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Dr. Nilesh Shah

B.Sc - Sports Therapist

Physiotherapist, Mumbai

9 Years Experience
Dr. Nilesh Shah B.Sc - Sports Therapist Physiotherapist, Mumbai
9 Years Experience
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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. Nilesh Shah
Dr. Nilesh Shah is one of the best Physiotherapists in Dadar West, Mumbai. He has been a successful Physiotherapist for the last 9 years. He has done B.Sc - Sports Therapist . He is currently associated with Range Of Motion in Dadar West, Mumbai. Book an appointment online with Dr. Nilesh Shah and consult privately on Lybrate.com.

Lybrate.com has a nexus of the most experienced Physiotherapists in India. You will find Physiotherapists with more than 39 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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Education
B.Sc - Sports Therapist - University of Hudders Field,UK - 2008
Languages spoken
English
Hindi

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Range Of Motion, Groud Floor, Popatlal Niwas, Behind Bombay Dying Showroom, Ranade Road, Dadar West, Mumbai - 400028Mumbai Get Directions
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I have a back pain how to cure?

MS - Orthopaedics, MBBS
Orthopedist,
I have a back pain how to cure?
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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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 shoulder is paining severely ftom the ladt 5 months. I consulted many doctors but they r saying that there is no problem. But my pain is severe every time .if I use a pain killer it relieves for sometime and then pain starts. I have done mri also. But there is no problem.

Master of Occupational Therapy (MOT), Bachelor of Occupational Therapy (BOT)
Occupational Therapist, Delhi
My shoulder is paining severely ftom the ladt 5 months. I consulted many doctors but they r saying that there is no p...
Apply hot fomentation Correct your posture Do shoulder shrugs Shoulder stretching Avoid overexertion While sleeping use thin pillow Do not lie on the affected shoulder while sleeping
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I am 21 year old girl, I am suffering from wrist pain since a month ago. I have used many way to treat it. Kindly give me urs opinion?

MPT - Orthopedic Physiotherapy, Fellowship in Orthopaedic Rehabilitation (FOR)
Physiotherapist, Kolkata
I am 21 year old girl, I am suffering from wrist pain since a month ago. I have used many way to treat it. Kindly giv...
Hello, wrist pain can be of many reason. At this young and dynamic age it mostly because of biomechanical positional fault. Thus, it can be effectively dealt by an orthopedic physiotherapist who can give you immediate relief by coreecting the positional fault. But at the same time, other reasons behind the pain have to be ruled out. In the mean time you can apply ketoplast pain plaster at he painful area for 24 hours. Hope it helps. Thanks.
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I am 50 years old man. Since last 3 years when summer starts, I feel lazy and my muscles in the leg & thighs starts paining. The pain increases as the day passes & decreases gradually in afternoon & I feel comfortable in the evening. But during rainy & winter I don't feel any pain. My blood pressure is slightly in the higher side.

MBBS, MS - Orthopaedics
Orthopedist, Jamnagar
you seem to be having Poly myelgia Rheumatica Avoid cold exposure including fan and air conditioned Avoid humid weather Avoid Sour eatables Apply heat to the part Keep the part mobile Avoid to keep part/s stationary Take the medicine to control Rhematoid activity in the body Diclofanic 50 mg ZOBID 50 is the best But only take it when the pain is intolerable
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What is cure to shin splints?

Master of Physical Therapy MPT CARDIO, BPTh/BPT
Physiotherapist,
Dear Chandandeep Singh Bali, shin splint in which you may have pain just below the knee on bony sites..right? For that weakness of surrounding muscle may be responsible. You can consult physiotherapist and according to him you can take some heat or milder form of current like TENS therapy or IFT THERAPY and do some flexibility exercises warm up, yoga, pranayama, suryanamskara daily for 20 min. Gradually pain will go.
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I have a bump in the instep of my leg it pains a lot and I can not sleep whole night.

MBBS
General Physician, Cuttack
I have a bump in the instep of my leg it pains a lot and I can not sleep whole night.
1.Give hot fomentation locally. 2.Take one tablet of crocin 500mg sos after food up to a maximum of three tablets daily 3. You have to take antibiotic, if no relief 4.Consult me for advice
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I have a problem with my spinal cord. Pain happen any time rapidly. Sometime so much pain in my back. Please give me solution.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
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 contacts your nearest hospital or family doctor. If it doe s not give relief in 4-5days, contact me again.
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There is feeling of jam, discomfort and moderate pain at the centre part of my back, when I weak up in the morning.My Age-54 and am a male.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
There is feeling of jam, discomfort and moderate pain at the centre part of my back, when I weak up in the morning.My...
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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my ankle is sprained from 2 days before its very painful tried many things but did not work what should I do?

BHMS
Homeopath, Faridabad
my ankle is sprained from 2 days before its very painful tried many things but did not work what should I do?
Hello, you should take arnica 200ch, 3 drop once daily in the morning and rhus tox 200 ch, 3 drops, once daily at night. Revert me after 7 days. Thanks.
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I'm having shoulder pain from mrng. I'm unable to lift my hand up. Please help. I'm in severe pain. Pls respond fast.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I'm having shoulder pain from mrng. I'm unable to lift my hand up. Please help. I'm in severe pain. Pls respond fast.
Hot Fomentation. Gentle Shoulder Stretching. Core Strengthening Exercises. Gentle Neck Exercises. Avoid sleeping on affected side. Warm up and cool down is a must.
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I am 30 years old having ankle pain from last week what should I do?

MD - Acupuncture, Pranic Healing, Diploma in Acupuncture
Acupuncturist,
I am 30 years old having ankle pain from last week what should I do?
Identify the mid point between the ankle bone and tendons and give pressure with a blunt edge on either side of your foot for 2 minutes. Also give pressure in the web between 2nd and 3rd finger from your toe for 2 minutes. Finally give a good massage for both feet in hot water. Identify the dipping portion on the back of your knee folding. Press this dip with both middle fingers and hold your knee with your thumbs for support. Please swing 20 times morning and evenings. This will relieve your problem. Consult after 10 days.
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I am 24 years old and having prob in backache when sleeping at night for a few hours,

Master in Physiotherapy
Physiotherapist, Hubli-Dharwad
Dear do back stretching and strengthening exercises. Change your sleeping and sitting posture. Take care.
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My leg got crash with a pole while driving bike four month ago now its pain in my knee a lot. Please suggest me what to do?

DHMS (Hons.)
Homeopath, Patna
My leg got crash with a pole while driving bike four month ago now its pain in my knee a lot. Please suggest me what ...
Hello, * you should get your injured leg, examined against any serious injury to avoid future complication, there of. *homoeo-care** @ ruta 1000-6 pills once a wk. @ arnica mont 200- 6 pills thrice a day. Take, care.
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I am suffering from hamstring injury for the last one week. Please help me to recover.

MS - Orthopaedics, MBBS
Orthopedist, Pune
I am suffering from hamstring injury for the last one week. Please help me to recover.
Hello lybrate user, most important thing in a hamstring injury is rest. Passive stretches till you can bear are great. Apply hot water bag fomentation to the local area a course of analgesics can be taken if pain is severe enough. Follow this and regain your movement god bless you.
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Hey doc I am having pain in my right shoulder. It's like a restricted movement . It occurs mainly during swimming, bowling (cricket) and gymming (while doing chin-ups) . Exercises would do the help or I need proper medication ? Suggest some exercises . Thank you .

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Hey doc I am having pain in my right shoulder. It's like a restricted movement . It occurs mainly during swimming, bo...
avoid strain nw do stretching and hot fermentation. if it work then OK otherwise physiotherapy treatment must .
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My father has problem in his knees and he cannot sit on ground. What should he do?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
My father has problem in his knees and
 he cannot sit on ground. What should he do?
What is the age of your father? 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 matress are harmful do hot fomantation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. 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,please inform.
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Doctor, I'm aged 42 years and married last year. For the past 6 months I feel my right hand movements is slightly not comfortable. It is difficult to hold a single paper for 2 mins. While driving it was painful. Writing is also difficult and my handwriting is also changing. I feel blood flow to the rt hand is restricted. My rt palm feels dry. What is happening doctor? What I've to do?

pain management, MD PAIN MEDICINE AND ANESTHESIOLOGY
Pain Management Specialist, Srinagar
Doctor, I'm aged 42 years and married last year. For the past 6 months I feel my right hand movements is slightly not...
Hi. You are having carpel tunnel syndrome (CTS ). Which means your medial nerve is getting compressed near your wrist. Please get NCV (nerve conduction velocity) test done for your right arm and report back. If your diagnosis is confirmed, we will treat you with injection. Regards.
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I' m 18 years old. Sometimes after walking long or sitting very long time I feel a hard pain in my shoulders. Is it normal or what?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. You are very young and should not be having shoulder pains, my advice for initial few weeks ( 1-2) will be to go for ice packs, anti inflammatory medications, physical therapy, avoidance of heavy exercises especially gymn till pain completely subsides, if you do not improve, then we will get some blood tests and x rays to see whats happening? do not hesitate to contact me if you need any further assistance.
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I am a 15 year male and I am suffering from backache from 2 days. What should I do?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I am a 15 year male and I am suffering from backache from 2 days. What should I do?
Homoeopathic medicine---------------- spondyaid (bakson) drink 10 drops in 20 ml fresh water 3 times daily------------- magnesia phos 6x (dr reckeweg) chew 4 tab every 2-3 hrly depending on pain daily------------- drink 2 glass milk and an egg daily----------------- report after 15 days---------------------------
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