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Dr. James David Tivade

Orthopedist, Mumbai

Dr. James David Tivade Orthopedist, Mumbai
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. James David Tivade
Dr. James David Tivade is a trusted Orthopedist in Tardeo, Mumbai. He is currently practising at Bhatia Hospital in Tardeo, Mumbai. Save your time and book an appointment online with Dr. James David Tivade on Lybrate.com.

Find numerous Orthopedists in India from the comfort of your home on Lybrate.com. You will find Orthopedists with more than 41 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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Famous Cine Labs, Pt. M.M Malviya Road, Tardeo. Landmark: Next To Sardar Pav Bhaji Hotel, MumbaiMumbai Get Directions
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Grant Road West Station, Tardeo Road. Landmark: Near Union Bank & Near Swati Restaurant, MumbaiMumbai Get Directions
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3rd Floor, Laud Mansion, Maharshi Karve Road, Opposite Charni Road Railway Station, Charni Road, MumbaiMumbai Get Directions
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I have back pain to two days.

Ph.D, MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist,
For pain apply hot water and cold water fomentation thrice a day for 12 days of 15 minutes duration each time use firm even and hard mattress for sleep still pain persists do consult neuro physiotherapist or orthopaedician asap regards
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Dear doctor nowadays I get pain in my back side of upper hips my age is 35 so what should I have to do to avoid these kinds of problems.

BPTh/BPT
Physiotherapist, Mumbai
Dear doctor nowadays I get pain in my back side of upper hips my age is 35 so what should I have to do to avoid these...
Hi I can understand your problem 1) avoid activities that make your symptoms worse 2) apply ice packs 3) start physiotherapy treatment as electrotherapy will reduce pain inflammation 4) exercise and mannual therapy will help in painfree movement. Best wishes.
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I feel very week from within. I have headache regularly and sometimes I can hear my heart beat. I was digonised for cervical spondelities.

MD - Alternative Medicine
Alternative Medicine Specialist, Mumbai
Be relax n follow yr doctor instruction carefully. Your sleep is ok? Take nervosan 20-drops three times in a day before meal for 2-months n then report its a homoeopathy harmless remedy.
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My right leg near knee joint is paining from 2 days I do exercises but its still pains while I run.

Pain Management Specialist, Nagpur
My right leg near knee joint is paining from 2 days I do exercises but its still pains while I run.
You might have injured your knee ligament. Take some rest and mild pain killers. If it does not subside consult a orthopaedician.
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I am having pain in my heels for prolonged period. My bmi is 24.5. Please advise.

BAMS
Ayurveda,
I am having pain in my heels for prolonged period. My bmi is 24.5. Please advise.
I think its a temporary obstacle, go for some heel exercise and take some kind of calcium. Keep hydrated with bowels clear.
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Hi, can people with HLBA 27 positive and diagnosed Ankylosing Spondylitis Go for running/jogging regularly and also do exercises like Surya Namskar which involves a lot of bending. Any diet restrictions to be followed? Appreciate some guidance.

Masters in Physiotherapy, BPTh/BPT
Physiotherapist, Delhi
Hi, can people with HLBA 27 positive and diagnosed Ankylosing Spondylitis Go for running/jogging regularly and also d...
Depends on the flexibility of the spine to test your flexibility visit a qualified, registered and experienced physiotherapist nearby.
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My mom is a 39 years old lady and she have severe back pain since 1months. What should she. Do?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
This could be due to lumbar spondylosis with nerve root compression. 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. Paracetamol 250mg od & sos any way take caldikind plus (mankind) 1tab odx10days x 5days do back (spine) exercises contact me again if need be. Make sure you are not allergic to any of the medicines you are going to take you may have to use lumbosacral support for some time. Avoid painful act/activities. Take medicines as prescribed it may have to be further investigated.
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I feel pain on my back. What should I do?

MS - Orthopaedics, MBBS
Orthopedist,
I feel pain on my back. What should I do?
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.
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I was cured from spinal koch's and compression of disc between d10-d11, in march. 2012 after taking treatment ak2 for 18 months. Now I am excess weight and put up some belly also. Does this cause lower back pain as I am getting it now. Please clarify.

BPTh/BPT
Physiotherapist, Gurgaon
Yes, weight is the biggest problem of back pain. It affects specially the lumber region (L4, L5). So, u better take some action now. Do exercises and at the same time control your diet. Thank you.
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65 year old male diabetic since 38 yeras take insulin 2 dose daily 22 morn and same eve. Have concern my underfeet specially toes feel numb daily. Long time problem. Presently heavy phlegm and cough upon sleeping or when exposed to fan or aircon only while lying. Please advise. Sugar levels are 160 fasting. Am weighing 100kg and height 6 feet.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
Along with insulin take metformin1000 twice a day. For cough take antibitic for 5 days along with good expectorant.
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I am 25 year old male and have backache for last 2 months. I have used pain relief ointment cream for couple of days but haven't go any relief. What should I do now?

BHMS
Homeopath, Delhi
I am 25 year old male and have backache for last 2 months. I have used pain relief ointment cream for couple of days ...
Hello, you can take homoeopathic medicines 1. Ruta 30 (4 drops in little water) thrice a day for a week. 2. Rhus tox 30 (4 drops in little water) thrice a day for a week and update. Keep a gap of 15 - 20 minutes in both the medicines. *take rest or move about once in 1-2 hours in case of working in a constant position. *maintain a good posture while reading or working with computers. *take a high fibre content diet like vegetables, fruits, etc.
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Sometimes I suffered from backpain. Then after2- 3 days rest I m fit again. When sudden jerk. Happen or when I suddenly bend. Is this is serious problem. Orhappen due to lack of exercise.

BAMS
Ayurveda, Ambala
Sometimes I suffered from backpain. Then after2- 3 days rest I m fit again. When sudden jerk. Happen or when I sudden...
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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I have pain in my back since 7 days.What should i do?

MS - Orthopaedics, MBBS
Orthopedist,
I have pain in my back since 7 days.What should i do?
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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BPTh/BPT
Physiotherapist, Delhi
Back pain is commonly caused by postural stress, muscle strains, disc injuries and arthritis.
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My uncle is 45 years old man he have pain in knee he take medicine preferred by doctor but no result suggest for good medicine and which food is better for him.

BAMS
Ayurveda, Ambala
My uncle is 45 years old man he have pain in knee he take medicine preferred by doctor but no result suggest for good...
As you feel pain in knees, follow these usefultips for pain relief: * first check out bone mineral density (bmd). In case of low bmd, your calcium level in body are low. So take take calcium rich diet daily. Take a glass (300 ml) of full cream milk daily or 100 gm of cheese or 1-2 eggs regularly. * give a gentle oil massage to knees regularly and wrap your knees with cloth dipped in hot water for atleast 10-15 minutes. * wear knee cap or wrap crape bandage during walk for knee support. * sit atleast for 5-8 minutes in sunlight in morning or evening for vitamind. *avoid heal shoe and wear only flat shoes for balanced load on knees. * check out your blood sugar level and hemoglobin level in every 6 months. * if you have any history of rheumatoid arthritis in family then checkout your ra factor. * take guggalu tablets if himalaya one tablet daily for atleast 3 months. * take a piece of garlic, crush it and boil it a glass of milk and drink daily for fast pain relief.
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From past 6 months my knee is paining when some pressure on them.

MS - Orthopaedics, MBBS
Orthopedist,
X rays of both knee joints (digital) this could be due to oa knee &/or obesity. Physiotherapy along with medicines will help. Do knee exercises. It may have to be further investigated 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 multivitamins & other antioxidants along with. Ibuprofen 200mg od & sos x 5days caldikid plus (mankind) 1 tab odx10days you will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. Do ask for detailed treatment plan. Don't ignore. It could be beginning of a serious problem.
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I am 60 yrs old. Having pain in one foot from 9-10 days. No swelling is there.

BPTh/BPT
Physiotherapist,
I am 60 yrs old. Having pain in one foot from 9-10 days. No swelling is there.
Hi +wear soft padded footwear. +do stretching of calf muscles +learn strengthening exercise of ankle +take contrast bath at physio clinic. Do reply to discuss detailed treatment plan. Wishing you a good health.
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Im feeding my baby she is 11 month now. My legs become numb when ever I sit down or take my baby on my lab. I can not walk fr seconds. It happen every time I take my baby on my lap.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist,
Im feeding my baby she is 11 month now. My legs become numb when ever I sit down or take my baby on my lab. I can not...
When you sit crosslegged and taking your child on your lap, there could be atemporary reduction in blood flow to the legs and this could be due to weight gain or nerve compression or blood vessel compression. For your height, of 5.3 feet, your weight is ok, so may be the problems could be due to cramps in muscles and this can be best helped by sitting with legs straight if you sit crosslegged, you must change position everyf ew minutes to allow good blood flow. If tingling numbness if there, it signifies vitamin or calcium deficiency and its better to meet a doctor before popping a pill generally many pregnant women take calcium off and on in pregnancy but do not take calcium in postd elivery period. If you are still feeding your child or if you have not taken calcium in the post delivery period, perhaps you must visit the gynecologist who will evaluate you and provide the necessary treatments.
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I am a 20 year old female. Have headache, back ache and cold from the past three days. Haven't been able to sleep or eat properly. The medicines make me drowsy and lazy. What should I do?

DHMS (Hons.)
Homeopath, Patna
I am a 20 year old female. Have headache, back ache and cold from the past three days. Haven't been able to sleep or ...
Hi, lybrate user, in my opinion, its due to irregular life style. Stress, anxiety, indigestion, intake of junk food, sinusitis, spondiolosis, cold intake, visinory error. Postural disorder. Take, homoeo medicine * @ spigelia 209-6 pills, thrice @ rhus tox 200*6 pills, thrice. Ensure sound sleep. Avoid, dust, smoke. Caffeine, scorching sun, take care,
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Cervical Lordosis Straightening Treatment

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Cervical Lordosis Straightening Treatment

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.

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