Dr. Pradeep Kumar

Hello lybrate-user, please do the following things for 10 - 15 days and let me have your feed back. 1. Massage / rub your two middle fingers tightly (of hands and feet middle toes) of both the hands and both the feet about 1-2 minute each, twice-thrice a day. 2. Before going to bed - soak your legs for about 10 minutes in a bucket half or one-third filled with warm water mixed with some salt or fitkari (alum). After that wipe them with a towel and wrap in a dry towel or bedsheet for 10-15 minutes. 3. Massage your legs with lukewarm mustard or til oil. 4. Stop standing for too long at a time. 5. Stop taking sour and acidic food, cold drinks, cold and stale food. 6. If you have lower back also pain, stop bending forward or straining the back. If you still continue to have the pain after about 10 days of doing all these things,

A checkup of suger level and do strength exercise in daily routine like quadriceps exercise but gradually process and heat fermentation.

Lumbar & cervical spine problems are chronic medical conditions, You can lessen the suffering by avoiding bending,lifting weights, weight reduction,practicing 'YOGA' etc

Myths about Total Knee Replacement

Myth#1 - Knee replacement is a surgery for old people. “I’m too young for a knee replacement.”
Fact - Candidacy for a knee replacement is not based on age, but on the person’s level of pain and immobility. Living with a painful joint that prohibits you from working or participating in normal life activities is an outdated way of thinking. Age is not necessarily a limiting factor. Often times, a patient is actually fearful about the uncertainty of surgery. Once they are able to resume many of the activities they enjoyed before the surgery, with increased mobility and with less pain, they are very happy they had the surgery. The quality of life one achieves by living without knee pain is priceless.

Myth#2 - “I should wait as long as possible to undergo knee replacement surgery”
Fact - You don't need to suffer by waiting until the pain is intolerable. The longer life of joint replacements enables people to consider surgery earlier and at a younger age. Osteoarthritis is a degenerative disease that continues to damage the joint and delaying surgery makes both surgery and return to activity more difficult. Delaying surgery lowers a patients’ quality of life not only before the operation, but even for up to two years following surgery.

Myth#3 - “I should continue with medications as long as possible”
Fact - Medicines including painkillers just give symptomatic relief for a temporary duration and prolonged usage is riddled with serious side effects such as renal failure, peptic ulceration etc. All these medicines are NOT curable.

Myth#4 - Alternative therapies such as acupressure, ozone treatment, massage beds, oils, laser therapy, magnetic therapy; braces will cure my advanced arthritis and knee pain.
Fact - Till date there is NO cure for advanced knee arthritis and these alternate therapies are not backed by established scientific data. All these modalities give temporary pain relief in early to moderate arthritis for some duration only and are NOT curative. Often times, a patient who is actually fearful about the uncertainty of surgery lands up trying these in order to avoid surgery.

Myth#5 - After a knee replacement, it takes months to recover.
Fact - Depending on the activity, most patients who undergo knee replacement are able to perform routine tasks within a few weeks. A return to rigorous activity takes only a few months. One becomes independent for himself before discharge from hospital. There’s no prolonged best rest required after the surgery.


Myth#6 - After knee replacement, I’ll have to give up some activities and sports.
Fact - You have a high probability of getting back to activities like brisk walking or cycling in 6 to 12 weeks. It will take a bit longer to return to more rigorous activities and contact sports. Squatting and sitting cross legged though possible but at best should be kept to minimal.

Myth#7 - Knee replacement surgery leaves a large scar that is noticeable.
Fact - Scarring is minimal compared to traditional surgery. In fact, the scar is typically only 3 to 5 inches long. As time passes, the scar will fade and become less noticeable.

Myth#8 - Knee replacement is a very painful surgery. There is lots of pain in post operative period.
Fact - With modern day pain management such as in a multimodal approach, ensures that the patient does not feel any pain in post op period and has a smooth recovery.

Myth#9 - Knee replacement is done one at a time.
Fact - Both the knees can be operated at the same time if the patient does not have significant co morbidities and is deemed fit to undergo the procedure by the doctor.

Myth#10 - The new knee lasts for 5-6 yrs. only.
Fact - With modern day precision including computer assisted knee replacement and advancement in biomaterials, the survivorship has increased considerably. Today's joint replacements last 25 years or longer and, for most people, will last a lifetime.

Myth#11 - Knee replacement cannot be done a second time.
Fact - Knee replacement can be done multiple times what is called as a revision joint replacement surgery with good survivorship.

Myth#12 - “I am obese, I cannot undergo Knee replacement surgery.”
Fact - Knee replacement can be successfully done in an obese patient though the recovery is somewhat prolonged and might require additional implants. However, patients who are morbidly obese and have restricted mobility primarily due to obesity are better off after a bariatric procedure.

Myth#13 “I have diabetes or hypertension or heart ailment, so I cannot undergo Knee replacement surgery.”
Fact - diabetes hypertension or heart.



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Apply Hot Fomentation twice daily .Avoid bending in front. Postural Correction- Sit Tall, Walk Tall. .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. Core Strengthening Exercises- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day.

Check your pillow and mattress and also your study posture that might be causing pain. As you said you wake up early but seems you sleep late so try to sleep early take at least 7-8 hrs of sleep.

You should take acupressure therapy and take biochemic ferrum phos 200x+ kali mur 200x 4 tab each thrice a day with warm water and take it 5 days

Homoeopathy has good treatment for your problem, without causing adverse effects. Take homoeopathic medicine bryonia 200 daily in the morning and in the evening and give feedback after 6 days.

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 & 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. If it does not give relief in 4-5days, contact me again. Do not ignore. It could be beginning of a serious problem.

this back pain is due to no back exercise.... due to this muscle get stiff .... when suddenly you get move fast that time this stiff muscle get break and pain start..... in ayurved there is mentioned one procedure KATI BASTI ....DO THIS FOR FIVE DAYS WITH MEDICATED OIL if you want to do it you should do it under doctor observation .... so consult ayurvedic doctor near you ... you will definitely get good result .

For pain take tablet paracetamol 650 mg eight hourly and I will suggest her to take physiotherapy treatment for a month.

Hot Fomentation. Gentle Shoulder Stretching. Core Strengthening Exercises. Gentle Neck Exercises. Avoid sleeping on affected side.. Warm up and cool down is a must. Hot fomentation.

I assume you are talking about muscle cramps in your calf muscles. You can start taking Vit E tab (like Tab Evion LC), once daily (for a month minimum), along with a pain-killer tablet which suits you. I can advise you Tab Voveron SR 75 mg twice daily after food, along with Tab Pan 40 once daily before breakfast (both to be taken for 3-4 days). Along with these medication you can start exercises in form of calf muscle streching and knee and ankle movement exercises (or can consult a physiotherapists). Or if you have any other query regarding this or something else, you can consult me privately.

Hello, you can take homoeopathic medicine rhus tox 30 (4 drops in little water) thrice a day for a week and update. *take rest or move about once in 1-2 hours in case of working in a constant position. *maintain a good posture while reading or working with computers. *take a high fibre content diet like vegetables, fruits, et.

Hi may be there is imbalance in muscles. Start physiotherapy sessions to strengthen your lower limb muscles. Best wishes.

Hello after reading your question I reliazed that you require a session of physio for a week. Exercises like pressing the knee down on a towel while in lying position and holding for 10seconds. This will enable good muscle contraction. After 10 secs you can release the knee. Exercise - raise the leg upto 40 degrees and hold for 10 secs. Then release the leg. Squeeze a towel inbetween the knees. Hold for 10 secs. If your going for walks a knee cap would be advisable. This provides anterior and posterior support to the knee.

You should take acupressure therapy and take biochemic mag phos 200x 4 tab thrice a day with warm water and take it 5 days

Cold is due to allergic response to cold virus. Avoid cold exposure. Apply volini gel on back. Maintain correct posture.

Dear user, you are suffering from ibs, following homeopathic medicines will be helpful to you, 1-argentum nit 200/4-6 pills thrice a day. 2-trombidium 30/4-6 pills thrice a day. 3-syp dyskoll/ 1 tsf 3 times. Do some yoga in morning. Thanks.

When stressed/hurried our posture is strained even when sitting. This posture uses different set of muscles which are not accustomed to bear strain of prolong sitting. So they hurt or present as pain. Always plan take few minutes to relax before starting work. Sit straight and in a comfortable posture. When stressed put half hourly alarm set as a reminder to balance yourself.