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Dr. Harish

Orthopedist, Mumbai

300 at clinic
Dr. Harish Orthopedist, Mumbai
300 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Harish
Dr. Harish is a renowned Orthopedist in Sion, Mumbai. You can consult Dr. Harish at Life Care Hospital - Dharavi in Sion, Mumbai. Book an appointment online with Dr. Harish and consult privately on Lybrate.com.

Find numerous Orthopedists in India from the comfort of your home on Lybrate.com. You will find Orthopedists with more than 26 years of experience on Lybrate.com. You can find Orthopedists 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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Priyarshini Co-operative Housing Society, B-Wing,Dharavi,Landmark:Sion Bandra Link Road, MumbaiMumbai Get Directions
300 at clinic
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I am 19 year old male. My left heel is paining from 7 day. What should I do. Sometime it stop and after sometime it automatically start paining.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I am 19 year old male. My left heel is paining from 7 day. What should I do. Sometime it stop and after sometime it a...
Standing with equal balance on both legs do calf stretching exercise and hot fermentation with warm water and gentle massage of foot and calf avoid long standing.
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I am feeling pain in my legs and most of the time I am feeling sleepy so what should I do. And what your suggestion for this. Another thing is that in my stomach some time. I feel burning sensation. So please suggest me and reply as soon as possible. Thanks.

PG Hom, London, BHMS
Homeopath, Mumbai
I am feeling pain in my legs and most of the time I am feeling sleepy so what should I do. And what your suggestion f...
Hello lybrate-user, pain in legs and sleepy feeling can be due to vitamin and calcium deficiency. You can take tablet bi to zed forte one tablet in afternoon for a month and see the difference. For burning sensation, you can take syp gelusil one tsp post lunch and post dinner.
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I have pain in lower back when I get early morning it's too much pain but when run or walk it doesn't pain. Please tell me what should I do?

BAMS
Ayurveda, Ambala
I have pain in lower back when I get early morning it's too much pain but when run or walk it doesn't pain. Please te...
First of all check your posture when you are lifting any material like heavy bucket . And try to lift the heavy bucket without bending your back . you may lift the bucket after bending your knees only. This will definitely help you. * Gentle massage with lukewarm mustard oil of your waist area will also give you relief. * Surya Namaskar is only exercise which you need to do. * In diet vegetable protein of cereal , B complex supplements and half teaspoon of haldi in a cup of milk for seven days will give you enough relief.
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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.

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I have got my ankle ligament sprained. Now its more than 15 days of bed rest. What should I do now. Any medicine?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. If there is just a sprain, and there is no bony injury, there is no reason why you have been kept on complete bed rest. You can wear a good quality ankle brace and start mobilizing, normally soft tissue injuries take around 3 weeks to heal if proper management is done. Do not hesitate to contact me if you need any further assistance.
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Hi I am Ashwini, 27 years old. I had c sec delivery 7 months back (in Feb) 1 month back I joined to sewing classes. After that I started noticing slight pain on my vaginal area, not every tim while stretching leg or while sitting on floor I feel the pain. Is it common or cos of peddling the sewing machine?

BHMS
Homeopath, Raebareli
Hi I am Ashwini, 27 years old. I had c sec delivery 7 months back (in Feb) 1 month back I joined to sewing classes. A...
I do not think that the pain is due to sitting on floor and or peddling the sewing machine. It could be due to any vaginal infection/injury/infection. Please take a note if there is any eruption on the area or not. Take Belladonna 30 - twice daily for pain when required.
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How to recover bone damage?

MS - Orthopaedics, MBBS
Orthopedist,
Kindly show me a 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. Spring beds, folding beds or thick matress are harmful Do hot fomantation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. 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, contact me again. Do not ignore. It could be beginning of a serious problem.
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My son having sciatica problem since 6 months. Can you help good doctor for quick remedy.

BPTh/BPT
Physiotherapist, Delhi
My son having sciatica problem since 6 months. Can you help good doctor for quick remedy.
1. Start with Physiotherapy treatment and Spinal decompression treatment. 2. Learn spinal exercises. 3. Don't sit on floor. 4. Don't lift heavy things. 5. Apply volini cream before sleeping. 6. Do Hot fermentation twice a day. 7. Use lumber spine belt. 8. Take calcium, vitamin D 3 and Methylcobalmine supplement for one month minimum. 9. Share your MRI REPORT.
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Sometimes, I have a serious shoulder pain after my sleep. What will be the reason behind.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Sometimes, I have a serious shoulder pain after my sleep. What will be the reason behind.
Shoulder Advice... Hot Fomentation. Gentle Shoulder Stretching. Core Strengthening Exercises. Gentle Neck Exercises. Avoid sleeping on affected side.
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I am 21 years old and I am having back pain from last 2 weeks tried Move by still not getting rest properly. Help!

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
I am 21 years old and I am having back pain from last 2 weeks tried Move by still not getting rest properly. Help!
1) do massage with warm sesame oil or suitable oil for 15 min. Afterwards take hot fomentation for 10 min. 2) start natural calcium supplement. 3) do regular stretching exercise 4) in yoga do bhujangasan, halasan & suryanamaskar. Life-style correction 1) correct your sitting posture. 2) take small pillow or back rest for lower back. 3) foot should rest to floor easily. 4) take small break after 1 hr & walk few steps. 5) do neck & upper back extension, give feedback after 4 days.
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I have pain in my legs from last 2 days. Please help.

BPTh/BPT
Physiotherapist,
I have pain in my legs from last 2 days. Please help.
Hi = relax and stay positive. = increase fluid intake. = eat seasonal fruits for natural vitamins = do stretching 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 see a physiotherapist as there are various causes for leg/ joint pain and some test may be required for further investigation. Best wishes.
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I am 40 year old now. I have back pain for last 10 years. so, how to get rid of it?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am 40 year old now. I have back pain for last 10 years. so, how to get rid of it?
Kindly show me a 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. Spring beds, folding beds or thick matress 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 & general exercises. It may have to be further investigated. You will need other supportive medicines also. 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, contact me again. Do not ignore. It could be beginning of a serious problem.
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Having problem in my back. Always greeting pain. please some. This a in started from 3 months ago. Please suggest me as soon as possible.

BAMS
Ayurveda, Ambala
Having problem in my back. Always greeting pain. please some. This a in started from 3 months ago. Please suggest me ...
Dear you can follow these methods for relief from Backache(back pain): * First correct your sitting posture. Do not bend your lower back.You can use lumber belt for support. * Do regular back strength exercises.Move your clockwise and anticlock wise. * Do not sleep on very soft bed ,sleep on slight hard cotton mattress. * Do Tadasana and Bhjangasana for back strengthening.If you can not understand these asans you can consult me. * Take calcium rich diet and calcium and vitamin D supplements regularly. *Do not Take any heavy weight or heavy work. * If you are over weight then follow a good and effective diet plan to loose some kilos of weight. You can consult me to get a diet chart. * You can take Guggalu tablets of Himalaya for fast relief. You can consult me privately for detailed and complete treatment.
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I have back problem and I am using medicines which my doctor told but still I have that back problem. What should I do?

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist, Bangalore
I have back problem and I am using medicines which my doctor told but still I have that back problem. What should I do?
Here are some tips for how to handle your back pain: -stop normal physical activity for the first few days. This will help relieve your symptoms and reduce any swelling in the area of the pain. -apply heat or ice to the painful area. One good method is to use ice for the first 48 to 72 hours, and then use heat. Take pain relievers medicine. --while sleeping, try lying in a curled-up, fetal position with a pillow between your legs. If you usually sleep on your back, place a pillow or rolled towel under your knees to relieve pressure. -do not perform activities that involve heavy lifting or twisting of your back for the first 6 weeks after the pain begins. -avoid bending forward and sitting in a place for long time -stretching and strengthening exercises are important. But, starting these exercises too soon after an injury can make your pain worse. -some physiotherapy treatment like ift can give you some relief. -a physical therapist can tell you when to begin stretching and strengthening exercises and how to do them.
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I am 34 years old male and have pain in my knee I used lots of medicines but still I have pain in my knees guide me and help me to come out of this knees pain.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am 34 years old male and have pain in my knee I used lots of medicines but still I have pain in my knees guide me a...
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. Hams stretch the tape from both ends and apply on the affected area contrast fomentation (hot and cold). Stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube or normal belt. Repeat 10 times, twice a day. Sports taping-
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I have a serious pain in my back tried therapy and medicine too but not yet healed. M suffering from last one and half year. What to do?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have a serious pain in my back tried therapy and medicine too but not yet healed. M suffering from last one and hal...
Postural correction- sit tall, walk tall. Extension exercises x 15 times x twice daily. Apply hot fomentation twice daily. Avoid bending in front.
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She is diabetic and take insulin twice in a day she feels pain and numbness in thigh on simple touch severe pain occurs is it due to nervous system or due to some other cause.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
She is diabetic and take insulin twice in a day she feels pain and numbness in thigh on simple touch severe pain occu...
It an be due to diabetes ....keep ur sugar levels under control...vist ur doctor regularly...keep watch on your diet and life style...and visit a general physician clinically..
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I have arthritis pain. May be it is due to ra factor. Tell me what should I do in order to get rid of this?

DM - Rheumatology, MD - General Medicine
Rheumatologist, Mumbai
Rheumatoid arthritis one of the most treatable arthritis currently and you should consult a rheumatologist if possible in person who are specialised at treating diseases like ra. The therapy of ra has advanced if your mother continue to get substandard treatment all your joints will get destroyed and you won't be able to reverse that. You haven't got any sufficient treatment for rheumatoid arthritis. It is one of the most treatable arthritis currently and you should consult a rheumatologist if possible in person. The therapy of ra has advanced, but hcq is not sufficient. Other two medicines are of no use. If you continue to get substandard treatment all your joints will get destroyed and you won't be able to reverse that.
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What should I get rid of my back pain?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist,
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. You are very young to actually have persistent back pains. If you have localized back pain with no other symptoms like radiating leg pain, neurological symptoms like numbness, weakness, paresthesias etc, then you can start with following recommendations for initial period of 2-3 weeks: - to maintain proper posture of your back while working and sleeping - if pain is more then you can take a short course of an anti-inflammatory medication like tab etoshine or paracetamol or one which suits you - physical therapy initially under supervision of a trained physiotherapist and then to continue at home - adequate calcium & vitamin d intake if levels are low in body - ice packs can applied if your pain is acute, then hot fomentation can be done at home - analgesic spray for local application can be used and is easily available. - avoid lifting heavyweight/ acute forward bending in mornings etc we will observe you for next 2-3 weeks how you respond to this conservative management protocol. If you are not feeling better, then we will have to get some investigations like, dynamic x rays of lower back and few blood tests for evaluation. Do not hesitate to contact me if you need any further assistance.
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