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Dr. Praneeth Gykward

MBBS

Physiotherapist, Thane

500 at clinic
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Dr. Praneeth Gykward MBBS Physiotherapist, Thane
500 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. Praneeth Gykward
Dr. Praneeth Gykward is a trusted Physiotherapist in Kaushalya Medical Foundation Trust Hospital, Thane. She is a MBBS . She is currently practising at Sapphire Hospital in Kaushalya Medical Foundation Trust Hospital, Thane. Book an appointment online with Dr. Praneeth Gykward on Lybrate.com.

Lybrate.com has a number of highly qualified Physiotherapists in India. You will find Physiotherapists with more than 26 years of experience on Lybrate.com. Find the best Physiotherapists online in Thane. 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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Sapphire Hospital

Off Tikujini Wadi Road, Ghodbunder Road, Thane West,Landmark:Near Manpada Signal, ThaneThane Get Directions
500 at clinic
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Sapphire Hospital

Off Tikujini Wadi Road, Ghodbunder Road, Thane West,Landmark:Near Manpada Signal.Thane Get Directions
500 at clinic
...more
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I'm having itching in my back and when I'm sitting I feel very irritating and I have pain in my back. Before 20 days I don't have this kind of symptoms, now I joined in one new job here mrng I'll come and sit till the evng in the same place, by this work I have pain or I suffered by any other problem I don't know please clear my doubt.

D.P.T
Physiotherapist, Hyderabad
I'm having itching in my back and when I'm sitting I feel very irritating and I have pain in my back. Before 20 days ...
Dear Akash sitting continuous at one place and improper posture of sitting causes more back pain, you need to take a break for 10min for every hour. if possible use cushion on chair, avoid bending forward and sitting for prolonged time. apply diclofenac ointment with heat therapy for faster relief from pain. continue for a week, if possible do back strengthening excercises in the morning.
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Non-surgical Treatment for Cervical Spondylosis - Tips!

MBBS, MD, FIMSA, FIPP
Pain Management Specialist, Delhi
Non-surgical Treatment for Cervical Spondylosis - Tips!

Spondylitis includes swelling of the vertebra. It happens because of wear and tear of the ligament and bones found in your cervical spine, which is in your neck. While it is to a great extent because of age, it can be brought on by other reasons too. Side effects incorporate pain and stiffness starting from the neck to the lower back. The spine's bones (vertebrae) get fused, bringing about an unbending spine. These changes might be mellow or extreme, and may prompt a stooped-over posture. Some of the non-surgical methods to treat spondylitis are as follows-

  1. Exercise based recovery/physiotherapy: Your specialist may send you to a physiotherapist for treatment. Non-intrusive treatment helps you extend your neck and shoulder muscles. This makes them more grounded and at last, relieves pain. You may neck traction, which includes using weights to build the space between the cervical joints and decreasing pressure on the cervical disc and nerve roots.
  2. Medications: Your specialist may prescribe you certain medicines if over-the-counter medications do not work. These include:
    1. Muscle relaxants, for example, cyclobenzaprine, to treat muscle fits
    2. Opiates, for example, hydrocodone, for pain relief
    3. Epileptic medications, for example, gabapentin, to ease pain created by nerve damage
    4. Steroid infusions, for example, prednisone, to decrease tissue irritation and diminish pain
  3. Home treatment: In case your condition is less severe, you can attempt a couple of things at home to treat it:
    1. Take an over-the-counter pain reliever, for example, acetaminophen or a calming medication, for example, Advil or Aleve.
    2. Use a warming cushion or an ice pack on your neck to give pain alleviation to sore muscles.
    3. Exercise routinely to help you recover quickly.
    4. Wear a delicate neck prop or neckline to get transitory help. In any case, you shouldn't wear a neck brace for temporary pain relief.
  4. Acupuncture: Acupuncture is a highly effective treatment used to mitigate back and neck pain. Little needles, about the extent of a human hair, are embedded into particular points on the back. Every needle might be whirled electrically or warmed to improve the impact of the treatment. Acupuncture works by prompting the body to deliver chemicals that decrease pain.
  5. Bed Rest: Severe instances of spondylitis may require bed rest for close to 1-3 days. Long-term bed rest is avoided as it puts the patient at danger for profound vein thrombosis (DVT, blood clots in the legs).
  6. Support/brace use: Temporary bracing (1 week) may help get rid of the symptoms, however, long-term use is not encouraged. Supports worn for a long time weaken the spinal muscles and can increase pain if not continually worn. Exercise based recovery is more beneficial as it reinforces the muscles.
  7. Lifestyle: Losing weight and eating nutritious food with consistent workouts can help. Quitting smoking is essential healthy habits to help the spine function properly at any age.

ONCE THE CONSERVATIVE TREATMENT FAILS:

Early aggressive treatment plan of back & leg pain has to be implemented to prevent peripherally induced CNS changes that may intensify or prolong pain making it a complex pain syndrome. Only approx 5% of total LBP patients would need surgery & approx 20% of discal rupture or herniation with Neurologically impending damage like cauda equina syndrome would need surgery. Nonoperative treatment is sufficient in most of the patients, although patient selection is important even then. Depending upon the diagnosis one can perform & combine properly selected percutaneous fluoroscopic guided procedures with time spacing depending upon patient`s pathology & response to treatment. Using precision diagnostic & therapeutic blocks in chronic LBP , isolated facet joint pain in 40%, discogenic pain in 25% (95% in L4-5&L5-S1), segmental dural or nerve root pain in 14% & sacroiliac joint pain in 15% of the patients. This article describes successful interventions of these common causes of LBP after conservative treatment has failed. 

NEED FOR NON-SURGICAL OPTIONS: Outcome studies of lumber disc surgeries documents, a success rate between 49% to 95% and re-operation after lumber disc surgeries ranging from 4% to 15%, have been noted. “In case of surgery, the chance of recurrence of pain is nearly 15%. In FBSS or failed back surgery the subsequent open surgeries are unlikely to succeed. Reasons for the failures of conventional surgeries are:

  1. Dural fibrosis
  2. Arachnoidal adhesions
  3. Muscles and fascial fibrosis
  4. Mechanical instability resulting from the partial removal of bony & ligamentous structures required for surgical exposure & decompression
  5. Presence of Neuropathy.
  6. Multifactorial aetiologies of back & leg pain, some left unaddressed surgically. 

EPIDURAL ADENOLYSIS OR PERCUTANEOUS DECOMPRESSIVE NEUROPLASTY is done for epidural fibrosis or adhesions in failed back surgery syndromes (FBSS). A catheter is inserted in epidural space via caudal/ interlaminar/ transforaminal approach. After epidurography testing volumetric irrigation with normal saline/ L.A./ hyalase/ steroids/ hypertonic saline in different combinations is then performed along with mechanical adenolysis with spring loaded or stellated catheters or under direct vision with EPIDUROSCOPE Sciatica gets complicated by PIVD with disco-radicular conflict causing radicular pain sometimes disabling. In this era of minimally invasive surgery lot many interventional techniques have evolved to address the disc pathology. We are still working for the ideal, safe & effective technique to tackle disco- radicular interphase. Here now we have devised a mechanical neuroplasty or foraminoplasty technique using an inflatable balloon tip catheter with guide wire via targeted transforaminal or interlaminar route aided by drugs instillation. Selected patients are procedured fluoroscopic guided with local anesthesia under prescribed sedation aseptically via preselected route depending upon location & type of PIVD causing root insult. First a suitable size needle is placed at desired site confirming with radiolucent dye through which hyaluronidase with saline or LA was injected. A flexible guide wire is passed at selected location & direction on which the inflatable balloon is threaded to the area of interest.

Adhesiolysis is achieved mechanically with inflating balloon for 10 seconds at a time & location. We inflated the balloon with contrast agent to have visualization of adhesiolysis & opening up of adhesions or root route. Here the balloon pressure & time has to be kept in minimum to avoid neurological damage, for which we inflate balloon for 10 seconds at a time. Close observation is made to balloon shape, pressure & patient`s response. Once dilatation is done the drug mixture of steroid with LA & or hynidase/ hypertonic saline is instilled over nerve in epidural space. We have logically used same approach for our Balloon Neuroplasty & foraminoplasty as it is safe & targets exactly the area of disco-radicular interphase or conflict. We can manage to address both the exiting and traversing nerve roots with single entry just by manipulating our guide wire to the place of offence. The procedure can be done via transforaminal route at level or level above or below, especially via S1 foramen. Now we are employing this technique for fresh cases coupling with Intradiscal decompression aided by instant disc retrieval by epidural balloon inflation with good results. The IDD is done by Coblation/ Laser/ DeKompressor or RF Biacuplasty. There is scope of coupling this technique with endoscopic spine surgery. By adding “Balloon Neuroplasty” to the armamentarium of the interventional pain management many patients can be benefited & relieved of previously interventionally unmanageable disco-radicular pain including FBSS sufferers. 

INTRADISCAL PROCEDURES:

PROVOCATIVE DISCOGRAPHY: coupled with CT A diagnostic procedure & prognostic indicator for surgical outcome is necessary in the evaluation of patients with suspected discogenic pain, its ability to reproduce pain(even with normal radiological finding), to determine type of disc herniation /tear, finding surgical options & in assessing previously operated spines. 

PERCUTANEOUS DISC DECOMPRESSION (PDD): After diagnosing the level of painful offending disc various percutaneous intradiscal procedures can be employed.

OZONE-CHEMONEUCLEOPLASTY: Ozone Discectomy a least invasive safe & effective alternative to spine surgery is the treatment of choice for prolapsed disc (PIVD) done under local anaesthesia in a day care setting. This procedure is ideally suited for cervical & lumbar disc herniation with radiculopathy. Total cost of the procedure is much less than that of surgical discectomy. All these facts have made this procedure very popular at European countries. It is also gaining popularity in our country due to high success rate, less invasiveness, fewer chances of recurrences, remarkably fewer side effects meaning high safety profile, short hospital stay, no post operative discomfort or morbidity and low cost. If despite the ozone therapy the symptoms persist, Percutaneous intradiscal decompression can be done via Transforaminal route with Drill Discectomy/ Laser or Coblation Nucleoplasty/ Biacuplasty/ Disc-FX / Endoscopic Discectomy are good alternatives before opting for open surgerical Discectomy; which has to be contemplated in those true emergencies, as mentioned above as the first choice. In Biacuplasty radiofrequency energy is used in bipolar manner heating & shrinking the disc & making it harder as well for weight bearing. It also seals the annular defect & ablates annular nerves relieving back pain. In Laser or Coblation Nucleoplasty energy is used to evaporate the disc thereby debulking it to create space for disc to remodel itself assisted by exercises. 

DEKOMPRESSOR: A mechanical percutaneous nucleotome cuts & drills out the disc material somewhat like morcirator debulking the disc reducing nerve compression. A mechanical device cuts & drills out the disc material debulking the disc reducing nerve compression curing Sciatica & Brachialgia. It comes in needle size of 17G for lumbar discs & 19 G for cervical discs. In lumbar region postero-lateral approach is used & in cervical discs anterolateral approach is used. 

DISC-FX & ENDOSCOPIC DISCECTOMY: In this novel technique A wide bore needle is inserted & placed sub-annular in post disc just under the disc protrusion. Disc is then mechanically extracted with biopsy forceps to empty the annular defect. This painful & sensitive annular defect supplied be sinuvertebral nerve is thermo-ablated with radiofrequency which also seals the defect to prevent & decrease recurrences. Next Higher procedure, Endoscopic Discectomy is done with endoscope put through sheath inserted via posterolateral transforaminal or posterior interlaminar approach. Mostly done under local anaesthesia its fast becoming standard of care for disc protrusion & extrusions causing spinal canal stenosis with root or cord compression with leg pain.

LASER DISCECTOMY done for closed bulging discs is an outpatient procedure with one-step insertion of a needle into the disc space. Disc material is not removed; instead, nucleus pulposus is debulked by evaporating it by the laser energy. Laser discectomy is minimally invasive, cost-effective, and free of postoperative pain syndromes, and it is starting to be more widely used at various centers. 

SELD: Epiduroscopic laser neural decompression is considered an effective treatment alternative for chronic refractory low back and/or lower extremity pain, including lumbar disc herniation, lumbar spinal stenosis, failed back surgery syndrome with morbid adhesion neuritis that cannot be alleviated with existing noninvasive conservative treatment. This Procedure is done under vision via an epiduroscope inserted via Caudal canal or Transforaminally employing front or side firing Laser fibers &/or fine instruments. If you wish to discuss about any specific problem, you can consult a Pain Management Specialist.

3719 people found this helpful

I got hit by a cricket leather ball on my leg bone which is just under my knee and its hurt when I use to run more than a mile. How can I cure it.

BHMS
Homeopath, Faridabad
I got hit by a cricket leather ball on my leg bone which is just under my knee and its hurt when I use to run more th...
Hello , take Arnica 200 Ch , 3 drops twice daily and apply Topi Arnica on the painful leg. Revert after 7 days.
1 person found this helpful
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I feeling pain in my left hand for 2 days in two or three months. The pain is unbearable. Do you know why its paining and what should I do for this?

BPTh/BPT
Physiotherapist, Mumbai
I feeling pain in my left hand for 2 days in two or three months. The pain is unbearable. Do you know why its paining...
Hi for pain take cold water fomentation for 20 minutes thrice a day for 5 days. Do stretching and gentle massage of hand. If still you don't get relief and need further advice, consult me via lybrate.
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My mom leg knee pain since 2010 onward. This pain purpose she face lots of don't explainable problems.

MBBS
General Physician, Delhi
My mom leg knee pain since 2010 onward. This pain purpose she face lots of don't explainable problems.
Give her hot fomentation and physiotherapy,Get her X-ray knees, Get your blood tested for CBC, Sugar, uric acid, thyroid, & vitamin D 3,
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In my hands and leg in every joint it became black . Suggest me something how should I remove it.Please tell.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
In my hands and leg in every joint it became black . Suggest me something how should I remove it.Please tell.
take panchnimbadi churna with water twice a day....take pranacharya charm vikarasav 2-2 tsf with water twice a day....apply marichyadi oil on affected part.....take these medicines in supervision of a good ayurvedic doctor
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My age is 43, I have a simple cyst on left kidney middle wall, size is 50x55 mm. I suffer from back pain occasionally. Is there any relation with the cyst? Should It require to operate?

BPTh/BPT
Physiotherapist, Delhi
My age is 43, I have a simple cyst on left kidney middle wall, size is 50x55 mm. I suffer from back pain occasionally...
Take physiotherapy session for back pain. Learn spinal exercise. Don't sit on floor. Don't lift heavy things. Take multivitamin and vitamin d 3 with calcium.
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Off and on I have severe pain in the hip joint. Can you advise me how to get rid of it ? As it is for the past 6 years, I go on a walk for about 40 minutes. I am aged 68 years and am retired.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi please thanks for your query and welcome to lybrate. I am dr akshay from fortis hospital, new delhi. Please since your complaints of hip pain are long standing I will advise you to get please - x ray pelvis with b/l hips ( ap) view done - please assessment of your involved hip movements please I will be able to advise you better once I have these two results with me. Please do not hesitate to contact me if you need any further assistance. Thanks & regards Dr Akshay Kumar Saxena
5 people found this helpful
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I am very thin. Suggest me some tips to broaden shoulder and thigh in quick time.

MSc
Dietitian/Nutritionist, Hyderabad
I am very thin. Suggest me some tips to broaden shoulder and thigh in quick time.
Hi your diet should be rich in proteins and carbohydrates i. E dairy products, non-veg, fruits (banana, dates, mango, anzeer) go for gym for 1 hour everyday.
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Hello, I am 28 and I am married. I have a back ache what should I do to get relief from the same.

BPTh/BPT
Physiotherapist, Kota
Hello, I am 28 and I am married. I have a back ache what should I do to get relief from the same.
Back pain or HIP PAIN k liye back isometrics exercise kijiye or hot fragmentations kijiye. For word bandings mat kijiye. Long time ek hi positins m mat rahiye. Breegings exercise bilateral or single leg rotation kijiye phle without weight kijiye fir 1-2kg weight cuff se kijiye rotations kijiye leg single -single than avoide kijiye stair clabbings sweelings ho to ice ki massage kijiye back pain ko ap darr mat smjiye ap low back belt bi use m laa sakte h vo kisi bi tarah k jurck se apko bacha ti h deep breathing exercise kijiye I hope get well soon… thnx.
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I am suffering from knee pain, it generally starts heavy in the morning, I even consume filtered water. Runs daily, do exercise, but I can't help my self.

MD - Alternate Medicine, PGDIP.IN GERIATRIC CARE, Post Graduate Diploma in Holistic Healthcare
Ayurveda, Balasore
I am suffering from knee pain, it generally starts heavy in the morning, I even consume filtered water. Runs daily, d...
Hope you are suffering from arthritis. You confirm first by under going blood test of ra factor, aso titre, esr, hb etc. Then take 100% safe ayurveda medicines to be fully cured within 3 months. You stop you aerobic exercise and rest your joint knee. Ok.
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I am 16 year old and I want to change posture cause I think its affecting my height and I have (do not know what it is called but I think my spine has bit problem I mean its bended towards my back part of my neck) I hope you will understand and pls. Tell me if it req some exercise! thank you have a nice day.

D.P.T
Physiotherapist, Hyderabad
I am 16 year old and I want to change posture cause I think its affecting my height and I have (do not know what it i...
Dear lybrate-user, changing posture is bit difficult but if you want you can change. If you back is giving pain while standing or walking. Try it to bend little forward, do some back strengthening excercises like lying flat on floor lifting legs straight up and again down, folding legs towards and lift your head until shoulder. Try this if facing difficulty can consult me again.
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When moving leg up down, chirping sound comes from knee. Also facing mild pain during walking.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Surat
When moving leg up down, chirping sound comes from knee. Also facing mild pain during walking.
Its early symptoms of arthritis. Take an x-ray of both knees with help of your family phyaician and take some ayurvedic treatment from qualified ayu practitioner.
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My wife had got her uterus surgically removed about two months back, she is constantly complaining of back ache and her ovaries have been removed, so what medicine she should be on and she also diabetic, we are worried as we have been not guided properly by the surgeon in this regard, can you suggest us the right course to take further.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
My wife had got her uterus surgically removed about two months back, she is constantly complaining of back ache and h...
After a uterus & ovaries have been removed, patient will need hormone replacement therapy. The exact dose, a gynaecologist will be able to tell. Any way diabetes must be well controlled.
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My mom is suffering from diabetes. And also have a pain in hands and legs. And what is a treatment. So it can be permanently curable?

MBBS
General Physician, Cuttack
My mom is suffering from diabetes. And also have a pain in hands and legs. And what is a treatment. So it can be perm...
Along with medicines for high blood sugar she has to take one capsule of Becosule daily and paracetamol tablet sos. She should monitor her blood sugar and Hba1c three monthly and if it is not controlled she has to consult Diabetologist
2 people found this helpful
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When I was staying in my college hostel (during my engg course), we used to stay awake till very late every night which got worsened eventually. Reason being we had work load, engaging ourselves in completion of practicals and tasks in time. Sometimes we stayed awake just for entertainment like watching late night movies, partying etc. And frankly I have gone through it for a very much considerable period of time. I just finished my last year in the college and now am at home. Back home also, I am unable to get rid of the habit of staying till late night. I just can't sleep, even if I try I can't. After spending a sleepless night I eventually get a bit sleepy at around 3: 30 to 5: 30 am (it would be morning by then). And obviously as already deprived of sleep, I doze off till 11 in the morning (often it gets more than that). This ugly habit of mine is degrading my lifestyle harming my appetite, food habits, body physique, alertness and lack of zeal. I want to get rid of this problem as soon as possible. I haven't even thought once about sleeping pills (I think I won't be going for that either). Is there a natural solution for this, any consultation requirement or any helpful step from my side ? Suggestions are anticipated !

MBBS
General Physician, Trivandrum
When I was staying in my college hostel (during my engg course), we used to stay awake till very late every night whi...
Follow these simple steps to ensure a good sleep every night and stay away from sleep disorders and other health problems associated with unhealthy sleep habits: 1) maintain a regular sleep routine go to bed at the same time. Wake up at the same time. Ideally, your schedule will remain the same (+/- 20 minutes) every night of the week. A good sleep hygiene routine promotes healthy sleep and daytime alertness. 2) avoid sleeping during the daytime. It can disturb the normal pattern. 3) avoid caffeine, nicotine, and alcohol near bedtime. While alcohol may speed the onset of sleep, it creates problems in he second half of sleep. 4) exercise can promote good sleep. Exercise should be taken in the morning or late afternoon. Yoga, can be done before bed to help. 5) have a quiet, comfortable bedroom. Set your bedroom thermostat at a comfortable temperature. Generally, a little cooler is better than a little warmer. Turn off the tv and other extraneous noise that may disrupt sleep. Background'white noise' like a fan is ok. If your pets awaken you, keep them outside the bedroom. Your bedroom should be dark. Turn off bright lights. Have a comfortable mattress. 6) avoid heavy meals close to bedtime. 7) ensure adequate exposure to natural light. 8) avoid emotionally upsetting conversations and activities before trying to go to sleep. Do not think of, or bring your problems to bed. 9) stop using all your digital devices and stop looking at digital screens be it mobile phones or televisions at least 1 hour before the time you plan to sleep. Instead try reading a fiction book near bedtime so it makes you help relaxed and de-stressed. Sleep well live healthy and live longer. If you have tried all these and still have problems, please consult me for prescription medication.
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I am a 49 year old female. I have been having persistent neck, shoulder and back pain for a long time despite medication.

BPT
Physiotherapist, Rajkot
I am a 49 year old female. I have been having persistent neck, shoulder and back pain for a long time despite medicat...
I understood your problem. You go for physiotherapy treatment. Ultrasound on shoulder joint. Swd, tens place over the neck and back region. Some exercises he or she will demonstrate to you.
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I am having severe pain in my right side of shoulder and scapular region from past 5-6 days. I tried massage with hot water bag, certain balm. But the pain is as it is. What can be the cause and treatment?

BPT, BPTh/BPT
Physiotherapist, Delhi
I am having severe pain in my right side of shoulder and scapular region from past 5-6 days. I tried massage with hot...
- how it started and what aggrevates your pain, these points lack in your question - avoid any weight lighting - do contrast bath for 10 min, apply hand towel dipped in hot water, when it gets cooled immediately apply cold water having ice in it, do this for 10 min for 2- 3 times. Apply voilini after above procedure specially when going to sleep. If pain still persist after 3 days, consult physician and physiotherapist.
1 person found this helpful
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I have very serious problem in my legs and had also taken loads of medicines which were consulted by the doctors which showed no effect and need the solution and I have asked you about the solution in hope of getting recover of my leg pain.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I have very serious problem in my legs and had also taken loads of medicines which were consulted by the doctors whic...
If your muscle are stiff then tk heat fermentation twice a day and do stretching exercise and if that is not then tk strength exercise ok.
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