Sachin Verma- Therapist -Body work, Cranio Sacral Therapy, Physiotherapy |



Mckenzie exercises? How do they work? How much do we understand Mckenzie approach? We know that the well-known Mckenzie Lx extension exercise for posterior disc derangement. For example, once there is a tear in the annular fibrosus, the material from the nucleus pulposus shifts posteriorly through the tear, especially more during Lx flexion such as bending forward and sitting. This is called "discogenic pain". Therefore, how we understand about Mckenzie approach is that Lx extension can shift the material from the nucleus pulposus anteriorly. some patients with discogenic pain may respond to this well. Mckenzie recommends extension exercises in the treatment of posterior disc derangement because of stress reduction on the pain-sensitive posterior annulus due to anterior displacement of the nucleus. Yes. This is his theory. However, does this really occur to everyone with the posterior disc derangement? What if the extension exercises worsen the discogenic pain? This worse pain is commonly thought due to degenerative spinal joints like spinal stenosis. HOWEVER, Research!! Greater disc bulging under postural loading occurs with advancing degenerative disc disease. Increasing bulging was noted at lower spinal levels (L4–L5 and L5–S1) Grade 1 discs displayed the expected response to dynamic positions. However, more degenerative discs behave less predictably, and EXTENSION may result in significant POSTERIOR disc bulging. These results question the popular therapeutic techniques. I am not against Mckenzie exercises. Some patients respond to them well. This research clearly proves that patients should be individually assessed and treated by pathomechanism rather than focusing on pathology. If pathology (disc herniation) is focused, then we may prescribe the Mckenzie extension exercises to all patients with disc herniation.

Dr Sachin Verma

How Physiotherapy Can Help Improve Your PosturePoor posture can result in both neck pain and back pain. The discomfort could be mild or be a more severe and chronic condition. Physiotherapy can help rehabilitate the back and neck, but physiotherapy can also help correct poor posture to prevent neck and back problems occurring. Let’s first look at some results and symptoms of poor posture: Protruding belly Rounded shoulders Knees bent when walking or standing Drooping head, either forward or backward Back pain Neck pain General body aches and pains Muscle fatigue Headaches Things like sitting in front of a computer for hours at a time and slouching in front of the TV also result in poor posture technique. Slouching becomes a habit, so it takes a conscious effort to develop the habits of good posture. Physiotherapy can definitely assist with this. Your physiotherapist can assess your current posture and the effects it is having on your body overall. Sometimes we are not even aware of what we are doing wrong and it takes an expert to bring it to our attention. In more severe cases of bad posture, a brace or support may be required, but generally physiotherapy can help improve your posture dramatically by focusing on the following: Correcting the way you sit, stand and walk Muscle strength Nerve extensibility Joint range of motion Increased muscle endurance Better balance If you do need supports we stock Posture Medic devices that are an easy way incorporate postural support with strengthening and stretching. An example where physiotherapy will assist is if you have stiff joints in the spine, this can impair your body’s ability to exhibit good posture. A physiotherapist can manipulate these spinal joints and loosen them up. The same can be done to improve the range of motion in other joints. Muscle strength also plays an important role in maintaining good posture, as poor muscle strength can lead to slouching while seated, or walking with the head hung low. Even improving the muscle strength of the legs will help you walk and stand taller and straighter. Tight muscles will impact on your posture as well, and these need to be loosened with the correct physiotherapy techniques or massage therapy. Good posture is more than just learning to sit up straight. So much more goes into developing proper posture and many parts of the body can impair it. A physiotherapy expert knows just what to look for when they make an assessment and just how to improve your posture long-term, so you can enjoy a better quality of life, free of neck and back pain.

Dr Sachin Verma

Kegel Exercises - 7 Ways They Benefit MenThe pelvic area has a number of muscles which need to be maintained healthy for optimal urinary and reproductive functions. From being able to start and maintain a good flow of urine to erections that last long, these muscles play a significant role. There are specific exercises, known as Kegel exercises, designed to work on these muscles, which can improve overall health and solve issues like premature ejaculation and urinary incontinence. These exercises were developed by Dr. Arnold Kegel in the 1940s, originally used to tighten the vagina after vaginal birth. Soon, their benefits in men were discovered and so they are today widely advised for both men and women. How does it work? The main idea of the Kegel exercise is to strengthen the pelvic floor muscles. It runs from the tailbone up to the pelvic bone and is shaped like a hammock. Strengthening this muscle allows for better functioning of the sphincters, giving better control over urination as well as ejaculation. There are 4 simple steps to doing the Kegel exercise that is find, contract, hold, and release; and repeat. Read on to know more. Find: The pelvic floor muscles control the urine stream and the anal opening, so the next time you are urinating, try to stop midstream and locate the muscle. Without any tension on the legs or the abdomen, try to lift the pelvic floor upward. Contract: The first step is to contract the pelvic floor muscle, while continuing to breathe. Hold: When you start doing it, it might be difficult to hold it for more than a few seconds. This will gradually increase with time. Make a mental note of it to track progress. Release and repeat: Release the muscle and repeat for up to 10 times, each contraction lasting for 10 seconds Benefits This simple exercise is advised by doctors to men will manage a variety of issues. The fact that it can be done anywhere, requires no equipment and is so simple, but so effective have added to its popularity. The stronger pelvic floor muscles improve blood flow to the penis, providing harder, longer lasting erections. The volume and force of ejaculation will also be improved greatly with repeated Kegels, leading to stronger orgasms Improved control over the muscles improves sexual stamina, thereby allowing you to control your orgasm Used in managing urinary incontinence Nocturnal urination can be managed by regular Kegel exercises Prostate health can be improved in people with benign prostatic hyperplasia (BPH) and prostatitis reducing pain and swelling Prolapse of pelvic organs can be prevented Because of these varied benefits, it is widely used by doctors and sexual experts in a number of patients.

Dr Sachin Verma


"Doctor understands my concern and did the treatment with dedication . I had so much of back pain going to my leg also which eventually got better with his treatment . Thanku doc for improving my condition . Would surely recommend uh for physiotherapy. "


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