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Dr. Nikhil Agrawal

Orthopedist, Mumbai

200 at clinic
Dr. Nikhil Agrawal Orthopedist, Mumbai
200 at clinic
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Nikhil Agrawal
Dr. Nikhil Agrawal is a renowned Orthopedist in Mulund West, Mumbai. He is currently associated with Hira mongi Navneet Hospital in Mulund West, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Nikhil Agrawal on Lybrate.com.

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Valji ladha road ,Mulund West. Landmark: Near Kalidaas Theater, MumbaiMumbai Get Directions
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I am 23 years old male. I have inflammation on my Knee and foot joint on left leg. Due to flat foot my right foot also paining. After taking my blood report My C.Reactive protein is 106.60 mg/L. How to control my CRP? What are the food items I will take? What are the thinks I will do? Let give me proper ans sir.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am 23 years old male. I have inflammation on my Knee and foot joint on left leg. Due to flat foot my right foot als...
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 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 am 53 year old having undergone radical nephrectomy of right kidney one year back. I am now having severe pain in right side leg joint beneath waist occasionally while taking posture. Is this related to my kidney problem, what should I do?

BHMS
Homeopath,
Do not take nsaids pain killer if there is pain take dolo or calpol 650mg sos. Please give detailed history as I dnt know your creat. N? r you on hd?
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My mothers age is 45. She has been suffering from a shoulder pain since 2 months. She has suffer from pain in right shoulder. She have difficulty in moving the shoulder up and down but she move the arms easily but the pain in the shoulder is not heal now. Please tell me what she can do?

B.P.T
Physiotherapist, Bangalore
My mothers age is 45. She has been suffering from a shoulder pain since 2 months. She has suffer from pain in right s...
Shoulder pain is due to weakness of rotater cuff muscles. Try doing shoulder strengthening exercises such as theraband exercises, etc.
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I am 32years female. I am suffering from severe headache, fever and back pain and also coming water from eyes. Please give some home remedies to cure myself.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
I am 32years female. I am suffering from severe headache, fever and back pain and also coming water from eyes. Please...
for headach take following remedies 1.triphala kadha 4 tsp before lunch and dinner 2.amala juice 4 tsp + 2tsp sugar + 2tsp honey in the morning empty stomach this back pain is due to no back exercise.... due to this muscle get stiff .... when suddenly you get move fast that time this stiff muscle get break and pain start..... in ayurved there is mentioned one procedure KATI BASTI ....DO THIS FOR FIVE DAYS WITH MEDICATED OIL if you want to do it you should do it under doctor observation .... so consult ayurvedic doctor near you ... you will definitely get good result ..
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Hey, my mother is a knee pain patient (40 yrs) In order to reduce the body weight We are going to buy an exercise machine. Please guide us the best .which suits all.

MD - Alternate Medicine, BHMS
Homeopath, Surat
Hey, my mother is a knee pain patient (40 yrs)
In order to reduce the body weight We are going to buy an exercise mac...
Stationary bike will be best option for her. And side-by-side ask her to apply ice-packs over her knees for 5 mins daily 2 times. This will help her a lot. Take care. :)
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My leg is paining after walking 5 to 10 min and I have to use iodex and rest there for some time and then start to walk this was start over 2 months and I have check this in private hospitals and taking medicines. I have ask this question for my mom.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
My leg is paining after walking 5 to 10 min and I have to use iodex and rest there for some time and then start to wa...
Hi Apply pranacharya restopain oil or prasarini oil on your affected part then give hot fomentation. Take maha rasnadi kwath 2-2 tsf twice a day. And agni tundi vati and maha yograj guggul 1-1 tab twice a day.. .
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My mother has severe back pain from last 5 yrs. What can we do to get rid of it, she is still 36.

MBBS
General Physician, Mumbai
My mother has severe back pain from last 5 yrs. What can we do to get rid of it, she is still 36.
For pain take tablet paracetamol 650 mg and Get her blood checked for CBC and follow up with reports and if necessary we can give eswt therapy treatment through a physiotherapist.
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I have been suffering from back pain. Whom should I consult Orthopedic or neurologist or ortho com neurologist?

DHMS (Hons.)
Homeopath, Patna
I have been suffering from back pain. Whom should I consult Orthopedic or neurologist or ortho com neurologist?
Hi, your pain is a postural defect which requires physiotherapy. Try to correct your sitting & sleeping postur, take, homoeo medicine: @ rhus tox 200-6 pills, thrice. @ arnica mont200-6 pills, thrice. Avoid, jerks, bending down to lift heavy weight. Take, care.
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I have fever from 5 days my hand and body are normal but my head is hot and pain. please suggest me what I am doing.

MBBS, cc USG
General Physician, Gurgaon
I have fever from 5 days my hand and body are normal but my head is hot and pain. please suggest me what I am doing.
Hello, kindly follow health advices given below: Kindly measure your temperature and tell me reading 1. Avoid exertion 2. Take tablet paracetamol 500 mg after food as and when required for fever more than 99 f (maximum 3 tablets with gap of 8 hr can be taken in a day) for 3 days 3. Lot of fluids to be taken 4. Take proper diet homemade food like moong dal dalia, chapati etc. 4. Avoid wearing synthetic and tight cloths. Kindly go for CBC and consult physician for further management and kindly let me know what medicines you were taking and also tell me if you are having other symptoms like cough/ cold/ burning urine/ stomach pain so that we can confirm cause of fever.
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Dear sir, I have pain in my knee and ankle I am unable to sit more then 5 minute & my age is 53 years and my weight is 83 I too much tried to reduce my weight but I can' t loose it. So my hearty request to your good self to give my guide what I do for pain and weight. I service in bank last 25 years. Please do the need full. I will be obliged. Thanking you.

BPTh/BPT
Physiotherapist, Mumbai
Dear sir, I have pain in my knee and ankle I am unable to sit more then 5 minute & my age is 53 years and my weight i...
Hi You can start physiotherapy treatment to strengthen the muscles around the knee and ankle joint. Meanwhile apply cold pack for 20 minutes thrice a day for 5 days. Follow healthy and balanced diet with 30 minutes exercise daily to loose weight. Do reply for private consultation and detailed treatment plan Wishing you a good health.
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Dear sir I am 33 years old my name is chandrasekhar, since few months I am suffering from back pain and not able to sit for few minutes. And also my right leg muscle is Paining since a week.

BAMS
Ayurveda, Ambala
Dear sir I am 33 years old my name is chandrasekhar, since few months I am suffering from back pain and not able to s...
* 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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Mere father jinki age 65 years h. Unke left hand me pain ho raha tha. Unhone iodex our baam milke laga li. Jisse infection ho gaya. After treatment infection to sahi ho gaya but internally unke hath me ruk ruk k khatarnak pain hota h.jaise k ander SE body JAL rahi ho. Please suggest jisse unka wo pain khatam ho jaye.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Mere father jinki age 65 years h. Unke left hand me pain ho raha tha. Unhone iodex our baam milke laga li. Jisse infe...
Do Take IFT and laser Therapy for pain relief for 12 days followed by strengthening exercise from physiotherapist Best wishes.
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The flat portion of the leg is painful. It is so painful that at some time s I feel like needles poking from inside. What could be the reason. Please help.

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
The flat portion of the leg is painful. It is so painful that at some time s I feel like needles poking from inside. ...
The most common cause would be peripheral neuropathy please share your fasting and post prandial blood sugar results so that we can guide you further.
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Since last 3 years my mom has joint pain because of falling down we also did checkups in the report the nerves are pressed. So please say what to do?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Since last 3 years my mom has joint pain because of falling down we also did checkups in the report the nerves are pr...
Do consult neuro physi and take ift and vaccuum therapy for 12 days folowed by strengthening exercise
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Hi, I am 40 years old female and have been diagnose for initial stage of start of Osteo Arthritis, what should be me sitting and standing postures can I sit down on lad with folded legs for a long time. Please guide me on it. I am on Glucosamine tablets prescribed by my doctor.

M.S in Orthopedic, Fellowship in arthroplasty & reconstructive surgery , D.N.B in Orthopedic, Fellowship in Joint Replacement
Orthopedist, Ahmedabad
Avoid squatting and cross leg. Regular walking and weight control is a goal. Recently glucosamine found to have no role in such condition.
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My husband age 24, he is suffering with seveior back pain from 3 month .He cant sleep properly with that back pain ,please suggest a solution to get reed of this back pain.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
My husband age 24, he is suffering with seveior back pain from 3 month .He cant sleep properly with that back pain ,p...
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 am 25 years old, I am feeling some tightness in my chest just below the neck, it give relief when I drink water but after sometimes it starts giving problem, I am experiencing this from last two days. Can you please explain me the problem.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Neck Exercises. Neck Stretching. Postural Correction. Shoulder Shrugs. Take frequent Breaks at work. Core Strengthening Exercises. Use cervical pillow. Use Back Support. Self Massage the back of neck.
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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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Sir, one of my testicle is paining fr sometime. Alongwith testicle, my left side leg is also paining. I am used to mastubarate frequently. Is it the reason fr pain, will it hamper my sexual life.

BAMS, MD Ayurveda
Sexologist, Lonavala
Sir, one of my testicle is paining fr sometime. Alongwith testicle, my left side leg is also paining. I am used to ma...
Try the following remedy it will surely help you Natural home remedy using asparagus powder and milk: 1. Take 2 tsp Indian asparagus powder 2. Add 1 cup milk 3. Boil the mixture for 10 min 4. Drink 2 times every day This will surely help you.
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Hi I am suffering from pain in muscle and bone of both legs and always feel tired .not able to work or walk full day I feel very tiredness in my body .even at night due to pain in muscle and bone I am not able to sleep up to late night please advice me medicine.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Hi I am suffering from pain in muscle and bone of both legs and always feel tired .not able to work or walk full day ...
Leg pain- for leg pain, please follow the below advise: keep your leg raised while sitting or lying quadriceps strengthening exercises- quad clenches: lie flat on your back or sit upright on a chair with leg kept horizontally on another surface. Now, tighten the muscle on the front of the thigh by pushing your knee down. You should feel your thigh muscles clench, hold for 3 secs. Repeat 10 times twice a day. Short arcs: lie flat on your back or sit upright with your leg placed horizontally on a flat surface like a chair or bed. Place a rolled up towel under the knee. Pull your toes towards you and clench you thigh muscles. Slowly lift your foot up off the bed until your knee is straight (keep your knee resting on the towel). Hold for 3 secs and slowly lower them on the chair. Repeat 10 times twice a day. Straight leg raise: lie flat on your back. One leg and knee will be straight and other leg should be bent. Pull your toes towards you and tighten/clench the muscle on the front of the thigh, locking your knee straight. Lift your foot up in the air, about 6 inches off the bed. Hold for 3 secs and slowly lower the leg. The knee must remain straight the whole time you are doing this exercise.
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