Common Specialities
{{speciality.keyWord}}
Common Issues
{{issue.keyWord}}
Common Treatments
{{treatment.keyWord}}
Book
Call

Dr. Neha Rai

Physiotherapist, Pune

500 at clinic
Book Appointment
Call Doctor
Dr. Neha Rai Physiotherapist, Pune
500 at clinic
Book Appointment
Call Doctor
Submit Feedback
Report Issue
Get Help
Feed
Services

Personal Statement

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. Neha Rai
Dr. Neha Rai is an experienced Physiotherapist in NIBM Road, Pune. You can meet Dr. Neha Rai personally at Healing Hands Pediatric Physiotherapy clinic and Rehab Center in NIBM Road, Pune. Book an appointment online with Dr. Neha Rai and consult privately on Lybrate.com.

Lybrate.com has top trusted Physiotherapists from across India. You will find Physiotherapists with more than 44 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.

Info

Specialty
Languages spoken
English
Hindi
Professional Memberships
Indian Association of Physiotherapist
Member Indian Association of Physiotherapy
Neuro-Developmental Treatment Association (NDTA)

Location

Book Clinic Appointment

Healing Hands Pediatric Physiotherapy clinic and Rehab Center

Shop No1, Maurya Apartments,NIBM road, Kondhwa. LM: Opp Sunshree E, PunePune Get Directions
500 at clinic
...more
View All

Services

View All Services

Submit Feedback

Submit a review for Dr. Neha Rai

Your feedback matters!
Write a Review

Feed

Nothing posted by this doctor yet. Here are some posts by similar doctors.

Procedures That Can Help Treat Slip Disc & Sciatica!

MBBS, MD, FIMSA, FIPP
Pain Management Specialist, Delhi
Procedures That Can Help Treat Slip Disc & Sciatica!

The intervertebral discs are made-up of two concentric layers, the inner gel-like Nucleus Pulposus and the outer fibrous Annulus fibrosus. As a result of advancing age, the nucleus loses fluid, volume and resiliency and the entire disc structure becomes more susceptible to trauma and compression. This condition is called as degeneration of the disc. The disc then is highly vulnerable to tears and as these occur, the inner nucleus pulposus protrudes through the fibrous layer, producing a bulge in the intervertebral disc. This condition is named as herniated disc. This can then cause compression to the spinal cord or the emerging nerve roots and lead to associated problems of Sciatica radiating pain from back to legs in the distribution of the nerve. Other symptoms could be a weakness, tingling or numbness in the areas corresponding to the affected nerve. Sometimes bladder compromise is also present, which is made evident for urine retention and this need to be taken care as an emergency.

Excessive weight, bad postures, undue movements, improper weight lifting and other kinds of traumas may weaken the intervertebral discs. When this occurs the pulpous nucleus will bulge against the annulus, or even be squeezed through it (extruded disc).

The first steps to deal with a herniated or prolapsed lumbar disc are conservative. These include rest, analgesic and anti-inflammatory medication and in some cases physical therapy. At this point, it is convenient to have some plain X-rays done, in search of some indirect evidence of the disc problem, as well as of degenerative changes on the spine.

If in a few days these measures have failed, the diagnosis has to be confirmed by means of examinations that give better detail over the troubled area, as the MRI, CT which will show the disc, the space behind it and in the first case, the nerves. In some instances, the EMG (electromyography) is also of great value, as this will show the functionality of the nerves and muscles.

Once the diagnosis has been confirmed, one of the best alternatives existing today is the Ozone Discolysis as the results obtained are excellent and practically has no complications. This novel treatment avoids the use of surgery in 80% of those who needed it. In most patients left with painkillers as the only treatment, the symptoms eventually disappear, only that this could take weeks to months. Ozone speeds up these developments, see the same result in a few weeks. The problem has to be seen and approached integrally and frequently the combination of therapies has to be used, most frequently physiotherapy. Also, it has to be known that those who had a herniated disc have 10 times more chances of having another herniation than the rest of the population.

If despite the ozone therapy the symptoms persist, Drill Discectomy/ Laser Discectomy are good alternatives before open surgery (Discectomy) which has to be contemplated in those true emergencies, as mentioned above, this is possibly the first choice.

Once the conservative treatment fails:

Early aggressive treatment plan of pain has to be implemented to prevent peripherally induced CNS changes that may intensify or prolong pain making it a complex pain syndrome. Only 5% of total LBP patients would need surgery & 20% of discal rupture or herniation 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 pt`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&L5S1), 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.

LESI: Lumbar Epidural Steroid Injection

Indicated in – Acute radicular pain due to irritation or inflammation.

  • Symptomatic herniated disc with failed conservative therapy
  • Acute exacerbation of discogenic pain or pain of spinal stenosis
  • Neoplastic infiltration of roots
  • Epidural fibrosis
  • Chronic LBP with acute radicular symptoms
  • Epidural- lumbar injection

ESI Treatment Plan

Compared to interlaminar approach better results are found with a transforaminal approach where drugs (steroid+ LA/saline +/- hyalase) are injected into anterior epidural space & neural foramen area where herniated disc or offending nociceptors are located. Whereas in interlaminar approach most of drug is deposited in posterior epidural space.Drugs are injected total 6-10 ml at lumbar, 3-6 ml at cervical & 20+ ml, if caudal approach is selected. Lumbar ESI is performed close to the level of radiculopathy, often using paramedian approach to target the lateral aspect of the epidural space on involved side. Cervical epidural is performed at C7-T1 level.

SNRB- Selective Nerve Root Block 

Fluoroscopically performed it is a good diagnostic & therapeutic procedure for radiculopathy pain if

  • There is minimal or no radiological finding.
  • Multilevel imaging abnormalities
  • Equivocal neurological examination finding or discrepancy between clinical & radiological signs
  • Postop patient with unexplainable or recurrent pain
  • Combined canal & lateral recess stenosis.
  • To find out the pathological dermatome for more invasive procedures, if needed

Intradiscal Procedures 

Provocative Discography - Coupled with CT

A diagnostic procedure & prognostic indicator for surgical outcome is necessary for 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 Discolysis: Ozone Discectomy a revolutionary least invasive safe & effective alternative to spine surgery is the treatment of choice for prolapsed disc (PIVD) done under local anaesthesia in a daycare setting. This procedure is ideally suited for cervical & lumbar disc herniation with radiculopathy. The 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 postoperative discomfort or morbidity and low cost.

Dekompressor: A mechanical percutaneous nucleosome cuts & drills out the disc material somewhat like morcirator debulking the disc reducing nerve compression.

Epidural Adhenolysis or Percutaneous Decompressive Neuroplasty for Epidural Fibrosis or Adhesions in Failed Back Surgery Syndrome (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.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4488 people found this helpful

I am a girl of 23 years old. I'm good at lying and backache. Kale I am taking the drug, but it does no good. Now what do I do?

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I am a girl of 23 years old. I'm good at lying and backache. Kale I am taking the drug, but it does no good. Now what...
Do stretching exercise and heat fermentatio for 20 minutes rest must avoid long sitting toward bending.
1 person found this helpful
Submit FeedbackFeedback

My is football player he has torn ligaments in his right foot. How he could speed up his recovery.

MD(EH)/AM/Accupressure
Acupressurist, Chandigarh
My is football player he has torn ligaments in his right foot. How he could speed up his recovery.
He may take Arnica 200 five drops in water thrice a day only. Next day Rhus Tox 30 thrice five drops in water for five days. After that call back.
1 person found this helpful
Submit FeedbackFeedback

BPTh/BPT
Physiotherapist,
Consult a physiotherapist if you have experienced a fall recently and the discomfort caused due to it has not subsided.
6 people found this helpful

Lower Back Pain - 4 Yoga Asanas For Treating it

MD, DYA, PGDCR
Ayurveda, Nashik
Lower Back Pain - 4 Yoga Asanas For Treating it

Lower back pain is one of the most common ailments among adults all across the world. You may wake up in the morning with an energising drink before going out to work. After you arrive at work, you may have to sit there till lunch, which involves further sitting and you are required to sit for more hours for completing the remaining work. Then you come back home by sitting in the car and have the night’s meal while again sitting. Did you know sitting through the day is the major culprit behind your back pain? Thankfully, yoga has effective ways of treating back pain to a considerable degree.

You can choose to do the following yoga poses for alleviating your back ache:

  1. Supine hamstring stretch: You will have to lie back on your back and bend the right knee to the chest. Then you will have to place a rolled-up towel around the football and straighten the leg towards the ceiling and press both the heels. In case your lower back feels strained, you can bend your left knee and place the foot right on the ground. Hold the position for about 3 to 5 minutes and practice regularly for soothing back pain.
  2. Two knee twist: You will have to bend your knees to the chest while lying on the back and try to bring out the arms forming a T-shape. Then try to exhale and lower down the knees on the ground towards your right side. Keep both the shoulders pressed down firmly and hold this position for about 2 minutes for best results.
  3. Sphinx: You will have to prop yourself on the forearms while lying on the stomach. You will then have to align the elbows right under the shoulders and press through the tops and palms of the feet. You are likely to feel terrific sensations down your lower back, but it is advised to bear through it as it allows the flow of blood to that region which is required for healing. Practice the position regularly and hold it for at least one minute.
  4. Thread the needle: This is quite an easier pose where you will have to lie flat on your back by bending both the knees with your feet flat on the ground. You will now have to bend the right knee by placing the outer left ankle through the right thigh. You will have to thread the right hand between the leg and interlace the hands behind the left thigh.

These positions would help in soothing your lower back pain, but it is recommended to consult a doctor if the pain still persists. Ayurvedic Tiktaksheer basti, massage therapy and certain oral medicines can help a lot in speedy recovery from spine/back related problems.

Ayurved has a very unique way of drug administration called Basti in which various medicines are given through the anus ( Rectal route)...For Lumbosacral / spine disorders a very specialised form of enema Tiktaksheer Basti (Medicated Bitter Milk enema) is given which shows amazing results. Kindly consult a specialized Ayurvedic practitioner for additional details.

Kati Basti (Vasti) is a traditional Ayurvedic treatment used for lower backache and disorders of lumbosacral region, including slip disc, lumbar spondylosis, sciatica, spinal problems etc. Kati Vasti is a part of external oleation (Snehana) therapy in Ayurveda. It is very safe, non-invasive and green category procedure.

In this procedure, you will get instant relief from backache. After completing a course of 7 to 21 days, you may not need any kind of oral medicines. It is a complete therapy for back pain and lumbosacral disorders.

However, the results vary person to person, but in most of cases, people get quick relief after the procedure.

5974 people found this helpful

I have a hard pain in my left hand si that reason I can't lift or carry any heavy thing for a moment so what can I do in.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I have a hard pain in my left hand si that reason I can't lift or carry any heavy thing for a moment so what can I do...
Muscle relaxant medicine and heat fermentation avoid strain full activity and do strength exercise after relief in gradually process.
1 person found this helpful
Submit FeedbackFeedback

My mother have pain in her right shoulder and arm. She could not work properly due to the pain. In the previous year she had given blood test many times. Becoz of which now days her nerves not working properly. Plzz suggest what we have to do.

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
My mother have pain in her right shoulder and arm. She could not work properly due to the pain. In the previous year ...
Blood tests doesn't cause improper working of nerves. That's not possible. Nerves carry signals from brain to body parts and reverse. Shoulder problem may be because of Rotator cuff problem.
Submit FeedbackFeedback

Dear doctors, I am 80 kg, 6 ft, 16th of June 2017 ko attack pada or stent dala gaya, I feel normal and better now I want to join the gym can I go, or can I start running problem in erection one urologist suggest modula 5 mg can I take this, or any other medicine please suggest thanks.

MBBS, MD - Internal Medicine, DM - Cardiology
Cardiologist, Jaipur
Dear doctors, I am 80 kg, 6 ft, 16th of June 2017 ko attack pada or stent dala gaya, I feel normal and better now I w...
You can start light exercise if you are feeling comfortable and no chest pain or angina. You can start with walking initially and then increase gradually. Doctors recommend 30 min daily exercise in the form of brisk walking. Your Erectile dysfunction may go away with time because you are recovering from stress. This particular drug (modula) is not advisable in recent heart attacks. Sometimes it interacts with cardiac medicines (nitrate). You should consult your cardiologist prior to consulting this.
Submit FeedbackFeedback

My wife is 40 year old, weight 54 Kg, Hight 148CM, last few day having pain in all joints of the body barring Knee. The pain starts by 5 Pm onward, The Uric acid test shows 4.11mg/dl. Platelet count 252000, No Malarial parasites found. Yesterday she had feaver of 100 F. Please let me know what happened to her, which specilist should I consult?

MPT-SPORTS MEDICINE, BPTh/BPT
Physiotherapist, Delhi
not need to be worry about it. you much consult an Sr. Physical therapist in your area, let them what is your difficulty is, sir. not need to go ORTHOPAEDIC and other doctors to consult. you much consult only expert physical therapist, good luck. if you want to consult me then please send me your whole reports in my mail id: drvikramaditya2008@gmail.com
1 person found this helpful
Submit FeedbackFeedback

Hi. I was planning a kid. And my back pain started from 3 dayz so I went to Doctor he told me it was slipped disc and to rest for 10dayz it vill be alright. And some of relative are saying that I can't do sex for 3 months and vill effect my sex life is it true. Than what can I do.

MD - Anaesthesiology, IIPM
Pain Management Specialist, Delhi
Hi.
I was planning a kid. And my back pain started from 3 dayz so I went to Doctor he told me it was slipped disc and...
Listen to doctor and not relatives You will be alright with proper treatment and rest Not to worry about sexual life
1 person found this helpful
Submit FeedbackFeedback

Sir I am having a problem that my right leg knee get lock while sitting with folded leg or kicking the bike to start a fear is there only after giving jerk the lock gets open.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Sir I am having a problem that my right leg knee get lock while sitting with folded leg or kicking the bike to start ...
Avoid sitting cross legged. Avoid squatting- quadriceps exercises- lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain. Core strengthening exercise- straight leg raised with toes turned outward, repeat 10 times, twice a day. Hams stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube or normal belt. Repeat 10 times, twice a day. Sports taping- stretch the tape from both ends and apply on the affected area contrast fomentation (hot and cold).
1 person found this helpful
Submit FeedbackFeedback

I have back ache from past three months and I am suffering from it a lot. Please help me out.

Bachelor of physiotherapy
Physiotherapist, Kolkata
I have back ache from past three months and I am suffering from it a lot. Please help me out.
Lybrate-user I think you have posture problem. Just maintain your posture and avoid weight carrying on shoulder and ice compression on paraspinal muscle. Consult with me after5days.
Submit FeedbackFeedback

I am 21 years a male after using laptop over a period of time I have severe pain at the joints of back shoulder.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Zirakpur
I am 21 years a male after using laptop over a period of time I have severe pain at the joints of back shoulder.
It's becoming a lifestyle disorder on a large scale. Try to do stretching exercises after your work and drink panchakol herbal decoction to be prepared at home.
1 person found this helpful
Submit FeedbackFeedback

My mother having slip disc problem approx last 1 year. Continue taking treatment but mother have no any effect. Plss tell me sir we should go for surgery or not? My Mother is 51 year.

MBBS, Visceral manipulation, Craniosacral Balancing, Quantum Touch
Pain Management Specialist, Panchkula
My mother having slip disc problem approx last 1 year. Continue taking treatment but mother have no any effect. Plss ...
Slipped disc can be easily treated with powerful techniques like craniosacral balancing n quantum touch which work on whole body. For PERMANENT cure of stress (if any in any field of life )& effect on whole body you can contact on private chat (Lybrate). Details about the process of treatment & 100% definite permanent mind management for any type of stress on our profile/ personal statement.
3 people found this helpful
Submit FeedbackFeedback

I am 32 years old male and have a back pain for last 7 months. I have used so many Ointment Cream for couple of days but haven't got any relief. What should I do now?

BHMS
Homeopath, Raebareli
I am 32 years old male and have a back pain for last 7 months. I have used so many Ointment Cream for couple of days ...
I suggest you follow the below for your condition: Take Mag Phos 6x - thrice daily for next 2 weeks and update. Also do x-ray of the affected area. Heat and Ice Packs. Heat and/or cold therapy helps relieve most types of low back pain by reducing inflammation. Often patients use ice, but some prefer heat. Both may be used alternately.
2 people found this helpful
Submit FeedbackFeedback

Hii this is nareshreddy I am suffering from severe burning sensation in my back seat please suggest why I getting burning sensation.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Hii this is nareshreddy I am suffering from severe burning sensation in my back seat please suggest why I getting bur...
Postural Correction- Sit Tall, Walk Tall. Extension Exercises x 15 times x twice daily. Apply Hot Fomentation twice daily. Avoid bending in front.
Submit FeedbackFeedback

I am not getting proper sleep in night either I feel thirsty or hand pain or body part.

DHMS (Hons.)
Homeopath, Patna
I am not getting proper sleep in night either I feel thirsty or hand pain or body part.
Hello, lybrate user, you might b suffering from gastric disorder, moreover, insomnia (loss of sleep) is out come of irregular life style causing stress, anxiety & depression. To over come, insomnia, please go through the under noted tips. -go for a walk in d morning to restore your blood circulation to nourish your body& brain. - go for meditation to reduce your stress, anxiety and to calm your nerve to ease insomnia, checking ischemia. - tk, banana, apples, coca, almonds, pumpkin -seeds, spinach to get magnesium to ease insomnia. - tk, plenty of water free from contaminants to eliminate toxins &'regulate your metabolism to absorb protein, vitamins, minerals, energy & other important substance essential to upkeep, repair & energise the body. - your diet b easily digestible, simple, non-irritant, on time. Your dinner b at least 2 hrs before going to bed with 1 cup of milk, finally before going to sleep to prevent constipation. - avoid, caffiene, nicotine, alcohol, junk food, watching tv in d late night. - homoeo medicine, gentle, rapid without any side effect b administered: @ coffea cruda 30-6 pills, thrice/ day. @ passiflora q-20 drops before 1/2 hr, going to bed. Your feedback will highly be appreciated for further follow up, please. Tk, care.
1 person found this helpful
Submit FeedbackFeedback
View All Feed