Lybrate.com has a nexus of the most experienced Occupational Therapists in India. You will find Occupational Therapists with more than 26 years of experience on Lybrate.com. You can find Occupational Therapists online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. Sunita Subhash
Speech Therapy Treatment
Sensory Integration Therapy
Occupational Therapy Treatment
Control Program Occupational Health - Pcmso
Minor Ot Service Procedures
Submit a review for Dr. Sunita SubhashYour feedback matters!
I take physiotherapy treatment for LBA pain reduce gradually. Now OK do exercise program regularly but if I go out station unable to exercise so got pain why I do?
I have a gap in spinal cord also the legs were paining and blocked sometimes, not able to stand and walk more time.
The hip joint is a ball and socket joint made up of the round head of thigh bone (femoral head) with the cup shaped socket (acetabulum) of the pelvis and Perthe’s Disease is an affliction of the hip joints in growing children. It is much more common in boys than girls, and occurs most commonly in children aged between 4 to 10 years. The cause of this problem is still unidentified.
In Perthes disease, changes affect the femoral head which can be seen on X-ray. These changes occur in three stages over 18 months to 2 years:
- The blood supply to part of the femoral head is disturbed, causing loss of bone cells.
- Softening and collapse of the affected bone
- Re-establishment of the blood supply, repair and remodeling of the femoral head.
- Limping is the most common symptom. The limp may become more persistent and pain may develop. Examination of the child by the orthopaedic surgeon generally shows restriction of hip movement. The nature of Perthes disease is variable. Severity depends on the child’s age, and the extent of femoral head involvement. Older children, girls, and those with greater involvement of the femoral head are likely to require more complex treatment. Treatment aims to reduce pain and stiffness, and prevent femoral head deformity.
- All children need regular review by the orthopaedic surgeon through the duration of the disease. Not all children require active treatment. Many will make a good recovery with only symptomatic treatment. This may involve restriction of activity such as running and high impact sports. Swimming is encouraged. Some children may require exercise in slings and springs, or the application of plaster casts to the lower limbs. Some children will require surgical management.
- Children with Perthes Disease are otherwise healthy, but may be affected by physical restrictions. By middle age, one third of those affected have no symptoms, one third have intermittent hip pain, and one third would develop arthritis requiring treatment.
In case you have a concern or query you can always consult an expert & get answers to your questions!
When a tissue or an organ gets displaced abnormally through the wall of the cavity in which it usually resides, then this condition is termed as a hernia. A hernia including stomach or intestine has become a common occurrence.
Hernias are caused by a combination of muscle weakness and strain. The actual cause of Hernia is not known however, some people are either born with an unusually large hiatus or it might occur when too much pressure is exerted on the muscles around your stomach. Obesity, aging, and smoking are the other contributing factors.
A Hiatal Hernia is a condition in which a part of the stomach protrudes through the diaphragm (muscular wall separating the chest cavity and the abdomen) into the chest. There are two types of Hiatal Hernia – Paraesophageal Hernia and Sliding Hernia. Sliding Hernia occurs when your stomach and esophagus slide in and out of your chest through the hiatus. Paraesophageal Hernia is the one where a part of the stomach passes or bulges into the chest beside the esophagus. Particularly if a Paraesophageal Hernia is large, it might slow down the food passage and cause the food to stick in the esophagus once it is swallowed. Fortunately, these types of cases are uncommon.
The treatment of every hernia depends on its size and symptoms. A surgery is recommended for the below-listed cases:
- Incarcerated Hernia - Where the intestinal tissue gets trapped in the abdominal wall, resulting in pain and discomfort.
- Strangulated Hernia - If the Incarcerated Hernia is left untreated it may become Strangulated Hernia wherein the blood supply to the trapped tissue is cut off which can cause permanent damage or death.
The common surgical procedure used for repair of a hiatal hernia is a Laparoscopic method. A laparoscope is a telescope-like instrument connected to a video camera, that is inserted into the abdominal cavity and the surgical video is visualized on high-resolution video monitors in the operating room. Long thin surgical instruments are inserted in the other incision and the surgeon performs the surgery by watching the monitor. This method causes less pain and speedy recovery compared to the conventional techniques. This is proved as a minimally invasive procedure where both pain and healing time is greatly reduced. Since incisions are very small during the surgery you experience less discomfort resulting in the use of lesser painkiller, which is one of the primary advantages of this procedure.
Another significant benefit of a laparoscopic procedure is that there is less risk of post-op infection owing to lesser exposure of the internal organs to any external contaminants. Since healing is so much faster the length of hospital stay required is also significantly shorter with laparoscopic surgery. This implies that you can return to your normal routine quicker as you will get discharged from the hospital on the same-day or the next-day of the surgery.