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STERLING SUPER SPECIALITY HOSPITAL

Physiotherapist Clinic

Mothi valley, Tirmulgherry Secunderabad
1 Doctor
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STERLING SUPER SPECIALITY HOSPITAL Physiotherapist Clinic Mothi valley, Tirmulgherry Secunderabad
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We are dedicated to providing you with the personalized, quality health care that you deserve....more
We are dedicated to providing you with the personalized, quality health care that you deserve.
More about STERLING SUPER SPECIALITY HOSPITAL
STERLING SUPER SPECIALITY HOSPITAL is known for housing experienced Physiotherapists. Dr. D Brahmam, a well-reputed Physiotherapist, practices in Secunderabad. Visit this medical health centre for Physiotherapists recommended by 78 patients.

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MON-SAT
09:00 AM - 09:00 PM

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Mothi valley, Tirmulgherry
Secunderabad, Andhra Pradesh - 500015
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Doctor in STERLING SUPER SPECIALITY HOSPITAL

Dr. D Brahmam

Physiotherapist
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09:00 AM - 09:00 PM
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Back Pain Symptoms!

MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
Back Pain Symptoms!

Back Pain Symptoms
Back plays a very important role in a human body. It is composed of a complex structure of muscles and ligaments that supports the body and enables us to stand, move around, and indulge in almost every physical activity. The inconveniences with any of these bodily structures can lead to back pain which might range from severe to moderate. This is very common among people from all age groups due to their sitting and standing position.

Do you think why you have a back pain every time? Well, the cause of back pain is still unknown. The back pain varies from one person to another. Some of its symptoms suggest that back pain has a more serious cause that includes fever, weight loss, and numbness.

 

Symptoms of Back Pain
In most cases, back pain gets cured and one does not go to a doctor. Back pain is accompanied by many symptoms; some of those are included below. If a person experiences any of these symptoms, it might be a sign of a back pain; the doctor should be informed about it.

-  Fibromyalgia – Fibromyalgia causes pain in the entire body. A person has painful tender joints that hurt a lot even after taking medicine. In this condition, the affected person should not indulge in any kind of exercise. The symptoms of fibromyalgia differ from one person to another, but symptoms such as stiffness, fatigue, and issues while sleeping are common. Apart from back pain, patients also experience stiffness in the shoulders and neck. Patients complain of feeling extremely tired, especially waking up and feeling pain in specific areas called tender points. Many patients complain about stiffness, which is worse in the morning and increases as the day passes. Any physical exertion increases the pain.

It can be improved by adopting lifestyle changes that include a change in diet and exercising daily.

-  Degenerative arthritis –This condition occurs due to an internal damage caused to the facet joints. The surfaces of the joints are lined with smooth cartilage that allows movement. Both sides of the joint rub against each other, thus allowing a free movement. In case of injury or internal damage, apart from back pain, patients may also experience stiffness and pain in bending over. The joints are smaller when compared to the body weight they bear. The stress and strain may cause damage to the cartilage. Injuries and other internal and external damages over a lifetime may cause the joints to degenerate. 

The spinal facet pain in the lower back pain may, later on, lead to osteoarthritis.

-  Inflammatory arthritis– It is a group of disease caused due to inflammation of joints and other tissues. In this condition, there is pain in the lower back, together with morning stiffness in the hips or both; in some cases. There is also pain, feeling of tiredness and stiffness in the neck or the chest. Other symptoms of this disease include psoriasis, eye pain, and fever; depending on the specific disorder that is causing the back pain.

-  Osteoporosis – This condition is different from rheumatoid arthritis and other forms of arthritis as it only affects joints without affecting organs or soft tissue areas of the body. It is often characterized by thinning and weakening of bones that fracture easily. It is most common in postmenopausal women. When vertebrae are compressed because of a fracture, along with a slight to moderate slouch, it may result in back pain. This condition does not cause any pain unless a bone fractures.

-  Cancer in the Spinal Column: If cancer spreads to spinal nerves that control the bladder and bowel, there may be bowel incontinence. Its symptoms depend on various factors, including the tumor type, size, age and health. Some of the common symptoms include back pain, numbness, weakness and difficulty while urinating. These symptoms even get worse with time.

Sometimes the symptoms may occur quickly and sometimes slowly and it may take hours and days. Metastatic spinal tumors, which spread to the spine from a different location in the body, progress quickly.

-  Protruding disk: A spine intervertebral disc when sustains an injury to the spine, it is commonly referred to as Protruding disk. This injury can not only occur in the lower, upper, and middle back, but also at the cervical spine. People with significant disk disease go through severe pain in the lower back. If a disk compresses a nerve, the pain may spread down to one leg. In this condition, one should avoid bending or twisting. It is mostly caused due to poor posture while sitting and standing. To lower the effect of poor posture on the spine it is necessary to continuously maintain a good posture or regularly change the posture.

-  Back sprain: A series of ligaments and muscles hold the bones of the spinal column together. A person may strain these muscles by stretching them too much. This can even tear the tissue.

The muscles get weak due to which it cannot be held at one place. Because of this, the spine gets a little unstable and causes back pain.

Back pain usually occurs after heavy exertion in which muscles in the back, buttocks and thighs get stiff.

One can avoid back pain by improving one’s physical condition by adopting certain changes in lifestyle.

-  Exercise: One should start their day with light aerobic activities that do not strain the back. This can increase the strength of the back by allowing the muscles to function better. Walking and swimming are the most recommended form of exercise. Alternatively, people can talk to a doctor about which activities they should indulge in.

-  Build muscular strength: One should practice abdominal crunches and back muscle exercises that strengthen muscles so that they can work together. Communicating with the therapist to know the right exercises is important.

-  Watch your weight: Being overweight strains the muscles of the back. Overweight people should cut down on their weight in order to avoid back pain.

-  Quit smoking: Smoking is definitely injurious to health. It is difficult to quit it at once; therefore, one should talk to their doctor about ways to quit it.

People suffering from back pain should bring about some changes in their normal routine and temporarily avoid lifting heavy items and sitting for long hours. If a patient is recovering from back pain, they can ask the doctors to follow up regularly to know whether the symptoms have been cured or not. Once the symptoms have relieved and the patient feels decrease in the intensity of the back pain, they should go back to their normal routine.

 

6 Ways To Deal With Torn Cartilage!

MS - Orthopaedics, DNB (Orthopedics), MNAMS - Orthopaedics, Fellowship in Joint Replacement
Orthopedist, Jaipur
6 Ways To Deal With Torn Cartilage!

Torn cartilages are quite a common form of injury occurring in the human body. While one can’t always be too cautious of injuries, one can still try to be conscious of their muscles and do not move about in an abrupt manner to cause injury to themselves. Further, even though torn cartilages are very common, they are quite painful and most often they occur in the knee. Here are some tips to ensure that your torn cartilage heals well and you are exposed to less pain during the healing period:

  1. Rest: You must take rest. While it is advised to take bed rest, humanly it is impossible to spend all day in bed. Thus one can move about a little but avoid walking and straining their legs and knee too much. At times crutches can be taken while taking a few steps in the room.

  2. Ice Therapy: Putting ice bags in the affected area helps in relaxing the muscles and reducing the pain quite a lot. Though previously people adhered to putting hot water bags, the scenario is slowly changing to ice therapy.

  3. Compress: When you are suffering from a torn cartilage, the doctor often puts a bandage on the knee to compress the area. This is done so that the muscles are brought together and they can heal on their own with time and rest.

  4. Elevate the Knee: Often it is seen that during such cases, the knee or the hands are rested in an elevated platform. This platform is created with the help of a pillow mostly. This lets the cartilage get time to rest and heal on its own.

  5. Avoid Strenuous Activities: This includes jumping, running, jogging, kicking etc, when it comes to the legs and writing, lifting weight etc. when it comes to the hands. These activities require a lot of strength and power and most of all the use of the cartilages. Since the cartilages are torn and in their healing mode, it is best to avoid such activities for a certain amount of time to not put pressure on the cartilages and damage them further.

  6. Painkillers: It has been already mentioned that the healing period can be painful. Thus, the doctor may prescribe some painkillers to ease the pain during this time.

Thus, these are some of the easiest ways to deal with a torn cartilage. The recovery period may be painful, but it happens to many people and is completely healable in nature.

What Are The Risks And Advantages Of Bilateral Knee Resurfacing Surgery?

MS - Orthopaedics, MD - Physician
Orthopedist, Nagpur
What Are The Risks And Advantages Of Bilateral Knee Resurfacing Surgery?

My mother aged 65 years has severe arthritis of both knees, should she get both knees replaced in one sitting?

You should do both knees in one sitting if the severity is same in both the knees and the patient is unable to differentiate the painful knee. In case the patient says one knee is more painful than address one knee at a lime. Your own knee is always the best till it lasts.

What are the advantages of doing both the knees in one sitting?

  • Exposure to the risk of anaesthesia reduced to only once
  • Aids simultaneous rehabilitation especially in severely deformed knees
  • Bilateralprocedure reduces cost
  • Earlier return to baseline function and convenience for the patient and relatives
  • Shorter cumulative hospital stays

What are the risks associated with bilateral Total Knee Replacement (TKR) and are there any studies to support the same?

The risks of cardiac and infection related complications for bilateral TKR are lower than the combined risk of two unilateral TKRs. A population-based comparison of the incidence of adverse outcomes after simultaneous-bilateral and staged-Bilateral Total Knee Arthroplasty published in The Journal of Bone And Joint Surgery.

Result: Records were available for 11.445 simultaneous-bilateral arthroplasty Procedures and 23.715 staged-bilateral procedures.

Conclusions: Simultaneous-bilateral total knee arthroplasty was associated with clinically important reduction in the incidence of infection and malfunction within one year after arthroplasty.

What is the latest Technology available which could help improve surgical outcomes?

Custom Fit Knee Resurfacing: A knee with your name on it i.e. customized specifically based on your dimensions.

Understanding Custom Fit Knee Resurfacing: You are unique and so is your individual anatomy and thus lack of accuracy leads to discomfort and even further corrective surgeries That is why Custom Fit Knee replacement surgery, which utilizes MRI (Magnetic Resonance Imaging) technology to create personalized positioning guides for total Knee replacement is recommended.

Practical Benefits Of Custom Fit Knee Replacement

  • MRI of the affected knee is done based on which we can make a customized jig for better fitting of the implant for the patients
  • No intra medullary instruments so minimal chances of fat embolism
  • Minimally Invasive (just a 4-5 inch incision)
  • Improves the speed of the operation theater time (40% reduced surgical time)
  • Increases implant inventory efficiency (know sizing)
  • Faster recovery of the patient
  • Perfect patient alignment thus better mobilization

What is the role of body exhaust 'space' suits in Bilateral TKR?

  • 'Space' suits maintain a more sterile environment and offer more mobility to the surgeons.
  • Space suits are used to help reduce contamination from the operating teams from entering the wounds.
  • The impure air exhaled by the operating team is pushed down by the rotating fan in the helmet of space suits and absorbed by the laminar air flow in the 0.T.

Shoulder Arthritis Treatment - Things You Need To Be Aware Of!

MBBS, MS - Orthopaedics, TORT Centre, Ninewells Hospital, University of Dundee
Orthopedist, Jaipur
Shoulder Arthritis Treatment - Things You Need To Be Aware Of!

The shoulder is one of those joints in your body that enjoys the maximum wear and tear by virtue of being an extremely mobile joint and one of the most over-worked as well. This increases the risk of dislocation and instability. Arthritis is one of the most common causes of pain, as per various medical reports and is usually found to affect the tendons, ligaments, and even the muscles and joints of the body due to excessive wear and tear. There are various kinds of shoulder arthritis and treatments that are available. Read on to find out more.

  1. Rheumatoid Arthritis: This autoimmune condition creates stiffness in the shoulders along with rheumatoid nodules or small bumps under the skin of this region. It may affect both shoulders at the same time. Swelling or inflammation of the joints is a common occurrence in this condition along with fever, fatigue and weight loss.

  2. Osteoarthritis: This form of arthritis basically has to do with wear and tear of the connective tissue and bones. The symptoms are pretty severe and can go from tenderness to pain and stiffness with an increased risk of bone fractures.

  3. Post Traumatic Arthritis: PA or post traumatic arthritis occurs due to an injury in the shoulder and can cause instability as well as dislocation of the shoulder. A sports injury is the most common cause of this kind of arthritis. Pain and inflammation are the most common outcomes of this kind of injury and arthritis.

  4. Avascular Necrosis: When the tissues of the shoulder joints go through damage, it leads to this form of arthritis. Joint dislocations and fractures are the most common causes of this kind of damage. This usually happens because blood flow does not happen over the long arm bone to reach the shoulders due to the damage rendered to the tissue. Excessive alcohol consumption and high steroid intake can also lead to this damage.

  5. Rotator Cuff Tear Arthropathy: This kind of arthritis is caused due to a rip in the shoulder cuffs.

Treatment Measures-

The most common forms of treatment include surgery like joint replacement surgery (replacing the damaged parts of the shoulder with an artificial prosthetic joint), Arthroscopy (cleaning out of the joint with minor incisions), and resection arthroplasty (removing the bone from one’s collarbone). Also, corticosteroid injections can be given and anti-inflammation drugs like ibuprofen can be prescribed for this condition. Exercises and physical therapy will also be helpful in such cases so as to strengthen the shoulder and joints.

It is important to also make lifestyle changes to give rest to the shoulder and abstain from too much alcohol consumption.

Sciatica - Most Common Exercises To Treat It!

BPT, Master of Hospital Administration
Physiotherapist, Gurgaon
Sciatica - Most Common Exercises  To Treat It!

The sciatic nerve is one of the largest nerves in the body. It goes from the lower back all the way down to the base of the leg. When there is a disorder associated with the sciatic nerve, it is known as sciatica. Sciatica, however, does not necessarily need a surgery or a very elaborate procedure to fix the problem. Most commonly, it is treated simply by practicing a number of simple exercises.

Here are some of the most common exercises prescribed to treat sciatica:

1.        Reclining pigeon pose
There are three main forms of the pigeon pose. These are sitting, reclining and forward. It is recommended that if you are just starting your treatment for sciatica that you use the reclining pose. In this pose, you are supposed to hold your left leg in the air at a right angle to your back. Then you are supposed to hold your ankle against the knee. Finally, repeat this stretch with the right leg as well.

2.        Knee to opposite shoulder
In this stretch, the starting position is on your back side. You have to have your legs out and feet upwards. From this position, try to bring your right leg towards your left shoulder. Hold this for 30 seconds and then release and relax. Repeat this exercise three times and then repeat the whole procedure with your other leg. Only take your leg as far as it will go.

3.        Sitting spinal stretch
At the start of this exercise, sit on the ground with your legs going straight outwards and your feet flexed in the upward direction. Pull your left knee and then put it on the outside of your right knee. Finally, place your right elbow on the left knee so that your body turns to the left. Hold for 30 seconds and then relax before repeating with the other knee.

4.        Standing hamstring stretch
Put your foot on an elevated surface such that it is above the floor but not above hip level. Flex your toes forward such that your feet and legs are nearly in a straight line. Bend as far towards the foot as possible. However, do not stretch so far that you feel pain. Finally, repeat this procedure on the other side after release.
 

Sir, Mere dahine pair me dard bana rahta hai. Hip se leker gutno tak dard hota hai. Kya kre.

MD - Homeopathy, BHMS
Homeopath, Pune
Stretch after workouts. Exercising, injury or overuse of muscles can often lead to leg cramps.] People can get cramps within minutes or up to six hours after working out or any type of physical exertion. If nighttime cramps are an issue, be sure to stretch before bedtime, but make sure your muscles are warmed up. Try soaking in warm water or using a heating pad. Bathing in warm water or the use of heating pads is often recommended to relieve the discomfort of leg cramps. Heat may help ease cramping by increasing blood flow to the area and relaxing the muscle. Try soaking in a warm bath and use a heating pad on muscles that feel stiff or tight. Pay attention to the positioning of your legs. To reduce the chance of leg cramping, avoid standing on hard surfaces for a long period of time or sitting for a long time.Instead, make sure you allow the blood to circulate throughout your limbs by moving and stretching your legs frequently during the day. Know your limits during workouts. Oftentimes, cramps are a result of pushing yourself harder than your body is used to. Avoid rapidly increasing the intensity or duration of a workout. Instead, train up to it gradually, and always pace yourself. Stay hydrated. Some studies have found that staying hydrated will prevent cramps (while other studies have found no correlation between the two). Researchers believe that the decreased fluid around a body’s cells causes muscle twitches, which in turn causes cramps. Be sure to drink enough water daily and replenish after exercising. Replenish sodium. Electrolytes are essential in maintaining the fluid balance in your body and can be lost when you sweat. Sodium in particular is lost through sweat more than other electrolytes. If you are sweating — especially if the weather is hot, if you are exercising, or you are an endurance athlete — the loss of sodium may lead to cramping and more dangerous condition called hyponatremia Increase your calcium intake. Ensure you have enough magnesium in your blood. Avoid potassium depletion FOR MEDICATION CONSULT ONLINE IN PRIVATE.
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Posture And Pain

BPTh/BPT, Bachelor In TCM, DTCM
Physiotherapist, Mumbai
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Poor posture while sitting, standing, lying down or moving around is a major cause of back pain. Sitting and standing for long time put considerable pressure on the lower back, in fact, standing exerts up to five times more pressure than lying down, and sitting is even more strenuous.

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I broke my hands and it fixed with I'm nail fore arm fracture in June 2017 and it was removed in June 2018 now in December 2018 can I go to gym are there any chances to break my arms if I lift weight again and what's the weight that I should lift whats the max weight.

MBBS, MD - Physical Medicine & Rehabilitation
Orthopedist, Mumbai
It all depends on your body weight ,union of the broken bones and the strength of your forearm muscles .It is difficult to give opinion without assessment.
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Daily I used to go to my office by stairs which is on 8th floor. Is it a good practice or it may leads to knee pains in old age. Please tell me how much we should walk and how many floors is good to climb per day?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Daily I used to go to my office by stairs which is on 8th floor. Is it a good practice or it may leads to knee pains ...
There is nothing like over use of joints. If it were to be so, then athletes & sports persons would have been worst sufferers in their old age.
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