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Dr. Santosh Thakkur

Physiotherapist, Mumbai

Dr. Santosh Thakkur Physiotherapist, Mumbai
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Santosh Thakkur
Dr. Santosh Thakkur is an experienced Physiotherapist in Mumbai, Mumbai. You can meet Dr. Santosh Thakkur personally at S. A. S. Healthcare Pvt. Ltd - Bhandup in Mumbai, Mumbai. Book an appointment online with Dr. Santosh Thakkur 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 40 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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When I wake up after sleeping my body having muscles and back with full of pain. I want to know what the cause behind and what I do for this problem?

Bachelor of physiotherapy,BPTh, Certified Manual therapist, Master of Physiotherapy ,MPTh. (Orthopedics)
Physiotherapist, Ghaziabad
When I wake up  after sleeping my body having muscles and back with full of pain. I want to know what the cause behin...
Lots of reasons can behind this. Keep body warm i. E use blanket while you sleep. Use antioxidant and vit d3.
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I have lower back problem last two month between hip dont know where is problem. But it paining when I am setting and laying on a bed in straight position. and my xray report was normal so please suggest me what should I do?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I have lower back problem last two month between hip dont know where is problem. But it paining when I am setting and...
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 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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I am 16 years old boy. I suffering from my back pain. What should I do?

MS - Orthopaedics, MBBS
Orthopedist,
I am 16 years old boy. I suffering from my back pain. What should I do?
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 mattress are harmful use no pillow under the head. Do hot fomentation. 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 see your nearest hospital or family doctor. If it does not give relief in 4-5days, inform me.
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I am 35 years old man. I have pain in my left knee from last 3 years. I tried every medicine but no relief. I can not even sleep at night by the intensity of this pain. Please help me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
I am 35 years old man. I have pain in my left knee from last 3 years. I tried every medicine but no relief. I can not...
1) Do massage with warm sesame oil or suitable oil for 15 min., afterwards take hot fomentation for 10 min. 2) Start natural calcium supplement. 3) Do regular stretching exercise 4) In yoga DO BHUJANGASAN, HALASAN & SURYANAMASKAR. basically this is early degeneration of joint . in this case need proper ayurvedic medicnes to stop pain & boost your calcium production. consult with X ray report of left knee AP+LAT. view
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I am suffering from back pain during period of last 6 month. Can you suggest as a relief treatment against this heavy pain?

FIMSA, FICOG, MNAMS (Obstetrtics & Gynaecology) , MD - Obstetrics & Gynaecology, MBBS
Gynaecologist, Delhi
I am suffering from back pain during period of last 6 month. Can you suggest as a relief treatment against this heavy...
Madam, short of seeing your doctor nothing can be prescribed menstrual pain is common problem. Happens to 95 % women. Till you see your doctor. Take pain killer which you have taken in past hon. Supreme court says it is illegal to give you any advice if you are not seen by us sharda jain.
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I am 30 years old, I have back pain for past one year.What can i do?

MS - Orthopaedics, MBBS
Orthopedist,
I am 30 years old, I have back pain for past one year.What can i do?
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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I have a serious back pain from past few days due to which I am not able to sleep correctly?

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist, Bangalore
I have a serious back pain from past few days due to which I am not able to sleep correctly?
Here are some tips for how to handle your back pain: -while sleeping, try lying in a curled-up, fetal position with a pillow between your legs. If you usually sleep on your back, place a pillow or rolled towel under your knees to relieve pressure. -find a mattress with back support. A good mattress should provide support for the natural curves and alignment of the spine. Medium-firm mattresses usually provide more back pain relief than firm mattresses. -do not perform activities that involve heavy lifting or twisting of your back -avoid bending forward and sitting in a place for long time --apply heat or ice to the painful area. One good method is to use ice for the first 48 to 72 hours, and then use heat. Take pain relievers medicine. -stretching and strengthening exercises are important. -a physiotherapist can tell you when to begin stretching and strengthening exercises and how to do them. Best wishes.
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Sir My self I'm doing masturbation from past 2 years per day once but now I'm getting weight loss, hair loss, no strength, tired ness, back pain, So please tell me treatment for this sir I want to become like my old days to increase body strength.

MBBS
General Physician, Mumbai
Sir   My self I'm doing masturbation from past 2 years per day once but now I'm getting weight loss, hair loss, no st...
Please don't connected your physical degradation with masturbation.. Things on perspective is your gradual loss of vitality and body weight which not necessarily is due to masturbation. This is your thinking and this had no valid reasoning hence I suggest you to consult a good md physician. He will definitely be able to improve.
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I have back pain from last two week. I do so many yoga for it but this problem not be over. So tell me some good solution for my back pain.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bundi
I have back pain from last two week. I do so many yoga for it but this problem not be over. So tell me some good solu...
I need to know reason. Fatigue, tiredness of driving scooty/ bike etc, arthritis or IVD problem if any. Pl do not take much pain killers. For the time being Nycanthes leaves decoction with pure turmeric may be sipped warm for a week.
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Backache I have.

Diploma In Orthopaedics (D. Ortho)
Orthopedist,
Backache I have.
Hi if you have localized back pain with - no neurological symptoms like numbness, paresthesia, weakness in limbs etc, my advice is: - intensive physical therapy initially under supervision of a physiotherapist and then at home. - avoid forward bending, lifting heavy weights etc - take an analgesic like diclofenac or something which suits your body for 5-7 days - take muscle relaxant for same time as analgesic to relieve muscle spasm - ice packs at the site of pain, muscle spasm - local analgesic spray can be used but no massage is required let me know how you are feeling. I will actually ask you to get x ray of involved region of spine (ap & lateral) and send reports across to me so that I can advise further in a better manner. Do not hesitate to contact me if you need any further assistance.
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Hii I'm having burning sensation in the foot since long time Please explain me the causes and treatment for it.

BPTh/BPT
Physiotherapist, Delhi
Hii
I'm having burning sensation in the foot since long time Please explain me the causes and treatment for it.
Hello. Burning sensation in pain. It can be due to many factors like. *Nerve impingement at Lower back (lumbar spine). *Foot muscle inflammation (Plantar fasciitis) *Heel spurs. And treatment depends on the cause. Regards!
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I am 23 year old man. I am having back pain on spine from 3 days what should I do for this? Please help me.

BPTh/BPT
Physiotherapist, Mumbai
I am 23 year old man. I am having back pain on spine from 3 days what should I do for this? Please help me.
Hi I can understand your problem. # relax & stay positive. # take hot and cold foementation. # learn posture care exercise. # use lumber support. # take break every 20 minutes. # do strengthening exercise of back and core muscles not all back pains are same.
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I am 20 years old and I have lower backpain. Whenever I try to bend backwards it hurts at a point in lower back. What could be the possible reason?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I am 20 years old and I have lower backpain. Whenever I try to bend backwards it hurts at a point in lower back. What...
I cant say right now what can be the problem as correct diagnosis can be made only after Physical examination.But for the time being I can suggest ypou a homoeopathic medicine.May be it ssuits your problem but dont worry this medicine will have no side effect as it iss purely homoeopathic SPONDYAID ( BAKSON) Drink 10 drops in 20 ml fresh water 3 times daily CALCAREA PHOS 6X ( Dr Reckeweg) Chew 4 tab 3 times daily Report after 15 days
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My both the shoulder joints,particularly the left one,frozen and I can not make movements.There is a sever pain at the bottom of joints when I make movements. There is burning sensation also.Please do help

DNB, MBBS
Orthopedist, Delhi
Are u diabetic? If yes your sugar needs to be controlled first. For the shoulder ull need steroid injections in the joints if ur sugar is normal. This will expediate the return of movements. U will also need physiotherapy along with some anti-inflammatory medicines.
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When I run or walk for one or more kms. I am getting severe pain in right side of my ribs. Why is this ?

BPTh/BPT
Physiotherapist, Mumbai
When I run or walk for one or more kms. I am getting severe pain in right side of my ribs. Why is this ?
Hi May be its muscular pain , you can visit physiotherapist or physician for diagnosis. Meanwhile Apply cold pack for 20 minutes thrice a day for 5 days. Regards
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How the frozen shoulder should be treated for a person having age 45 years with no history of sugar, cholesterol and blood pressure.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
How the frozen shoulder should be treated for a person having age 45 years with no history of sugar, cholesterol and ...
Do consult musculoskeletal neuro physiotherapist and take ift and laser therapy for 12 days followed by shoulder mobilisation exercises once pain subsides best regards
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I am a 15 year old male. And I have a backache. What should I do?

MS - Orthopaedics, MBBS
Orthopedist,
I am a 15 year old male. And I have a backache. What should I do?
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)
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I am 40 years Male, recently I am experiencing pain in my left shoulder through my left elbow, while I sit for more than 10 minutes in a chair or while sleeping on my left side on bed. Is this something to worry?

BPTh/BPT
Physiotherapist, Mumbai
I am 40 years Male, recently I am experiencing pain in my left shoulder through my left elbow, while I sit for more t...
Hi I can understand your problem 1) avoid activities that make your symptoms worse 2) apply ice packs 3) start physiotherapy treatment as electrotherapy will reduce pain inflammation 4) exercise and manual therapy will help in pain free movement. Describe your problem in detail and do share related reports and prescription if you have. Best wishes.
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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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