I'm suffering from muscle pain from two weeks. What should I do to prevent from muscle pain in elbow n shoulders. Should I follow any extra food items in my diet.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
I'm suffering from muscle pain from two weeks. What should I do to prevent from muscle pain in elbow n shoulders. Sho...
You should take Acupressure therapy and take Biochemic Mag phos 200x +Nat phos 200x, 4 tab each thrice a day with warm water and take it 5 days than consult private online.
1 person found this helpful
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Sir I feel some upper part of my leg is sleeping I feel this from 2 or 3 days how to solve it.

MBBS, MD - General Medicine, DM - Neurology
Neurologist, Hyderabad
Sir I feel some upper part of my leg is sleeping I feel this from 2 or 3 days how to solve it.
It is possible that you are suffering from neuropraxia, due to mechanical pressure on the peripheral nerves. You would get better on own in a few days. You may take vitamin supplements.
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I am a 70 years old suffering from osteoarthritis of both knees for several years. I also have prominent varicose veins behind the knees. What are my treatment options? there are full page ads by healthcare clinic in the newspapers claiming cure?Kindly advise.

DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Chennai
At your age the arthritis in your knee joints must be in an advanced stage. Hence total knee replacement will relieve your pain and restore mobility to a great extent. Varicose veins behind the knees may not be a problem for doing the surgery, but it can predispose you to develop dvt after surgery. If adequate precautions are undertaken to prevent dvt, then your surgery and postoperative period will turn out to be uneventful.
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