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Dr. Sagar R Dombale

BPTh/BPT

Physiotherapist, Pune

9 Years Experience  ·  150 at clinic
Dr. Sagar R Dombale BPTh/BPT Physiotherapist, Pune
9 Years Experience  ·  150 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Sagar R Dombale
Dr. Sagar R Dombale is a popular Physiotherapist in Nagar Road, Pune. He has over 9 years of experience as a Physiotherapist. He is a BPTh/BPT . You can consult Dr. Sagar R Dombale at R.K Physiotherapy Clinic in Nagar Road, Pune. Book an appointment online with Dr. Sagar R Dombale and consult privately on Lybrate.com.

Lybrate.com has top trusted Physiotherapists from across India. You will find Physiotherapists with more than 35 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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BPTh/BPT - - 2008
Languages spoken
English
Hindi

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R.K Physiotherapy Clinic

# Shop No. 15, Ashoka Aagam, Vidyapeeth- Dattanagar Road, PunePune Get Directions
150 at clinic
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Sir mere father k left shoulder m bhut pain hota h. Uske liye Hume kya krna chahiye.

B.Sc., B.A.M.S., C.C.Y.P., M.D. (Ayurveda)
Ayurveda, Aligarh
Hello Mostly the causes of pain and restricted movement in shoulder are due to cervical disc disease, diabetes, shoulder traum or injury. So slow exercises and controlling sugar level is very effective. You can apply warm Rasna leave paste.
1 person found this helpful
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I am feeling joint pain at my knee from past few weeks suggest me some suggestion.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Knee advice. 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
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Sir I have a problem of flat foot n I want to correct it as a arch foot. So sir please suggest me some exercise to correct it or any other suggestion.

MPT - Orthopedic Physiotherapy
Physiotherapist, Jaipur
Use arch orthotics insole they are easily available online. Heel raise exercises: perform three sets of 10 repetitions to strengthen the posterior tibial tendon and correct flat feet. Calf stretching exercises. Towel stretching exercises.
1 person found this helpful
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When the season change my body getting hot and having pain in my back and leg. So what I do please help me.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
For leg pain, please follow the below advise: keep your leg raised while sitting or lying quadriceps strengthening exercises-
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Frozen Shoulder Tips

M.Sc - Psychology, PGDEMS, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
Frozen Shoulder Tips
FROZEN SHOULDER

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.

Anti-inflammatory drugs.
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.

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My self 55 male. I have severe pain in upper part of the right hand. Driving gives severe pain. Please suggest what medicines to be taken.

Fellow of Royal College of Surgeons (Trauma and Orthopaedics), Diploma in Trauma Surgery, Membership of the Royal College of Surgeons (MRCS), DNB (Orthopedics), MBBS
Orthopedist, Mumbai
It is hard to tell just by the limited description given. I would recommend yourself to be seen by a hand specialist to rule out carpal tunnel syndrome (pressure on the nerve in the wrist), which can be treated initially with therapy but in some cases may require injections or surgical release.
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MPTh/MPT, BPTh/BPT
Physiotherapist, Pune
How To Handle Sports Related Muscle Injuries.

Physical activity and sports related muscle injuries wear out our parts, and more aggressive activity wears our parts out more quickly. There are lots of examples in those who were professional athletes in their younger years. Despite this, exercise is one of the best therapies for almost everything. Even people with terminal cancer live longer and better if they exercise.

Fortunately, our body has tremendous ability to regenerate our parts. We can repair skinned knees, knit broken bones back together, and even regrow joint cartilage.



What causes the pain of chronic injury?

Most of the pain of sports related muscle injuries from repetitive strain and micro trauma is caused by muscle and fascia (myofascial pain) and not inflammation or scar tissue. Muscles develop pain generating myofascial develop trigger points, and tendons that attach the muscles develop small tears. Then when the muscle contracts against the injured tendon, the trigger points fire and pain prevents further injury.

How do we best treat sports related muscle injuries?

Dry needling, trigger point injections, and myofascial release are usually the most rapidly effective therapies for problems like tennis elbow, golfers? elbow, plantar fasciitis, and what is often called ?bursitis? in various locations. If trigger point injections are not enough, then the tendons and associated ligaments may also have to be treated.

How do we heal?

Our body uses the same mechanisms to heal many different parts. When we sprain an ankle, some of the ligaments that hold the joint together get torn or over-stretched. This injury sets off a reaction that takes weeks to complete.

Right after the injury inflammatory chemicals get released that make the nearby blood vessels leak fluid and white blood cells into the area of injury. This makes the ankle swell, and the white blood cells release enzymes that clean up the inured tissue. As a result of this ?soup,? about 3 days after injury fibroblast cells find their way to the injury. These cells rebuild and regrow the injured ligaments.

What stops healing?

The healing process is greatly slowed or stopped by anti-inflammatory medications like ibuprofen, and also nicotine in the blood. Ice slows metabolism and healing also.



How long does the healing process take?

The process of healing continues for several weeks, and even months. Broken bones and injured ligaments reach approximately 90% of strength in 6 weeks.

What can be done to accelerate healing?

Most important is to get out of the way of our body, stopping smoking and not taking anti-inflammatory medications. Next is to take extra vitamin C and zinc. Studies on wounded soldiers showed the importance of vitamin C and zinc in healing. Lastly, consider applying moist heat to increase blood and nutrient supply and speed up metabolism in the area of injury.

What if I do not heal enough, how can I get more?

Examples of not healing enough include loose joints after sprains, and partially torn tendons. For both of these examples, we can get our body to ?rerun? the same healing program if we simply re-injure the body part. A controlled and tiny injury can be made with an acupuncture needle, an injection of dextrose and novocaine (prolotherapy), and most effectively with an injection of your own platelet rich plasma. Once the body?s healing program is restarted, fibroblast cells will come in 3 days to start rebuilding the injured part. Acupuncture provides for the weakest body reaction and slowest healing, compared to the use of platelet rich plasma.

I am 66 years old and under medication for B p for last 30 years and for sugar for last 6 years. I have also under gone a spinal cord operation for disc prolapse (l 4, l 5) 14 yrs before. My bp and sugar are under control. Now I am feeling numbness in my legs. Especially in night and early morning. Is due to b p, sugar or spinal cord problem.

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. It can be either due to your spine or long standing diabetes, it will be beneficial if you can get: 1) fresh mri of ls spine 2) nerve conduction studies it will help us find out a cause in your case. Do not hesitate to contact me if you need any further assistance.
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Suddenly before 1 day feel joint pain in body and through create itches and cough cold.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Sports Taping- stretch the tape from both ends and apply on the affected area Contrast Fomentation (Hot and Cold).
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There is pain in my back and leg due to secret abortion and my mom doesn't know about that. I am in problem.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hi Ash, it could be due to iron deficiency and your body is under recovery phase after abortion. Please get hemoglobin tested Have a diet rich in protein, calcium and iron.
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Sir, Meri mummy ko joint me pain rehta h or swollen bhi ho jata h joint me or is wajah se weakness bhi aa gya h Bahut jagah treatment chala lekin koi sudhar nhi aaya hum ghar me kya ker skte h ya kya khane ko de Jis se meri mummy ko thoda sa bhu aaram ho. Please sir help me.

BHMS, DEMS
Homeopath, Pune
take a homeopathic treatment rhux tox 30 ( 2 pills ) 3 times/ day for 8 days apply rhus tox ointment for affected area after 8 days revert back for further treatment .
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Sir, I am feeling little weakness in my right leg for sometimes. If stand for 30 min I feel so weak. I am working. I do not really feel any pain but it's weakness please help me.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Keep your leg raised while sitting or lying quadriceps strengthening exercises- quad clenches: lie flat on your back or sit upright on a chair with leg kept horizontally on another surface. Now, tighten the muscle on the front of the thigh by pushing your knee down. You should feel your thigh muscles clench, hold for 3 secs. Repeat 10 times twice a day. Short arcs: lie flat on your back or sit upright with your leg placed horizontally on a flat surface like a chair or bed. Place a rolled up towel under the knee. Pull your toes towards you and clench you thigh muscles. Slowly lift your foot up off the bed until your knee is straight (keep your knee resting on the towel). Hold for 3 secs and slowly lower them on the chair. Repeat 10 times twice a day.
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I am suffering from back pain and headache since three days. What is the remedy to recover these issues?

MBBS, cc USG
General Physician, Gurgaon
Hello, you may be having headache because of stress/ refractory problems/ any ent problem kindly follow advises given below: you can take: 1. Tablet crocin (paracetamol 500 mg) one tablet after food when required for headache after food for 2-3 days (maximum 2 tablets with gap of 12 hour can be taken in a day) 2. Adequate sleep 6-8 hr in a day 3. Get check eyes for refractive error for any change in no. 4. We need to go for ent evaluation to rule out sinusitis 5. Get bp checked 6. Regular physical exercise and meditation and yoga complete history of your headache for further management like duration, severity, aggravating factors/relieving/ triggering/ associated factor to reach diagnosis/relieving/ triggering/ associated factor to reach diagnosis consult physician for further management.
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This question is for my mother. She is suffering from a major pain in her shoulder. We consulted my doctor they said it is frozen shoulder. She is following her medication. But there is no such improvement. Can you please tell me what to do.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Neck Advice Hot fomentation x twice daily. Neck Exercises. Neck Stretching. Postural Correction. Shoulder Shrugs . Core Strengthening Exercises. Take frequent Breaks at work Use cervical pillow. Use Back Support. Self Massage the back of neck. General Advice... Contrast Bath. Sports Taping. Gentle Stretching Shoulder Advice... Hot Fomentation. Gentle Shoulder Stretching. Core Strengthening Exercises. Gentle Neck Exercises. Avoid sleeping on affected side.
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I' m 33 male, i' ve been having pain only on the right side on the back, at the base of the spine, could it be slip disk as it is not present on the left side?

DNB, MBBS
Orthopedist, Delhi
It could be due to slip disc or low vitamin d levels. Even if u have slip disc it not very severe as the pain is not going down the leg. Get your vitamin d levels done (blood test) fasting and do spinal extension exercises (physiotherapist can teach you) 20 mins 3 times a day. Revert back with reports.
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I am 54 years old. I have leg pain from 1 months. I am a sugar and diabetic patient. I have cholesterol also. Why it is happening? What are the remedies?

MS - Orthopaedics, MBBS
Orthopedist, Pune
Hello lybrate-user, as you are diabetic kindly get your lower limb colour doppler sonography done to see the condition of your vessel walls. God bless you.
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My both knees were replaced 2 years back now I am 6 years old. Since last three months I am having pain in my shoulders and fore arm. After exercise and taking R- Compound 2 TDS daily the pain subsided. Will you recommend some thing else. As I have no weight problem or any other. Kindly advice some Ayurveda medicine for arthritis. Thanks

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Hi Apply pranacharya restopain oil or prasarini oil on your affected part then give hot fomentation. Take maha rasnadi kwath 2-2 tsf twice a day. And agni tundi vati and maha yograj guggul 1-1 tab twice a day.
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I am 44 year young having pain with my right knee since 3 years, I am not able to sit on floor with my leg folded. Request your suggestion to fix my pain.

M.Sc - Psychology, PGDEMS, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
The location of the knee pain can vary depending on which structure is involved. With infection, the whole knee might be swollen and painful, while a torn meniscus or fracture of a bone gives symptoms only in one specific location. The severity of the pain can vary, from a minor ache to a severe and disabling pain. Some of the other findings that accompany knee pain are difficulty walking due to instability of the knee, limping due to discomfort, locking of the knee (unable to bend the knee) so I would like to suggest you to please consult a doctor personally, & get the pain diagnosed to help you to get proper treatment. There is a specific line of treatment in ayurvedic panchkarma & these are practically effective. We have successfully treated many cases of joint pain with the holistic approach of ayurveda & panchkarma. For more details you can contact us.
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I am suffering knee pain so I can't set and I can't run and not fast move leg so I am trouble.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
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
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