Dr. Anand Ashok Verma

1. Avoid placing elbow over table or against rough surfaces. 2. Apply ice packs locally. 3. Medications like Enzomac and Tendocare will help. 4. Intralesional steroid injection offer great help if the problem is recurring.

Hi. Your mother may be in pre or post menopausal phase when because of the hormone fluctuation, body experiences many changes from mood swings to hot flushes. For neck pain: Take homoeopathic medicines Arnica 200 and Rhus Tox. 200 - both thrice daily. Also, tell her to apply Arnica ointment over the neck area in circular motion gently. For Bronchitis: Bronchitis/ Asthma can be treated with homoeopathic medicines completely, only need to be regular with the medication and avoid those foods/ things to which you are allergic to for sometime. Keep taking your already on going medication, reduce it gradually and slowly once homoeopathic starts acting. Take Bakson's Astha-Aid drops/ 10-15 drops in 1/2 cup water/ thrice d day for 1 month. Report me back after a month.

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. Also your previous history of a spinal injection should not lead to any significant pain after 2 years as a spinal needle is very thin and does not cause any damage to the structures. 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.

as long as you dont have pain you dont have to worry too much about it. it could be an organised haematoma which may resolve spontaneously

As you feel pain in knees, follow these usefultips for pain relief: * first check out bone mineral density (bmd). In case of low bmd, your calcium level in body are low. So take take calcium rich diet daily. Take a glass (300 ml) of full cream milk daily or 100 gm of cheese or 1-2 eggs regularly. * give a gentle oil massage to knees regularly and wrap your knees with cloth dipped in hot water for atleast 10-15 minutes. * wear knee cap or wrap crape bandage during walk for knee support. * sit atleast for 5-8 minutes in sunlight in morning or evening for vitamind. *avoid heal shoe and wear only flat shoes for balanced load on knees. * check out your blood sugar level and hemoglobin level in every 6 months. * if you have any history of rheumatoid arthritis in family then checkout your ra factor. * take guggalu tablets if himalaya one tablet daily for atleast 3 months. * take a piece of garlic, crush it and boil it a glass of milk and drink daily for fast pain relief.

This is cervical pain (neck pain) and that's the reason the pain radiates until the shoulder blades. If you keep ice that would help and along side you can do hot water fermentation. You shall use cervical collar which would help you to reduce the radiating pain ie. Due to the nerve compression I used to have a shoulder pain for working in front of the computer. Do you suggest any medicine or exercise? This is due to the improper posture as while sitting in front of the computer and it leads to neck pain and thereby it leads to shoulder pain After a good sleep getting up in the morning I get usually pains in shoulder joints & in the back: It looks like you are anaemic. That's the reason your body becomes tired though you had good sleep during the night. The pain in the shoulder and back shows that your muscles become too tired especially in the area of the body where you get maximum body weight (ie. Back) and the shoulder which moves excessively during the day for any activity which we do with our hand. If the pain subsides after the day starts ie. Once your metabolic activity starts in the body then you become alright, so you can take bath in good warm water which would help you to break the tiredness. And also you can check with your calcium & vitamin levels in your body by consulting.

Change food habites. Add in your daily food calcium, vitamines, minirales, proteins, milk etc. Do arobic excersices, yoga, cycling will help to you. Use knee cap will help. Massaje narayan taila two times in s day. Increase calcium in leavel in body.

Rest. Take a break from your normal activities. Ice. Place an ice pack or bag of frozen peas on the sore area for 15 to 20 minutes three times a day. Compression. Use a compression bandage to reduce swelling. Elevation. Elevate your foot to help reduce swelling.

. 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.

Your pain seems to be muscular pain due to strain of heavy weight lifting or shifting. Only analgesic will help you.