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Dr. Shubhangi Kothari

Anesthesiologist, Pune

Dr. Shubhangi Kothari Anesthesiologist, Pune
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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.
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Dr. Shubhangi Kothari is a trusted Anesthesiologist in Tilak Road, Pune. You can meet Dr. Shubhangi Kothari personally at Dr. Shubhangi Kothari@Dhanwantari Hospital in Tilak Road, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Shubhangi Kothari on Lybrate.com.

Lybrate.com has top trusted Anesthesiologists from across India. You will find Anesthesiologists with more than 34 years of experience on Lybrate.com. You can find Anesthesiologists 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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Dhanwantari Hospital

Sector 27, Tilak Road, Pradhikaran, Nigdi. Landmark: Near Lokmanya Hospital & Near Spencer Daily & Bell Chowk.Pune Get Directions
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I am 24 years male, I have been suffering from back pain for last 1 month. What should I do?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am 24 years male, I have been suffering from back pain for last 1 month. What should I do?
Kindly show me a photograph of the affected part. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress 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 & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, contact me again. Do not ignore. It could be beginning of a serious problem.
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I have a problem in back bone. My backbone have pane in the middle of wrist to right legs.

BHMS
Homeopath, Faridabad
I have a problem in back bone. My backbone have pane in the middle of wrist to right legs.
Hello, first of all you should know what is backache and by which factors it caused and aggravated. The usual cause of low back pain is the sedentary lifestyle that we lead these days. There is hardly any movement. walking, running and cycling like activities are also not a part of our daily routine. To add to it, our diet consists more and more of junk food. Fresh fruits, vegetables and high fibre foods are consumed less and less. These daily practices lead to obesity. The increased body weight puts lot of pressure on the spine which has to bear all the extra unwanted weight. The back muscles which are already weak due to lack of exercise and wrong posture are unable to cope with this increased load. This causes pain in the back muscles. Management for Back Pain:-Along with medicines for relieving pain, one needs to identify the cause and correct it. This may require some medicines or some correction in your posture or reducing weight or improving your lifestyle. At the same time, there is a need to work on the local muscle strengthening. Back muscles need to be strengthened so that they can bear the weight of the upper body. For this exercises of the back muscles are very helpful. Regular walking is also very helpful as it is a wholesome exercise of the body, improves blood circulation and helps lose weight. Most importantly if you are overweight then losing weight is an important part of the whole treatment plan .Long term use of painkillers for low back pain is harmful Treatment for back pain:- Homoeopathic medicines are very helpful. They not only treat the acute stages but are also used for the treatment of chronic back pain.Selection of the exact remedy depends upon the individual symptoms of the person.So share the complete symptom picture for the proper treament. In the mean time take Arnica 200, 3 drops in the morning and Rhus tox. 200, 3 drops at night for 7 days.Take care.
1 person found this helpful
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Mujhe 15 din Pehle chickengunia ho gaya tha. Abhi fever to Nahi hai but joints me baht pain hai. Swelling bhi aa gai hai. Pain ki vajah se knees par. Kay treatment sahi hoga.

BPTh/BPT
Physiotherapist, Bangalore
Mujhe 15 din Pehle chickengunia ho gaya tha. Abhi fever to Nahi hai but joints me baht pain hai. Swelling bhi aa gai ...
Hi, Take hot water fomentation once the swelling reduces, give ice pack to reduce swelling at the moment and that should help. It's a form of viral arthritis where patients suffer with joint pains. To some extent analgesics are helpful but advice not to go for it since the joint pain remains for a longer time after the fever.
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My mother often has pain in her joints (mostly in knees). Is there any remedy for it to minimize the pain. Help me out in it?

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
My mother often has pain in her joints (mostly in knees). Is there any remedy for it to minimize the pain. Help me ou...
Calcium supplements and do some exercise like quadriceps exercise if it work then ok otherwise tk physiotherapy treatment.
1 person found this helpful
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I had an ovary cyst laser operation 2 month ago and after that an injection was given in bump. A big lump was formed after the injection. Noe after two months it it becom smaller but itis not going away and sometimes there is pain also in the hip and leg. Please suggest what I should do.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
I had an ovary cyst laser operation 2 month ago and after that an injection was given in bump. A big lump was formed ...
Hello- try this ayurvedic treatment to further minimize the effects of your previous medications and relive pain. A) avoid spicy, salty, fried and junk food immediately. B) avoid late night sessions. C) avoid fish. D) use ashokarishta 2 tsp twice a day with water. E) tab chandraprabha vati 1 bd f) gulkanda with prawal pishti 1 tsp thrice a day. G) tab bolbadha ras 1 twice daily h) go for basti panchakarama by near by ayurvedic doctor.
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I am 22 year old male I have pain in my knee. When I run it will pain in my leg. After that if I give pressure to my knee it will be paining and difficult to walk and I can't get on stairs. And there is a sound from my knee when I move my leg upwards and downwards please help.

BPT
Physiotherapist, Hyderabad
I am 22 year old male I have pain in my knee. When I run it will pain in my leg. After that if I give pressure to my ...
Hi do the stretching exercises for 5 to 10 min daily twice for you r legs. And apply heat pad for 5 min daily twice if you have any doubts revert me back.
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Backache - The Epidemic

MS - Obstetrics and Gynaecology, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Thane
Backache - The Epidemic

Lower back pain is among one of those ailments that brings life to standstill. Nowadays most common reason for absence at job or college is Back pain. It gives you nothing bur restless and depressed day and sleepless night. It ruins your life's small moments of joy. 

What is low backache? 

It is the pain that felt in lower back which usually originates from joints, bones, muscles, nerves or other structures in spine. 

What is spine? 

Vertebral column or backbone or spine consists of 33 bones; called as vertebrae. Lower 9 are fused in adults. 

  1. Cervical spine in neck region: 7 vertebrae (C1-C7)
  2. Thoracic Spine in upper back: 12 vertebrae (T1-T12)
  3. Lumbar spine in lower back: 5 vertebra (L1-L5)
  4. Sacrum in Lower back Fused: 5 vertebrae (S1-S5)
  5. Coccyx (tailbone) fused: 3-5 vertebrae. 

Significance of Vertebral column:

  1. The major function of vertebral column is protection of spinal cord. 
  2. It provides stiffening for the body and attachments for muscles. 
  3. It transmits body weight while walking and standing. 

What is pain? 

It is a message originates from the location of injury; travels through nervous system and received by brain where it is interpreted as PAIN. 

Acute Backache

  1. It is a sudden low back pain for abortion time. 
  2. It can be because of trauma, trigger or a disorder such as Arthritis.
  3. It limits movements, flexibility and even results into inability to stand or sit straight.
  4. Acute pain can become more serious if left untreated. 

Chronic Backache

When back pain persists for more than 3 months; it is considered as Chronic. 

Causes:

  • Muscle strain or ligaments strain

Improper posture, repeated heavy lifting strain ligaments and muscles if back which result into muscular spasm and severe backache. There are 3 specific movements that are responsible for back injuries. Bending, lifting and twisting. The danger lies in performing any two or more if them simultaneously. 

  • Bulging or Ruptured intervertebral disc
  • Spondylosis: Backpain caused by age related wear and tear of spinal discs. 
  • Spondylitis: It is inflammatory Arthritis affecting the spinal bones. 
  • Spondylolisthesis: It is forward displacement of vertebra over another. 
  • Skeletal irregularities: If spinal curve is abnormal backpain can occur. 
  • Osteoporosis: If vertebrae become porous and brittle, it can cause compression fractures. 
  • Coccydynia: Pain at tailbone is called as Coccydynia. 

Pregnancy: Almost all women experience low back pain during Pregnancy. Maternal weight gain, increased lordosis (Curvature of spine), Stretching of ligaments, increased calcium demand can cause backpain in Pregnancy.

Diagnostic tools:

  • History of illness 
  • History of injury, trauma, accident etc. 
  • X-Ray
  • MRI/CT SCAN 
  • Bone scan
  • Nerve studies (Electromygraphy) 

Treatment:

  • Medicines such as NSAID (Nonsteroidal Anti-inflammatory Drugs) and Muscle relaxants
  • Heat therapy 
  • Cold Compression therapy
  • Physiotherapy
  • Exercise 
  • Surgery 
  • Spinal Traction:
  • It is non surgical way of decompression therapy that relieves pressure in spine. It can be performed by physiotherapist or by machines. 
  • It is useful in backache due to slipped disc, herniated discs, Sciatica, degenerative disc diseases, pinched nerve etc. 
  • A physician can determine the need of traction and weight for traction based on your medical history. 

Backache - Ayurvedic Aspects 

According to Ayurveda Backache (Kati shool, Kati graha, Trik graha, Prushtha Shool) is one of the common disease occurring because of vitiated vata dosha, so it is considered as "Vata- Vyadhi." 

Line of treatment of Vata - Vyadhi

Abhyanga (Massage): Sesame oil, Mahanarayan Oil, Prasarini oil can be used for Massage. 

Swedan (Fomentation): Moist steam of herbs like Dashmool , Nirgundi etc. 

Katibasti: Kati basti is pouring of lukewarm medicated oil and keeping it for sometime on the back region surrouded by ring made by black gram or whole wheat flour. 

Basti: Basti is one of the most important treatments if vitiated vata. Basti can be performed in various forms according to stage of disease and constitution of patient. 

Medicated oil and medicated decoction enema on alternate days for 8 days/15 days or 30 days.

Matrabasti: 60 ml medicated oil enema. 

Panchatikta ksheer basti: It is most useful in management of degenerative bone disease, in which herbs like Adulsa, Guduchi, Nimb, Kantakari and Patol are cooked in cow milk. Sometimes cow ghee can also be mixed. 

Medicines: Gokshuradi guggul, Trayodashang guggul, Yograj guggul can be used under proper guidance. 

Ashwagandha, Musta , Vidang, Ajmoda , Chopchini, Rasna, Devdaru, Punarnava, Shatavari, Shankhabhasma are some useful medicines for backache. 

Yogasana: Yogasana should be learned from experienced teacher. Some yogasana helpful for backache are:

  • Pavanmuktasan 
  • Supta  padangushthasana
  • Tadasana
  • Setubandhasana
  • Parivrutta trikonasana
  • Shalabhasana
  • Bhujangasana
  • Ardhmatsyendrasana
  • Marjarasana
  • Supta vakrasana
  • Ushtrasan

DO'S AND DONT'S FOR BACKACHE 

  • Bend at knees, not at waist. 
  • Keep the object close to your body when lifting it. And keep low back straight. 
  • Think before you act. 
  • Learn exercise and perform regularly. 
  • Sit in proper posture, adjust your work desk accordingly, walk straight. 
  • Do not slouch. 
  • Avoid high heels shoes. 
  • Wear lumbar belt under proper guidance. 
  • Avoid stress. Lose weight if you are overweight. 

    If you wish to discuss any specific problem, you can consult an ayurveda.

4583 people found this helpful

I am getting neck pain very often especially while lifting an object with weight. May I know the reason?

Fellow of Endoscopic spine surgery (FENDS) , Fellow of Interventional spine & pain (FISP) , MD-Anaesthesiology & Pain Medicine, Fellow of Pain Management (FPM) , DA( Gold medal-Anaesthesiology & Pain Medicine) , MBBS
Pain Management Specialist, Delhi
Hi, pain due to lifting weight is due to increased pressure on disc material nucleus pulposus (which is a gelly like substance). In normal condition there should be no pain as bone and muscles are strong to hold the hold of lifting, but when they are weak load transferred to disc.
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I have back pain in right side of backbone mainly during eating .I am suffering from. Last 5 day .Due to this I couldn't eat properly .Day by day the level of pain is increasing.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have back pain in right side of backbone mainly during eating .I am suffering from. Last 5 day .Due to this I could...
twice daily. Avoid bending in front. Postural Correction- Sit Tall, Walk Tall. Extension Exercises x 15 times x twice daily. Apply Hot Fomentation
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I am 63 years old and having a problem of backache, when I sit down on the earth. Please advice me proper treatment.

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. You are very young to have a persistent back pain as a health issue. If you have localized back pain with no other symptoms like radiating leg pain, neurological symptoms like numbness, weakness, paresthesias etc, then you can start with following recommendations for initial period of 2-3 weeks: - to maintain proper posture of your back while working and sleeping - if pain is more then you can take a short course of an anti-inflammatory medication like tab etoshine or paracetamol or one which suits you - physical therapy initially under supervision of a trained physiotherapist and then to continue at home - adequate calcium & vitamin d intake if levels are low in body - ice packs can applied if your pain is acute, then hot fomentation can be done at home - analgesic spray for local application can be used and is easily available. - avoid lifting heavyweight/ acute forward bending in mornings etc we will observe you for next 2-3 weeks how you respond to this conservative management protocol. If you are not feeling better, then we will have to get some investigations like dynamic x rays of lower back and few blood tests for evaluation. Do not hesitate to contact me if you need any further assistance. Thanks & regards
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Sir I want to join force but I have problem in my knee There is no much distance in my knee. My knees are attached to each other please tell me what can I do which exercise is best for me please explain with some pics I will be thankful to you.

MD(EH)/AM/Accupressure
Acupressurist, Chandigarh
Sir I want to join force but I have problem in my knee There is no much distance in my knee. My knees are attached to...
Dear Lybrate user, You may do the following exercises. Chair knee extension: Sitting in a chair, rest your foot on another chair so the knee is slightly raised. Gently push the raised knee toward the floor using only leg muscles. Hold for 5 - 10 seconds and release. Repeat 5 times on each leg. Heel slide knee extension: Lie on your back, with left knee bent and left foot flat on floor. Slowly slide the left heel away from your body so both legs are parallel. Hold for 5-10 seconds, return to starting position. Repeat 5 times on each leg. Knee flexion: Sitting in a chair, loop a long towel under your foot (resting on the floor). Gently pull on the towel with both hands to bend the knee, raising your foot 4 - 5 inches off the floor. Hold for 5 - 10 seconds, then release. Repeat 5 times on each leg. Hamstring stretch: Standing, put one foot in front of you, toes up. With hands on the small of your back (or one hand holding a chair for balance), bend the opposite knee and hip (not your lower back), until you feel the hamstrings stretch. The upper body comes forward at the hip. Hold for 5 -10 seconds, then release. Repeat 5 times on each leg.
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Have a back problem for a few days simultaneously. What should I do? is there anything to be concerned with?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Have a back problem for a few days simultaneously. What should I do? is there anything to be concerned with?
Sleep on a hard bed with soft bedding on it. Use no pillow under the head. Kindly take BioD3 Max 1 tab dailyx10 Paracetamol 250mg OD & SOS x5days Do back(spine)/shoulder/knee exercises Make sure you are not allergic to any of the medicines you are going to take Do not ignore it. It could be beginning of a serious problem. If no relief in 4_5 days,then contact me again.
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I have acute in my knee joints and in my shoulder joints I used to consult orthopaedic but after having medicines for at least two years but I did not got cured.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I have acute in my knee joints and in my shoulder joints I used to consult orthopaedic but after having medicines for...
Do take ift and vacuum therapy treatment for 12 days followed by mobilisation exercise from neuro physio.
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I am 25 year old male and I am suffering from back pain. please help me to remove the pain?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I am 25 year old male and I am suffering from back pain. please help me to remove the pain?
Do consult neuro physio and take ift and laser therapy for 12 days followed by spinal extension. Exercise.
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Hi, My mom is having a knee pain so we took her to physiotherapist and he did some treatment for 10 days and asked to wear a knee cap and given pain killer tabs and we did. But after his treatment my mom leg and ankle started swelling and pain. So please suggest me how to over come this. Thanks in advance.

BPT, MPT - Orthopedic Physiotherapy
Physiotherapist, Faridabad
Hi, My mom is having a knee pain so we took her to physiotherapist and he did some treatment for 10 days and asked to...
Dear lybrate-userDon't worry swelling is due to tight knee cap. Don't use knee cap continue start with 2 hrs a day continue physiotherapy for 20 days more. Ask him to apply paraffin wax don't go for pain killers.
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Could Your Pelvic Pain be Endometriosis?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Could Your Pelvic Pain be Endometriosis?

Endometriosis is a painful condition where the endometrium tissue lining the walls of the uterus, grows as implants outside the womb of the patient. This can lead to a number of painful conditions and is often considered as a common cause behind severe pelvic pain, as far as women are concerned. Here is all you need to know about Endometriosis and pelvic pain.

  1. Painful Menstruation: Depending on the stage of the condition, the implants could remain on the surface or go deeper into the ovaries which may cause acute and severe problem during ovulation as well as the menstrual cycles. This is one of the symptoms that one must not ignore. If you are having painful cramps that affect the pelvic area and the abdomen, and if these cramps last throughout the duration of the cycle, then there are strong chances that you are experiencing the pain that comes with Endometriosis. 
  2. Pain During and After Intercourse: While there are many reasons why women may face pain during intercourse, it may be noted that vaginal and pelvic pain that come during and after intercourse could point towards the presence of Endometriosis, which is causing irritation and discomfort due to the implants. 
  3. Bowel Movements and Urination: Usually, pelvic pain may trickle down to and also get activated by the bowels when there is a motion as well as urination. This is a common problem that can cause pain, which spreads throughout the region if the patient is suffering from Endometriosis. 
  4. Bloating and Other Symptoms: When the abdomen and nearby regions face bloating due to the implants and their painful spread, the pelvic region as a whole bears the brunt in terms of severe pelvic pain. The bloating and other symptoms like loose motions and constipation can also create pain in the abdomen and pelvic region on a persistence basis. Sharp pains may also shoot up and down the lower back due to such symptoms which should not be ignored if they do not abate within a few days. 
  5. Misdiagnosis: Many times, the bloating and pelvic pain may be linked with pelvic inflammatory disease, which causes pain in the muscles and joints. But if you are having pain in the abdomen as well as problems during your menstrual cycle, then it may be helpful to have the tests for Endometriosis done as well. 

In order to diagnose the condition, the doctor must ensure that proper imaging tests like MRI and CT scans as well as an ultrasound with lab tests based on blood samples have been conducted. The pelvic pain that comes with this condition can be treated with the help of pain relievers like ibuprofen and aspirin.
 

4675 people found this helpful

She is 72years old now a days suddenly she have knee problem she have pain in her knee and she don't want to go to the doctor. She behave like small kids? please tell me how can I explain her & make her understand the importance to meet doctor.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Kindly convince her. Knee surgery-total knee replacement (tkr) surgery is quite safe & gives uniformly good results, if done in a well equipped center. We have such centers in delhi with competent joint replacement surgeons. Do ask for detailed treatment plan. Do not ignore. It could be beginning of a serious problem.
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If I can do lil work I feel tiered n my body is pain. What is the reason behind this n what can I do for feel better?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
If I can do lil work I feel tiered n my body is pain. What is the reason behind this n what can I do for feel better?
It might be of muscle strain or fatigue do learn and practise strengthening and stretching exercises from neuro physiotherapist do take balanced diet and hyderated best wishes for.
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Sir I had fever 103 and cough and body pains please say me which medicines I have to use.

MBBS
General Physician, Cuttack
Sir I had fever 103 and cough and body pains please say me which medicines I have to use.
1Take Crocin 500mg one tablet 2-3 times daily after food 2. drink plenty of water, do warm saline gurgling 2-3 times daily.Take adequate rest 3.Take Honitus syrup 2 Tsf thrice daily 4. If no relief, you have to take antibiotic and do blood examination after consulting doctor 5. consult me for further advice
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I have a neck pain and joints pain please send valuable information about this pain cure.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
I have a neck pain and joints pain please send valuable information about this pain cure.
1) Do massage with warm sesame oil or suitable oil for 15 min., afterwards take hot fomentation for 10 min. 2) Start natural calcium supplement. 3) Do regular stretching exercise 4) In yoga DO BHUJANGASAN, HALASAN & SURYANAMASKAR. LIFE-STYLE CORRECTION 1) Correct your sitting posture. 2) Take small pillow or back rest for lower back. 3) Foot should rest to floor easily. 4) Take small break after 1 hr & walk few steps. 5) Do neck & upper back extension, give feedback after 4 days.
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