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Dr. Yogesh Shinde

Physiotherapist, Mumbai

500 at clinic
Dr. Yogesh Shinde Physiotherapist, Mumbai
500 at clinic
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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. Yogesh Shinde
Dr. Yogesh Shinde is a trusted Physiotherapist in Andheri East, Mumbai. He is currently associated with Revive Physiotherapy in Andheri East, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Yogesh Shinde 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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Revive Physiotherapy

# R-30, Nilkant Housing Society, Poonam Nagar, Andheri East. Landmark: Near By St. Xaviour High School, MumbaiMumbai Get Directions
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Hello. My daughter 5.6 years old. She is always complain for pain in legs. Sometimes she feels like pinch like pain. Can you please share a nutrition plan for her health.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hello.
My daughter 5.6 years old. She is always complain for pain in legs. Sometimes she feels like pinch like pain. ...
SHe has to take calcium and iron and multivitamin supplement . Diet should contain all homemade nutritious foods
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I got my right hand fractured it was plastered 15 day ago. But from today in between the elbow and forearm it is swelled and it is pain when it's shakes. This kind of things will not affect me in feature? Because I have exam in next 10 days?

MPT - Orthopedic Physiotherapy, Fellowship in Orthopaedic Rehabilitation (FOR)
Physiotherapist, Kolkata
I got my right hand fractured it was plastered 15 day ago. But from today in between the elbow and forearm it is swel...
This swelling will go with Icing and compression bandage, Do Active Exercise for the joints not affected and light isometric Exercise for the one affected. Consultation with your Surgeon can be beneficial. Feel free to contact for further Physiotherapy treatment related queries which undoubtedly you will need. Get well. Best of luck for your upcoming exams.
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My hubby HV uric acid, frozen shoulder, n arthritis no pain killer medicine help. Medicine give temporary help. Pl suggest.

BHMS
Homeopath, Raebareli
My hubby HV uric acid, frozen shoulder, n arthritis no pain killer medicine help. Medicine give temporary help. Pl su...
Give him Mag phos 6x - 4 times a day -- and additional dose for acute pain when required. Also do hot and cold compress alternately if this gives him relief.
3 people found this helpful
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Hi my age is 25, I am working In computer field when I get up and walk I am able to hear crackle sound from my foot, Why it causing? Please suggest Remedies.

BPTh/BPT
Physiotherapist, Delhi
Hi my age is 25, I am working In computer field when I get up and walk I am able to hear crackle sound from my foot, ...
1. This could be due to over work , shoes with heel. 2. Change your shoes every 6 month. 3. Wear sports shoes. 4. Take calcium, vitamin D 3 for one month.
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I have a problem in my wrist it has a swollen part which feels like a bone I feel very odd while rotating my wrist and have pain in it which feels like a fracture but it's not a fracture what should I so? 8.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
I have a problem in my wrist it has a swollen part which feels like a bone I feel very odd while rotating my wrist an...
You should take acupressure therapy and take biochemic nat phos 12x, 4 tab each thrice a day with warm water and take it 5 days
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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.

I am 38 years old male I have pain in elbow for last week I have lifted some 30 kg weight now what to do?

B.P.T
Physiotherapist, Chandigarh
I am 38 years old male I have pain in elbow for last week I have lifted some 30 kg weight now what to do?
You might have a tennis elbow (tendinitis), try wearing a band around the elbow and avoid lifting any heavy weights till the pain subsides, also you will need to take physiotherapy treatment by visiting the nearest physio clinic.
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I have a pain in my right knee. What is the reason behind this? Please give me any suggestion.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
I have a pain in my right knee. What is the reason behind this? Please give me any suggestion.
Reasons can be-* cold weather *sitting in inconvenient posture constantly, without changing your position or without movement, *wearing ill fitting sandals, *lack of exercise or *internal disorder like arthritis. Point to observe- * if you have difficulty in climbing stairs, take lift while going upstairs. If there is no lift, go up slowly. * if it is due to strain of games or injury, take rest. * if it is due to obesity, reduce weight. * if it is due to constant sitting at a particular posture, change posture and engage in slow walk. * walking regularly at slow pace without unduly straining helps as it improves blood circulation around knee and eases the joint. *you can use mustard oil for massage which is good in winter season for relieving pain. Eucalyptus oil is also good homoeopathy has a good treatment for this without adverse effects. Take bryonia 200---twice daily morning and evening and give feedback after 7 days
1 person found this helpful
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I have got pain in my right heel bone & I feel difficult to walk at times. I thought it should be a problem with my shoes and replaced with a new one still am facing the pain.

BHMS
Homeopath, Delhi
I have got pain in my right heel bone & I feel difficult to walk at times. I thought it should be a problem with my s...
Hello,you can take homoeopathic medicine Causticum 30 ( 4 drops in little water) thrice a day for a week and revert.
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When I have sex with my partner. I feel that there are some pain in my legs or weakness. Kindly suggest.

BAMS, MD Ayurveda
Sexologist, Lonavala
When I have sex with my partner. I feel that there are some pain in my legs or weakness. Kindly suggest.
One of the simplest home remedies Natural home remedy using ashwagandha and milk: • Ashwagandha is a commonly available ayurvedic herb. It helps stimulate the immune system an counteracts the effects of stress. 1. Take 1 glass lukewarm milk 2. Add 1 tbsp ashwagandha powder 3. Mix well 4. Drink once daily Surely you will get results.
1 person found this helpful
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I have pain in both elbow, and I m doing gym daily. So please give me advice what should I do for pain.

BPTh/BPT
Physiotherapist, Mumbai
Hi for pain take cold water fomentation thrice a day for atleast 20 min, start physiotherapy treatment as ultra sound therapy will be helpful. For detailed treatment plan and exercise do consult me privately via lybrate. Best wishes.
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I am 36 years old male, suffering from back ache, during sudden fall, no medication taken yet, but consult the doctor, but feel discomfort during work time.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am 36 years old male, suffering from back ache, during sudden fall, no medication taken yet, but consult the doctor...
Apply hot fomentation twice daily. Avoid bending in front. Postural correction- sit tall, walk tall. Extension exercises x 15 times x twice daily. Bhujang asana. Core strengthening exercises. Back stretching. Do the cat/cow stretch.
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I am a 38-year-old female having right knee pain for more than 4 years, about two years having right hip hip and thigh pain, advise me.

Diploma in Acupuncture, Pranic Healing, MD - Acupuncture
Acupuncturist, Bangalore
Identify the dipping portion on the back of your knee folding. Press this dip with both middle fingers and hold your knee with your thumbs for support. Please swing 20 times morning and evenings. This will relieve your problem. Also press your palm with your finger tips in both hands. Consult after 10 days.
2 people found this helpful
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I am a basket ball player, while standing or walking during the period knee slip r disloction and more pain after playing what is the reason?

MPTh/MPT, MSC CVR, MANUAL THERAPIST
Physiotherapist,
Ligament injury most certainly. Get an MRI to reverify. If grade one tear, get Physiotherapist help to heal. If grade 2or more get surgery done to prevent damaging your joint further.
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I felt back pain while playing football and I can, t play daily because of this pain give a solution.

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist, Bangalore
I felt back pain while playing football and I can, t play daily because of this pain give a solution.
Any athlete who places stress on the spine is vulnerable to a back strain. Here are some tips for how to handle your back pain: rest your back for 24-48 hours, but do not stay completely immobile; limited, mild movement is better than bed rest. Apply ice packs for 15-20 minutes, 3-4 times a day for the first 48-72 hours. Apply moist heat after the first 48-72 hours if it makes you more comfortable. Aspirin, ibuprofen may relieve pain and reduce inflammation. If you sleep on your side, place a pillow between your knees. If you sleep on your back, place a pillow under your knees. Avoid sitting in one position for long periods of time. Get up and stretch every 20-25 minutes. Execute each movement required in your sport, gradually increasing the speed of movement, before returning to normal training and competition. Use a lower back support to keep the pressure distributed evenly on the muscles of the lower back. When lifting heavy objects, keep your back as straight as possible and use your legs. Do not bend at the waist. Avoid slouching when sitting. See a doctor immediately if the pain is intense, spreads down one or both legs, causes weakness or numbness, or follows a fall or a blow to your back.
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How to reduce uric acid, my age is 29. I have a knee pain left leg, uric acid is the reason for my knee pain? I have a doubt.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
How to reduce uric acid, my age is 29. I have a knee pain left leg, uric acid is the reason for my knee pain? I have ...
You should take Acupressure therapy and take Biochemic Mag phos 200x + Calc flour 200x 4 tab each thrice a day with warm water and take it 5 days than consult private online .
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My mother has a back pain how she will cure from this disease as soon as possible?

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist, Bangalore
My mother has a back pain how she will cure from this disease as soon as possible?
Here are some tips for how to handle your back pain: -stop normal physical activity for the first few days. This will help relieve your symptoms and reduce any swelling in the area of the pain. -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. --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 for the first 6 weeks after the pain begins. -Avoid bending forward and sitting in a place for long time -Good posture plays a key role in your spine health, helping to prevent additional back and neck pain and even injuries to spinal structures. Try to be aware of your posture and make good posture part of your normal routine. -head up, shoulders back, rear tucked under -Stand and walk with correct posture -Sit with support -Lift and carry carefully -And finally, keep moving:-Maintaining a static position for too long—more than twenty or thirty minutes at a time—is hard on the back. Prolonged static posture can slowly deplete elasticity from the tissues. By simply moving—be it a change of position, a stretch, or a short walk—the tissue elasticity needed to protect your joints can be restored and the associated discomfort reduced. -Stretching and strengthening exercises are important. But, starting these exercises too soon after an injury can make your pain worse. -Some Physiotherapy treatment like IFT current can give you relief. -Consult a Physiotherapist for detail assessment and management of your back pain. Best wishes.
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There is a slight twist in the bones of my index fingers. They are rotated by about 10 degrees. Please suggest me an exercise.

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. I need a clinical x ray and a clinical picture to actually understand what do you mean by twist of index fingers and how has it happened? do not hesitate to contact me if you need any further assistance. Thanks & regards Dr. Akshay kumar saxena consultant orthopaedics fortis hospital, new delhi.
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I have a problem of backache. So what are the medicine take to avoid the backache.

Ph.D - Ayurveda, MD - Ayurveda, Diploma in Diet and Nutrition, Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma Yoga
Ayurveda, Jaipur
I have a problem of backache. So what are the medicine take to avoid the backache.
Sir, go for Ayurveda's Panchkarma Therapy - We have many option for u - Kati Basti (Specialised Panchakarma procedure for Backpains), Localised Massgae with Herbal oils, Localised Medicated Steam, Pottali Massage. Continue these procedures for atleast 15 days. Regular oiling of the joint will improve the lubrication also. These procedures will relax ur back muscles and give strength to ur nerves and muscles of back. also start some Yogic exercises - Tadasana, Dhanurasan, halasana along with these therapies. This will greatly help. Please avoid pushing / pulling heavy objects, long sittings, long two-wheeler drives. Although some herbal medicines might also help you but after proper history taking. For that u may consult me privately over Lyberate. Please update with ur valuable feedback after 15 days.\
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