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Dr. Vincy D'Souza

Physiotherapist, Mumbai

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Dr. Vincy D'Souza Physiotherapist, Mumbai
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Vincy D'Souza
Dr. Vincy D'Souza is a renowned Physiotherapist in Andheri West, Mumbai. You can consult Dr. Vincy D'Souza at Chartered Physiotherapist in Andheri West, Mumbai. Book an appointment online with Dr. Vincy D'Souza on Lybrate.com.

Lybrate.com has an excellent community of Physiotherapists in India. You will find Physiotherapists with more than 36 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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Chartered Physiotherapist

Aasta Hospital & Home visit 32,Kapoor Building,Cement Chawl, 34 J P Road, Andheri West. Landmark:-Opposite Canara Bank, MumbaiMumbai Get Directions
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Cervical Lordosis Straightening Treatment

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Cervical Lordosis Straightening Treatment

Most commonly known as a military neck a straight or forward curve of the neck is abnormal and may cause an unkind progression of symptoms leading ultimately to cervical disk degeneration.

Reversal of cervical lordosis explained

The anatomy of the neck features a lordotic curvature in its typical and healthy state. This means that the cervical region has a gentle curvature with the open end of that curve facing the rear of the body. The base and top of the curve will be further posterior than the mid point, which will be further anterior.

When the lordosis is straightened, the neck becomes more upright and linear. This is more common than the next progression of atypical curvature, which is the subject of this article.

Actual reversal of curvature means that part or all of the cervical spine develops a kyphotic profile, with the open end of the curve facing anteriorly. Usually, this reversal is extremely mild, but is still very abnormal. What we now see is the middle of the curve being positioned posterior to the top and bottom.

In essence, picture the letter c and now turn it backwards: This is the shape of a reversed cervical lordosis.

Reversal of cervical lordosis causes

The spinal curvature in the neck is constantly in flux to some degree.

Congenital conditions and developmental conditions can have lasting effects on the natural degree of curvature typically demonstrated from patient to patient. These circumstances may be explainable due to injury or degeneration, or may be idiopathic:

Scoliosis can affect the normal lordotic curvature in the neck.

Cervical spondylolisthesis is a major source of reversed lordotic curvature.

Severe disc pathologies can facilitate a gradual loss or reversal of cervical lordosis.

Vertebral irregularities, such as wedging, can definitely contribute to lordotic alteration.

Traumatic injury, including vertebral fracture, can create the ideal circumstances for a reversal of lordosis to take place.

Severe neck muscle spasms can actually reshape the spinal curves, although these are usually temporary expressions and not actual structural conditions.

Effects of reversal of cervical lordosis
The neck is designed to curve in order to balance the spine, absorb stress, distribute force and provide proper movement of the head. When this curvature is diminished or reversed, symptoms may result, although this is not an inherent part of any altered lordotic condition.

Patients may experience stiffness and tension in the neck. Pain may be present and may even be severe in rare cases. Neurological dysfunction is possible in extreme cases, since the neuroforamen might not align properly, thereby causing a cervical pinched nerve.

In the worst circumstances, central spinal stenosis in the neck might affect the viability of the spinal cord, possible enacting the most dire of symptoms throughout the body.

Patients will also be more prone to injury, since the normal shock absorption qualities of the typical curvature have been lost.

While all these effects are certainly possible, they are not usual. In fact, a great majority of patients have minor symptoms or even no symptoms at all from mild reversed lordotic curvatures.

The pathology leading to a neck curve reversal (cervical kyphosis shown below right) may be inspired by a multitude of conditions as follows:
Post whiplash
Post head injury
Stomach sleeping
Poor sitting/working postures
Congenital spinal curvatures
Osteoporosis
Degenerative cervical discs (a form of osteoarthritis that can either be the cause of or the result of a cervical kyphosis)
Compression fracture of vertebral body
Infection of the cervical spine

Anatomy: straight vs. Curved

I've always heard that it was good to stand up straight.

stand upright, stick your chest out and hold your shoulders back! otherwise you're going get widows hump.

Are these expressions as familiar to you as they are to me? one might think that having a curved neck goes against what we heard from parents and teachers as we were growing up, but the reality is that there is a little bit a truth in both. Maintaining good posture throughout our lives is crucial to both the health of our spine and vital organs. On the contrary, a special type of curve called a lordosis is a good thing, both in the neck and lower back.

When we look at a person from the back their spine should be truly straight, so that the left and right sides of one's body is symmetrical. However, when we view a person from the side, the front and back of their body is different and this is reflected in a coinciding curvature of the spine. Both the lower back and neck are hollowed out (concave) and the mid or thoracic spine is protrudes (convex). Thus there is an alternation of curves functioning to provide stability, shock absorption and aid in propulsion. A straight spine would be very stiff and not flexible. Imagine the plight of a pole vaulter with an inflexible pole.

Nature's design of our spine and rib cage facilitates breathing and offers protective and supportive framework for vital organs. Spinal disks are shock absorbers and because they are in the front of the spine, lordotic curvatures keep them from having to bear weight. Kyphosis or loss of such curvatures bears weight upon the disks, leading to their ultimate degeneration. This process of deterioration is a form of osteoarthritis and in the spine is known as degenerative spondylosis.

Diagnosis
Although most physiotherapists or conservative orthopedists can recognize a cervical curve reversal upon viewing the patient's posture, a definitive diagnosis may be obtained via a standing lateral (side view) x-ray of the neck. Cause can often be determined by corroborating a comprehensive history, a thorough examination, x-rays and questions about sleep, work and lifestyle.

In my professional career I found that the majority of young adults presenting with cervical kyphosis either had a whiplash or were stomach sleepers from an early age. For desk jockeys 40-60 years of age, many hours of sitting with their head flexed forward almost dictates the fate of developing kyphosis. In prior years I considered cervical kyphosis a job hazard for the careers of accountants, attorneys and often teachers because of years spent with their head in a book or paperwork. However, the digital age offers some relief in that respect. A well-planned, ergonomically-friendly office can do wonders for protecting the spine in the sedentary worker.

Treatment for cervical curve reversal (kyphosis)
During my chiropractic practice I had the opportunity to note a good percentage of correction toward a more normal lordosis (noted on x-ray) for 70% of patients under my care. This was almost always consistent with those patients that followed all recommendations and were model participants in their own care. Here is the recommended treat plan:

Spinal manipulation of stiff and fixated spinal segments by a qualified physio
Flexibility exercises for flexion and extension of cervical spine
Resistance exercises for flexors and extensors of the neck
Learn the Alexander technique for maintaining good posture (hint: the basic philosophy is to sit and stand like you were hanging by a string from the vertex of your skull. Liken it to a puppet on a string).
Elimination of stomach sleeping
Avoid standing on your head, although some yoga postures may be beneficial
Use of orthopedic neck pillow while sleeping.

4 people found this helpful

I am 27 year old boy and I am problem with my forearm because when I driven car. So what kind type precaution take.

BPTh/BPT, Bachelor of Science
Physiotherapist, Gurgaon
I am 27 year old boy and I am problem with my forearm because when I driven car. So what kind type precaution take.
Hello there are many reasons for this type of pain- 1. Overuse of forearm muscles, 2. Deficiency of vitamin d3 or calcium, or lack of water in the body, 3. Postural stress (eg. Hands holding the steering for prolonged period) 4. Muscle strain, etc. Please send me all investigation reports if available. I can help you by teaching correct postural habits and ergonomics, do consult me privately. Till then follow these advises:- 1. Take calcium supplements and sun bath daily to prevent further damage to your joints. 2. Avoid heavy lifting with affected hand. 3. Avoid weight bearing and extra pronation and supination activities activities. 4. You can take break during driving. 5. Wear shock absorbing, good quality of forearm support. 6. Perform some gentle exercises and stretching of your all joints before getting out of your bed. 7. Walk straight with shoulder protracted. 8. Perform deep breathing exercises or yoga for proper functioning of lungs. Thanks.
3 people found this helpful
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Ayurveda and Knee Pain

MD.(AM), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
Ayurveda and Knee Pain

Ayurveda is a very old system of medicine, which originated in India. Using herbs found in nature to cure various illnesses, knee pain can also be permanently cured with this method indigenous to India. It reduces knee pain caused by various illnesses including arthritis, inflammation of the cartilage and wearing of the patella among others.

Here are some common Ayurvedic remedies, which help reduce knee pain:

  1. Alfalfa: Alfalfa is medically known as Medicago Sativa. Alfalfa is excellent for making sure that your joint pain reduces, when taken in liquid form four times a day.
  2. Ashwagandha: Ashwagandha is medically known as Withania Somnifera. In the West, Ashwagandha is popularly known as Winter Cherry. Also, it has a lot of therapeutic properties, which include reducing joint pains. 
  3. Banyan: The Banyan tree's medical name is Ficus Benghalensis. It has a sap very similar to the form of rubber known as latex is derived from the Banyan tree. The Banyan tree's sap is externally applied over the joints and the pain usually disappears after a few regular applications. 
  4. Bishop's weed: The medical name for Bishop's weed is Trachyspermum Ammi. The oil extracted from this herb is usually applied to the knees to reduce the intensity of such knee pains.
  5. Celery: The medical name for celery is Apium Graveolens. Celery is not only an effective treatment for rheumatoid arthritis and associated pains in the knees, but it is also helpful in treating gout. It is usually agreed upon that this particular treatment is usually long lasting because of its alkaline nature.
  6. Dandelion: Dandelion's biological name is Taraxacum Officinale. It is rich in magnesium and is crucial for the correct mineralization of the bones. This mineralization allows the bones to become stronger and also prevents knee pain.
  7. Garlic: The medical name for garlic is allium sativum. Five to six cloves eaten everyday has proved to reduce knee pains.
  8. Ginger: Ginger is biologically called Zingiber Officinale. These can be easily included in your diet and go a long way in curbing knee pain.

Related Tip: "All About Knee Pain

4111 people found this helpful

I am 24 year old and I have back problem when I do my work in my office it continuously pain without any support I am not sit.

Pain Management Specialist,
I am 24 year old and I have back problem when I do my work in my office it continuously pain without any support I am...
This is due to postural discomfort use 90-90 degree angle chair and lift your computer table up to 45° from your eye sight and do back extension and stretching exercise for your low back.
1 person found this helpful
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I have lower back pain past 10 days, initially not able to walk or even bend it, Dr. prescribed medicines for 5 days moveril- a, ulcerab 20, maxgallia 75, and physio therapy (ift / ipt for 5 days) after view x-ray. Pain reduced up to 70% I feel comfortable than before, and I hope it will cure slowly, can you please suggest how to reduce the remaining pain, and how to protect this kind of aches, pain in future? And why it happens to me repeatedly yearly once? Please suggest.

BPT, MPT - Orthopedic Physiotherapy
Physiotherapist, Sangrur
I have lower back pain past 10 days, initially not able to walk or even bend it, Dr. prescribed medicines for 5 days ...
Hello lybrate user I would like to suggest you that after physio treatment you must start regular smooth &light back exercises. After one week once you able to add back exercises in your routine then gradually increase exs to improve strength of muscle. Because pain and stiffness cycle reduce, your muscles which gets weak or less active due to pain now are able to do some work, utilize the energy for maintaining muscle power. Exs should be under expert's advice only.
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What exactly is a spine block injection? Will it work long-term for low back pain due to disc problems?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
What exactly is a spine block injection? Will it work long-term for low back pain due to disc problems?
is a form of regional anaesthesia involving injection of a local anaesthetic into the subarachnoid space, generally through a fine needle...
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Most of time I feel pain in my lower part of feet. Some days continuously I feel pain in my right side of foot lower part in heel. That will be automatically cure and yet now feel left side of the lower part of toe. What is the cause. I have no deficiency of any vitamins.

BPTh/BPT
Physiotherapist, Mumbai
Most of time I feel pain in my lower part of feet. Some days continuously I feel pain in my right side of foot lower ...
Hi looks like you planter fascities -apply ice, -do stretching of calf muscles, -wear proper footwear -try using a frozen bottle of water and gently rolling it under the arch and heel. Start physiotherapy sessions. Best wishes.
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I have a shoulder dislocate. And whenever I throw any heavy stuff or in force. I get pain . How do I fix it? Any exercise for me? Please help

MBBS, MS Ortho, DNB (Orthopedics), Dip SICOT (Belgium), FISOC (USA), MNAMS (Ortho), FASM (Singapore)
Orthopedist, Chennai
You appear to have torn a ligament (glenoid labrum) in your shoulder. You need to get an MRI done for your shoulder. Considering your young age, you need key hole surgery for your shoulder (Arthroscopic Bankart repair) to prevent further dislocations and further damage.
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I am depress more time. I think more and more. And in my body joint pain is also lose my body temperament.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
I am depress more time. I think more and more. And in my body joint pain is also lose my body temperament.
You should take Acupressure therapy and take Biochemic Ferrum phos 200x + Kali mur 200x. 4 tab each thrice a day with warm water and take it 5 days and consult private online.
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I am suffering from back pain and pain always go down till legs and knees and there is gap in the spinal cord suggest what to do.

(M.D.Accu), Diploma in Naturopathy & Yogic Science YS)
Acupuncturist, Delhi
I am suffering from back pain and pain always go down till legs and knees and there is gap in the spinal cord suggest...
The spine is made up of vertebrae which form a bony tunnel running down the whole length of the spine, this channel is called the spinal canal. The tunnel is made up of bone and the ligaments that support the vertebrae, including the anterior longitudinal ligament which runs along the whole length of the spinal canal. The spinal cord normally sits here safely protected in its bony tunnel. Lumbar spinal stenosis treatment if the symptoms are not severe usually conservative treatment is tried first. This involves physiotherapy with advice on stretching exercises and posture etc. If this does not offer relief an injection may be considered to reduce pain from a nerve root. Go for accupressure tretment.
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Hi, I have developed post natal lower back pain. I had a caesarean 5 months back and local anesthesia was administered. Do you think it can be treated with Ayurveda? Is holistic treatment possible?

BPTh/BPT, Diploma in Naturopathy & Yogic Science (DNYS)
Physiotherapist, Greater Noida
Hi, I have developed post natal lower back pain. I had a caesarean 5 months back and local anesthesia was administere...
Hi, U can also be treated with Ayurveda. Also correct your postures and do some post natal exercises and tak nutritious food. Thanks.
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I am heading towards a frozen shoulder. My arm and hand aches the whole day. I take a pain killer to ease the pain, but really of any use. What should I do?

Masters in Physiotherapy, BPTh/BPT
Physiotherapist, Delhi
Frozen shoulder not only requires pain killer but also a dedicated exercise regime that can gain range of your shoulder which is the root cause of pain. For this you can visit any physiotherapist as soon as possible.
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I am doing doing marketing job and I am always suffered with back pain and also thy pain.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am doing doing marketing job and I am always suffered with back pain and also thy pain.
Back stretching- lie flat, pull one of the knee forward to chest, hold for 3 seconds, then bring the other knee forward to the chest and again hold for 3 seconds. Then pull both knees towards the chest and hold for 3 seconds. Repeat 10 times each exercise twice a day.
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Hello Doctor, I am 22 years old boy 1 years ago I faced a shock in my life that lead me to depression. Psychiatrist advised me some medicine. I took for 15 days but after 15 days a local doctor advised me to give up that medicine as I could be addicted to it. In starting it was very tough to cover up my muscle muscle pain but Now after 1 years my life is almost alright. But still some times I feel restless for 1-3 minutes that's also very minor. I think I have recovered 90% depression as my muscle pain is almost gone . Am I doing right.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
Hello Doctor,
I am 22 years old boy
1 years ago I faced a shock in my life that lead me to depression. Psychiatrist a...
The muscle pain may not have anything to do with the depression. Anyway since it has improved that is fine. With regards to the depression you must go and meet with a counselor immediately and if that person advises that you meet with a doctor you must do so and cooperate to your utmost. Please visit these professionals along with your parents. In the meantime please do the following sincerely because you could resolve the problem better with good cooperation: Have a good night’s sleep, have a good breakfast of more proteins, meditate often, remain free of stress, eat a lot of fiber, nuts, avocado, exercise regularly, eat dark chocolate, do Yoga meditation exercises, etc. I suggest you do the opposite of what this depression makes you feel like doing (actually, not doing): you will need to fight this condition. You must become active; stay upright during the daylight time; meet people; never sleep during the day, wake up by 6 am every day, play some active games, especially contact games, do physical exercises, talk to people and join some social clubs, attend Yoga classes etc. Watch sitcoms on TV or comedies and cheer yourself up. Go for excursions in groups, for outings, camps, conferences, and religious conventions. Get a pet dog and spend time training it, exercising it and relating to it. Expose yourself to some sunlight every day, at least, 30 minutes but not in the scorching heat. Whatever happens, please incorporate these three important adaptations in your life: always be responsible, be respectful, and be functional. If you did these three, lots of things will go well in life. Please pray and have faith in God to alleviate your sufferings. Don'€™t wait for others to help. Use your own motivation, which might be at its lowest, but persevere and win this battle. Above all to be really happy, you need to live in love and for love. Learn all about emotions and how to handle them and that will get you out of the depression rather easily and quickly. A counselor is there only to facilitate you, all the hard word must come from you, and your cooperation with that person is very critical for your success. Be positive every day and learn to be contented with what you have. Do some left brain exercises: it is the happy brain. Here are a few suggestions: shut your left nostril and breathe, move your eyes from right to left and vice versa for at least half a minute at a time, and do callisthenic exercises with some form of counting, regularly. Whatever happens please cooperate with the therapy and do not discontinue until the condition is completely resolved.
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I am 55 years, suddenly when I woke up from bed I feel solder pain in right side. Maybe I slept in one side? or due to gastric trouble? please Give some suggestions. Please.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Since this is your first episode of pain, do ice packs, gentle anti inflammatory medication, local analgesic spray, give rest to affected shoulder for some time and let me know in 10-14 days time how you are feeling so that I can understand and take consultation forwards. Do not hesitate to contact me if you need any further assistance. Thanks & regards
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I am having pain in the heel in tandon area and body legs are stiff below the knee.

M.B., B.S. FCGP., FIAMS
General Physician, Panipat
I am having pain in the heel in tandon area and body legs are stiff below the knee.
In your age keeping both feet in hot / cold water alternately for 10 min daily before going to bed Plus long walks Static Cycling Will be really helpful.
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When I wake up in morning I feel my joints little pain my age is 24. What's the reason my weight is 82 height 5'7.

BPTh/BPT
Physiotherapist, Mumbai
When I wake up in morning I feel my joints little pain my age is 24. What's the reason my weight is 82 height 5'7.
Hi do start physiotherapy sessions. Kindly rule out your diabetes, uric acid, calcium, vitamin d and other metabolic disorders. Best wishes.
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I am a 23 years old working girl, since last 2 months I have a problem of backache. What should i do? Please advise.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am a 23 years old working girl, since last 2 months I have a problem of backache. What should i do? Please advise.
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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Hi This is viji. I feel pain in hand. In hand the pain is bone joining point. I can not lift things, even when I bath I can not hold water mug. That time it giving more pain. Please give me your valuable solutions?

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Hi This is viji. I feel pain in hand. In hand the pain is bone joining point. I can not lift things, even when I bath...
Tk physiotherapy treatment best option for you after relief start gradually hand strength exercise must for you.
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Hi, I am having joint pain in knees. Doctor says it is osteoarthritis. Is it curable? What should be my lifestyle, dietary . Etc.

BPTh/BPT, MIAP
Physiotherapist, Ghaziabad
Hi, I am having joint pain in knees. Doctor says it is osteoarthritis. Is it curable? What should be my lifestyle, di...
Knee pain can be cured by strengthning the muscles supporting your knee joint. Replacement is not the only option. Start quadriceps strengthning exercise. Sitting on chair and raising your leg. For 20 times. Slr, knee bending, foot strengthning will also help. Use some analgesic gel and knee cap for pain relief. Hot pack can also be used. For perfect knee strengthing exercise plan send me your x ray & other reports. You can send it to me in my inbox by going to my page on lybrate.
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