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Niramay Clinic

Occupational Therapist Clinic

Jay Ganesh Vishwa Pune
1 Doctor
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Niramay Clinic Occupational Therapist Clinic Jay Ganesh Vishwa Pune
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We are dedicated to providing you with the personalized, quality health care that you deserve....more
We are dedicated to providing you with the personalized, quality health care that you deserve.
More about Niramay Clinic
Niramay Clinic is known for housing experienced Occupational Therapists. Dr. Tripti Srivastava, a well-reputed Occupational Therapist, practices in Pune. Visit this medical health centre for Occupational Therapists recommended by 99 patients.

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Jay Ganesh Vishwa
Pune, Maharashtra - 411015
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What Causes Trigger Finger And How Can Physiotherapy Help?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
What Causes Trigger Finger And How Can Physiotherapy Help?

Trigger finger is a common injury that occurs to people. To understand this condition, you need to have a little background about the way the finger muscles work. The finger muscles are protected by a layer of bones, which are called pulleys. These pulleys form a hollow tube like structure so that the ligaments can pass through it.

These ligaments function smoothly due to a coating of tenosynovium. This tenosynovium is slippery in nature and causes frictional movements, which is why we are able to move our fingers and grasp objects.

Causes of Trigger Finger:

Trigger finger is a condition, which develops when the ligaments develop a sort of nodule. This nodule also causes inflammation in the pulleys. This inflammation would cause constant irritation and pain to the person who has developed a trigger finger or a trigger thumb. There are several reasons as to why such a nodule develops. Some of them are as follows:

  1. Grasping a steering wheel for a long time. That is the reason this condition develops a lot in drivers.

  2. Rheumatoid arthritis, although this is mostly restricted to people who are middle aged.

  3. Gripping pistols and guns repeatedly.

  4. Infections or swelling in the tenosynovium.

How To Treat Trigger Finger?

Trigger Finger can be treated with the help of physiotherapy. When you visit a physiotherapist, the first thing the therapist would do is note down your medical history and symptoms for your current trigger finger. The physical examination is conducted, which often reveals and confirms that the condition is nothing but trigger finger. Therapists usually make sure of this condition by hearing a clicking noise when the nodule snaps under the tendons.

There are two probable ways to treat this condition:

  1. Non-Surgical- These methods involve various exercises to ease out the tension in the pulleys. It might also involve showing you different ways of grasping objects without disturbing the inflammation so that it causes less pain. At times, mild electric current is pushed through the tendons to ease out the inflammation. If these methods fail to rectify your trigger finger, then surgical method is prescribed.

  2. Surgical- This involves a small incision in your hands to remove the tendon pulley, which is obstructing the smooth functioning of your fingers. The surgery is performed in a day and the patient is discharged the same day. However, proper rest should be taken till the wound heals and the stitches dry completely.

These are some of the ways in which trigger finger is treated. It is quite common and thus can be treated effectively as well.

After implementation of pacemaker pain started in my left biceps please provide any home remedies to cure this pain because it cause severe pain. please help me

MBBS, Dip.Cardiology, Fellowship in Clinical Cardiology(FICC), Fellowship in Echocardiology
Cardiologist, Ghaziabad
After implementation of pacemaker pain started in my left biceps please provide any home remedies to cure this pain b...
The pain and discomfort can be normal during the first 2 to 3 months post implant. It should subside over first 6 weeks. If there is any redness or drainage, you need to let your cardiologist know. A simple exercise program aimed at strengthening the shoulder girdle is effective at preventing this complication.
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My mother- aged 85 years, had a fall and injured right hand biceps & shoulder, various oils & tablets - no remedy till now, so suggest any ayurveda medicines, she is a diabetic patient since 40 years a long list of medicines she is consuming now.

FNESA, FNESA,BAMS, MHA(Hospital Admin), L.L.B.
Diabetologist, Delhi
My mother- aged 85 years, had a fall and injured right hand biceps & shoulder, various oils & tablets - no remedy til...
Mahanarayan oil, Brihat vat chintamani ras tab thrice a day, Mahayograj Guggul tab thrice a day, hot fomantation, tell me what diabetic medicines she is taking. She will be better.
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Innovative Treatments For Chronic Tendon Pain!

M.S. Orthopedics, MBBS
Orthopedist, Ahmedabad
Innovative Treatments For Chronic Tendon Pain!

Human body moves in an agile manner because of the wonderful coordination between the muscles and bones. The bones are connected to the muscles by what are known as tendons. These are fibrous, thinner than bones, but thicker than muscles and enable movement.

However, due to overuse, trauma, or inflammation, these tendons can be affected. Symptoms include constant dull ache, weakness, stiffness, and limited movement of the affected area. With exercise or sudden movement, the pain can be more sharp and severe. This condition is known as chronic tendinopathy. Depending on the actual clinical presentation, rest, ice therapy, heat therapy, exercise and pain medications are usually used in combination to relieve the tendon pain.

However, if there is no relief of symptoms, surgery may be indicated to remove the injured tissue. This will allow for healing of the affected tendon, thereby reducing pain and inflammation and improving range of motion of the affected joint. Many questions have been raised about the traditional methods of therapy and treatment for tendon pain. More and more innovative, but conservative measures are being used to treat chronic tendon pain, as they produce better results and have gained more popularity. Three of the most common ones are listed below:

  1. Platelet rich plasma therapy: Traditionally, corticosteroids were used for treating chronic tendinopathy. This was believed to reduce inflammation and therefore relieve the pain. Instead, injecting the affected joint with platelet-rich plasma provides the body with rich supply of oxygen, nutrients, and growth factors. This triggers natural healing. It is done as an outpatient, nonsurgical procedure, where the patient’s blood is drawn and centrifuged to remove the platelets. This plasma is then injected back into the tendon area to promote healing.
  2. Mechanical therapy: Conventionally, static stretching of the injured tendons was believed to repair the injury. However, this belief is slowly replaced with doing the exercise with resistance in place. This helps collagen synthesis and therefore helps in promoting the tendon injury. After the initial healing phase, slowly introducing heavy, slow resistance therapy helps build back muscle and improve strength.
  3. Tenex procedure: Traditionally, if all other measures for tendon repair failed, surgery would be the last resort. A large incision was made, through which the injured tendon would be accessed and repaired. Recovery would sometimes take months. With advancements, however, currently, a 3-mm incision is made, through which ultrasound image is used via probe. This probe removes the damaged tissue and the surrounding tissue is also debrided. This minimally invasive procedure takes about 20 minutes and recovery takes about 2 to 6 weeks.

The next time there is someone suffering from chronic tendon injury, try these innovative and less invasive ways. Treatment and recovery would be more effective. If you wish to discuss about any specific problem, you can consult an Orthopedist.

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My friend has got a pacemaker implanted. Can he undergo X-ray for his cervical and lumbar spine.

MBBS, Dip.Cardiology, Fellowship in Clinical Cardiology(FICC), Fellowship in Echocardiology
Cardiologist, Ghaziabad
My friend has got a pacemaker implanted. Can he undergo X-ray for his cervical and lumbar spine.
Yes. You can do. Xray/CT scan are not an issue for pacemaker. ONLY MRI cannot be done unless you have a MRI compatible device. Then you can do MRI also.
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I have pain in my front of legs. Whenever I start to run, it pains allot and when I touch that area then also it pains. Give me solution, so that I can run easily.

BPTh/BPT, MPTh/MPT, Certified Manual Therapist, Certified McConnell Concept Practitioner, Certified Dry Needling Practitioner
Physiotherapist, Patna
I have pain in my front of legs. Whenever I start to run, it pains allot and when I touch that area then also it pain...
Hi lybrate-user. Your symptoms suggest that you have tibial shin pain. Try to consult ortho/physiotherapist for further foot evaluation. Start icing over painful area thrice a day and stretch your calf muscle. Change your shoes or insert a medial wedge insole into shoes for flat foot correction. Thanks.
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I have pain in body joint and weakness and tiredness in the whole body and some time numbness occur in hand and foot. Please suggest me what is the problem and which time body test I need to do.

DRCH, BHMS
Homeopath, Bareilly
I have pain in body joint and weakness and tiredness in the whole body and some time numbness occur in hand and foot....
may be you are suffering from deficiency of nutrients, iron and calcium or may be there is rheumatic disease. Go for serum calcium, haemoglobin, Ra factor and uric acid testing. Take balanced diet , fruits and milk daily. Take appropriate sleep, avoid stress and do some exercise daily
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I have pain in right leg from thigh to foot. Sometimes pain in left leg also .but more pain in right leg .I feel like my leg to be weak or may be calcium or vitamin deficit. Suggest me what to do?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have pain in right leg from thigh to foot. Sometimes pain in left leg also .but more pain in right leg .I feel like...
Postural Correction- Sit Tall, Walk Tall. Extension Exercises x 15 times x twice daily. Apply Hot Fomentation twice daily. Avoid bending in front.
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How Ayurveda Helps Manage Arthritis?

BAMS, MD (AM) , Panchakarma, Yoga
Ayurveda, Gurgaon
How Ayurveda Helps Manage Arthritis?

Inflammation and resultant pain in the joints are usually the basic tenets of Arthritis. This joint disorder can be painful and often, a debilitating one. It can also make the joints stiff. There are many ways of dealing with this problem, but with Ayurveda, one can get to the root cause of the ailment and its presence. This helps in taking a well rounded holistic approach towards treating it with ancient know how that revolves around herbs and other natural substances which have great medicinal value, lifestyle changes, diet, exercise and Yoga, oil massages, and other methods. Arthritis is known as Sandhivata in Ayurvedic jargon.

Read on to find out how Ayurveda can help in dealing with Arthritis.

  • Panchakrama Treatments: Panchakrama treatments like Vasti, Janu vasti, greeva vasti, kati vasti, elakizhi, podikizhi, pizhichil etc. are very useful treatments for Athritis. Small herbal pouches made of various herbs which are warmed in medicated oils are used to massage the entire body or specific areas like the back, neck, shoulders, hands and joints. It does away with pain to give you comfort and much strength A gentle, synchronized massage of up and down is carried out on all parts of the body other than the head with medicated oils. It is administered in seven standard positions, so that no area of the body is left uncovered. Cloth dipped in lukewarm medicated oil is squeezed over the patient’s body uniformly and then the oil rubbed smoothly over the body. This treatments can last for 7-21 days depending upon the severity of the arthritis.
  • Diet: In Ayurveda, to treat ailments like Arthritis, it is usually recommended that a patient should start by flushing out the body toxins from within. Diet is one of the ways in which this can be done. A detoxification diet to clean the colon would be one of the foremost ways of doing a cleanse. Further, in one's daily diet, there should be a good dose of vegetables, fruits and other juices. Also, one must have plenty of herbs and spices, which can be used to season the food. Curd should generally be avoided and garlic should be used liberally. The various properties that help in an inside out cleanse that will help the system function in a better manner so that the treatment of ailments is also effectively supported.
  • Exercise: In Ayurveda, a certain amount of daily exercise, which spans at least 45 minutes to one hour, is a must. A pattern of healthy eating, restful sleep and exercise is what usually helps in treating ailments like Arthritis. For this ailment specifically, light exercise like walking is recommended. Various Yoga asanas that involve sitting, standing, balancing and lying down poses as well as restful poses will also help in treating knee, shoulder and lower back pain specifically. Also, mustard oil massages can help in reducing the pain.

These are the few ways in which Ayurveda can help Arthritis patients live a more normal life with minimal pain.

I have just diagnosed with inguinal hernia .how much the total cost of the operation. I am 68 year old. I have mild hypertension, but no diabetes. please help me for that

MS - General Surgery
General Surgeon, Kanpur
this operation can be done by Laparoscopic way and cost may come around 60k and open surgery can be done in 30k.
1 person found this helpful
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My mother had tumour in uterus 3 years back. Her uterus is removed but she got inguinal hernia after that. There are 2 hernia 1 is of big size other one is small. She is scared of surgeries as she had 5 surgeries before 2 for tumor 3 for child birth. It will be her 5th surgery. Doctors are saying as hernia is big laparoscopic surgery might not possible. She has to go for regular one. Is there any risk in 6th surgery? Is laparoscopic surgery possible?

Fellowship in Minimal Access Surgery, MNAMS (Membership of the National Academy) (General Surgery) , FAIS, FACRSI, Fellowship in GI Surgery, DNB (General Surgery), MBBS
General Surgeon, Delhi
My mother had tumour in uterus 3 years back. Her uterus is removed but she got inguinal hernia after that. There are ...
Laparoscopic surgery is very much possible unless the hernial swelling is not incarcerated. You need to show her to right kind of Laparoscopic surgeon. Regarding her fitness for surgery, she needs to be evaluated both by a Surgeon and Anaesthetist. In good hospitals it will not be an issue.
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Mera age 35 hai mai female hu mujhe slip disc ho gya hai Dr. ne one month ki dawa ar belt diya hai nhi thik hone pr MRI hoga medicine hai 1.Asolt-At (methocarbamol, acetaminophen,diclofenac) 2.endoxid (lycopene, multivitamin,multimineral) 3.Bio calcit (calcitriol, calcium citrate, zinc sulphate ,magnesium oxide) hai Dusra problem mujhe sans lene me ho gya to ent ne mujhe allegra m ,bactogard cv 200 (cefpodoxime proxetil ,potassium clavulanate) ar omnacortil 20 (prednisolone 2 2 tab 3 din 1 1 tab 3 din1/2 tab 3 din) mai ek gas ki dawa kha rahi thi pr pate dard ulti ki wajah se mujhe dolo ka injection dilana pada phir Dr. k kahne pr mai gas k liye pantocid dsr, pan 40 ar mucaine (anesthetic antacid gel) diya hai mai sab kha rahi omnacortil bhi 4 din kha k chod diya lekin pate dard nhi khatm ho raha hr thodi der pe nabhi se upar tez dard hota hai please kuch upaye batayiye.

Post Doctoral Research (Ph.D.) (A.M) (Oncology), Integrative Oncology for Physicians (MSKCC, N.Y, USA), Doctor of Natural Medicine (N.D/ N.M.D), Ayurveda (I) Cert., Advanced Strategic Management (APSM), B.E (Computer Sc. & Engg.), Clinically Relevant Herb-Drug Interactions (CME) - (Cine-Med Inc. USA)
Alternative Medicine Specialist, Bhubaneswar
Mera age 35 hai mai female hu mujhe slip disc ho gya hai Dr. ne one month ki dawa ar belt diya hai nhi thik hone pr M...
Hi lybrate-user, I appreciate you seeking help. Your problems seem to be because of acidity/ gastritis resulting due to the intake of analgesics (NSAIDs) off late. You need to stay well hydrated and take analgesics exactly as advised by your doc. Also note that, we can manage pain, acidity, nausea/ vomiting etc all effectively with suitable natural medicines too, as an adjunct to the mainstream treatment of your slip disc. Advise connect with reports for further naturopathic traction. Do take care, and all the very best. Sincerely,
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Hi, Sir Can I walk after getting stitch opened from my legs. If not after how many days can I walk? please tell me

BHMS, Masters in Nutritional Therapy
Homeopath, Mumbai
Hi, Sir Can I walk after getting stitch opened from my legs. If not after how many days can I walk? please tell me
Once they open the suture then you can walk immediately no problem because the more you will walk the more you will exercise it is beneficial for you by not moving not doing anything physically activity will make your more stiff so better if you walk properly good for your health.
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Me gym kr rha tha tbhi mere thumb or wrist ke joint me dard hone laga hathh modte hue or thumb chalate hue 3 months ho chuke h or kafi pahalvan or ek phsio therapist ko dikha liya h pr koi asar nhi pd rha h .ab me kya karuu.

DHMS (Hons.)
Homeopath, Patna
Me gym kr rha tha tbhi mere thumb or wrist ke joint me dard hone laga hathh modte hue or thumb chalate hue 3 months h...
Hello, Muscle articulation might have been damaged of wrist & thumb to cause pain ,need to quit gym, first. Go for meditation to reduce your stress to feel wellness nourishing muscles of wrist and finger. Tk, plenty of water to hydrate your body to make muscles more flexible. Tk, homoeopathic medicine:@Ruta G.1000-6 pills, wkly. @ Actia resemosa 200-6 pills, thrice. Tk, care.
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Hello Doctor, my husband is doing daily night shift,& the problem is his leg is paining in thigh, calf, Heel, arch,ball of the leg has lots of pain. He is 26 year old. So what is main problem? Can U please suggest me.

Physiotherapist, Greater Noida
Hello Doctor, my husband is doing daily night shift,& the problem is his leg is paining in thigh, calf,
Heel, arch,ba...
May be there are any deficiency as vitamin d, b12, calcium, so please consult orthopaedic Dr. Take food timely, 3 to 4 ltr water minimum. Regular walk.
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hi Mam mere body pain hoti hai legs mai bhot pain hota hai bilkul bhe body mai taakat nhi rehti mai kya karu. please help me

Bachelor of Physiotherapy, Advanced Dry Needling Therapist
Physiotherapist, Noida
hi Mam mere body pain hoti hai legs mai bhot pain hota hai bilkul bhe body mai taakat nhi rehti mai kya karu. please ...
Don't stress out and wirkout too much, Take rest intervals during work and after work also. Hot wath bath with warm general stretching of all the joints.
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My husband hv shoulder pain frm 20 days, he is s/w engineer, he can not even sit in the office, how to cure pls suggest any medicine or exercise. please help me for that

Bachelor of Physiotherapy, Advanced Dry Needling Therapist
Physiotherapist, Noida
My husband hv shoulder pain frm 20 days, he is s/w engineer, he can not even sit in the office, how to cure pls sugge...
Hot fermentation over the painful area. Ultrasonic therapy over the most painful region Gentle shoulder movements Avoid sleeping on affected shoulder Avoid lifting weights or over work from affected side.
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My daughter of 4 years old facing leg pain. Both of her legs are paining in the night. Dr. suggest me to do blood smear test. Her blood results as on 1st July is as follows. HB 13.2. Total count 10000. Lymphocytes 28%, neutrophil 65%.ESR 4. Esnophil 5. Monocyte 2.8. please let me know her Exact status of her health.

MD - Homeopathy, BHMS
Homeopath, Vadodara
My daughter of 4 years old facing leg pain. Both of her legs are paining in the night. Dr. suggest me to do blood sme...
She might be just suffering from nutritional deficiency. And you may just give her homoeopathic medicine Calc Phos 30 1 dose every week. And some vitamins syrup.
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I am suffering from Hernia. I approached the doctor 3 months ago. The doctor said that it should be operated within 1 month. I have not worked yet. Now I have a little pain. What should I do?

MD - Homeopathy, BHMS
Homeopath, Gurgaon
Earlier you go for surgery better it is. Any delay will increase the size of hernia and invite complications. Hernia is surgical problem, no Medicine will Help you.
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