Dr. Ravi Shankar

lybrate-user. Being a sport person you need to remain fit. Along with d moves also work on proper muscle length and strength. Take a balanced diet to meet your requirements that will help you to recover faster from wear n tears. Apply ice packs for little finger pain 2-3 times a day. And last but not d least do not forget to visit to a physiotherapist for adequate recovery and proper guidance so dt you can avoid further injury and excel in your field. Thanks.

The sound of the joint is called crepitus. The capsule and cartilage of the joint is loosening. So the sound comes. Do passive movement regularly. Reduce weight and use knee caps while walking.

Hunchback in general happens in the dorsal back the area which is down the neck and lower back. It can be corrected by maintaing good posture, you can stand against the wall and you can do bending and shoulder exercises which will help you to reduce the hunch back and you can walk with one book which is kept on the head and you can walk slowly in such a way the book doesn't fall down which will definitely help you to reduce the hunch back. If it is too much then you have to wear a brace which will help you to reduce the deformity in the spine. Exercises •Standing hamstring stretch: Place the heel of your injured leg on a stool about 15 inches high. Keep your knee straight. Lean forward, bending at the hips until you feel a mild stretch in the back of your thigh. Make sure you do not roll your shoulders and bend at the waist when doing this or you will stretch your lower back instead of your leg. Hold the stretch for 15 to 30 seconds. Repeat 3 times. •Cat and camel: Get down on your hands and knees. Let your stomach sag, allowing your back to curve downward. Hold this position for 5 seconds. Then arch your back and hold for 5 seconds. Do 3 sets of 10. •Quadruped arm/leg raise: Get down on your hands and knees. Tighten your abdominal muscles to stiffen your spine. While keeping your abdominals tight, raise one arm and the opposite leg away from you. Hold this position for 5 seconds. Lower your arm and leg slowly and alternate sides. Do this 10 times on each side. •Pelvic tilt: Lie on your back with your knees bent and your feet flat on the floor. Tighten your abdominal muscles and push your lower back into the floor. Hold this position for 5 seconds, then relax. Do 3 sets of 10. •Partial curl: Lie on your back with your knees bent and your feet flat on the floor. Tighten your stomach muscles. Tuck your chin to your chest. With your hands stretched out in front of you, curl your upper body forward until your shoulders clear the floor. Hold this position for 3 seconds. Don't hold your breath. It helps to breathe out as you lift your shoulders up. Relax. Repeat 10 times. Build to 3 sets of 10. To challenge yourself, clasp your hands behind your head and keep your elbows out to the side. •Gluteal stretch: Lying on your back with both knees bent, rest the ankle of one leg over the knee of your other leg. Grasp the thigh of the bottom leg and pull that knee toward your chest. You will feel a stretch along the buttocks and possibly along the outside of your hip on the top leg. Hold this for 15 to 30 seconds. Repeat 3 times. •Extension exercise: Lie face down on the floor for 5 minutes. If this hurts too much, lie face down with a pillow under your stomach. This should relieve your leg or back pain. When you can lie on your stomach for 5 minutes without a pillow, then you can continue with the rest of this exercise.

According your age and your problem a x-ray of lumbar spine must if your x-ray is normal then tk physiotherapy treatment for few days.

Do use MCP Chappel and take IFT and laser Therapy for pain relief for 12 days followed by strengthening exercise from physiotherapist Best wishes.

Do Routine blood tests like CBC, Widal,Ps for MP, Urine (R) .Inform reports on private consultationso further management will be easy part. Till then U can have 1 Tab. Calpol for fever and weakness. Good Day.

Requires detailed examination and investigation. Preliminary investigations suggested: hb, tlc, dlc, esr, blood sugar fasting & pp, uric acid vit d urine r/e x-ray of the affected part. Anyway it may be tried sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick mattress 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, knee & general exercises. It may have to be further investigated. Do not ignore it. Let it not become beginning of a bigger problem. Make sure that patient is not allergic to any of the medicines that he/she is going to take. If it does not give relief in 4-5days, inform.

Do hot fermentation and rest avoid strain and avoid long standing. Put a towel under knee and press for 10 second then release repeat 10 time and apply pain relief ointment.

Back Pain . Advice…. Hot Fomentation x twice daily. Avoid bending in front. Postural Correction. Sit Tall, Walk Tall. Extension Exercises x 15 times x twice daily Bhujang Asana x 15 timesx twice daily Core Strengthening Exercises. Back Stretching.

Quadriceps strengthening exercises- 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.