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Dr Karthiyayini

Dr Karthiyayini Mahadevan  |1146 Answers  |Ask -

General Physician - Answered on May 20, 2023

Dr Karthiyayini Mahadevan has been practising for 30 years.
She specialises in general medicine, child development and senior citizen care.
A graduate from Madurai Medical College, she has DNB training in paediatrics and a postgraduate degree in developmental neurology.
She has trained in Tai chi, eurythmy, Bothmer gymnastics, spacial dynamics and yoga.
She works with children with development difficulties at Sparrc Institute and is the head of wellness for senior citizens at Columbia Pacific Communities.... more
Asked by Anonymous - May 09, 2023Hindi
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Hello, I am suffering from Bells Palsy since 7 days I am visiting Physio for Electrical Stimulation therapy. Now my lower Jaw is paining due to this therapy... My defect is getting to normal now day by day... There is slight weakness on forehead and unable to smile....Shall I still continue with EMS ?

Ans: Electrical stimulation has, role in the acute phase upto 2 weeks. Physio should be continued for 8 weeks
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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Dr Shakeeb Ahmed

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Physiotherapist - Answered on Jun 21, 2024

Asked by Anonymous - May 24, 2024Hindi
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Hi Doctor, My query is regarding Physiotherapy. I recently underwent a surgery for 'Flexor Tenosynovitis' of the Thumb. I am currently undergoing physiotherapy since last 1 month to regain thumb movement. My queries are: (1) Is it possible that index finger adjacent to the affected thumb gets sore due to physiotherapy of the thumb. There is no pain , only soreness of the index finger since last 1 month. (2) How many days/ weeks it takes to regain complete normalcy in thumb movement, especially the bending of thumb. At present my thumb is extremely stiff and I can hardly bend it. (3) Is it possible to regain 100% normalcy of thumb movements by doing physiotherapy? For reference I'm 36 yrs of age and physically fit. Thanks in advance.
Ans: Thank you for your query regarding physiotherapy following your surgery for Flexor Tenosynovitis of the thumb. It is possible for the index finger adjacent to the affected thumb to become sore during physiotherapy. This soreness can occur due to increased use or compensation during exercises aimed at improving thumb mobility. The muscles and tendons of the hand are interconnected, and stress on one area can affect adjacent areas. Ensure that your physiotherapist is aware of the soreness in your index finger so they can adjust your exercises or provide specific techniques to alleviate the soreness.

The time it takes to regain full movement in the thumb can vary based on the severity of the initial condition, the extent of the surgery, and individual healing rates. Generally, it may take several weeks to months. Stiffness is common in the early stages of recovery, but continued physiotherapy, including range-of-motion exercises and stretching, will gradually improve flexibility and movement. Many individuals can achieve significant improvement and even full recovery of thumb movement with consistent physiotherapy, but the extent of recovery can vary.In a retrospective study of 41 patients with flexor tenosynovitis, Dailiana et al. found that the best functional outcome associated with this condition resulted from early diagnosis, drainage through small incisions, and continuous postoperative irrigation. Worse outcomes were associated with delayed treatment and infections with specific pathogens. By following these guidelines and working closely with your physiotherapist, you should be able to maximize your recovery and regain as much thumb function as possible.

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Dr Shyam

Dr Shyam Jamalabad  |78 Answers  |Ask -

Dentist - Answered on Nov 14, 2024

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Dr. Shyam, I had my teeth cleaned 6 months ago and after that was done I saw discoloration on certain teeth that wasn't there before. Years ago I had my teeth cleaned and one particular tooth after the cleaning was sensitive to touch. I had a crown put in from two different dental offices. The first one did the crown right, but was trying to charge me $3,500 more than the agreement they made with Medicare. Medicare corrected that. I other dentist did a crown and it didn't go all the way up to my gums and is sensitive to especially cold things. I'm not having very good experiences with dentist by and large. Can't find an honest one or one that can actually do the job right. I feel being on Medicare your a target to bring in money. Not sure what to do next. Supposed to go back and have them redo the crown that didn't go to my gums, but it also was ttd place to didn't clean my teeth right and discolored some of them. Any suggestions on how to trust there is actually an capable and honest dentist out there who can perform properly?
Ans: Identifying a capable and honest dentist is crucial for your oral health and well-being. Here are some tips to help you find one:

1. Ask for referrals: Ask friends, family, or coworkers for recommendations. They can provide valuable insights into a dentist's work quality and bedside manner.

2. Check credentials: Ensure the dentist has the necessary qualifications, certifications, and licenses. You can verify this information with your state's dental board or professional organizations like the American Dental Association (ADA).

3. Check online reviews: Look up the dentist on review platforms. Pay attention to the overall rating and read the comments to understand the strengths and weaknesses. At the same time, do not rely on reviews alone as these can be manipulated, fake reviews can be easily generated.

4. Evaluate their communication style: A good dentist should listen to your concerns, explain procedures clearly, and answer questions patiently. Ensure you feel comfortable asking questions and discussing your treatment.

5. Assess their facility and equipment: A well-organized and modern dental office with up-to-date equipment is a good sign.

6. Check their approach to preventive care: A capable dentist emphasizes preventive care, including regular cleanings, exams, and education on oral hygiene.

7. Be wary of over-treatment: A honest dentist will not recommend unnecessary procedures. Be cautious if you feel pressured into extensive treatments.

8. Trust your instincts: If something feels off or you don't click with the dentist, it's okay to explore other options.

10. Schedule a consultation: Many dentists offer initial consultations or meet-and-greets. Use this opportunity to assess their approach, ask questions, and gauge your comfort level.

By following these steps, you can increase your chances of finding a capable and honest dentist who prioritizes your oral health and well-being.

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