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Dr. Y. S. Shivakumar

Orthopedist, Bangalore

500 at clinic
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Dr. Y. S. Shivakumar Orthopedist, Bangalore
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Y. S. Shivakumar
Dr. Y. S. Shivakumar is an experienced Orthopedist in Malleshwaram, Bangalore. You can visit him at Northside Manipal Hospital in Malleshwaram, Bangalore. Book an appointment online with Dr. Y. S. Shivakumar on Lybrate.com.

Find numerous Orthopedists in India from the comfort of your home on Lybrate.com. You will find Orthopedists with more than 35 years of experience on Lybrate.com. You can find Orthopedists online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Northside Manipal Hospital

#71, 11th Main, Malleshwaram. Landmark: Opp. Malleshwaram Railway StationBangalore Get Directions
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I am suffering from severe back pain since last more than one month. I am 30 years old unmarried lady.

BPTh/BPT
Physiotherapist, Kota
I am suffering from severe back pain since last more than one month.
I am 30 years old unmarried lady.
Back pain or HIP PAIN k liye back isometrics exercise kijiye or hot fragmentations kijiye. For word bandings mat kijiye. Long time ek hi positins m mat rahiye. Breegings exercise bilateral or single leg rotation kijiye phle without weight kijiye fir 1-2kg weight cuff se kijiye rotations kijiye leg single -single than avoide kijiye stair clabbings sweelings ho to ice ki massage kijiye back pain ko ap darr mat smjiye ap low back belt bi use m laa sakte h vo kisi bi tarah k jurck se apko bacha ti h deep breathing exercise kijiye I hope get well soon… thnx. Shoulder pain or elbow pain or HAND PAIN k liye ap ice massage kijiye … jurck se bachiye or shoulder wheeler exercise kijiye. Clapping kijiye. Sweeling aye to ice massage kijiye ……rotation krte rahiye. Elbow m pain ho to ap ultra sound lgaiye 4-10 days pulley exercise kijiye or weight cuff bandh kr 1-2kg k weight cuff se pendullaer exercise kijiye…. I hope get well soon thnx. Wrist pain k liye stimuleter ka use kr sakte h …. Or fingers k liye mobilization bi krsakte h I hope get well soon……thnx Leg pain k liye calf stretchings or periformis stretchings or T. F. L stretching ilio psos muscles ki stretching kijiye sweelings ho to ice pack kijiye or sweeling nhi ho to hot pack ka use ap kijiye. Heel track kijiye… weight cuff 1-2kg use kijiye or leg exercise kijitye hips up nd down exercise kijiye…. Walking kijiye phle edii rakiye fir panjaa rakijiye 6-9 kaadaam chalet huye apni walking ki capacity incress kijiye daily 1000 kaadaam ap chaliye …deep breath lijiye pani jada se jada pijiye ……. Long sitting, standing, clambing avoide kijiye I hope ap jaldi ache ho jayege thnx. KNEE PAIN k liye ap knee cap use kijiye …or hot fragmentation kijiye jada stair clambbings mat kijiye…. Long sitting or standing mat kijiye……. Heel track kijiye 4-5 time, ediii panjaa kr k chaliye 1000 kaadaam………. ANKLE PAIN k liye ap ice se massage kijiye …. Quick stretch kijiye or tempoline kr sakte h ap……for jumping……ankle toe movement kijiye countinu…. Weightcuuff bandh kr 1-2 kg k ap sit to stand kr sakte ho……. I hope ap jaldi theek ho jaayege thnx……
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I have grand mom of age 75 she always get pain in legs and neck so just tell me a tablets by which I can get the problems solved becz shes age is more now we can not remove that problem but solve it I need a advise.

Master of Occupational Therapy (MOT), Bachelor of Occupational Therapy (BOT)
Occupational Therapist, Delhi
I have grand mom of age 75 she always get pain in legs and neck so just tell me a tablets by which I can get the prob...
Apply hot fomentation Do neck, knee & ankle isometric exercise Do active movements of each joint from head to toe Use thin pillow while sleeping Keep legs on high pillow while lying
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Have had pain, burning and tingling in the feet and hands, I have also felt high and low back pain, I have felt this pain for a week, I have not swelling and for 3 months I have had too much anxiety I do not know if that has relation to the pain. Well those are the only symptoms I've had so far, I hope you can help, thanks.

BPTh/BPT
Physiotherapist, Indore
Have had pain, burning and tingling in the feet and hands, I have also felt high and low back pain, I have felt this ...
Firstly you go for the x- ray of neck ap & lat. View that helps in your diagnosis do hot fomentation for 15 to 20 min. Only two to times a day neck isometric exercises and vertigo ex.
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Hello sir my self syed I have headache and back pain problem can you please say what can I do sir or mam.

BHMS
Homeopath, Delhi
Hello sir my self syed I have headache and back pain problem can you please say what can I do sir or mam.
Hello, you can take homoeopathic medicines 1. Rhus tox 30 (4 drops in little water) thrice a day for a week. 2. Belladonna 30 (4 drops in little water) thrice a day for a week and update. Keep a gap of 15 - 20 minutes in both the medicines.
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Am suffering from severe pain in my back (upper body) since last 20 days, what should I do?

BPTh/BPT, Bachelor of Science
Physiotherapist, Gurgaon
Am suffering from severe pain in my back (upper body) since last 20 days, what should I do?
Hi , please elaborate your problem with me so that I can help you. For eg. Time and type of pain etc. Advice:-apply cold pack or ice bag{pouch) on your back for 10 mins. Before applying ice, massage the back with nut oil or olive oil. It will prevent from frost bite. You can ask any question privatly. Thanks.
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I am 20 years old men , I am having severe back pain since 2 days due to standing. What to do ? Please help me ?

LASHS (UK)DIP.Sports rehabilitation, BPTh/BPT, MSc (Medical) ANATOMY
Physiotherapist, Hyderabad
I am 20 years old men , I am having severe back pain since 2 days due to standing. What to do ? Please help me ?
As per your complaint. Back pain is due to strain for hours together work or might have lifted heavy load or having poor posture. Please get it assessed by orthopaedician or physiotherapist. Advise: regular exercises for back helps to improve muscle strength. Posture correction if any.
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I am having extended work hours at office and this results in heavy neck and back pain. Please suggest something.

Diploma In Orthopaedics (D. Ortho), DNB (Orthopedics), Diploma SICOT, Fellowship in Spine Surgery, Fellowship in Endoscopic Spine Surgery
Orthopedist, Vadodara
I am having extended work hours at office and this results in heavy neck and back pain. Please suggest something.
Exercise regularly to strengthen your muscles walk everyday for upto 4 km or 40 min proper posture at home and work.
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I am 27 year old male and I have suffered from road accident on 20th may because of accident I have got vertribral airline fracture doctor have suggested me 6 weeks bed rest. Now I have started sitting slowly can I continue this and please tell that when I should try to stand and walk.

BPTh/BPT
Physiotherapist, Mumbai
I am 27 year old male and I have suffered from road accident on 20th may because of accident I have got vertribral ai...
Hi kindly consult physiotherapist and start rehabilitation program. As you need personalized treatment protocol. Wishing you good health.
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I have foot pain so what I can do to feel relief my foot so please contact me to be a good day.

BHMS
Homeopath, Chennai
I have foot pain so what I can do to feel relief my foot so please contact me to be a good day.
Pain in the heel not only restricts movement, but the general discomfort on walking or standing also disturbs the whole persona of a person. The pain can be attributed to a medical condition known as Calcaneal Spur. It refers to a sharp, pointed, horny outgrowth on the calcaneal bone present in the heel. The outgrowth is the build-up of calcium deposit on the heel bone. The reason behind Calcaneal Spur formation is repeated stress on the heels. When the heels are exposed to repeated stress, it leads to damage of muscle, ligaments and fascia that cover the heel bone. As a result, the heels are exposed and become prone to trauma and formation of Calcaneal Spur. People who are obese and athletes are prone to develop Calcaneal Spurs. Wearing of high heels and ill-fitting shoes also spurs the formation of calcium deposits on the heel bone. The main symptom of Calcaneal Spur is pain in heel around the spur. The pain gets worse when a person steps on ground after a period of inactivity especially in morning following a long rest. The pain increases while walking, running and standing. The character of pain may be described as sharp pain, dull pain or pain as from pin-pricking. Homeopathic medicines offer a very safe and complete treatment of Calcaneal Spur. The Homeopathic medicines for calcaneal spur are made of natural substances and have no side effects. You can easily take an online consultation for further treatment guidance and permanent cure without any side effects
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I had appendicitis operation 16 years back since then never had stomach pain again. Yesterday evening for some few min I blunt pain in right lower quadrant of abdomen @ one point. ((exact point is one whole finger below bellybutton and same distance from there to right side. At only exact that point there is blunt pain. For no reason it comes. My food intake is good too. When I press that point. It gives blunt pain. Its bothering me but not hard pain. Is it something to worry?

MBBS, MS - General Surgery, FIAGES(Fellowship in minimal access surgery), FMAS (Fellowship in Minimal Access Surgery)
General Surgeon, Ghaziabad
I had appendicitis operation 16 years back since then never had stomach pain again. Yesterday evening for some few mi...
hi. the pain you are describing is some what similar to appendicitis pain but since you were already operated for that we should think about other causes. see it can be related to large bowel or ureter etc. first get an ultrasound whole abdomen to rule out that. since you are not that symptomatic medications can be avoided.
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Hi I am a 47 yr male and I have a problem in my thigh when I stand for more than 15 mins. My thigh becomes stiff and loses sensation.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Pain, paresthesia, numbness etc in thigh especially in outer aspect can be due to compression of a nerve which is called as meralgia, also it could be due to compression and symptoms from the back region. Initially you can start with: - physical therapy like tens - medication like pregabalin or gabapentin in small doses can be started and we can monitor the response - can also take an anti-inflammatory medication for some time especially if there is any pain associated. Let me know in around 1 week -10 days how are you feeling, we can get some tests to establish the diagnosis and also step up the medications as per the response. Do not hesitate to contact me if you need any further assistance.
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Sir, my wife has rheumatoid arthritis, TEST RESULTS ARE, ANA (+VE) 8.18, AND CRP LX 20.86 & RA FACTOR is 14.2, Plzz suggest best treatment for this disease, my wife have pain and swelling in hand, feet, knees. We are taking ayurvedic treatment, but not getting any result, plzz suggest.

DM - Rheumatology, MD - General Medicine
Rheumatologist, Mumbai
Reports cannot be 100 % diagnostic of nay rheumatic disease. You have to see patients complaints and then decide treatment. Arthritis can be of 100 types. Ra is just one arthritis. Also your ra factor is not vey high.
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Last 2 days, I have back pain whenever I walk. Can you suggest what should be done?

MPTh/MPT, BPTh/BPT
Physiotherapist, Guwahati
Last 2 days, I have back pain whenever I walk. Can you suggest what should be done?
See, most probably you had a muscle pull or its a mechanical back pain which has occurred due to you working or doing something in awkward position. Take rest for couple of days, don't stress much, don't lift anything heavy, don't walk much for few days if that's causing you pain, apply heat on the painful area by using hot water bag or electrical heating belt, for 15-20 mins, if required apply volini spray or ointment.
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I'm 19 yrs old engineering student. Now i'm suffering excessive low back pain, which formed upto neck and sometimes when pain increased then if I sitting any where or i'm in class then it should be very trouble for me. Please suggest any medicine for getting relief from those pain.

BHMS
Homeopath, Faridabad
I'm 19 yrs old engineering student. Now i'm suffering excessive low back pain, which formed upto neck and sometimes w...
Hello,Along with medicines for relieving pain, one needs to identify the cause and correct it. This may require some medicines or some correction in your posture or reducing weight or improving your lifestyle. At the same time, there is a need to work on the local muscle strengthening. Back muscles need to be strengthened so that they can bear the weight of the upper body. For this exercises of the back muscles are very helpful. Regular walking is also very helpful as it is a wholesome exercise of the body, improves blood circulation and helps lose weight. Most importantly if you are overweight then losing weight is an important part of the whole treatment plan .Long term use of painkillers for low back pain is harmful Treatment for low back pain:- Homeopathic medicines are very helpful. They not only treat the acute stages but are also used for the treatment of chronic back pain.Selection of the exact remedy depends upon the individual symptoms of the person.So share the complete symptom picture for the proper treatment. In the mean time take Arnica 200, 3 drops in the morning and Rhus tox. 200, 3 drops at night for 7 days.Take care.
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I am 25years old my height is 6.2' and weight 113 kgs almost and now having back pain for last 1 month what should I do.

BPT, MAS, EXEC MBA HOSPITAL MANAGEMENT, Team Physician MIASM
Physiotherapist, Jaipur
I am 25years old my height is 6.2' and weight 113 kgs almost and now having back pain for last 1 month what should I do.
First of all control over your obesity and do exercises regularly. Better you consult a doctor for diagnosis and treatment.
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Physical Therapy Benefits For Back Pain!

Diploma In Physiotherapy, PGCR, Diploma in Sports Medicine
Physiotherapist, Delhi
Physical Therapy Benefits For Back Pain!

Most of us suffer from lower back pain at some point in our lives; be it from a sedentary lifestyle, spending hours at the office desk or from strenuous physical exercises. In most cases, a little bit of rest does the trick. However, if the lower back pain persists for 3-6 weeks, physiotherapy is recommended.

How does physiotherapy help?

The main purpose behind physiotherapy is reducing lower back pain and increasing muscle and bone function, so that such instances are avoided in the future. Physiotherapy is the first line of defence against lower back pain. More drastic measures such as surgery are undertaken once physiotherapy fails to do is job.

Physiotherapy is often recommended when the back pain is caused due to lifestyle factors, a minor injury like a fall or other moderate factors. For more severe back injuries, doctors recommend surgery straight away when there is no scope of performing physiotherapy.

Low-intensity back pain can be cured using a combination of heat packs, ultrasound wave therapy and Iontophoresis (using a localized current source to introduce medical ionic compounds to the body).

A physical therapy program for back pain usually has two components:

  1. Passive physical therapy to help reduce the patient's pain to a more manageable level
  2. Active exercises

Passive Physical Therapy - Modalities

The physical therapist may focus on decreasing pain with passive physical therapy (modalities). These therapies are considered passive because they are done to the patient. Examples include:

  1. Heat/ice packs
  2. TENS units
  3. Iontophoresis
  4. Ultrasound

Active Physical Therapy - Back Pain Exercises

In addition to passive therapies, active physical therapy (exercise) is also necessary to rehabilitate the spine. Here are some of the common exercises for back pain:

  1. Back Stretch: Put your hands underneath your head while lying back. Bend your knees but put your feet on the ground. Roll your legs to one side and hold them there for 10 seconds. Repeat three times for each side.
  2. Deep Lunge: For this, you need to kneel on one knee with the other foot pointed towards the front. Lift the back knee up and hold it there for five seconds and then bring it down. Repeat this exercise three times for each side.
  3. One Leg Stand: This is the simplest of exercises. Hold on to a wall for support while standing and face towards it. Then slowly hold one leg and bend it behind you. Hold in the same position for five seconds before bringing it down. Repeat the process three times for each leg in five second gaps.

I am 23 year old man. During the period of last 3 month, I just feeling a little point load on my neck. I can't turn my head anywhere because of heavy pain. Can you suggest any pain relief for this?

MBBS, cc USG
General Physician, Gurgaon
Hello, follow advises given below 1.Avoid using computers continuously, take rest for 5 min after working for half an hour 2. In pain free interval do neck exercise (kindly learn exercise by registered Trainer) 3. you can use thin pillow while sleeping so that normal posture of neck can be maintained 4.Maintain proper posture of body while watching TV/ studying Kindly go for cervical X ray AP and lateral and review with reports
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Suggest some daily exercise and yoga which help to reduce our back pain permanently?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
Suggest some daily exercise and yoga which help to reduce our back pain permanently?
Dear do bhujangasana, sarvangasana, shalabhasana, dhanurasana and natrajasana daily 5 min each pose properly in morning and evening. Also follow the tips they will help to relieve the pain.:: 1.Warm mustard oil or sesame oil (1 teaspoon) with 3-4 cloves of crushed garlic and 1 tsp of ajwain (carom) seeds until it roasts to a reddish brown colour. Ensure that it does not get burned. Massage this oil on your affected areas. After that do hot fomentation with salt potli (bag). 2.Take 8 to 10 glasses of water daily. 3.Increase the consumption of vitamin C in diet. 4.Take fresh Ginger into pieces, place in the cup of water and boil it for 30 minutes in low flame. Cool for 30 minutes after boiling. Consume this solution with Honey. 5.While sleeping, lie straight on your back or with bent knees supported by a pillow. 6.Taking hot and cold compresses on an alternate basis can be quite helpful in relieving pain...
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I am 50 years old left hand fingers are feeling numb from 6 to 7 hours what should I do?

BHMS
Homeopath, Madhubani
I am 50 years old left hand fingers are feeling numb from 6 to 7 hours what should I do?
Pressure upon the arm nerves or vessels causing numbness, tingling or temporary paralysis of the arm may result from: Sleeping with the hand under the head Sitting with the arm hanging over the back of a chair Wearing straps or carrying a bag or rucksack Inflated cuff during measuring blood pressure Raising the Arms Above the Level of the Heart Keeping the hand (s) above the level of the heart during work or sleep can prevent appropriate blood perfusion of the hands, and cause numbness, tingling or partial paralysis of the hand (s) within few minutes. Cold In cold weather, narrowing of the arteries in the hands and fingers can prevent appropriate blood supply and thus numbness, tingling, pain or temporary paralysis of the hands and fingers. DISORDERS OF THE NECK (CERVICAL) SPINE Cervical Disk Syndrome Degenerative disc disease (DDD) or injury, like hyper-extension injury in car accidents (head moves rapidly toward the back), can result in bulging or herniated disc (s) pressing upon the cervical (neck) spinal nerves, thus causing symptoms of cervical disc syndrome: Position/movement dependent pain, tingling or numbness in the neck, shoulders, upper back, arm, hand or fingers (when the roots of cervical spinal nerves are compressed) Stumbling gait, difficulty with fine hand moves, tingling in the body or legs (when the cervical spinal cord is compressed) Symptoms can appear immediately after the injury, or develop slowly over the weeks or months. Diagnosis is made by a CT or MRI of the neck spine. Therapy includes immobilization, cold therapy followed by heat therapy, cervical traction, analgesics, muscle relaxants, physical therapy or surgical decompression of the nerve roots or spinal cord. Cervical Spondylosis Cervical spondylosis is an age-related deformation of the cervical spine; deformed vertebra or discs can press upon the spinal cord or nerve roots in the neck and cause chronic symptoms, like in the cervical disc syndrome (see above). INJURIES Disorders of the Brachial Plexus The brachial plexus is formed by the cervical nerves C5-C8 and thoracic nerve Th1. The plexus extends from the lower part of the neck to the armpit. From brachial plexus all main nerves to the arm (axillary, musculocutaneus, ulnar, radial, and median nerve) arise. Brachial Plexus Injuries Most of brachial plexus injuries usually occur in car, motorcycle and sport accidents, during birth, or in bullet or knife injuries. Symptoms and prognosis depend on the nerves involved and extent of an injury: nerve stretching, scar tissue (neuroma), partial or complete nerve rupture or tearing of the nerve from the spinal cord. A limp or paralyzed arm, severe pain and numbness, especially in the neck and shoulders, and weak arterial pulses in the arm are main symptoms. Some brachial plexus injuries may heal without treatment. Many children who are injured during birth improve or recover by 3 to 4 months of age. Treatment of brachial plexus injuries includes physical therapy and, if necessary, surgery. Thoracic Outlet Syndrome Thoracic outlet is the space between the collar bone (clavicle), first rib and corresponding ligaments through which nerves and vessels travel from the base of the neck toward the armpit. Thoracic outlet syndrome (TOS) results from a compression or extension of the subclavian artery or vein, or brachial plexus (nerves), commonly occurring in motorbike accidents, athletes, swimmers, weight lifters, etc. Symptoms include: Muscle wasting at the base of the thumb, numbness, feeling of pins and needles, or pain in the shoulder, armpit, arm or hand (when nerves are compressed) Pale, cool arm with weakened arterial pulse in the arm, numbness and pain (when vessels are compressed) Radiation-Induced Brachial Plexopathy Radiation-induced damage of the brachial plexus can follow radiotherapy of the chest, axillary region, thoracic outlet or neck. Symptoms may appear months to years after radiation therapy and include numbness, swelling, weakness or pain in the arm. Broken Shoulder Blade Shoulder blade (scapula) is the bone in the upper back that connects the collar bone (clavicle) and arm bone (humerus). Broken shoulder blade, usually from a car or motorbike accident, can result in pain, swelling, bruising or deformation of the shoulder blade area, and weakness, numbness or tingling in the shoulder or arm. Broken Arm, Wrist, Hand or Finger Symptoms of broken arm (the arm bone – humerus, elbow, and bones of the forearm – radius and ulna) include: Severe pain increasing with arm movement Obvious deformity, swelling, tenderness and bruising over the site of bone fracture Stiffness or inability to move your arm, hand or finger Weakness, numbness or tingling in the arm, hand or fingers Cubital Tunnel Syndrome or Ulnar Neuropathy The ulnar nerve arises from the brachial plexus in the neck and travels under the collar bone, downside along the inner side of the upper arm, behind the inner part of the elbow (Latin cubitus), where it can be felt as a “funny bone” and then down to the wrist, hand and little and ring finger. Ulnar nerve entrapment usually results from an elbow injury or constant pressure upon the elbow, like in cyclists or typists. Symptoms, known as cubital tunnel syndrome, include: Pain on the inner side of the elbow or electric shock sensation after touching the elbow The hand, ring and little finger are numb and falling asleep, especially after bending the elbow Limited movements of the ring and little finger (“handlebar palsy” in cyclists) Hand (on the little finger side) sensitivity to cold Prevention of ulnar nerve entrapment is by avoiding excessive elbow use. Treatment includes special arm exercises, anti-inflammatory drugs, like ibuprofen, and wearing an elbow splint. DISORDERS OF THE SPINAL CORD AND BRAIN Multiple Sclerosis Multiple sclerosis is a disease of an uncertain cause affecting the nerve tissue of the spinal cord, brainstem or brain. Symptoms can appear suddenly or gradually, “travel” among various body parts and include: numbness or tingling in one or both arms (or any other body part), blurred or double vision or blindness, weak or paralysed limbs, problems with urinating or defecating, difficulty maintaining balance, tiredness, etc. Symptoms can last from few weeks to several months, disappear completely and appear again, and, in general, worsen with time. Diagnosis is with MRI of the brain and spinal cord, and examination of cerebrospinal fluid obtained by lumbar punction. Apart from treating symptoms, there is no treatment for multiple sclerosis at the time. ACUTE BRACHIAL NEURITIS Acute brachial neuritis is a rare, supposedly autoimmune inflammation of brachial plexus, occurring at any age, but primarily in young men. Symptoms include severe pain in the upper arms and shoulders, followed by numbness and weak reflexes; the disorder resolves in few months on its own. WRIST DISORDERS Carpal Tunnel Syndrome (CTS) Carpal tunnel syndrome (Latin carpus = wrist) is a painful condition of the wrist, hand and fingers, caused by repetitive use of the wrist, or swelling of the tissues in the wrist, resulting in a pressure upon the median nerve. CTS is a common problem in assembly line workers, computer workers, musicians, mechanics, tennis players, etc. Bone spurs in rheumatoid arthritis, or fluid in hypothyroidism, kidney disease or menopause may also press on the median nerve. Symptoms usually start gradually and include: Tingling or numbness in the thumb, index, middle and ring finger and related part of the hand Pain in the wrist, palm or forearm Difficulty grasping small objects or gripping Hand pain at night Ganglion Cyst Ganglion cyst (Greek ganglion = tumor, cyst = fluid filled sac) is a soft lump, usually appearing on the back of the hand in some people between 20-40 years of age. It is a noncancerous fluid filled sack arising from the tendon sheets or capsule of the joint from an unknown reason. Ganglion cysts may not be always seen from the outside. Gymnasts often have them. Symptoms include: A soft lump or lumps of various size (may exceed an inch), on the back of the hand, inner side of the wrist, base of the finger, or on the last finger joint. Pain or numbness in the wrist, hand or finger (s) DISORDERS OF FINGER ARTERIES Raynaud’s Disease Raynaud’s disease is a painful finger condition due to spasms in the finger arteries. Disease may also affect toes or, rarely, nose, ears, lips and nipples. The cause is not known. Symptoms are triggered by cold (even short term cold like taking something from a freezer) or strong emotions, and appear in the following sequence: Fingers (one, more or all in one or both hands) become pale, numb or cold due to lack of blood flow, then bluish due to a lack of oxygen, then red, with throbbing pain and tingling as blood returns to the affected area. Attacks can occur daily, weekly or occasionally and can last from less than a minute to several hours, usually about 15 minutes. Different areas can be affected at different times. Severe, although rare, attacks can result in finger sores or tissue death (gangrene). Raynaud’s Phenomenon Raynaud’s phenomenon is a term used for the same finger symptoms as in Raynaud’s disease, when the cause is known. Causes include: connective tissue diseases, like scleroderma, systemic lupus erythematosus (SLE), Sjögren’s syndrome, dermatomyositis, and polymyositis, carpal tunnel syndrome, obstructive arterial disease, anti-hypertensive drugs, ergotamine (used for treating migraine), chemotherapeutic medications, etc. In workers exposed to vinyl chloride, using vibrating tools, typists and pianists, Raynaud’s phenomenon also commonly occurs. DIAGNOSIS OF ARM NUMBNESS OR TINGLING History of arm numbness. Knowing an exact time course of tingling or numbness, and eventual arm weakness, head or legs involvement, history of arm or neck injuries, repetitive elbow or wrist use, reactions to cold, hypothyroidism, diabetes, menopause may give a strong evidence about the cause. Neurological examination. Testing of sensitivity of a particular arm dermatome can reveal which nerves are involved. Imaging. X-ray may reveal arthritis in the neck spine, or a broken arm bone. Myelography can reveal herniated disc or narrowed spinal canal. MRI and CT show soft tissues like tumors. Electromiography (EMG) and nerve conduction studies can show the nature of the nerve damage. Together with imaging they are important to evaluate the extent of brachial plexus injury. Blood tests can reveal diabetes, abnormalities in serum levels of sugar (diabetes), calcium, potassium, sodium, magnesium, vitamins B6 or B12, thyroxine (hypothyroidism), sex hormones (menopause). Cold simulation test can reveal Raynaud’s disease or phenomenon. TREATMENT OF ARM NUMBNESS OR TINGLING Firstly, the cause of numbness should be treated if possible. Non-steroid anti-rheumatic drugs like ibuprofen, or antidepressants, may relieve pain and numbness.
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I am 19 years old Male. I have a pain in my knee for last 3 months. What l should do?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
I am 19 years old Male. I have a pain in my knee for last 3 months. What l should do?
Your daily habits or age may be the root of your knee problems. Some common home care techniques for knee pain that control inflammation and help to break the inflammatory cycle are protection, rest, ice, compression, and elevation, glucosamine supplement also may help. It requires a detailed treatment plan.
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