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Dr. Shashikanth Shinde

Homeopath, Pune

300 at clinic
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Dr. Shashikanth Shinde Homeopath, Pune
300 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. Shashikanth Shinde
Dr. Shashikanth Shinde is a trusted Homeopath in Swargate, Pune. You can consult Dr. Shashikanth Shinde at Ashirwad Homoeo Care in Swargate, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Shashikanth Shinde on Lybrate.com.

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Ashirwad Homoeo Care

Shop No 6 Balaji Complex, Swargate,Landmark:Rashtrabhushan Chowk, PunePune Get Directions
300 at clinic
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Physiotherapy Treatment for Torticollis

MPT, BPT
Physiotherapist, Noida
Physiotherapy Treatment for Torticollis

Torticollis:

A development defect is one sternomastoid muscle or mal-position of the neck in the uterus can give rise to the deformity. The shortening of the sternomastoid is the principal causative factor. There may be an associated shortening of the scalenii, platysma, splenius or trapezius muscles. Incidence is more common in girls, and the side affected is usually left. Occasionally, it may bilateral. The affected sternomastoid may get atrophied and facial asymmetry may occur in untreated cases. 

Nature of the deformity: 

The head is fixed inside flexion to the same side (i.e, on the side of the affected muscle) while it is rotated to the opposite side. The shoulder on the affected side is raised. 

Scoliosis with convexity to the sound side may be present in the cervical region. Facial asymmetry with smaller eye and lowering of the corners of the mouth and eye with a deviation of the nose on the affected side may be present. In rare bilateral affections, both the sternomastoid are contracted. The head is protruded forward with associated kyphosis.

Treatment:

The basic objectives are: 

  • To correct the deformity by release of the contracted soft tissues and 
  • To maintain the correction by suitable exercise regime; avoiding recurrence. 

Early mild cases

Children with a mild degree of deformity reporting early for the treatment can be managed with physiotherapy. 

The physiotherapy procedures employed are:       

 I. Evaluation: Careful evaluation of ROM and the degree of deformity.      

II. Massage: Massage can relax the muscle preceding the stretching manoeuvres.  

III. Thermo Therapy Modality: Carefully administered thermo-therapy modality induces relaxation.  

IV. Passive movements: The child is placed in supine position with head beyond the edge of the table with the neck in extension by positioning a pillow under the thoracic region; Shoulders are stabilized by an assistant.

  • To attain relaxation, all the movements of the cervical spine are done in a form of slow relaxed passive movements.
  • This should be followed by sustained passive stretching to the affected sternomastoid. E.g. when the right sternomastoid is involved the head should be gradually bent inside flexion to the left, held there for a while and then rotated gradually to the right. Try to gain as much overcorrection as possible by applying gradual traction to gain further stretching.
  • Maintenance of Correction: Once the correction is achieved. It has to be maintained by passively holding or keeping a sandbag.
  • The same manoeuvre can be repeated during the subsequent visits.
  • Active correction: Active correction is best achieved by assisting the child head to follow an object moved in the proper arc of correction. The bright-coloured sound producing object is ideal to attract the child attention.
  • PNF: patients with neck extension can be used to an advantage with emphasis on stretch and traction
  • Home treatment programme: This assumes an important role as these manipulations needs to be repeated. The mother should be trained properly for this. The best method is to put the child in prone and the teach the mother to carefully move the head towards the affected side and the child is encouraged to look back over the right shoulder.
  • Positioning: Exact positioning of the head during sleep is important. The child should be made to sleep on the opposite side of the lesion and the position of head adjusted by pillow or sandbag in a maximally corrected posture during sleep. This positioning has two advantages:- First, there is natural relaxation of the muscle- Secondly, whatever correction is achieved, it is maintained for a longer period during sleep.However, the mother should intermittently check the correction.
  • Older children and adults: With advancing age the deformity gets organized and does not get corrected by conservative management.
  • Surgical: The sterna and the clavicular heads of sternomastoid are divided close to the origin along with the release of the tight fascia. The head is then immobilized in a plaster cast in over-corrected position for 2 to 4 weeks. Mobilization is begun as soon as the cast is removed.
2 people found this helpful

Neck and face skin turning black. Otherwise, no diabetis, ECG fine, Cortisol fine, no BP. What could be the reason?

Fellowship in dermatosurgery, MD - Dermatology , Venereology & Leprosy, MBBS
Dermatologist, Mumbai
You need to consult a dermatologist for the same as there are multiple causes of pigmentation on neck and face like acanthosis nigricans, lichen planus pigmentosus, etc.
5 people found this helpful
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I am 14 year old. I have big belly stomach. I want decrease my fat. I want any product that can decrease my belly fat of stomach. I have only 2 to 4. I have to go somewhere. Then tell any product, any medicine that can decrease my belly fat of stomach in 2 to 4 days. Please tell anything for decrease of stomach belly in 2 to 4 days.

DHMS (Hons.)
Homeopath, Patna
I am 14 year old. I have big belly stomach. I want decrease my fat. I want any product that can decrease my belly fat...
Hello, You hv not mention your height & weight to assess your exact xo diction. Go for aerobics for abdominal muscles. Tk plenary of water to hydrate your body. Go for meditation to reduce your stress and to nourish your body to develop flaxibility of abdominal muscle. Tk homoeo medicine: @ phyto lacca berry. Q-10 drops, thrice.Tk care.
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My mind forces me to take anxiety and stress. That's good for my health. I know I'm getting anxious unnecessarily. If I gain a little weight, an anxious thought is coming to my mind whether I will get any health problem like heart problem even though I'm underweight. Weight- 51, height-175 cm, age- 29. While becoming anxious, I can feel I'm losing immunity power. Pls advise me . I need to gain weight up to 75 kg gradually corresponding to my height.

L L. B..,, M.Sc psychy,, N L P, P.G.D.G.C, M.S psychotherapy,, M.A child care, M A, clinical psy, M.A,social psychiatry,, M.Phil., psychology., Ph.D .,psychology
Psychologist, Vijayawada
My mind forces me to take anxiety and stress. That's good for my health. I know I'm getting anxious unnecessarily. If...
Why wantedly go to anxious status then suffers yourself. You mind forces then you stop. It may cause so many defects. It spoils mood and personal disturbances also. Everything in your hands. Please take further steps to overcome from this status. Continues anxious may cause so many problems. Feelling weightless it is also psychological feeling. When you are always in anxious status. Everything looks like doubt. So do not be anxious. Feel always better. Do not think unnecessary problems. Take good food it may helps to overwwieght. It will happen what you need. Everything in your hand. So please feel happy and be friendly. Best wishes.
1 person found this helpful
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I am feeling with tooth pain on left side of face followed pain beneath the ear and then on forehead. It was a stobbing pain for a 1 hour and then it disappeared. Went to dentist, he had done OPG and then suggested COMBIFLAM as if there is no dentist medication need to be done. He had suggested it could be TMJ and SINUS and adviced for ENT consulatation. Went to ENT referred to CT scan sinus and spotted with mild sinutitus but the radiologist adviced me to have MRI. ENT doctor said i am suffereing from Trigemianal Neuraglia and gave MAZETOL tablet which was supposed to a tablet for FITS patient. WENT to Nero Surgeon ad adviced to take MRI 3T scan where again results turned with no significant of tumors or trigeminal nerve is normal. Dont know what to do but still enforcing pain at times after eating.I lost my taste after taking tablets not all specfically SALT taste and feeling nervousness at times.Having a big doubt whether the problem i am facing because of TMJ or TN.

MDS, BDS
Dentist, Delhi
Dear , I can understand your concern and anxiety after going to so many doctors. You need to be examined carefully and all your reports needs to be seen before suggesting any treatment. All the possibilities including Neuralgia, Sinusitis and TMJ problems are possible but the exact cause of the complaint in your case needs to be identified. I suggest you see us or any other well-trained Specialist at a good center. Please do not ignore your problem. Take care.
2 people found this helpful
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Sir, I am 22 years old. My sperm is out through masturbation nearly 70 times. Is there any problem in future with my life partner and also please tell how to increase the increase sperm count like fruits or nuts.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
Sir, I am 22 years old. My sperm is out through masturbation nearly 70 times. Is there any problem in future with my ...
Dear Lybrate user. I can understand. MASTURBATION is normal, natural and never unhealthy. Even animals do masturbate. As a human being, you are also an animal. Every animal has sexual instinct because they are designed to reproduce. Human being also has sexual instinct and therefore he needs to satisfy sexual instinct. Therefore, to satisfy sexual instinct, a man or woman, masturbates. In any case, masturbation is never unhealthy or will never affect your physical or sexual health or it cannot affect your future sex life and the ability to have children. Please make sure you restrict your masturbation to thrice a week. I suggest counseling and sex therapy. Take care.
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I am 61 and my wife is 52 She has no periods since last two years Last night we had sex without condom. Any problem or shall she take any pills etc.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I am 61 and my wife is 52
She has no periods since last two years
Last night we had sex without condom.
Any problem o...
Hello, As she had no menses since last 2 years, it is likely that she is into her menopause and hence no pills are required after unprotected sex.
2 people found this helpful
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I have migraine headache since three days please tell me what medicine should I take?

MBBS, Diploma in Nutrition and Health Education (DNHE), Diploma in Clinical Cosmetology
General Physician, Noida
I am giving some health tips for Migraine headache •1.You can turn off light for some time •2.Apply hot or cold compresses to your head or neck. •Ice packs have a numbing effect, which may dull the sensation of pain. •Hot packs and heating pads can relax tense muscles. • •3.Warm showers or baths may have a similar effect. •4.You can take Tea or coffee( but not excess) 5.Sleep well Here are some tips to encourage sound sleep. Establish regular sleep hours. •Minimize distractions. •Your eating habits can influence your migraines. •Be consistent. Eat at about the same time every day. Don't skip meals. Fasting increases the risk of migraines Avoid foods that trigger migraines kindly consult Physician for further management -
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I have history of lever abscess and nowadays I am having mild fever and little pain in lower right of my stomach and I am having condition of chronic cough .I am having low energy and feeling tired always.

MBBS
General Physician, Mumbai
I have history of lever abscess and nowadays I am having mild fever and little pain in lower right of my stomach and ...
Apart from taking symptomatic treatment we must plan for antibiotics therapy and also plan for abscess drainage
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