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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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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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I am 27 years old girl corona made my life a waste. Just before corona I left an assistant job to go for regular studies then due to corna I got stuck being jobless. I really wanted to study in regular as in graduation I did from open university. Time being I tried govt job preparation but nothing happened. I got gap of 2 years i couldn't find another job. At the end I did get my post graduation mba completed but I didn't get a job of my education all are of calling & backend. Currently its been 3-4 months nothing is working, application getting rejected every time. During final year exams my bf broke up with me from a 8 year long relationship. Please answer me
Ans: To rebuild your career after completing an MBA, identify transferable skills such as management, communication, leadership, and problem-solving, and match them with job roles beyond just calling and backend work. Revamp your resume by highlighting your educational qualifications and skills, and showcase internships, projects, or certifications completed during your MBA. Upskill strategically by considering short-term certifications relevant to your MBA specialization, such as digital marketing, project management, or data analytics.

Get a ton of useful information on "Resume Building," "LinkedIn Profile Building," "Job Search," and "Salary Negotiation Skills" by tuning in to the free webinars hosted by Vikram Anand, Sakshi Chandrasekar, and Sawan Kapoor. Take advantage of these kinds of free webinars to keep yourself busy and increase your self-assurance.

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Emotional healing is essential, and it's important to acknowledge the pain of the loss of a relationship. Focus on self-care activities that uplift you, such as journaling, exercising, reading, or joining support groups. Practice mindfulness or meditation to reduce anxiety. Seek professional support if feelings of sadness or self-doubt persist.

Set small, achievable goals to avoid feeling overwhelmed and redefine success as personal growth, resilience, and continuous learning. Remember that progress takes time, and you are not alone in this phase. Stay patient and persistent, as your breakthrough will come.
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Me and my boyfriend in a relationship from 5 years. My parents are happy with our relationship, but not his. I am Christian and he is Hindu. He tried to run away a few months ago to another state but his father spoke to authorities and caught him at an airport. He is now being monitored and has no way to escape. We want to seek legal help to get married but not sure where to look. We tried to look into special marriage act, but it requires 30 days notice meaning, his parents might find out and things get worse. Any advise is much appreciated on what help we can get legally.
Ans: First, it's essential to acknowledge the emotional strain this situation may be putting on both of you. It's okay to feel overwhelmed or uncertain, but your commitment to each other is a strong foundation to build upon. It's crucial to support each other emotionally through this process, as it will require patience, resilience, and understanding.

Additionally, you might consider looking into organizations or NGOs that support interfaith or inter-caste couples. These groups often have experience dealing with similar situations and can offer both legal advice and emotional support. They can also help navigate the legal process in a way that minimizes risk and ensures your rights are protected.

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Remember, the love and commitment you share are powerful. While the road may be difficult, focusing on your shared goals and supporting each other through these challenges will strengthen your bond. Stay hopeful, seek the right help, and trust that you're making the best decisions for your future together.

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