Lybrate.com has top trusted Physiotherapists from across India. You will find Physiotherapists with more than 34 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.
Book Clinic Appointment
Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Knee replacement
Treatment of Nerve And Muscle Disorders
Treatment of Hip Disorders
Neuro Physiotherapy Treatment
Treatment of Knee Injury
Pregnancy Exercise Therapy
Treatment of Sports Injuries
Treatment of Splinting
Treatment of Spondylosis
Arthritis And Pain Management Treatment
Heat Therapy Treatment
Post Pregnancy Classes
Orthopedic Physical Therapy
Treatment of Shin Splints
Submit a review for Dr. Nikita MaratheYour feedback matters!
I am 47 year old women. My wrist and fingers of hands are severely paining since month. Pain killer gives temporary relief. What to do? what is the reason?
I am suffering from left knee pain about 2 months. If the leg is maintained in a same position it will pain, if I started changing positions of leg I will better comfort CAN U PLS HELP ME?
My job is working with computer. I have little back pain and fear not to get complication. What should I do to over come this problem?
I am 35 years old. My back bone pain some time. Advise doctor for mri. For suggestion. please tell ?
Frozen shoulder is a condition where the patient encounters continuous shoulder stiffness and pain. It could last for several weeks. Inflammation around the shoulder increases the inability to move or stretch properly. This happens when somebody is recovering from an injury. Frozen shoulder can also occur when somebody is wearing a sling or a cast. It also occurs if someone is recovering from surgery or experiencing joint pain. It may also be experienced as a symptom of thyroid, joint disorders or diabetes.
Some of the causes and risk factors for creating a frozen shoulder are as follows:
- If you are 40 years or older, your chances of a frozen shoulder are higher than others
- Recovering from a damage or surgery
- Hormonal imbalance
- Ladies are more prone to a frozen shoulder
- Cervical disc infection that influences the nerves around the shoulder
- Not moving your arm because of other pain or wounds
- Having a previous medical condition like diabetes or other heart diseases
- Open-heart surgery or spinal surgeries
- Poor diet and unhealthy lifestyle
The most widely recognized symptoms of a frozen shoulder include:
- Stiffness around the shoulder: this usually happens in one shoulder at a time (not both) and will probably return in the same shoulder. Muscle, joint and bone agony in and around the shoulders or arms may be experienced.
- Restricted scope of movement
- Having difficulty moving and using the shoulders or arms ordinarily, (for example, experiencing difficulty in getting dressed, driving, holding objects before you, and gestures.)
- Stretch the Shoulder: Before beginning shoulder exercises for a frozen shoulder, try to warm up your shoulder by doing a few warm up exercises. This will improve the blood supply in the affected area and avoid future injuries by making your body more comfortable with the motion. The best approach is to extend and warm up the shoulder by applying heat for 10 to 15 minutes, scrubbing down or showering with Epsom salt.
- Non-intrusive treatment: While these activities mentioned above can be easily performed at home, if pain continues and makes it difficult to move around or work ordinarily, see a physiotherapist who can appoint particular activities and can enhance your scope of movement, flexibility and strength.
- Dietary Supplements: Various supplements can be taken with the recommendation of a doctor, in order to improve recovery. Alfaifa (horse feed) and turmeric are two of the most regularly recommended elements that relieve swelling and repair the tissue in the shoulder. If you wish to discuss about any specific problem, you can consult a Physiotherapist.
Also known as Adhesive causalities and Periarthritis.
A stiff, painful shoulder with progressive limitation of movement. Sign and symptoms begin gradually, worsen over time.
Usually occurs on one side. Sometimes it can spread to the other shoulder. Some idiopathic facts for frozen shoulder-It happens mostly to people aged in 40’s,50’s and 60’s.
Women get their frozen shoulder much more commonly than men.
Causes-We can classify in two groups
1) Primary-No significant reason for pain and stiffness.
2) Secondary- may be due to synovitis, rupture of the capsule, subacromial bursitis or a lesion in the muscle complex round the joint particularly in the supraspinatus. There may be history of trauma, your arm in a sling for long time immobilized in a specific position for a prolonged period.
Other ailments are-Heart or lung problems can be linked to cause shoulder pain. Cardiac surgery has sometimes lead to
frozen shoulder. Lung problems like tuberculosis or tumor. Diabetes is a common associated condition with frozen shoulder
Symptoms-Symptoms are variable depending on the cause. Pain is the usual presenting feature and may be accompanied by muscle spasm and limitation of movement. The onset can be acute. When the condition is sub acute or chronic, pain and stiffness are most marked after a period of inactivity and may be eased by moderate exercise. Tender areas may be present. Pain often worst at night and when lying on the affected side. Patient has difficulty with normal daily tasks such as dressing, preparing food, carrying bags and working. Muscle wastage may be evident due to lack of use. According to ayuveda- frozen shoulder is known as Ababahuka. Ayurvedda described-80 Types of Vata nanatamaja roja (caused by vitiation of vata dosha). Ababahuka is also a vata nanatmaja roga. Vitiated vata dosha absorbs the fluid (kapha) of the joint cause to Ababahuka.
Treatment-It is essential to carry out a careful clinical examination as many diseases of diverse origin frequently present with musculoskeletal symptoms.
Injection of steroid into the joint to reduce inflammation
Nerve block a short term pain relief option
Surgery if the above fails
Ayurveda treatment- If frozen shoulder caused by secondary group than the other ailments- the Panchkarma and Kerala therapy is very effective. The aim of the Ayurveda treatment is to bring vitiated vata in equilibrium.
Most popular kerala therapy is pizhichil means squeezing of medicated oil with the help of cotton cloth all over the body with full concentration on shoulder along with different stroke of massage. It is a process of fomentation, highly effective for treating diseases caused by vitiation of vata dosha. Duration of treatment varies according to the severity of symptoms of the patient.
Elakizhi- Special herbal pack massage withPizhichil gives strength to the muscle and improves the mobility of shoulder joint.
Nasyam –popular panch karma therapy for all urdhvajatrugata roga, It is a powerful rejuvenating therapy.
Requirement of Therapy -7,14,21 days therapy course depending on the severity of symptoms along with oral medicines for 3-4months.