Dr. Dayanand Kaliaperumal

1. Start with Physiotherapy treatment. 2. Learn spinal exercises. 3. Don't sit on floor. 4. Don't lift heavy things. 5. Don't do forward bending. 6. Do Hot fermentation twice a day. 7. Apply volini cream before sleeping. 8. Use lumber spine belt. 9. Take calcium, vitamin D 3 and Methylcobalmine supplement for one month minimum.

Hello Lybrate user. As you mentioned you had a ankle sprained. Apply ice packs for 20 minutes, keep foot elevated, do any kind bracing or taping in order to heal structure. Avoid weight bearing if painful. Thanks.

Hello, Shin Pains have multiple causes other than vit d, you should rule them all out 1. Improper footwear while working out 2. Improper techniques of working out 3. Insufficient warm up 4. Weakness of certain muscle groups along with tightness of other muscle groups 5. Graded increase in workout levels You should try to correct these and should be better. Thanks.

Unless the symptoms are very severe and serious I don't suggest surgery take you MRI scan film not just the report and meet a Physiotherapist and dryneedling​ practitioner.

Tk soft pillow for back support and stretching exercise in daily routine. Avoid long sitting and toward bending. Tk physiotherapy treatment for few days.

Here are the top 10 home remedies for joint pain.

1. Massage

Massage therapy helps relieve joint pain by improving circulation and soothing inflammation. In fact, several studies indicate that regular massage can improve pain, stiffness and range of motion in the affected joint.
To massage the affected area, use warm oil like coconut, olive, mustard, castor or garlic oil and apply gentle pressure while massaging.

2. Hot and Cold Compresses

Alternating hot and cold compresses can also help ease joint pain. Heat therapy helps decrease pain, increase blood flow and relax sore muscles and joints. Cold therapy reduces inflammation and numbs the areas around the affected joint.
1. Wrap both compresses in separate towels before using them. They should not be applied directly to the skin.
2. Place the hot compress on the affected area for about three minutes.
3. Remove the compress and immediately put a cold compress in its place for about one minute.
4. Repeat the process for 15 to 20 minutes a few times daily until you get relief.
Note: Do not use heat therapy if the affected area is red, hot and irritated. Do not use cold therapy if you have circulatory problems.

3. Fenugreek

Fenugreek is a popular home remedy for joint pain due to its antioxidant and anti-inflammatory properties. It is particularly beneficial for those suffering from arthritis.
• Swallow one teaspoon of finely ground fenugreek seeds followed by a glass of lukewarm water. Do this daily in the morning until you get positive results.
• Alternatively, you can simply soak one teaspoon of fenugreek seeds in water overnight and eat them the next morning
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4. Turmeric

Turmeric is an excellent Ayurvedic remedy for joint pain. It contains an active ingredient called curcumin with anti-inflammatory and antioxidant properties.
In a 2009 study published in the Journal of Alternative and Complementary Medicine, researchers compared the effectiveness of this compound to ibuprofen and found that curcumin was as effective as ibuprofen for pain relief in patients with knee osteoarthritis.
• Mix one teaspoon of turmeric powder and a little honey in a glass of warm milk. Drink it daily, at least for a few days.
• Another option is to take 250 to 500 mg turmeric capsules three times daily until you are satisfied with the results.
Note: Talk to your doctor before including either of these remedies in your regular routine. Turmeric may interfere with certain medications, such as blood thinners, and may worsen gallbladder problems.

5. Apple Cider Vinegar

Apple cider vinegar helps reduce joint pain by eliminating accumulated toxins from the joints and connective tissues. Due to its alkalizing effect, it is particularly beneficial for those suffering from arthritis. Plus, it is rich in minerals like magnesium, calcium, potassium and phosphorus.
• Mix one to three teaspoons of organic apple cider vinegar and a little honey in a cup of warm water. Drink this solution two or three times a day, preferably before meals. You can continue this simple treatment on a regular basis because, in addition to helping with joint pain, it is good for your overall health.
• You can also massage the affected area with a mixture of one tablespoon each of apple cider vinegar and olive oil. Do this daily until your joint pain is gone.

6. Cayenne

Cayenne pepper contains a compound called capsaicin with natural analgesic or pain-relieving properties. In a 2010 study published in the Journal of the Medical Association of Thailand, researchers found that applying gel containing 0.0125 percent capsaicin helped relieve mild to moderate pain in women suffering from knee osteoarthritis.
• Slightly heat one-half cup of coconut oil. Mix in two tablespoons of cayenne pepper powder. Apply it on the affected area, leave it on for 20 minutes and then rinse it off. Do this a few times a day until you get relief from the pain.
• Alternatively, you can use a capsaicin cream topically on the affected area daily.
Note: Cayenne may initially cause a burning sensation. Do not apply it on open skin or wounds.

7. Epsom Salt

Epsom salt baths facilitate easy absorption of magnesium through the skin. Joint pain is often associated with low levels of magnesium. Moreover, magnesium helps reduce inflammation and aids in detoxification of cells.
1. Mix two cups of Epsom salt in warm bath water.
2. Soak in it for about 20 minutes.
3. Repeat three times a week until you get relief from your joint pain.

8. Garlic

Being rich in sulfur and selenium, garlic is beneficial for those suffering from arthritis and joint pain. Sulfur helps relieve joint pain and inflammation and, according to research, selenium may have an antirheumatic effect. Also, arthritic patients tend to have low levels of selenium in the blood.
• Include raw or cooked garlic in your diet. You can safely consume two or three garlic cloves daily. If you are deterred by the smell or taste of garlic, consider taking garlic supplements (follow the directions on the label).
• You can also fry two garlic cloves in two tablespoons of mustard or sesame oil. When the garlic cloves turn black, turn off the heat and strain the oil. Allow the oil to cool until it is comfortably warm, and then massage it into the skin around affected area. Leave it on for about three hours before washing it off. Do this twice daily until you see improvement.

9. Ginger

Ginger is an excellent natural remedy for muscle and joint pain, thanks to its anti-inflammatory properties. Researchers studied its effects on osteoarthritis patients with knee pain and saw encouraging results.
• Drink ginger tea, or include fresh ginger root or dried ginger powder in your daily diet. To prepare ginger tea, cut up a small piece of ginger root, boil it in a cup of water for 10 minutes and strain it. To improve the taste, you can sweeten it with honey.
• Another option is to mix equal amounts of ginger, turmeric and fenugreek powder. Take one teaspoon of this mixture daily in the morning and evening until you are satisfied with the results.

10. Stinging Nettle

Exploratory studies indicate that stinging nettle can be useful therapy for joint pain without any major side effects.
Though the exact reason as to why it alleviates the problem is not known, it is believed that this herb contains active compounds that reduce inflammation. Plus, it is rich in boron, a mineral that is required for healthy bones and joints.
• Steep two to three teaspoons of dried nettle leaves in a cup of hot water for 10 to 15 minutes. Strain and drink the tea. Repeat three times a day until you get positive results.
• You can also place fresh nettle leaves on the affected area for about 30 seconds. Do this once daily for about a week or more. It may cause initial discomfort, but will eventually take the pain away.
Note: This herb may interfere with blood thinners as well as blood pressure, heart and diabetes medications.

Hi. One can have normal blood levels of uric acid during an acute gout attack so that is not an accurate test to diagnose a joint attack of gout. When the finger is painful, it is best to be seen by a hand specialist or a rheumatologist who can accurately diagnose and start the correct treatment. The only way to accurately diagnose a joint gout is to get some fluid from the joint and send it for testing under a microscopy. It is also important to make sure that we rule out lot of other conditions which can mimick like a gout attack. Please see an appropriate specialist in the regards.

Hi, please take homeopathic medicine thuja 1m 3 doses, colocynth 200 5 drops in few luke water once a day and report back after week with feedback.

You have morbid obesity bmi 43 please reduce diet by 20% & do regular brisk walk for 45 min and symptoms may subside as your all tests as stated by you are normal.

Hi, hi, I am Dr. Dhanajeyan. You can drop your details in the private questions whereby we can help you more it may be due to your age of body structure the pain can occur. If the pain is less than 2 weeks you may try with some ice packs and simple quadriceps toning and hamstring stretches. If the pain persist more than 2 days do you can meet a near by physio. For you chest pain better consult a physician immediately.

This could be due to oa knee &/or obesity. Physiotherapy along with medicines will help. Do knee exercises. It may have to be further investigated rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with a soft bedding on it. Any way take multivitamins & other antioxidants along with. Ibuprofen 200mg od & sos x 5days you will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. Do ask for detailed treatment plan. Don't ignore.

Causes of knee pain:

1. Acute knee pain

Sudden knee pain is usually due to an injury, the common ones being:
Tendon injuries: Tendons attach muscle to bone, and are prone to injury, especially in athletes. Sudden rupture ? partial or complete ? will cause pain, and prevent normal movement of the joint. More commonly, inflammation sets in, especially in the quadriceps and patellar tendons (tendonitis)

Ligament injuries: The knee has two ligaments inside the joint and two outside, connecting the femur and tibia, and stabilising the joint. Tearing any of the these ligaments often results from contact sports, or a heavy fall, and causes immediate pain, which is worse on walking or bending the knee. Damage to the internal ligaments may cause the knee to give way when weight is put on the leg.

Meniscus injuries: The meniscus is a cartilage ?cushion? inside the joint. A tear of the meniscus can cause pain, worsening over 24 to 48 hours. The tear may lift a piece of the cartilage off which then flaps between the knee bones (like a bucket-handle): this can cause locking of the joint, preventing full straightening of the leg. Alternatively, a piece of the meniscus can break off, and move around in the joint space, interfering with normal movement. Old or repeated injuries can lead to degeneration of the meniscus.

Dislocation: This commonly affects the kneecap, and is easily seen. Dislocation may become a recurrent problem.

Gout: Although this is a chronic underlying disorder, an attack of gout occurs suddenly, causing intense pain and swelling which can last up to two weeks, then clear, leaving normal joint movement.

Bursitis: This is inflammation of the fluid-filled sacs outside the joint, over which the tendons slide. Commonly the bursa at the front of the knee (pre-patellar bursa) is affected, causing pain when kneeling.

Ilio-tibial band: Athletes, especially runners, are prone to this disorder, in which the ligament from the hip bone to the tibia is tight, and chafes against the outer femur

Osgood-Schlatter disease is an overuse problem found mainly in athletic teenagers, and can affect one or both knees.

Septic arthritis can follow an injury. In addition to pain, the patient will be ill and feverish.

2. Chronic knee pain

This is often due to a previous injury, but is associated with several underlying medical conditions.

Osteoarthritis is the commonest type. It is an age-related condition, sometimes called ?wear and tear arthritis?, and is caused by gradual degeneration of the joint cartilage. The pain varies from day to day, is often worse in the mornings, and eventually leads to a stiff joint.

Rheumatoid arthritis is a destructive auto-immune disease, often involving both knee joints. Acute flare-ups alternate with quiescent periods. Pain, stiffness & swelling eventually lead to loss of mobility and a destroyed, deformed joint.

Chondromalacia patellae describes a condition of pain under the kneecap, due to mild arthritis of the patella. It is common in young women. Pain is worse after sitting, or with rising from the chair or going up stairs, and patients report a sensation of grating under the kneecap.

Tumours: malignant tumours of bone (like osteogenic sarcoma) can cause pain and swelling near the knee. This must be excluded in a young patient who has no history of sport injury or any underlying medical condition.

Hello, Take Schwabe’s Alpha-CF and Biocombination-11, both after every 2 hourly for 4 days. Management: -Sponging or bathing with tepid water. The use of a fan or air conditioning may somewhat reduce the temperature and increase comfort. If the temperature reaches the extremely high level of hyperpyrexia, aggressive cooling is required. -Take rest and drink plenty of fluids. -Take light, bland, properly cooked home-made healthy food only. **********Consult again if the fever is accompanied by a severe headache, stiff neck, shortness of breath, or other unusual signs or symptoms.***********

Hi you could have low back impingement of nerve due to bad posture or impingement of nerve in foot or plantarfasciitis. It can be treated just consult a nearby physioth.

U need to do physiotherapy treatment for your neck pain and also start with tablet folvite once a day and vitamin d3 supplements weekly.

A medium firm mattress is ideal for you if you sleep on your back. For side sleepers, a mattress with slight softness is necessary to cushion the shoulders and hips. Stomach sleepers (who very likely sleep this way because of lower back pain) need a firmer mattress to keep them afloat.

Being a diabetic, it's important to get your weight under control, for nerve compression you could try non surgical treatment, you need however to be aware that progression of the nerve pressure can result in paralysis of the legs.

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.