Dr. Rakesh Sehgal

Take rest for 2-3 days. Kindly show me a photograph of the affected part. Do hot fomantation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. 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.

do hot fermentation. stretching exercises of back and legs. avoid toward bending and long sitting. if it work then OK otherwise physiotherapy treatment must its sciatica pain

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. I can actually advise you regarding your spine issues if you can send me a detailed history with associated symptoms for your back region, also please send me investigations which you have done till now and treatment taken as well. As far as your chest symptoms goes, because some of your mentioned symptoms like tightness in chest, breathing difficulty etc, I will advise you to get an opinion from a pulmonologist to rule out a chest pathology. Do not hesitate to contact me if you need any further assistance.

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. You have mentioned backache as only problem. Since you are very young, if you have only localized backache with no other associated symptoms like radiating leg pain, numbness, paresthesias etc, and no systemic symptoms like fever, loss of appetite, loss of weight etc, my advice to you for initial 2-3 weeks will be: - to maintain proper posture while working and sleeping - if pain is more then you can take a short course of an anti-inflammatory medication like tab etoshine or even tab paracetamol which suits you - intensive 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 like dynapar qps spray can be used and is easily available. - avoid lifting heavyweight/ acute forward bending in mornings etc if you do not feel better with these measures in 2-3 weeks time, we will need to evaluate you further in form of dynamic x rays to look for any instability as a cause for pain and some blood investigations to rule out any deficiencies etc. Since back pain has multiple causes, adequate posture maintenance is important especially at work place, also intensive exercises to strengthen your muscles and vitamin d supplementation which is deficient in around 9 out of every 10 individuals is the key to management. Do not hesitate to contact me if you need any further assistance.

U need to improve your foot wear along with it you need to avoid running or jogging so to avoid unnecessary load on the shin. If all this doesn't work you can get a plaster applied for the rest. Also start with vitamin d supplementation along with calcium. Apply ice packs locally. Hope this helps you. For further assistance can contact.

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.

Hi Start with physiotherapy sessions and learn exercise. Take calcium and methylcobalamine supplement also.

It might be of cervical spondylitis or of pathological cause do consult neuro physio and have ift and laser therapy for 12 days best wishes.

You need to consult a good physiotherapist. Under go some sessions of physiotherapy and learn the exercises and continue doing every day. The best way to manage this problem not by taking medicines.

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. Can you mention what surgery was done, normally spinal needle for injection should not be a cause of pain. 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.

Dear, if you tired very fast and feeling weakness. Then you will definitely recover from weakness by following these very useful tips. * you should take proper balanced diet first. That means you have to take vegetables, milk, chapattis or rice, butter / cream, cereals (daals) or cheese every day. Very important thing, do not miss or skip your meals at any cost and take meals on time. * proper 6-8 hours sleep is very important. If your sleep is less than 6 hours, then you feel tired very early. So complete your sleep. * do breathing execises daily in morning & evening. Just sit down in peaceful place, close your eyes, take deep and long breaths in and out. Do it atleast for 10-15 minutes daily. You can also do pranayams like anulom vilom for better results. *take a walk, in first walk normally for 10-15 minutes for 15 days. You can do it on treadmill also. * you can take ashvagandha churn of baidyanath 1 teaspoon with milk daily for 2 months atleast to get your strength back. * check out your haemoglobin level in 3 months, if it is low you get tired early. So get treatment of low haemoglobin (anemia). If you have any disease like asthma /diabetes / hypertension, then get complete treatment of them. * avoid all fast foods and habit of smoking or drinking. You surely get great strength and recover from weakness by following these important things.

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. She might be having leg pains because of varicose veins only for which a vascular surgeon is the best person to manage because it requires clinical examination and some tests before treatment can be initiated. I will advise you some blood tests which she should get them done empty stomach, cbc, esr, crp, serum electrolytes, serum vitamin d levels and thyroid profile. Once you have the results of these investigations, then you can send me the reports so that I can prescribe accordingly. Do not hesitate to contact me if you need any further assistance.

Wear sports shoes n knee cap for precautions n while running in practicing try to take small step n avoid high jumping. If this is also not helpful then stop running n start fast walking without jumping it will equally n similarly give stamina. Hope this will helpful.

May be you are not taking proper diet as you need high protein & low carbs diet with good exercises. Do back strengthening exercises at least thrice a week. Do some movements & stretches of your back & neck in between long sitting duty hours.

Hello, Muscle cramps can be due to excessively contraction of muscles. There are few things you can do to avoid it. 1. Drink a glass full of water with a spoon of sugar and a pinch of salt half hour before going to bed. 2. Do some Hamstring, Quadriceps and other muscle stretches regularly, especially before bed 3. If you are using air conditioner avoid using it. 4. You can also start yourself on some calcium and multivitamin capsules.

Back extension exercises and better u do your spine MRI then we know exact cause of your pain may be u r suffering from disc pain

(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. (H) Contact your family doctor or nearest hospital for emergency help.

Quadriceps exercises & hamstring strengthening exercises avoid squatting and sitting cross leg tab rosiflex trio bd morning and eveningtab meganac th4 bd morning and evening tab calgel ds afternoon tab mocal d3 once a week collamax sachet once a day with a glass of water tab pantocid dsr bbf high protein diet revert back

Extension exercises x 15 times x twice daily. Bhujang asana. Core strengthening exercises. Back stretching. Do the cat/cow stretch.

Take homoeopathic medicine rhus tox 1m 2 dram pills 6 pills after 1/2 hour of breakfast. Lachnanthes 1m 2 dram pills 6 pills after 1/2 hour of dinner. Avoid coffee, sour things.