Dr. R S Ready

Have you ever felt pain in your great toe or may be ankle/foot/knee/heel/wrist/elbow which was intially in one joint and over the time involved other joints too. Then you might be having increased uric acid levels. Diet is important in such patients. Consume food less in purine content like cornflakes, white bread, pasta, flour, milk and its products, eggs, lettuce, tomatoes, green veggies and fruit juices. Strict no to all high purine foods like meats, seafood, beas, peas, lentils, spinach, cauliflower, mushrooms, beer and other alcoholic beverages.

Hi start meditation and yoga. Keep yourself busy. Kindly rule out your diabetes, uric acid, calcium, vitamin d and other metabolic disorders. Best wishes.

1. Maintain a healthy weight.

2. Find a low-impact exercise you enjoy.

3. Give physical therapy a try: a physical therapist can help design an exercise program that fits your individual ability level and teach you proper techniques to spare your joints.

4. Get enough rest and relaxation.

5. Make sure you're getting enough sleep: arthritis pain can interfere with a good night's sleep. However, proper sleep is necessary for overall health.

6. Use ice and/or heat: for many people with arthritis pain, ice can help relieve pain and swelling and heat can help ease stiffness.

7. Apply a topical pain reliever:

8. Use an oral pain reliever: ask your doctor about your options. Oral pain medications are commonly used to treat osteoarthritis symptoms.

9. Consider injections: persistent arthritis pain may respond to treatment with injections. Available options include corticosteroids, which can be used up to 2 or 3 times a year to relieve severe pain. Talk to your doctor about the benefits and risks of injectable treatments for knee pain.

10. Talk to your doctor about surgery: if you have severe osteoarthritis symptoms that interfere with daily life and do not respond to conservative treatment, surgery may be necessary. Ask your doctor about arthroscopic procedures or total knee replacement, may be necessary.

Dear lybrate user, do massage with seasame oil from downward to upward at night for five days on the calf muscles. And take mag. Phos 12 x four tablets thrice a day for row days with hot water. Take rest.

Too many medicines. It's wonder how your kidneys have sustained so much abuse. Please visit a good doctor in your locality personally and take proper advice.

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. I want to know your detailed clinical history, your relevant investigations, your treatment records till now. It helps me to better understand your condition and prescribe accordingly. Please also mention your co-morbid conditions and drug allergy. You have to actually specify what do you mean by cold and warm, is it her feeling of temperature or something else? for back pain, please mention duration of back pain, any associated leg pain, numbness etc and please mention for both complaints what investigations and treatment has been done till now? do not hesitate to contact me if you need any further assistance.

Hello, Is there any history of injury or hurt to the area? Any underlying medical condition? Medication: Meantime, take homoeopathic medicines - Arnica 200 and Rhus Tox. 200 - take both of them thrice daily for 1 week. Also, apply Schwabe's Topi-Arnica and Topi MP Gel on the affected area in circular motions gently thrice a day. And wrap crepe bandage over it. Get back to me thereafter.

Ankylosing spondylitis affects males 2-3 times more commonly than females. Researches suggest that there is a strong link of AS being genetically inherited. The HLA-B27 gene can be detected in most patients with ankylosing spondylitis. This disease is thought to be an auto immune disorder, which means that body’s own defense cells damage the joints of the spine Homoeopathic treatment can be a great boon to the patients if the intervention is started well in time. In this disorder too, the homoeopathic medicines work by optimising the body’s overactive immune (defense) system. The stage of the disease at which the homeopathic treatment is started, is a major factor in determining the outcome of the treatment. For example if the treatment is started in the initial stages when not too much of the elastic tissue is lost, the prognosis are very good and the condition can be reversed in most of the cases .In stages where extensive bone formation has replaced elastic tissue, homeopathic medicines may not be able to reverse the situation but can still help in easing many symptoms. You can easily take an online consultation for further treatment guidance and permanent cure without any side effects

You take acupressure treatment. Take biochemic mag phos. 6x &ferrum phos6x. 4 tab each thrice a day with warm water. Take it 5days & inform.

are u overweight????, do some following things 1- walk slowly 30 min daily. 2- doing some aerobic exercise such as swimming, or biking three to five times a week, eventually working up to sessions of 30 to 60 min. 3- reduce your weight gradually. 4- don't do heavy exercise. 5- take proper healthy diet.

The patient has to be evaluated first as to what is the extent of deformity and what is the bone quality. Based on that the implants are chosen knee replacement all poly imported will cost you around 1.5 to 1.75lakhs knee replacement metal backed imported will cost you around 2 to 2.3 lakhs knee replacement Indian all poly will cost you around 1.3 to 1.6lakhs knee replacement Indian metal backed will cost you around 1.8 to 2 lakhs.

Back Pain . 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, please mention if you have any injury on the finger . Now you can take Arnica 30 CH , 2 drops twice daily. Five phos 6X , 5 abs twice daily. Revert after 7 days.

For pain take ift and laser therapy in physiotherapy and continue your spinal flexion and extension exercises regularly once you pain stops, use only firm even & hard mattress.

Do consult neuro physio and take ift and laser therapy for 12 days followed by strengthening exercise and expose your body to s natural sunlight for 12 minutes per day of early sunrise or before sunset.

For cervical spondylitis u do neck isometric exercises and for coccyx pain special types pillow are there u can sit on that.

1. Start with Physiotherapy treatment and Spinal decompression treatment 2. Learn cervical exercises 3. Don't use Pillow 4. Do hot fermentation twice a day 5. Apply volini cream 6. Take calcium vitamin D 3 and Methylcobalmine supplement for one month minimum. 7. Drink warm water empty stomach.

Requires detailed investigation and examination hb, tlc, dlc, esr, blood sugar fasting & pp, uric acid vit d xray of the affected part. Anyway you may try sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick mattress are harmful use no pillow under the head do hot fomentation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck back knee & general exercises. It may have to be further investigated. Do not ignore it. Let it not become beginning of a bigger problem. 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, inform.

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. There could be many reasons for this, actually this sensation is what we call as paraesthesia and signifies nerve irritation/compression somewhere along the course right from lower back to compartments around ankle. My advise will be for 2-3 weeks try with physical therapy (tens as a modality), you can initiate with small dose of gabapentin or pregabalin and vitamin b 12 and see whether there is any improvement in symptoms in 10-15 days time or not? do not hesitate to contact me if you need any further assistance.

It happens because of the calcium deficiency. Start taking its supplements like bananas, milk, sitaphal etc. And take Calc Phos 6X three times in a day for 1 month. It will be alright. Take care. :) And if you have any other query. Please ask.