Dr. K.P.Manu

No further investigation needed if you know that sugar is under control. After all more investigations will not have corrective properties. It will only analyze the damage. Neuropathy, retinopathy etc progress even when sugar is under control by allopathic drugs. I recommend support of herbal combos for strengthening nerves and combating general weakness in sugar patients. Initially your current medicine shouldn't be interrupted.

At your age, this is a strenuous schedule and unless you take adequate rest you are likely to cause irreparable damage as time goes by. Just because you are young it does not mean that you can abuse your life/body to this extent. Your body needs periodic rest and that is better than taking any supplements to counter the damage. In fact, it will not do you any good even with supplements because you may not feel the immediate impact but over the long haul, the body will feel the strain. Instead, I suggest that you squeeze in short naps of 20 minutes, especially at noon times, you will affect some restoration. Supplements​ are good but not for this type of abuse.

Hi, its probably due to excessive masturbation, you torn off your skin thats why it seems shinny to you, you need to maintain hygiene, use savlon to clean your private parts, use antiseptic cream (Boroline in morning time)& (Use megaheal cream in night on your penis), do this for 15 days, for good recovery.

Avoid long sitting tk break between work do walk and stretch your back muscle heat fermentation twice a day.

I will suggest you to eat nutritious home made food with adequate fluid intake and take physical rest and For pain take tablet paracetamol 650 mg.

You have to consult your orthopedic surgeon for him to examine you, take x-ray and decide upon the treatment. Meanwhile keep the affected arm rested in a sling or arm pouch.

Extension Exercises x 15 times x twice daily - lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times. Bhujang Asana – Lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily.

Ayurveda Pancha karma therapies helps in Healing joint pains. Take Maharaja capsules 2-2-2 after food and Maharaja thailam external application for Joint Pains. It's a herbal supplement helps in Healing joint pains.

Not all patients of pain in joints need joint replacement. Most of them can be managed without surgery. Physiotherapy along with medicines will help. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with a soft bedding on it. Any way take caldikind plus (mankind) 1tab odx10days paracetamol 250mg od & sos x 5days do knee exercises. It may have to be further investigated make sure you are not allergic to any of the medicines you are going to take.

Do Take laser Therapy for pain relief for 12 days followed by Strengthening of Pelvic floor muscle Best Wishes

Medical sciences are not magic. You have to keep patience. Apply ice, do not take weight on leg. It takes 3-4 weeks for healing.

Pain Between Shoulder Blades:

Pain between shoulder blades can produce that nagging type of pain that is difficult to reach. Most often it is related to muscle problems, however, a herniated disc or pinched nerve in the neck can cause pain in this area, along with neck joint irritation. These causes usually respond to neck and/or shoulder movements. Pain between the shoulders can also be referred by the heart, stomach and gallbladder or, if you have osteoporosis, a possible compression fracture.

If there has been a past injury to the area or from years of poor posture, a degenerative condition like arthritis can develop in the area between the shoulders causing upper back pain.

Muscle Pain Between Shoulders:

While there are many muscles that can cause pain between the shoulder blades, the major muscles often involved are the trapezius and the rhomboid. The trapezius is a large muscle, while the rhomboid is a smaller muscle that runs between the spine and the shoulder blades.

With typical poor postural habits, the head is forward and the back becomes rounded. As the upper back becomes rounded, the rhomboid muscles stretch out. This is typically seen with a slumped posture when sitting at a computer or desk. The muscles become overstretched and weak, placing abnormal stress on the spinal bones, altered motion and, over time, can develop scar tissues from small tears which develop.

Treatment of the muscles with moist heat therapy and massage techniques can help. A particular technique called ischemic compression can be used for tender areas often called trigger points, seen in the picture with the “X”. This technique uses a tennis ball or special neck muscle release tool. Place the ball or release tool on the floor and lay on your back with the ball or tool between the shoulder blades. You can control the pressure and when you find a tender area, hold it until the pain gradually fades – about 20 to 30 seconds, although it may take a minute.

For those with chronic problems that need more than compression due to excessive scar tissue, the help of a professional Physiotherapist should help. Considerable involvement of the trapezius can cause what is often termed trapezius myalgia and the are exercises for the trapezius muscle that have proven beneficial. Since arthritic changes and joint problems may occur, this is a common area for careful spinal adjustments.

Upper back pain pillow:

The use of lumbar support pillows, which help maintain the normal curve of the lower back when sitting, can help to correct rounded shoulder posture, especially when driving a car or working at a desk. The back of the chair should not be pushed forward and should have a slight backward angle. These tips for the best posture when sitting at a computer can be helpful.

For those who sit for long periods and get so involved in work that they forget to take breaks and change postures, a timer set for 20 to 30 minutes can be placed in a location that you must get up to turn it off and reset it can be a great solution.

For some, the use of a posture support brace can assist the muscles of the upper back and spine to assume the correct posture. A universal support will allow gradual adjustments as your posture improves, so it will be a temporary aid.

When using armrests on a chair, having them too low can stress the trapezius muscle, too high can cause tension of the neck and shoulder muscles, so try to sit close to your desk with the armrests at desk level.

Often, with rounded shoulder posture, the chest muscles (pectorals) can become tight and the in the door stretch can help with tight pectoral muscles and overstretched trapezius and rhomboid muscles.

Stretch for pain between shoulder blades:

Use of door frames or resistance bands is of great use.


Sleeping with pain between shoulder blades:

For those who like to sleep on their side and have difficulty finding a comfortable position due to pain between shoulder blades, a pillow can be placed under the affected arm to prevent it from rotating forward and stretching the trapezius and rhomboid muscles. There are body pillows that can help keep the back from twisting the lower part of the trapezius and can also fit under the arm at the same time. A compact body pillow can achieve this without being to heavy or bulky. A neck pillow designed for side sleeping can add the final touch to a comfortable night’s sleep that reduces pain between shoulder blades.


Disc & Joint Causes Of Pain Between Shoulder Blades


A facet joint problem involving the small joints in the back of the neck may cause pain between shoulder blades. The lower facet joints can radiate pain to this area. This can often be as a result of a whiplash type injury or in those who spend long periods working overhead or looking up. So, this pain might be felt more when tilting the head backward. For those who work in this position, a support for the back of the head can help.

The lower discs in the neck can become herniated, torn or degenerative changes can occur which place pressure on the nerves and this may also cause pain between shoulder blades. C7 or C8 nerve pain can radiate between the shoulder blades. Typically, there will be other symptoms like pain or tingling/numbness into the arm or hand, but sometimes neck pain and pain between shoulder blades are the only sign.

Difficult cases involving pain between shoulder blades may require medications and perhaps an orthopedic consultation, however, some home treatments using moist heat, posture changes and traction units may help.

Since these various conditions may occur together, a more comprehensive approach may be required to treat pain between shoulder blades not responding to basic postural modification and conservative therapies.

For any further assistance book an appointment with us.9820011774

Rhustox cm one drop once in a week 2. Ferrum met 30 one drop twice daily for 7 days please report in 24 hours.

It is normal if there is no pain. It's meniscus tear if you have pain. Can't be simpler than this....

Advice…. Hot Fomentation x twice daily. Avoid bending in front. Postural Correction. Sit Tall, Walk Tall. Extension Exercises x 15 times x twice daily Bhujang Asana x 15 timesx twice daily Core Strengthening Exercises. Back Stretching.

Hello lybrate user, kindly get your knee joint x-ray in standing weight bearing position and I refer back. God bless you.

Yes with ayurvedic treatment & medicines it" s curable need time to heal naturally 3 to 6 months. 1) do massage with warm sesame oil or suitable oil for 15 min. Afterwards take hot fomentation for 10 min. 2) start natural calcium supplement. 3) do regular stretching exercise 4) in yoga do bhujangasan, halasan & suryanamaskar.

Sir start with physiotherapy sessions and learn exercise for spine and cervical. 2. Reduce weight. 3. Don't sit on floors. 4. Don't lift heavy things. 5. Take calcium and methylcobalamine supplement with glucosamine for three months minimum. 6 also take omega3 supplement.

Hi I can understand your problem. *take rest *increase fluid intake *gently stretch or massage your leg muscle. * apply cold pack to tender muscles. * keep leg elevated to reduce swelling. * there are various treatment options in physiotherapy which depends on your health and severity of your symptoms. Kindly reply for private consultation to discuss detailed treatment plan. Wishing you good health.

Hi it can be due early arthritic changes. Apart from medication you can start physiotherapy treatment to strengthen the muscles around the joint, stabilize the joint, and improve your range of motion. The therapist will use techniques such as ultrasound, heat or cold therapy, electrical nerve stimulation, and manipulation. Do reply for private consultation and detailed treatment plan wishing you a good health.