Dr. N D M Ismail

Many reason is possible a check up of vit d and calcium levels. Due to muscle strain so avoid long sitting toward bending, tk heat fermentation twice a day rest and stretching exercise of spine. X-ray can do to confirmation bone issue.

Hello, thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. At your mother's age it is possible for advanced degenerative changes to have set in the joint, and that could be a cause for recurrent inflammation and painful episodes. Please tell me duration of pain and what are aggravating factors? how much distance can you walk and what is the analgesic requirement to carry out activities of daily routine? what medications you generally take and what has been your treatment history till now for existing problem. I also need to see your latest knee x rays so that I know what grade of arthritis are we dealing with on your case? do not hesitate to contact me if you need any further assistance.

Weight loss will help you (at least 10-15 kg). Restrict salt intake. For vitamin d, include shiitake mushrooms, whole egg (provided you are not hypertensive/ hypercholesterolemic), oily fish (salmon/ tuna/ mackeral/ sardine/ cod), cod liver oil capsules-2 daily-1 with breakfast & 1 with lunch. Brisk walk daily for 30-40 mins in morning as sunlight is the best source of vitamin d.

It may be low back pain with sciatica. In sciatica pain radiates along the leg. Reasons can be-* *sitting in inconvenient posture constantly, without changing your position or without movement, *wearing ill fitting sandals, *lack of exercise or *internal disorder like arthritis. Point to observe- * if you have difficulty in climbing stairs, take lift while going upstairs. If there is no lift, go up slowly. * if it is due to strain of games or injury, take rest. * if it is due to obesity, reduce weight. * if it is due to constant sitting at a particular posture, change posture and engage in slow walk. * walking regularly at slow pace without unduly straining helps as it improves blood circulation around knee and eases the joint. *you can use mustard oil for massage which is good in winter season for relieving pain. Eucalyptus oil is also good homoeopathy has a good treatment for this without adverse effects. Take colocynthis 200---once daily morning and give feedback after 7 days

Introduction

Women loves high heels, but if they continue wearing them all time chances of significant foot pain and associated problems either can occur directly or exacerbated by wearing heels. (Morin, n.d.).

Any time person wears footwear that disturbs or realigns the natural counter of the foot they are bound to cause foot pain the experts says. While, if you add a bit of inches (high heels) in to this calculations then the pain can soon escalate to damage says Stuart Mogul expert in podiatry. Due to this, there exists the change in the body segmental alignment. For instance wearing high heels will restrict the natural movement of the foot and in addition to the restriction there is increased loading of weight on that area hence the person is not just crushing the toes, but adding exaggerated body weight on them says the Sports Scientist (Biomechanics) Vasanth Kumar from Chennai who is also a performance coach.

Consequences of wearing footwear with heel

Researchers have found that people wearing high heels (2 Inches or more) have tighter calves. About 13% short on the calf muscle fibres on an average was found in the calf muscle scans among the people with frequent heel wearers in comparison with the people who avoided wearing heels. A study by Journal of Experimental Biology found that high heels led to stiffer calf (Achilles) tendons.

A study by Professor Marco Narici, (Manchester Metropolitan University) that involved 11 volunteers from 80 group of women who wore 5cms (2 Inches) of heel for over a period of two years had issues and struggled while walking on flat foot (Bare Foot). An MRI Scan of these volunteers showed no significant difference in length of the calf muscles in comparison with the group of women who wore flat shoes. While, an Ultra Sound scan showed shorter calf among the women who wore heels. In addition, the women who wore heels were asked to lie on their front on the couch and the researchers noticed the angle of the heel were greater due to the shortened calf. Above all these, the tendons were much thicker and stiffer among the women wearing heels than those who wore flat footwear that causes discomfort while walking on flat feet since the tendon cannot stretch sufficiently.

Prevention

Sammy Margo, chartered physiotherapist from London says not to wear heels or flat shoes all the time but to wear variety of heel heights that can keep the muscle in right length (Anon., 2010). Secondly, the researchers and scientists have found out that performing some regular stretching activities can minimise the issue of calf muscle tightening.

Stretching Exercises

Stand on tiptoes on a step, and using a handrail for balance to lower their heels as far as they can and hold the position for 10 – 15 seconds.
Strengthening the Tibialis anterior (Shin Muscle) muscle can be of a help (Toe Raise) for a count of 8 – 10 Repetitions 2 -3 sets a day says the Sports Scientist.

Tips

Select footwear with low heels – an inch and a half or lesser while a wider heel base can be of more help; a slightly thicker heel will spread the load more evenly. Narrow, stiletto-type heels provide little support and three inch or higher heels may shorten (Tighten) the Achilles tendon.

Softer insoles can reduce the impact on the knees.

Selecting right size footwear is more essential. Wearing shoes that allow your body to move naturally during walking will allow your feet, legs, hips and back to stretch.

Stretch your muscles as many times as possible during the day and while during rest.

Difference in Radiographs between High Heels and Normal Footwear

Conclusion

Do not let your sense of style cripple your ability to stand or step pain-free. “Your feet are, quite literally, your base of support. If your feet aren’t happy, nothing above them will be,” says Dr. Nevins. “Take a closer look at your shoe selection and take small steps now to prevent big foot problems later.” (Nevins, 2015). In addition to all these the above exercises as a regular routine will keep the muscles in the right length and can be used as the preventive factor.

Hello, you can take homoeopathic medicine Kalmia Latifolia 30 ( 4 drops in little water) thrice a day for a week and revert.

. 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.

Hello lybrate-user. Exercises itself help in preventing of wear and tear of joints. Still you can take chondroprotective drugs and calcium supplements to protect cartilages in joints and enhance joint life. Consult in private for prescription of such drugs.

1. Drink plenty of water and other fluids 2. High fibre diet (green leafy vegetables) 3. Sitz bath - take a tub of warm water, add two spoons of salt and sit in that water in such a way that the anal area gets submerged. Do this at least twice daily.

Do hot fomentations and put a towel roll under knee and press for 10 second then release repeat 10 to 15 time twice a day.

Kindly show me digital x rays of affected part.(knee & leg) 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.

Hello Gout is a metabolic disorder. In this disease uric acid deposition occurs in joint. It causes inflammation in joints. Ayurveda has solution to this disorders. She should avoid proteinaceous foods in her diet.

Swelling legs could be due to ill managed hypertension. Kindly show me 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. Ertension. Anyway.

Sir, do you have any pain, fever. Does the movements of hand pain. Since how long do you swelling. Get back to me with details, for correct advice.

Hello it's a disease with difficult prognosis. But ayurveda us giving very good result in it. My advice for you * consult ayurveda doctor, give detail history, decide total root diagnosis * start ayurveda medicine & do don't s * I strongly recommend you to do panchkarma, esp virechan & basti course * drink only hot water * take ginger 10 gm before food * take ajvayan 10 gm jeera 10 gm after food.

Dear lybrate-user, every doctor is complete in herself or himself, no matter what speciality the doctor choses to opursue. Of all the complaints of your wife that you mentioned the striking and significant complaints seem to be heavy menstrual bleeds, constipation and bleeding (in stools, I assume). The other complaints like pelvic pains, joint pains, nausea and vomiting are related to the chief complaints. I would humbly advise you to consult a gynecologist and obstetric surgeon, get examined, investigated (by usg if neeed) and rule out possible causes of heavy bleeds. She may also need investigations for hormonal profile and certain lab investigations too. An orhopedician may be consulted if joint pains are specific to his expertise.

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.

Make a habit of walking and reading frequently in between your studies. It is because of constant sitting, the circulation of blood in legs gets affected.

Dear Rahul, After ACL reconstruction we usually keep patients on physiotherpy for 4-6 weeks, and allow gradual knee bending. So the common complaint is some amount of knee stiffness. You can only assess stability after 6-8 weeks.

Hot fermentation. Keep straight your legs. Put a towel roll under knee and press for 10 second then release repeat 15 time twice a day.