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Dr. S. Prashanth

Orthopedist, Pune

0 - 500 at clinic
Dr. S. Prashanth Orthopedist, Pune
0 - 500 at clinic
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. S. Prashanth
Dr. S. Prashanth is a trusted Orthopedist in Senapati Bapat Road, Pune. You can consult Dr. S. Prashanth at Oyster & Pearl Hospital Pvt.Ltd in Senapati Bapat Road, Pune. Book an appointment online with Dr. S. Prashanth and consult privately on Lybrate.com.

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Oyster & Pearl Hospital Pvt.Ltd

#402/A, Senapati Bapat Road, Gokhale Nagar. Landmark: Near Dominos Pizza, PunePune Get Directions
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Sai Shree Hospital

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Sai Shree Hospital

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Footwear with heels and their biomechanical impact on heel pain

Bachelor in Physiotherapy, Msc Advanced Sports Therapy and Rehab Science (UK), honorary Doctorate
Physiotherapist, Chennai
Footwear with heels and their biomechanical impact on heel pain
Introduction

Women loves high heels, but if they continue wearing them all time chances of significant foot pain and associated problems either can occur directly or exacerbated by wearing heels. (Morin, n.d.).

Any time person wears footwear that disturbs or realigns the natural counter of the foot they are bound to cause foot pain the experts says. While, if you add a bit of inches (high heels) in to this calculations then the pain can soon escalate to damage says Stuart Mogul expert in podiatry. Due to this, there exists the change in the body segmental alignment. For instance wearing high heels will restrict the natural movement of the foot and in addition to the restriction there is increased loading of weight on that area hence the person is not just crushing the toes, but adding exaggerated body weight on them says the Sports Scientist (Biomechanics) Vasanth Kumar from Chennai who is also a performance coach.

Consequences of wearing footwear with heel

Researchers have found that people wearing high heels (2 Inches or more) have tighter calves. About 13% short on the calf muscle fibres on an average was found in the calf muscle scans among the people with frequent heel wearers in comparison with the people who avoided wearing heels. A study by Journal of Experimental Biology found that high heels led to stiffer calf (Achilles) tendons.

A study by Professor Marco Narici, (Manchester Metropolitan University) that involved 11 volunteers from 80 group of women who wore 5cms (2 Inches) of heel for over a period of two years had issues and struggled while walking on flat foot (Bare Foot). An MRI Scan of these volunteers showed no significant difference in length of the calf muscles in comparison with the group of women who wore flat shoes. While, an Ultra Sound scan showed shorter calf among the women who wore heels. In addition, the women who wore heels were asked to lie on their front on the couch and the researchers noticed the angle of the heel were greater due to the shortened calf. Above all these, the tendons were much thicker and stiffer among the women wearing heels than those who wore flat footwear that causes discomfort while walking on flat feet since the tendon cannot stretch sufficiently.

Prevention

Sammy Margo, chartered physiotherapist from London says not to wear heels or flat shoes all the time but to wear variety of heel heights that can keep the muscle in right length (Anon., 2010). Secondly, the researchers and scientists have found out that performing some regular stretching activities can minimise the issue of calf muscle tightening.

Stretching Exercises

Stand on tiptoes on a step, and using a handrail for balance to lower their heels as far as they can and hold the position for 10 – 15 seconds.
Strengthening the Tibialis anterior (Shin Muscle) muscle can be of a help (Toe Raise) for a count of 8 – 10 Repetitions 2 -3 sets a day says the Sports Scientist.

Tips

Select footwear with low heels – an inch and a half or lesser while a wider heel base can be of more help; a slightly thicker heel will spread the load more evenly. Narrow, stiletto-type heels provide little support and three inch or higher heels may shorten (Tighten) the Achilles tendon.

Softer insoles can reduce the impact on the knees.

Selecting right size footwear is more essential. Wearing shoes that allow your body to move naturally during walking will allow your feet, legs, hips and back to stretch.

Stretch your muscles as many times as possible during the day and while during rest.

Difference in Radiographs between High Heels and Normal Footwear

Conclusion

Do not let your sense of style cripple your ability to stand or step pain-free. “Your feet are, quite literally, your base of support. If your feet aren’t happy, nothing above them will be,” says Dr. Nevins. “Take a closer look at your shoe selection and take small steps now to prevent big foot problems later.” (Nevins, 2015). In addition to all these the above exercises as a regular routine will keep the muscles in the right length and can be used as the preventive factor.

I am a woman of 52 years weighing 68 kg with height being and 5 feet. I have slight problem in the L5 region of the spine as a result I feel pain in the right leg. The pain runs through the hip to the foot. I feel weak in the legs. Wish to reduce some weight. Please suggest the best. Thank you.

M.sc dietitics and food service management, Diabetes educator
Dietitian/Nutritionist, Bhopal
I am a woman of 52 years weighing 68 kg with height being and 5 feet. I have slight problem in the L5 region of the s...
Hi, you should go for 30 minutes brisk walk in the morning. Do regular exercise atleast 15 minutes daily. Take lukewarm water with half spoon methidana powder in the morning. Take salad before meals. Include more fruits and vegetables in your diet. Drink more water in a day. Don't take rice at night and don't skip breakfast. Avoid junk food and oily food. Take proper sleep. Avoid late night dinner. Take small and frequent meals.
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I am gaining weight year after year. I was 60kg at 15years of age. Now I am 101kg at 31+ of age. 41 kg within last 16yrs. Around 2.5kgs per year gained. Shoulder 44" waist 38. How to reduce all these?

MPT - Orthopedic Physiotherapy
Physiotherapist, Jaipur
I am gaining weight year after year. I was 60kg at 15years of age. Now I am 101kg at 31+ of age. 41 kg within last 16...
You should check your thyroid tests. Fast increase in weight due to harmon imbalance. Take fat free diet. Morning jogging 2km. Join physiotherapy clinic weight reduce programs. Increase weight increase pressure on all body system's.
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I have ankle pain. Im unable to stand immediately after sitting long time or after sleep. Why do I have this pain. What should I do to get rid of pain. The pain has increased enormously in time.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have ankle pain. Im unable to stand immediately after sitting long time or after sleep. Why do I have this pain. Wh...
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. Contrast bath---It is a form of treatment where a limb or the entire body is immersed in warm water followed by the immediate immersion of the limb or body in ice water. This procedure is repeated several times, alternating hot and cold. Note that the treatment should always end in the ice water, as heat will induce the body's inflammatory response, while cold helps to decrease inflammation.
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My wife is 35 years old. She had a cesarean delivery 7 years back. The waist and back pain troubles her. What treatment can help her?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
My wife is 35 years old. She had a cesarean delivery 7 years back. The waist and back pain troubles her. What treatme...
. 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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My self Pankaj kumar I belong from Bhubaneswar odisha My mother is suffering from joint pain I am give some ayurvedic tablets and also massage at pain location but his not confidently running so what problem and how to solve.

Drama Therapy - AUTISM, Early Childhood Special Education, Master of Occupational Therapy (MOT), PG Diploma in Hospital Management, Bachelor in Occupational Therapy, CAS - Certified Autism Specialist, Sensory Enrichment Therapy
Occupational Therapist, Bangalore
My self Pankaj kumar I belong from Bhubaneswar odisha My mother is suffering from joint pain I am give some ayurvedic...
Visit a local physiotherapist and take regular treatment. They will use physical modalities to relieve pain and will also guide her about the muscle strengthening excercises. Strengthening is must in this case. Without that medicines can only suppress pain but not the root cause.
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I have chondromalacia patella, 1 & half years bfr doc hv done arthroscopy, my leg twisted aftr 2 month ,worst pain started again, standing more than 5 min is painful, I can't walk properly nw, during walking m giving pressure on another leg, so another knee also paining nw, bcoz of continuous bed rest from 10 months lower back pain started, doing physio everyday for knee, bcoz of diet my wt is 55 height 5.2,still I hv prob to live normal life.

B.P.T, M.P.T(ORTHO), Certification in Gym Instructor & Prenatal and Post natal
Physiotherapist, Gurgaon
I have chondromalacia patella, 1 & half years bfr doc hv done arthroscopy, my leg twisted aftr 2 month ,worst pain st...
Dear Lybrate I think so should go fr latest mri knee fr both knees to hv clear picture of injury. U cn get your tests fr vitd ,vitb12, calcium levels ,haemoglobin level, uric acid level. Then consult us again so that we cn give you best treatment guidelines fr fast recovery
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Whenever he do running, his leg gets swelling and it doesn't go before a month, x ray is okay. What to do?

DNB (ENT), MBBS
ENT Specialist, Bangalore
Whenever he do running, his leg gets swelling and it doesn't go before a month, x ray is okay. What to do?
This may be a ligament injury around the foot and may not be prominent on an x ray. An mri will be needed to evaluate this and ankle support braces will be required along with bedrest for recovery.
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Hi, I am 31 years old and last year I am suffering from high height falling inhjury in left knee. I have mri 3d report as per local Dr. Suggestion. And after that he said minor fractures are there and he said take 45 days rest. But still I am suffering for knee pain. Please suggest.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
Some common home care techniques for knee pain that control inflammation and help to break the inflammatory cycle are protection, rest, ice, compression, and elevation do reply back for private consultation. And detailed treatment plan.
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I have a back and neck pain.Iam a sugar patient.My age is 40 and I used to play shuttle game regularly.Iam a smoker also.Kindly give ur suggestion ?

MD - Psychiatry, MBBS
Psychiatrist, Delhi
You should go for de addiction as high blood sugar and cigaratte will ultimately harm your heart. So start talking to a psychiatrist.
2 people found this helpful
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I am 35 years old male I always suffer from constant pain in my legs esp knee joint. Kindly advise me.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am 35 years old male I always suffer from constant pain in my legs esp knee joint. Kindly advise me.
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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I am 45 years old I do not have any of disease or any other problem please suggest me knee strength exercise.

BPTh/BPT
Physiotherapist, Kota
I am 45 years old I do not have any of disease or any other problem please suggest me knee strength exercise.
KNEE PAIN k liye ap knee cap use kijiye …or hot fragmentation kijiye jada stair clambbings mat kijiye…. Long sitting or standing mat kijiye……. Heel track kijiye 4-5 time, ediii panjaa kr k chaliye 1000 kaadaam………. ANKLE PAIN k liye ap ice se massage kijiye …. Quick stretch kijiye or tempoline kr sakte h ap……for jumping……ankle toe movement kijiye countinu…. Weightcuuff bandh kr 1-2 kg k ap sit to stand kr sakte ho……. I hope ap jaldi theek ho jaayege thnx.
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I am 26 year old guy I experience unbearable pain in my knee when I try to stand up after sitting for a long time. It doesn't pain while walking. What should I do please help.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am 26 year old guy I experience unbearable pain in my knee when I try to stand up after sitting for a long time. It...
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. 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.
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I experience pain in my left hand after every week or smdays. Sometimes in wrist sometimes in whole hand n last time in left shoulder. What can be d reason.

FRCS (Trauma & Orthopaedics), MRCS, Diploma Sports & Exercise Medicine, MCh Orth, MS - Orthopaedics, MBBS
Orthopedist, Surat
I experience pain in my left hand after every week or smdays. Sometimes in wrist sometimes in whole hand n last time ...
Could be a cervical disc problem or a nerve compression in upper limb. It could be a problem you need specialist advice.
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Sir, I am suffering back pain since many years. Now a days I can not seat on floor for long time. I went to a doctor and he said your muscles are very weak.

BPTh/BPT
Physiotherapist,
Sir,
      I am suffering back pain since many years.
Now a days I can not seat on floor for long time.
 I went to a ...
You should send me the xray of your ls spine. Well you should do back lifting exercise to strengthen your muscles.
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From Last two days I feel back pain I take medicine from clinic. But it is not effected what can I do?

BHMS
Homeopath, Faridabad
From Last two days I feel back pain I take medicine from clinic. But it is not effected what can I do?
Hello. Maintain a right standing and sitting posture, keep your back always straight, avoid carrying weight on back. Hold or carry weight divided equally in both the hands or shoulders (to avoid over straining on one particular hand or shoulder). Lie down on bed on your back without pillow. Exercise: Practice Shavasana or Corpse Pose as it looks like a dead body. If practiced correctly and with full efforts, can relax every body part, relaxing not only the body but also the mind: Spread the legs one to two feet apart, the toes are turned outwards, the heels facing each other, a comfortable distance apart. Bring the arms a little away from the body, palms turned upward. Relax the neck and allow it to turn to the side if it is more comfortable. Close the eyes and focus the attention on the body, breathing normally. Medication: Take homoeopathic medicines - Arnica 200 and Rhus Tox. 200 - take both of them thrice daily for 1 week. Also, apply Schwabe's Topi-Arnica and Topi MP Gel on the affected area in circular motions gently thrice a day. Get back to me thereafter.
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Severe back pain because of working in night shifts sitting for long hours please advice some solution.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Severe back pain because of working in night shifts sitting for long hours please advice some solution.
Apply hot water and cold water fomentation thrice a day for 12 days of 15 minutes duration each use only firm hard and even mattress for sleep once pain subsides learn spinal extension exercise from musculoskeletal physiotherapist
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I am suffering from knee. Under the right side of knee cap when I am running, going upstairs and going downwards. So pls tell me whats the problem.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am suffering from knee. Under the right side of knee cap when I am running, going upstairs and going downwards. So ...
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.
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My sister has pain in her left forearm for over a year. We have consulted orthopedics. But no relief and pain continue. Recently one doctor suggested to go for key hole surgery. Kindly advice us whether we can go for it and whether will be effective treatment. Whether will be costly. We belong to a middle class family.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Never go for surgery in haste. It needs to be investigated. For surgery delhi will be a better place. We have very good well equiped hodpitals working on reasonable rates.
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