Subh-Pushp Ortho & Musculoskeletal Wellness Clinic

We at "Subh Pushp", believe that "every pain has a cause and all efforts must be undertaken to identify the same". Weight, age, deficiencies at best can be the risk factors but not the causes. The aches and pains are seen as a lifestyle problem and the risk factors for the same are identified from the daily routine or activities of the patient (sitting, standing, walking and activities undertaken during those actions, gadget use). The risk factors contribute to mechanical overload (primarily on the muscles of that body part or around a joint) and then lead to pain. The approach is to identify the cause of the risk factors (awkward posture, repetitive task, force, static/dynamic loading conditions) and address them with measures of posture, ergonomics and relevant exercises (lifestyle modification). We treat all acute and chronic non-traumatic painful conditions and endeavour to provide holistic rehabilitation. The areas which require specific mention are; spinal column pain (back, neck, lower back), buttock pain, shoulder, sciatica, swelling around ankle/feet, tingling numbness. The knee related pain management is a treatment protocol developed after years of research, analysis and experience.KNEE PAIN CONSULTATION, COUNSELLING & MANAGEMENT (See Images section): Subh Pushp clinic manages knee pain on the concept that the knee cap (patella) and the joint it forms with the thigh bone - the patellofemoral joint (PFJ), are the source of the pain. This is in contrast to conventional teaching & thinking that the source is the joint between the thigh and leg bone - the tibio-femoral joint and specifically its inner (medial) half. At the PFJ, due to muscular imbalances coming from hip &/or ankle, the alignment (setting) of the knee cap with the thigh bone changes & there is a tilt/shift towards the outside. This tilt produces mechanical overload, increased stress, and pain while doing activities that load that joint (sitting, sit-to-stand, stairs). The continued pressure at this joint & the effort to protect experience of pain, one exerts loads on the surrounding muscles and thus progression in pain & deterioration in function. The treatment aims at reducing the mechanical overload (protocol of regular muscle stretching, offloading the patella and taping) thus the pain and improving functions over the period of time (exercise protocol). This approach targets on making the patient mobile, control the progression of the wear and tear and improving the physical and mental outlook.