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Dr. Divya Mehta

Physiotherapist, Nagpur

Dr. Divya Mehta Physiotherapist, Nagpur
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Divya Mehta
Dr. Divya Mehta is an experienced Physiotherapist in Bajaj Nagar, Nagpur. You can visit her at CIIMS Hospital in Bajaj Nagar, Nagpur. You can book an instant appointment online with Dr. Divya Mehta on Lybrate.com.

Lybrate.com has a nexus of the most experienced Physiotherapists in India. You will find Physiotherapists with more than 29 years of experience on Lybrate.com. Find the best Physiotherapists online in Nagpur. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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I work as a field executive and spend 6-7 hours in the field and drive tw. Recently I found that when I go to bed at night there is a huge back pain. Its only happen when I go to bed for sleep. Is it because I drive tw for more then 5 hours or something else? please suggest.

Diploma In Orthopaedics (D. Ortho)
Orthopedist, Amravati
Hi if you have localized back pain with - no neurological symptoms like numbness, paresthesia, weakness in limbs etc, my advice is: - intensive physical therapy initially under supervision of a physiotherapist and then at home. - avoid forward bending, lifting heavy weights etc - take an analgesic like diclofenac or something which suits your body for 5-7 days - take muscle relaxant for same time as analgesic to relieve muscle spasm - ice packs at the site of pain, muscle spasm - local analgesic spray can be used but no massage is required let me know in a week time how you are feeling. I will actually ask you to get x ray of involved region of spine (ap & lateral) and send reports across to me so that I can advise further in a better manner. Do not hesitate to contact me if you need any further assistance.
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My left leg knee pain.

MS - Orthopaedics, MBBS
Orthopedist,
My left leg knee pain.
Investigations advised - hb, tlc, dlc, esr, sugar f & pp, uric acid, vit d3 urine r/e x ray of the affected part. Anyway you may try- sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick mattress are harmful do hot fomentation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do knee & general exercises. It may have to be further investigated. 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, inform me.
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I have pain in my body shoulder back head legs and hands as well as thies from. Last thirteen days.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
I have pain in my body shoulder back head legs and hands as well as thies from. Last thirteen days.
Your should take acupressure treatment and take biochemic kali phos3x Nat.sulph.3x 4tab each thrice a day with warm water.take it & inform me private online.
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I'm patient of mild spondylitis my age is 20 years old so I do regularly exercise so please suggest me during exercise which belt should I wear. Weightlifting belt or Back belt?

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I'm patient of mild spondylitis my age is 20 years old so I do regularly exercise so please suggest me during exercis...
no need any belt for exercise. di stretching exercise and strength exercise in gently process. tk calcium supplements and posture correction must. avoid toward bending.
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I am 65 years female. I am suffering from knee pain in both knees. Even steroid injection has not totally removed pain.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hello, thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. It is clear from your description that you are suffering from knee arthritis for which intra- articular injections have also been prescribed to you earlier, and have not helped. Please tell me duration of pain and what are aggravating factors? how much distance can you walk and what is the analgesic requirement to carry out activities of daily routine? what medications you generally take and what has been your treatment history till now for existing problem. I also need to see your latest knee x rays so that I know what grade of arthritis are we dealing with on your case because management depends upon what x rays show. Do not hesitate to contact me if you need any further assistance.
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I have pain in my thai from last four days. I had try all medicines and oil for it but the pain is getting more and more so what can I do to stop pain of my thai. Please give solution to me as soon as possible.

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist, Bangalore
I have pain in my thai from last four days. I had try all medicines and oil for it but the pain is getting more and m...
Thigh pain can be caused by a very wide variety of conditions.Thigh pain caused by a minor muscle strain or contusion may be controlled with home treatments, such as rest, ice, elevation of the leg, and pain relievers. In some cases, thigh pain may be caused by a serious or life-threatening condition, such as deep vein thrombosis, bone fracture, or hip dislocation. Seek immediate medical care if you have difficulty moving the leg or walking, deformity of the knee, thigh or hip,severe pain; sudden swelling or color changes in the thigh.
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I am 16 years old male accutually I got fever during that period itself I got pain iny joints. I lost my fever but my pains in joints have didn't gone I would like to know the reason and cure.

Diploma in Acupuncture, Pranic Healing, MD - Acupuncture
Acupuncturist, Bangalore
Identify the mid point between the ankle bone and tendons and give pressure with a blunt edge on either side of your foot for 2 minutes. Also give pressure in the web between 2nd and 3rd finger from your toe for 2 minutes. Finally give a good massage for both feet in hot water. 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. Consult after 10 days.
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I feel heel pain after some rest. What should I do?

BPTh/BPT
Physiotherapist,
I feel heel pain after some rest. What should I do?
Hi +wear soft padded footwear. +do stretching of calf muscles +learn strengthening exercise of ankle +take contrast bath at physio clinic. Wishing you a good health.
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I am suffering from constant knee and back pain for last 1 month please suggest what should I do?

BHMS
Homeopath, Faridabad
I am suffering from constant knee and back pain for last 1 month please suggest what should I do?
Hello. Maintain a right standing and sitting posture, keep your back always straight (even while sitting or standing), avoid carrying weight on back. Hold or carry weight divided equally in both the hands or shoulders (to avoid over straining on one particular hand or shoulder). Always select a chair with proper back support and hand-rest. (Excessive sitting or standing is to be avoided as well don’t carry much weight on shoulders). Apart from these, stress could be the major cause of pains! Exercise: Practice Shavasana or Corpse Pose as it looks like a dead body. If practiced correctly and with full efforts, can relax every body part, relaxing not only the body but also the mind: Spread the legs one to two feet apart, the toes are turned outwards, the heels facing each other, a comfortable distance apart. Bring the arms a little away from the body, palms turned upward. Relax the neck and allow it to turn to the side if it is more comfortable. Close the eyes and focus the attention on the body, breathing normally. Begin focusing each body part and relaxing it, then moving on. Keep the mind focused on relaxation, the breath should be normal. Relax the whole body. Management: -Sit straight with a back-rest or back-support. -Stretching or activities that place additional strain on the back are discouraged. -Sleeping with a pillow between the knees while lying on one side may increase comfort. -Lying on your back with a pillow under your knees would also relieves pain and no pillow under your head. -Some people seem to benefit from the use of ice or heat. Take care, do not use a heating pad on ‘high’ or place ice directly on the skin. Medication: Take homoeopathic medicines - Arnica 200 and Rhus Tox. 200 - take both of them thrice daily for 1 week. Also, apply Schwabe's Topi-Arnica and Topi MP Gel on the affected area in circular motions gently thrice a day. Get back to me thereafter.
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I am 24 years old (M. I feel pain in my left leg at around knee after standing up when I seat for half an hour and also when I walk for long time after this I do not feel pain in my right leg but in left leg.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am 24 years old (M. I feel pain in my left leg at around knee after standing up when I seat for half an hour and al...
Core strengthening exercise- straight leg raised with toes turned outward, repeat 10 times, twice a day. 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. Keep your leg raised while sitting or lying quadriceps strengthening exercises- quad clenches: lie flat on your back or sit upright on a chair with leg kept horizontally on another surface. Now, tighten the muscle on the front of the thigh by pushing your knee down. You should feel your thigh muscles clench, hold for 3 secs. Repeat 10 times twice a day. Short arcs: lie flat on your back or sit upright with your leg placed horizontally on a flat surface like a chair or bed. Place a rolled up towel under the knee. Pull your toes towards you and clench you thigh muscles. Slowly lift your foot up off the bed until your knee is straight (keep your knee resting on the towel). Hold for 3 secs and slowly lower them on the chair. Repeat 10 times twice a day. Straight leg raise: lie flat on your back. One leg and knee will be straight and other leg should be bent. Pull your toes towards you and tighten/clench the muscle on the front of the thigh, locking your knee straight. Lift your foot up in the air, about 6 inches off the bed. Hold for 3 secs and slowly lower the leg. The knee must remain straight the whole time you are doing this exercise.
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Before two months. My father's thigh bone was braked up and a rod was inserted in left thigh. No recovery is till now. And bone is not healed. X ray reports are in my documents. Doctors tells for new operation in which a new bone they can insert. So pls help us we are very depressed.

Fellowship in Neurological Rehabilitation, BPTh/BPT
Physiotherapist, Gurgaon
Hi, Its seems your father have complication what wee call Non union or delayed union of fractured bone. There are lots of causes that leads to non union even after rod fixation or any fixation. Reasons cav vary from bone lacks adequate stability, blood flow, or both; diabetes, Thyroid, poor Nurtition, complicated fracture break, Low vitamin D level, infection, etc. They also are more likely if the bone breaks from a high-energy injury, such as from a car wreck, because severe injuries often impair blood supply to the broken bone. Doc have suggested a second surgery as the first surgery have not provided desired result i. E union of fractured femur (thigh) bone. Surgical options include bone graft or bone graft substitute, internal fixation, and/or external fixation. As internal fixation was done for first surgery i. E Rod insertion so your doc have suggested you Bone graft. During this procedure, bone from another part of the body at the fracture site to" jump start" the healing process. A bone graft provides a scaffold on which new bone may grow. Bone grafts also provide fresh bone cells and the naturally occurring chemicals the body needs for bone healing. So union of fracture break can occurs faste. R Non-union conditions often require a long healing period after surgery, and depending on the physical condition of the patient and the extent of the complication, Thanks. Take care.
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I am 23 years old male and visit the gym. I have pain in right knee. Tried many things but did not work out. What should you do kindly suggest?

BPTh/BPT
Physiotherapist, Delhi
I am 23 years old male and visit the gym. I have pain in right knee. Tried many things but did not work out. What sho...
Start with physiotherapy treatment. Wear knee cap. Don't sit on floor. Stop going to gym share your x ray report for further discussion.
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I have rashes all over my legs. Tried baking powder and ice massage but it did not work. The rashes are big and red. They are slowly getting up and my while back is now covered with them. Please suggest a remedy.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have rashes all over my legs. Tried baking powder and ice massage but it did not work. The rashes are big and red. ...
Keep your leg raised while sitting or lying quadriceps strengthening exercises- quad clenches: lie flat on your back or sit upright on a chair with leg kept horizontally on another surface. Now, tighten the muscle on the front of the thigh by pushing your knee down. You should feel your thigh muscles clench, hold for 3 secs. Repeat 10 times twice a day. Short arcs: lie flat on your back or sit upright with your leg placed horizontally on a flat surface like a chair or bed. Place a rolled up towel under the knee. Pull your toes towards you and clench you thigh muscles. Slowly lift your foot up off the bed until your knee is straight (keep your knee resting on the towel). Hold for 3 secs and slowly lower them on the chair. Repeat 10 times twice a day. Straight leg raise: lie flat on your back. One leg and knee will be straight and other leg should be bent. Pull your toes towards you and tighten/clench the muscle on the front of the thigh, locking your knee straight. Lift your foot up in the air, about 6 inches off the bed. Hold for 3 secs and slowly lower the leg. The knee must remain straight the whole time you are doing this exercise.
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My knee joints are very close. How to make distance between my knee joints. Is this possible?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
My knee joints are very close. How to make distance between my knee joints. Is this possible?
What problem are you facing due to these closeness of joints.Please describe so that I could guide you accordingly.
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Hi 1.Actually now few days I having lower back pain and pain in my knees. 2. Actually I had too much sex (2-3 times in a day and it's happen in 2 times in a week or 6-7 times in the week) it will make bad effect on my health and please tell me what I should do and what died/tablets you prefer for me.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Hi 1.Actually now few days I having lower back pain and pain in my knees. 2. Actually I had too much sex (2-3 times i...
For back and knee pain do Take UST and laser Therapy for pain relief for 12 days followed by strengthening exercise from physiotherapist Best wishes.
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I am suffering from tennis elbow since three months I have taken so many medicine but pain is continue what should I do? I am using ice pack 10 minutes after that I use pain relief ointment also using tennis elbow band. But problem is continue definitely reduce pain but not permanently. Kindly suggest.

MPTh/MPT
Physiotherapist, Hyderabad
I am suffering from tennis elbow since three months I have taken so many medicine but pain is continue what should I ...
Do iceing for 10 min after that do some strengthening exercises for your extensors muscle of your forearm. And use tennis elbow brace which is suport your forearm muscle and minimise the pain .you will get this brace from online or medical store.
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When I raise my hand at shoulder level. I feels a pain in my shoulder. What should I do?

BPTh/BPT
Physiotherapist, Mumbai
When I raise my hand at shoulder level. I feels a pain in my shoulder. What should I do?
Hi there are multiple causes for shoulder pain like. Muscular, tendonitis, ligament tear etc. It will be good if you visit physiotherapist or orthopaedic doctor for diagnosis. Meanwhile apply cold pack for 20 minutes thrice a day for 5 days. Need further assistance contact me via lybrate. Wishing you good health.
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Not able to sit for long time. what should I do?

BPTh/BPT
Physiotherapist,
Not able to sit for long time. what should I do?
Hi learn spine mobility and strengthening exercise from physio. Do reply for private consultation and detailed treatment plan.
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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.

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