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Dr. Swapnil M. Keny

Orthopedist, mumbai

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Dr. Swapnil M. Keny Orthopedist, mumbai
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Swapnil M. Keny
Dr. Swapnil M. Keny is a trusted Orthopedist in Mumbai, Mumbai. You can meet Dr. Swapnil M. Keny personally at Bombay Hospital & Medical Research Centre in Mumbai, Mumbai. Save your time and book an appointment online with Dr. Swapnil M. Keny on Lybrate.com.

Lybrate.com has a number of highly qualified Orthopedists in India. You will find Orthopedists with more than 35 years of experience on Lybrate.com. Find the best Orthopedists online in Mumbai. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Bombay Hospital & Medical Research Centre

#117, Marine Lines. Landmark: Next To Liberty Cinema, Mumbaimumbai Get Directions
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Is Sitting in Car Increasing Your Back Pain?

MPT, BPT
Physiotherapist, Noida
Is Sitting in Car Increasing Your Back Pain?

The pressure inside the discs is higher with sitting than standing or lying. The sacral table rams up under the descending spine and the base is pinched in the middle as if caught in a vertical vice. Over time, fluid leaks out of the discs (they lose approximately 10 percent of their total fluid) and the stacked bony segments settle together, becoming a semi-rigid tubular mass. 

Most of the fluid escapes within the first hour or two of sitting, but the discs keep squeezing drier the longer they stay compressed.People who sit for long hours to work usually feel cast in the back when they get up. It can take several minutes before the base of the spine drops down and movement gets easier. If long hours of sitting are combined with low levels of activity the lowest discs never properly reflate.The discs puff up again with fluid faster than they expel it.

This is partly due to the concentration of electrolytes in the nuclear gel which drags in water under osmotic pressure, but also through the suction effect of the spine elongating when unweighted. 

The disc puffs up more quickly if you lie on your back and bring your knees to your chest which is why this simple action is such an important part of self-treatment. Bouncing your knees to chest and squatting exercises through the day help counteract the fluid loss from the discs, mainly by hinging open the back of your spine.

On the other hand, using a back block opens the front of your spine. It passively hyper-extends (over arches) your spine which not only opens the front of the discs and drags fluid in but also reverses the slumped posture of sitting. As part of yourself treatment program, you should use the block every day. I promise you will get addicted to the sensation of the segments pulling apart when you can almost feel the flattened mesh walls of the discs being tugged up and water being dragged in from the vertebral bodies through the sieve-like vertebral end-plates.

Many hours of sitting can also cause adaptive shortening of other structures around the low back which makes resuming a normal posture even more difficult. For example, the hip flexor muscles at the front of your hips are very powerful and tighten quickly when they spend long periods puckered in a shortened state.

Their tethering causes a sense of tightness across the front of the hips and down the thighs which makes it difficult to stand up straight. In the long term, this tightness has adverse consequences because it causes the front of the pelvis to tilt down at the front, which throws the spine out of balance and creates a typical ‘bottom out’ appearance.

Tight hip flexors also make you take much shorter steps because the legs cannot angle back properly at the hips. Again this is bad for the back because in making a decent stride, the spine must twist lefts and right to compensate for the poor hip mobility. If the sitting posture is especially slumped it causes adaptive contracture of the anterior longitudinal ligament which runs down the front of the vertebral bodies like a long elastic tape. 

In healthy circumstances its role is to limit the backward arching movement of the spine, but when it adaptively shortens it tethers the spine over in a hoop at the front, like an over-tight bowstring. People are often aware of their worsening posture and feel they are being kept stooped as if their shirt is tucked into their waistband.

Using the back block is the natural antidote for sitting. It helps undo all the problems acquired by hours spent crimped at the hips and knees with the shoulders curled forward over the task at hand. It opens out the bowed-over spine and chest; it pushes in the bottom and stretches out the front of the hips as the legs drop down to the floor. 

I am suffering from back shoulder pain in late night & while wake up in early morning left side of the shoulder as I am working in industrial construction field for 8 to 9 hour pls suggest me what should I have to avoid & shd do with regards Syed Mubair Ahmed.

BPTh/BPT
Physiotherapist, Kota
I am suffering from back shoulder pain in late night & while wake up in early morning left side of the shoulder as I ...
DEAR………. Shoulder pain Physiotherapy uses a number of different physical methods to promote healing. If you are referred to a physiotherapist, they should explain to you what treatment they will use and how it will work. Possible treatments include: •specific shoulder exercises – for example, if you have shoulder instability, you may be given exercises to strengthen your shoulder •massage – where the physiotherapist uses their hands to manipulate your shoulder Read more about some of the different techniques used inphysiotherapy. Shoulder exercises If you have shoulder pain, it's important to keep your shoulder joint mobile with light and gentle movement. Not using your shoulder can cause your muscles to waste away and may make any stiffness worse. Therefore, if possible, you should continue using your shoulder as normal. If your shoulder is very stiff, exercise may be painful. Your GP or physiotherapist can give you exercises to do without further damaging your shoulder. You may be given exercises to do on your own, or you may complete the exercises with supervision from your GP or physiotherapist. You may also have manual therapy, where the healthcare professional moves your arm for you. Manual therapy uses special techniques to move the joints and soft tissues in your shoulder. One review of a number of studies found that long-term physiotherapy was as effective as surgery for impingement syndrome (any type of damage to the tendons in the rotator cuff). I HOPE U WILL FITT AND FINE.
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Please tell me a medicine for muscle relaxation. My body always give me a pain when I wake up in morning.

MD - Ayurveda, CIY, Guru Shishya parampara, BAMS
Ayurveda, Gurgaon
Please tell me a medicine for muscle relaxation. My body always give me a pain when I wake up in morning.
Check the posture while sleeping and sitting, take precautions while lifting and manual handling, Avoid cold drinks in the night like cold juices or milk shakes. Take Ginger tea in the night and apply warm oil in your joints once daily followed by hot fomentation. Do gentle stretching exercises to strengthen your muscles.
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I was going for gym from past 1 month. After sometime I got lower pack pain some said you have just started pain is common it will go away but it dint still now I feel pain it's so irritating not able to bend even a little. I am taking tables but no use pain is still there. Please help. TQ.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
I was going for gym from past 1 month. After sometime I got lower pack pain some said you have just started pain is c...
You should take Acupressure therapy and take Biochemic Calc flour 200x +Mag phos 200x 4 tab each thrice a day with warm water and take it 5 days than consult private online.
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Hello sir, I am 79 years old. For the past few months I am getting a problem. My middle finger in the right hand gets bend frequently and I have to straighten it with pain. Further my right toe and left hand get scramped often. The pain in the right leg is unbearable. It originates from the thigh joint and extends upto toe. Is it nervous problem and what is the remedy.

BPTh/BPT
Physiotherapist, Mumbai
Hello sir, I am 79 years old. For the past few months I am getting a problem. My middle finger in the right hand gets...
Hi many different conditions can lead to painful joints, including osteoarthritis, rheumatoid arthritis, bursitis, gout, strains, sprains, and other injuries. Kindly visit physiotherapist or orthopaedic doctor for examination as treatment will be according to diagnosis. Best wishes.
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I am having tingling in my my feet and thighs. I got my self operated in 2008 for Cervical C-6 - C-7, disk prolapse. No pain in the neck but tingling feeling still persists.

MBBS
General Physician, Cuttack
1.Tingling in thigh and feet could be due to prolapse inter vertebral disc of lumbar spine 2. Take MRI of lumbar spine 3. Consult Neurosurgeon for advice and treatment.
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My mom has severe knee pain she has done many treatment but after 2-3 months again same pain starts,what is the treatment?

BPTh/BPT
Physiotherapist, Delhi
Get x Ray done for Knee. Take Physiotherapy sessions and learn exercise for Knee.Use knee cap and start methylcobalamine supplement and Glucosamine.
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My knee has been paining badly from past few days, I have even consulted the doctors about it, but when I was at medication given by them, till that time I was alright but after completing the full course of medication, my knee is again badly injured, can you please help?

MPT, BPT
Physiotherapist, Noida
My knee has been paining badly from past few days, I have even consulted the doctors about it, but when I was at medi...
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. 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.
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Hello, I am having pain in my left chest and left shoulder, i am feeling congestion while i am breathing, my heart beat is rising even with small sounds and i am hearing pulse sound in my ears, please suggest me which doctor I should consult? It is happening since 10 months. And also I lost 8 kgs of my weight.

MBBS, Diploma in cosmetology, Cc USG
General Physician, Gurgaon
Hello, I am having pain in my left chest and left shoulder, i am feeling congestion while i am breathing, my heart be...
CHEST PAIN in your case may be due to 1.acidity. 2. severe anxiety 3. Any Chest infection you should go for BP check along with Baseline ECG and review with report Do you have Recurrent cough/ cold also? Consult privately for further managment
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