Dr. Akshay Rana

do strength exercise in gradually process and if pain then firstly tk laser therapy and ultrasonic therapy for few days after relief do strength exercise

Hi lybrate-user, just relax from driving. Do not drive for one or two days and give rest for your arms. Have a hot shower also. Hope the above helps you. Regards,

DMD has no cure. Research on gene transfers in some countries is going on. The parents should get educated about the disease, what the child goes through. Give a comfortable and guided life to improve the quality of life. Take help of good physiotherapist

Hello. Post-delivery backache is very common and as you mentioned about epidural injection which can add to it. Apart from that deficiency of calcium is also responsible for backache, so start taking calcium and iron tablets once you consult your gynaecologist. Maintain a right standing and sitting posture, keep your back always straight (even while sitting or standing), avoid carrying weight on back. Hold or carry weight divided equally in both the hands or shoulders (to avoid over straining on one particular hand or shoulder). Always select a chair with proper back support and hand-rest. (Excessive sitting or standing is to be avoided as well don’t carry much weight on shoulders). Apart from these, stress could be the major cause of pains! Exercise: Practice Shavasana or Corpse Pose as it looks like a dead body. If practiced correctly and with full efforts, can relax every body part, relaxing not only the body but also the mind: Spread the legs one to two feet apart, the toes are turned outwards, the heels facing each other, a comfortable distance apart. Bring the arms a little away from the body, palms turned upward. Relax the neck and allow it to turn to the side if it is more comfortable. Close the eyes and focus the attention on the body, breathing normally. Begin focusing each body part and relaxing it, then moving on. Keep the mind focused on relaxation, the breath should be normal. Relax the whole body. Management: -Sit straight with a back-rest or back-support. -Stretching or activities that place additional strain on the back are discouraged. -Sleeping with a pillow between the knees while lying on one side may increase comfort. -Lying on your back with a pillow under your knees would also relieves pain and no pillow under your head. -Some people seem to benefit from the use of ice or heat. Take care, do not use a heating pad on ‘high’ or place ice directly on the skin. Medication: Take homoeopathic medicines - Arnica 200 and Rhus Tox. 200 - take both of them thrice daily for 1 week. Also, apply Schwabe's Topi-Arnica and Topi MP Gel on the affected area in circular motions gently thrice a day. Get back to me thereafter.

First of all your back posture may not b correct. If u r working and have a long sitting job, it is possible. secondly, it can b due to some degeneration in your lower back, due to which nerve compression can b there. see some near by physiotherapist asap. Thank you.

hot fermentation and put a towel roll under knee and press for 10 second then release repeat 10 time twice a day. avoid long sitting, standing. if it work then OK otherwise physiotherapy treatment must

For a pain that is of the nature described by you, I feel the treatment was reasonable by the neurologist. But since pain is persisting since years, and since patient has a lesion in spine, it is very important to review all the reports of patient and examine neurological status of the patient, since the treatment will depend largely on these. Hence I suggest you visit me or some other orthopedic in clinic.

This can be due to many reasons such as hormonal imbalance, disturbed lipid profile, improper sleep, certain deficiencies in the body and many more, get your tsh, t3, t4 and lipid profile profile test and take proper sleep and drink lots of water and take balanced diet.

Easiest and sure way of getting vitamin D is sitting in Soft sunlight for 1/2 to 1 hour for five days a week. Otherwise she can take vitamin D 3 tablets or sache after checking green mark on them.

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.

* 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 bryonia 200---twice daily morning and evening and give feedback after 7 days

Lybrate-user, are you on treatment for hypothyroidism? if not then start it immediately, with thyroxine. Dose will depend upon body weight, t4 & tsh levels. Once adequate dose is taken all symptoms will be in check. Plus you also have to avoid soy beans, soy containing products, cabbage, cauliflower, broccoli, radish, peanuts, mustard & coffee. Consume good deal of green vegetables, salads & fruits. Use whole grain flour for chapati & roti. Avoid bakery items and items made of maida. Exercise daily for at least 1 hour. If you have any doubts please come back. J.

This treatment is being suggested on bases of the information provided. I would like to examine & investigate you in detail. Rule out hypertension, diabetes or any other metabolic disorder. Any way you may try- --. Dolokind plus (mankind) [aceclofenac 100 mg +paracetamol 350 mg] 1 tab. Od & sos. X 5 days. --. Caldikind plus (mankind) 1 tab od x 10 days. (you may need help of your local doctor to get these medicines.) --. Fomentation with warm water. --. Sleep on a hard bed with soft bedding. --. Avoid painful acts & activities. --. Do mild exercises for back. Neck & shoulders. Do not ignore, let it not become beginning of a major problem. Do ask for a detailed treatment plan. If no relief in 2-3 days, contact me again. (through this platform.) kindly make sure, there is no allergy to any of these medicines. (contact family doctor, if needed). For emergency treatment visit nearest hospital.

Hi, if you can specify what ligament is torn and if you can upload the mri images. Then I can suggest you better.

Hi apply pranacharya restopain oil or prasarini oil on your affected part then give hot fomentation. Take maha rasnadi kwath 2-2 tsf twice a day. And agni tundi vati and maha yograj guggul 1-1 tab twice a day.

Massage with your thumbs from the mid points of the shoulder blades on both sides towards the lower back of your head up to lower level of the ears. Use oil or water for massage. Rotate your head clockwise and anticlockwise, forward and down, left and right a few times. Do for 5 to 10 times morning and evening. Give pressure the dipping point on the portion between the thumb and the index finger on the back of the palm. Press and release for 15 times where the pain is more. This will solve the problem. Further do some wrist rotation exercise. Inform after 5 days.

Hi that is depending on their age and area for upper limb (hand) 4-6 weeks for lower limbs (legs) 8-12 weeks immobilised it will recover.

vitamin d3 deficiency and uric acid levels are near normal. Other conditions need to be ruled out . Get an esr and r a factor also done .

Take Homeopathic Lactic Acid 200 1 dose whenever you get this type of pain after overuse of muscles. It will be relieved within 15-20 mins and you will get good sleep too. If possible, yes definitely You can visit. Take care. :)

Hi Thanks for your query and welcome to Lybrate. I am Dr. Akshay from Fortis hospital, New Delhi. You are very young to actually have persistent back pains. If you have localized back pain with no other symptoms like radiating leg pain, neurological symptoms like numbness, weakness, paresthesias etc, then you can start with following recommendations for initial period of 2-3 weeks: - To maintain proper posture of your back while working and sleeping - If pain is more then you can take a short course of an anti-inflammatory medication like tab etoshine or paracetamol or one which suits you - Physical therapy initially under supervision of a trained physiotherapist and then to continue at home - Adequate calcium & vitamin d intake if levels are low in body - Ice packs can applied if your pain is acute, then hot fomentation can be done at home - Analgesic spray for local application can be used and is easily available. - Avoid lifting heavyweight/ acute forward bending in mornings etc We will observe you for next 2-3 weeks how you respond to this conservative management protocol. If you are not feeling better, then we will have to get some investigations like, dynamic x rays of lower back and few blood tests for evaluation. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation. Thanks & Regards Dr Akshay Kumar Saxena Consultant Orthopaedics Fortis Hospital, New Delhi