Procare dental and physiotherapy clinic

24/10/2023

Smile makeover... referred patient from another patient... patient just couldn't stop smile...that's the power of treatment ☺️

22/01/2023

Free dental checkup and awareness camp at Arnala

15/11/2022

28/04/2022

Dental clinic open for morning and evening sessions both10-1pm and 5-8 pm

23/01/2022

If you’re going to be doing something 8, 10, 12 hours a day, make sure it isn’t harming your body.

The architecture of your spine - your natural curves - are often changed in sitting.

I doubt the original creators of chairs, couches, and the like considered spine and body mechanics when making their products. But I also doubt they envisioned how much people would be seated (sometimes all day). Some (not most) more recent models do take biomechanics into consideration.

If you start to lose your natural spinal curves, if you start to lose motion, and, of course, if you start experiencing symptoms, it’s time to examine if the design of your chair is serving you.

11/12/2021

A Patient Happy With Wrong Diagnosis
© Dr. Rajas Deshpande

“Doctor I have GBS since two years, I am taking treatment but there’s no improvement” the patient said after walking in my chamber. GBS (Guillain Barre Syndrome) is a critical illness, caused by damage to nerve fibers, usually due to a faulty immune response after certain infections. Dirty, uncooked food is one of the major causes of infections leading to GBS. As it can paralyse and permanently disable a patient, urgent treatment is necessary.

A detailed history revealed that he didn’t have typical symptoms of GBS. A detailed neurological examination was normal, except for some swelling on face and feet. He was on steroids for long now as treatment for GBS. Some tests for GBS done earlier were normal.

“Who made the diagnosis of GBS?”
I asked him.
“A doctor from an alternative medicine branch, not an allopathic consultant“ he replied.

When I told him he did not have GBS, he was upset. “But I have done a lot of google search, and I do have weakness on and off” he said. I explained him that he had a simpler medical condition called Fibromyalgia, easily treatable with supplements and milder medicines.

Another patient who came yesterday said “I have muscle dystrophy since twenty years”. Again, no findings which supported that diagnosis, made by someone who had not studied modern medicine. He too was upset that I told him he didn’t have the condition he was diagnosed with.

This “Free use” of “Diagnosis”names from branches one hasn’t studied in has become a dangerous trend now. There’s nothing wrong when the patient opts for treatment from any legal branch of medicine- Allopathic, Ayurvedic or Homeopathic- but we must strongly object to such misuse of “Diagnostic and other Terminology” from other branches while practising one branch. If qualified to practice modern medicine/ Allopathy, even an allopath must be very careful while making critical diagnosis, especially where patient’s must take dangerous or costly treatments. Some diagnoses can indeed have lifelong implications, so a second opinion doesn’t hurt.

Both patients above had googled their “(mis)Diagnosis” based upon a single symptom of mild weakness in hands and legs. Both were convinced of the ‘diagnosis’ being correct, and religiously took wrong medicines for years. Google can convince you anything you seek to be convinced of.

We respect all legal branches of medicine, but the misuse of scientific terminology from other branches, especially modern medicine, to “google-convince” the patient can be extremely dangerous, and must be strongly discouraged.

© Dr. Rajas Deshpande
https://rajas.doctor

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17/08/2021

15/08/2021

How you move and position your musculoskeletal system impacts your musculoskeletal system’s health.

This position is by no means bad. However, it’s a factor. In the presence of an orthopedic complaint, I ask patients what positions they are often in. For instance, if I am curious about the hip joint, I’ll pry about how the patient sits for work/leisure/etc. I ask because it can matter.

The hip joint moves from about -20° extension to 120° flexion. In sitting, the hip’s in about 90° of flexion. Sitting like in this photo, the hip’s also fully externally rotated (rotated out).

If a hip joint’s in this position uninterrupted for hours a day, I’d want to make sure there’s, most importantly, no loss of extension nor internal rotation ability. A simple range of motion test will tell you if there’s been any motion loss from assuming a hip flexion & ER position for prolonged periods.

If during the assessment we deduce that this position is negatively affecting the patient’s health (ie contributing to the complaint), we find a solution. The solution might be adopting this position less, adding some hip extension and IR movements into the day, or something similar.

If we allow that what you eat and what you breathe can affect your health, then we must also acknowledge that what you do to your joints can affect your joint health. It’s rather straightforward when you think about it.

22/04/2021

Physiotherapy in covid

03/03/2021

Completed 8 blessful years ..thank you everyone for support n love🙏