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Dr. Naresh Danani

MBBS, MS - Orthopaedics

Orthopedist, Mumbai

42 Years Experience  ·  1500 at clinic
Dr. Naresh Danani MBBS, MS - Orthopaedics Orthopedist, Mumbai
42 Years Experience  ·  1500 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. Naresh Danani
Dr. Naresh Danani is a trusted Orthopedist in Andheri West, Mumbai. He has been a practicing Orthopedist for 42 years. He studied and completed MBBS, MS - Orthopaedics . You can visit him at Danani Hospital in Andheri West, Mumbai. Book an appointment online with Dr. Naresh Danani 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 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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Education
MBBS - Mahatma Gandhi Memorial Medical College, Indore - 1975
MS - Orthopaedics - Mahatma Gandhi Memorial Medical College, Indore - 1978

Location

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Link Road, Opp.Star Bajar,Andheri West, MumbaiMumbai Get Directions
1500 at clinic
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The Link, 1st floor, Link Road Extension, Andheri West. Landmark: Next to Audi Showroom.Mumbai Get Directions
1500 at clinic
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I am 20 n I have backache I have used several ointments but there is no relief what should I be preferring now.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am 20 n I have backache I have used several ointments but there is no relief what should I be preferring now.
Do the cat/cow avoid bending in front. Postural correction- sit tall, walk tall. Apply hot fomentation twice daily. Extension exercises x 15 times x twice daily. Bhujang asana. Core strengthening exercises. Back stretchingstretch.
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I have pain in my right leg joint while I sit for more than five minutes, I'm facing this from one month and also I tried some pain killer drug but no use, what should I do?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I have pain in my right leg joint while I sit for more than five minutes, I'm facing this from one month and also I t...
Homoeopathic medicine---------------- bryonia 30 (dr reckeweg) drink 2 drops direct on tongue 3 times daily---------------------- vitamin-d plus (bakson) chew 1 tab daily--------------- drink 2 glass milk daily and exercise regularily.
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I am 60 year old lady, good health. Acute osteo-arthritis has just set in and knee pain, unstable knee, etc has started. Please help.

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
Hello madam. Please get x rays of your knees. Ap view while standing on single leg. Lateral view. Skyline view for patella. If possible get scannogram of both lower limbs while standing to check limb alignment. Ap view with varus and valgus force. Review with films.
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I have back pain what should I do?

DPT
Physiotherapist,
To begin with sleep on a hard bed do not bend forward & lift heavy weight do spinal exercise at home consult a physio.
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I am very weakness with fever and body pains what can I do.

General Physician,
I am very weakness with fever and body pains what can I do.
take dolo 650 mg one sos.. if not ok in 3 days, do cbc, typhidot. malarial antigen. consult with report or consult physician.
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I am facing the fingers pain around nails, what is the reason behind this. Suggest any cream or tables.

Master of Occupational Therapy (MOT), Bachelor of Occupational Therapy (BOT)
Occupational Therapist, Delhi
I am facing the fingers pain around nails, what is the reason behind this. Suggest any cream or tables.
Do contrast bath therapy- take hot water in one bowl & cold water in another bowl First dip your hands in hot water for 3min then immediately in cold water for 1min, keep repeating for 20min twice a day
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Does amino acids heal injuries such as shin splints. Am having this shin splints problem from past around 1 year due to football.

Doctor Of Physical Therapy (DPT), Bachelor of Physical Therapy
Physiotherapist, Bangalore
Does amino acids heal injuries such as shin splints.
Am having this shin splints problem from past around 1 year due ...
Its not well researched. Usually a graded exercise program for stretching tight gastroc soleus and strengthening ankle dorsiflexors can help get rid of pain. Good luck for speedy recovery.
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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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My mother is suffering from Tennis elbow but she don't want to take medicines so is there any advice which is give relief to her at home and what is the medicine for it?

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
Tell her to use tennis elbow band while working. Apply ice daily. May go to physiotherapist for ultrasound therapy for 5 days
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Sir! last 3 days my right knee is doing pain. How can remove it?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
Use mahanarayan oil and myostaal oil alternatively for massage. Then do hot fomentation after massage. Take rumalaya ds 1 tds. Any kosht shuddhi chooran at night every other day. For specific guidance, seek pvt conversation.
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I got an accident two weeks back, how to heal my wound and scratch marks fast. How to remove scare marks in my face fast?

PGFCP, PGDEMS, Bachelor Of Ayurvedic Medicine And Surgery
Ayurveda, Satara
I got an accident two weeks back, how to heal my wound and scratch marks fast. How to remove scare marks in my face f...
DEAR LYBRATE USER...A) apply paste of fresh lemon juice and garlic on scar,two times in a day...B) take 30 ml of triphala juice and 10 ml of honey early in the morning and at night before sleep….C) take 2-2 tablets of chandraprabha vati and sutshekhar rasa after meals...D) take 2 tablet of vasantkusumakar rasa early in the morning on empty stomach with triphala juice…...Do all these things for 15 days ..it gives you good result..consult to me for further suggestions..THANKS
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I am 32 years old guy. Regular with workout and gym. When I get up in the morning I feel little pain at my lower back which goes away after 10 min. I do not know what is the reason behind it.

BAMS, MD Ayurveda
Sexologist, Lonavala
I am 32 years old guy. Regular with workout and gym. When I get up in the morning I feel little pain at my lower back...
You can go for following remedy it will help you 1. Soak 60 g of wheat in water overnight 2. Add 2 tsp coriander powder in the morning 3. Add 2 tsp cuscus powder 4. Blend this into a paste 5. Take 250 ml of milk in bowl 6. Add the mixture to the milk 7. Boil for 20 min 8. Eat this lukewarm Causes: • Old age • Lifting heavy weights • Back injury • Improper sitting posture • Slipped disk This remedy will be helpful.
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I have always pain in head and back side of neck. Suddenly some times its pain high.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have always pain in head and back side of neck. Suddenly some times its pain high.
Neck advice neck exercises. Neck stretching. Postural correction. Shoulder shrugs frequent breaks at work use cervical pillow use back support. Self massage the back of neck.
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I am in a job which is to sit for 8 hours and I'm getting neck pain. Is it because of constant sitting.

MS - Orthopaedics
Orthopedist, Surat
First of all, get an x-ray done for cervical spine ap & lateral view. Try to sit straight. Adjust your chair and table height in such a way that you don't have to bend your neck. At night, use a pillow that is just right for you (cervical pillow). Do hot fomentation. Try to move around every one hour. Avoid sitting for long hours.
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I am 25 years am suffering from backpain but I have used creams but it's not working well wht to do.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am 25 years am suffering from backpain but I have used creams but it's not working well wht to do.
. 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.
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I have a problem with knee problem how can I solve my problem without any surgery.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have a problem with knee problem how can I solve my problem without any surgery.
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 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.
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I have severe pain in only one leg that comes in alternatively mostly it may be weekly or some times monthly? what might be the reason? please give me proper solution?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I have severe pain in only one leg that comes in alternatively mostly it may be weekly or some times monthly? what mi...
Do check your vitamin d3 zinc s. Alk. Phosphate from nabl lab and do have hot and cold water fomentation thrice a day for 10 days.
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I am always having headache once I woke up in morning, also a small pain in neck, what will be the reason behind it.

M.D. Toxicology & MJ, Certified Dermatologist , Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bhopal
I am always having headache once I woke up in morning, also a small pain in neck, what will be the reason behind it.
It may indicate the change in your blood pressure or deformity of cervical spine. Sometimes it is also due to your wrong seating habits and regular neck down position. You have to take proper medical help nearby you or contact me in private.
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I am a 25yr old male and have backache for last 2 months. What should I do?

BPTh/BPT
Physiotherapist,
I am a 25yr old male and have backache for last 2 months. What should I do?
Take hot fermentation and mentain proper back posture. Avoid prolong forward bending and lifting heavy objects. So obverse your condition, if after 1 week it pains and pain grade is same then you have to go for some physiotherapy sessions. Thank you.
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