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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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.
Hi. My bone got fracture and got operation 3 days before what to do & what foods should be taken for better recovery thanks.
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 /?
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.
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.
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.
I have a lot of headache and also getting back pain please consult me how to feel better to get relief.
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?
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.
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.
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).
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?
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.
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.
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.
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. 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.
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.
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).
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.[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. consuming more vitamin c may not prevent soreness, but oral curcumin (2.5 gram, twice daily) likely reduces it.
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.