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Dr. Gowtham

Orthopedist, Mumbai

300 at clinic
Dr. Gowtham Orthopedist, Mumbai
300 at clinic  ·  ₹ online
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Gowtham
Dr. Gowtham is a trusted Orthopedist in Sion, Mumbai. You can meet Dr. Gowtham personally at Life Care Hospital - Dharavi in Sion, Mumbai. Book an appointment online with Dr. Gowtham and consult privately on Lybrate.com.

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Priyarshini Co-operative Housing Society, B-Wing,Dharavi,Landmark:Sion Bandra Link Road, MumbaiMumbai Get Directions
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

Every now and then my middle trap muscle is pulled just beneath the right shoulder, sometime beneath the left shoulder as well. And this happens more often in the winter, as a result I feel mild pain (sometime severe pain) and neck movement becomes difficult. Usually I take pain killer for this, but its isn't helping.

BPTh/BPT
Physiotherapist
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You should practice regular stretching exercise. With minimum of 10 repetitions 10 seconds hold and twice daily to start with. Focus should be on bending the arm front pushing your elbow to the opposite shoulder.
1 person found this helpful

I get lower back pain when I have exertion and feel very tired standing in one place. It gets healed after putting Vicks balm at night before sleep in a day or two. What I want to know is can it be a symptom of a future back problem and how I can avoid it.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist
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I get lower back pain when I have exertion and feel very tired standing in one place. It gets healed after putting Vi...
Yes long standing and overstrain can harmful for your spine so avoid long standing and strain full activity. Take rest stand with equal balance on both legs. Heat fermentation twice a day and rest.
1 person found this helpful

hello sir, Its for my father, He was having fever since few days followed by entire body pain specially in the joints. Blood test was done for complete haemogram. leukocyte count is very high - 15400/ cumm. There is no sign of any infection externally. What can be the reason for this high WBC count?

MBBS
General Physician
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hello sir, Its for my father, He was having fever since few days followed by entire body pain specially in the joints...
It's good that he has not developed any complications with external signs except for fever and it can be due to weather change

Hi, My backbone is paining. Not in the bending place it pains on middle half of the bone. Please advise.

MBBS, MS - Orthopaedics
Orthopedist
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Hi, My backbone is paining. Not in the bending place it pains on middle half of the bone. Please advise.
Kindly show me photograph of the affected part. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Use no pillow under the head. Kindly take biod3 max 1 tab dailyx10 paracetamol 250mg od & sos x5days do back (spine)/shoulder/knee exercises make sure you are not allergic to any of the medicines you are going to take do not ignore it. It could be beginning of a serious problem. If no relief in 4_5 days, then contact me again.

Hi My problem is heart is paining upper side middle side lower side and back side at least 4 months and I am check on dtd. April .16 lipid profile . Normal report ECHO. Normal Report TMT. Normal Report ECG . On dtd 25. July.2016 Normal report MRI. C3. 4.5.6 and 7 nurvse roots r mild diffuse please advise this is heart related issue or a cerival problem please reply.

PGD Maternal Child Health, MBBS
General Physician
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Hi
My problem is heart is paining upper side middle side lower side and back side at least 4 months and I am check on...
When all the reports related to heart are normal it is less likely to be cardiac. The cervical x ray shows involvement of nerve roots supplying areas on chest, back, shoulders, axilla etc hence the pain is most likely to be neuaralgia. Stretch your neck and avoid forward bending of neck. If needed a cervical collar may be used to prevent forward bending of neck. Do not use pillows below head and do not sit in or lie down in abnormal postures in sofas while viewing television. This will definitely help in reducing your pain.
7 people found this helpful

My brother has got operated decompression and leminectomy at spine d- 10 & d - 11 by apollo, chennai. But he can't walk without support due to pain and weakness in his thigh, seems it's neither flail-back-syndrome nor myosist. Please reply to whom can I consult for my brother's treatment

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist
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Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. You will have to write a detailed history, send all reports and discharge summary, latest mri and current neurological charting so that I can understand and then reply accordingly. Do not hesitate to contact me if you need any further assistance.
1 person found this helpful

Hi doctor my name is abhishek I am suffering back pain from last 4-5 days it is paining so much I can't sleep night time so give me the precaution to solution.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist
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Hi doctor my name is abhishek I am suffering back pain from last 4-5 days it is paining so much I can't sleep night t...
Ok do heat fermentation with rest time and tk muscle relaxant medicine. Rest must for 1 days and avoid strain full activity like long sitting toward bending lifting heavyweight and computer work.

I am age 38 years I am safariing with upper back pain last six month I cant use any medicine so what can i do ?

MBBS, MS - Orthopaedics
Orthopedist
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Confirm by x-rays of cervical & lumbar spine ap & lat. Views no pillow under the head during sleep. Do neck & shoulder exercises. Any way take caldikind plus (mankind) 1tab odx10days paracetamol 250mg od & sos x 5days contact me again if need be. Make sure you are not allergic to any of the medicines you are going to take.
1 person found this helpful

I have neck pain. I thought its because of over use of mobile phone. Most of the time I was used in bed when I was lyed on bed and I used 3 pillows to get height to my head. Now I really suffering from neck pain shoulder pain and also upper back pain. Sometimes my 2 hands too. What I do for this. Is there any solution for this?

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist
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Yes there is solution. Stop using mobile phone very frequently. Don't take 3 pillows, it's too much. Exercises for neck. Posture modification
1 person found this helpful

Iam facing severe backpain on long journeys either by car or bus. Pls suggest a remedy.

MBBS, MS - Orthopaedics
Orthopedist
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Iam facing severe backpain on long journeys either by car or bus. Pls suggest a remedy.
It needs to be investigated. Investigations advised - hb, tlc, dlc, esr, sugar f & pp, uric acid, vit d3 urine r/e x ray of the affected part. Anyway you may try- sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick mattress are harmful use no pillow under the head. Do hot fomantation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck back knee & general exercises. It may have to be further investigated. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, inform.

Hello. I Have A Back Bone Problem From Childhood I Do not Want To Fix It By Any operations Bt I Want Fix It By Exercises And Other Activity So Please Tell Me What Should I Do For It?

Diploma in Skin Aesthetics, Cosmetology and Trichology, BAMS, Diploma in skin aesthetics, Diploma in cosmetology, Diploma in Trichology, Diploma in Nutrition & Diet Planning
Trichologist
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Hello.
I Have A Back Bone Problem From Childhood I Do not Want To Fix It By Any operations Bt I Want Fix It By Exerci...
Being active is essential, while keeping in mind that sudden bending and lifting heavy articles should be avoided. Swimming is the best form of exercise which I can suggest you. Yoga can also help you if done under proper guidance- iyengar yoga is supposed to address these issues.
1 person found this helpful

What is cervical spondylosis. What are its symptoms?

MS - Orthopaedics, MBBS
Orthopedist
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Cervical spondilosys is he aging process as recorded in bones of neck. Usually it causes pain in & around neck.

I have anxiety more I feel I am suffering from severe heart beat, hand pain, numbenssdoctor have done complete health check up whether I have any problem e very thing was normal how to remove my anxiety.

MBBS, MD - Internal Medicine
Internal Medicine Specialist
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I have anxiety more I feel I am suffering from severe heart beat, hand pain, numbenssdoctor have done complete health...
Hi. Enjoy the life with family, friends, and work. Avoid alone be busy with any work. You can spend few times in game. Try to take interest in peoples, work, and nature. Do eeg tests and reply.
1 person found this helpful

I have neck pain since 2 days, tried multiple home remedies, but didn't work, what to do? Please help me!

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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I have neck pain since 2 days, tried multiple home remedies, but didn't work, what to do? Please help me!
Stop pillow to keep under neck. Try neck exercise as clock wise and anti clock wise movement for 5 minutes regular practice and spinal cord movement left and right through body movement.

I am 32 years old male. I have pain in my right leg. When I meant for walking pain. Please give me solution.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist
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I am 32 years old male. I have pain in my right leg. When I meant for walking pain. Please give me solution.
You take bio chemic mag. Phos 12x. 4 tab thrice a day wiyh warmwater. Adv do the acupressure treatment.

Hi doctor, I am suffering from leg joint pain what should I do for feeling better. My age is 56 and I have also a back pain and body pain.

D.P.T
Physiotherapist
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Hi doctor, I am suffering from leg joint pain what should I do for feeling better. My age is 56 and I have also a bac...
Dear user, leg back and neck pain at your age is common. Apply heat fermentation with diclofenac gel to reduce pain. If possible go for a walk in the early mornin.

Because of joint pain, not able to walk properly. Even not able to keep the legs straight. Any suggestion or any advice regarding medication?

BPTh/BPT
Physiotherapist
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Because of joint pain, not able to walk properly. Even not able to keep the legs straight. Any suggestion or any advi...
Hi kindly rule out your diabetes, uric acid, calcium, vitamin d and other metabolic disorders. Start physiotherapy sessions best wishes.

I am 45 years old woman have back muscle pain left side of spinal cord. Exray shows muscle sweeling. What should I do? I drive scooty is that a reason?

Credentialed Mckenzie therapist, BPTh/BPT
Physiotherapist
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Hello , only scooty driving may not be the sole reason for the pain. Try to maintain your postures n positions straight while driving it. Plus if u have a sedentary life style try being a little active. Use stairs instead of lift and walk for small distances. I think this shud help.
24 people found this helpful

I have a pain in my leg how should I get relief from it?

BPTh/BPT
Physiotherapist
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I have a pain in my leg how should I get relief from it?
Hi = relax and stay positive. = increase fluid intake. = eat seasonal fruits for natural vitamins = do streching of hamstring, quadriceps, and calf muscles. = if you are overweight, reduce weight by cycling or swimming as it gives low impact on joints. = do check your calcium and vit. D = apply moist heat pad to affected joint and muscles. If still you dont get relief consult physiotherapist as there are various causes for leg/ joint pain and some test may be required for further investigation. Best wishes.

Cervical Lordosis Straightening Treatment

BPTh/BPT, MPTh/MPT
Physiotherapist
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Most commonly known as a military neck a straight or forward curve of the neck is abnormal and may cause an unkind progression of symptoms leading ultimately to cervical disk degeneration.

Reversal of cervical lordosis explained

The anatomy of the neck features a lordotic curvature in its typical and healthy state. This means that the cervical region has a gentle curvature with the open end of that curve facing the rear of the body. The base and top of the curve will be further posterior than the mid point, which will be further anterior.

When the lordosis is straightened, the neck becomes more upright and linear. This is more common than the next progression of atypical curvature, which is the subject of this article.

Actual reversal of curvature means that part or all of the cervical spine develops a kyphotic profile, with the open end of the curve facing anteriorly. Usually, this reversal is extremely mild, but is still very abnormal. What we now see is the middle of the curve being positioned posterior to the top and bottom.

In essence, picture the letter c and now turn it backwards: This is the shape of a reversed cervical lordosis.

Reversal of cervical lordosis causes

The spinal curvature in the neck is constantly in flux to some degree.

Congenital conditions and developmental conditions can have lasting effects on the natural degree of curvature typically demonstrated from patient to patient. These circumstances may be explainable due to injury or degeneration, or may be idiopathic:

Scoliosis can affect the normal lordotic curvature in the neck.

Cervical spondylolisthesis is a major source of reversed lordotic curvature.

Severe disc pathologies can facilitate a gradual loss or reversal of cervical lordosis.

Vertebral irregularities, such as wedging, can definitely contribute to lordotic alteration.

Traumatic injury, including vertebral fracture, can create the ideal circumstances for a reversal of lordosis to take place.

Severe neck muscle spasms can actually reshape the spinal curves, although these are usually temporary expressions and not actual structural conditions.

Effects of reversal of cervical lordosis
The neck is designed to curve in order to balance the spine, absorb stress, distribute force and provide proper movement of the head. When this curvature is diminished or reversed, symptoms may result, although this is not an inherent part of any altered lordotic condition.

Patients may experience stiffness and tension in the neck. Pain may be present and may even be severe in rare cases. Neurological dysfunction is possible in extreme cases, since the neuroforamen might not align properly, thereby causing a cervical pinched nerve.

In the worst circumstances, central spinal stenosis in the neck might affect the viability of the spinal cord, possible enacting the most dire of symptoms throughout the body.

Patients will also be more prone to injury, since the normal shock absorption qualities of the typical curvature have been lost.

While all these effects are certainly possible, they are not usual. In fact, a great majority of patients have minor symptoms or even no symptoms at all from mild reversed lordotic curvatures.

The pathology leading to a neck curve reversal (cervical kyphosis shown below right) may be inspired by a multitude of conditions as follows:
Post whiplash
Post head injury
Stomach sleeping
Poor sitting/working postures
Congenital spinal curvatures
Osteoporosis
Degenerative cervical discs (a form of osteoarthritis that can either be the cause of or the result of a cervical kyphosis)
Compression fracture of vertebral body
Infection of the cervical spine

Anatomy: straight vs. Curved

I've always heard that it was good to stand up straight.

stand upright, stick your chest out and hold your shoulders back! otherwise you're going get widows hump.

Are these expressions as familiar to you as they are to me? one might think that having a curved neck goes against what we heard from parents and teachers as we were growing up, but the reality is that there is a little bit a truth in both. Maintaining good posture throughout our lives is crucial to both the health of our spine and vital organs. On the contrary, a special type of curve called a lordosis is a good thing, both in the neck and lower back.

When we look at a person from the back their spine should be truly straight, so that the left and right sides of one's body is symmetrical. However, when we view a person from the side, the front and back of their body is different and this is reflected in a coinciding curvature of the spine. Both the lower back and neck are hollowed out (concave) and the mid or thoracic spine is protrudes (convex). Thus there is an alternation of curves functioning to provide stability, shock absorption and aid in propulsion. A straight spine would be very stiff and not flexible. Imagine the plight of a pole vaulter with an inflexible pole.

Nature's design of our spine and rib cage facilitates breathing and offers protective and supportive framework for vital organs. Spinal disks are shock absorbers and because they are in the front of the spine, lordotic curvatures keep them from having to bear weight. Kyphosis or loss of such curvatures bears weight upon the disks, leading to their ultimate degeneration. This process of deterioration is a form of osteoarthritis and in the spine is known as degenerative spondylosis.

Diagnosis
Although most physiotherapists or conservative orthopedists can recognize a cervical curve reversal upon viewing the patient's posture, a definitive diagnosis may be obtained via a standing lateral (side view) x-ray of the neck. Cause can often be determined by corroborating a comprehensive history, a thorough examination, x-rays and questions about sleep, work and lifestyle.

In my professional career I found that the majority of young adults presenting with cervical kyphosis either had a whiplash or were stomach sleepers from an early age. For desk jockeys 40-60 years of age, many hours of sitting with their head flexed forward almost dictates the fate of developing kyphosis. In prior years I considered cervical kyphosis a job hazard for the careers of accountants, attorneys and often teachers because of years spent with their head in a book or paperwork. However, the digital age offers some relief in that respect. A well-planned, ergonomically-friendly office can do wonders for protecting the spine in the sedentary worker.

Treatment for cervical curve reversal (kyphosis)
During my chiropractic practice I had the opportunity to note a good percentage of correction toward a more normal lordosis (noted on x-ray) for 70% of patients under my care. This was almost always consistent with those patients that followed all recommendations and were model participants in their own care. Here is the recommended treat plan:

Spinal manipulation of stiff and fixated spinal segments by a qualified physio
Flexibility exercises for flexion and extension of cervical spine
Resistance exercises for flexors and extensors of the neck
Learn the Alexander technique for maintaining good posture (hint: the basic philosophy is to sit and stand like you were hanging by a string from the vertex of your skull. Liken it to a puppet on a string).
Elimination of stomach sleeping
Avoid standing on your head, although some yoga postures may be beneficial
Use of orthopedic neck pillow while sleeping.
Cervical Lordosis Straightening Treatment
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