Dr. Arti Gupta

Do consult neuro physiotherapist and get clinically examined and rule out any muscle strain or sprain in shoulder and cervical regions and if so any get proper therapy followed by strenghening exercises best wishes.

1st line treatment is - anti inflammatory medications and physiotherapy, 2nd line is -- with injection into the tendon sheath , and finally if the above treatment fails , then surgery is the last resort,

Hello, lybrate user, you are obesed being one of the reasons of your present complains. You should go to a cardiologist, it may be badicardia, too. Please go for medication to nourish your brain to command cranial nerve to ease numbness and shivering of lower extramities. * you should go for a brisk walk in d morning to restore blood circulation to nourish your body & brain to ease, your problem, reducing fats cells. Your dietary regulation b as per required 1200-1600 calories. Maintain anti hypertensive norms. You may go for homoeo medicine for nerve disorder. Report, wkly, your feedback matters, tk care.

Spondylosis is a general term for aging of spine. Young patients with neck pain usually have weak intervertebral disc. This needs correct counselling on ergonomics and specialized neck rehab. Meds are usually for temporary relief. Rarely we need to do mri for diagnosis.

Dear lybrate user, one of the major nutritional substance required for human body is carbohydrate. We take carbohydrate in the form of rice, wheat, sugar etc. The complex molecules of carbohydrate are broken down into simple glucose molecules during digestion & released in the blood stream to be absorbed by the muscle cells. Muscle cells utilise the glucose molecules to release energy by breaking down those glucose molecules. Insulin hormone plays a vital role in the absorption of the glucose molecules by the muscle cells. In abnormal conditions, either due to less production of insulin or due to resistance to insulin, the process of absorption of glucose by the muscles comes to a stand still. The glucose molecules remains in the bloodstream which results in the increase in the blood sugar level. The failure of utilisation of the glucose molecules by the muscle cells results in production of less energy than normal condition. This is externally manifested as the fatigue & tiredness of the patient. This excess amount of blood sugar compels the kidney to function more than normal level in order to excrete the blood sugar molecules through urine. As a result the patient suffers from frequent urination. This abnormal condition is clinically known as diabetes mellitus. Once a patient is diagnosed with diabetes he has to take regular medicine to keep his blood sugar level within normal limits. Take homoeopathic mother tincture gymnema sylvestra q, 30 drops, thrice daily, after meals, in a cup of water. Also you need to walk at least 1 hour daily without any interval. Also you need to take a low carbohydrate rich diet. Avoid rice, sweet dishes, fruits, cold drinks, fast foods, alcoholic beverages, potato etc.

Avoid forward bending and use hard bed to lie. Improve your posture. Start hot saline fomentation followed by volini gel and back exercises.

Neck pain with one limb tingling is mostly due to nerve root irritation in the cervical spine area. The condition commonly referred to as cervical spondylosis. It should be taken seriously as it can progress to weakness in limbs. Management includes xrays of cervical spine (sometimes mri is also needed) cervical collar for severe pain (should not be used for long term) neck muscle strengthening exercises (depending on x ray) medicines for pain and nerve irritation.

Hello,take homoeopathic medicines Ruta 30 (4 drops in little water) every morning for a week. 2.Rhus Tox 30 (4 drops in little water) thrice a day for a week and update.

Along with ointments u need to do some exercises for the knee. -Static quads keep a towel roll below the knee press it and hold for few secs again repeat it10 to 15 times. -Heel slides 10 times - IFT modality can help in pain relief - use hot fomentation Thanku

It looks like you are anaemic. If you have back pain after you sit for long hours then it is due to your haemoglobin levels as it is important to check that. Anaemia always leads to the symptoms of being tired and also having back / leg pain though there may not be any pathological reasons for back pain. / If you have low back pain and sciatica you can undergo intermittent pelvic traction where in your half of your body weight will be added in the electronic traction so that that would help you to reduce the pain, along with Interferential therapy stimulations which would help you to get relieved from the radiating pain. Apply ice for the pain to get subsided immediately. If you cannot go immediately for the physiotherapy treatment. Ice can be kept in the low back where you have back pain. It is suggestible to wear Lumbo sacral belt which would help you to build the abdominal muscle tone which itself would make you feel better. You can also wear MCR chappals which would help you to have less weight falling in the painful back.

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.

Kindly show me a photograph of the affected part. 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 Do hot fomantation. Paracetamol 250mg od & sos x 5days. Caldikind plus 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. If it does not give relief in 4-5days, contact me again. Do not ignore. It could be beginning of a serious problem.

Hello, thanks for your query and welcome to lybrate. I am dr akshay from fortis hospital, new delhi. 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. Thanks & regards dr akshay kumar saxena consultant orthopaedics fortis hospital, new delhi

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. You are actually quite young to have a prolonged back pain. Can you tell me what was the initiating factor for your pain? apart from pain, do you feel any other symptoms like weakness, numbness or paresthesias in legs as well? is there any localized swelling or any associated systemic symptoms like fever, night sweats, weight loss etc? 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, you can also add a muscle relaxant to relax muscle spasm - 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.

Hello. Maintain a right standing and sitting posture, keep your back always straight, 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). Lie down on bed on your back without pillow. 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. 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.

Hello, Kindly follow advises given below 1.Avoid using computers continuously, take rest for 5 min after working for half an hour 2. In pain free interval do neck exercise (kindly learn exercise by registered Trainer) 3. you can use thin pillow while sleeping so that normal posture of neck can be maintained 4.Maintain proper posture of body while watching TV/ studying Kindly go for cervical X ray AP and lateral and review with reports Consult Physician for Further Management

There are many conditions that can cause knee pain. - Ice is useful for the control of pain and swelling. It can be applied to the knee for 15 to 20 minutes as often as every two to four hours. The swollen knee should be elevated above the level of the heart while icing. -activities that cause pain should be avoided temporarily. -If the knee is swollen or sore, the following positions and activities should be avoided until knee pain and swelling resolve: Squatting Kneeling Twisting and pivoting Jogging Aerobics, dancing Playing sport You need detail assessment with a Physiotherapist to find out what causing you this pain.

Homoeopathic medicine---------------- spondyaid (bakson) drink 10 drops in 20 ml fresh water 3 times daily------------- magnesia phos 6x (dr reckeweg) chew 4 tab every 2-3 hrly depending on pain daily------------- drink 2 glass milk and an egg daily----------------- report after 15 days---------------------------

It seems that you might be suffering from frozen shoulder. So go to some orthopedic and check. If its there you can go for Homoeopathic medicine which is more effective and safe instead of allopathy. Consult me online for Homoeopathic treatment.

First of all check your posture when you are lifting any material like heavy bucket. And try to lift the heavy bucket without bending your back. You may lift the bucket after bending your knees only. This will definitely help you. * gentle massage with lukewarm mustard oil of your waist area will also give you relief. * surya namaskar is only exercise which you need to do. * in diet vegetable protein of cereal, b complex supplements and half teaspoon of haldi in a cup of milk for seven days will give you enough relief.