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SCIATICA – SCIATIC NERVE PAIN

The term “Sciatica” is quite commonly used among st doctors as well as patients, but often what the term implies can become unclear or is even misunderstood by many. The term “sciatica” is derived from the Sciatic nerve, a major nerve that starts in the lumbar spine (low back region of the spine) and gives rise to many smaller nerves that branch off further down both the legs. There are two separate nerves on either side.

The sciatic nerve is a large nerve created from many smaller nerves that come together after exiting the spine in the lumbar and sacral regions (lower back) and carries information of sensation, pain, and muscle function for the lower extremity to and from the brain.

The pain experienced by people suffering from sciatica can vary widely, from a mild ache to a sharp, burning sensation or intolerable pain. It can also be felt like a jolting pain, like an electric shock, at times. The pain is most often worsened by prolonged sitting or driving for long hours. Usually, one side of the body is affected. Many times, people also complain of numbness, tingling or crawling sensation, medically described as paraesthesia, accompanied by muscle weakness or occasional loss of balance on the affected side.

The sciatic nerve may be irritated due to several reasons, and only a slipped disc or herniated disc doesn’t need to irritate the nerve. Muscle tightness, and nerve entrapment elsewhere in the body, namely in the hip or thigh, may also cause similar symptoms.

Since starting work in the treatment of sciatica in Pune 15 years ago, educating people about the symptoms has been a major part of treatment. Pain in the low back is very common these days and it is a major hindrance in the daily lifestyle, work as well as fitness activities of thousands of people. It is important to understand that acute lower back pain and sciatica are usually self-limiting and will resolve over some time. So time is the best medicine. But steps need to be taken to address the cause as well as treat the problem itself, so back pain along with sciatica symptoms does not recur.

CAUSE OF SCIATICA PAIN:-

In the treatment of sciatica, a thorough history is important. Most often, the cause of sciatica is found in histories well taken, and then the diagnosis thorough physical examination can be confirmed. In places like Pune, where sitting jobs have suddenly risen over the past 15 to 20 years, long sitting hours in incorrect posture and sedentary lifestyles have caused a surge in the cases of sciatica to an extent that people have to stop work, and earnings and savings take a major hit because of the pain and radiation.

Sciatica most often results from a herniated disc (also known as slipped, ruptured, bulging or protruding disc). Discs are cushions between the bony vertebrae of the spine. Vertebrae are bones stacked one over the other in a specific curvature. Loss of this curvature due to muscle weakness leads to compromised posture and increases the risk of slipped disc. When a lumbar disc shifts out of its position, it can touch the nerve root and cause sciatica symptoms.

As people age, the discs lose their water content and thus lose their strength, reducing the space between two vertebrae, causing them to be compressed and thus can protrude out.

Poor biomechanics, straightened curvature of the spine, weak abdominal muscles, tight hip flexors can all increase the risk for disc herniation.

Spinal stenosis, or narrowing of the spinal canal, and spondylolisthesis (forward slippage of a vertebra) can also cause cord compression and resultant sciatica.

TREATMENT:-

As mentioned above, since working in the sciatica treatment in Pune for over 10 years, I have seen multiple cases recover with time. Pain usually subsidies with inactivity during the first few days and basic but important stretches need to be started during this phase. An extension position is generally recommended, which helps the disc to get re-absorbed and centralized into its own space and once the symptoms of sciatica reduce, or completely stop, further exercises must be started to keep the disc from squishing out again.

It is very important to seek professional help quickly. The quicker the diagnosis, the smaller is the recovery time and the higher are the chances of healing and permanent recovery. Centralizing exercises need to be started as soon as the initial response of pain is less. Lying in bed won’t help. One needs to start taking efforts and gradually start increasing the quality of exercises done, as well as the quantity of these exercises and stretches.

If it’s a case of disc herniation, applying ice for initial 48 hrs may be helpful, depending on the particular case, and then using heat packs can provide some relief in symptoms as well as discomfort and difficulty in walking. If there is a resultant spasm, heat application will help and provide relief over time.

Again, an early diagnosis is necessary and treatment must start soon. The sooner, the better. Remember, sciatica is not the cause, it is just a symptom, the cause is somewhere else, and it needs to be found out by a trained professional and treated accordingly. Most often, conservative management is suggested and the chances of complete recovery are high if a well designed primary care and exercise program are followed.

Get in touch with us for further details on a very well informed and experienced sciatica treatment in Pune.

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Contact Info

Address: 47/22, Ekta Park, Law College Road, Pune - 411004, Maharashtra, India

Phone number: +91 84848 43191

Email At anandgupte@inposture.com

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Referring to fat loss as weight loss is quite a mistake. When people refer to weight, they are actually talking about the aggregate body mass which consists of the weight of fat plus FFMI.

            FFMI stands for fat free mass index. It is the weight of bones, skeletal muscles, connective tissue, organs, water, blood.             Fat Weight is the weight of stored body fat, that which we are interested in losing.

Losing fat weight is what your target should be, while incrementing the body’s FFMI.

Have you ever weighed yourself multiple times in a single day? If you have, you might have noticed your body weight fluctuate quite drastically. The weight fluctuation can be up to the scale of 1 to 2.5 kg within the same day. Nearly all of this weight fluctuation is contributed to by water retention. Rest of it by undigested food in the stomach and a few other factors. Now if these weight fluctuations are misinterpreted to be fat loss and gain, it is a gross mistake and misunderstanding of how body burns fats.

People who weigh themselves multiple times a day also run into depressive phases because they think that their hard work isn’t paying off and that they should be beating themselves down more and more to achieve results. This is wrong and unnecessary thinking. It is a very misleading concept that a lot of health providers assort to, to misguide their clients into thinking that they are at fault because they aren’t dropping digits on the scale. Measuring body weight daily does not prove a thing as far as fat loss goes. Making a client weigh first thing at entry for exercise, then another weigh-in at exit is a classical practice followed by multiple health care providers to prove to the client that the workout session worked. This is because the exit weight has to be lower than entry weight since there is a loss of water during exercise, especially when people aren’t allowed to hydrate properly during workouts. The next day when the same person is back for exercise, he is again made to weigh-in prior to exercise and this time, his or her weight obviously records higher than the previous day’s exit weigh-in. Then the person is blamed for not following the day’s nutrition properly, leading to weight gain. This is highly uninformed and wrong advice, which is extremely misleading and psychologically detrimental to the daily exerciser.

Fat loss is never seen within a single day.

Fat loss is never seen within a single day. Fat loss is achieved over a period of time. It takes weeks and months of consistent, high quality, scientific exercise and correct nutritional goals and strategies to achieve fat loss. On the contrary, one should be interested in increasing the body’s FFMI that is the weight of muscles, the health of connective tissue (ligament, tendons) and improving bone density. This can only happen with a well rounded nutrition plan and well-deigned, scientific and enjoyable daily exercise sessions. Incrementing muscle weight takes time and takes a lot of hard work, patience and perseverance.

I hope you have followed this. If not, do read again. You shall now understand the difference between fat loss and weight loss quite well. When you start to exercise, your goal should be to target fat weight and not body weight. Weighing scales should only be used as a proxy measure and a guidance feedback to keep an eye on which way you are proceeding. A downward trend in weight obviously indicates that you are losing weight and the hope is that the weight comes from fat. Whenever you watch for weight drop on the weighing scale, always remember that your are measuring “body mass” and not your fat. So if your weight refuses to reduce at a certain point for a particular reading, measure again a day or two days later. Chances are you are retaining fluid and so your weight doesn’t show a drop on the scale.

It is important to understand that you must observe a trend in weight loss and not obsess over reduction of weight at every consecutive reading. So if for instance you weigh 80 kg one day, and you observe that your weight in the next week reduces by 1 kg, it will show your weight down to 79 kg. This rate of reduction might carry on every consecutive week, or the rate might change, which is a high probability. But at times there will be periods when you will see no drop in weight or an increment in weight. For instance, if you see your weight drop to 74 kg at the rate of 1 kg per week, and the next week your weight shows a rise to 75 kg, it doesn’t mean that your fat weight has increased by 1 kg. Observe your weight again a couple of days later. And then check it directly in the next week on your regular weight check day. If in your fat loss program you see a trend of weight loss where multiple times your weight fluctuates and sometimes stagnates, it is important to check a trend of weight loss. So draw out your record of the past months that your have been exercising and check what your start weight was. And then check what your weight on the present day is. If you see that your weight drop has been from 80 kg to say 70 kg, but there are multiple times your weight has shown an increment and then decrements, and at times stagnation, those weight entries are not important. It is important that you have reduced 10 kilos. So it is essential to be happy about it and keep up with the efforts.

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Have you ever weighed yourself multiple times in a single day? If you have, you might have noticed your body weight fluctuate quite drastically. The weight fluctuation can be up to the scale of 1 to 2.5 kg within the same day. Nearly all of this weight fluctuation is contributed to by water retention.

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Obesity clinic in Pune | Slimming center in Pune - Dr. Nitin Gupte

Formerly we offered two basic programs. The ‘In-Centre Program’, for people who attended our Centre while the ‘Distance Program’ was the consultation based program for those who were treated at their homes, anywhere in the world.

Both programs were under the care of Dr. Nitin Gupte. Over the years, the ‘In-Centre Program’ had become more of a slimming program with some people also coming to overcome various diseases that accompany obesity.

This program was closed around 2007.

Dr. Nitin Gupte now exclusively looks after only the ‘Distance Program’.

The ‘Distance Program’ is really a program that helps people overcome illnesses like hypertension, diabetes, heart disease, PCOD, infertility and repeated miscarriages after the failure of conventional medical and gynaecological treatments, all over the world!

The treatment essentially revolves around a healthy lifestyle, excellent nutrition based very much on our own, normal, everyday food, regular exercise, adequate rest and mental peace and happiness, exactly what a cardiologist would recommend to keep you positively healthy and safe from obesity, hypertension, diabetes, heart disease and strokes!

The ‘Distance Program’ revolves around educating, planning and inspiring people to make small but healthy changes in their lifestyle and normal, everyday food, at least walk regularly, rest adequately and be mentally peaceful and happy!

Most people on our ‘Distance Program’, from Pune to the US, Europe, and South Africa are giving great results on plain walks. But we can plan a variety of cardiovascular exercises like walking, running, jogging, aerobics, dancing, cycling and using cardiovascular equipment for you, depending upon your age, health, fitness, preferences and availability of facilities or equipment.

Most people consulting Dr. Gupte from all over the world on this program, successfully prevent or overcome various pains, hypertension, diabetes, heart disease, strokes, PCOD, miscarriages and infertility as they lose weight healthily.

Many even get rid of their medication of diseases like hypertension, hypercholesterolemia and diabetes.

If you are in Pune, you can personally visit and consult us. You must call and visit us with a prior appointment first for detailed discussion before joining the program. The first visit is absolutely free. You can take a call and join us after you know all the details of programs and all your queries are answered in detail.

Pune people are taking up the ‘Distance Program’ in very large numbers in recent years and are very happy with the results. The program suits those people who are either too busy or stay too far to join our In-House Program.

If you wish to consult from a distant city or country, you can send the Feed Back Form on our website and then the treatment is discussed and planned on phone. The prescription is then mailed to you. You are welcome to personally visit us on any and every subsequent visit to the city.

The ‘Distance Program’ includes daily reporting on WhatsApp, after the first consultation, and also by personal visits, phone or mail, depending upon where you are located. The daily reporting has helped us monitor and advise people on this program on day to day basis, helping them understand and follow our plan better and has improved our results appreciably. Monthly personal visits are available for people from Pune and nearby cities or towns. Non Resident Indians visit whenever they visit home.

This program includes six months of maintenance period after reaching your optimum weight. Once you complete the program in the stipulated time frame, you stay connected for a life time with me.

This system works beautifully anywhere in the world.

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How do the programs function?

In every program, you have to fill up and submit the feedback form (with information about your daily food pattern and lifestyle) from our website and pay the fees by bank transfer or cash.

Once we receive the information, I plan and mail you your ideal food plan, keeping it as close to your daily food as possible, and exercises as simple as walking.

This plan is simple enough for you to follow for a lifetime, that’s the only way you can get slim and healthy for a lifetime!

We don’t prescribe ‘diets’ (read: planned starvation), diets are temporary and so are their results, eating healthy is permanent, and so are its results!

Once you receive the detailed prescription about your food plan and exercises, most often people under our care, all over the globe simply walk, you have to mail us all your queries and we answer all of them in detail.

Once you understand and appreciate that the plan is easy to follow, you can begin following it, and report as per your plan, viz. daily or weekly on What’sApp and personal visits every month if you are in Pune or whenever you visit Pune, if you are located anywhere else in India or abroad.

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The fees structure of this program is based on the height, weight and time frame of the program and the follow up frequency, daily or weekly. Custom made programs are also offered.

Also read the links ‘Slimming Simply and the ‘In-Centre Program’ on this website. Visit ‘Contact Us’ on this website to get in touch with us.

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Dr. Anand Gupte Published an article at Maharashtra Times News Paper

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Upper Crossed Syndrome

Today’s life is heavily driven by technology. And technology is quite the weapon that must be used to stay afloat in this fast paced world. But technology comes at a cost. At the very basic level, today we all are constantly glued to our cellular phones, tablets and computers. We type, we read, we communicate almost entirely through technology these days. There is very little time spent in the day without the presence of some sort of communication equipment in our hands.

This constant use of devices added on to daily stressors like seated jobs, long distance  drives and degraded lifestyles has led the human body to make compromises it is not expected to make. To meet the demands of today’s life, people tend to forget that there is only so much the body can take before it starts to give up. And this, among other things is seen in today’s society’s most common postural compromise – forward head posture accompanied by rounded shoulders and a weak back called Upper Crossed Syndrome.

A person’s posture is the product of balance (or imbalance) between opposing (antagonistic) muscle groups. When the body is in perfect balance, it habitually sits, stands and moves around in the way that it was deigned to. However, due to repetitive misuse, and constantly maintaining a bad posture, an imbalance sets in because muscles are constantly trying to counterbalance the wrong posture. Additional stress placed on the tissues can eventually lead to pain and injuries.

UPPER CROSSED SYNDROME

Comfortable positions for repetitive actions like those mentioned above force the body stay in a position that leads to tightness in the chest (Pectoralis Major/Minor) and shoulders (Upper Fibres of Trapezius), accompanied by weakness in the upper back (Rhomboids/Lower Fibres of Trapezius) and neck (Cervical Spine Flexors). The combination of tightness and weakness in these opposing muscle groups can lead to many chronic issues such as Impingement Syndrome and Thoracic Outlet Syndrome.

SYMPTOMS

Upper Crossed Syndrome is commonly characterised by:

a chronic forward head position with a jutting and dipping chin

Increased cervical lordosis – anterior or forward curvature in the levels of the cervical (neck) spine

Increased kyphosis – posterior or backward curvature in the levels of the spine that of the upper

elevated, protracted, or rounded shoulders, where the muscles are in a continuous state of being pulled or stretched forward

Scapular winging – the visible portion of the shoulder blade protrudes way out instead of laying flat

THE SOLUTION

Theoretically, correcting this postural compromise is simple but it is a lengthy process. Imagine the muscles of the chest and back playing tug of war. With a constantly forward head posture, the muscles of the back are chronically lengthened and thus are at a significant mechanical disadvantage in this game. Lengthening the tight muscles of the chest using a combination of stretches and soft tissue release, and strengthening the muscles of the back while habitually trying to keep your posture more erect, will eventually level the playing field. In less severe cases, this issue can be resolved relatively quicker, but in more severe cases, it can take quite a bit longer to correct the dysfunction.

Slouching and head jutting forward is a posture that becomes comfortable to be in over time after repetitive load being put on the body in the same manner. Slowly, as you start to lengthen the muscles of the chest and strengthen the muscles of that back, over time, the correct upright posture will become more comfortable to be in and finally become habitual.

EXERCISES

There are a certain few things you can follow at home to keep things simple yet achieve some benefit and with time reduce the inappropriate load put on the body. Start these exercises right away and if done the right way, feel the difference in a next few days.

Lying down

Place a foam roll or a narrow pillow upright on the floor or mat and lie down on it with the head slightly in a tilted up position – as if to look backwards. Let your arms and legs relax by your sides without letting any muscles in your body tense up. Feel the stretch in the muscles of your back chest and shoulders. Breathe deep and learn to relax in this position daily for at least ten minutes twice a day. Slowly increase the time as days pass.

Standing

Stand upright. Stretch your hands behind your back and join both hands with finger interlocked. Start to slowly stretch both arms towards the floor and feel the stretch in the muscles of your chest and shoulders. Try to bring the shoulder blades (scapulae) as close to each other as possible.

Stand upright in  a door way and stretch both arms downwards to the floor. Now place palms of both hands on the frame on the door on either side and start to slowly step forward. There will be a limited motion forward before your body starts to resist the motion. At this point, start to tilt the body forward as if you were falling in front of you. Be mindful that the tilting happens through the ankles and the body tilts forwards as a single unit. It is not just bend ahead through the waist. Be sure to look upwards as you perform this stretch. Hold position for at least ten to fifteen seconds and stand back up. Repeat this exercise at least five times at one time and perform as many times as possible throughout the day.

It is very important to remember that posture is the product of daily habits and repetitive actions and must be motioned closely. If you are a desk job worker and spend loads of time in a position that promotes slouching, and you feel that you are suffering from tightness and constant pain or irritation in your neck or upper back, reach out to us and we shall schedule a corrective routine for you to rebuild the lost balance and posture.

When you step, step with care and grace. Do not let the strides bother you and let your stance be solid. Remember that life is a great balancing act. And if the question is whether you will succeed or not, yes, indeed you will!

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Anand Gupte provides you best knee pain treatment in Pune at affordable cost. We managed many cases successfully to yield positive results for knee pain treatment.

To get a full checkup and assessment of your knee pain and to know the management plan to treat the pain, get in touch with us. We provide knee pain treatment in Pune at a prime locality with lift facility so commute won’t be a problem. We understand your need to be seen and examined quickly when you are in pain, so we place appointments on priority. Give us a call or send us an email to get checked and treated.

https://www.inposture.com/knee-pain-treatment-in-pune/

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Get the best Frozen Shoulder Treatment in Pune at Inposture fitness centre at an affordable price book appointment now! Anand Gupte worked on frozen shoulder treatment since 10 years and seen cases ranging between the three stages of the condition (as defined by AAOS) – Freezing or painful, Frozen & Thawing.

https://www.inposture.com/frozen-shoulder-treatment-in-pune/

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Get the effective Lower Back Pain Treatment in Pune from Anand Gupte. We can ensure that you will get a complete relief after start our back pain treatment.

Today, lower back pain treatment in Pune costs in multiples of thousands and when it comes to surgery, in lakhs of rupees. Is it a real necessity to go that far? No, definitely not! You can surely try and keep back pain to a minimum and treat it with exercise and corrective therapy for years and not even think about spending huge amounts of money in invasive procedures.

https://www.inposture.com/lower-back-pain-treatment-in-pune/

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Get the best Lower Back Pain Treatment in Pune from Anand Gupte. We can ensure that you will get a complete relief after start our back pain treatment.

  Today, lower back pain treatment in Pune costs in multiples of thousands and when it comes to surgery, in lakhs of rupees. Is it a real necessity to go that far? No, definitely not! You can surely try and keep back pain to a minimum and treat it with exercise and corrective therapy  for years and not even think about spending huge amounts of money in invasive procedures

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We have worked in the field of slip disc treatment in Pune city for over 10 years now. Based on that we can assure you relief through a thorough assessment of your condition. A slipped disc can affect structures and nerves in its vicinity and lead to symptoms elsewhere. So a careful assessment is highly necessary before a treatment plan is undertaken.

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Searching for sciatica pain treatment in Pune? sciatica treatment in Pune by Anand Gupte utilizing drugless treatment with push back treatment for a permanent cure, he has treated numerous individuals having sciatica treatment in Pune.