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Dr Shakeeb Ahmed

Dr Shakeeb Ahmed Khan  |132 Answers  |Ask -

Physiotherapist - Answered on Mar 08, 2024

Dr Shakeeb Ahmed Khan is a senior consultant physiotherapist with over 12 years of experience specialising in orthopaedic and paediatric physiotherapy.
He has served as a technical consultant for the World Health Organisation, the United Nations, the Tata Institute of Social Sciences and several national and international NGOs.
Besides physiotherapy, he is keenly interested in disability management, early intervention, geriatric care and assisting children with disabilities.
Dr Khan has a bachelor's degree in physiotherapy from the Ravi Nair Physiotherapy College in Wardha, Maharashtra, a master's degree in disability rehabilitation administration from the National Institute for the Mentally Handicapped, Secunderabad, and a PhD in disability management from Bangalore University.... more
Asked by Anonymous - Jan 25, 2024Hindi
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Dear Sir, From last week I am having pain in my lower right back (after in periods end), it is more when I wake up (start when I get into sitting position for the first time after waking up... I don't feel it if I continue to lie down). It start reducing as soon as the start moving... in 2-3 hr is down by 50%-60% and get nearly 0 till evening or night, and the same happen next day. But from last 2 days it is very cold here and the intensity of pain has increased... it’s getting uncomfortable. If I have to compare the pain: If feel like the pain you have the next day after doing heavy exercise, like the muscle is solidify and every movement it stretch it with pain making it loose. It is mostly concentered at the dimple of my right hip. Feel like originate from under the skin and radiating outward. Not on surface but deep inside toward the surface. Also, I was feeling burning sensation in the lower right side of the abdomen (again inside not on the surface). It started with winter getting cold, I consult the doctor and was told that it may be due to accumulation of acid (HCL) in my large intestine. She ask me to eat more (many times a days- include fruit and nut in between proper meals) and 15 days of medication (homeopathy) it is gone. For the history of all this- In November – One day after I wake up when I was getting into sitting position ... I don’t know what I did wrong or how I jerk my body up.... I feel a sudden sharp pain on my back same point... I was not in sitting position still half way in air little bend toward right.... And I know I have pulled something wrong...a muscle, nerve or ligament something... The pain was a lot like a sudden cramp you feel in your calf... I slowing get back to lying position and the pain die down in minutes... It was uncomfortable, little tight, but no pain when I again get to sitting position slowing. I started feeling soreness or tightness in my back someday not daily when I wake up. And it goes after some time has passed (30min -1 hr). It was like that till the weather get cold in mid dec. and I started have little pain in morning and burning sensation during days as told above.... I don’t have both (pain and burning) when I was on medicine... and for the next week till I get my periods... and as soon as the period ends the pain is back (on my 5th day). I don’t remember having pain during my period both in nov and dec... (I going to check the same in Feb if that the case). I know it a lot of reading and I should go to doctor.... Sorry to say my experience with back pain treatment (in 2011 after falling from vehicle) was very bad...firstly No doctor in interested in listening your part how you feeling and what you think. Secondly If you are feeling some non-standard problem (not in the book) always my case... you suddenly became a test sample... they ask you to take all the test... from blood test to MRI to bone marrow and if very test report in negative they give you more test. (I know it’s part of diagnosing the root cause). But it’s very disturbing... the test goes on and you are given strong painkillers and asked to rest and wait... as back pain take long time to heal (2 years though I stop going to doctor after initial 3-4 months of tests an no answers). The second time (2019) I went to my homeopathy doctor after my sciatic nerves get pull during exercise. With medicine I feel the pain traveling down from my back to thigh to knee then ankle - toe and out (same right side), It took 5-6 months and lot of endurance I don’t know why I am so scared this time... Please suggest me what should I do... which type of doctor I should go or what type of test I should take or simple allow time to heal... Or is it some kind of symptoms of some other underlying problem... what should I do? I am 36 year old / female, weight 70kg, Average building, 5.4ft height, having 8hr sitting job. For last 2 days I am taking medicine from my homeopathy Doc for my back pain (soreness/ sprains/ stiffness)

Ans: ``````````````````````````````````````````````````````````````````````````Sorry to hear about your condition. It is advisable for you to visit Physiotherapist considering you may have disc involvement. It is necessary that you complete minimum 10 sessions and later do exercises at home regularly. This will ensure your condition remain manageable.
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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Logically speaking, as a working woman, if your maid were asking for a WFH arrangement, how would you respond?

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Knee Replacement- My doctor has advised me total knee replacement in right knee after examining X ray, as I am suffering from pain in right knee for last 12 months. Whether I have any options to avoid it or better to do to live pain free life after operation. I am worried about side effects, if any. Thanks Ganesh Surana
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Thank you for your query. If your doctor has recommended a total knee replacement, it is likely based on the severity of your condition as indicated by the X-ray and your ongoing pain. However, you may still explore conservative options before deciding on surgery. I suggest consulting a physiotherapist for a comprehensive rehabilitation program. Physiotherapy can help strengthen the muscles around the knee, improve joint stability, and potentially reduce pain.
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Wishing you the best,

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I AM HAVING UMBLICAL HERNEA PROBLEM.DOCOTR SUGGESTED ME TO BRING DOWN MY WEIGHT AND REDUCE FATTY BELLY BEFORE SURGERY.HE SUGGESTED ME TO WAIT FOR SURGERY TILL MY WEIGHT COMES DOWN FROM 92 KGS TO A REASONABLE LEVEL.PLEASE SUGGST ME WHAT EXERCISES i CAN DO TO ELIMINATE THE FAR BELLY WITHOUT DETERIORATING MY UMBLICAL HERNEA PROBLEM.PLEASE SUGGEST ME EXERCISES TO BRING DOWN MY BELLY. THANKS AND REGARDS. NVRSRINIVAS
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Thank you for your query. Weight reduction is a gradual process that requires consistent effort and a balanced approach. It is advisable to consult a physiotherapist and a nutritionist to guide you through this journey. Focus on a high-protein, low-carbohydrate diet to support weight loss while maintaining muscle mass. Ensure your meals are nutritious and create a calorie deficit.

For exercise, start with low-impact aerobic activities such as walking, cycling, or swimming, as these can burn calories without putting pressure on your hernia. Incorporate gentle core-strengthening exercises like pelvic tilts and side planks to build core stability without straining the affected area. If suitable, include short bursts of high-intensity workouts or moderate-intensity, long-duration activities such as brisk walking or light jogging to enhance endurance and fat loss. Additionally, light resistance training can help maintain muscle mass, but avoid exercises that strain your abdominal muscles or involve heavy lifting.

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Mutual Funds, Financial Planning Expert - Answered on Dec 27, 2024

Asked by Anonymous - Oct 22, 2024Hindi
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I have lost money around 8 lakhs in gambling now i want to restart my life fresh i need to settle my debts and loan with bank and NBFCs is it possible to settle money at 70 percent waived off
Ans: Restarting your life after financial setbacks is possible with a disciplined approach. Settling your debts with banks and NBFCs requires a strategic plan, negotiation, and commitment. Here's a 360-degree approach to help you resolve your situation:

Assess Your Current Financial Position
List All Debts: Create a detailed list of all outstanding loans and debts, including principal, interest, and penalties.

Identify Income Sources: Calculate your monthly income and any other sources of funds.

Evaluate Essential Expenses: Identify non-negotiable expenses such as rent, food, utilities, and transport.

Determine Negotiable Debts: Focus on debts with higher interest rates or legal implications.

Negotiating with Lenders
Possibility of Settling at 70% Waiver
Banks and NBFCs Are Open to Negotiation: They prefer recovering some amount rather than declaring a loan as non-performing.

Settlement Terms Vary: Each lender may have unique policies. Some might agree to 70% waiver, but others may not.

Present Your Case Transparently: Show proof of your financial hardship. Explain your inability to pay in full.

Request a One-Time Settlement (OTS): Offer to pay a lump sum of the waived-off amount to close the debt.

Steps to Negotiate Effectively
Reach Out to the Right Department: Contact the collections or recovery department of your lender.

Seek Professional Help: A certified financial planner or debt resolution expert can negotiate on your behalf.

Prepare a Settlement Plan: Propose a realistic amount you can pay. Mention the sources for this payment.

Ask for Written Confirmation: Ensure the lender provides a formal agreement on the waived-off amount.

Negotiate for Reduced Interest and Penalties: Request removal of penalties and reduction of interest rates.

Managing Your Financial Obligations
Repayment Strategy
Prioritise High-Interest Loans: Focus on clearing loans with higher interest rates first.

Consolidate Debts: Consider consolidating multiple loans into one with a lower interest rate.

Use Liquid Assets Wisely: If you have savings or assets, use them to reduce your debt burden.

Building a Fresh Financial Foundation
Avoid Gambling and High-Risk Activities
Adopt Healthy Habits: Seek professional help if gambling is an addiction. Join support groups like Gamblers Anonymous.

Focus on Financial Literacy: Learn to manage your money effectively through courses or books.

Create a Budget and Emergency Fund
Track Income and Expenses: Use apps or spreadsheets to monitor your financial activity.

Save for Emergencies: Set aside 3–6 months of expenses as a safety net.

Restart Investments Gradually
Start with SIPs: Begin investing small amounts in mutual funds. Avoid direct stock trading initially.

Build a Retirement Corpus: Plan for long-term financial security systematically.

Final Insights
Rebuilding your life after a financial setback takes effort but is achievable. Focus on negotiating your debts transparently and settling them systematically. Learn from past mistakes and adopt disciplined financial habits. Restart your journey with renewed confidence and a commitment to avoid risky behaviours. Seek professional guidance when needed to make informed decisions.

Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in
https://www.youtube.com/@HolisticInvestment

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