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Dr. Sunil Nigam

MBBS

Orthopedist, Pune

350 at clinic
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Dr. Sunil Nigam MBBS Orthopedist, Pune
350 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. Sunil Nigam
Dr. Sunil Nigam is a trusted Orthopedist in Kharadi, Pune. He is a qualified MBBS . He is currently associated with Dr. Sunil Nigam@Agarwal Maternity & General Hospital in Kharadi, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Sunil Nigam on Lybrate.com.

Lybrate.com has top trusted Orthopedists from across India. You will find Orthopedists with more than 39 years of experience on Lybrate.com. You can find Orthopedists 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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MBBS - - -

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Agarwal Maternity & General Hospital

Sangarsh Chowk, Kharadi Road, Chandan Nagar. Landmark: Near to Samruthy Market.Pune Get Directions
350 at clinic
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I have pain in my right shoulder before last 3 years. I have operated my shoulder 2 times but there is no response. What should I do.

MBBS, MS - Orthopaedics, Ozone Therapy
Orthopedist, Ghaziabad
I have pain in my right shoulder before last 3 years. I have operated my shoulder 2 times but there is no response. W...
good morning Gautam please upload the previous prescriptions and tell me what types surgeries you have undergone and what are the problems right now you are facing please specify to help you in a better way
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Wat are the solution of slip disk as I am suffering from slip disk always having pain and wat are the solution of pain is any pain killer is advisable?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
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. Any way take ibuprofen 200mg od & sos x 5days caldikind plus (mankind) 1 tab odx10days you will need other supportive medicines also. Take multivitamins & other antioxidants along with. Do back (spine) exercises make sure you are not allergic to any of the medicines you are going to take do ask for detailed treatment plan. Don? t ignore, lest it becomes starting point of a major problem.
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Facial Paralysis - How Can Physiotherapy Help You Get Better?

MPT, BPT
Physiotherapist, Noida
Facial Paralysis - How Can Physiotherapy Help You Get Better?

Facial paralysis can happen due to many factors. Sometimes inflammation develops around the facial nerve as it passes through the skull from the brain. This presses on the nerve and makes it stop functioning. As the nerve stops functioning, so does the muscle it controls.

This is what happens in Bell’s palsy, the most common cause of facial paralysis.

Bell’s palsy can happen to anyone and its cause is, hold your breath, a viral infection. Herpes zoster, Varicella zoster and HIV viruses can cause Bell’s palsy.

Bell's palsy is a common cause of a facial paralysis but there are many others too that affect or damage facial nerve. These include head injury, sarcoidosis, lyme disease, growths in the ear, tumours in the parotid gland, brain tumors and stroke.

The weakness of the face usually one-sided is a symptom of Bell’s palsy. The face may droop to one side, chewing food is also tough, drooling, dry eyes and difficulty wrinkling forehead and speech are other symptoms of Bell’s palsy, the most common reason for facial paralysis.

Treatment:

The type of therapy you receive for facial paralysis will depend on its cause. It will also develop on how long you’ve suffered from facial paralysis and the extent of damage to the facial nerve.

Your physiotherapist can help and so can speech and language therapists to deal with the issue.

In physiotherapy, a treatment called 'facial retraining' with facial exercises helps with facial palsy. It is important that you seek help from a therapist who specialises in facial rehabilitation only.

This is what you can expect from facial rehabilitation therapy-

  1. Exercises for eye care

  2. Exercises for dry mouth management

  3. Exercises to make drinking and eating easier

  4. Speech therapy

Your physiotherapist will educate you on how the facial nerve works and how it recovers. This is important to make you recover. A home therapy programme plays an important role too. It includes massages to keep face muscles mobile and healthy, stretches to lengthen muscles, exercises to help re-learn balanced facial movements and relaxation of your facial nerve and muscles.

The physiotherapist will work on your facial movement to make muscles fit. The basic idea is to slowly rewire the brain-to-nerve-to-muscle pathway. The physiotherapist’s first step is to retrain you to do correct movements voluntarily, while mentally focusing on the movement.

Physiotherapy may take months but keep at it to recover completely, especially the home exercises.

Injections of botulinum toxin or Botox also help especially if you suffer from spasms in facial muscles. Surgery is also an option for chronic cases.

Remember that exercises should be done gently as well as daily to reap benefits. Always do these exercises with the help of a therapist only. Doing exercises by yourself can be counter- productive.

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M having sciatica problem since dec2015 I hav tried naturopathy yoga n went for ayurvedic treatment n took med for 15 days bt I was told der I no further med which could help me please suggest me treatment should I go for I also hv thyroid n my tsh is raised. Thank yu.

Diploma In NAturopathy & Yoga, Diploma In Panch Karma, B.A.M.S.(Alt. Med.)
Ayurveda, Delhi
Dear 1. First of all, if you are obese then try to reduce weight which will automatically reduce your pain by 50%. 2. Avoid forward bending, lifting heavy objects and high heel foot wears. 3. Take giloy juice 15 ml twice daily 30 minutes after food. 4. Go for ayurveda panch karma treatment, which will cure your sciatica and knee pain problem. 5. For thyroid problem do simha asan (loin posture) twice daily. Thanks
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I just wanted to know that my left foot has miner fractured on the above of ankle I got to know when I have done XRAY please suggest what should I do?

MS - Orthopaedics, MBBS
Orthopedist, Hyderabad
If the fracture is undisplaced then it can be treated by a plaster cast but if its displaced then needs surgery.
1 person found this helpful
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Hi I am 26 years Old and pregnant for 12 weeks. I have ortho problem in my right knee. Is it good to consult and take medication for ortho while i am pregnant. Thanks in advance for your answer.

MS orthopedics , MBBS
Orthopedist, Delhi
Hi I am 26 years Old and pregnant for 12 weeks. I have ortho problem in my right knee. Is it good to consult and take...
Avoid medication Avoid sitting cross leg and squatting Quadriceps exercise Hamstring stretching Hot water fomentation Oxalgin gel locally
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Hello doctor, from last week I am suffering from back pain .Please suggest me remedies for my pain. Thanks in advance.

MBBS, M. S., SR (AIIMS),FIJRS (SOUTH KOREA)
Orthopedist, Delhi
Hello doctor, from last week I am suffering from back pain .Please suggest me remedies for my pain. Thanks in advance.
Hi dear Back pain is a very common problem. It's not a disease as such. All back pain for short duration like your case 7 days are mostly mechanical backache. Usually subsides with rest only. Back pain is usually related to the lifestyle of the patient. Too much of exercise or stretching and stiffness both can cause pain. Take rest for the acute episode. When pain subsides start light back range of motion exercises. Do them regularly strengthen your back slowly. Eat healthy diet for your bones and joints. Need detailed history and workup for complete treatment. Thanks take care.
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Hi I am eva 23 years old whenever I come back from work and lie down I get severe back pain I had never experienced this before but I'm getting this pain from past 2 weeks only when I make some movements while I get the pain like when I'm waking up or lying down or turning side otherwise while standing or working I'm just fine could you please suggest me for what reason I'm experiencing this pain.

BPTh/BPT
Physiotherapist, Delhi
Hi I am eva 23 years old whenever I come back from work and lie down I get severe back pain I had never experienced t...
Start with Physiotherapy treatment to relieve pain. Start taking milk twice a day. Don't lift heavy things. Start with spinal exercise. Apply volini cream. Use lumber spine belt. Take calcium and multivitamin for 2 month.
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Paralysis - Can Physiotherapy Help You?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Paralysis - Can Physiotherapy Help You?

Paralysis can be concluded as the state when the muscles lose functioning in any part of the body. Any kind of disruption in our nerve system can be responsible enough to cause paralysis. Our central nervous system and peripheral nervous system communicate and control our senses of movement. But interruption in nerve impulses can cause weakness in muscles which leads to muscle paralysis.

Symptoms
A paralysed patient will encounter symptoms like:

  1. Decreasing the motor power
  2. Decreasing vasomotor control
  3. Loss of sensation
  4. Decreasing bowel and bladder control
  5. Losing the ability of sexual function.

When it comes to treating a paralysis patient, physiotherapy is proven to be the best remedy. Physiotherapy has thoroughly helped patients with paralysis in getting to feel confident and independent. Physiotherapy includes various exercises and techniques which are developed with time in order to provide a complete rehabilitation to the patients.

Types of paralysis:
There are mainly four types of paralysis

  1. Monoplegia: when one limb gets paralysed
  2. Hemiplegia: when arm and leg of a single side get paralysed
  3. Paraplegia: when legs get paralysed
  4. Quadriplegia: when both sides get paralysed

Treating paralysis with physiotherapy

  1. Physiotherapy is advised to patients with any type of paralysis. It should be started soon in order to improve blood circulation in the muscles. It also helps in relaxing the stiff muscles. This treatment improves the overall health condition of the patient.
  2. Physiotherapy is also responsible for reducing any kind of swelling which takes place due to external brain injury.
  3. Physiotherapy is helpful in making the patient stable and independent.
  4. It also helps in maintaining the blood pressure.
  5. It helps to improve the respiratory system.
  6. Physiotherapy maintains the affected muscles and nerves. It provides strength to the affected muscles and works to prevent the limbs from getting deformed.
  7. One major symptom of paralysis is a loss of bladder and bowel function. Physiotherapy helps in managing the paralysed bowel and bladder.
  8. Physiotherapy involves different techniques which can be learnt from a physiotherapist in order to transfer a paralysed patient.
  9. Othorsis, canes, braces, splints are the equipment that are advised to the patient by a professional physiotherapist.
  10. Physiotherapy helps in resolving problems such as anxiety, anger, depression, denial which takes place after post-paralysis mental trauma.
  11. Physiotherapist provides safeguarding tips to the patient and his or her family in order to avoid accidents.
  12. Physiotherapy has a big role in creating the motivation in patient's mind.

These are the benefits of physiotherapy which help the paralyzed limbs getting stronger and better. But it is always advised to be done under a professional physiotherapist.

1 person found this helpful

I am suffering from back pain now a days, and 2 years back I am checking with doctor and I am scanning my back structure nd that time doctor said there is no problem with bones, now I days having back pain. I do not know wt can I do. Pls help me for recovery.

BHMS
Homeopath, Faridabad
I am suffering from back pain now a days, and 2 years back I am checking with doctor and I am scanning my back struct...
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). (Excessive sitting or standing is to be avoided as well don’t carry much weight on shoulders). 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. Begin focusing each body part and relaxing it, then moving on. Keep the mind focused on relaxation, the breath should be normal. Relax the whole body. Management: -Stretching or activities that place additional strain on the back are discouraged. -Sleeping with a pillow between the knees while lying on one side may increase comfort. -Lying on your back with a pillow under your knees would also relieves pain and no pillow under your head. -Some people seem to benefit from the use of ice or heat. Take care, do not use a heating pad on ‘high’ or place ice directly on the skin. 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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