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Dr. Mukesh Vyas - Physiotherapist, PIMPRI CHINCHWAD, PUNE 411017

Dr. Mukesh Vyas

88 (451 ratings)
BPTh/BPT

Physiotherapist, PIMPRI CHINCHWAD, PUNE 411017

10 Years Experience  ·  300 at clinic  ·  ₹300 online
Dr. Mukesh Vyas 88% (451 ratings) BPTh/BPT Physiotherapist, PIMPRI CHINCHWAD, PUNE 411017
10 Years Experience  ·  300 at clinic  ·  ₹300 online
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Mukesh Vyas
Dr. Mukesh Vyas is a physiotherapist who is based in Pimple Saudagar, Pune. He had an experience of 9 years after finishing his BPTh/BPT. Currently he is based in Yashashree Orthopedic and Physiotherapy Center in Pune. Dr. Mukesh Vyas is a very skilled and caring professional who has dedicated his life to treating patients by physiotherapy. He is a member of Indian Association of Physiotherapist. Dr. Mukesh Vyas provides services such as consultant physiotherapy, clinical physiotherapy, musculoskeletal and sports physiotherapy, orthopedic physiotherapy and home care physiotherapy. Dr. Mukesh Vyas specializes in treating or helping to reduce symptoms of disorders such as arthritis, asthma, back pain, cardiovascular disease, cerebral palsy, chronic obstructive pulmonary disease, critical care, dementia, diabetes, high blood pressure and incontinence. Along with these disorders he is also trained to treat multiple sclerosis, occupational health, osteoporosis, Parkinson?s, and stroke. Dr. Mukesh Vyas uses mechanical movements and force to promote mobility, remediate impairments and improve quality of life. He also treats patients who have recently gone through an accident and are having trouble with mobility.

Info

Education
BPTh/BPT - Jodhpur Dental College General Hospital - 2007
Past Experience
Sr.Physiothetapist at Yashashree Orthopaedic & Physiotherapy Center
Owner of Physiotherapy Center at Shree Hospital Pimple Gurav
Consultant & Clinical Physiotherapists at More Than 10 Year of Experience
Languages spoken
English
Hindi
Professional Memberships
Indian Association of Physiotherapist
Rehabilitation Council of India (RCI)

Location

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Yashashree Orthopedic & Physiotherapy Center

YASHASHREE ORTHOPAEDIC AND PHYSIOTHERAPY CENTER, 410, 4TH FLOOR, FORTUNA, FRONT OF MAC D AND, ABOVE THE RADHA KRISHNA RESTAURANT, SHIVAR GARDEN CHOWK, PIMPLE SAUDAGAR,PIMPRI CHINCHWAD, PUNE 411017 Get Directions
  4.4  (451 ratings)
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Dr.Mukesh Vyas

Shree Hospital, Srusti Chowk, Near Jagtap Petrol Pump, Kasarwadi Bridge, Pimple GuravPune Get Directions
  4.4  (451 ratings)
300 at clinic
...more

Shree Sai Orthopaedic & Physiotherapy Clinic

SHREE SAI ORTHOPEDIC AND PHYSIOTHERAPY CENTER, NEAR GHARONDA RESTAURANT, MORWADI, PIMPRI PIMPRI CHINCHWAD, PUNE Get Directions
  4.4  (451 ratings)
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"Well-reasoned" 3 reviews "Very helpful" 9 reviews "knowledgeable" 5 reviews "Thorough" 1 review "Practical" 4 reviews "Caring" 1 review "Saved my life" 1 review "Prompt" 1 review "Nurturing" 1 review "Helped me impr..." 1 review

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When I woke up in morning, I feel some pain in my back from last 3-4 days .What to do?

BPTh/BPT
Physiotherapist, Pune
When I woke up in morning, I feel some pain in my back from last 3-4 days .What to do?
Hello dear it's time to do some exercises you have to start walking as a simple exercise and do lower Limb stretching exercises you may get rid from this problem. If you have any questions or queries please feel free to contact me. Thanks and regards.
1 person found this helpful
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Strain Injury

BPTh/BPT
Physiotherapist, Pune
Strain Injury

Don't ignore the early signs of strain injury like weakness of the grip, numbness, and pain or discomfort in the arms, hands, wrists or shoulders.

Health Tip

BPTh/BPT
Physiotherapist, Pune
Health Tip

Always make use of the cold therapy within the first 24-48 hours of the acute stage of an injury, to prevent tissue damage, or after the first 48 hours if inflammation persists.

How To Prevent Running Injuries?

BPTh/BPT
Physiotherapist, Pune
How To Prevent Running Injuries?

Running is something which has an unparalleled ability to give people a boost of energy and make them feel good for the rest of the day. So, it is fair to say that running injuries can be just so disappointing! After all, being prevented from doing a thing you love is never a nice situation to be in!

But, all that need not be the case, as long as a person is willing to spend a little time on learning to reduce the chances of running injuries, a lot of free and enjoyable time spent running is just awaiting him or her!

The first thing which can go a long way in preventing running injuries from occurring is making sure the body is strong. There are quite some ways this can be done but among the most common is to perform exercises which are targeted to help the areas and muscle groups which are made use of when a person runs.

The wall press is a fairly well-known exercise and with good reason! It simulates the impact of the process of running on the gluteus medius, which is a muscle but without the risk of injury. To do this, a person would need to stand with one side close to a wall. Then, the knee is to be bent at a ninety-degree angle so as to prepare the muscle for activation prior to pressing it against the wall for a time period of somewhere between 20 and 30 seconds. This exercise can do wonders! However, the person doing it should make sure that his or her shoulder does not touch the wall while doing the exercise.

Keeping in mind the fact that the entire leg is a unit which is supposed to move smoothly so as to avoid injury, strength needs to be built to bring about uniformity. Remember, it is the imbalances which cause a lot of injuries! Another exercise to be done is the single leg balance on the forefoot.

The effects of this exercise have a beneficial impact all the way up to the hip! The exercise is pretty simple and it is to be done preferably barefoot. Three to four repetitions are recommended, for as long as possible, with the heel off the ground.

Standing jumps may seem to be quite simple, but they really can have a significant impact! Jumping onto a step of medium height and enough width increases the elasticity of the muscles involved and can even burn some calories!

She is ill from 4 days. Had weakness and muscle ache and headache. She is also suffering from throat infection. Currently she is taking antibiotics anti inflammatory and multi vitamin tablet by consultant to hospital. What should I do for her muscle cramps and headache?

BPTh/BPT
Physiotherapist, Pune
She is ill from 4 days. Had weakness and muscle ache and headache. She is also suffering from throat infection. Curre...
Hello dear first she have to take rest, eat proper food, gargle with salt and hot water 3 times in a day. Is she have acidity also if yes consult with me again. Use a ice cube put in end of scale will get relief in few minutes. Get well soon Regards.
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I think I'm suffering from muscular dystrophy! As my veins are becoming visible in my hands and feet And from few weeks I find my walk is not straight like I want to step straight forward but my leg moves to a slight different direction I also slipped on stairs in my college after which I had severe pain in my thigh and calf muscles! What should I do? Am I really suffering form muscular dystrophy?

BPTh/BPT
Physiotherapist, Pune
I think I'm suffering from muscular dystrophy! As my veins are becoming visible in my hands and feet
And from few wee...
Hello dear visibility of veins are not muscular dystrophy and also unbalanced is the same. So first you have to consult with a good orthopedic doctor who diagnosed you proper after that we have go for treatment OK. If have any doubts feel free to contact me. Regards.
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I fell down while walking downstairs. My left foot is cramped and pain is there for 4 days. Please suggest what to do to remove pain and be back to normal.

BPTh/BPT
Physiotherapist, Pune
I fell down while walking downstairs. My left foot is cramped and pain is there for 4 days. Please suggest what to do...
Hello madam you have to do icing over there, apply ointment gently, crab bandage use, take pain killer and muscles relexent will cure in a week. Best of luck.
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Back Pain Management

BPTh/BPT
Physiotherapist, Pune
Back Pain Management

Spondylitis includes swelling of the vertebra. It happens because of wear and tear of the ligament and bones found in your cervical spine, which is in your neck. While it is to a great extent because of age, it can be brought on by other reasons too. Side effects incorporate pain and stiffness starting from the neck to the lower back. The spine's bones (vertebrae) get fused, bringing about an unbending spine. These changes might be mellow or extreme, and may prompt a stooped-over posture. Some of the non-surgical methods to treat spondylitis are as follows-

Exercise based recovery/physiotherapy: your specialist may send you to a physiotherapist for treatment. Non-intrusive treatment helps you extend your neck and shoulder muscles. This makes them more grounded and at last, relieves pain. You may neck traction, which includes using weights to build the space between the cervical joints and decreasing pressure on the cervical disc and nerve roots.

  • Medications: your specialist may prescribe you certain medicines if over-the-counter medications do not work. These include:
  • Muscle relaxants, for example, cyclobenzaprine, to treat muscle fits
  • Opiates, for example, hydrocodone, for pain relief
  • Epileptic medications, for example, gabapentin, to ease pain created by nerve damage
  • Steroid infusions, for example, prednisone, to decrease tissue irritation and diminish pain
  • Home treatment: in case your condition is less severe, you can attempt a couple of things at home to treat it:
  • Take an over-the-ounter pain reliever, for example, acetaminophen or a calming medication, for example, advil or aleve.
  • Use a warming cushion or an ice pack on your neck to give pain alleviation to sore muscles.
  • Exercise routinely to help you recover quickly.
  • Wear a delicate neck prop or neckline to get transitory help. In any case, you shouldn't wear a neck brace for temporary pain relief.
  • Acupuncture: acupuncture is a highly effective treatment used to mitigate back and neck pain. Little needles, about the extent of a human hair, are embedded into particular points on the back. Every needle might be whirled electrically or warmed to improve the impact of the treatment. Acupuncture works by prompting the body to deliver chemicals that decrease pain.
  • Bed rest: severe instances of spondylitis may require bed rest for close to 1-3 days. Long-term bed rest is avoided as it puts the patient at danger for profound vein thrombosis (dvt, blood clots in the legs).
  • Support/brace use: temporary bracing (1 week) may help get rid of the symptoms, however, long-term use is not encouraged. Supports worn for a long time weaken the spinal muscles and can increase pain if not continually worn. Exercise based recovery is more beneficial as it reinforces the muscles.
  • Lifestyle: losing weight and eating nutritious food with consistent workouts can help. Quitting smoking is essential healthy habits to help the spine function properly at any age.

Once the conservative treatment fails:

Early aggressive treatment plan of back leg pain has to be implemented to prevent peripherally induced cns changes that may intensify or prolong pain making it a complex pain syndrome. Only approx 5% of total lbp patients would need surgery approx 20% of discal rupture or herniation with neurologically impending damage like cauda equina syndrome would need surgery. Nonoperative treatment is sufficient in most of the patients, although patient selection is important even then. Depending upon the diagnosis one can perform combine properly selected percutaneous fluoroscopic guided procedures with time spacing depending upon patient`s pathology response to treatment. Using precision diagnostic therapeutic blocks in chronic lbp, isolated facet joint pain in 40%, discogenic pain in 25% (95% in l4-5 l5-s1), segmental dural or nerve root pain in 14% sacroiliac joint pain in 15% of the patients. This article describes successful interventions of these common causes of lbp after conservative treatment has failed.

Need for non-surgical options: outcome studies of lumber disc surgeries documents, a success rate between 49% to 95% and re-operation after lumber disc surgeries ranging from 4% to 15%, have been noted. “in case of surgery, the chance of recurrence of pain is nearly 15%. In fbss or failed back surgery the subsequent open surgeries are unlikely to succeed. Reasons for the failures of conventional surgeries are:

  • Dural fibrosis
  • Arachnoidal adhesions
  • Muscles and fascial fibrosis
  • Mechanical instability resulting from the partial removal of bony ligamentous structures required for surgical exposure decompression
  • Presence of neuropathy.
  • Multifactorial aetiologies of back leg pain, some left unaddressed surgically.

Epidural adenolysis or percutaneous decompressive neuroplasty is done for epidural fibrosis or adhesions in failed back surgery syndromes (fbss). A catheter is inserted in epidural space via caudal/ interlaminar/ transforaminal approach. After epidurography testing volumetric irrigation with normal saline/ l. A./ hyalase/ steroids/ hypertonic saline in different combinations is then performed along with mechanical adenolysis with spring loaded or stellated catheters or under direct vision with epiduroscope sciatica gets complicated by pivd with disco-radicular conflict causing radicular pain sometimes disabling. In this era of minimally invasive surgery lot many interventional techniques have evolved to address the disc pathology. We are still working for the ideal, safe effective technique to tackle disco- radicular interphase. Here now we have devised a mechanical neuroplasty or foraminoplasty technique using an inflatable balloon tip catheter with guide wire via targeted transforaminal or interlaminar route aided by drugs instillation. Selected patients are procedured fluoroscopic guided with local anesthesia under prescribed sedation aseptically via preselected route depending upon location type of pivd causing root insult. First a suitable size needle is placed at desired site confirming with radiolucent dye through which hyaluronidase with saline or la was injected. A flexible guide wire is passed at selected location direction on which the inflatable balloon is threaded to the area of interest.

Adhesiolysis is achieved mechanically with inflating balloon for 10 seconds at a time location. We inflated the balloon with contrast agent to have visualization of adhesiolysis opening up of adhesions or root route. Here the balloon pressure time has to be kept in minimum to avoid neurological damage, for which we inflate balloon for 10 seconds at a time. Close observation is made to balloon shape, pressure patient`s response. Once dilatation is done the drug mixture of steroid with la or hynidase/ hypertonic saline is instilled over nerve in epidural space. We have logically used same approach for our balloon neuroplasty foraminoplasty as it is safe targets exactly the area of disco-radicular interphase or conflict. We can manage to address both the exiting and traversing nerve roots with single entry just by manipulating our guide wire to the place of offence. The procedure can be done via transforaminal route at level or level above or below, especially via s1 foramen. Now we are employing this technique for fresh cases coupling with intradiscal decompression aided by instant disc retrieval by epidural balloon inflation with good results. The idd is done by coblation/ laser/ dekompressor or rf biacuplasty. There is scope of coupling this technique with endoscopic spine surgery. By adding “balloon neuroplasty” to the armamentarium of the interventional pain management many patients can be benefited relieved of previously interventionally unmanageable disco-radicular pain including fbss sufferers.

Intradiscal procedures:

Provocative discography: coupled with ct a diagnostic procedure prognostic indicator for surgical outcome is necessary in the evaluation of patients with suspected discogenic pain, its ability to reproduce pain (even with normal radiological finding), to determine type of disc herniation /tear, finding surgical options in assessing previously operated spines.

Percutaneous disc decompression (pdd): after diagnosing the level of painful offending disc various percutaneous intradiscal procedures can be employed.

Ozone-chemoneucleoplasty: ozone discectomy a least invasive safe effective alternative to spine surgery is the treatment of choice for prolapsed disc (pivd) done under local anaesthesia in a day care setting. This procedure is ideally suited for cervical and lumbar disc herniation with radiculopathy. Total cost of the procedure is much less than that of surgical discectomy. All these facts have made this procedure very popular at european countries. It is also gaining popularity in our country due to high success rate, less invasiveness, fewer chances of recurrences, remarkably fewer side effects meaning high safety profile, short hospital stay, no post operative discomfort or morbidity and low cost. If despite the ozone therapy the symptoms persist, percutaneous intradiscal decompression can be done via transforaminal route with drill discectomy/ laser or coblation nucleoplasty/ biacuplasty/ disc-fx / endoscopic discectomy are good alternatives before opting for open surgerical discectomy; which has to be contemplated in those true emergencies, as mentioned above as the first choice. In biacuplasty radiofrequency energy is used in bipolar manner heating shrinking the disc  making it harder as well for weight bearing. It also seals the annular defect ablates annular nerves relievingback pain. In laser or coblation nucleoplasty energy is used to evaporate the disc thereby debulking it to create space for disc to remodel itself assisted by exercises. 

Dekompressor: a mechanical percutaneous nucleotome cuts drills out the disc material somewhat like morcirator debulking the disc reducing nerve compression. A mechanical device cuts drills out the disc material debulking the disc reducing nerve compression curing sciatica brachialgia. It comes in needle size of 17g for lumbar discs 19 g for cervical discs. In lumbar region postero-lateral approach is used  in cervical discs anterolateral approach is used. 

Disc-fx : endoscopic discectomy: in this novel technique a wide bore needle is inserted placed sub-annular in post disc just under the disc protrusion. Disc is then mechanically extracted with biopsy forceps to empty the annular defect. This painful sensitive annular defect supplied be sinuvertebral nerve is thermo-ablated with radiofrequency which also seals the defect to prevent decrease recurrences. Next higher procedure, endoscopic discectomy is done with endoscope put through sheath inserted via posterolateral transforaminal or posterior interlaminar approach. Mostly done under local anaesthesia its fast becoming standard of care for disc protrusion extrusions causing spinal canal stenosis with root or cord compression with leg pain.

Laser discectomy done for closed bulging discs is an outpatient procedure with one-step insertion of a needle into the disc space. Disc material is not removed; instead, nucleus pulposus is debulked by evaporating it by the laser energy. Laser discectomy is minimally invasive, cost-effective, and free of postoperative pain syndromes, and it is starting to be more widely used at various centers. 

Seld: epiduroscopic laser neural decompression is considered an effective treatment alternative for chronic refractory low back and/or lower extremity pain, including lumbar disc herniation, lumbar spinal stenosis, failed back surgery syndrome with morbid adhesion neuritis that cannot be alleviated with existing noninvasive conservative treatment. This procedure is done under vision via an epiduroscope inserted via caudal canal or transforaminally employing front or side firing laser fibers /or fine instruments. If you wish to discuss about any specific problem, you can consult a pain management specialist.

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Physiotherapy For Broken Wrist

BPTh/BPT
Physiotherapist, Pune
Physiotherapy For Broken Wrist

Pain is inevitable after the plaster is removed from the location of the broken wrists. Since the wrist hasn’t moved for well over a couple of weeks, the hand might feel vulnerable to perform routine tasks. Along with the prescribed medication, physiotherapy is mighty effective in healing the wrist and getting the old balance back. The process of physiotherapy should be typically started when the pain diminishes and the Doctor gives his go-ahead for the same.

What are the benefits?

This is primarily done to get back the muscle strength. Physiotherapy also helps in gaining mobility and function of the wrist that has been affected because of the injury. While therapy does not heal the fracture, they ensure bones of the wrist get denser and stronger. This ensures that future injuries are effectively prevented.

Stretching Exercises-

  1. Flexion: This is the process of bending the wrist in the forward direction and holding the posture for 5 seconds. 3 sets of 10 flexions should be done in one session.

  2. Extension: This is the opposite of flexion. In this exercise, the wrist should bend backwards and 3 sets of 10 extensions should be performed in each session.

  3. Side Movement: The wrist should be moved sideways much like the motion performed during a handshake. Each movement should last for 5 seconds and 3 sets of 10 such movements should be performed in each session.

  4. Wrist Stretch: This is the process of bending the wrist with the help of the other hand. The next process is to stretch the fingers backwards with the help of the other hand. This posture should be held for 15 seconds and 3 sets should be performed.

  5. Wrist Extension: This is an exercise where the body weight is placed on the wrist by keeping the palms down and legs straight. This exercise should be repeated thrice each lasting for 15 seconds.

  6. Grip Strengthening: A soft rubber ball should be kept in the palm and squeezed for 5 seconds. This activity should be done 15 times twice.

  7. Wrist Supination: This exercise involves the flipping of the forearm up and down for 5 seconds each. It can be done in sets of 10 each.

Other Exercises-

Once a person gets comfortable with the stretching exercises, the same exercises can be done with some weight in hand to further strengthen the muscles. Isometric exercises can also be practised. This is beneficial since they do not involve muscle contraction. A mix of all these exercises will help to mobilise the wrist. Apart from these exercises, certain other activities such as swimming, driving and cycling can be practised to ensure speedy recovery of the artist. At any point of time, a physiotherapist should be consulted before taking up any new exercise or activity that involves the wrist.

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Having severe lower back pain with muscle spasm now the muscle twitches as X-ray shows spasm the vitamin d is 10 what to do it hurts a lot. I have this pain since 2 month.

BPTh/BPT
Physiotherapist, Pune
Having severe lower back pain with muscle spasm now the muscle twitches as X-ray shows spasm the vitamin d is 10 what...
Hello dear you have to take rest for 5-7 days, use hot fermentation, go for a good physiotherapy center where you can do lumber traction and ift session you may get rid in few days. Regards.
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