Find numerous Occupational Therapists in India from the comfort of your home on Lybrate.com. You will find Occupational Therapists with more than 31 years of experience on Lybrate.com. You can find Occupational Therapists online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment
Speech Therapy Treatment
Sensory Integration Therapy
Occupational Therapy Treatment
Control Program Occupational Health - Pcmso
Minor Ot Service Procedures
Submit a review for Dr. Arpita ShahYour feedback matters!
I have pain on my left foot due to playing football and pain are not going. Please give me medicine tips.
Due to sudden jerk in a train I got pain in my right foot, a few months back. X rays were done and doctor said that there is no crack or fracture. The pain is severe. All local hot/cold and some ointments have been applied but no re leaf.Please advise (66 years)
I am diabetic since last 02 yrs, age-42 yrs, now sugar level is normal since last 06 months, pain in body especially on chest, back, shoulder joints, please suggest me.
The neck and shoulder have a huge range of movement and thus they are more prone to injury. The ball and socket joint at the upper arm is the shoulder and both the neck and the shoulder are made up of soft tissues, muscles and ligaments.
Reasons behind pain Injured rotator cuffs:
Rotator cuffs are the tendons supporting the shoulder. If they are injured it might lead to a chronic loss of the range of movement. This is more commonly known as a frozen shoulder.
- Dislocation: Dislocated disc of the neck or shoulder due to an accident would cause severe pain in the affected area.
- Fractures: Fractured collarbone or the upper arm bone may result in chronic pain.
- Tendonitis: This occurs due to the over usage of the arms or neck or strains due to over exertion like in sports.
- An unstable shoulder joint: If there is instability in the ball and socket joint of the upper arm, chances of having a chronic pain is high. Others: Degenerative arthritis, herniated disc, and even heart attacks can be the other possible causes of chronic neck and shoulder pain.
When to go to the doctor?
When the patient experiences a pain due to a severe blow or injury, the neck pain radiates down the legs and arms, a feeling of numbness and tingling sensation, or has a stiff neck with fever or vomiting, it is essential to seek the advice of a Doctor.
Diagnosis for shoulder and neck pain X-ray:
The main form of diagnosing a pain is an x-ray. It helps to reveal diseases from arthritis, tumour, slipped disc, narrowing spinal cord, fractures and spinal cord instability.
- MRI: Magnetic Resonance Imaging or simply the MRI reveals the detail of nerve-related issues along with the problems in the ligaments and tendons.
- CT scan: There may be instances when the injuries are difficult to be diagnosed. And, in the case of a fracture, a CT Scan is advised for more details. It is also an alternative to MRI.
- ECG: An Electrocardiogram is a way of diagnosis if shoulder and neck pain continues along with chest pain or shortness of breath. If there is a risk of an individual having a heart attack, then an ECG is recommended.
- Electro Diagnosis: Electromyography referred to as EMG and Nerve Conduction Velocity (NCV) are used to diagnose pain in the arm, neck, shoulder followed by a numb feeling on the affected areas.
Treatment for chronic shoulder and neck pain
A simple sprain on the neck and shoulder would demand a rest for a few days along with pain medication. If the pain is due to muscle spasms application of dry or moist heat may provide relief. In the case of a swelling due to injuries, a cold ice pack 4 to 8 times a day will provide immense relief. Patients might be advised a cast or sling for the shoulder pain. The soft tissues in the neck and shoulder can be treated with pain relievers taken for a few days. Muscle relaxants are also prescribed depending on the severity of the pain. Local corticosteroid injections are helpful for shoulder arthritis. Platelet rich plasma injection is another modern treatment for arthritis or tendinopathy. In some situation, radio frequency procedures are very helpful. Exercises are very effective for both neck and shoulder pain movement. Surgery might be an option if nerve roots are affected.
I am 26 years old lady, I have a baby by operation and immediately after that I feel pain in my spine. Then, please share your information about this.
She is feeling pain in her heels and around it ftom last couple of months. Sometimes feel difficult to walk after getting from the bed after a long time or from chair after couple of hours. Please suggest.
A shoulder dislocation occurs when the bones of the upper arm snap out of your shoulder blade, generally after suffering a major injury. The joints of the shoulder are the most flexible body joints, thereby, making them more prone to dislocation. In most of the cases, a dislocated shoulder can be fixed within a few weeks’ time with the help of proper diagnosis. There is a high chance of suffering from dislocations over and over again. A dislocated shoulder, if not treated immediately, can lead to further complications such as damage to the blood vessels and nerve around the affected area or tearing of the associated muscles or ligaments.
What can cause a shoulder dislocation
You can experience a dislocation in your shoulder joints due to the following reasons:
- Shoulder dislocation can occur if you play any kind of contact sports such as football or hockey. You are more susceptible to a dislocated shoulder if the sports or physical activities you engage in regularly involve the risk of suffering from falls such as gymnastics or volleyball.
- A dislocated shoulder is a common occurrence if you have suffered a major motor vehicle accident that might have affected your shoulder.
- You can also suffer from a dislocated shoulder if you have survived a fall in the recent past such as tripping from a ladder or similar injuries.
Symptoms of a dislocated shoulder
You are suffering from a dislocated shoulder if you exhibit the following signs and symptoms:
- Abnormal enlargement of the affected area or bruising
- Severe pain around the shoulder area due to a recurrent muscle spasm in the shoulder joints
- Extreme pain while moving the joint
- A sense of numbness or a tingling sensation near the affected area, for example, in areas around the neck or the arm
- Visibly deformed shoulder joints
Treatment for shoulder dislocation
The treatment for shoulder dislocation depends on the severity of the injury. The following treatments can be implemented with suggestion from the doctors:
- If you had recurrent instances of dislocated shoulders, your doctor might suggest a surgery to remedy the damaged blood vessels and nerves around the area.
- Depending upon the intensity of the pain, the doctor might implement a general manoeuvre procedure to relocate your shoulder bones. After the procedure is conducted, you will feel your pain significantly reducing.
- Your doctor can also recommend you to wear a sling around your shoulder area to regulate the movement of the shoulder joints for the first few days to about 3 weeks, depending upon the intensity of the pain.
If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.