Dr. V G Rajan

Following could be the reasons for your hands: 1> it could just be a natural occurrence; you could have very good circulation. If you keep a healthy and highly active lifestyle it's probably that. 2> too much sodium (salt) in your diet or not drinking enough water. 3> deficiency of vitamin b12 or magnesium causes warm hands and leg pain. * I believe, 3rd point could likely be the reason looking at your age. You should go for the tests of vitamin b12 and magnesium to rule out the cause. Regards!

Sleep on a hard bed with soft bedding on it. Use no pillow under the head. Kindly take biod3 max 1 tab dailyx10 paracetamol 250mg od & sos x5days do back (spine)/shoulder/knee exercises make sure you are not allergic to any of the medicines you are going to take do not ignore it. It could be beginning of a serious problem. If no relief in 4_5 days, then contact me 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.

A laminectomy is a surgical procedure that removes a portion of vertebral bone called lamina. Muscles are pushed aside rather than cut. Recovery are found in few days. In ayurveda you can avoid that surgery. For that, private consultation is must.

Foods to eat/ avoid for arthritis and inflammatory pain

Different foods have different properties. Here are some foods to have and a few you must refrain from if you are suffering from arthritis and inflammatory pain:

Include these foods in your diet.
1) cherries - these contain anthocyanocides which assist in lowering uric acids, thus reducing the level of pain.
2) ginger - eating fresh ginger of drinking ginger root tea is advisable if suffering from arthritis and inflammatory pain. The gingerols present in it include anti-inflammatory compounds which are extremely helpful.
3) pineapple - there exists in pineapples, an element called bromelain which is a very effective anti-inflammatory.
4) raw apple cider vinegar - anti-inflammatory properties of raw apple cider vinegar are also very beneficial. It can be consumed by drinking a tablespoon of the vinegar mixed in about 250ml water or as salad dressing.
5) turmeric - turmeric or as we call it haldi, has anti-oxidant as well as anti-inflammatory properties.
6) omega 3 fatty acids - omega 3 fatty acids also have anthocyanocides. Which lower the levels of uric acids. Eating more of chia seeds, flax seeds and fish is also encouraged.

And the foods to avoid are,
1) sugary foods - sugary foods are like toxins which cause inflammations and lead to more pains in the body. Hence, avoid foods with excessive sugar when suffering from arthritis and inflammatory pain.
2) omega 6 oils - these oils, if consumed in high amounts, cause inflammations. It is advisable to replace these foods with healthier foods.
3) fried foods: deep fried foods are cooked at high temperatures and thus induce inflammation.
4) salt - this happens to some people where excess intake of sodium increases the pain in the joints. Hence, lowering consumption is not a bad idea.

a true and pure advice, if you want to play football in your future life and like to be on active lifestyle, consult your physiotherapist. We physiotherapist, do miracles, with the patients of your kind. Your age is perfect, healing get better and you can come on the right track with the physiotherapist.

Do proper rest & do hot fomentation for 15-20 min thrice in a day. This will help in reducing the pain. If still pain continues then consult a physiotherapist & learn strengthening exercises.

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Since you have consulted many doctors and several tests have been done for you, please share your results with me because polyarthritis is a term which denotes inflammatory process in many joints taking place simultaneously. Treatment will depend upon what is the cause? so send me all reports and let us see what is the diagnosis in your case. Do not hesitate to contact me if you need any further assistance.

Hi kindly rule out your diabetes, uric acid, calcium, vitamin d and other metabolic disorders. Best wishes.

1. Apply ice pack if there is swelling 2.Apply volini gel twice daily 3.Apply crepe bandage 4. Take crocin pain relief, one tablet as and when required after food up to a maximum of 3 tablets daily 5.Take rest 6.If no relief take x Ray of ankle and consult orthopedic specialist.

Take muscle relaxant and heat formation twice a day and avoid activity like computer work and lifting heavyweight if it work ok otherwise takeq physiotherapy treatment ok.

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Please rule out ant bony injury by getting x ray done, and if there is swelling with any s/s of instability, foreign body sensation, h/o locking of knee or anything similar, then we might have to get your mri of the knee done. 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.

According your age x-ray and mri must according your problem to see your bone condition physiotherapy treatment must for and spine extension exercise avoid long sitting and toward bending best option to get rid of this pain.

Knee pain is a common complaint that affects people of all ages. Knee pain may be the result of an injury or some other medical conditions including arthritis, patellar tendinitis, acl injury, knee bursitis, torn meniscus, gout and infections. Try some home remedies for your pain- - ice is useful for the control of pain and swelling. It can be applied to the knee for 15 to 20 minutes as often as every two to four hours. The swollen knee should be elevated above the level of the heart while icing. -activities that cause pain should be avoided temporarily. -if the knee is swollen or sore, the following positions and activities should be avoided until knee pain and swelling resolve: squatting kneeling twisting and pivoting jogging aerobics, dancing playing sport specific exercises will help you improve range of motion, strength, and endurance. It is especially important to focus on strengthening and stretching your quadriceps since these muscles are the main stabilizers of your kneecap. Core exercises may also be recommended to strengthen the muscles in your abdomen and lower back. Also maintaining a healthy body weight to avoid overstressing your knees are very important. -a full history of your problem should be taken and your movements assessed by a physiotherapist. Please consult a physiotherapist for the same. Best wishes.

This could be due to peri menopausal symptoms because of hormonal imbalance .She has to take hormonal supplement after consulting Gynecologist

Massage with your thumbs from the mid points of the shoulder blades on both sides towards the lower back of your head up to lower level of the ears. Use oil or water for massage. Rotate your head clockwise and anticlockwise, forward and down, left and right a few times. Do for 5 to 10 times morning and evening. Give pressure the dipping point on the portion between the thumb and the index finger on the back of the palm. Press and release for 15 times where the pain is more. This will solve the problem. Further do some wrist rotation exercise. Inform after 5 days.

It might be of Postural Issues Do learn Stretching and strengthening exercises from physiotherapist Best wishes.

Hunching over a desk is a leading reason why people end up with crippling back pain at some point in their lives. But a few simple changes in the way you work can make your pain go away. 1-Keep your head up; Focus on aligning your head and neck right above your shoulders; avoid straining forward. 2-Be choosy with your chair: Pick one that allows your lower back to rest against a lumbar support. Then tilt the back of the chair so it’s very slightly reclined. 3-Plant your feet: Keep them flat on the floor and shoulder-width apart to quiet tension in your knees and ankles. 4-Take breaks: Getting up at least once an hour— just do some shoulder rolls—reduces pressure on spinal disks and boosts circulation. Standing for long periods of time can contribute to lower back pain. This is a low dull pain sometimes felt in the base of the spine. This form of pain is amplified with periods of stress, poor posture, weak abdominals and/or excessive body weight. There are many exercises that should be performed to address the issue of back pain from standing. These exercises try to relieve both the tightness and imbalances in the lumbar spine. They also serve to reduce the added pressure that your facet joints are subjected to. If your back pain is severe please go to a Physiotherapist for detail assessment and management of your pain. Best wishes.

It can be either plantar fascitis, or calcanear spur. Though without seeing your feet and examining it properly, exact diagnosis can't be done. Still i'll give you some general suggestions. Don't wear heels, wear flats, if possible wear sandals/shoes made of mcr material, every morning as soon as you get up, before placing the feet on the ground, do some general up-down and sideways movement of feet, then take a tub filled with lukewarm water, add some salt in it, immerse your feet in it, and again do feet movements for 10-15 mins, then place a cloth or towel on the floor, place your feet over it and curl your toes, ie, bend your toes and relax, continuously for 20 times, then do calf muscles self stretching for sometime. All these will gradually reduce your problem. Visit a physiotherapist personally for some other treatments for pain relief.

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.