Dr. Sridharan

Requires detailed examination and investigation. Preliminary investigations suggested: hb, tlc, dlc, esr, blood sugar fasting & pp, uric acid vit d urine r/e x-ray of the affected part. Anyway it may be tried 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 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. Do not ignore it. Let it not become beginning of a bigger problem. Make sure that patient is not allergic to any of the medicines that he/she is going to take. If it does not give relief in 4-5days, inform.

If you have leg pain pls check your body weight and your haemoglobin levels, as Anaemia always leads to the symptoms of being tired and also having leg pain though there may not be any pathological reasons for back pain. Since I am a physiotherapist I cannot suggest you medicines.

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. You are very young to actually have persistent back pains. If you have localized back pain with no other symptoms like radiating leg 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 back 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. - avoid lifting heavyweight/ acute forward bending in mornings etc 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 lower back 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.

You should take acupressure therapy and take biochemic nat mur 12x + mag phos 12x, 4 tab each thrice a day with warm water and take it 5 day and revert.

Try few things for your back pain: - Apply Ice and Heat Heating pads and cold packs can comfort tender trunks. Most doctors recommend using ice for the first 48 hours after an injury -- particularly if there is swelling — and then switching to heat. You can use whichever you find comforting as long as your skin is protected. - Limit Bed Rest Studies show that people with short-term low-back pain who rest feel more pain and have a harder time with daily tasks than those who stay active. -Keep Exercising Activity is often the best medicine for back pain. Simple exercises like walking can be very helpful. But remember to move in moderation, Stay away from strenuous activities like gardening and avoid whatever motion caused the pain in the first place. -Maintain Good Posture most people have poor posture when going about their daily activities, putting unnecessary strain on their backs. -Strengthen Your Core Most people with chronic back pain would benefit from stronger abdominal muscles. If the abdominals are weak, other areas must pick up the slack. When we strengthen the abdominals, it often reduces the strain on the lower back. - Improve Flexibility Too much tension and tightness can cause back pain. By increasing flexibility you need to put an equal load throughout the body from the feet all the way up to the head. -Sleep the Right Way The amount of rest you get is important, and so is the position you get it in. Sleeping in a bad position or on a mattress without support can cause back pain. Back sleepers should put pillows under their knees. Side sleepers should place pillows between their knees to keep their spine in a neutral position. Stomach sleeping causes the neck and head to twist and can put undue stress on the back. -Use Relaxation Techniques Research shows that practices such as meditation, deep breathing and yoga, which help put the mind at rest, can do wonders for the back. -See a Specialist Developing an individualized exercise plan is essential to managing chronic back pain. Some patients need more core strengthening while others benefit mainly from stretching and improving flexibility. Please consult a Orthopedic Physiotherapist for the right exercise plan. Best wishes.

do neck muscle exercise, hot water fomentation and apply volini locally, can take tab dolo sos. it will help. welcome

Lie down straight on bed do not bend forward do not lift weights no exercises no brisk walk for a permanent relief, see an orthopaedic surgeon don't wear high heels.

Hello lybrate user, inability to walk properly you should take her to your orthopaedic surgeon and get her assessed. God bless you.

Hi 1) wear comfortable sports shoes 2) make daily routine of exercise 3) rule out calcium and vit d deficiency 4) do proper warm up before exercise and cool down after exercise 5) do stretching of legs do exercise under supervision of skilled physiotherapist. Do reply for private consultation and detailed treatment plan. Best wishes.

* neck pain occurs due to wrong posture or due to strain on your neck muscle. Check your posture, do not bend your neck excessively and when you work on your laptop or computer after half hour of working move your neck slowly in clockwise and anticlockwise direction. * do neck massage with lukewarm mustard oil. * do not take pillow of high hight during sleeping or avoid to take pillow. * in diet vegetable protein of cereal, b complex supplements and half teaspoon of haldi in a cup of milk for seven days will give you enough relief.

It helps in curing if you first have pain relief you need to take physio for pain relief n few exercises to maintain range of motion.

Hi I am sure you must be on treatment for all these conditions. It very essential to achieve good glycemic control, otherwise it can lead to various problems (long term complications) associated with diabetes. Even rheumatoid arthritis like diabetes is a disease that can only be controlled. Apart from drugs treatment it is necessary to be physically active to keep healthy and fit. Exercise will also help in reducing blood sugar. Thanks for the question.

Hi you need to get evaluated for both your knee pain and backpain. Simple analgesics like paracetamol should give you some relief till then.

Do leg stretching & keep a high pillow under your leg while lying on bed & while sitting on chair use foot rest.

For calcium deficiencies you need to give her calcium supplements. Also check her vitamin d level. For knee arthritis pain a heating pad or cold pack can feel really good on achy joints. Use whichever one feels better unless you have an injury, in which case cold is best for the first couple of days. You can apply cold or heat several times a day. Just remember to cover the cold pack with a towel and keep your heating pad at a low setting to avoid burning your skin. Whether you use heat or cold, remove it after 20 to 30 minutes. Physical activity is essential for people with osteoarthritis, whether it means walking around your apartment. Activities that cause pain should be avoided temporarily. -if the knee is swollen or sore, the following positions and activities you should avoid until knee pain and swelling resolve: squatting kneeling twisting and pivoting see a physiotherapist for stretching and strengthening exercises of leg muscles. Best wishes.

Hello. Maintain a right standing and sitting posture, keep your back always straight, avoid carrying weight on back. Hold or carry weight divided equally in both the hands or shoulders (to avoid over straining on one particular hand or shoulder). Lie down on bed on your back without pillow. Exercise: Practice Shavasana or Corpse Pose as it looks like a dead body. If practiced correctly and with full efforts, can relax every body part, relaxing not only the body but also the mind: Spread the legs one to two feet apart, the toes are turned outwards, the heels facing each other, a comfortable distance apart. Bring the arms a little away from the body, palms turned upward. Relax the neck and allow it to turn to the side if it is more comfortable. Close the eyes and focus the attention on the body, breathing normally. Medication: 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. Get back to me thereafter.

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

Hello user. Ok your problem can be minimise if you take care of yourself timely. So first of all don't use pillow when sleep. Sit, walk straight, and must do yoga. Must do neck and shoulder exercises. While using laptop. Or watching tv. Sit properly. Less use of mobile phones. Eat properly. Drink milk with 1pinch of haldi at night. Take fresh air fruits vegetables. Put hot water bottle on neck.

Neck stretching. Postural correction. Shoulder shrugs. Core strengthening exercises. Take frequent breaks at work use cervical pillow. Use back support. Self massage the back of neck.