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Dr. Dhiren H. Karia

Bachelor OF Physiotherapy

Physiotherapist, Mumbai

9 Years Experience  ·  200 at clinic
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Dr. Dhiren H. Karia Bachelor OF Physiotherapy Physiotherapist, Mumbai
9 Years Experience  ·  200 at clinic
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Personal Statement

Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Dhiren H. Karia
Dr. Dhiren H. Karia is a popular Physiotherapist in Kalyan West, Mumbai. He is currently practising at Dr. Karia's Advanced Physiotherapy Clinic in Kalyan West, Mumbai. You can book an instant appointment online with Dr. Dhiren H. Karia on Lybrate.com.

Lybrate.com has a number of highly qualified Physiotherapists in India. You will find Physiotherapists with more than 26 years of experience on Lybrate.com. You can find Physiotherapists 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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Education
Bachelor OF Physiotherapy - RGUHS - 2008
Languages spoken
English
Hindi

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Dr. Karia's Advanced Physiotherapy Clinic

B Cabin Road, Ambernath East, Opposite Bharat Gas Office or Near HanumanTempleMumbai Get Directions
200 at clinic
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I am 20 years old malw, I am sporty person. Especially I play cricket. But now my right hand paining whenever I throw ball its start paining and I can't play. Also if I left any weight for specific time its also start paning. The pain is at upper side of elbow of my hand.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I am 20 years old malw, I am sporty person. Especially I play cricket. But now my right hand paining whenever I throw...
Firstly avoid playing that's is due to strain so rest must tk muscle relaxant medicine if it work then ok other wise tk physiotherapy treatment tens therapy ultrasonic therapy and after relief start strength exercise of hand s and stretching of neck.
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Hi. My bone got fracture and got operation 3 days before what to do & what foods should be taken for better recovery thanks.

PGD IN ULTRAASONOGRAPHY, Non invasive cardiology course, MD - Medicine, MBBS
General Physician, Narnaul
Immediately After Surgery Diet After Bone-Fracture Surgery Initially, eat bland foods like crackers and broth. Before your surgery -- if it wasn't an emergency -- you probably weren't permitted to have any food or drink. For a few days after surgery, you may have no appetite. Before your discharge from the hospital, you will be required to consume liquids and possibly a light snack -- such as crackers. Initially, stick with bland foods, such as crackers and broth. Balanced Diet Diet After Bone-Fracture Surgery A balanced diet can help you maintain a healthy body weight weight and your wellness as you recover from bone surgery. The National Academy of Sports Medicine recommends 2,000 calories daily if you're not dieting. If you're attempting to shed excess pounds, get at least 1,200 calories if you're a woman and 1,500 to 1,800 calories if you're a man; eating too few calories can slow your metabolism and the healing process. Stay hydrated by drinking plenty of water, and aim to eat a balanced snack or meal every three to four hours for maintained energy. A balanced diet should include a variety of healthy foods, such as lean meats, fruits, vegetables, whole grains, low-fat dairy products and whole grains. Vitamin D and Calcium Diet After Bone-Fracture Surgery Egg yolks are a good source of vitamin D. Vitamin D can facilitate bone healing, according to Civesta Medical Center. It helps your body absorb calcium, which is necessary for bone growth, healing and development. Without adequate amounts of vitamin D and calcium, your body will take calcium from your bones. This can delay healing. Vitamin D can be found in fish, egg yolks, margarine and fortified milk. Top calcium sources include canned salmon, fortified milk and yogurt, almonds and cooked, dark-green vegetables. Considerations Diet After Bone-Fracture Surgery Be sure to eat enough protein. Get an adequate amount of protein to speed healing of your incision. The amount you need is based on your weight. The National Academy of Sports Medicine suggests multiplying your weight by .36 to determine how much protein you should get daily. For example, if you weigh 130 pounds, you should get 46.8 grams of protein. Talk to your doctor before beginning any vitamin or calcium supplements after bone-fracture surgery. Exercise is also an important part of staying healthy. Although bone-fracture surgery can drastically limit participation in physical activities, talk to your doctor about permissible activities. Depending on the nature of your injury, you may be allowed to engage in low-impact activities or do physical therapy exercises as you heal.
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I have got my right ankle fractured. I think there is problem in my ligament. How many days will it take to heal? What are the foods I should eat /?

MBBS
General Physician, Faridabad
it can take 2-6 month, you must take the guidance of ortho surgeon. take protein diet, green vegetable diet, dal, paneer, cheese, fruits, eggs etc, it will help you, welcome for further help.
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Sir mere back me pain hota hai. Mere back me pain continue nahi hota hai par kabhi kabhi hota hai.

MBBS, Diploma In Dermatology And Venerology And Leprosy (DDVL)
Dermatologist, Raigarh
Sir   mere back me pain hota hai. Mere back me pain continue nahi hota hai par kabhi kabhi hota hai.
HEADACH As of now for headache you can take tablet Paracetamol. But we will have to make a diagnosis to get to the cause of it which can be either due to frontal sinusitis or due to migrane or due to refractive error of the eyes or due to other causes for which we have to investigate.if you want medicine than , i will prescibe
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I broke my collar bone 3 years back. Now I am doing gym since last 1 year but now I see problem in my left shoulder joint. Can you please recommend me some injection which can help me in recovering fast. And also tell some injection which can increase my strength.

BHMS
Homeopath, Faridabad
I broke my collar bone 3 years back.
Now I am doing gym since last 1 year but now I see problem in my left shoulder j...
Hi, homoeopathic medicines can help you in relieving the symptoms, but get x-ray done to know the exact cause of your problem. Take hypericum 30 and arnica 200 - both 2 times a day daily. Physiotherapy would also help you along with these medication.
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BPTh/BPT
Physiotherapist, Delhi
What type of mattress should be used to avoid Backpain?
Back pain is one of the top reasons that people start to lose mobility in middle age. Pain can prevent people from engaging in physical activity, making it more difficult for them to maintain a healthy weight and keep up their strength, stamina, and balance as they age. So treating and handling back pain that results from injuries or health problems is crucial for staying on the path of a healthy and active life.

Seeing that most people spend roughly a third of their lives lying in bed, choosing the right mattress is essential for managing low back pain. It can realize the difference in whether you can sleep at night and function the next day.

In the past, doctors often recommended very firm mattresses. But one study, based on a waiting-room survey of 268 people with low back pain, found that those who slept on orthopedic (very hard) mattresses had the poorest sleep quality. There was no difference in sleep quality between those who used medium-firm and firm mattresses.

Soft mattresses, on the other hand, can also be problematic. While a soft mattress that adjusts to your body?s natural curves may help the joints align favorably, you might also sink in so deeply that your joints twist and become painful during the night.

If you desire to find out whether a firmer mattress would feel better than the one you?re currently using, try putting a plywood board under your mattress to dampen the movement from the bedsprings, or try placing your mattress on the floor.

Of course, you can also go to a mattress showroom and test a variety of models. Simply keep in mind that what feels comfortable for a few minutes in a store might not translate into a good night?s sleep. A more reliable test is to discover how you feel after sleeping on different types of mattresses while away from home ? for example, at a hotel or a friend or relative?s house.
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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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I have a lot of headache and also getting back pain please consult me how to feel better to get relief.

BHMS
Homeopath, Raebareli
I have a lot of headache and also getting back pain please consult me how to feel better to get relief.
Ginger can help reduce inflammation of the blood vessels in the head, thus providing relief from a headache. Mix equal parts of ginger juice and lemon juice. Consume it once or twice a day. Another option is to apply a paste of one teaspoon of dry ginger powder, also called sonth, and two tablespoons of water on the forehead for a few minutes. For back pain take Mag phos 12 x - 4 tablets - thrice daily and additional dose at the time of pain. You can also do hot and cold compress alternately till the time you get relief.
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I am 29 years old. I have been felt knees little painful when I climb stairs and walk 5 minutes. What should I do? is there any medicine for it?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
I am 29 years old. I have been felt knees little painful when I climb stairs and walk 5 minutes. What should I do? is...
Hi Thanks for your query and welcome to Lybrate. Your knee pain could be due to certain reasons but common ones are chondromalacia, pain due to knee instability, inflammation etc. If there is no history of any injury, and no s/s of inflammation or infection like swelling, skin redness or local warmth on touching, then I will like to advise you for conservative management initially in form of: - intensive physical therapy with focus on strengthening of quadriceps and stretching of other group of muscles - gentle anti inflammatory medications like tab etoshine or tab paracetamol can be taken in small doses for 5-7 days - adequate calcium and vitamin d supplementation as per requirement - ice packs at home for 3-4 times in a day and see how it goes for around 2 weeks time. If your condition does not improve, then we will have to get certain investigations done. 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. Thanks & Regards Dr Akshay
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I am 38 years old . I am FEELING PAIN AROUND THE SPINAL CHORDS MEANS THE BONES AROUND THE branches, BODY PAINS. SO SUGGEST ME TO MEET WHICH TYPE OF physician IS ADEQUATE FOR MY PROBLEM.

BPTh/BPT
Physiotherapist, Delhi
I am 38 years old . I am FEELING PAIN AROUND THE SPINAL CHORDS MEANS THE BONES AROUND THE branches, BODY PAINS. SO SU...
Do rest some days you can taking to orthopedic doctor you can also take physiotherapy like 10-15 days physiotherapist give you heating paid, IFT,& US.
1 person found this helpful
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I experience pain in my left hand after every week or smdays. Sometimes in wrist sometimes in whole hand n last time in left shoulder. What can be d reason.

FRCS (Trauma & Orthopaedics), MRCS, Diploma Sports & Exercise Medicine, MCh Orth, MS - Orthopaedics, MBBS
Orthopedist, Surat
I experience pain in my left hand after every week or smdays. Sometimes in wrist sometimes in whole hand n last time ...
Could be a cervical disc problem or a nerve compression in upper limb. It could be a problem you need specialist advice.
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In last 2 years suddenly I have put on my weight from 48kg to 62kg and my thyroid test was also normal and I don't have any other health issue. please help me to reduce my weight except exercise (because of back muscular pain).

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
In last 2 years suddenly I have put on my weight from 48kg to 62kg and my thyroid test was also normal and I don't ha...
Exercises is best and healthiest way of reducing weight and decreasing back pain. Treatment for both the problems is exercises. There are no magic pills which will make you slim and cure your back pain. You can try all the possible treatments in this world. But best is exercises. You will need diet changes in addition. Increase protein rich diet and reduce oily foods.
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I am 21 years old, I'm having a severe back pain since few months especially when Im driving. What should be the problem. What precautions to be taken?

BHMS
Homeopath,
I am 21 years old, I'm having a severe back pain since few months especially when Im driving. What should be the prob...
Hello backache can be due to incorrect posture. First try to correct your posture. If you need to go on long drives than try to take breaks in between. You can also do some stretching exercises and yoga to strengthen your back muscles. Alternate hot and cold fomentation can also be done. If the pain persist even after taking the above management, than go for back xray and consult me afterwards.
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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.

While doing squats in aerobics, my knees have started paining. Even I have started wearing knee cap but still while climbing stairs it pains. How to get rid of this pain.

BPTh/BPT
Physiotherapist,
While doing squats in aerobics, my knees have started paining. Even I have started wearing knee cap but still while c...
When you climbing upstairs some pressure is present on knee joint. Use hot pack to the area. Do active and passive movement regularly. Advice: Avoid cross leg sitting.
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I had an operation in my collarbone (fracture) 3 years before and that scar is too big. My que is how to remove the scar easily?

DHMS (Hons.)
Homeopath, Patna
I had an operation in my collarbone (fracture) 3 years before and that scar is too big. My que is how to remove the s...
Hello, tk, plenty of water to hydrate your body. Tk homoeo medicines: @ thuja occ 30-6 pills, thrice a day. @ causticum 200-6 pills, dly, morng. Tk care.
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I am a student doing third year engineering. I did operation for finger inflammation .but now I had a severe pain in my right hand finger and throughout my hand. Anything serious sir. Please give me your opinion for this.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am a student doing third year engineering. I did operation for finger inflammation .but now I had a severe pain in ...
Contrast bath---It is a form of treatment where a limb or the entire body is immersed in warm water followed by the immediate immersion of the limb or body in ice water. This procedure is repeated several times, alternating hot and cold. Note that the treatment should always end in the ice water, as heat will induce the body's inflammatory response, while cold helps to decrease inflammation.
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He feel leg pain every time when he stand up. When he stand up he don't se everything properly.

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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Dear Doctor, Good Afternoon, For the last 3 days I am suffering with mild pain at my left back shoulders. While inhailing the pain will be little bit moderate. ( The reason might be I have slept on the wooden bed wthout matress). So suggest me how to relieve from the pain With Regards, N.NAGENDERR

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi Thanks for your query. Your history of pain is just 3 days. I advise you to take a short course analgesic and muscle relaxant and take care of your posture while sleeping. Do not hesitate to contact me if you need any further assistance. Thanks & Regards Dr Akshay Kumar Saxena
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