Dr. Surendra Rathore

Hunching over a desk is a leading reason why people end up with crippling back pain at some point in their lives. But a few simple changes in the way you work can make your pain go away. 1-Keep your head up; Focus on aligning your head and neck right above your shoulders; avoid straining forward. 2-Be choosy with your chair: Pick one that allows your lower back to rest against a lumbar support. Then tilt the back of the chair so it’s very slightly reclined. 3-Plant your feet: Keep them flat on the floor and shoulder-width apart to quiet tension in your knees and ankles. 4-Take breaks: Getting up at least once an hour— just do some shoulder rolls—reduces pressure on spinal disks and boosts circulation. If your back pain is severe please go to a Physiotherapist for detail assessment and management of your pain. Best wishes.

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). (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.

Can be solved through acupressure/ acupuncture easily. Try this for 3 days. 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.

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.

Do take an usg abdomen and kub to confirm kidney or related lesion. For back ache take ift and laser therapy for 12 days followed by strengthening exercise from neuro physio best wishes.

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. You have mentioned pain in legs and back increasing at night. Can you tell me whether there is any weakness in legs, numbness or any other associated neurological symptoms etc? you can start with physical therapy, calcium and vitamin d supplementation, gentle anti inflammatory medication like etoshine for 5-7 days, daily brisk walks for 2-3 km in mornings. We will again see after 2 weeks whether you are improving or not otherwise we will get some blood tests and x rays of the involved region. Do not hesitate to contact me if you need any further assistance.

It might be of muscle strain or of pathological reasons do consult Sports medicine rehab Specialist or orthopaedicIan and take appropriate Therapy best wishes

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

Do contrast bath therapy for hands & feet Do hands & feet stretchings Avoid long standing Check your footwear, keep soft pads in your footwear

Hi, The briefing which you have given, suggest of generalised muscle weakness. It may be due to 1- lack of activities, 2- Lack of proper nutrition, 3- Or lack of optimum posture. Firstly you should concentrate on relieving your pain of lower back through regular Physiotherapy sessions n than you can go for general body Strengthning.

Do not stop the medicine without doctors advice if you do so you will not get complete cure and it may spread to some other area consult your doctor immediately.

Sir first start with Physiotherapy sessions and learn exercise for spine. 2. Use lumber spine belt also 3. Take calcium and methylcobalamine supplement regular.

It could be due to cervical spondylosis this is quite a common condition rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Use no pillow under the head. Any way take ibuprofen 200mg od & sos x 5days do neck & back (spine) exercises use of cervical collar will give you relief. It may have to be further investigated. Make sure you are not allergic to any of the medicines you are going to take you will need other supportive medicines also. Do reply back for private consultation and detailed treatment plan.

Its unfortunate that you are dealing with this problem possible causes - vitamin d deficiency - calcium deficiency - decrease weight - anemia advice - do calcium and phosphate levels - complete blood count - x ray wrist ap view for tickets - diet rich in calcium treatment - after seeing reports

As per other orthopedic doc'duggested. Try to take more supplement of vit. D&calcium. If mild &gentle exercises. If still, pains persists r increasing or spreading, then you need to go for check ups&then you can opt for suitable t/t.

Sleep on a hard bed with soft bedding on it. Use no pillow under the head. Kindly take BioD3 Max 1 tab dailyx10 Paracetamol 250mg OD & SOS x5days Do back(spine)/shoulder/knee exercises Make sure you are not allergic to any of the medicines you are going to take Do not ignore it. It may have to be further investigated. It could be beginning of a serious problem. If no relief in 4_5 days,then contact me again. Contact your family doctor or nearest hospital for emergency help.

These are all the withdrawal effects of heroine use. It will happen during the initial stages only and when you overcome that phase, you will no longer feel those symptoms. The body and the brain is feeling the absence of the substance and therefore reacts. If you meet with a doctor he will prescribe some medication to ease these symptoms and that will help you. Ideally, you should admit yourself into a rehabilitation home and get all the assistance, and you will be far away from sourcing the drugs too. You will need to stay for at least 6 months and follow that​ up with NA meetings for a long time along with some counseling too.

Hi, take five phos 6x, 5 tabs twice daily. Arnica 30, 3 drops , thrice daily. Take Bryorrheum , 15 drops with warm water twice daily. Revert me after 15 days.

Mri is not your decision. Yes, back pain could be due to prolonged sitting in front of a computer. Anyway (a) sleep on a hard bed with soft bedding on it. (b) use no pillow under the head. (c) kindly take biod3 max 1 tab dailyx10 paracetamol 250mg od & sos x5days (d) do back (spine)/shoulder/knee exercises (e) make sure you are not allergic to any of the medicines you are going to take (f) do not ignore it. It could be beginning of a serious problem. (g) if no relief in 4_5 days, then contact me again.

Hello, thanks for your query and welcome to lybrate. I am dr akshay from fortis hospital, new delhi. You will have to elaborate your problem as to a detailed discussion of your back pain which means duration of pain and mode of onset. I would also like to ask you if it is associated with any leg pain or any other neurological symptoms like numbness, paraesthesias ( electrical shock like abnormal sensations) or any weakness in limbs. Please also tell me about any associated symptoms like fever, weight loss etc. What medications you generally take and what has been your treatment history till now for existing problem. We have to treat you as a patient and not mri, so I need to know your clinical condition first, if it corresponds to your mri finding then we can discuss and find a solution for it. Do not hesitate to contact me if you need any further assistance. Thanks & regards dr akshay kumar saxena consultant orthopaedics fortis hospital, new delhi