Dr. Subhash Saini

Requires detailed investigation and examination. 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.

Grow your weight and if you hv no stiffness in your legs then do strength exercise and if spasm ya tightness then stretching your leg muscle with heat formation and avoid over walk and strain.

Hello, you can take homoeopathic medicine rhus tox 30 (4 drops in little water) thrice a day for a week and update.

Dear lybrateuser, -At your age you should not feel anxious & worried about your heart -do regular meditation ,deep breathing & yoga in the morning, you can alternate these on different days, also very useful is to do aerobic exercises like brisk walking, jogging, swimming,do these on three days & do weight lifting exercises on other two days -along with the above routine have a healthy & nutritious diet so that you will feel stronger & more confident & thereby remove your fear & anxiety -distress by listening to music, following a hobby, keep a pet.

posture correction must. avoid toward bending. sit straight. do stretching exercise and hot fomentations.( neck & shoulder)

Hi Thanks for your query. I am Dr Akshay from Fortis Hospital, New Delhi. Please get your latest knee x rays done and send it across to me . Also what is your walking distance and are you taking any painkillers for that? Do not hesitate to contact me if you need any further assistance. Thanks & Regards Dr Akshay Kumar Saxena

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. Core strengthening exercise- straight leg raised with toes turned outward, repeat 10 times, twice a day.

Hello. Headache and back pain could be inter-related. 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). (Excessive sitting or standing is to be avoided as well don’t carry much weight on shoulders). 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: -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.

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.

Advice. Avoid sitting cross legged. Avoid squatting- 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. 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. Sports taping- stretch the tape from both ends and apply on the affected area contrast fomentation (hot and cold).

Injury to knee should not be ignored as knee is one of the major weight bearing joint in body. Thorough assessment is needed to diagnose and treat your problem. Please consult an orthopedic surgeon. You may apply a cold pack at the problem area for pain relief.

Keep your leg raised while sitting or lying 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. Straight leg raise: lie flat on your back. One leg and knee will be straight and other leg should be bent. Pull your toes towards you and tighten/clench the muscle on the front of the thigh, locking your knee straight. Lift your foot up in the air, about 6 inches off the bed. Hold for 3 secs and slowly lower the leg. The knee must remain straight the whole time you are doing this exercise.

You can consult a physiotherapist and start with the treatment. Exercise helps you better in long run to keep the muscles strong and pain away!

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. I think you wanted to mention early stage of osteoarthritis and not osteoporosis. My suggestions for early oa will be: - start doing daily brisk walks for at least 2-3 km in a day in mornings. - intensive knee - quadriceps and hamstring strengthening exercises should be initiated initially in presence of a trained physical therapist and then at home on your own - avoid sitting cross legged, not to use indian style washrooms, do not do anything which eccentrically loads the knee and increases cartilage breakdown. - adequate calcium and vitamin d metabolism in terms of appropriate intake is important to keep bone metabolism ok - you can take short course of anti inflammatory medication like tab etoshine on sos basis especially when there is an episode of inflammatory pain, swelling etc. Do not hesitate to contact me if you need any further assistance. Thanks & regards

You have coccidynia (inflammation of coccyx). You need to get one injection that wil relieve the pain.

Dear you have probably planter fasciitis and need detailed evaluation and imaging to confirm that diagnosis. We can cure you with eswt. It is nonoperative and noninvasive treatment and has no side effects.

Please visit an orthopedics doctor and ergonomic consultant to correct your posture and later physio to relieve pain. Dr. Avanthiprabhakar

Dear Lybrate I think so should go fr latest mri knee fr both knees to hv clear picture of injury. U cn get your tests fr vitd ,vitb12, calcium levels ,haemoglobin level, uric acid level. Then consult us again so that we cn give you best treatment guidelines fr fast recovery

Hot Fomentation. Gentle Shoulder Stretching. Core Strengthening Exercises. Gentle Neck Exercises. Avoid sleeping on affected side. Warm up and cool down is a must.

Sleep on a hard bed with soft bedding on it. Spring folding beds or thick matress 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. Make sure you are not allergic to any of the medicines you are going to take. For emergency treatment contact your nearest hospital or family doctor. If it does not give relief in 4-5days, contact me again. Why not discuss with me in a video conference? (facility provided by lybrate. Com)