Dr. Venkatesh

It is one of the approach followed to relieve pain in spine.for some people it gives permanent relief

tk soft pillow for back support in long sitting. posture correction must. do stretching exercises with physiotherapy treatment

Cold be premenopausal symptom? anyway rule out diabetes & vit. D deficiency or any other metabolic disorder. 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. Ibuprofen 200mg od & sos x 5days bio d3 max 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. Do reply back for detailed treatment plan. Do not ignore. It could be beginning of a serious problem.

1.Take paracetamol 500mg,1 tablet as and when required after food up to a maximum of 3 tablets daily, 2.Drink plenty of water 3.Take adequate rest 4.Avoid streess and anxiety

Piriformis Stretch 1.Lie on your back. 2.Cross your left leg over your right so that your left ankle rests on your right knee. 3.Use your hands to grab hold of your left knee and pull it gently toward the opposite shoulder. 4.Hold for 15 to 30 seconds. 5.Relax, and then repeat with the other leg. 6.Repeat this cycle 2 to 4 times.

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

Hi take hot water bath twice daily, sleep on hard and even mattress. Kindly rule out your diabetes, calcium, vitamin d and other metabolic disorders. Best wishes.

50 km is little too much of strain. You are likely to get more pains unless you plan a change of job.

Hi. Is there any history of injury or hurt to the area? any underlying medical condition? the pain in legs can be because of - muscle cramps (due to tiredness or dehydration), shin splints (doing activity over and over on hard surfaces can bring this on. You may also be more likely to get shin splints if you have flat feet or your feet turn outward. Rest your legs to feel better. Ice helps), tendinitis (you can get it from overworking the calf muscle or climbing the stairs, apply ice to get some relief), sprains (do rest, ice, compression & elevation). Other causes are varicose veins, arterial disease, sciatica, diabetic neuropathy. 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.

It is upto you whether you go for surgery or not. Doctor has suggested you best option. Pain is because of instability due to ligament tear and Meniscus tear. These things do not Heal on their own. Had it been just ligament tear, you could have got relief with physiotherapy. Torn meniscus keeps rubbing on joint surfaces and pain would go on increasing. It also causes damage to cartilage. All modalities directed to reduce pain somehow temporarily will not change meniscus and ligament injury. If you have smell in room because of cat has died behind cupboard, then spraying room freshener will be useful only for some time and again you will get smell. Similar is thing with this injury. Unless you remove cat, smell won't go. Same way unless you operate knee, pain won't go. Choice is yours.

Mr. Kumar, Rheumatoid Arthritis does not have a permanent cure. Only 8 to 14% of patients may get back to normal that too within first 4 years of the disease. Go through this article for brief knowledge of Rheumatoid Arthritis Vital notes: RA is a chronic debilitating joint disease that affects small joints of hands and foot. More common in females aged 20 to 50 years. It is not synonymous with Rheumatic Fever which occurs in children aged less than 15 years. It has got nothing to do with monthly Penicillin injections and checking ASO titre. Somebody on Penicillin injections or being checked for ASO titre should change the doctor immediately. Untreated disease may cause deformity of hands and foot causing deterioration of quality of life. Erosion of small joints along with loss of entire joint architecture is the basic disease process. Early morning stiffness of joints along with swelling of one or more small joints of hands is very characteristic. Treatment is done with Methotrexate, Hydroxychloroquine Sulfate, Sulfasalazine, Leflunomide and short courses of steroids. Difficult diseases are treated with costly injections called biologics. The motto of treatment is “ catch early, hit hard and achieve and maintain treatment goal “ Lung and cardiac complications are common in long term disease. Rheumatologists but not the Orthopedicians nor neurologist are the best person to treat the disease.Introduction: Rheumatoid Arthritis is an autoimmune disease of mankind where the cells and molecules who are responsible for security of our body, misidentify the joint tissue as foreign substance and start destroying them similar to the way they usually do when a bacteria or virus enters the body. This misdirected attack towards our own body is called autoimmune phenomenon. The worst affected parts of the body are the joints of hands and foot. These small joints that are responsible for performance of day to day activities like eating, holding, writing, typing, washing etc become painful and swollen causing stiffness and deformity. This results in poor quality of life and subsequent depression. Early diagnosis and continuous treatment with specific medicines is cornerstone of treatment. What are the symptoms? Symptoms vary from person to person and also from early stage to late stage of the disease. In early stage there may be mild pain and stiffness involving 1 to 4 small joints of the hands and feet with a typical pattern of stiffness of those joints after rising from bed. During this phase it is very difficult to diagnose the disease. But it is very important to catch the disease in this stage. Researchers have proved that joint damage and bony erosions start even before the symptoms have manifested and hence earlier the treatments better the results. In a full blown case of Rheumatoid arthritis the picture is very classical of a middle aged female presenting with pain and swelling of hand and foot joints along with early morning stiffness that responds to steroids brilliantly. Wrists and the knuckles are predominantly involved. Patients are unable to hold a pen or open the door or do cooking etc. Gripping the wrist firmly causes pain and the hand joints are warm. In a advanced case of the disease we often find elderly people presenting with crooked hands with areas of permanent swelling and skin changes due to chronic friction. The skin fold may contract chronic fungal infections and the joints are swollen and painful. A few other organs are damaged in silence and they create serious problem at the advanced stage of the disease. Lungs, Heart and Blood Vessels are frequently affected. There is accelerated cholesterol deposition in arteries of heart causing increased risk of heart attack and brain stroke. These patients frequently contract infections which are difficult to treat. Involvement of spine or low back is uncommon. However, cervical spine or the neck region is the only part of the spine that may be affected in this disease. What is the difference between Rheumatic Fever & Rheumatoid Arthritis? There is a heaven & hell difference between these two entities. Rheumatic Fever is a disease of childhood. It usually occurs in children aged less than 15 years and is characterised by excruciating pain, swelling and redness of one or more big joints of arms and legs that responds excellently to Aspirin. This disorder may cause cardiac problems and is the leading cause of Valvular Herat disease in India. It is often characterised by some skin rashes and rarely neurologic problems. The disease process, the causative agent and the clinical symptoms are completely different from that of Rheumatoid arthritis. Why Penicillin injections are given on a monthly basis? Patients of Rheumatic fever often suffer a damage to the valves of the heart during the attack of Rheumatic fever. This damaged valves are potential sites of infections that may develop in the later part of the life. This infection is called Infective Endocarditis and may cause serious complications if not addressed properly. Penicillin injections are given as a form of prevention of development of this infection and have got no relationship with the wellness or cure of the disease. People who are aged above 15 years and are being treated with penicillin for the first time for joint pain occurring in small joints of hands should immediately change their doctor and consult a rheumatologist. How is Rheumatoid Arthritis diagnosed? Rheumatoid Arthritis is diagnosed by its classical symptoms and some laboratory investigations. To identify early rheumatoid cases we usually follow a scoring system which includes counting of number of joints involved, the duration of the symptoms, checking ESR and CRP in blood and looking for the positivity of Rheumatoid Factor and Anti CP Antibody. Patients with high values of Anti CP Antibody are very much likely to suffering from rheumatoid arthritis and also they are very much likely to suffer a aggressive disease course Does each and every patient of rheumatoid arthritis develop crooked hands and foot? No. Not all patients suffer from such a devastating complications. There are important characteristics which if present predict severe destructive disease. Females, Smokers, High values of Anti CCP or Rheumatoid Arthritis, Family History of Rheumatoid Arthritis, Early evidence of Joint destruction on X Ray are a few important features who will go forward to develop destructive disease. How Rheumatoid Arthritis is treated? Continuous Physical activity of the involved joints is the corner stone of treatment. More the joints are active, less the damage. Cessation of smoking is mandatory. Smokers tend to develop early joint destruction Medicines that used in treating rheumatoid arthritis are together called Disease Modifying Anti Rheumatoid Drugs or DMARDs. Methotrexate, Hydroxychloroquine Sulfate, Sulfasalazine, Leflunomide are the principal DAMRDs. Of these, methotrexate is the backbone of therapy. Methotrexate is used on a once a weekly basis starting from a dose of 5 mg to 50mg/week and a weekly 5mg of Folic Acid supplement is given to neutralise the adverse effects of Methotrexate. The detail of the drugs is mentioned below. Why I am being given Steroids? Steroids are given for a short period of increased disease activity. In rheumatoid arthritis we do not prescribe steroids in a regular basis. It is often prescribed when the patient is put on the DMARDs for the first time and when there is break through pain or active disease during the treatment. Steroids are used in low dose in a decreasing dosage pattern over weeks and usually are not continued more than a month. What are Biologic agents? Why they are so costly? Biologic agents are highly specific molecules who directly block the action of the culprit chemicals in our body that cause the joint destruction. They are highly researched molecule an d is manufactured abroad. They are usually available in injection formats and have their own side effect profile which includes reactivation of Tuberculosis and other opportunistic infections. Usually patients are checked for latent Tuberculosis Infections, HIV, Hepatitis B and C before the treatment is started. Biologics cause excellent response to the disease causing alleviation of pain and swelling and sense of well being but unfortunately they do not provide any cure. Hence, if biologics are stopped then there are chances that the disease activity may worsen requiring more biologics or aggressive treatment with DMARDs.

Backache in young age is commonly due to 1. Muscle strain resulting from improper posture. 2. Intervertebral disc bulge or prolapse. Follow these to get relief. 1. Take anti inflammatory drugs like Ibuprofen round the clock for pain relief 2.Take rest for 3 to 4 days but avoid total bed rest. 4. Do back strengthening and stretching exercises daily once pain is relieved. 5.Apply analgesic cream over back followed by warm fomentation. 6. Keep pillow behind your knees at bedtime. While sleeping on sides keep pillow between knees. 7. Do not bend and lift weights. 8. If back pain is accompanied with radiating leg pain or tingling , numbness or weakness, consult immediately Don't worry such backaches resolve with proper care as advised above. For further queries consult again.

Hi thanks for your query. It' s only since last 3 days that you are having pain, it usually is due to inflammatory episode in knee degeneration which may lead to all this. But it is advisable to get a knee x ray to see how it looks like? do not hesitate to contact me if you need any further assistance. Thanks & regards Dr Akshay Kumar Saxena

Quad Clenches: Lie flat on your back or sit upright on a chair with leg kept horizontally on another surface. Now, tighten the muscle on the front of the thigh by pushing your knee down. You should feel your thigh muscles clench, Hold for 3 secs. Repeat 10 times twice a day. Short Arcs: Lie flat on your back or sit upright with your leg placed horizontally on a flat surface like a chair or bed. Place a rolled up towel under the knee. Pull your toes towards you and clench you thigh muscles. Slowly lift your foot up off the bed until your knee is straight (keep your knee resting on the towel). Hold for 3 secs and slowly lower them on the chair. Repeat 10 times twice a day. Straight Leg Raise: Lie flat on your back. One leg and knee will be straight and other leg should be bent. Pull your toes towards you and tighten/clench the muscle on the front of the thigh, locking your knee straight. Lift your foot up in the air, about 6 inches off the bed. Hold for 3 secs and slowly lower the leg. The knee must remain straight the whole time you are doing this exercise. Hamstring stretching Towel Hamstring Stretch Lie on the back, supporting the thigh with the hand or with a towel wrapped around it.. Slowly straighten the knee until a stretch is felt in the back of the thigh, trying to get the bottom of the foot to face the ceiling, one leg at a time. Hold the position initially for 10 seconds, and gradually work up to 20 to 30 seconds. Seated Hamstring Stretch While sitting at the edge of a chair, straighten one leg in front of the body with the heel on the floor. Then, sit up straight and try pushing the navel towards the thigh without leaning the trunk of the body forwards. Hold this stretch for 30 seconds Repeat 3 times for each leg.

Take homoeopathic medicine Cobaltum 1M 4Pills 4Times 4days n give a gap of week again repeat 4days,,take such 4 courses..n concentrate on postures n dont strain much,n try taking proper rest..

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

Avoid tea or coffee. Sleep 3 hrs after dinner. Practice yoga. You can have paracetamol if pain is severe.

Most leg pain results from wear and tear, overuse, or injuries in joints or bones or in muscles, ligaments, tendons or other soft tissues. Leg pain can also be caused by blood clots, varicose veins or poor circulation. To relieve mild pain: stay off your leg as much as possible apply an ice pack or bag of frozen peas to the affected area for 15 to 20 minutes three times a day elevate your leg whenever you sit or lie down please go to a physiotherapist if: you have pain during or after walking you have swelling in both legs your pain gets worse your symptoms don't improve after a few days of home treatment you have painful varicose veins leg pain happens when your muscles are tired or dehydrated. Drink more water if you're prone to leg cramps. Also low blood levels of either calcium or magnesium directly cause cramps. Pleas check you calcium and magnesium levels.

Kindly show me a photograph of the affected part. Rule out diabetes & vit. D deficiency or any other metabolic disorder. 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.

looks like you may have tendinitis - ice pack , rest and once the pain subsides then you can do calf muscle stretching exercises