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Dr. Shika Dhinde

Physiotherapist, Pune

400 at clinic
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Dr. Shika Dhinde Physiotherapist, Pune
400 at clinic
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Shika Dhinde
Dr. Shika Dhinde is an experienced Physiotherapist in Sadashiv peth, Pune. You can meet Dr. Shika Dhinde personally at Yogesh Hospital in Sadashiv peth, Pune. Book an appointment online with Dr. Shika Dhinde and consult privately on Lybrate.com.

Lybrate.com has top trusted Physiotherapists from across India. You will find Physiotherapists with more than 43 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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Yogesh Hospital

Gopal Dham, 1188, Limewadi, Sadashiv Peth. landmark: Near To Maharastra Electronic Shop, PunePune Get Directions
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9 Tips for Rehabilitation After A Knee Surgery

MPT, BPT
Physiotherapist, Noida
9 Tips for Rehabilitation After A Knee Surgery

Rehabilitation following arthroscopic meniscectomy can be divided into four phases: protection, moderate protection, early functional and late functional.The word guideline is used instead of the protocol as it allows for individualization. 

The immediate postoperative phase is characterized by soft tissue bleeding and effusion, pain and quadriceps inhibition. Prior to discharge from the hospital, the patient’s involved extremity is placed in a jobs cryo temp in an elevated position for 20 minutes. By utilizing the intermittent compression device, RICE (rest, ice, compression, and elevation) is quickly applied. 

The patient is then instructed in a series of home therapeutic exercises, which include quadriceps setting, straight leg raises (SLR) in multiple planes and an active- assisted range of motion exercise. The patient is fitted with crutches and instructed in ambulation training weight bearing as tolerated on all surfaces. 

The patient is encouraged to follow the RICE principle and to curtail any excessive walking throughout this first phase, which usually lasts 5 to 7 days postoperatively. Non-steroidal anti-inflammatory drugs are prescribed, as they have been shown to decrease pain and effusion throughout the postoperative period following arthroscopic meniscectomy.  

MODERATE PROTECTION PHASE

The moderate protection phase is characterized by decreased pain, mild effusion, the range of motion greater than or equal to 90 degrees, and weakness.At the beginning of this phase, approximately 1 week postoperatively, the patient begins rehabilitation. History, measurements, and tests consistent with an initial evaluation are taken.  

9 Important points for the rehabilitation or physiotherapy following an Arthroscopic Meniscectomy aka Knee Surgery:

  1. The patient is allowed to discontinue using crutches upon demonstrating a normal gait pattern. The patient is reminded that‘every step is therapy’ as normal gait will help facilitate a normal range of motion. Using cuff weights, multiple planes SLR are continued in a progressive resisted exercise manner.
  2. The leg lift in the supine position should be performed with the involved knee in a slightly flexed position to improve the effectiveness of the exercise on the vastus muscle group. 
  3. Proximal (hip) musculature and hamstring isotonic exercises are added to the program, utilizing various progressive resisted machines. In keeping with the concept of total leg strength, calf raises off a step is begun. Submaximal multiple angle quadriceps isometrics are performed to improve static muscular strength without causing further joint irritation. 
  4. Strength gains are angle specific, and physiological overflow is about 20 degrees in either direction. This exercise is useful in strengthening the vastus medialis oblique, as it has been found to have maximal output in the 60-70 degree range of motion. 
  5. Electrical stimulation or biofeedback is used in conjunction with the isometric exercise for the patient with advanced quadriceps inhibition. A stationary cycle is initiated to improve range of motion and build muscle strength and endurance. 
  6. Ergometric cycling has been shown to be an excellent mode of rehabilitation since tibiofemoral compressive forces during induced during cycling approach only 1.2 times body weight. this is significantly lower than activities of daily living such as walking( two to four times body weight)or stair climbing( three to seven times body weight). Seat height should be kept high because of pattelo femoral joint compressive force increase with decreased seat height. 
  7. When the range of motion is limited to less than 100 degrees, a short crank ergometer is employed, decreasing the arc of motion necessary to cycle.This gives the patient a psychological boost because it allows for aerobic exercise. 
  8. Flexibility exercises (in the form of hamstring and calf stretching) are started, preferably after cycling since increased tissue temperature promotes a more effective stretch.Cold application is continued for its analgesic and anti-inflammatory effects. 
  9. Transcutaneous electrical nerve stimulation (TENS) is used for patients with increased pain. The patient’s home program is expanded to include cuff weight PRE, stationary bike, and stretching. The patient is also provided with a theraband for standing hip extension, abduction, adduction and seated knee flexion. 

I haven't been able to sleep since 4 days and I am having a severe headache, tried multiple home remedies, but didn't work, what to do? I am also having foot pain. Please help me!

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I haven't been able to sleep since 4 days and I am having a severe headache, tried multiple home remedies, but didn't...
its a first time issue ya regular headache .if regular go for checkup and foot pain .... stretch ur calf muscle
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My father is 56 years old. He have a problem of swollen painful legs. Sometimes on right leg sometimes on left. What is it and why is it happening please explain and advice to cure it.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
My father is 56 years old. He have a problem of swollen painful legs. Sometimes on right leg sometimes on left. What ...
A check up of suger levels and thyroid and apply ice pack and do strength exercise and all test are normal then tk physiotherapy treatment.
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I am a 17 year old girl and I am a low b. P patient (my b. P levels are 100/70). Now a days, I am getting severe pain from my left shoulder to left foot. I feel like someone is pulling my leg down. Is it a major issue related heart?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Your bp is with in normal range. It could be fibromyalgia rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Use no pillow under the head. Any way take ibuprofen 200mg od & sos x 5days caldikind plus (mankind) 1 tab odx10days you will need other supportive medicines also. Do neck & back (spine) exercises contact me again if need be. Use of cervical collar will give you relief. It may have to be further investigated. Make sure you are not allergic to any of the medicines you are going to take do ask for detailed treatment plan. Do not ignore. It could be beginning of a serious problem.
1 person found this helpful
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I'm 34 years old female suffering from severe hail fall for past 1 year and backache problem for last2-3 weeks. please advise.

BHMS
Homeopath, Faridabad
I'm 34 years old female suffering from severe hail fall for past 1 year and backache problem for last2-3 weeks. pleas...
Hi. Let me tell you about hairfall. In layman's language, hairfall can be divided into 2 types - temporary hairfall and permanent (which is called as 'Hairloss' rather). In temporary hairfall, hair grows back again from the same hair root, but in case of permanent hairloss, may be because of formation of DHT (Di- Hydro -Testosterone) around hair root it gets choked up, subsequently affects the blood supply to the hair and thus hair root is lost forever. (There are different pattern and types of hairloss, because of different reasons like Alopecia Areata, Telogen Effluvium, Scarring Alopecia, Traction Alopecia, etc.) Causes of hairloss: Many factors are responsible formation of this DHT or male/ female pattern baldness - hereditary, post-illness/ ailment, post-delivery, post- chemotherapy, nutritional deficiencies, hormonal imbalance, insufficient sleep, sudden loss of weight, stress/ tensions/ excessive anger, use of bore water, any other underlying diseases, etc. Need to rule out any causative factor or underlying medical condition. Management: Take diet rich in protein like non-veg., eggs (it's loaded with essential nutrients such as proteins, Vitamin B12, iron, zinc and Omega 6 fatty acids in large amounts and biotin) , different pulses & legumes, sprouts, nuts (sp. walnuts and almonds); iron-rich food like green vegetables, dates, carrots, prunes, green peas; also oats, shrimp, take flaxseeds, sunflower seeds, sesame seeds, green tea, soyabean, fruits, salads, etc. Take low-fat dairy products (they also contain whey and casein, two high-quality protein sources) Take proper 6-9hrs of sound sleep. Give up the habit of smoking and excessive alcohol intake. Avoid junk food and any kind of beverages (tea, coffee, aerated drinks, cold drinks, etc.) Avoid canned/ tinned food or food that contains preservatives (eat fresh ones). Avoid use of hard water to wash the head rather use boiled water for head wash. Avoid use of harsh hair colour, hair treatment like rebonding, straightening, perming, etc. Avoid vigorous exercises or any supplements provided by the gym! Cover your head with scarf or cap while stepping outside. Use Rose wood/ any wooden hair comb to brush your hair. Regular exercising is also one of the important point, but should be done under some good, qualified yoga teacher or instructor for proper guidance; it also releases the stress/ tension in the mind and the body and keeps you FIT and YOUNG!! Medication: Take homoeopathic Rx - Schwabe's Wiesbaden 200 & Alfalfa Tonic twice a day for 1 month and revert. Also, use Schwabe's Arnica shampoo and Hair Growth oil regularly as per the condition of your scalp (minimum 3 times a week). After shampooing, use Bakson's Arnica Hair conditioner as well after every head wash. Apart from this, take Follihair tablets (multivitamin) - 1 tab. daily once for 1 month. Investigations advised: Get your blood tested for (empty stomach) - CBC, S. Iron, S. Folic acid, S. Ferritin, S. Calcium, S. Vitamin D3, S. Vitamin B12. If there is any family history of Thyroid dysfunction, get Thyroid function test done as well.
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I am 22 years old and my body weight is 63 to 65 kgs. I had an accident 2 years ago and I got fractured on my left leg (fumer and tibia) and had an surgery with stainless steel plate. Due to this accident my knee's ligament (ACL and PCL) has been injured, and due to ligament surgery I have to remove my plate. I want to do this surgery after my graduation (2 years remaining). So my question is how long I keep this stainless steel plate inside my leg? And is it OK if I'll keep stainless steel plate inside my leg for 4 to 5 yrs?

M. Ch. (Ortho), DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Delhi
I am 22 years old and my body weight is 63 to 65 kgs. I had an accident 2 years ago and I got fractured on my left le...
You can keep the plate for as much time you want but the problem is you have instability in your knee due to ACL/PCL injury and if you don't get the reconstructive surgery done then your whole knee will be spoiled latet.
1 person found this helpful
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I have to walk a lot in a day. So my left leg pains a lot. The pain start from my heel and goes to my hip bone. I had my x ray done of the heel which is absolutely clear. What would be the reason?

BPTh/BPT
Physiotherapist, Mumbai
I have to walk a lot in a day. So my left leg pains a lot. The pain start from my heel and goes to my hip bone. I had...
Hi = relax and stay positive. = increase fluid intake. = eat seasonal fruits for natural vitamins = do streching of hamstring, quadriceps, and calf muscles. = if you are overweight, reduce weight by cycling or swimming as it gives low impact on joints. = do check your calcium and vit. D = apply moist heat pad to affected joint and muscles. If still you dont get relief consult physiotherapist as there are various causes for leg/ joint pain and some test may be required for further investigation. Best wishes.
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Hi, Dr I got my hand pain especially near right thumb connecting 2 fingers. Numbness is there when I wake up. I observed that there is bulginess in my that area I got my mri done. But as such nothing came. This pain is from several years. Since it is my right hand I feel restless.

BPTh/BPT
Physiotherapist, Hyderabad
Hi, Dr I got my hand pain especially near right thumb connecting 2 fingers. Numbness is there when I wake up. I obser...
Hello lybrate-user, its a Good news that nothing came out in MRI. But pain, numbness is something that has to be taken care of as its been an year. I would suggest you please start with hot water formentation thrice a day with application of local ointment. But do not massage. Start wearing wrist-finger binder asap to avoid more wear and tear of the muscles. I even suggest you to take 7 days of Ultrasound Session from the Physiotherapist and as the pain subsides immediately start with the Strengthening Exercise for the wrist and finger both. Do let me know how is the pain after 7 days. Thank You Get Well soon.
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Hi, i have a question that my both hand vibrating very badly. When I picked something in my hand then my hand not stable even if it is light in weight. Please help me in proper direction.

Diploma in Acupuncture, Pranic Healing, MD - Acupuncture
Acupuncturist, Bangalore
Give pressure the dipping point on the portion between the thumb and the index finger on the back of the palm. Press and release for 15 times where the pain is more. This will solve the problem. Further do some wrist rotation exercise. Consult after 5 days.
2 people found this helpful
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