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Dr. Dilip Panchal

Orthopedist, Mumbai

1000 at clinic
Dr. Dilip Panchal Orthopedist, Mumbai
1000 at clinic
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Dilip Panchal
Dr. Dilip Panchal is a renowned Orthopedist in S V Road, Mumbai. He is currently practising at Dr. Panchal's Ishita Nursing Home in S V Road, Mumbai. Book an appointment online with Dr. Dilip Panchal and consult privately on Lybrate.com.

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Dr. Panchal's Ishita Nursing Home

B/103, 104, Hetal Arch, S V Road, Landmark: Opp. Natraj Market, MumbaiMumbai Get Directions
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I feel a lot of pain in my thighs when I take rest from a long football match. What is its cause and cure?

MD - Alternate Medicine, BHMS
Homeopath, Surat
I feel a lot of pain in my thighs when I take rest from a long football match. What is its cause and cure?
Do not worry for that. Just take homeopathic lactic acid 200 1 dose, it will be alright within 15 mins. And it will not pain at all further. No side-effects too.
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Nowadays I have pain in my legs, But when I sleep all the pain goes for some time. But then it again starts. So what should I do to overcome this problem?

MBBS, cc USG
General Physician, Gurgaon
Nowadays I have pain in my legs, But when I sleep all the pain goes for some time. But then it again starts. So what ...
Hello, 1.You can Apply Volini gel 1% local application twice a day for 3-5 days 2.Hot fomentation twice a day for 3 days I am giving to some common reasons for LEG PAIN 1. generalized weakness 2. Anaemia 3. physical exertion and any Trauma 4. lack of protein in Diet 5. any infection present on leg or foot 6. muscle weakness 7 abrupt start/ stop of physical exercise 8. Vit D and Calcium Deficiency Kindly consult physician for further management
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Backache - The Epidemic

MS - Obstetrics and Gynaecology, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Thane
Backache - The Epidemic

Lower back pain is among one of those ailments that brings life to standstill. Nowadays most common reason for absence at job or college is Back pain. It gives you nothing bur restless and depressed day and sleepless night. It ruins your life's small moments of joy. 

What is low backache? 

It is the pain that felt in lower back which usually originates from joints, bones, muscles, nerves or other structures in spine. 

What is spine? 

Vertebral column or backbone or spine consists of 33 bones; called as vertebrae. Lower 9 are fused in adults. 

  1. Cervical spine in neck region: 7 vertebrae (C1-C7)
  2. Thoracic Spine in upper back: 12 vertebrae (T1-T12)
  3. Lumbar spine in lower back: 5 vertebra (L1-L5)
  4. Sacrum in Lower back Fused: 5 vertebrae (S1-S5)
  5. Coccyx (tailbone) fused: 3-5 vertebrae. 

Significance of Vertebral column:

  1. The major function of vertebral column is protection of spinal cord. 
  2. It provides stiffening for the body and attachments for muscles. 
  3. It transmits body weight while walking and standing. 

What is pain? 

It is a message originates from the location of injury; travels through nervous system and received by brain where it is interpreted as PAIN. 

Acute Backache

  1. It is a sudden low back pain for abortion time. 
  2. It can be because of trauma, trigger or a disorder such as Arthritis.
  3. It limits movements, flexibility and even results into inability to stand or sit straight.
  4. Acute pain can become more serious if left untreated. 

Chronic Backache

When back pain persists for more than 3 months; it is considered as Chronic. 

Causes:

  • Muscle strain or ligaments strain

Improper posture, repeated heavy lifting strain ligaments and muscles if back which result into muscular spasm and severe backache. There are 3 specific movements that are responsible for back injuries. Bending, lifting and twisting. The danger lies in performing any two or more if them simultaneously. 

  • Bulging or Ruptured intervertebral disc
  • Spondylosis: Backpain caused by age related wear and tear of spinal discs. 
  • Spondylitis: It is inflammatory Arthritis affecting the spinal bones. 
  • Spondylolisthesis: It is forward displacement of vertebra over another. 
  • Skeletal irregularities: If spinal curve is abnormal backpain can occur. 
  • Osteoporosis: If vertebrae become porous and brittle, it can cause compression fractures. 
  • Coccydynia: Pain at tailbone is called as Coccydynia. 

Pregnancy: Almost all women experience low back pain during Pregnancy. Maternal weight gain, increased lordosis (Curvature of spine), Stretching of ligaments, increased calcium demand can cause backpain in Pregnancy.

Diagnostic tools:

  • History of illness 
  • History of injury, trauma, accident etc. 
  • X-Ray
  • MRI/CT SCAN 
  • Bone scan
  • Nerve studies (Electromygraphy) 

Treatment:

  • Medicines such as NSAID (Nonsteroidal Anti-inflammatory Drugs) and Muscle relaxants
  • Heat therapy 
  • Cold Compression therapy
  • Physiotherapy
  • Exercise 
  • Surgery 
  • Spinal Traction:
  • It is non surgical way of decompression therapy that relieves pressure in spine. It can be performed by physiotherapist or by machines. 
  • It is useful in backache due to slipped disc, herniated discs, Sciatica, degenerative disc diseases, pinched nerve etc. 
  • A physician can determine the need of traction and weight for traction based on your medical history. 

Backache - Ayurvedic Aspects 

According to Ayurveda Backache (Kati shool, Kati graha, Trik graha, Prushtha Shool) is one of the common disease occurring because of vitiated vata dosha, so it is considered as "Vata- Vyadhi." 

Line of treatment of Vata - Vyadhi

Abhyanga (Massage): Sesame oil, Mahanarayan Oil, Prasarini oil can be used for Massage. 

Swedan (Fomentation): Moist steam of herbs like Dashmool , Nirgundi etc. 

Katibasti: Kati basti is pouring of lukewarm medicated oil and keeping it for sometime on the back region surrouded by ring made by black gram or whole wheat flour. 

Basti: Basti is one of the most important treatments if vitiated vata. Basti can be performed in various forms according to stage of disease and constitution of patient. 

Medicated oil and medicated decoction enema on alternate days for 8 days/15 days or 30 days.

Matrabasti: 60 ml medicated oil enema. 

Panchatikta ksheer basti: It is most useful in management of degenerative bone disease, in which herbs like Adulsa, Guduchi, Nimb, Kantakari and Patol are cooked in cow milk. Sometimes cow ghee can also be mixed. 

Medicines: Gokshuradi guggul, Trayodashang guggul, Yograj guggul can be used under proper guidance. 

Ashwagandha, Musta , Vidang, Ajmoda , Chopchini, Rasna, Devdaru, Punarnava, Shatavari, Shankhabhasma are some useful medicines for backache. 

Yogasana: Yogasana should be learned from experienced teacher. Some yogasana helpful for backache are:

  • Pavanmuktasan 
  • Supta  padangushthasana
  • Tadasana
  • Setubandhasana
  • Parivrutta trikonasana
  • Shalabhasana
  • Bhujangasana
  • Ardhmatsyendrasana
  • Marjarasana
  • Supta vakrasana
  • Ushtrasan

DO'S AND DONT'S FOR BACKACHE 

  • Bend at knees, not at waist. 
  • Keep the object close to your body when lifting it. And keep low back straight. 
  • Think before you act. 
  • Learn exercise and perform regularly. 
  • Sit in proper posture, adjust your work desk accordingly, walk straight. 
  • Do not slouch. 
  • Avoid high heels shoes. 
  • Wear lumbar belt under proper guidance. 
  • Avoid stress. Lose weight if you are overweight. 

    If you wish to discuss any specific problem, you can consult an ayurveda.

4583 people found this helpful

I have back pain, cold and flu. Please help I'm difficult to breath because of blocked nose.

MBBS
General Physician, Mumbai
I have back pain, cold and flu. Please help I'm difficult to breath because of blocked nose.
For pain take tablet paracetamol 650 mg and For cold take tablet cetrizine at night and Eat nutritious food and have adequate fluid intake and take physical rest
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I am 27 years old male, often in mornings I woke up with back-pain, I get up and take walk and then it calms down. What are possible reasons behind this?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I am 27 years old male, often in mornings I woke up with back-pain, I get up and take walk and then it calms down. Wh...
It might be of muscle strain or bad posture do consult neuro physio and take ift and laser therapy for 12 days followed by spinal extension exercise.
1 person found this helpful
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BPTh/BPT
Physiotherapist, Delhi
Back pain is commonly caused by postural stress, muscle strains, disc injuries and arthritis.
9 people found this helpful

I have front desk job in us based timings. I have some pain in my neck. What I will do?

Fellow of Endoscopic spine surgery (FENDS) , Fellow of Interventional spine & pain (FISP) , MD-Anaesthesiology & Pain Medicine, Fellow of Pain Management (FPM) , DA( Gold medal-Anaesthesiology & Pain Medicine) , MBBS
Pain Management Specialist, Delhi
Hi, the reason for your problem could be anything from cervical facet arthritis, cervical axial pain to trapezius or paraspinal muscle spasm which is very common with sitting job like you have. Get yourself checked and treated by pain specialist or orthopedician as it might lead to something big in future as problem of cervical spine/neck starts like this only.
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Left scapula pain with neck bent down. Pain during neck back. It's been for a long time. Why to do? Whats the coz?

B.P.T, M.P.T(ORTHO), Certification in Gym Instructor & Prenatal and Post natal
Physiotherapist, Gurgaon
Left scapula pain with neck bent down. Pain during neck back. It's been for a long time. Why to do? Whats the coz?
Dear the causes your history would describe best. Like you hv sitting job with laptop on, jerk,postural problem in sleeping etc once your history is clear like your pain is constant aggravation at times or shifting we can not guide you proper
1 person found this helpful
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I am 59 years old male. I have knee joint pain problems for 4 year ago. I have taken treatment from many hospitals but I have no relief. When I take medicine till I feel relief but when I discontinue the medicine then I start pain in kee joints both. Doctors say that your keens required replace. I do not want to replace my knee. Please advise any suitable treatment for my kee.

MPT(Neurology), BPTh/BPT
Physiotherapist, Delhi
I am 59 years old male. I have knee joint pain problems for 4 year ago. I have taken treatment from many hospitals bu...
Your pain seems to be from knee joint arthritis. Its a common condition which begins as ageing process starts. The extent of arthritis can be ascertained from the x ray investigation. You must start exercises for your knee muscles which will make your muscles strong so that they can take some of the load on your knee joints. Visit a physiotherapy centre ajd take 10 to 15 sittings. It should help.
4 people found this helpful
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I have got severe right shoulder n neck pain protruding at back side n right Breast. It is unbearable pain. I m not able to make out whether it is because of Breast or shoulder joint pain. Waiting for your reply.

DHMS (Hons.)
Homeopath, Patna
I have got severe right shoulder n neck pain protruding at back side n right Breast. It is unbearable pain. I m not a...
Hello, you, might be suffering from cervical spondyolosis. Along with gastric disorder. * go for physiotherapy for spondyolosis along with homoeo -medication. * avoid, bending your neck, down, stitching on machine, knitting etc * * go for meditation for 30 mnts, to reduce your stress, anxiety. * you should take easily digestible, diet to avoid gastric disorder, avoiding junk food. Homoeo-care (pills no-40)**** @ lachnenthes 200-6 pills, thrice a day. @ bryonia 30-6 pills, thrice a day. @ arnica mont 200-6 pills, thrice a day.
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I played shuttle on hard land without shoe I got ankle pain I can walk now properly. Its pain very heavily I take so many medicine s but its not gone please tell me what I do?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I played shuttle on hard land without shoe I got ankle pain I can walk now properly. Its pain very heavily I take so ...
Avoid sitting cross legged. Ankle stretching. Ankle strengthening exercises. Avoid squatting. Quadriceps exercises. Core strenthening exercises. Stretch calves get a custom made insole. Hams stretching. Sports taping. Hot fomentation.
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I am male 46 having pain in my shoulders, back and left wrist. Done all tests and have vitamin D deficiency with little high cholesterol and SGPT levels little high. Pl advise.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
I am male 46 having pain in my shoulders, back and left wrist. Done all tests and have vitamin D deficiency with litt...
Hello, Get yourself check for vitamin D and B12. Get the needed supplements ,incase if you suffer from any deficiencies. Ensure your are following a moderate carbohydrate, low fat and moderate protein diet. Avoid eating heavy and oily meals and refrain from alcohol completely. Do walk everyday for atleast 30 mins.
1 person found this helpful
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Whenever I am going to write anything I am unable to do it properly I can not hold the pain properly my finger muscles get contracted and I feel pain in my fingers. Please help me regarding this.

Diploma in Orthopaedics, MBBS
Orthopedist, Jalandhar
Whenever I am going to write anything I am unable to do it properly I can not hold the pain properly my finger muscle...
You may be having this problem due to many reasons. One of the common cause being writer's cramp. If you have to do lot of writing. Try to take a break in between use a thick pen vitamin e may help. Get yourself examined.
2 people found this helpful
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I am 22 year old female I having a back pain I m not able to bent down it is paining so much what should I do? give me some solution. Ok Dr. Now suggest me what to do now ?

MPT.(ORTHO), BPT., BSc.,CMTH., MIAP., MDCP., COCMT (UK)
Physiotherapist, Delhi
I think you have some postural problem like scoliosis or loss of lumbar curvature due to wrong postural habits. These type of postural faults can cause pain and stiffness on neck and back. First of all one digital x-ray. Ap/lat. View is required for l-s spine. Then will decide what type of physiotherapy treatment is suitable for your problem. Takecare.
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I got an injury on my right leg knee joint while playing football 7 days back. I got xray of it but there was no fracture. Doc prescribed me medicines nd also asked to rub ice bag on the wounded area nd also to wear knee cap. Bt aftr 7 days. Still there is pain nd m unable to walk properly. Cnt even sleep or sit on my legs. please plz provide me proper solution for it.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I got an injury on my right leg knee joint while playing football 7 days back. I got xray of it but there was no frac...
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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I am 22 year old. While playing football my knee was injured .I have done MIR of my knee butt it shows no damage but whenever I want to run I feel pain. Know please help me what I do?

Master of Occupational Therapy (MOT), Bachelor of Occupational Therapy (BOT)
Occupational Therapist,
I am 22 year old. While playing football my knee was injured .I have done MIR of my knee butt it shows no damage but ...
Take physiotherapy treatment and do hot water fermentation and apply any pain reliever gel and use knee cap while standing and walking
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I m 30 year old. And there is so much pain in my back and on my neck. So, what can I do now for it to loose pain?

MBBS
General Physician, Faridabad
I m 30 year old. And there is so much pain in my back and on my neck. So, what can I do now for it to loose pain?
do neck muscle exercise, hot water fomentation and apply volini locally, can take tab dolo sos. it will help. Welcome
1 person found this helpful
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Which is the Best Medicines for leg and knee joint pain please suggest best medicines.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Which is the Best Medicines for leg and knee joint pain please suggest best medicines.
Contrast Fomentation (Hot and Cold). Avoid Squatting- Avoid sitting Cross legged Contrast bath---It is a form of treatment knee is applied warm water followed by the immediate application of the knee with 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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Iam 28 years female wth right knee partial acl tear. Now I met with an accident and got fractured of lateral condyle comminuted fx and underwent Orif surgery. Will I be able to walk again without any support. I mean after 8 months at least. Please be frank and reply.

Fellowship of the Royal College of Surgeons (FRCS), Membership of the Royal College of Surgeons (MRCS)
Orthopedist, Trichy
Iam 28 years female wth right knee partial acl tear. Now I met with an accident and got fractured of lateral condyle ...
it takes atleast a minimum of 6-8 weeks after surgery to mobilise your knee joint and depending on the healing to start weight bearing. by around 3 months if the fracture healing is satisfactory you will be fully weight bearing. hope this answers ur question
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She is suffering from back pain and went. To many hospitals but did not cure what to do.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
She is suffering from back pain and went. To many hospitals but did not cure what to do.
Hot fomentation x twice daily. Avoid bending in front. Postural correction. Sit tall, walk tall. Extension exercises x 15 times x twice daily bhujang asana x 15 timesx twice daily core strengthening exercises. Back stretching.
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