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Dr. Hiral

BPTh/BPT

Physiotherapist, Mumbai

8 Years Experience  ·  250 at clinic
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Dr. Hiral BPTh/BPT Physiotherapist, Mumbai
8 Years Experience  ·  250 at clinic
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Personal Statement

My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Hiral
Dr. Hiral is one of the best Physiotherapists in Malad West, Mumbai. He has over 8 years of experience as a Physiotherapist. He studied and completed BPTh/BPT . He is currently associated with Health first Multispeciality Clinic in Malad West, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Hiral on Lybrate.com.

Lybrate.com has a nexus of the most experienced Physiotherapists in India. You will find Physiotherapists with more than 35 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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Specialty
Education
BPTh/BPT - K J Somaiya Medical College & Research Centre - 2009
Languages spoken
English
Hindi

Location

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Health first Multispeciality Clinic

Shop No 13, Rekha Niketan, Liberty Garden, Opp Jain Mandir, Road No 3, Malad WestMumbai Get Directions
250 at clinic
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I am 21 years old. When I get up in morning my legs pain very much. Solution For this.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I am 21 years old. When I get up in morning my legs pain very much. Solution For this.
Homoeopathic medicine RHUS TOX 30 ( Dr Reckeweg) Drink 5 drops direct on tongue 3 times daily. HAEMOCAL ( SBL ) Chew 4 tab twice daily Drink 2 glass milk daily Go for BLOOD VITAMIN-D Test
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Sir having pain in upper joint of hand after taking Combiflam twice it is over but again after two days it pains in knee joint after taking Combiflam twice or thrice it over and again after few days it start painting another joint. My Vitamin D count is 8. Please advice.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
Sir having pain in upper joint of hand after taking Combiflam twice it is over but again after two days it pains in k...
you should take acupressure therapy take biochemic kali phos 3x+nat phos 3x 4tab each thrice a day with warm water. take it 5 days and consult private online.
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I have a back pain when I am playing cricket and I wants to become healthy then what I do.

MPT - Orthopedic Physiotherapy, Fellowship in Orthopaedic Rehabilitation (FOR)
Physiotherapist, Kolkata
I have a back pain when I am playing cricket and I wants to become healthy then what I do.
To get Healthy, you must go for a detailed evaluation and examination of your back, knee and foor by a Qualified Orthopedic Physiotherapist as they all are interconnected by a Myokinetic Chain which can give rise to pain when compromised. Apply Flexabenz gel thrice daily followed hot compression for 15 minutes. Thanks.
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Hi I am 42 yrs old and facing knee (joint) pain from last 3 years, when I use staircase for upside my both knee having pain, doctor says that I have less lubricant on this joints. Kindly help me.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Obisity &oa could cause pain knee. Physiotherapy along with medicines will help. Rule out diabetes, vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with a soft bedding on it. Any way take caldikind plus (mankind)1tab odx10days paracetamol 250mg od & sos x 5days do knee exercises. Gradually develop your walking & standing stamina. It may have to be further investigated make sure you are not allergic to any of the medicines you are going to take. Joint lubricants are produced by nature by doing exercises.
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I am a 29 year old male facing issues with my back. I am exercising but not getting results. It's a constant pain at my back.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am a 29 year old male facing issues with my back. I am exercising but not getting results. It's a constant pain at ...
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 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. For emergency treatment contact your nearest hospital or family doctor. If it does not give relief in 4-5days, contact me again. Why not discuss with me in a video conference? (facility provided by lybrate. Com)
1 person found this helpful
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I have complain of generalized muscle pain with spasm for 1 year received vit d sachet but did not benefitted much.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Pain in muscles (cramps) is a common condition. Do hot fomentation keep a pillow under the legs at night &/when resting. Any way take bio d3 max 1tab odx10days ibuprofen 200mg od & sos x 5days l-carnitine 500mg od/bd x5 days do knee exercises it may have to be further investigated make sure you are not allergic to any of the medicines you are going to take.
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Shoulder Pain Care - 4 things you must not ignore!

Clinical Exercise Specialist, Certificate in Population Health, Certificate in Diabetology and Prevention, Nutritionist, MHSc (Public Health), MPT - Orthopedic Physiotherapy
Physiotherapist, Delhi
Shoulder Pain Care - 4 things you must not ignore!
Care for shoulder pain and related problems

Shoulder problems usually happen because of internal problems or external trauma. People who are into any form of manual labour, pick up a lot of heavy things regularly or play sports experience shoulder pain at some point of time or other. Shoulder pain can be detected by physical examination, mri, x-ray, ultrasound and medical history.

The most common types of shoulder problems are arthritis, fracture, dislocation, frozen shoulder, rotator cuff tear, and rotator cuff disease. Cures for the different shoulder pains are different. Follow these simple ways to help you manage the pain.

1. Rest the hurtful shoulder: you need to take ample rest. Using the arm which is affected is not a good idea and needs to be avoided. If your job involves manual labour, it is advised that you stay at home to rest.

2. Ice pack healing: applying ice pack on the wound is also advised around 3-4 times in a day. This varies as per the kind of shoulder pain, so doctor's advice must be followed.

3. Be consistent with exercise: depending upon the source of pain, physiotherapist will advise certain sets of shoulder exercises. It is very important that they should be performed diligently for fast recovery.

4. Support it well: wearing a sling is extremely important and should not be taken lightly at any point of time. A good support will ensure

If you would like to consult with me privately, please click on consult.

I am 29 years old still single. Even though I got a pain in back. My job is monitoring plant (edible oil refinery) by sitting. To avoid this pain n get relief forever give any suggestions. Last time I went for x-ray n CT Scan BT reports were Ok no problem. Physiotherapists suggested me that you need daily exercise. What should I do other than that ?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am 29 years old still single. Even though I got a pain in back. My job is monitoring plant (edible oil refinery)  b...
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.
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My mother aged 65 years is now suffering from severe back pain pl do suggest as of taking cal tab and applying gel has not given any remedy even went on physiotherapy pl suggest DR.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
My mother aged 65 years is now suffering from severe back pain pl do suggest as of taking cal tab and applying gel ha...
according age physiotherapy treatment best option. avoid long sitting, standing, toward bending, lifting weight posture correction must. do gentle stretching exercises
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I am 38 years old. I have slight pain in my knees whenever I climb stairs. What can be the problem or is it because I am overweight (my weight is 100 kgs).

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
I am 38 years old. I have slight pain in my knees whenever I climb stairs. What can be the problem or is it because I...
It is due to only your overweight or it could be some changes in your knees. You can take rhus tox - 30 / 5 drops in little water thrice a day for one week. Revert back after one week with feedback.
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My grandmother has a problem leg pain. We do all thing every doctor every type of treatment but the pain remain same. So what should we do?

Master Of Physiotheraphy
Physiotherapist, Ghaziabad
My grandmother has a problem leg pain. We do all thing every doctor every type of treatment but the pain remain same....
Most probably your grand mother is suffering from arthritis of knee, gout or back problem may be there. Take x-ray of b/l knee and back (lumbar region) of anterioposterior & lateral view and a blood test of uric acid. After that consult with your nearest physiotherapist or orthopedic Dr. Take physiotherapy treatment for knee pain paraffin wax bath, tens, hot pack for next 10 days regularly. Followed by quads. & hams. Strengthening exercises.
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Hello. I think I'm suffering from pelvic pain. please anyone can share it symptoms with me. I need a urgent treatment .plz reply as soon as possible. Having pain in left back thigh.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Hello. I think I'm suffering from pelvic pain. please anyone can share it symptoms with me. I need a urgent treatment...
sciatica pain is there. so do hot fomentations and stretching exercise. avoid toward bending. if it work then OK otherwise physiotherapy treatment
1 person found this helpful
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I am 30 year old. I I am having pain behind left leg. I did x ray but there is nothing.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
I am 30 year old. I I am having pain behind left leg. I did x ray but there is nothing.
You should take acupressure therapy and take biochemic mag phos 12x 4 tab thrice a day with warm water and take it 5 days than inform me.
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Hello sir, my father, aged 90 years have survical spondilitous (always feels giddiness). Can you please suggest any soft medicine.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
It could be due to cervical spondylosis this is quite a common condition 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. Any way take caldikind plus (mankind) 1tab odx10days paracetamol 250mg od & sos x 5days do neck & back (spine) exercises contact me again if need be. Use of cervical collar will give you relief. Make sure you are not allergic to any of the medicines you are going to take.
1 person found this helpful
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I am 28 male, there is pain in mine elbow near insertion, while doing weight exercise in gym its paining my elbow at that portion but with not every variation, please suggest any medicine or exercise. Im suffering form past 3 months and also took 1 month gap from gym for the same.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I am 28 male, there is pain in mine elbow near insertion, while doing weight exercise in gym its paining my elbow at ...
Firstly avoid strain do ice and and hot pack for 20 minutes. Apply pain relief ointment. After a long time start gym in gradually process nw avoid elbow strain.
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What is the solution for neck pain? age: 66 y. As per mri difffuse osteoporosis &cervical spondylosis. At c4-c5 level-posterior disc osteophyte complex is seen mild compressing the thecal sac and indentation the spinal cord. At c5-c6 level posteriorndisc osteophytencomplex is seen causing mild thecal compression and subtle cord indentation.

Hand Surgery, M.S. (Orthopaedics
Orthopedist, Ahmedabad
Dear, you have cervical spondylosis and I can treat you with cervical spine manipulation and may be you can get rid of your pain. It is an office procedure and you walk home and do certain exercises and care till it gets cured. Bye Dr. Shrenik
1 person found this helpful
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I am 28 yes old working in it comp usually after work I feel pain in my shoulder which intensify gradually I took pain Keeler's but it has no permanent relief.

DHMS (Diploma in Homeopathic Medicine and Surgery), BHMS
Homeopath, Delhi
I am 28 yes old working in it comp usually after work I feel pain in my shoulder which intensify gradually I took pai...
hello bunty u may hving spondolytis..if works most of d time on laptop or pc than tk a break of for 5 mint.after every 1 hr. move ur shoulder,& neck than start,&dont tk pillow instead of that tk a role of sheey under ur neck.ur posture should be rt. homeopathy has gud result in ur problem kindly cotact me for further advice.
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I have a lot of back pain and do yoga everyday why does the back pain still continue please help me. I was told that my back pain will go off I use this app.

BPTh/BPT
Physiotherapist, Pune
I have a lot of back pain and do yoga everyday why does the back pain still continue please help me. I was told that ...
Hello dear if you are doing surya namaskar please stop it forward bending of spin coz of low back ach. So do back extention exercise and stop flexion exercise. You may get relief in few days. Have a nice day.
2 people found this helpful
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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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