Dr. Raheema

Hello, this is Dr. Mathur from new delhi. Welcome to lybrate. If you are having discomfort in the hip for 6-7 months, I think an x ray of the pelvis with both hips ap view and left hip lateral view will be the first step to finding the cause of pain. Also get the following blood tests fasting- vitamin d and uric acid. Revert back with the investigations.

Hi *take rest *increase fluid intake *gently stretch or massage your lower leg muscle. * apply heat to tight muscles or cold to tender muscles. * do not wear high heels. Do reply for detailed treatment plan. Best wishes.

Hello, please investigate properly and send the x-ray and other investigation report to rule out whether it is arthritis or anything else. This is may be due to overweight or deficiency of vitamin d3 and calcium or due to poor posture. Till then follow these advises - 1. Take calcium supplements and sun bath daily to prevent further damage to your joints. 2. Avoid heavy lifting. 3. Avoid squatting and weight bearing activities. 4. Use western toilet. 5. Wear shock absorbing, good quality of shoes while walking. 6. Keep roll of a towel under your knees while sleeping. 7. Perform some gentle exercises and stretching of your all joints before getting out of your bed. 8. Walk straight with shoulder protracted. 9. Perform deep breathing exercises or yoga for proper functioning of lungs. I will explain you stiffness and pain reducing techniques in the next session. Wish you a happy and pain free life thanks.

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

Back ache can be due to several reasons. It can be muscular, related to disc degeneration or prolapse, joint irritation or nerve pinching. Most common is muscle pain due to tight and weak back and abdominal muscles. Keep a positive attitude, focus more on keeping good posture especially when sitting for long hours, use lumbar support. Take frequent breaks and stretch in between. Try changing sleeping habits. Try hot or cold therapy as tolerated. Wish you speedy recovery.

I understand your pain. Rather than taking medicines I would recommend you to go for some exercises and back care home which will give you relief. If still pain does not persists than go for xray or ct to rule out the reason for pain. In case of back pain please make sure for the following things: 1. Dnt bend forward, if required first bend you knees and then move forward. 2. Dnt lean while sitting. 3 dnt over stress your muscles. 4. Take healthy and nutritious diet, avoid junk food at least for some days like food that include citrus acid, soya sauce etc. 5. While sleeping try to sleep on sidelying position with pillow under your knee (one 90 degree bend on other knee) 6. Avoid liffting heavy object. 7. Perform daily exercises. Perform some basic treatment that can be done at home easily: 1. Take hot/cold fermentation whichever suit you for 15 min thrice a day. 2. As soon as your fermentation ends your muscles will be relax and you will feel more comfortable, then take a rest of 4-5 min and start doing some exercises like straight leg raising, prone on elbow, knee extension, hams and quads stretching, bridging, prone leg raising (hip extension) all these exercises can be done 10 repititions and then you can progress to 15-25 with a set of 2-3. Do not over strain your muscle, exercise at the level of range you start paining. I am sure you will get a relief and no medicine would be required. Get well soon. Regards.

Do the cat/cow avoid bending in front. Postural correction- sit tall, walk tall. Apply hot fomentation twice daily. Extension exercises x 15 times x twice daily. Bhujang asana. Core strengthening exercises. Back stretchingstretch.

He could be suffering from gastritis or gastro esophageal reflux disease. Avoid spicy and fried foods. Also avoid junk food and fast food. If his problems are worse, you need to take an ecg and take medications.

Dear lybrate-user, Go for self care: SSO- soaking, scraping, oiling. Soak the feet in normal water for 15 minutes, scrap smoothly to get rid of dead skin, oiling to help skin remain smooth by any regular use oil/ moisturiser.

12 Tips to Manage Back Pain

Back pain is a common health problem that affects most people at some point in their life. It may be triggered by bad posture while sitting or standing, bending awkwardly, or lifting heavy objects incorrectly

Common causes:

Muscle spasms and strains

Disc problems: a sudden back movement may cause the disc to bulge or rupture completely. This causes pain in the back or along the course of the nerve that has been pressed-usually the buttocks, leg or foot.

Osteoarthritis and osteoporosis are ( Above> 50 years)

Ankylosing spondylitis: this is a type of arthritis that affects the spine. It occurs mostly in young men. It causes back pain, stiff back and difficulty in bending

Tips to manage Back pain

When you have back pain, use ice or heat. Ice is best in the first 24 to 48 hours after an injury because it reduces inflammation. After 48 hours, you can switch to heat .
Whether you use heat or ice — take it off after about 20 minutes to give your skin a rest.
It is important to keep moving as much as possible. You may require bed rest when the pain in acute, but prolonged bed rest is not helpful.
Exercise regularly to strengthen the abdominal muscles that work with back muscles to stabilize the spine
Always consult a professional trainer before starting a workout regimen
Improve your posture. Keep your spine straight while sitting and standing. Avoid slouching
If you have a desk job, get up every 20 minutes or so and stretch backwards
Design your workplace so you don’t have to hunch forward to see your computer monitor or reach way out for your mouse
Use a desk chair that supports your lower back and allows you to keep your feet planted firmly on the floor
When driving, adjust your car set and steering wheel to a correct height and distance
Be especially careful of your posture when lifting heavy objects. Never bend over from the waist Instead, bend and straighten from the knees

If your pain does not improve, consult a doctor. Your doctor may prescribe anti-inflammatory medicines for a few days till the acute stage is over

Apply gingille oil. Cut the lemon into 2 half. Take one&tie it in thin cloth then soak into Luke warm oil and give fomentation in flat part.

Get an mri and consult an orthopaedician or physical therapist for revaluation, your management would be planned according to the level of disc protrusion if it has reoccurred. All the best.

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.

I guess your rehabilitation wasnt done properly.Go to a nearby physio who is good in shoulder mobilsation & for neck avoid forward neck bending for a long peiod ,take breaks in between and keep doing isonetrics for cervical muscles as suggested by the physio

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Actually pain at calf/leg region can be due to many reasons, commonly it is muscular in nature but it can also be due to tendons, nerves, blood vessels etc. My advise to you for initial 2-3 weeks will be: - ice packs application intensively with elevation of your limbs at night - take a short course of anti-inflammatory medication as per your body's suitability - stop your physical activity till pain completely subsides - intensive physical therapy, training and proper muscle conditioning once pain has subsided - slow resumption of physical activities with proper pre activity warm up and stretching of muscles and short increments in duration of physical activity each day as per pain tolerance. - we will get some blood tests for you - serum vitamin d and serum potassium levels, esr and crp once you have all these reports then you can contact me as I can advise you for proper supplementation do not hesitate to contact me if you need any further assistance. Thanks & regards Dr. Akshay kumar saxena consultant orthopaedics fortis hospital, new delhi.

Get your teeth clean by the dentist. And also go for the bleaching treatment by that you will get good white teeth.

Core strengthening exercise- straight leg raised with toes turned outward, repeat 10 times, twice a day. Hams stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube or normal belt. Repeat 10 times, twice a day. Quadriceps exercises- lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain.

Please do not sleep under direct fan/ac. Take mag phos 6x - twice daily 4 tabs for next 10 days do not stand/sit too long at a stretch do hot and cold compresses if this relieves you.

Diet modification. Medicines for lowering uric Acid levels. NSAID for few days. Medicines according to joint involved.

Both shoulder pain with normal MRI is more likely to be cervical spine pathology or we need to examine you to ascertain. Dr Kamal Bachani,MS(ortho)