Dr. Govind J Purohit Purohit

Keep your leg raised while sitting or lying quadriceps strengthening exercises- quad clenches: lie flat on your back or sit upright on a chair with leg kept horizontally on another surface. Now, tighten the muscle on the front of the thigh by pushing your knee down. You should feel your thigh muscles clench, hold for 3 secs. Repeat 10 times twice a day. Short arcs: lie flat on your back or sit upright with your leg placed horizontally on a flat surface like a chair or bed. Place a rolled up towel under the knee. Pull your toes towards you and clench you thigh muscles. Slowly lift your foot up off the bed until your knee is straight (keep your knee resting on the towel). Hold for 3 secs and slowly lower them on the chair. Repeat 10 times twice a day. Straight leg raise: lie flat on your back. One leg and knee will be straight and other leg should be bent. Pull your toes towards you and tighten/clench the muscle on the front of the thigh, locking your knee straight. Lift your foot up in the air, about 6 inches off the bed. Hold for 3 secs and slowly lower the leg. The knee must remain straight the whole time you are doing this exercise. Hamstring stretchingtowel hamstring stretch lie on the back, supporting the thigh with the hand or with a towel wrapped around it. Slowly straighten the knee until a stretch is felt in the back of the thigh, trying to get the bottom of the foot to face the ceiling, one leg at a time. Hold the position initially for 10 seconds, and gradually work up to 20 to 30 seconds. Seated hamstring stretch while sitting at the edge of a chair, straighten one leg in front of the body with the heel on the floor. Then, sit up straight and try pushing the navel towards the thigh without leaning the trunk of the body forwards. Hold this stretch for 30 seconds repeat 3 times for each leg.

This is quite a common condition rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Use no pillow under the head. Any way take caldikind plus (mankind)1tab odx10days paracetamol 250mg od & sos x 5days do back (spine) exercises Contact me again if need be. Make sure you are not allergic to any of the medicines you are going to take For exercises kindly visit my website www. Drncgupta. Com it gives detailed information regarding backache, causes consequences & cure, pain in & around neck & physiotherapy in general.

Dear lybrate-user .Do not do any exercise without expert advise. Also yoga. Consult us on whatsup or consult to your nearest doctor. Apple cider vinegar 1 spoon take straight in Drinking water one glass 2 times.

shoulder pain may be due to frozen shoulder or cervical spondylitis. start shoulder and neck isometric exercises . Better is to contact physiotherapist.

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Although there can be many causes for heel pain like spurs, fascial inflammation, infection, trauma etc but normally plantar fascitis is the most common cause especially if there is no history of any injury or any s/s of inflammation or infection like swelling, skin redness etc. This kind of pain is usually due to inflammation of your heel fascia. It is chronic pain which get aggravated especially when you walk more and is better with rest. Treatment modalities are aimed at relieving inflammation of the fascia, like ice packs, physical therapy, footwear modification and anti-inflammatory therapy. Kindly get a few blood tests done empty stomach and send reports across to me: esr, crp, serum uric acid levels and serum vitamin d levels do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation.

Hello sir, foot swelling can be due to multiple causes. For a person of your age, causes related to organ systems have to be ruled out which your physician will be the best person to do it. I would also require more details regarding the swelling, like is there any pain what are the relieving factors was there any injury You can get back to me with these details so I can come up with an interim solution.

Check your blood for cbc esr and hiv and the node should decrease on its own after taking augmentin and repeat esr after ten days to confirm the progress of lymphadenopathy

How To Handle Sports Related Muscle Injuries.

Physical activity and sports related muscle injuries wear out our parts, and more aggressive activity wears our parts out more quickly. There are lots of examples in those who were professional athletes in their younger years. Despite this, exercise is one of the best therapies for almost everything. Even people with terminal cancer live longer and better if they exercise.

Fortunately, our body has tremendous ability to regenerate our parts. We can repair skinned knees, knit broken bones back together, and even regrow joint cartilage.



What causes the pain of chronic injury?

Most of the pain of sports related muscle injuries from repetitive strain and micro trauma is caused by muscle and fascia (myofascial pain) and not inflammation or scar tissue. Muscles develop pain generating myofascial develop trigger points, and tendons that attach the muscles develop small tears. Then when the muscle contracts against the injured tendon, the trigger points fire and pain prevents further injury.

How do we best treat sports related muscle injuries?

Dry needling, trigger point injections, and myofascial release are usually the most rapidly effective therapies for problems like tennis elbow, golfers? elbow, plantar fasciitis, and what is often called ?bursitis? in various locations. If trigger point injections are not enough, then the tendons and associated ligaments may also have to be treated.

How do we heal?

Our body uses the same mechanisms to heal many different parts. When we sprain an ankle, some of the ligaments that hold the joint together get torn or over-stretched. This injury sets off a reaction that takes weeks to complete.

Right after the injury inflammatory chemicals get released that make the nearby blood vessels leak fluid and white blood cells into the area of injury. This makes the ankle swell, and the white blood cells release enzymes that clean up the inured tissue. As a result of this ?soup,? about 3 days after injury fibroblast cells find their way to the injury. These cells rebuild and regrow the injured ligaments.

What stops healing?

The healing process is greatly slowed or stopped by anti-inflammatory medications like ibuprofen, and also nicotine in the blood. Ice slows metabolism and healing also.



How long does the healing process take?

The process of healing continues for several weeks, and even months. Broken bones and injured ligaments reach approximately 90% of strength in 6 weeks.

What can be done to accelerate healing?

Most important is to get out of the way of our body, stopping smoking and not taking anti-inflammatory medications. Next is to take extra vitamin C and zinc. Studies on wounded soldiers showed the importance of vitamin C and zinc in healing. Lastly, consider applying moist heat to increase blood and nutrient supply and speed up metabolism in the area of injury.

What if I do not heal enough, how can I get more?

Examples of not healing enough include loose joints after sprains, and partially torn tendons. For both of these examples, we can get our body to ?rerun? the same healing program if we simply re-injure the body part. A controlled and tiny injury can be made with an acupuncture needle, an injection of dextrose and novocaine (prolotherapy), and most effectively with an injection of your own platelet rich plasma. Once the body?s healing program is restarted, fibroblast cells will come in 3 days to start rebuilding the injured part. Acupuncture provides for the weakest body reaction and slowest healing, compared to the use of platelet rich plasma.

Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful use no pillow under the head. Do hot fomantation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back knee & general exercises. It may have to be further investigated. Make sure you are not allergic to any of the medicines you are going to take. For emergency treatment contacts your nearest hospital or family doctor. If it doe s not give relief in 4-5days, contact me again. Why not discuss with me in a video conference?

Identify the dipping portion on the back of your knee folding. Press this dip with both middle fingers and hold your knee with your thumbs for support. Swing 20 times morning and evenings. Go for a regular walk. Also control your weight properly to bring down the pain.

Kindly show me your investigation reports. If it is really gout, then febucip 40mg (cipla) bd should help you. Also take caldikind plus (mankind) 1 tab odx10 contact me again for follow up. You have to change your life style no smoking, no alcohol, no non veg food, no late nights, no severe work outs/dances etc. Etc. Ciploric should never be stopped suddenly. Take at least 1 month to wean it off completely.

Need concern it is most likely not the complication of injection of 1 years back history suggest DVT, or a infection /cellulitis need urgent treatment.

you are bowler so you should keep your fitness more ... do following thing 1.do oil massage weekly twice a day 2. 1 tsp ashwagandha powder with a milk empty stomach in the morning

Kindly show me digital x rays of cervical spine. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful use no pillow under the head. Do hot fomantation. Ibuprofen 200mg od & sos x 5days bio d3 max 1tab od x10 do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. Do reply back for detailed treatment plan. Do not ignore. It could be beginning of a serious problem.

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Please send me all the reports so that I can see and let you know. Also tell me whether you are having only back pain or any other symptoms like legs pain, numbness, paresthesias, weakness in legs as well? ideally I will like to see a digital x ray of affected region of spine both ap and lateral - flexion and extension views. Do not hesitate to contact me if you need any further assistance.

Do Take IFT and laser Therapy for pain relief for 7 days regularly and learn stretching and Strengthening exercises from physiotherapist Best wishes.

Neck exercises. Neck stretching. Postural correction. Shoulder shrugs. Take frequent breaks at work. Core strengthening exercises. Use cervical pillow. Use back support.

Hi, Take tab. Rhukot 2 tabs 3 times a day and 2 tsf of Maharasnadi Kashaya mixed with equal quantity of water, 3 times a day after food. Apply Dashaanga lepa on the affected joints at night and wash it the next day morning. Rhukot gel may be applied for pain during the day time. Avoid potatoes, sweet potatoes, sweet pumpkin, peas, channa, recently harvested rice, jackfruit, etc food which aggrevates the pain.

Sudden severe gym exercises can start symptoms like these. Take rest for few days. Restart gradually build & up stamina. It could be oa/obesity do hot fomentation. Any way take paracetamol 250mg od & sos you will need other supportive medicines also. Contact me again if needed. Do ask for detailed treatment plan. Do not ignore. It could be beginning of a serious problem.