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Dr. Ashish Phirke

Physiotherapist, Pune

250 at clinic
Dr. Ashish Phirke Physiotherapist, Pune
250 at clinic
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Ashish Phirke
Dr. Ashish Phirke is one of the best Physiotherapists in Paud Road, Pune. You can consult Dr. Ashish Phirke at The Spine & Joint Care in Paud Road, Pune. You can book an instant appointment online with Dr. Ashish Phirke on Lybrate.com.

Lybrate.com has a number of highly qualified Physiotherapists in India. You will find Physiotherapists with more than 27 years of experience on Lybrate.com. You can find Physiotherapists online in Pune 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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English
Hindi

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1st Floor, Rahul Complex, D Wing, Paud Road, Kothrud Land Mark: Near Krishna HospitalPune Get Directions
250 at clinic
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Sir. My leg have a lots of pain. And I am 21 year old. I checkup my blood and urine test .but it is normal. So.plz suggested me your valid ans.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Sir. My leg have a lots of pain. And I am 21 year old. I checkup my blood and urine test .but it is normal. So.plz su...
Calf Stretches Standing calf stretch Stand away from a wall and.put your fight foot behind you and be sure your toes are facing forward. Lean forward at the ankle while bending the right knee and keeping your heel on the ground. Hold this for 30 to 60 seconds. Repeat 10 times a twice a day. Downward dog yoga stretch Get down on all fours with your hands under your shoulders on the floor. Walk your hands forward slightly on the floor. Spread your fingers apart to allow for a broad base of support. Push your hips up toward the ceiling and tighten your abdominal muscles. Keep your heels on the ground and gently try and straighten your knees. Repeat 10 times a twice a day. Wall calf stretch Stand about two feet away from a wall. Place the ball of your right foot against the wall while your heel remains on the ground. Slowly and gently lean into the wall while keeping your knee straight. Hold this for 5 seconds. Repeat 10 times twice a day. Downward dog yoga stretch Get down on all fours with your hands under your shoulders on the floor. Walk your hands forward slightly on the floor. Spread your fingers apart to allow for a broad base of support. Push your hips up toward the ceiling and tighten your abdominal muscles. Keep your heels on the ground and gently try and straighten your knees. Hold this for the 5 seconds. Repeat 10 times twice a day.
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I have pain in my left shoulder. When I sleep with that side I feel uncomfortable in my left hand and arm.

Diploma in Acupuncture, Pranic Healing, MD - Acupuncture
Acupuncturist, Bangalore
I have pain in my left shoulder. When I sleep with that side   I feel uncomfortable in my left hand  and arm.
Massage with your thumbs from the mid points of the shoulder blades on both sides towards the lower back of your head up to lower level of the ears. Use oil or water for massage. Rotate your head clockwise and anticlockwise, forward and down, left and right a few times. Do for 5 to 10 times morning and evening. Give pressure the dipping point on the portion between the thumb and the index finger on the back of the palm. Press and release for 15 times where the pain is more. This will solve the problem. Further do some wrist rotation exercise. Consult after 5 days. For further guidance and treatment.
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I'm 29 years old. Male, I have back pain for 2 years. When I have constipation the pain will be increased. What should I do? and please give me an advice to constipation.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Backache is the commonest ailment. Do not worry, 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. Any way take ibuprofen 200mg od & sos x 5days you will need other supportive medicines also. Take multivitamins & other antioxidants along with. Do back (spine) exercises contact me again if need be. Make sure you are not allergic to any of the medicines you are going to take for constipation, eat green leafy vegetables. Isogel husk 2 spoons after food at night also to relive constipation. Do reply back for private consultation and detailed treatment plan.
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I have a own business and in this I have to work whole day without sitting. Now I have alot of pian in my knee joints What will I have to do?

Fellowship in Joint Replacement, Fellowship in hand surgery, MS - Orthopaedics, MBBS
Orthopedist, Bangalore
I have a own business and in this I have to work whole day without sitting. Now I have alot of pian in my knee joints...
Hi, first thing avoid overstressing your knee joints, take some rest. In your age it's due to anterior knee pain where pain is more during climbing stairs/uphill, getting up from chairs/ low seated position. You basically require knee cap application during working / walking, physiotherapy and medications.
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Sir my knee was pain some time when I am walk and run my left knee I am very trouble. Mri should be cum but there is n o outcum come so sir please help us. Sum time cuff are also pain very hardly. When I was doing hot pot then it takes relief me. I take very much medicine but there is on relief it. So sir please help us.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Sir my knee was pain some time when I am walk and run my left knee I am very trouble. Mri should be cum but there is ...
Sleep on a hard bed with soft bedding on it. Keep a pillow under knee. 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. Show me mri report.
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My wife is suffering from pain of knee doctor rx calcium tablet is it the right treatment?

BPTh/BPT
Physiotherapist, Gurgaon
My wife is suffering from pain of knee doctor rx calcium tablet is it the right treatment?
Knees pain can b due to arthritis or muscle weakness. Also lack of vitamin d, calcium won't help if vit d is low. So get vitamin d check. If you need any further assistance please let me know. Thank you.
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Physiotherapy For Carpal Tunnel Syndrome

MPT - Orthopedic Physiotherapy
Physiotherapist, Palwal
Physiotherapy For Carpal Tunnel Syndrome

Carpal tunnel syndrome is a painful disorder of the hand caused by pressure on your median nerve as it runs through the carpal tunnel of the wrist. Symptoms include numbness, pins and needles, and pain (particularly at night). Anything that causes swelling inside the wrist can cause carpal tunnel syndrome, including repetitive hand movements, pregnancy and arthritis.

Cause of Carpal Tunnel Syndrome
Carpal Tunnel Syndrome symptoms begin when the pressure inside the tunnel becomes too high. This results in your median nerve becoming compressed as it passes through the small tunnel. 

The carpal tunnel pressure increase occurs when either of two things happens:

  1. The tunnel space decreases, such as when the wrist swells eg after a traumatic injury, partial subluxation of the carpal bones or fracture or tenosynovitis.
  2. When the contents of the tunnel (median nerve, blood vessels and tendons) enlarge. 
  3. Both of these situations increase the pressure on the nerve, leading to the carpal tunnel symptoms.

Symptoms of Carpal Tunnel Syndrome

Carpal Tunnel Syndrome (CTS) sufferers will usually experience the following symptoms in their hand or fingers:

  1. hand pain or aching
  2. pins and needles
  3. numbness esp at night of with wrist flexing
  4. burning
  5. weakness or cramping
  6. perceived swelling

The symptoms are usually worse at night and your grip will weaken as the condition progresses. Eventually you will notice muscle atrophy of the thenar (thumb) muscles and loss of hand function or clumsiness. If this sounds like you, suspect carpal tunnel syndrome.

Physical Therapy Treatment

  1. Gliding Exercises: Moving your fingers in a specified pattern of exercises may help your tendons and nerves glide more smoothly through your carpal tunnel. While there’s some evidence that gliding exercises can help relieve symptoms when used alone, these exercises appear to work better in combination with other treatments -such as splinting.
  2. Graston Technique/Manual Therapy: The Graston Technique incorporates a patented form of instrument-assisted soft tissue mobilization that enables clinicians to effectively detect and treat scar tissue and restrictions that effect normal function. Manual therapy techniques such as myofascial release or Active Release Technique are hands-on techniques that release tight tendons and musculature.
  3. Ultrasound: Deep, pulsed ultrasound directed at the carpal tunnel can reduce pain and numbness, and improve hand strength. Continuous superficial ultrasound doesn’t help.
  4. Traction: Some people obtain relief from carpal tunnel symptoms by using a hand traction device, called C-Trac. You might try this device, which can be purchased for home use, if other conservative treatment options have failed.
  5. Splints: Splints (braces) are the most commonly used nonsurgical treatment for carpal tunnel syndrome. Splints that immobilize the wrist in a neutral (unbent) position are most likely to relieve discomfort. An unbent wrist maximizes the size of the carpal tunnel, which reduces pressure on the median nerve, relieving your symptoms.
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I have very strong back pain since last 3 year. So please provide me some medicine or solution.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have very strong back pain since last 3 year. So please provide me some medicine or solution.
Apply hot fomentation twice daily. Avoid bending in front. Postural correction- sit tall, walk tall. Extension exercises x 15 times x twice daily - lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times. Bhujang asana? lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily. Core strengthening exercises- straight leg raised with toes turned outward, repeat 10 times, twice a day.
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Hello doctor, I am 18 yrs old (male). I usually suspect myself that I am suffering from scoliosis, I have a little archly back, slightly curved from upper part. I feel little low about that on seeing myself in mirror. I want my back to be straight not a curvy one kindly help.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Greater Noida
Dear, you have not mentioned your height and weight to know the bmi. We have very good ayurvedic (panchkarma therapy) treatment - where we give oil (jadi buti) massage to give strength to spinal cord. You have to take medicines, oil massage and prescribed diet to get strength internally and externally.
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I have back pain since last few weeks. Pain killer does not subside pain. Please suggest me what should I do?

BAMS
Ayurveda, Ambala
I have back pain since last few weeks. Pain killer does not subside pain. Please suggest me what should I do?
Dear you can follow these methods for relief from Backache(back pain): * First correct your sitting posture. Do not bend your lower back.You can use lumber belt for support. * Do regular back strength exercises.Move your clockwise and anticlock wise. * Do not sleep on very soft bed ,sleep on slight hard cotton mattress. * Do Tadasana and Bhjangasana for back strengthening.If you can not understand these asans you can consult me. * Take calcium rich diet and calcium and vitamin D supplements regularly. *Do not Take any heavy weight or heavy work. * If you are over weight then follow a good and effective diet plan to loose some kilos of weight. You can consult me to get a diet chart. * You can take Guggalu tablets of Himalaya for fast relief. You can consult me privately for detailed and complete treatment.
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I am 21 year old girl and have centre back pain for last 2 years. Have got a good matress now. Find it strenuous to lift heavy things. I used to dance jazz bit have stopex since the last year.

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. You are very young to actually have persistent back pains. If you have localized back pain with no other symptoms like radiating leg pain, neurological symptoms like numbness, weakness, paresthesias etc, then you can start with following recommendations for initial period of 2-3 weeks: - to maintain proper posture of your back while working and sleeping - if pain is more then you can take a short course of an anti-inflammatory medication like tab etoshine or paracetamol or one which suits you - physical therapy initially under supervision of a trained physiotherapist and then to continue at home - adequate calcium & vitamin d intake if levels are low in body - ice packs can applied if your pain is acute, then hot fomentation can be done at home - analgesic spray for local application can be used and is easily available. - avoid lifting heavyweight/ acute forward bending in mornings etc we will observe you for next 2-3 weeks how you respond to this conservative management protocol. If you are not feeling better, then we will have to get some investigations like, dynamic x rays of lower back and few blood tests for evaluation. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation.
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My back is paining a lot, tried every thing, Taken painkillers, oil message but nothing works. Don't know what to do. Pain is increasing day by day.

Ph.D - Ayurveda, MD - Ayurveda, Diploma in Diet and Nutrition, Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma Yoga
Ayurveda, Jaipur
My back is paining a lot, tried every thing, Taken painkillers, oil message but nothing works. Don't know what to do....
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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I have a regular pain in neck & legs. What is the reason behind this?

MS - Orthopaedics
Orthopedist,
I have a regular pain in neck & legs. What is the reason behind this?
Multi factorial reason. To begin with you did not get yourself treated right from the begining. N number of deficiencies can cause pain degenerative changes faulty postural defects wrong foot wear and the list goes on and on. A proper consultation is required to come down to a better and appropriate treatment. Your worry should be proper treatment rather than being reasons for the same. Dont worry treating the cause is always important rather then the symptoms. Take care.
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I got a wrist injury while playing football, I fell down on my wrist, how do I treat it?

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I got a wrist injury while playing football, I fell down on my wrist, how do I treat it?
Apply the ice pack and pain relief ointment for 2 days give the rest your wrist if it works then ok otherwise take physiotherapy treatment to heal up.
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I am 23 year old female and I have continus leg pain for last 4 months.what can i do?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
I am 23 year old female and I have continus leg pain for last 4 months.what can i do?
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Actually pain at calf/leg region can be due to many reasons, commonly it is muscular in nature but it can also be due to tendons, nerves, blood vessels etc. My advise to you for initial 2-3 weeks will be: - ice packs application intensively with elevation of your limbs at night - take a short course of anti-inflammatory medication as per your body's suitability - stop your physical activity till pain completely subsides - intensive physical therapy, training and proper muscle conditioning once pain has subsided - slow resumption of physical activities with proper pre activity warm up and stretching of muscles and short increments in duration of physical activity each day as per pain tolerance. - we will get some blood tests for you - serum vitamin d and serum potassium levels, esr and crp once you have all these reports then you can contact me as I can advise you for proper supplementation do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation.
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I get imbalance feeling/ not standing still/ bouncy feeling with exertion/ activity, bending over, standing and working for sometime. It does not happen when I get up in the morning but as day goes by. It causes tiredness and I need to sit down. This goes away after sleeping/ taking rest. What could be the reason. I have cervical spondylosis, (pain in the shoulder blade/ base of neck, crackling sound when moving neck) and eardrum perforation from long time. Bp normal range, pls guide.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I get imbalance feeling/ not standing still/ bouncy feeling with exertion/ activity, bending over, standing and worki...
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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I am 26 year old male and have backache for last 2 months. I am sickle cell patient. I have used vitamin tablet but haven't got any relief. What should I do now?

DRCH, BHMS
Homeopath, Bareilly
I am 26 year old male and have backache for last 2 months. I am sickle cell patient. I have used vitamin tablet but h...
You should visit to orthopedic doctor for proper investigation for the cause of trouble and specific treatment. Maintain right posture of the body because most of the time cause of backache is postural. Eat calcium rich food. Avoid forward bending and overexertion of the spines. Rest on firm mattress. Do mild and bearable exercise of back.
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Recently I took an MRI of my spine and neck. As I was having severe pain for some time. After taking the MRI, the report showed that my spine was developing archanoid cyst. Please enlighten my condition.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Recently I took an MRI of my spine and neck. As I was having severe pain for some time. After taking the MRI, the rep...
Hi Apply pranacharya restopain oil or prasarini oil on your affected part then give hot fomentation. Take maha rasnadi kwath 2-2 tsf twice a day. And agni tundi vati and maha yograj guggul 1-1 tab twice a day..
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