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Dr. Ram

Physiotherapist, tirunelveli

200 at clinic
Dr. Ram Physiotherapist, tirunelveli
200 at clinic
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Ram
Dr. Ram is a popular Physiotherapist in Madurai Road, Tirunelveli. He is currently associated with Physio care in Madurai Road, Tirunelveli. Don’t wait in a queue, book an instant appointment online with Dr. Ram on Lybrate.com.

Lybrate.com has a nexus of the most experienced Physiotherapists in India. You will find Physiotherapists with more than 41 years of experience on Lybrate.com. Find the best Physiotherapists online in Tirunelveli. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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suffering with Ankylosing spondylitis, get rid completely with Nucleus Homeopathy

Doctor of Homeopathic Medicine (H.M.D.)
Homeopath, Belgaum
suffering with Ankylosing spondylitis, get rid completely with Nucleus Homeopathy
Ankylosing spondylitis (AS) is one of the many types of arthritis. "Ankylosing" means joining together or stiffening; "spondylitis" means inflammation of the vertebral bones of the spine. Inflammation of the bones in AS can lead to degeneration, pain, and loss of joint motion. AS typically affects the spine but can been seen in other areas, especially the hips. Ankylosing spondylitis can range from a mild to more severe disease in patients. Ankylosing spondylitis is approximately three times more common in males than females. It is usually diagnosed in young adults, with a peak onset between 20 and 30 years of age. Children may also be affected by a form of AS termed “juvenile ankylosing spondylitis”, seen in children younger than 16 years of age. There is evidence suggesting a strong genetic component in the development of the disease.
AS is a type of arthritis of the spine. It causes swelling between vertebrae, which are the disks that make up your spine, and in the joints between spine and pelvis. Ankylosing spondylitis is an autoimmune disease. This means immune system, which normally protects body from infection, attacks body's own tissues. The disease is more common and more severe in men. It often runs in families.

Early symptoms include back pain and stiffness. These problems often start in late adolescence or early adulthood. Over time, ankylosing spondylitis can fuse vertebrae together, limiting movement.
ETIOLOGY of Ankylosing Spondylitis
Evidence points to autoimmune etiology.
Positive family history.
CLINICAL FEATURES of Ankylosing Spondylitis
Malaise.
Tiredness.
Anorexia.

Symptoms

Onset: insidious.
Pain in back, buttocks.
Morning stiffness, better with activity.
Weight loss.
Fatigue.
No movement possible.
Gradual involvement of:
A) Whole vertebral column. B) Hips.
Signs
Tenderness at sacro-iliac joint.
Cervical, thoracic spines become tender.
Restricted movement.
Patient cannot erect spine.
Sits, walks with flexed spine.
Chest expansion diminished.
Complete rigidity of spine & involved joints.
Kyphosis (curve in spine).
COMPLICATIONS of Ankylosing Spondylitis
Aortic incompetence (calcification of valve).
Recurrent chest infection.
Atlanto-axial subluxation.
INVESTIGATIONS for Ankylosing Spondylitis
Blood
Hb% : low.
ESR: raised.
HLA-B-27: positive.
CRP: raised.
Rheumatoid factor: negative.
ANA: negative.
X-Ray findings of sacro-iliac joints
Early
Narrowing of joint space.
Haziness of joint margins.
Marginal erosions.
Marginal sclerosis.
Late
New bone formation.
Bridging of joint cavity.
X-Ray vertebral column
Ossification of spinal, para-spinal ligaments.
Squaring of vertebrae.
Ossification of intervertebral discs.
Bamboo spine (fusion of entire vertebral column).
GENERAL MANAGEMENT for Ankylosing Spondylitis
Before ankylosis takes place:
Provide straight back chair for sitting.
Firm bed with one pillow at night.
Encourage swimming.
Extension exercises.
Encourage lying in prone position.
Stop smoking.
Homeopathic Remedies for Ankylosing Spondylitis
Homeopathy treats the person as a whole. It means that homeopathic treatment focuses on the patient as a person, as well as his pathological condition. The homeopathic medicines are selected after a full individualizing examination and case-analysis, which includes the medical history of the patient, physical and mental constitution etc. A miasmatic tendency (predisposition/susceptibility) is also often taken into account for the treatment of chronic conditions. The medicines given below indicate the therapeutic affinity but this is not a complete and definite guide to the treatment of this condition. The symptoms listed against each medicine may not be directly related to this disease because in homeopathy general symptoms and constitutional indications are also taken into account for selecting a remedy. None of these medicines should be taken without professional advice.

https://www.practo.com/hyderabad/clinic/nucleus-homeopathy-hyderabad?subscription_id=424347&specialization=Homeopath&show_all=true
13 people found this helpful

I am 64 years old. Quite fit. Am 6' tall and my weight is 84-85 kgs. I play golf, occasionally, and also gym-workout. I have developed pain on the under feet, mostly the heel area, since last 4-6 months. Pls advise . Tks.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hello, This is Dr Akshay from Fortis Hospital, New Delhi. Looks like Plantar Fascitis to me from your complaints. I will like to have a private chat with you if you want a prescription and what all exercises you need plus lifestyle changes. Thanks & Regards Dr Akahsy
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I have to much pain in my left shoulder & l am also taking medicines from the best doctor of my city but there is no any result of improvement, what should I do.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I have to much pain in my left shoulder & l am also taking medicines from the best doctor of my city but there is no ...
Hi Apply pranacharya restopain oil or prasarini oil on your affected part then give hot fomentation. Take maha rasnadi kwath 2-2 tsf twice a day. Take pranacharya vatari syrup and capsule twice a day. And agni tundi vati and maha yograj guggul 1-1 tab twice a day.
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Hand is Not Working Properly After Radial Head Removal Surgery Even After One & Half Year Dear Sir, My(Age 25). On 3rd January 2015, I faced a accident in which my left hand's radial head got damaged. A piece of head cracked inside. I went to the doctor and he said that it needs surgery once the swelling goes down. After waiting more than 10 days doctor decided for operation in which he told me that "it's just gonna so simple and I will just take out the piece of broken radial after which you just have to face the pain of just 2-3 stitches" But when doctor checked all conditions of my left hand he decided to break and remove the head. The operation went successfully in which I got 10 stitches. Now after more than one & half year my hand is still not working properly. I am not able to use straight hand in 180 degree and it is now on 135 degree.� Doctor consulted to take the physiotherapy after which I went approx one month but still I am not able to make my hand straight. I went again to my doctor and he told me for stop therapy and for exercise at home. I am doing exercise daily but not feeling any improvement. However after the therapy my hand started movement as up-down, wrist movement of 360 degree and can use flat hand. Please suggest me what I can do more to make my hand 180 degree. I am not happy and it is becoming reason of depression for me day-by-day. Please guide me or I am thinking to go for another surgery for it. Regard's

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I would like to examine you personally before any opinion can be given. Kindly do not make haste for second surgery.
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I am a 45 years old Man. And I have pain on my back bone from last 10 years of an accident.

Doctor Of Physical Therapy (DPT), Bachelor of Physical Therapy
Physiotherapist, Bangalore
I am a 45 years old Man. And I have pain on my back bone from last 10 years of an accident.
Back ache can be due to several reasons. It can be muscular, related to disc degeneration or prolapse, joint irritation or nerve pinching. Most common is muscle pain due to tight and weak back and abdominal muscles. Keep a positive attitude, focus more on keeping good posture especially when sitting for long hours, use lumbar support. Take frequent breaks and stretch in between. Try changing sleeping habits. Try hot or cold therapy as tolerated. Wish you speedy recovery.
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Hi I am 68 years old and lost my 34 years old son in a accident on 2 sep, 2013. Due to this loss I could not go well as I was before that. Now from the last one month I am feeling pain in my knees. Kindly advise some suitable and affordable medicine/suggestion.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bundi
We have sympathy with you. God bless. Please take tab rumalya ds 2 bd with 1. 5 to 2 glasses of lukewarm water. Apply rumalya oil over knee preferably after hot fomentation. Take tarunikusumakar chooran 1 tsp at bedtime every other day with lukewarm water. Please continue for 2 months initially. No heavy / vatkarak food please. Walk regularly please. Avoid curd.
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I have body ache after joining gym. I have lack of hungriness. There is also a hairfall problem.

MD - Homeopathy
Homeopath, Aurangabad
I have body ache after joining gym. I have lack of hungriness. There is also a hairfall problem.
Hair fall is due to many reasons now a day it is common due to stress and busy life check your haemoglobin level take proper diet (dal vegetables sprouts fruits) and do exercise minimum 15 min if possibles do yoga for 10 min increase water intake minimum 3 to 4 litres per day also take homoeo medicines amonum mur 30 (30 no glouble) 2 tds x 1 month and reply also comb your hair gently and 2/3 time per day wash with homoeopathic shampoo twice a week above is for hair fall for bodyache take arnica 200 4 tab daily for 7 days.
1 person found this helpful
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My problem is heavy back pain and my job is system operating i'm sitting in chair for almost 7 to 8 hours I think that's the reason to my back pain I am using some pain killer tablets please suggest me.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
My problem is heavy back pain and my job is system operating i'm sitting in chair for almost 7 to 8 hours I think tha...
It looks like you are anaemic. If you have back pain after you sit for long hours then it is due to your haemoglobin levels as it is important to check that. Anaemia always leads to the symptoms of being tired and also having back / leg pain though there may not be any pathological reasons for back pain. This is due to the improper posture as while sitting in front of the computer it leads to back pain. This is due to the improper posture as while sitting in front of the computer it leads to back pain and also due to stress you might get head ache. We suggest general back mobilization exercises that would reduce the stress falling on the lower back and that also helps you to improve the blood circulation. Anaemia always leads to the symptoms of being tired and also having pain in the joints.
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I am 23 year male I am suffering from backbone pain. Please help me out with this.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
I am 23 year male I am suffering from backbone pain.
Please help me out with this.
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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I am 53 years old I am diabetic since last 18 years. Since last 6 month in my both shoulders there is fluctuating pain. Some one told me that is it due to frozen shoulder. Please advice.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query. Frozen shoulder or adhesive capsulitis is a condition in which shoulder movements get progressively decreased, it is commonly associated with diabetes although association with other conditions is also known. Treatment includes intensive physical therapy, short course anti inflammatory medications according to one' s suitability and maintenance of calcium/ vitamin d metabolism. Do not hesitate to contact me if you need any further assistance. Thanks & regards Dr Akshay Kumar Saxena
8 people found this helpful
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I am suffering continue pain on the lower portion of left leg though I am a uric acid patient. What should I do?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am suffering continue pain on the lower portion of left leg though I am a uric acid patient. What should I do?
Avoid protein diets,bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed. Take tab. Zyloric 100 mg once a day. Tab. Bencid 500 mg once a day. tab. naproxen 500 mg sos for pain.
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Please help me sir how can I get pain free form my lag joint? I am suffering from 5 days. So now how can I pain free relief? Help me sir. Thanking you sir.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Please help me sir how can I get pain free form my lag joint?
I am suffering from 5 days.
So now how can I pain free ...
: Keep your leg raised while sitting or lying Quadriceps strengthening exercises- Quad Clenches: Lie flat on your back or sit upright on a chair with leg kept horizontally on another surface. Now, tighten the muscle on the front of the thigh by pushing your knee down. You should feel your thigh muscles clench, Hold for 3 secs. Repeat 10 times twice a day. Short Arcs: Lie flat on your back or sit upright with your leg placed horizontally on a flat surface like a chair or bed. Place a rolled up towel under the knee. Pull your toes towards you and clench you thigh muscles. Slowly lift your foot up off the bed until your knee is straight (keep your knee resting on the towel). Hold for 3 secs and slowly lower them on the chair. Repeat 10 times twice a day. Straight Leg Raise: Lie flat on your back. One leg and knee will be straight and other leg should be bent. Pull your toes towards you and tighten/clench the muscle on the front of the thigh, locking your knee straight. Lift your foot up in the air, about 6 inches off the bed. Hold for 3 secs and slowly lower the leg. The knee must remain straight the whole time you are doing this exercise.
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Ways To Ensure Bone And Joint Health!

MBBS, MS - Orthopaedics
Orthopedist, Chennai
Ways To Ensure Bone And Joint Health!

Staying healthy involves a wholesome state of being where the mind and body are in perfect sync. A less than properly functioning body can leave you in a state of potential depression after a certain point of time, while a depressive mind can leave you feeling less than stellar where you end up imagining and experiencing pain. The health of your bones and joints is one such area that requires even more care as you start growing older. Wear and tear is just one of the reasons for degeneration while fractures and injuries can lead to a sudden halt of normal functioning of the bones and joints too.

So how can you ensure bone and joint health in the long run? Follow our tips!

  1. Eating Right: Pick calcium rich food like dairy products that have a low fat content, including milk and yogurt. Also, have a daily dose of green, leafy vegetables and plenty of citrus fruit and juices for your fill of calcium. Further, food like eggs and soybeans which have lots of vitamin D can also help in retaining good bone and joint health. Vitamin C rich fruit like watermelon, oranges, squash and tomatoes also help in natural tissue and cartilage repair. And finally, get plenty of vitamin K to retain good bone density for a prolonged period with ingredients like leafy green vegetables, eggs and cheese.
  2. Exercise: This is the key to good bone and joint health. Much like machinery and tools, the bones and joints of your body can also wither with disuse and prolonged inactivity. Make sure that you indulge in exercises like long walks and muscle strengthening exercises which will give your joints and bones good amount of strength as well. Remember to speak with your doctor before you start a new exercise regime so that you avoid anything that may be harmful in case you have any other ailment. Low impact exercises will strengthen the spine, while fat burning and weight loss exercises will ensure that there is less pressure on the knees and lumbar area. Swimming and resistance building exercises can also be practised for these purposes.
  3. Abstinence: A major factor in promoting better bone and joint health is abstinence from all those things that can create problems in the long run, like smoking, drinking excessively and even too much consumption of caffeine and fatty food. All these things can create depletion of the natural bone mass. Also, switching to a lower heel for everyday wear footwear and changing your position during your time at your workstation are a few things that will go a long way.

Take care of your bones and joints the right way today, for a healthier tomorrow. If you wish to discuss about any specific problem, you can consult an Orthopedist.

1 person found this helpful

I am 30 years weight 60kg height 5 foot 6 inch I suffer from muscles stiffness muscles cramp tingling and feel weakness in leg and facing problem in up and down movement and also have emotional imbalance problems memory weakness and difficult in learning and nervous system weak specially in mind I want to do some test as calcium level, serotonin level, vitamin d level. Is this right test if not, please suggest right test to reach to confirm disease and also have problem in concentration.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Do continue the same tests from lab do take balanced diet and avoid stress anxiety and anticipating the things do regular physical activity and breathing exercises for about 30 minutes regularly best wishes.
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Respect sir mere ghutne me dard hota rhta hai Usme chot lg gyi thi 2 month phle. Uska ilaz bhi huya to docter ne btaya ki shi ho gya h ab.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Respect sir mere ghutne me dard hota rhta hai Usme chot lg gyi thi 2 month phle. Uska ilaz bhi huya to docter ne btay...
Patient needs to be examined in detail & be investigated. Anyway you may try- 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 knee & general exercises. It may have to be further investigated. Make sure you are not allergic to any of the medicines you are going to take. For emergency treatment contact your nearest hospital or family doctor. If it does not give relief in 4-5 days then inform me.
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By playing football I got partial damage on my knee ligament and I am not able to play now. How much rest I should take? So please suggest me how to recover this injury fast.

Fellowship of the Royal College of Surgeons (FRCS), Membership of the Royal College of Surgeons (MRCS)
Orthopedist, Trichy
By playing football I got partial damage on my knee ligament and I am not able to play now. How much rest I should ta...
You should refrain from contact sports for a minimum of 4 - 6 months for the ligaments to heal. Prior to starting playing again you need to do a course of knee muscle strengthening exercises.
2 people found this helpful
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I am unmarried lady of 39 years old suffering from ankylosing spondylitis since 2013. Doctor has told me to take" infliximab" injection coz that is the only option left for me but I want to go to south and consult with doctors out there. So, please suggest me what shall I do.

Diploma in Acupuncture, Pranic Healing, MD - Acupuncture
Acupuncturist, Bangalore
Initially try this. 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. For further guidance and treatment.
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Frozen Shoulder - Why Physiotherapy Is Crucial For It?

Diploma in Rehabilitation (Physiotherapy), DPT
Physiotherapist, Delhi
Frozen Shoulder - Why Physiotherapy Is Crucial For It?

Frozen shoulder is a condition when somebody encounters continuous shoulder stiffness and pain. It could last for weeks. It is likely to occur when swelling increases around the shoulder which reduces inability to move or stretch properly. This ordinarily happens when somebody is recovering from an injury. Frozen shoulder at times happens when somebody is wearing a sling or a cast. It also occurs, if someone is recovering from surgery, experiencing joint pain or facing restraint of movement for other reasons.

A frozen shoulder can go on from a couple of months to as much as 3 years and the precise cause is unknown. Physiotherapy is often to treat this condition. It has been found that posture plays a huge part in your recovery from a frozen shoulder. The urgent goal is to get the shoulder join moving once again. The sooner this is done, the better are the odds of a quick recovery. Anti-inflammatory medicines, heat application and delicate stretching activities are performed with the assistance of a physiotherapist.

Physiotherapy is very crucial for a frozen shoulder since it is very difficult to get movement in the stiff joint without any exercise, stretching or other methods used by a physiotherapist. It is mostly crucial to get physiotherapy to:

  1. To reduce pain in the shoulder
  2. To increase the flexibility and strength of the shoulder
  3. To enhance movement of the shoulder.
  4. To increase endurance of the muscles

Physiotherapy treatment for a frozen shoulder depends on the stage you are on and is customized according to the needs of your condition. Physiotherapy treatments for a frozen shoulder include:

  1. Pain relief: Pain diminishing techniques including gentle shoulder movement exercises, muscle releases, needle therapy, dry needling and kinesiology taping for pain can help during the painful swelling phase.
  2. Defrosting: Shoulder mobilization and stretching are the best in order to achieve a full shoulder recovery. As your scope of movement increases, your physiotherapist will then be able to give you muscle strengthening exercises to control and keep up your recently found range of movement.
  3. Warm Up: Before beginning shoulder exercises for a frozen shoulder, try to warm up your shoulder keeping in mind the end goal. That is to help blood supply in the affected area and avoid future injuries. The best approach is to extend and warm up the shoulder by applying heat for 10 to 15 minutes, scrubbing down or showering with Epsom salt.

Physiotherapy does not bring out immediate results, but gradually. Flexibility will increase gradually. One should keep in mind, not to stretch their shoulder too quickly at once. This can lead to a ligament tear. The exercises should be tender and gradual. If you wish to discuss about any specific problem, you can consult a physiotherapist.

4542 people found this helpful

If I am not pregnant then why am I feeling my breasts heavier and having back pain.

MD - Obstetrtics & Gynaecology
Gynaecologist, Chandigarh
If I am not pregnant then why am I feeling my breasts heavier and having back pain.
Some amount of breast pain or discomfort is normal in premenstrual phase. Nothing to worry. If it's bothering too much, consult your gynaecologist for a checkup and you may be required to put on medications for it.
1 person found this helpful
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My mom is having some burning sensation in the sole of her feet. Her age is 50. No diabetes or Pressure problems detected yet. Hemoglobin is around 11 last time checked.

BHMS, Masters in Nutritional Therapy
Homeopath, Mumbai
My mom is having some burning sensation in the sole of her feet. Her age is 50. No diabetes or Pressure problems dete...
Turning in the soil maybe because of the B12 deficiency or it can be due to burning syndrome go for homeopathic treatment that is suitable for you.
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