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Dr. Khade

Orthopedist, Mumbai

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Dr. Khade 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.
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Dr. Khade is a popular Orthopedist in Prabhadevi, Mumbai. You can visit him/her at Fayth Clinic in Prabhadevi, Mumbai. Book an appointment online with Dr. Khade and consult privately on Lybrate.com.

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Fayth Clinic

Shivshakti Co-Operative Housing Society, A-Wing, 1st Floor, SK Bole Road, Prabhadevi.Landmark:- Beside Sahakari Bhandar, MumbaiMumbai Get Directions
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Coccydynia (Tailbone Pain)- Physiotherapy Treatment Approach

BPTh/BPT, Fellowship in Orthopaedic Rehabilitation (FOR), MBA (Healthcare)
Physiotherapist, Bangalore
Coccydynia (Tailbone Pain)- Physiotherapy Treatment Approach

We all have lost our tail with evolution…but did you ever think that the vestigial (redundant) part of that tail which has been left over in us in the form of tailbone can mess up with our daily activities and torture us to the level of not allowing us to sit!

If you are not able to sit or if you are experiencing pain when sitting right at the tail bone region, you may be having ‘Tailbone Pain or Coccydynia’.

What is Coccydynia?

The coccyx, also referred to as the ‘tailbone’ is the last segment of one’s vertebral column. Coccydynia is referred to a disabling pain that occurs in/around the coccyx. This type of pain usually starts when one sits all of a sudden or rises up from the seat after having been seated over a long period of time. Also known as coccygodynia, this condition can mar one’s quality of life. The pain, often described as ‘stabbing’ or ‘piercing’, can radiate to the buttocks, the lumbar spine, and rarely, to one’s thighs.

Anatomy

The coccyx is the final part of one’s vertebral column. The vertebral units are fused together. The frontal portion of the coccyx is the fusion site of the muscles and ligaments which control the functions of the pelvic floor. The coccyx also supports the anus’s position. The gluteus maximus is attached to the posterior part of the coccyx. Ligament or muscle damage, or muscle weakness can cause the coccyx to assume an abnormal position, thus causing pain.

Common Causes:

  1. Sitting for extended periods of time, especially on hard surfaces

  2. Effect of a direct trauma, such as a fall

  3. Giving birth

  4. Bone fracture, tumors or an infection can also cause this condition

How do you know whether it’s Coccydynia?

  1. You will experience pain while sitting, especially on hard surfaces

  2. Localized pain in or around the tailbone that worsens with touch or any pressure applied on it

  3. The pain will become severe when you stand from a seating position after considerable amount of time

  4. The pain might also start during sexual intercourse

  5. The pain increases in women during their menstrual cycles

Diagnosis

  1. Local Coccydynia

    • Traumatic

    • Idiopathic

  2. Radiated or referred Coccydynia
  3. Psychogenic Coccydynia

  4. Chronic proctalgia

Physiotherapy Approach For Treating Coccydynia

Patients diagnosed with Coccydynia are advised to avoid factors which might provoke the pain. The initial line of treatment will include making certain adjustments such as applying gel cushion when one is sitting for extended periods of time. This helps reduce localized pressure and improve his posture. Other modes include:

  1. Mobilizations: This can help realign the posture of the coccyx. Initially, there might be tenderness; hence, it is advised to start with rotational mobilization. To start with, either side should be mobilized first.

  2. Manipulation: This can be done intra-rectal and when the patient is lying in a lateral position. The coccyx is repeatedly extended and flexed with the help of the index finger. However, care must be taken so as to not hurt the rectal mucosa.

  3. Massage: Massaging the coccygeus muscles has also been proven to relieve pain. Biofeedback can also be integrated with it in order to avoid incidences of muscle pull on the coccyx. If you wish to discuss about any specific problem, you can consult a physiotherapist.

4707 people found this helpful

I have a problem in my neck i am feeling pain all the time.. What is its treatment.

MBBS, MBA (Healthcare)
General Physician, Delhi
apply volini gel on neck, do warm fomentation, in pain free period do neck exercises , by moving neck up down, left and right. avoid high pillow. it will help. if not ok in 3 weeks then do x ray cervical spine to clear doubt about cervical spondylitis
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I am a teacher I have lot of classes because of this my standing in more than 6 hours because of this I have lot of backpain and legs pains I am taking calcium capsules also but there is no relif can meet doctor or continuous to take calcium tablets.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am a teacher I have lot of classes because of this my standing in more than 6 hours because of this I have lot of b...
Core strengthening exercises- straight leg raised with toes turned outward, repeat 10 times, twice a day. Back stretching- lie flat, pull one of the knee forward to chest, hold for 3 seconds, then bring the other knee forward to the chest and again hold for 3 seconds. Then pull both knees towards the chest and hold for 3 seconds. Repeat 10 times each exercise twice a day.
1 person found this helpful
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I am 27 yrs old man and weight around 80 kg. I have an issue that whenever I wake up in the morning there is pain in toes of my foot and I cannot put load of my body on them but this pain soon disappears after 2 to 3 minutes upon walking and the same problem persist if I sit for about an hour at any time during the day also.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Kindly check your s. Creatinine uric acid calcium vitamin d3 ra factor crp blood tests to rule out of pathological cause for pain do take ust & laser therapy in physiotherapy for 12 days and continue with hot and cold water fomentation for thrice a day for 10 days use mcp custom designed foot wear.
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I am having Benign Hypermobility Joint Syndrome .What kind of exercise and other treatment I should do to heal myself.

Occupational Therapy (OT)
Occupational Therapist, Jaipur
I am having Benign Hypermobility Joint Syndrome .What kind of exercise and other treatment I should do to heal myself.
It's not a disease, it's condition so do take precautions for over stretching, over loading and bad posture. You can do strengthening exercises in non weight bearing posture.
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When I walk long journey, my knee, neck and back side is very pain but when distance is very long not short route.

Ph.D - Ayurveda, MD - Ayurveda, Diploma in Diet and Nutrition, Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma Yoga
Ayurveda, Jaipur
When I walk long journey, my knee, neck and back side is very pain but when distance is very long not short route.
sir go for a complete detox of ur body with the help of ayurveda's Panchakarma therapy. It includes Abhyangam (Massage with medicated oils) n medicated steam bath. this wud rejuvenate ur body - improving ur work efficiency and bettering ur sleep. It will also strengthen ur nerves and muscles. These procedures will take out the harmful toxins out of ur body - cleansing ur body. Also take Shirodhara which would completely take the stress out of ur body and u will feel light, fresh and full of energy. strictly avoid all junks, oily -spicy food, pickles if u r eating, drink lots of water, juices or daily have fresh fruits. try to keep ur bowel clear.
1 person found this helpful
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Hello i am 73 year old some time thumb and finger of my both hand stiff with slight pain when I bent up the finger it will ok what to do ?

BPTh/BPT
Physiotherapist, Mumbai
Hi take hot water fomentation for 20 minutes thrice a day for 5 days. Do stretching and gentle massage of hand.
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I am 58 year old. I am suffering back pain and knee pain since last 2 years. I consulted and treated from various doctors, stil treatment is going on and some exercise also. actually as per tested report have Lumber spondylosis. FURTHER WHAT I HAVE TO DO.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am 58 year old. I am suffering back pain and knee pain since last 2 years. I consulted and treated from various doc...
. Apply Hot Fomentation twice daily. Avoid bending in front. Postural Correction- Sit Tall, Walk Tall. Extension Exercises x 15 times x twice daily – Lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times. Bhujang Asana? Lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily. Core Strengthening Exercises- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day. Knee. Core Strengthening Exercise- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day.Hams 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. 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.
2 people found this helpful
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I have the back problem from the last three months its started giving me pain when I playing cricket specially when I do bowling Now lot of pain on my back so what cure is to do.

BPTh/BPT
Physiotherapist, Delhi
I have the back problem from the last three months its started giving me pain when I playing cricket specially when I...
Start with Physiotherapy treatment. learn spinal exercises. use lumber spine belt. Don't lift heavy things. Don't drive for long time. Apply volini cream before sleeping. send x ray for further consultation
1 person found this helpful
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My daughters foot, second finger and third fingers are so long. It is seen to be awkward. Any treatment for her. Her age is 23 years.

PMR (Physical Medicine & Rehabilitation) Specialist, Kolkata
If she has no problem, no need to do any intervention. It is quite normal in few individuals. Don't worry. Just check her parathyroid levels.
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I'm 29 years old. Suffering from backache from past one year. Can you suggest best doctors in hyderabad. Or give me the tips.

BPT
Physiotherapist, Hyderabad
I'm 29 years old. Suffering from backache from past one year. Can you suggest best doctors in hyderabad. Or give me t...
Hi Do the back exercise and back strengthening exercise for 5 to 10 min. Daily and apply heat pad for 5 min daily. If you have any doubts inform.
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I work as security officer in a certain company, I fill too much backpain the moment I relax on chair.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
I work as security officer in a certain company, I fill too much backpain the moment I relax on chair.
irst of all you should follow some basic thing 1.avoid=hot and cold at time 2.less the sugar as much as possible if you want to eat sweet take juggery which is black 3.dont drink water after meal drink at the time of meal sip by sip up to 150 ml 4.avoid late night sleep 5.yogaraj guggul 1 tab before lunch and dinner 2.dashmularishta 2 tsp before lunch and dinner
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Hello sir, i'm 32 years old. I get regular pain on my left leg more at gastrocnemius and upper muscles and sometimes on my right leg for 2 3 hours then it normal. How can I get rid of it. Please help.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Hello sir, i'm 32 years old. I get regular pain on my left leg more at gastrocnemius and upper muscles and sometimes ...
Requires detailed investigation and examination. Preliminary investigations suggested: hb, tlc, dlc, esr, blood sugar fasting & pp, uric acid vit d urine r/e x-ray of the affected part. Anyway it may be tried 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. Do not ignore it. Let it not become beginning of a bigger problem. Make sure that patient is not allergic to any of the medicines that he/she is going to take. If it does not give relief in 4-5days, inform.
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I got an accident before 1 year. My ligaments of my foot was damaged, now ligaments fully recovered, still I have pain in my foot. Kindly suggest some ointment for the pain.

MS - Orthopaedics, Diploma in Tuberculosis and Chest Diseases (DTCD), MBBS
Orthopedist, Delhi
I got an accident before 1 year. My ligaments of my foot was damaged, now ligaments fully recovered, still I have pai...
You may use any of the gel available, but no message. Gentle application and gradually increase your walking distance,
1 person found this helpful
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BPTh/BPT
Physiotherapist, Hyderabad
Physiotherapy and preventing back and neck pain

back and neck pain are common problems for adults .The best way to deal with back . neck and other joint or muscle problem is to prevent them from happening is of 70 % of back problems are caused by activities of daily living . These can often be avoided by paying attention to your posture . lifting heavy items properly . exercising regularly and strengthening your core and sleeping on your side or back . and on a good mattress

I am 47 year my left hand with left shoulder pain I check by some doctor they give me pain killer, calcium, multivitamins 10/15days get medicine some relief but when I close take medicine pain also start this problem is befor 5 month.

BPTh/BPT
Physiotherapist, Mumbai
I am 47 year my left hand with left shoulder pain I check by some doctor they give me pain killer, calcium, multivita...
Hi for pain take cold water fomentation for 20 minutes thrice a day for 5 days. Do stretching and gentle massage of hand. If still you don't get relief and need further advice, consult me via lybrate.
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I am 8 weeks pregnant and my back pains in the morning and sometimes in day too. Whats the reason doctor.

MD - Obstetrtics & Gynaecology, DGO
Obstetrician, Vadodara
I am 8 weeks pregnant and my back pains in the morning and sometimes in day too.
Whats the reason doctor.
Hello Arup Back Pain is due to Pregancy Hormone.Rest; Good Diet ;Light Exercise and With Iron will resolve shortly. Thanks
1 person found this helpful
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Why do I feel pain in my shoulders and neck and sometimes it pains a lot? What to do?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Why do I feel pain in my shoulders and neck and sometimes it pains a lot? What to do?
Advice. Hot fomentation. Gentle shoulder stretching. Gentle neck exercises. Avoid sleeping on affected side.
1 person found this helpful
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I am experiencing panic attacks. I always gets pain in my left side of chest and arm and I get panic. Many a times I have undergone ECG and it is normal always. My lipid profile is also very good. But I get anxiety as it pains on the left side. My neck also is always very stiff.

MD - Psychiatry
Psychiatrist, Chennai
I am experiencing panic attacks. I always gets pain in my left side of chest and arm and I get panic. Many a times I ...
Occasional anxiety is a normal part of life. You might feel anxious when faced with a problem at work, before taking a test, or making an important decision. But anxiety disorders involve more than temporary worry or fear. For a person with an anxiety disorder, the anxiety does not go away and can get worse over time. Restlessness or feeling wound-up or on edge being easily fatigued difficulty concentrating or having their minds go blank irritability muscle tension difficulty controlling the worry sleep problems (difficulty falling or staying asleep or restless, unsatisfying sleep) these are some of the symptoms. U seem to be having anxiety disorder, kindly consult a psychiatrist and get treated. It is not a heart problem, but a mind problem. Anxxiety and Panic occurs due to reduced serotonergic transmission in the mind. Since all organs have connections from the mind, when you have anxiety and panic there are changes in the BP/ and pulse rate. It is not a primary cardiac problem. So consult a psychiatrist and get your anxiety and panic treated.
1 person found this helpful
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Whenever I wash clothes and do some extra work. Severe pain on my hand occurs. I think it's on bones. What to do?

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist, Bangalore
Whenever I wash clothes and do some extra work. Severe pain on my hand occurs. I think it's on bones. What to do?
Hand pain can be caused by anything from a trapped nerve to an underlying disease such as arthritis. If the pain persists even after resting your hand and taking painkillers, or if you have other symptoms and are uncertain of the cause, please consult a orthopedic or physiotherapist for detail assessment and management of your pain. In the meantime try few self care: use rest, ice, compression, and elevation (rice) for pain and swelling. Avoid sleeping on your hands, which may decrease blood flow to your fingers. Stop, change, or take a break from your activities.
2 people found this helpful
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