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Dr. Harshad Shirhatti  - Physiotherapist, Pune

Dr. Harshad Shirhatti

MPTh/MPT - Musculoskeletal Physiotherapy

Physiotherapist, Pune

7 Years Experience
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Dr. Harshad Shirhatti MPTh/MPT - Musculoskeletal Physiotherapy Physiotherapist, Pune
7 Years Experience
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Personal Statement

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. Harshad Shirhatti
Dr. Harshad Shirhatti is a popular Physiotherapist in Paud Road, Pune. He has helped numerous patients in his 7 years of experience as a Physiotherapist. He studied and completed MPTh/MPT - Musculoskeletal Physiotherapy . You can visit him at Dr.Harshad Shirhatti Physiotherapy Clinic in Paud Road, Pune. You can book an instant appointment online with Dr. Harshad Shirhatti on Lybrate.com.

Lybrate.com has top trusted Physiotherapists from across India. You will find Physiotherapists with more than 41 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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Specialty
Education
MPTh/MPT - Musculoskeletal Physiotherapy - Rajiv Gandhi College of Physiotherapy, BHOPAL - 2010
Languages spoken
English
Hindi
Professional Memberships
Indian Association of Physiotherapist

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Dr.Harshad Shirhatti Physiotherapy Clinic

Landmark Building,Near Krishna Hospital,Paud Road,Kothrud,Pune-38, PunePune Get Directions
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I am having hairfall at a large scale and acnes all over my face and on my shoulders also. The acnes pains a lot when you press or hold them. As I was recently been transfered here so I think its because of the water here! Please help.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
I am having hairfall at a large scale and acnes all over my face and on my shoulders also. The acnes pains a lot when...
you take acupressure therapy take biochemic calc, phos 3x+ kali phos 3x +kali sulph 3x+nat mur 3x+sillicia 12x 4tab each thrice a day with warm water, take it 5 days then consult private online .
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Sir, my mom she had a blood test a month ago and after which she is facing swollen and etching of elbow side where blood test is done. And swollen is increasing in size.

BPTh/BPT
Physiotherapist, Delhi
Sir, my mom she had a blood test a month ago and after which she is facing swollen and etching of elbow side where bl...
1. Start with Physiotherapy treatment. 2. Use elbow support. 3. Don't lift heavy things. 4. Apply cold pack. 5. Apply volini cream before sleeping. 6. Take calcium and vitamin D 3 supplement for one month minimum.
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I am having pain in my right hand elbow joint since last one month. Ortho says it is called tennis elbow with minor increase in uric acid. Even after taking medicines for tem days no improvement. But I observed that after doing walk & light exercise with hand/shoulder movement the pain has receeded. Should I continue doing exercise or should go for medication. Kindly adivse.

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. Tennis elbow is chronic inflammation around lateral epicondyle region of elbow. I advise my patients to take: 1) intensive ice packs for local application 2) intensive physical therapy under supervision of a physiotherapist 3) anti-inflammatory as per your body' s suitability 4) activity modification do not hesitate to contact me if you need any further assistance or you do not get relief, then I will suggest you some other measures. Thanks & regards Dr akshay kumar saxena Consultant orthopaedics fortis hospital, new delhi
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My wife age about 40yr. Is suffering from muscular dystrophy. Kindly suggest the treatment.

Ph.D - Ayurveda, MD - Ayurveda, Diploma in Diet and Nutrition, Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma Yoga
Ayurveda, Jaipur
My wife age about 40yr. Is suffering from muscular dystrophy. Kindly suggest the treatment.
Dear lybrate-user, by now you must be knowing that unfortunately allopathic medical science has no cure for muscular dystrophy. It is dreadful disease which increases in intensity and severity with passage of time. The good news for you is that fortunately ayurveda has some hope of light in such cases. Ayurveda medicines along with panchakarma therapies (bio-purification) can give better results in it. These treatments also help in curbing the spread of the disease and also giving some relief in the existing painful signs and symptoms. Specific panchakarma treatments like - patra pinda pottali sweda, basti chikitsa, shali shashtika sweda are extremely beneficial procedures for patients of muscular dystrophy.
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I have joint pain problem in morning time and some tiredness also occur during the afternoon and with evening I start feeling well. what is it.?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I have joint pain problem in morning time and some tiredness also occur during the afternoon and with evening I start...
Do have regular stretches for joints for 15 min of regular timing have calcium rich natural food source for pain have hot and cold fomentation for 15 min duration each for 10 days.
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Sir/Ma'am, my mom is suffering from severe joint pain, headache,back pain, fever. Sir can you tell me why my mom often gets joint pain and the treatment for it. Will be thankful for it.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
Sir/Ma'am, my mom is suffering from severe joint pain, headache,back pain, fever.
Sir can you tell me why my mom ofte...
You should take Acupressure therapy and take Biochemic Mag phos 200 x +Kali mur 200x, 4 tab each thrice a day with warm water and take it 5 days and consult private online.
1 person found this helpful
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Head and limbs pain me so much pain that I do and sometimes the whole body is rigid, so all told me that treatment should be erased hajj jnnn.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Head and limbs pain me so much pain that I do and sometimes the whole body is rigid, so all told me that treatment sh...
Avoid all strain full activity your muscle is very weak take healthy diet and nutrition and do strength exercise in gradually process which makes your muscle strong. For rigidness take muscle relaxant medicine and heat fermentation or gentle massage. Otherwise take physiotherapy help.
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I am 50 years old house wife. And last one year I am not able to lift my right hand up to my head. It gives lot of while lifting my hand. I have consulted a orthopedic doctor he suggested combiflame tablet with some physical excersice. But gives relief for 2 or 3 hours after allowing the tablet. Can any doctor or physiotherapist suggest permanent remedy for this pain.

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
What you have described is very classic history of rotator cuff muscles tear. There is definitely cure for it. First confirm the diagnosis by checkup of shoulder and mri of shoulder at 3 tesla mri machine. After mri reports, I can tell you treatment.
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I am having serious neck and back pain. I guess its spondylitis. How to cure it? or the remedies to clear it.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
pain is complex phenomenon, so there are many treatment options medications, therapies, and mind-body techniques. Apart from pain killers, there is evidence that certain dietary supplements and vitamins can help with certain types of pain. Fish oil is often used to reduce pain associated with swelling. A therapeutic diet complemented with few medications for pain management can also work wonders. Do reply back for medication prescriptions. Being also a general physician and registered dietitian, I prescribe both evidence based herbal as well as allopathic medicines complementing with dietary guidelines and home remedies carefully personalized for each individual patient.
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I have a really hard pain in my right lower back side. Sir Please advise some exercises.

D.P.T
Physiotherapist, Hyderabad
I have a really hard pain in my right lower back side. Sir Please advise some exercises.
Dear Mohsin, back strengthening excercise's helps reduce LBA, if you have more pain then can take ultrasonic therapy to reduce pain fast. applying diclofenac ointment at home will also help in reducing pain and with back excercises you will be recovered shortly with all pain in lower back.
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I have a knee pain from last 2 months some time its very heavy please let me know the cause.

MD, DYA, PGDCR
Ayurveda, Nashik
I have a knee pain from last 2 months some time its very heavy please let me know the cause.
Consult me personally. Ayurvedic Leech therapy or Agnikarma based on your symptoms can provide you instant relief. Without side effects and sustained.
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My mother age is around 64 she is suffering from back pain from last one month when we concern with local orthopedic he test & found lack of calcium in body so what sir you suggest.

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 have a persistent back pain as a health issue. 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. Thanks & regards
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I am 38 years old. i am suffering from backache. please give me some suggestions?

BPTh/BPT
Physiotherapist, Mumbai
Hello start physiotherapy treatment and learn posture care/ spine exercise. Meanwhile take few precautions. 1) take hot water fomentation for 20 min. At every 3hrs. Interval. 2) do not lift heavy weights or twist your spine 3) do not wear high heals do not ignore your back pain and do reply for private consultation and detailed treatment plan. Best wishes.
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Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? If so, what are they and what medications are implicated? What exactly is a spine block injection? Will it work long-term for low back pain due to disc problems? What causes Hashimoto's thyroiditis, and what is the best method of treatment? Can iodine help this condition?

MBBS
General Physician, Mumbai
Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? I...
Use of stimulant decreases the symptoms to a much good effect and if we don't give stimulant medication there will be more of conduct disorder and progress in disease and for side effects we have to monitor the person and advice them accordingly and spine block injection is effective for six months and hashimoto's thyroiditis is an auto immune disease where we can control it with medication but not cure it completely.
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Frozen Shoulder: Causes and Ways to Treat it

M. Ch. (Ortho), DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Delhi
Frozen Shoulder: Causes and Ways to Treat it

Adhesive capsulitis is the medical term for a frozen shoulder, which can be caused due to a variety of reasons. Scar tissues can grow in the shoulder joint when the said joint becomes thicker. This development keeps the shoulder from rotating in a normal manner, which can lead to a frozen shoulder. The most common symptoms of this condition include severe pain and stiffness as well as inflammation. Here are the causes and ways to treat this condition.

Causes: A frozen shoulder can be caused due to a sports injury as well as an accident. Also, a hormonal imbalance can cause this condition. A weak immune system may cause inflammation in various joints of the body, which makes motion difficult. Also, diabetes can give rise to a frozen shoulder as a side effect. If you have a sedentary lifestyle and do not exercise often enough, or have just been through surgery which has led to a prolonged period of inactivity, then you can be prone to this condition. Surgery will also leave your tissue and adhesions sensitive to inflammation. Scar tissue may end up forming in very extreme cases, over a period of at least nine months. This can limit your motion.

Risk Factors: Besides diabetes, hormonal changes and inactivity, people who have been through a stroke or surgery are most susceptible to this condition. Also, patients who are suffering from thyroid disorders can end up developing a frozen shoulder too.

Physical Therapy: One of the most recommended ways to deal with this condition is with physical therapy. This kind of therapy will help you in stretching your shoulder so that you get back some motion over a period of time. This process can take anywhere between a few weeks to a few months, depending on the severity of your condition. You must ask your doctor about other treatment options if this kind of therapy does not show results even after six months of intense and regular practice. Physical therapy can also be practiced at home, once you have learnt the technique from a physiotherapist.

Medication: One of the other ways to deal with a frozen shoulder is with the help of medication. Anti-inflammatory and pain relieving medicines can soothe the discomfort. These include aspirin, ibuprofen, as well as naproxen sodium. Also, if you are undergoing a lot of pain, the doctor can administer a steroid injection in the shoulder joint.

Surgery: If medication and physical therapy do not help in treating the condition effectively, then one can go in for an arthroscopic surgery to remove the scar tissue with a small incision and other kinds of surgery for breaking the adhesions as well.

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I am 32 yrs old, nowdays I m facing muscles pain. Is it coz of lack of calcium or is it coz I left eating non veg completely over 1 1/2 year?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am 32 yrs old, nowdays I m facing muscles pain. Is it coz of lack of calcium or is it coz I left eating non veg com...
It requires detailed investigation and examination. Preliminary investigations suggested: hb, tlc, dlc, esr, blood sugar fasting & pp, uric acid vit d urine r/e x-ray of the affected part. Anyway it may be tried sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick mattress 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, knee & general exercises. It may have to be further investigated. Do not ignore it. Let it not become beginning of a bigger problem. Make sure that patient is not allergic to any of the medicines that he/she is going to take. If it does not give relief in 4-5days, inform.
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Natural Posture and Mechanical Low Back Pain

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Natural Posture and Mechanical Low Back Pain

NATURAL POSTURE 

The side view of the human body in the standing position  shows that there is an inward curve in the small of the back just above the pelvis. This hollow in the low back is called the lumbar lordosis. The lumbar lordosis is a natural feature of the lumbar spine in all humans, having been formed during the evolutionary process. Our understanding of the function of the lumbar lordosis is an important feature.

When standing upright, the lordosis is naturally present, though varies from person to person. The lordosis is lost whenever the Iow back is rounded, and this usually occurs during sitting and bending forward. If the lordosis is lost often and for long enough periods, then low back problems may develop. The ligamentous stays become fatigued or over stretched, and may result in a painful episode.

MECHANICAL PAIN

This section on mechanical pain is very important, as it explains exactly why you hurt when you do. if you take the time to well understand this you will be more than halfway toward solving your problems.  Research has found that the better the patient understands the problem, the better will be the results of treatment.

Pain of mechanical origin occurs when the joint between two bones has been placed in a position that overstretches the surrounding  Lordosis ligaments and other soft tissues.This is true for mechanical pain in any joint of the body, including the spine. To help you understand how easily some mechanical pains can be produced, you may like to try a simple experiment.First, bend one finger backward,  until you feel a strain. If you cause the finger to remain in this strained position, you will initially feel minor discomfort only,but, as time passes, pain will eventually develop. In some cases,pain caused by prolonged stretching may take as much as an hour to appear.

Try the experiment once more,but now keep bending the finger past the point of strain until you feel pain. The sensation of pain is immediate. You have overstretched, and your pain warning system is telling you that to continue movement in that particular direction will cause damage.

Should you ignore the warning and continue to overstretch,damage will occur. Of course, the pain warning tells you to stop overstretching,and when you do so,the pain ceases immediately. No damage will have occurred to your finger and the pain will have gone.No lasting problems will arise from this short-lived strain providing you take note of the pain warning system.

If you fail to heed the warning and keep the finger in the overstretched position, the ligaments and surrounding soft tissues that hold the joint together will be tom. This tearing will result in an ache which continues even when you stop overstretching. The pain will continue even when the finger is at rest. The pain will increase with movement and reduce at rest but it will not cease until some healing has occurred. Healing may take several days but will be prolonged if, every day, you continue to apply the same strains to the finger.

 MECHANICAL LOW BACK PAIN

  • If an engineer were to examine which area in the back is subjected mostly to mechanical stress, he would conclude that most strain must be placed on that part of the spine which is located just above its junction with the pelvis. This conclusion is correct, for statistics show that back problems arise more often in the low back than in any other part of the spine.
  • Low back pain is not caused by draughts, chills, or the weather. It. was once believed that these weather-related phenomena were responsible for back and neck pains. Today our understanding is better, and it is generally agreed by specialists that most backache is caused by mechanical strains, similar to those described in the previous section.It is often thought that low back pain is caused by strained muscles.
  • Muscles, which are the source of power and cause movement,can indeed be overstretched or injured. This requires a considerable amount of force and does not often happen. 
  • Moreover,muscles usually heal very rapidly and seldom cause pain lasting for more than a week or two. On the other hand, whenever the impact of the injuring force is severe enough to affect the muscles, the underlying soft tissues and ligaments will be damaged as well. 
  • In fact, usually these tissues are damaged long before the muscles.
  • Most low back pain is caused by prolonged overstretching of ligaments and other surrounding soft tissues. Just as pain arises in the overstretched finger as I have described above, pain can also arise in the lower back when ligaments in this region are overstretched. Pain produced by overstretching in this manner is common and arises particularly when we develop poor postural habits.
  •  Whenever we remain in a relaxed position, be it standing, sitting, or lying, prolonged overstretching can easily occur.
  • When pain arises because we have allowed our posture to slouch,it is really our own fault and we have no one to blame but ourselves.This type of strain is easily avoided, and once we have been properly educated, the prevention of pain produced in this manner becomes our responsibility.
  • However, mechanical pain may also be caused by over stretchingof such severity that some tissues are actually damaged. Over stretching causing damage may occur when an outside force places an excessive strain on the low back. For example, this type of strain can occur due to a fall while playing tennis, or from a contact sport such as football where severe forces develop when players are tackled. 
  • Lifting excessive weights is also likely to cause overstretching and damage to the supporting ligaments of the spinal joints. These types of injury cannot easily be avoided as they occur unexpectedly and without warning signs.
  • When soft tissues surrounding a joint are overstretched, it is usually the ligaments that first give rise to pain. When the spinal joints are considered, there are additional factors, for the surrounding ligaments are also the retaining walls for the soft discs that act as shock absorbers between the vertebrae.
  •  Overstretching of these will, under certain circumstances, affect the discs. This may significantly influence or alter the intensity of the pain that you have, the distribution of the pain you feel, and the behavior of the pain, which may be made better or worse by certain movements or positions.
  • Complications of another sort arise when the ligament surrounding the disc is injured to such an extent that the disc loses  its ability to absorb shock and its outer wall becomes weakened. 
  • This allows the soft inside of the disc to bulge outward and, in  extreme cases, to burst through the outer ligament, which may cause severe pain. When the disc bulges far enough backward, it may press painfully on the sciatic nerve. This can cause some of the pains or other symptoms (numbness, sensation of pins and needles,,  weakness) that may be felt well away from the source of the trouble, for example in the lower leg or foot. 
  • Should the soft inside of the disc bulge excessively, the disc may  become severely distorted. This will cause the vertebrae to tilt forward or to one side and prevent the vertebrae from lining up  properly during movement. In this case some movements will be blocked partially or completely and any movement may cause severe pain. 
  • This is the reason why some people with severe back pain are forced to stand with the trunk off-centre or bent forward. Those of you who experience a sudden onset of pain and following this are unable to straighten up or move the back properly are likely to have some bulging of the soft disc material. This need not be cause for alarm. Once soft tissues are damaged, pain will be felt until healing is complete and function is fully restored. It is important that during the healing process you avoid movements that pull the healing surfaces apart. 
  • For instance, if you have overstretched ligaments of the lower back by bending forward, it is likely that any repetition of this movement will continue to open and separate the healing tissues, and this will further delay the repair of the damage. If, on the other hand, you avoid bending forward and instead keep a
  • hollow in the lower back, the damaged surfaces will remain together and healing will not be interrupted.It is difficult perhaps to visualize this process occurring in the lower back. Using the finger once more as an example may help understanding. Let us imagine that you have accidentally cut a the back of your knuckle with a sharp instrument. If you are to bend the injured finger joint every day, you would open up the wound and delay recovery. However by keeping the finger straight for about a week, you would allow the healing surfaces to remain together and complete healing would result. 
  • You could then commence bending the finger without risking any further damage.The same strategy works for the problems arising in the lower back. 
  • When tissues heal they form scar tissue. Scar tissue is less elastic than normal tissue and tends to shorten over time. If shortening occurs, movement may stretch the scars and produce pain. Unless appropriate exercises are performed to restore normal flexibility,the healed tissue may produce a continuous source of back pain and/or stiffness. Such problems can persist for years. 
  • Even though the original damage is repaired, the scar itself restricts movement and causes pain when stretched .

I did my MRI and this is the report:- CONCLUSION:- Cervical spondylosis disco-osteophytes & right paracentral at C6_7 intervarteble disc ,encroaching on right foramina, causing significant compression of the subarachnoid space & right C7 ventral nerve root. Annular bulges at C4_5 & C5_6 intervertebral discs, causing indentation of the subarachnoid space. It is my request that please explain me this report and also suggest me any treatment or precautions that I should follow onwards. Also please suggest me about exercise if necessary. Waiting for reply.

Fellow Adult Knee Reconstruction and Sports Injuries, Fellowship in Interventional Pain Practice, MS - Orthopaedics, MBBS
Orthopedist, Gurgaon
I did my MRI and this is the report:-
CONCLUSION:-
Cervical spondylosis
disco-osteophytes & right paracentral at C6_7...
Multi level disc disease with one disk at C6-7 causing compression on your exiting nerve and thus causing symptoms in your arm n hand possibly on Rt side. These cases need interventional or surgical treatment for same Many centre's treat pts with Percutaneous through a needle disc laser n you r back to work as soon as possible.
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I am suffering from leg pain since many days. I can not able to walk at all like before and all people are laughing at me. So please give a solution to my problem.

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist, Bangalore
I am suffering from leg pain since many days. I can not able to walk at all like before and all people are laughing a...
Most leg pain results from wear and tear, overuse, or injuries in joints or bones or in muscles, ligaments, tendons or other soft tissues. Leg pain can also be caused by blood clots, varicose veins or poor circulation. To relieve mild pain: stay off your leg as much as possible apply an ice pack or bag of frozen peas to the affected area for 15 to 20 minutes three times a day elevate your leg whenever you sit or lie down please go to a physiotherapist if: you have pain during or after walking you have swelling in both legs your pain gets worse your symptoms don't improve after a few days of home treatment you have painful varicose veins if you feel the pain is from muscle cramp then you need to drink a lot of water because poor fluid intake (dehydration) may predispose to cramps also low blood levels of either calcium or magnesium directly cause cramps. Most leg pain results from wear and tear, overuse, or injuries in joints or bones or in muscles, ligaments, tendons or other soft tissues. Leg pain can also be caused by blood clots, varicose veins or poor circulation. To relieve mild pain: stay off your leg as much as possible apply an ice pack or bag of frozen peas to the affected area for 15 to 20 minutes three times a day elevate your leg whenever you sit or lie down please go to a physiotherapist if: you have pain during or after walking you have swelling in both legs your pain gets worse your symptoms don't improve after a few days of home treatment you have painful varicose veins if you feel the pain is from muscle cramp then you need to drink a lot of water because poor fluid intake (dehydration) may predispose to cramps also too little potassium, calcium or magnesium in your diet can contribute to leg cramps. Best wishes.
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