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Dr. Radhika

Physiotherapist, Mumbai

200 at clinic
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Dr. Radhika Physiotherapist, Mumbai
200 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Radhika
Dr. Radhika is a popular Physiotherapist in Andheri East, Mumbai. She is currently practising at Sanjeevani Hospital - Andheri in Andheri East, Mumbai. Book an appointment online with Dr. Radhika and consult privately on Lybrate.com.

Find numerous Physiotherapists in India from the comfort of your home on Lybrate.com. You will find Physiotherapists with more than 33 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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English
Hindi

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Sanjeevani Hospital - Andheri

11, Nityanand Nagar, Sahar Road, Andheri East. Landmark: Next to Siddhi Nursing Home, MumbaiMumbai Get Directions
200 at clinic
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I was about his spine pain which is very unbearable from 1998 that he is not able to sit without any support or he is not able to sit down on the floor more than 15 - 20 minutes so just suggest me what precautions should I take on behalf of this problem?

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I was about his spine pain which is very unbearable from 1998 that he is not able to sit without any support or he is...
At present time tk physiotherapy treatment and avoid long sitting and long standing do stretching exercise of spine and legs.
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Mera dono pair muscles me pain ho raha he ,last two month se ,me 38 year age ka hoon.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Mera dono pair muscles  me pain ho raha he ,last two month se ,me 38 year age ka hoon.
: 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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Vertebroplasty (PVP) / Kyphoplasty - Approach To Management Of Vertebral Body Fractures!

MBBS, MD, FIMSA, FIPP
Pain Management Specialist, Delhi
Vertebroplasty (PVP) / Kyphoplasty - Approach To Management Of Vertebral Body Fractures!

As life expectancy is increasing so is the incidence of vertebral body (VB) fractures now being the commonest fracture of the body. PVP is an established interventional technique in which bone cement is injected under local anaesthesia via a needle into a fractured VB with imaging guidance providing instant pain relief, increased bone strength, stability, decreasing analgesic medicines, increased mobility with improved quality of life and early return to work in days.

In this era of minimally access surgery replacing open surgeries, PVP is a novel procedure & should be in the first line of management in place of conservatism or major spine surgery for painful uncomplicated compression fracture spine.

Morbidity & consequences of spinal fracture:

  • Traumatic VB is a painful condition requiring bed rest restricting daily activities markedly
  • Left untreated it can cause DVT, increase osteoporosis, loss of VB height, respiratory & GI disturbances, emotional & social problems secondary to unremitting pain, loss of independence with high cost of rehabilitation.
  • High risk of primary or consequential damage to neural, bony or disc element
  • Increased wedging, deformity & increase incidence of adjacent VB
  • Chronic pain of altered spine mechanics
  • Uncomfortable braces & sleep disturbance because of pain & discomfort with its sequels.
  • Cost of surgery and hospital treatment
  • Cost of implants
  • Phobia of surgery
  • Prolonged recovery period & Extensive rehabilitation
  • Changed spinal mechanics & transition syndrome
  • Major surgery & anesthesia with its own complications

Results / Outcome

  • PVP is a novel procedure with high benefit to risk ratio, which is highly underutilized in relation to the high prevalence of the vertebral.
  • Different studies show an immediate pain relief in (85 – 90)% of patients with low complication rate ranging from (1-5)% depending upon the type of lesion.
  • PVP does augment height of VB but ideal would be kyphoplasty
  • Patient is either off medicine or on reduced doses.
  • Patient feels so well that he almost forgets if he had VB
     

Percutaneous Vertebroplasty (PVP) is an emerging interventional technique in which surgical polymethyl methacrylate bone cement is injected under local anaesthesia via a large bore needle into a vertebral body (VB) under imaging guidance providing increased bone strength, stability, pain relief, decreased analgesics, increased mobility with improved QOL and early return to work. Started in 1984 by Galibert PVP is done in host of indications.

Senile osteoporotic compression remains the commonest Indication. Other indications are  Metastatic VB,  Multiple myeloma VB, VB haemangioma,  Vertebral osteonecrosis & for strengthening VB before major spinal surgery. The benefit has been extended to the traumatic stable uncomplicated VB compression (VCF)   which is commoner in younger age group with active life profile and prime of their career where strict bed rest and acute or chronic pain are unacceptable and they are more demanding for proactive treatment approach so as to be back to work ASAP.

Discovering the fact that VB is the commonest of body, its incidence >the hip, it becomes imperative to take it more seriously. With increasing life-span there is more of aged osteoporotic population, more so due to sedentary indoor lifestyle and post menopausal osteoporosis.  Diabetics, smokers & alcoholics are at higher risk of developing osteoporosis. I have seen such alcoholic patient developing six spine fractures in just three months time from a single fracture being on complete bed rest.

Quick fix of fracture spine makes patient walk back same day instead of bed rest of months together avoiding morbidity & mortality of prolonged bed rest, making bedridden patient walk, in a way bringing patient  back to normal life.

In this era of MAS replacing open surgeries, PVP is a novel procedure & should be in the first line of management in place of conservatism or major spine surgery for painful uncomplicated compression.

Morbidity & consequenses of spinal 

  • Traumatic VB is a painful condition requiring bed rest restricting daily activities markedly.
  • Left untreated it can cause DVT, increase osteoporosis, loss of VB height, respiratory &
  • GI disturbances, emotional & social problems secondary to unremitting pain, loss of independence with high cost of rehabilitation.
  • High risk of primary or consequential damage to neural, bony or disc elements.
  • Increased wedging, deformity & increase incidence of adjacent VB
  • Chronic pain of altered spine mechanics.
  • Uncomfortable braces & sleep disturbance because of pain & discomfort with its sequels.

Morbidity and complication of spinal surgery 

  • Cost of surgery and hospital treatment
  • Cost of implants
  • Phobia of surgery
  • Prolonged recovery period & Extensive rehabilitation
  • Changed spinal mechanics & transition syndrome
  • Major surgery & anesthesia with its own complications

Preparation & Procedure:
X-ray spine in a/p & lat view. CT is more informative of bone & morphology. MRI is good for soft tissue injuries. Ask for pedicle size in all dimensions and construct a 3D image aiming needle placement and cement filling in scan room itself as rehearsal of PVP. This reduces operative time & gives better results. Conventionally PVP is done by hammering the vertebroplasty needle through the bone. Here we use light weight drill to bore through the vertebra. It is important to set the needle at exact entry site & side with right trajectory aiming the defects.

In lateral view needle should go through middle of the pedicle going up to anterior 1/3 of VB. In P/A view the needle can be in midline or paramedian depending upon & if uni/bipedicular approach is planned. Approach varies as per location of vertebra, anterolateral in cervical, costotransverse/parapedicular in thoracic & transpedicular in lumbar vertebra.

Do bone biopsy if there is any doubt about lession. Do dye test (vertebral venography). Make cement more radiopaque by adding barium /or tungsten. Inject cement with 1or2 ml luerlock syringes strictly under fluoroscope in lateral view & cross checking in P/A view. Stop injecting either there is adequate filling or at the first sight of ectopic cement leak. Keep sample cement to see for hardening. Remove needle with rotational movement before cement hardens.

Pain relief is by virtue of different mechanisms postulated :

  • Cementing of fragments.
  • Thermal neurolysis of VB nerve ending due to heat of polymerization.
  • Washing away of nociceptor chemicals.
  • Neurolytic action of liquid monomer.
  • By allowing early ambulation decreasing pains of immobility & bed rest.

Complications 

  1. PVP is generally safe with low risk.
  2. Ectopic cement leak is frequent but generally inconsequential.

Outcome 

  1. PVP is a novel procedure with high benefit to risk ratio, which is highly underutilized in relation to the high prevalence of the vertebral
  2. Different studies show an immediate pain relief in (85 – 90)% of patients with low complication rate ranging from (1-5)% depending upon the type of lesion.
  3. PVP does augment height of VB but ideal would be kyphoplasty.
  4. Patient is either off medicine or on reduced doses.
  5. Patient feels so well that he almost forgets if he had VB

In case you have a concern or query you can always consult an expert & get answers to your questions!

4342 people found this helpful

When I am sleeping and sitting under my chest pain coming tell me why it is coming sir/madam.

BHMS
Homeopath,
When I am sleeping and sitting under my chest pain coming tell me why it is coming sir/madam.
Chest pain have some reason-it may be cardiac that means heart related. It may be bronchial, it may be due to costochondritis, it may be due muscular pain. Soo that has to be ruled out. U should visit your nearby doctor to know the specific cause.
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From last few days when I wake up in morning my feet bottom pains. For few time I am not able to stand.

BPTh/BPT
Physiotherapist, Kota
From last few days when I wake up in morning my feet bottom pains. For few time I am not able to stand.
Foot exercises. Do the following exercises barefoot: •1. First write digits 1 to 10 using your toes raised up in the air. •2. Sit on a chair, raise your toes and curl them •3. Pick up a small piece of cloth off the floor using your toes. •4. Still in a sitting position, point your toes and circle your ankles in a slow counter and clockwise motion. •5. Stand up from the sitting position and go on tip toe for 5 seconds.
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Ayurvedic Treatment For Arthritis!

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
Ayurvedic Treatment For Arthritis!

Inflammation and resultant pain in the joints are usually the basic tenets of Arthritis. This joint disorder can be painful and often, a debilitating one. It can also make the joints stiff. There are many ways of dealing with this problem, but with Ayurveda, one can get to the root cause of the ailment and its presence. This helps in taking a well rounded holistic approach towards treating it with ancient know how that revolves around herbs and other natural substances which have great medicinal value, lifestyle changes, diet, exercise and Yoga, oil massages, and other methods. Arthritis is known as Sandhivata in Ayurvedic jargon.

Read on to find out how Ayurveda can help in dealing with Arthritis.

  • Herbs: One can make use of various herbs that contain Linoleic Acid to help in providing lubrication to the joints so as to prevent pain and stiffness. These herbs include Borage seed oil which is extracted from Borage seed, Evening Primrose oil, Blackcurrant seed oil, Capsaicin, Curcumin, Feverfew, Flaxseed oil and a standard Ayurvedic concoction that combines Ashwagandha, Gugulla, ginger, cumin and haldi or turmeric. These substances can help in treating the joints that are suffering from the pain of Arthritis.
  • Diet: In Ayurveda, to treat ailments like Arthritis, it is usually recommended that a patient should start by flushing out the body toxins from within. Diet is one of the ways in which this can be done. A detoxification diet to clean the colon would be one of the foremost ways of doing a cleanse. Further, in one's daily diet, there should be a good dose of vegetables, fruits and other juices. Also, one must have plenty of herbs and spices, which can be used to season the food. Curd should generally be avoided and garlic should be used liberally. The various properties that help in an inside out cleanse that will help the system function in a better manner so that the treatment of ailments is also effectively supported.
  • Exercise: In Ayurveda, a certain amount of daily exercise, which spans at least 45 minutes to one hour, is a must. A pattern of healthy eating, restful sleep and exercise is what usually helps in treating ailments like Arthritis. For this ailment specifically, light exercise like walking is recommended. Various Yoga asanas that involve sitting, standing, balancing and lying down poses as well as restful poses will also help in treating knee, shoulder and lower back pain specifically. Also, mustard oil massages can help in reducing the pain.

These are the few ways in which Ayurveda can help Arthritis patients live a more normal life with minimal pain. If you wish to discuss about any specific problem, you can consult an Ayurveda.

4947 people found this helpful

Hi, I am having a serious back pain when I wake up in the morning whats should I do to get relief from it please suggest something.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Hi, I am having a serious back pain when I wake up in the morning whats should I do to get relief from it please sugg...
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 contact your nearest hospital or family doctor. If it does not give relief in 4-5days, contact me again. Why not discuss with me in a video conference? (facility provided by lybrate. Com)
2 people found this helpful
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What is the symptoms of dengue fever. In our locality there is spreading of dengue fever.

BAMS
Ayurveda, Bangalore
What is the symptoms of dengue fever. In our locality there is spreading of dengue fever.
Hi, Symptoms of dengue are high grade fever, headache, bodyache, retro orbital pain, skin rashes, vomitting, abdominal pain, fatigue and restlessness. Avoid mosquito bites by using mosquito curtain, repellents and odomos cream. Avoid stagnated water in and around the house to stop breeding of mosquitoes.
2 people found this helpful
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Hello sir, my age is 29 I am female. I had a pain in my lower foot. What should i do?

BPTh/BPT
Physiotherapist, Mumbai
Hello sir, my age is 29 I am female.  I had a pain in my lower foot. What should i do?
Hi +wear soft padded footwear. +do stretching of calf muscles +learn strengthening exercise of ankle +take contrast bath at physio clinic. Wishing you a good health.
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I am 50 year old man Facing problem of lower back pain I think it is due to herniated disc pain in both legs in standing position.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I am 50 year old man Facing problem of lower back pain I think it is due to herniated disc pain in both legs in stand...
. And there are 5 lumbar vertebrae and the 5th lumbar vertebrae is anatomically is located in the lower end where the body weight is taken and it is generally fused with if your pain is there for many years then it is chronic pain. Ice can be kept in the low back where you have back pain. It is suggestible to wear lumbo sacral belt which would help you to build the abdominal muscle tone which itself would make you feel better. You can also wear mcr chappels which would help you to have less weight falling in the painful back. Sacral vertebrae. That is where the sciatic nerve passes by and the nerve gets compressed that's the reason you have pain and sensation is disturbed.
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