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Nidhi

Nidhi Gupta  |161 Answers  |Ask -

Physiotherapist - Answered on Dec 04, 2023

Nidhi Bajaj Gupta has 20 years of experience as a physiotherapist.
She founded the Merahki Holistic Wellness Company in 2011 and is the co-founder of Miraaya Holistic Growth Centre.
She has a bachelor's degree in physiotherapy from Sancheti Institute for Orthopaedics and Rehabilitation, Pune, and certifications in myofascial release, dry needling and craniosacral therapy from New York, San Francisco and Singapore.
She combines both Eastern and Western ways of healing. ... more
Archna Question by Archna on Oct 19, 2023Hindi
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Hello Dr. Nidhi, could you please mention about Mckenzie treatment as you have advised someone. will it work in my case. I am 58 and have sciatica, lumber spondylosis and osteoporosis. Doing exercises regularly, though not weight bearing . Kindly advise. Thanks

Ans: Hello Archna,
Mckenzie treatment is mainly for slipped disc (prolapsed intervertebral disc). It helps to reduce the disc bulge and hence nerve impingement reduces.
A physiotherapist certified in the Mckenzie treatment will need to assess you once and accordingly decide if it is suitable for your case.
To improve osteoporosis usually light weight bearing exercises are important but yes every case is different so it is better for a physio to check you in details and guide you.
All the best!
DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.
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Nidhi

Nidhi Gupta  |161 Answers  |Ask -

Physiotherapist - Answered on Jul 28, 2023

Asked by Anonymous - Jul 21, 2023Hindi
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Hello Dr Nidhi! I'm 58 year female having sciatica, lumber spondylosis and osteoporosis. After COVID I lost about 10-12 kgs of weight. Dr. Suggested me to take injection for my osteoporosis. I took one infusion one year back, but no improvement. I had a prolonged fever with body ache as a side effect. I'm doing low impact exercises and undergoing physiotherapy (for 15-20 days) after every 3 months. I was supposed to take another dose of injection but I could not make up my mind in view of its side effects. Should I continue with this physiotherapy practice or go for another infusion? I can't do weight bearing exercises because of my very low weight/ muscle mass. How to increase weight. Kindly suggest/advice how to cope with the situation.
Ans: Hello Anonymous,
It will be very good for you to first consult a good nutritionist as nutrition can play a vital role in overall bone, muscle and nerve health. They will advice you various kinds of seeds, nuts, wheatgrass/moringa/protien powder etc to be taken in the right way at the right time. That should start helping you increase weight/bone density/muscle mass.
Along with this low impact exercises using your own body weight or mild resistance with therabands is advisable.
You should also learn certain breathing techniques from a yoga practitioner.
With the above combination of diet, exercises, breath-work and good periods of sleep/rest you should start recovering.
For the sciatica and lumbar spondylosis definitely physiotherapy can help a lot.
All the best!

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Nidhi

Nidhi Gupta  |161 Answers  |Ask -

Physiotherapist - Answered on Oct 16, 2023

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i am 55 years old. Retired defense pilot. Have lots of sports injury which is showing up at this age. Body biochemistry is all with in limits, only fasting sugar is 108. For last few months i am having pain in outer left thigh muscles which increases during sleep as well as while lying down resulting in sleepless nights hence general body fatigue due lack of sleep. My exercise includes 5-6 km walk in the morning and occasionally thrice a week cycling. Orthopedic , General surgeon, neurologist as well as ayurvedic doctor has been consulted with MRI report. FINDINGS: Dorsal and lumbar vertebrae are normal in attenuation and alignment. Straightening of lumbar lordosis. Desiccation of lumbar intervertebral disc from L2-L3 to L5-S1 levels. Mild diffuse disc bulges at L2-L3, L3-L4 and L4-L5 intervertebral discs indenting anterior thecal sac with mild narrowing of lateral recesses and neural foramina. No significant compression of the cauda equina. Mild disc bulge at L5-S1 level indenting anterior thecal sac. Bilateral facet arthropathy is seen at L4-L5 level. Dorsal spinal cord, conus medullaris and cauda equine are normal. Para spinal soft tissues are normal. IMPRESSION: Mild lumbar spondylosis with mild diffuse disc bulges from L2-L3 to L5-S1 levels. Kindly help me and advice
Ans: Hello Partha,
You need to consult a physiotherapist who knows the Mckenzie treatment for slipped disc. At times pain in outer thigh can be due to slipped disc.
Or you may have a hip bursitis which will not come up in lumbar spine MRI, only hip MRI will show it. Outer thigh pain while sleeping on left side can cause pain if it is a left hip bursitis.
Or this could be a Iliotibial band tightness which is a band of muscles on the outer thigh.
A good sports physiotherapist who also knows the Mckenzie treatment needs to evaluate you, understand the root cause and accordingly give you the treatment and you should be fine.
All the best!

..Read more

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