Dr. R S Ready

Exercises for cervicogenic headache hi dear, I hope you will fitt and fine The following exercises are commonly prescribed to patients with this condition. You should discuss the suitability of these exercises with your physiotherapist prior to beginning them. Generally, they should be performed 2 – 5 times daily and only provided they do not cause or increase symptoms. Your physiotherapist can advise when it is appropriate to begin the initial exercises and eventually progress to the intermediate and advanced exercises. As a general rule, addition of exercises or progression to more advanced exercises should take place provided there is no increase in symptoms. ________________________________________ Initial Exercises Chin Tucks Begin this exercise by sitting or standing tall with your back and neck straight, shoulders should be back slightly. Tuck your chin in as far as you can go without pain and provided you feel no more than a mild to moderate stretch (figure 4). Keep your eyes and nose facing forwards during the movement. Hold for 2 seconds and repeat 10 times provided there is no increase in symptoms. Repeat 3 – 5 times daily. (N. B In some cases it may be beneficial to perform this exercise every 1 or 2 hours provided the exercise does not cause or increase symptoms). Shoulder Blade Squeezes Begin this exercise by sitting or standing tall with your back straight. Squeeze your shoulder blades together as hard and far as possible pain-free (figure 5). Hold for 5 seconds and repeat 10 times provided there is no increase in symptoms. Repeat 3 – 5 times daily. (N. B In some cases it may be beneficial to perform this exercise every 1 or 2 hours provided the exercise does not cause or increase symptoms) Some of the most commonly recommended products by physiotherapists to hasten healing and speed recovery in patients with this condition include: 1.Postural Supports To enjoy a long and healthy life 2.Therapeutic Pillows 3.Ice Packs and Heat Packs 4.Lumbar Rolls (for sitting) 5.Sports Tape (for postural taping) 6.McKenzie Treat Your Own Neck Book 7.Foam Rollers 8.Massage Balls (for self massage) 9.TENS Machines (for pain relief)

Kindly lose some weight. 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. IBUPROFEN 200mg OD & SOS x 5days BIO D3 MAX 1tab OD Do neck,Back & shoulder 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. If you have localized neck pain with no other symptoms like radiating upper limb pain, neurological symptoms like numbness, weakness, paresthesias etc, then you can start with following recommendations for initial period of 2-3 weeks: - to maintain proper posture of your neck while working and sleeping - if pain is more then you can take a short course of an anti-inflammatory medication like tab etoshine or paracetamol or one which suits you - physical therapy initially under supervision of a trained physiotherapist and then to continue at home - adequate calcium & vitamin d intake if levels are low in body - ice packs can applied if your pain is acute, then hot fomentation can be done at home - analgesic spray for local application can be used and is easily available. We will observe you for next 2-3 weeks how you respond to this conservative management protocol. If you are not feeling better, then we will have to get some investigations like, dynamic x rays of neck and few blood tests for evaluation. 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.

Dear you have probably planter fasciitis and need detailed evaluation and imaging to confirm that diagnosis. We can cure you with eswt. It is nonoperative and noninvasive treatment and has no side effects.

Hi restless legs syndrome (rls) kindly rule out iron deficiency, diabetes. It can also be due to peripheral neuropathy alcohol and sleep deprivation. Treatment * begin a regular exercise program, *establish a regular sleep patterns, and *eliminating or decreasing the use of caffeine, alcohol, and tobacco, may be helpful. *leg massages *apply hot baths or heating pads or ice packs to the legs do reply for detail treatment plan. Wishing you a good health.

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. Back Stretching- lie flat, pull one of the knee forward to chest, hold for 3 seconds, then bring the other knee forward to the chest and again hold for 3 seconds. Then pull both knees towards the chest and hold for 3 seconds. Repeat 10 times each exercise twice a day. Do the cat/cow stretch. Get on all fours, with your arms straight and your hands directly under your shoulders; your knees hip-width apart.

U have postural vertigo, no quick body +head movements, use vertin16, 16, 2/day+gudmensia, 2/day x15 days+ent doc.

It could be due to cervical spondylosis 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 bio d3 max 1tab odx10days ibuprofen 200mg od & sos x 5days do neck & back (spine) exercises contact me again if need be. Use of cervical collar will give you relief. It may have to be further investigated. Make sure you are not allergic to any of the medicines you are going to take your thyroid & gout must be controlled by experts.

Hi change your sleeping position. Keep pillow under knee while sleeping on your back. And keep pillow between knee while sleeping in sidelying position.

Dear it seem you have what is called as deep vein thrombosis. It is a very serious condition, I suggest you get a doppler study of your leg done and consult your doctor immediately.

Aside from seeing your doctor regularly and following your prescribed treatment plan, staying active is probably the best thing you can do for ankylosing spondylitis. Regular exercise can help relieve pain, improve posture, and maintain flexibility. Before beginning an exercise program, speak with your doctor or physical therapist about designing a program that’s right for you. Another important thing you can do for yourself is to practice good posture. A good test for posture is to check yourself in a mirror. First, stand with a full-length mirror to your side and, if possible, turn your head to look at your profile. Next, imagine you have dropped a weighted string from the top of your head to the soles of your feet. Where does the string fall? If your posture is good, it should pass through your earlobe, the front of your shoulder, the center of your hip, behind your kneecap, and in front of your anklebone. If you are not standing that way already, practice holding your body that way in front of a mirror until you know well how it feels. Practicing good posture can help you avoid some of the complications that can occur with ankylosing spondylitis. Best wishes.

You should take Acupressure therapy and take Biochemic Kali phos 200 x +Calc sulph 200x, 4 tab each thrice a day with warm water and take it 5 days and consult private online.

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. Back Stretching- lie flat, pull one of the knee forward to chest, hold for 3 seconds, then bring the other knee forward to the chest and again hold for 3 seconds. Then pull both knees towards the chest and hold for 3 seconds. Repeat 10 times each exercise twice a day. Do the cat/cow stretch. Get on all fours, with your arms straight and your hands directly under your shoulders; your knees hip-width apart.

Apply hot fomentation twice a day Do knee isometrics Do straight leg raising exercise Avoid long standing Do ankle pumps Avoid floor sitting & crossed leg sitting Make less use of stairs Take calcium & vit D supplements

Dear you have cervical spondylitis, do neck exercises and deep breathing exercises and put a hot water bottle under your neck for 20 minutes twice a day for 3 days daily. Also don't bend your neck for long time. You will be fine.

OK apply hot fomentations and quadriceps exercise in gently process. apply ice pack on swelled area. tk calcium supplements. if pain is sever then start physiotherapy treatment again

. 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. Back Stretching- lie flat, pull one of the knee forward to chest, hold for 3 seconds, then bring the other knee forward to the chest and again hold for 3 seconds. Then pull both knees towards the chest and hold for 3 seconds. Repeat 10 times each exercise twice a day. Do the cat/cow stretch. Get on all fours, with your arms straight and your hands directly under your shoulders; your knees hip-width apart.

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. It looks as if you have started having early knee degeneration with pain which if located in the anterior region, will have to worked up. Can you tell me whether there is any pain apart from the knees, any history of stiffness especially when getting up in morning, also if possible tell me whether there are any other s/s of inflammation or infection like swelling, skin redness, local warmth etc. Kindly send me your latest knee x rays and blood test reports so that I can see and advise you accordingly. 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. Thanks & regards

Do Take IFT and laser Therapy for pain relief for 10 days followed by Mobilisation exercise from physiotherapist Best wishes.

If its spinal list in acute stage, expert physio will be able to correct it with mckenzie correction method. But we need to perform some manual tests on you.