Dr. Ujwalta

The Art of Procrastination

Hi, I’m Dr. Neha, and today we are going to talk about the art of procrastination.

How often do we think to ourselves, you know, I’ll just do this tomorrow? I’ll wash the dishes later, I don’t feel like going to the gym, honey! I’m not going to do this right now. How many of us are believers in the same? Why do today what you can put off till tomorrow? And then when the deadline is near we groan and mourn and think how unfair it is that we have to do this, and we feel anxious and we feel sad, and end up doing a half-hearted job, and then we wonder why we never get the results we expected. This is procrastination – the act of postponing, avoiding or delaying something that needs to be done.

Maybe you are thinking it’s too hard, I’ll never get this done, it’s not going to be perfect so why bother? I don’t like doing this. I’m going to fail if I do it. Or maybe you’re a thrill seeker, and you think you work best under a deadline-induced panic. Any of these thoughts ring a bell? And how do they make you feel? Happy? Excited? I think it’s more like sad and anxious. And I’m sure they don’t actually motivate you to get these tasks done. So what do you do?

So here is an action plan. Write down one thing that you’re currently procrastinating. Write it down right now, while you’re watching the video. I think it will help. Write down the reasons why you cannot complete the task today. Written? Okay, so for example, I can’t go to the gym today because the time I usually go at has already passed, and it will be too crowded. Look at the reason. Is it a excuse, or is it a valid reason? You can of course go to the gym, of course it will be crowded and uncomfortable, but you can do it. So if it is an excuse, write down the excuse next to it. How many excuses do you have on that list? So what do you want to do now? I think you’ll find that if you actually do something, it’s not so bad at all. Practice this trick the next time you find yourself procrastinating, and with time, you will learn to get things done. And that’s the real art.

If you’d like to take an appointment with me, just visit Lybrate.com. Thank you.

If you are experiencing lower back pain during pregnancy, you should know that it is a common complaint. The lower back pain may occur because of several factors associated with pregnancy. You gain weight, your center of gravity shifts and your hormones relax the ligaments present in your pelvic joints. There are several ways by which you can reduce your lower back pain during pregnancy. They are as follows:

1. Practice good posture: As the baby grows inside you, your center of gravity changes in a forward direction. You may feel like falling forward and may lean back for prevention. This strains the lower back muscles and causes back pain during pregnancy. You need to maintain a good posture. Always stand tall and straight, hold your chest up high, and keep your shoulders backwards and relaxed. You should not lock your knees.
2. Get proper gear: Get adequate gear for dealing with lower back pain during pregnancy. You must wear low heeled shoes having good arch support. Avoid wearing flat heeled shoes and high heels, which will shift your balance more forward, thereby increasing the chances of falling. You can also opt for a maternity support belt. This additional support might be helpful for you.
3. Lift properly: While you are lifting an object, you should squat down, lifting your legs and arms. Do not bend at your waist and lift with your back. Know your limits before lifting anything.
4. Sleep on your side: Sleep on your sides keeping your knees bent, instead of your back during pregnancy. You may also use support pillows between your knees, under your abdomen and at your back.
5. Hot and cold massage: Although this method is not effective for long term relief, massaging your lower back with a hot pad followed by an ice pack may be effective for temporary pain relief.
6. Engage in regular physical activity: Regular physical activity helps you in keeping your back strong and also relieves pain during pregnancy. You should opt for mild exercises such as walking and water exercises. You should consult a physical therapist for showing you effective stretches and aerobic exercises which are beneficial.

You can try stretching your lower back, resting your hands and knees and keeping your head in line with your back. Pull your stomach in, rounding your back a bit, and hold the position for some seconds. Several other complementary therapies are also effective in curing lower back pain during pregnancy. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

What's pivd?
Also called as slipdisc pain or sciatica may affect your lumbar or cervical or throracic spine. But most common is l4 5and l5-s1 level or c5-6 level.
Most of painful condition of pertaining to your spine due to bulge, prolapse (protrusion), extrusion, sequestration. In with all condition nucleus pulposus come out from it originally site. Causing pressure over traversing or exiting nerve roots. Most of time patient getting treatment for of slipdisc or sciatica etc without any radiological evidence.

What causes pivd?
*unwanted prolonged exposure to sitting posture
*acute forward flexion
*unwanted weight lifting
*trauma or accident
*overweight body
*undesirable exercise
*keep on exercise for chronic pain condition

What is symptoms?
Paresthesia, numbness, tingling sensation, burning sensation, spasms in thigh's and calf muscles, radiating pain upto knee or foot. Unable to sitting or standing for long hours, bowl or bladder incontinence, motor power affected

What are basic investigation?
X-rays only show alignment and fracture and displacement of vertebrae,
Mri scan shows all soft and hard structure of spine-all disc, nerve, ligaments, joint, vessel and muscles etc can be seen in perfect way
Emg, ncv, neurometry etc

Treatment options?
There's two types of options for your spine pain, one is conservative treatment with bed rest, exercises and medicine. But upto certain duration 6week to 6month you can try with. If no red flag sign like loss of motor power. Or bowl bladder involvement should take opinion from surgeon.
Second way is surgical procedure-like conventional open surgery or endoscopic minimal invasive techniques choice of your surgeon. As common man had reservation about spine surgery as thoughts to be risky, chance of bowl and bladder incontinence, or power loss of limbs, because in conventional surgery a small percentage of cases use to face failed back surgery syndrome. Where such complaint were invitable. Big skin incision. Long bed rest. Long hospital stays. Even with expert surgeon these complications were enviably there.
Secondly there is minimal invasive like pin hole stitchless techniques are now choice for spine disc pain problem. Day care surgery with out any blood loss. 24hrs hospital stay, no incision like conventional surgery. Done under local anaesthesia and sedation. Patient can resume daily activities same day. Can go to work with safety measures after 2weeks. And safety precautions to be followed for strengthening your back spine. Now like day care surgery endoscopic discectomy for slipdisc pain can be managed in our hands. All surgery can be seen even by patients on screen, what exactly happened to your spine and disc material.

Post procedure- follow up-
Regular physiotherapy and rehabilitation services is mandatory for strengthening of your spine.
Prognosis-success of procedure is 95%with all precautions and safety measures.