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Top Physiotherapists in Gurgaon

Dr. Sanjeev Kumar Singh 87% (192 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri

Today’s lifestyle is full of stress, long commuting hours, staying back in office to meet that deadline. All this can lead to musculoskeletal problems. These top physiotherapist in Gurgaon, can help you with determining any kind of musculoskeletal problems as well as treatment. They can help you with the simplest of thing like posture correction to post surgery physio like in case of knee or hip replacement. They also help in treating as well as the training required for sports. Below is the list of Top 10 Physiotherapist in Gurgaon, you can refer in case you are suffering from any kind of muscle or joint injury, pain or discomfort. 

1. Dr. Deep Arya


Consultation fees: ₹500

Dr. Deep has 21 years of practice and runs his own clinic as Arya Physiotherapy Clinic, Gurgaon. His clinics are very well equipped with high facilities and world class technology. His areas of specialization are general, orthopedic, neurology, geriatric, sports injuries and joint pain.

2. Dr. Rajesh Pal (PT)

BPTh/BPT, MPT - Orthopedic Physiotherapy, Post Graduate Diploma In Ergonomics (PGDHSC - Ergonomics), MBA - Hospital Management

Consultation fees: ₹500-600

Dr. Rajesh Pal has 18 years of experience at  PAL Physiotherapy and GNH Hospital, Gurgaon. He is a trusted physiotherapist and a trusted name in Gurgaon. His areas of specialisation are backache related disorders and sport injuries. 

3. Dr. Ranjana Arora

B.P.T, M.P.T(ORTHO), Certification In Gym Instructor & Prenatal & Post Natal

Consultation fees: ₹500

Dr. Ranjana is known for her hardwork and dedication for her patients. She has 16 years of experience and currently practices at Physioslimfit Wellness Centre.. Her areas of expertise are trauma injury, paralytic care, parkinson's disease and treating rheumatoid arthritis. She also specializes in Pain management, Aerobics,  Gym Instruction and pre- post natal exercise.

4. Dr. Sachin Singh

BPT, Master of Hospital Administration

Consultation fees: ₹400-500

Dr. Sachin has 20 years of experience and is amongst the leading physiotherapist in Gurgaon. He is currently associated with Neurortho Physiotherapy Clinic, Gurgaon. He actively participates in various medical camps and specialises in dealing with back pain related issues like-  slip disc and cervical spondylosis. He also take sessions on postural training and frozen shoulder in different corporate offices.

5. Dr. Gaurav Tyagi

BPT, MPT- Ortho

Consultation fees: ₹500

Dr. Tyagi has around 9 years of experience in treating various types of musculoskeletal pain, orthopaedic and neurological conditions. He also treats sports injuries, geriatric care and rehabilitation. He is currently working as a HOD of Physiotherapy and Rehabilitation in Anahat Multispeciality Hospital, Gurgaon and was previously associated with some of the reputed hospitals like Brij Medical Center, Nu Tech Mediworld and Qi Spine.

6. Dr. Pallavi Jain

BPTh/BPT, MPT - Physiotherapy

Consultation fees: ₹900

Dr. Pallavi Jain has 7 years of experience as a physiotherapist in Gurgaon. She currently practices at W Pratiksha Hospital. Other than being a physiotherapist, she is a certified Mat Pilates Level 1 Instructor. Sh also has hands on experiment on treating cases of  trauma injury, paralytic care, parkinson's disease and rheumatoid arthritis.

7. Dr. Yogyata Gandhi (PT)

Antenatal and Postnatal Fitness Instructor, CSPT, BPTh/BPT, Certification in Lactation

Consultation fees: ₹400 - 600

Dr. Yogyata Gandhi is a consultant physiotherapist who is associated with paras hospital Gurgaon. She has 10 years of experience in this field and specialises as sports and musculoskeletal physiotherapist and antenatal physiotherapist.  She is a certified pregnancy yoga and fitness expert and runs her own prenatal yoga classes in association with gynecologists.

8. Dr. Geyata Shrivastava


Consultation fees: ₹200

Dr. Geyata is a well known physiotherapist, with  9 years of experience and practices at Dr. Geyata Shrivastava clinic. Her clinic is known for using the best and latest technology in machines for treating any pain and bone related ailments. Areas of specialization are general, orthopedic, neurology, geriatric, sports injuries and joint pain.

9. Dr. Neha Mittal


Consultation fees: ₹600

Dr. Neha is currently affiliated with Mayom Hospital, Gurgaon. She has 11 years of experience as  physiotherapist. She is expert in treating some very rare critical and challenging cases. She is a certified Kinesio Taping Therapist, qualified Mulligan mobilization practitioner and Thera Band Trainer. Her rares of experiment are treatment of Orthopedic, Post-Surgical, Neurological, Pediatric, Gynecological, Cardiopulmonary, Sports Physiotherapy, Lifestyle and Obesity conditions.

10. Dr. Neetu Rathi (PT)

MPTh/MPT - Neurological Physiotherapy, BPTh/BPT

Consultation fees: ₹500

Dr. Neetu other than being a physiotherapist, she is a certified in different procedures like clinical dry needling, workplace ergonomics, kinesio taping (CKTT), mulligans manual mobilization therapist, cupping and manual therapy and pilates. Her areas of interest are treating cases with low back pain, knee pain and neck pain, antenatal and postnatal cases, ACL Reconstruction Rehabilitation, Paralysis, Neuro Physiotherapy and Sports Injury.

Top 10 Physiotherapist in Bangalore!

Dr. Sanjeev Kumar Singh 87% (192 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri

Physiotherapy is effective in restoring the mobility and functioning in any case of musculoskeletal sprains and surgeries. You can contact these top 10 physiotherapist in Bangalore in case if you or your loved one are suffering from disorders such as meniscal injuries, mental health, sciatica, shin splits, shoulder problems, spinal injuries, and sprains in ankles, thumbs, necks etc. The top physiotherapists in Bangalore are listed below:

1. Dr. Aamir Kaleem

M.P.T, Bachelor of Physiotherapy

Dr. Aamir Kaleem is a Clinical Physiotherapist with 19 years of experience. He currently practices at Quantum Physiotherapy. He is a member of Indian Association of Physiotherapist. His areas of specialisation are orthopaedic physiotherapy, transcutaneous electrical nerve stimulation (TENS), Cryotherapy/ Cold Therapy and Manual Therapy.

Consultation fees:  ₹250

2. Dr. Sumanjit Sharma


Dr. Sumanjit Sharma (P.T.) is a sports and musculoskeletal physiotherapist with 9 years of experience. He is a member of Indian Association of Physiotherapist and currently practices at Stride Rehab Care. He actively participates in various medical camps and specialises in dealing with back pain related issues like-  slip disc, cervical spondylosis and frozen shoulders.

Consultation fees:  ₹400-500

3. Dr. Manali Gupta


Dr. Manali Gupta with 7 years of practice. She is a geriatric, orthopedic and neuro physiotherapist. She currently practices at Nap Heal and Wellness Physiotherapy Clinic, Bangalore. Few of the areas of her specialization are lumbago, sports physiotherapy, global postural reeducation - RPG. 

Consultation fees:  ₹250

4. Dr. Sandeep Dhar
 MSPT (Master of Physical Therapy), BPTh/BPT

Dr. Sandeep Dhar is an experienced physiotherapist with 10 years of experience. He practices at  Columbia Asia, Bangalore. He is specialises as orthopedic and sports and musculoskeletal. He is also known for his other treatments like cryotherapy, electrical stimulation, range of motion and strengthening exercises. He is a member of Indian Association of Physiotherapists.

Consultation fees:  ₹650

5. Dr. Nithin Krishna K (PT)

MPTh/MPT - Neurological Physiotherapy, BPTh/BPT

Dr. Nithin Krishna with 9 years of experience  he practices at his own clinic Telerad RxDx diseases. His areas of expertise are areas of expertise are trauma injury, paralytic care, parkinson's disease and treating rheumatoid arthritis. He specialises as Neuromuscular Physiotherapist.

Consultation fees:  ₹250

6. Dr. Kamalika Bhattacharya

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT

Dr. Kamalika M Bhattacharya has more than 20 years of experience and has done her masters from UK. She has worked with Singapore Armed Force and Changi general Hospital as a Senior Physiotherapist and is also an experienced fitness coach.  She has expertise in outpatient orthopedics, musculoskeletal physiotherapy, spine, shoulder, and spinal manipulation. She is currently practicing at Fostr Healthcare.

Consultation fees:  ₹300

7. Dr. S. Gomathi


Dr. S Gomathi with 18 years of experience and a reputed physiotherapist. She currently practices at Dr.Gomathi's Physiotherapy Clinic and Trust Physiotherapy Clinic, Bangalore. She is a member of Indian Association of Physiotherapist. In her career she has treated many cases of weight reduction, pain management, paralysis management, maintaining venous circulation, soft tissue and joint mobilization, Heat and cold therapy, range of motion exercise.

Consultation fees:  ₹300

8. Dr. Rajveer Singh(pt)

BPTh/BPT, Fellowship in Orthopaedic Rehabilitation (FOR), MBA (Healthcare)

Dr. Rajveer Singh has 11 years of experience and practices at trinity physiotherapy. He specializes in treatment of coccydynia or tailbone pain. Other than this he also specializes in post surgery, knee pain, sports, geriatric physical physiotherapy. He is a member of Indian Association of Physiotherapist & Indian Red Cross Society.

Consultation fees: ₹400

9. Dr. Raksha Srinivasan


Dr. Raksha Srinivasan is a physiotherapy with specialization in sports and manual Therapy as well as MD in Acupuncture. She is a member of Indian Physiotherapy Association and currently practices at Rapid Recovery Physio, Bangalore. Her areas of expertise are trauma injury, paralytic care, parkinson's disease and treating rheumatoid arthritis.

Consultation fees: ₹500

10. Dr. Dhanajeyan Jayavel

BPTh/BPT, MPTh/MPT - Musculoskeletal Physiotherapy, Certificate course in Manual therapy (CMT)

Dr. Dhanajeyan Jayavel is an experienced physiotherapist with 19 years of experience. His specialization are clinical, cardiovascular & pulmonary, geriatric, orthopedic physiotherapy. He is recipient of many awards and recognition in his field. He is currently practising at Spectrum Physio Centre, Bangalore.

Consultation fees: ₹500

Disc Related Problem - Do you Think You Need Surgery?

Dr. Kapilchand Narra 90% (21 ratings)
B.P.T, M.P.T
Physiotherapist, Hyderabad
Disc Related Problem - Do you Think You Need Surgery?

You might be an elite athlete or just a commoner. There is always a possibility for you to develop back pain while carrying out your daily activities. You might not be aware, but regular activities—like sitting at the computer, running on the treadmill or simply crawling into your bed for a good night's sleep—can affect the health of your spine. You are always at the risk of damaging your spine. These damages lead to back pain. It has been found that faulty postures can cause back pain by causing straining of the back muscles, injuring the tendons and damaging the vertebrae or ligaments. Back pain can be caused due to the overuse of a particular activity or for undertaking a new activity. Besides all these possibilities, most people put the blame on their discs for back pain.

What is a disc?

The human spine is composed of 24 bony vertebrae. These are placed one on top of the other. There is a thin intervertebral disc between each vertebrae. These discs look like jam doughnuts. They are made up of a hard outer shell known as the annulus fibrosis. They have a soft, jelly-like inner core known as the nucleus pulposus. They are shock absorbers.

What Happens To The Discs When An Injury Occurs?

The jelly-like soft core in the discs can often get shifted as a result of the accident or injury. Thus, the discs become a reason behind back pain. The pain could be due to the problems with the disc while carrying out tasks like

  1. Prolonged sitting

  2. Bending

  3. Lifting

  4. Twisting

  5. Pulling

Symptoms Of Disc-Related Pain:

Symptoms tend to vary due to the nature of the injury and the damage caused. However, some common symptoms have been listed below:

  1. Localised back pain

  2. Pain in thighs, lower legs and feet

  3. Tingling sensations

  4. Numbness or muscular weakness


It is best to consult a doctor to know about the treatment needed for back pain related to disc. Initial treatment after detection of the problem includes the following ways:

  1. Intake of non-steroidal anti-inflammatory and pain medication.

  2. Application of heat and ice packs.

  3. Physiotherapy.

  4. Home exercise program as suggested by the doctor.

  5. Practicing of core and lumbar strengthening exercises.

One must stop movements that aggravate the pain and don’t take difficult physical activities. You must take adequate rest to set things right.

Do You Need Any Surgery?

It is not always needed for all disc related problems. Most issues with the disc vanish after a week. Surgery is sought only after nonsurgical treatments prove useless. The decision must be taken by a doctor.

6062 people found this helpful

Slipped Disc - 5 Tips To Help You Prevent It!

Dr. Amit Shridhar 87% (23 ratings)
MBBS, D (ORTHO), DNB (Orthopedics), MCH (Orthopedic), Spine Fellowship DePUY, Medtronics Spine Fellowship
Orthopedist, Delhi
Slipped Disc - 5 Tips To Help You Prevent It!

Slipped disc, also known as spinal disc herniation, is a medical condition which affects the spine. The spinal column of the human body is composed of a series of bones (also known as the vertebrae), which are stacked on top of each other. All these bones are cushioned from all sides by discs, which absorb any and all shocks from day to day activities such as lifting, twisting and walking. All discs have two parts: a soft inner portion, and a hard outer ring. Due to weakness or injury, the inner part of the disc can protrude through the hard outer ring. When this happens, the condition is known as a slipped disc.

How to prevent slipped disc?
Slipped disc can be avoided by maintaining a few things:

  1. Exercise: Slipped discs are generally associated with age; so regular exercise can help delay the deterioration of the discs. Regular exercise can also help strengthen your back muscles.
  2. Keeping your weight in control: The more your weight, the more the strain your back muscles go through, so it is essential to maintain healthy weight that should ease the pressure.
  3. Stop smoking: Nicotine is harmful for the discs present in your back, as it lowers the capability of the discs to properly absorb the nutrients needed for staying healthy.
  4. Maintaining proper posture: While slouching or slumping alone might not be responsible for a slipped disc, but if your back muscles are already strained, the bad posture could make it even worse. It’s necessary to maintain good posture not only while walking or standing, but also when sitting, as well as sleeping.
  5. Be careful while lifting: Lifting heavy objects can put a lot of strain on the back muscles, as well as the disc surrounding it. Be cautious not to lean sideways or twist your back while in the process of lifting; and always lift only as much as you can manage.

Available treatment options for slipped disc
Generally, a slipped disc is supposed to improve, given rest, medication and exercise. It can take anywhere between one to three months to achieve complete recovery.

  1. Keeping active: After having suffered from a slipped disc, keeping active is very important. While it can be a bit problematic to move, gentle exercise is essential. Swimming is helpful, as the water doesn’t put a lot of strain on the joints, while still supporting your weight.
  2. Physiotherapy: Physiotherapy is an important part of the recuperation programme. Using techniques such as manipulation and massage, physiotherapists work to restore function and movement in patients.
  3. Medication: This includes painkillers such as paracetamol, or any other medicine prescribed by the doctor. Over the counter medications are available, but they should always be taken with caution.
  4. Surgery: A few cases of slipped disc require surgery, especially if the patient’s symptoms have not improved even after other treatments, or if the patient has problems with walking or standing.
3790 people found this helpful

How Panchkarma Can Help Treat Slip Disc?

Dr. R.N. Yadav 89% (95 ratings)
BAMS, MS - Ayurveda
Ayurveda, Jaipur
How Panchkarma Can Help Treat Slip Disc?

The fast pace of modern life and sedentary work lives are affecting the physical health and posture of most people. As a result, persistent issues of back pain and slipped discs have emerged in the public health discourse. Health experts note that age remains a prime factor behind such health conditions; however, smoking and the consumption of alcohol can also aggravate these conditions in most people. In addition, obesity and excess body weight can trigger back pain and slipped disc.

Symptoms of slipped discs
Slipped discs manifest themselves in shoulder pain and uneasiness in the neck and arms. Patients that suffer from this condition also experience numbness in the upper arm. Back pain remains the primary symptom of this problem and tends to worsen at night. Also, patients may experience muscle weakness at night and a sensation of burning pain in the affected area. Advanced stages of slipped discs make it impossible for patients to walk short distances.

Conventional treatment
Medical intervention seeks to diagnose the symptoms and relieve the discomfort caused by slipped discs. Doctors also recommend methods to prevent recurrence. Conventional allopathic treatment advocates the use of painkillers or traction. This line of treatment can trigger side effects; in certain cases, treatment may not meet with much success.

The benefits of opting the Ayurvedic way
Ayurvedic treatments can help patients to avoid surgery. This form of traditional Indian medicine is safe and effective for patients of all age groups. The treatment is 100% natural and therefore, it does not cause any unwanted side effects or discomfort in the body. Ayurveda stresses on holistic healing; the practitioners of Ayurveda often create a detailed treatment plan for all patients that seek their help. However, patients must be advised to take consultations from a trained medical practitioner.

Resort to Ayurveda for a complete cure-

  1. Patients can seek Ayurvedic treatments because these offer a tangible alternative for the treatment of prolapsed discs. According to Ayurveda, slipped disc problems may be triggered by the imbalance of the Vata element in the human body. Ayurvedic treatment targets this imbalance, and helps restore the basic function and strength of the healthy human body. Ayurvedic treatment also targets weaknesses in the lower part of the body.
  2. Ayurvedic medications comprise herbal tablets, capsules, decoctions, and oils. These applications remain very effective in providing relief to patients suffering from mild to moderate back pain and the associated symptoms of slipped discs.
  3. Patients suffering from chronic back pain with severe intensity may be required to undertake Ayurvedic therapies like Swedana or Sudation therapy. Abhyanga therapy can also be applied through the use of medicated oils. Shodana therapy, which helps to detoxify the body, is also a recommended course of treatment. These interventions are used to heal the nerves so that the symptoms of a herniated disc and muscular spasms are alleviated.
  4. Ayurvedic treatments such as Basti chikitsa, Kati basti, Pneuropanchkarma can help to treat slip disc problem.

If the back pain has been a nagging concern for a while now, it is time, you consult an Ayurvedic practitioner, and take the way to complete recovery from the pain.

3273 people found this helpful

Anushka Sharma Suffering From Bulging Disc - Know The Symptoms, Causes And Treatment Of The Condition

MBBS Bachelor of Medicine and Bachelor of Surgery
General Physician, Faridabad
Anushka Sharma Suffering From Bulging Disc - Know The Symptoms, Causes And Treatment Of The Condition

One of the most loved Bollywood actresses, Anushka Sharma, has reportedly been diagnosed with bulging disc, more commonly known as a slipped disc or a protruding disc.

As per the media reports, the actress, who has been busy promoting her upcoming movie ‘Sui Dhaga’, has been advised rest by doctors.

So , let’s take a look at the symptoms, causes and treatment of bulging disc.


A bulging disc happens when the tough outer layer of the disc bulges into the spinal canal. It is one of the most common spine injuries which can occur in your lumbar spine (lower back), cervical spine (neck) or thoracic spine (upper and mid-back).

The symptoms of bulging disc can vary on the basis of the location and severity of the condition. There is a possibility that a person suffering from a slipped disc does not have any signs till the bulging area does not press against a nearby nerve.

A person, however, may feel severe pain if the spinal nerve is pressurised by displaced disc material.

The signs of bulging disc may include:

The most common sign of the disease is intense pain radiating to the hips, buttocks, legs and feet due to damaged disc. In the cervical spine, pain can radiate from the neck, down the arm and to the fingers. The other signs are numbness, weakness, tingling and muscle spasms.

Causes of a bulging disc:

Among the most common reasons for a bulging disc are injury, wear-and-tear, ageing, excess body weight, severe trauma, etc. 

Genetics may also be the reason for developing this condition. People with family history of degenerative spine conditions are more prone this disease.

What are the treatments?

People who are diagnosed with a bulging disc are generally recommended treatments that relieve its symptoms. These treatments include warm compresses, exercises, medication and rest.

If the condition of the patient does not improve even after the above mentioned measures, the doctor will advise surgery.

How to prevent a bulging disc?

Bulging disc can not be entirely prevented but you can be physically active, do some back strengthening exercises and yoga to reduce the chances of suffering from it.

We hope the condition of Anushka is not severe and she soon returns to her full-fledged schedule to keep us enthralled with her flawless on screen performances. Wish her a speedy recovery !

3 people found this helpful

What's a Slipped Disk?

Dr. Himanshu Gupta 89% (54 ratings)
Fellow Adult Knee Reconstruction and Sports Injuries, Fellowship in Interventional Pain Practice, MS - Orthopaedics, MBBS
Orthopedist, Gurgaon
What's a Slipped Disk?

Slip disk is a condition of the spinal column which consists of a stack of vertebras from the cervical, thoracic and the lumbar spine.The bones of the spine are cushioned by disks that are present to absorb shocks. Trauma to the spine may cause the disk to bulge or be ruptured. This may lead to pain in the neck and the back. 

Causes of slip disk

Slip disk is caused when the jelly like substance present in the disks bulges out. The damaged disk thus puts pressure on the adjacent nerve causing excruciating pain. The various causes of a slipped disk are:

1. Incorrect form during exercise
If you are into weight lifting, it is important that you use proper form during exercising. Moves like barbell squat and deadlifts can put pressure on the spine and lead to disk problems, if not done correctly. Make sure you work on your core strength and keep your lower back straight while exercising. 

2. Smoking
Smoking causes the disks to lose their flexibility and thus, increases the risk of slipped disk.

3. Ageing
Ageing decreases the content of water in the spine, thus leading to inflexibility.


The symptoms of slip disk are:

  1. Pain on one side of the body that tends to aggravate over time
  2. Activities such as sitting and coughing may lead to pressure on the spine causing pain
  3. Your range of motion on certain movements may be restricted
  4. Pain in the neck while moving it
  5. Numbness in the shoulder and the neck region
  6. You may experience tingling sensations in the genitals, hips and the legs
  7. You may have muscles spasms which lead to sudden contraction of the muscles
  8. It may also lead to partial paralysis of the lower body


  1. If you are overweight, try to reduce weight and then focus on maintaining healthy weight levels
  2. Maintain proper posture while sitting or standing
  3. Exercise on a regular basis to build strength and keep your joints healthy
  4. Don't remain in seated position for an extended period of time. Take small breaks in between to stretch

In case you have a concern or query you can always consult an expert & get answers to your questions!

2799 people found this helpful

Posture And Ergonomics - How Physiotherapy Can Help?

Dr. Hitesh Khurana 86% (48 ratings)
MPTh/MPT, Bachelor In Physiotherapy, Mater of Physiotherapy
Physiotherapist, Delhi
Posture And Ergonomics - How Physiotherapy Can Help?

Most people these days spend hours working on computers, owing to the sedentary nature of their jobs. Desk-bound office jobs require you to sit in one place for long hours. This often leads to nerve and muscle tension related to posture. A good posture refers to how you carry your body- keeping your back straight in an erect position, placing your arms and legs in the correct position so that the joints are not bent or twisted.

Unfortunately, most people do not pay attention to correct posture and end up complaining about backaches and joint pain. If you don’t keep your spine aligned, or if your feet do not touch the ground while sitting on a chair, then you may experience pain and discomfort afterwards. The pain is severe in people who work for about 8-10 hours daily while sitting in the same posture throughout.

Signs to watch out for-
Poor posture can result in mild to severe pain. The usual symptoms are-

  1. Lower back pain
  2. Stiffness and pain in the neck
  3. Muscular tension and shoulder pain
  4. Pain in the forearms and wrist
  5. Lumbar disc bulging
  6. Irritation
  7. Pain in the joints (knee and hips)

If these symptoms are not treated soon, then poor posture can lead to chronic health conditions like arthritis, spondylitis, slipped disc etc.

How does office ergonomics help manage your posture?
Most people don’t even realize the importance of maintaining a good posture. A healthy posture not only makes you feel comfortable at work but also prevents muscle-related problems. Here are a few tips to improve your posture at your workplace-

  1. Choosing the right chair is more important than you can even imagine. A chair with proper support system will prevent your back form bending too much, and thereby reduce the risk of back pain. Make sure your back is in an erect position so that your spine does not bend.
  2. Don’t keep your shoulders rounded and don’t bend your neck forward to lean on the computer screen. Otherwise you will have a stiff neck leading to spondylitis. Keeping your shoulders and head straight will prevent shoulder ache and neck stiffness.
  3. It’s important to rest your foot on the ground. If you find it difficult to reach the floor, arrange for a footrest. If the chair is too high for you, adjust it as per your convenience to prevent ill posture. Resting your feet evenly on the floor will prevent leg pain.

How does physiotherapy improve your posture?
Physiotherapy plays a great role in improving poor posture. Physiotherapy evaluates your body mechanism, mobility and strength to determine what exactly needs to be done. The commonly used techniques are-

  1. Joint Mobilization- This is a hands-on treatment technique for musculoskeletal conditions. Usually this method is targeted towards the synovial joints to achieve therapeutic effect.
  2. Dry needling- A needle is inserted gently into your skin to target the muscle that’s triggering the pain. A jump response upon inserting the needle is a good sign. It indicates that the therapy is working fine. It increases blood circulation in the targeted area and helps relax your muscles.
  3. Exercise- Moderate exercises, especially yoga and pilates, are very effective in treating posture-related pain. Yoga poses like bhujang asana, dhanurasana, padmasana stretch your muscles, spine and reduce body pain.

Other than these, frequent walking (at an interval of every 1-2 hours) can help reduce pain and help flex your muscles. Physiotherapy is a safe mode of treatment with much lesser side effects than other conventional methods. A proper diagnosis, treatment and frequent follow ups can improve poor posture and keep you active. In case you have a concern or query you can always consult an expert & get answers to your questions!

4187 people found this helpful

Ozone Discectomy For Disc Prolapse!

Dr. Neeraj Jain 85% (19 ratings)
Pain Management Specialist, Delhi
Ozone Discectomy For Disc Prolapse!

Ozone local anaesthesia with strict real time radiological control, which ensures the proper placement of Ozone in the center of the disc making it shrink.

Low Sciatica and PIVD

Among working-age people, as many as 20 percent experience back symptoms at least every year. facet arthropathy, sciatica, muscle strain, sacroilitis, bulging or herniated discs and degenerative disc disease. Prolapsed intervertebral discs (PIVD) are the most common cause of low back pain associated with a defined structural Abnormality.

Patients who are not helped by weeks of conservative therapy are often referred for pain that has persisted beyond a four-week period should be referred to a multidisciplinary pain center.

Different Non Surgical Interventions Employed Successfully:

  • Epidural Steroid Inj.

  • Epidurogram & Epidurolysis.

  • Nerve root sleeve/ transforaminal Inj.

  • Intra-discal steroid inj.

  • Nucleoplasty- Thermal & Mechanical

  • Ozone Discolysis

Conventional treatment methods for back pain comprise lamminectomy/ discectomy microsurgery, endoscopic disectomy and percutaneous arthoscopic disectomy, among others. These are invasive methods and their goal is to remove or contain the protruding disc. However, these methods have occasionally demonstrated a discrete incidence of failure and/or recurrence. Outcome studies of lumber disc surgeries ranging from 4% to 15%, have been noted. "In case of surgery, the chance of recurrence of pain is nearly 15 percent as against less than three percent in Ozone treatment.</p> <p><strong>Reasons for the failures</strong> of conventional surgeries are:</p> <ol> <li> <p>Dural fibrosis</p> </li> <li> <p>Arachnoidal adhesions</p> </li> <li> <p>Muscels and fascial fibrosis</p> </li> <li> <p>Mechanical instability resulting from the partial removal of boney & ligamentous structures required for surgical exposure & decompression</p> </li> <li> <p>Presence of Neuropathy.</p> </li> <li> <p>Multifactorial etiologies of back & <a href=">leg pain, some left unaddressed surgically.

Understanding the need for Nano-Technology 

  1. The various treatment options have confused clinicians and investigators due to high failure rate and complications associated with different kinds of surgeries and interventions. There has been a surge of interest in the search for a safer alternative method of decompressing the nerve roots maintaining the structural stability.
  2. Another safe least invasive alternative therapy that has been receiving exposure in Europe is the use of medical Ozone (02/03 mixture) in the treatment of PIVD. Epidural steroid injection, transforaminal epidural decompressions has a high success rate (up to 85%), but chances of recurrences are there specially if these interventions are done at later stage. anaphylaxis following intradiscal chymopapain injection. Injection of Ozone for discogenic radiculopathy (low back pain with radiation to legs) has developed as a revolutionary alternative to chemonucleolysis and disc surgery .

The use of ozone revolution for treating disc diseases 

Muto suggested an intradiscal injection of Ozone for a disc Ozone injection into the intervertebral disc. After that successful outcome has been reported from various European centers. It is very important to note from those reports that complications are remarkably few. Not a serious single life-threatening complication was found even after 120,000 cases of Ozone nucleolysis, which stresses the safety of these procedures.

The most critical portion of performing any of the minimally invasive procedures is the accuracy and safe positioning of the needle (or terminal device) in the centre of the disc space. The risk in ozonucleolysis is particularly minimised, with the use of a very thin 22/25-gauge needle. It may take anywhere from 5 to 30 minutes to position a needle in the centre of the disc space under radiological guidance. Once the needle is safely placed in position, ozonucleolysis is completed in only another 2 to 3 minutes.

How does water contained within the domain of proteoglycans. The water binding capacity of the proteoglycan molecule is partially a property of its size and physical shape, but the main force that holds water to the molecule stems from the ionic, carboxyl (COOH) and sulphate (SO4) radicals of the glycosaminoglycan chains. The ozone can have a direct effect on these carboxyl and sulphate groups, breaking down some of these glycosaminoglycan chains which make up the proteoglycans. The destruction of these cross-linked structures reduces their ability to hold water therefore diminishing the size of the herniation by collagen fibers and signs of regression (vacuole formation and fragmentation)- a sort of disk “<strong>mummification</strong>.”</p>

<p> </p> <p><strong>By Inhibiting inflammatory Nociceptors</strong></p> <ul> <li> <p>Synthesis of Prostaglandins & Secretion of Proteinases</p> </li> <li> <p>Liberation of Bradykinin and Pain Inducing Products</p> </li> <li> <p>Several studies suggest disc inflammation as a mechanism of sciatica due to disc herniation. Ozone has been shown to have an effect on the inflammatory cascade by inhibiting synthesis of proinflammatory prostaglandins or release of bradykinin or release of algogenic compounds; increased release of antagonists or soluble receptors able to neutralize proinflammatory cytokines like interleukin (IL)-1, IL-2, IL-8, IL-12, IL-15, <a href=">interferon, and tumor necrosis factor. Therefore, by reducing the inflammatory components there is a corresponding reduction in pain.

By stimulating fibroblasts & immunosuppressor cytokines 

  • Local production of Antioxidant Enzymes
  • Another action which may prove to be one of the most important is the stimulation of
  • Release of immunosuppressor cytokines like transforming growth factor, and IL-10 fibroblastic activity by ozone. Fibroblasts initiate the repair process by stimulating the deposition of collagen. Although yet to be validated, this mode of action could explain the resolution of PIVD on CT scans and the small percentage of patients who have relapses after the completion of treatment plan.
  • Ozone may have a reflex therapy effect called ‘chemical acupuncture’, breaking the chain of infection which is healed with antibiotics.


    In fact, over 120,000 patients have been treated successfully worldwide using the injection of medical ozone with a success rate of 80-90% and with a near nil rate of procedure-related complications. “The procedure is a safe and effective alternative to open surgical procedure. Patients get the advantage of going home after a short recovery on the same day. They generally go to work within a week and are spared prolonged absence from work and disability,” The treatment relieves pain substantially and, after two sittings, people "can go back to work under medical guidance".

    Comparison: 1. More hospital stay One day/day care 2. Complications of prolonged surgery& spine surgery is the treatment of choice for prolapsed disc (PIVD) done under local anaesthesia in a daycare setting. This procedure is ideally suited for cervical & lumbar disc herniation with radiculopathy. The total cost of the procedure is much less than that of surgical discectomy. All these facts have made this procedure very popular in 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.

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Things You Should Know About Spine Deformity

Dr. Vishal Nigam 87% (12 ratings)
MBBS, MS - Orthopaedics, DNB - Orthopedics/Orthopedic Surgery, FNB - Spine Surgery
Orthopedist, Delhi
Things You Should Know About Spine Deformity

Spine deformity is a medical condition that refers to any type of abnormality in the shape, alignment, or formation of the vertebral column. The human spine, in its normal state, has a gentle curvature but when these curves become extreme or move out of place, it leads to deformities. Some deformities are mild in nature while some are serious. The former are not recognizable but the latter mark the personality of the individual and also cause physical problems. Spine deformity is also known as a misshapen spine or curvy spine and can affect anyone – child, adolescent, adult or old.

The signs and symptoms of spine deformity include low back pain, weakness, pain in legs or thighs, muscle spasms, breathing difficulty, uneven shoulders or hips or both, misalignment of the head, protruding shoulder blade, and poor gait.

  1. Scoliosis, Kyphosis, and Spondylolisthesis - Spinal deformity is mainly categorized into three conditions that commonly affects people: These spinal deformities include the following:
  2. Scoliosis – In this type of spinal deformity, the spine becomes curved from side to side forming an “S” or “C” shape. It mostly affects teenagers in their growing years but can also affect children and adults. It can be caused due to birth defects, genetic reasons, or neurological defects. It can be structural or nonstructural. The former is caused by disease, injury or birth defect and it is permanent in nature. The latter is temporary and can be treated with surgery.
  3. Kyphosis – Also known as a hunchback, kyphosis is a condition marked by excessive curvature in the upper part of the spine. This is a very visible condition and the person has a hump on their upper back. It can affect anyone and is generally known to result because of poor posture but an infection in the spine, injury, slipped disc, muscle weakness, arthritis, and aging can also trigger kyphosis.
  4. Spondylolisthesis – In this condition, a bone in the spine moves out of position, either forward or backward, causing a deformity in the spine. It is caused by aging, arthritis, or general degeneration caused by wear and tear.

Treatment: Spinal deformity, in most of the cases, is treatable if it is detected on time. In cases of kyphosis or where the patient is experiencing symptoms such as pain or other tangible signs, physical examination by an orthopedist is necessary. Upon further screening through an X-ray or MRI scan, the degree of deformity is determined and then the doctor starts treatment. Some cases can be treated through braces or physical therapy or exercise. They correct the abnormal curvature of the spine and the individual can get a normal curvature after the treatment but in some cases, surgery is the only option left as only surgical intervention can rectify the deformed curvature. The surgical techniques include spinal fusion and insertion of implants.

Prevention: Spinal deformity is painful as well as personality diminishing condition and hence, needs timely treatment but it can be prevented as well. For it to happen, causes such as poor posture, arthritis, and slip disc need to be addressed in time. One should be extra careful about pain in the back or legs and take immediate help from the doctor. Also, one should try to maintain a healthy weight and do regular exercise.

In case you have a concern or query you can always consult an expert & get answers to your questions!

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