Chronic Low Back Pain | Sugar Den | Janakpuri West Delhi

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Healing is a collaborative journey. If you are ready to give your pain the time and attention it deserves, I am ready to listen to your story.

Ravi Shankar

Licensed Physio, Delhi (2004)

Founder: Sugar Den (2019)

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Low Back Pain? It’s Surely a Story-time at Sugar Den!

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Many clients arrive at my clinic with radiological reports in their hands, expecting the films to tell me the whole story of their unresolving low back pain.

However, this never happens. Such reports are merely a snapshot; that recurrent pain in low back is a whole character in the movie of somone’s life! So, for me as a licensed physiotherapist, to truly resolve a chronic, old, or repeating low back pain, I need to unfold the behaviour of that character in detail, meaning, I have to watch the whole movie, from the very beginning!

I start physiotherapy assessment of my low back pain clients with a simple, but profound belief: Their history of pain is not just a list of ‘whens’ and ‘whats’ of complaints, episodes and symptoms, but a wholesome narrative of the tiniest “whys” and “hows” of the same, too. This ‘behind-the-scenes’ part of the pain can never be revealed just by looking at the radiological films and reports.

Therefore, in my first one-to-one appointment with any client, which goes upto ninety minutes or more, I keenly listen to their history as a story- in the manner i need to, scientifically- to conclude appropriate diagnoses and needful therapeutic designs, further on.

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The Anatomy of the Narrative

We don’t rush. I ask my clients to arrive with time in their hands, because a structured, detailed history is the only way to unveil the mechanisms causing your pain.

I look at two distinct phases:

1. The Instigator: What caused the initial insult? Was it a sudden fall, a diagnosed PIVD (Prolapsed Intervertebral Disc), or the slow onset of Spondylitis?
2. The Maintainer: Why hasn’t it healed? Is it Repetitive Stress from a specific workplace posture? Is it Sacroilitis aggravated by how you sit? Or perhaps deranged biomechanics following a previous back surgery?

By listening to their stories in a finely detailed manner, I identify the specific movements or habits that are “feeding” the pain cycle.

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Broad Categories of Back Pain I Address

Through this in-depth analysis approach, I categorize the low back structural and functional dysfunctions appropriately, to create a roadmap for recovery.

Common clinical presentations include:

1. Mechanical & Structural: PIVD (Slip Disc), Stenosis, and Degenerative Changes.
2. Inflammatory & Joint-Based: Sacroilitis, Ankylosing Spondylitis, and Facet Joint Syndrome.
3. Post-Surgical Recovery: Addressing altered movement patterns and biomechanical shifts after spinal surgery.
4. Postural & Ergonomic: Chronic strain resulting from prolonged desk work or repetitive occupational lifting.

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A Partnership of Time and Effort

A physiotherapy diagnosis requires a two-way communication.

Once I have comprehended my client’s story of low back pain, I dedicate significant time to explain my findings.

1. The Root Cause: Exactly what is happening under the skin.
2. The Timeline: A realistic expectation of when you will feel relief.
3. Our Roles: My role is to provide the clinical expertise in physiotherapy and guidance; the client’s (and that of his or her family’s) role is to become compliant to the precautions and needful self-practice exercise routines, which I prescribe.

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The Reinforcement of Compliance

I am not just my clients’ therapist; I am their coach, too!

At every appointment, I revisit their precautions and self-exercise routines in the clinic, to ensure that their forms are perfect and encourage them to integrate them appropriately in their day-to-day lives. I remind them:

What I’ll do in an hour or two here in my clinic is more of a guidance and mentorship for you. What you will do in the balance 22 to 23 hours outside this clinic, will actually create the difference.

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Book an appointment with me, today

Check my available one-to-one appointment slots and book them conveniently, on this website, or on whatsapp.

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