Dr. Abhishek Gupta

It's inflammation in your back muscles. Check vit d3 and take tab myotop 150 once a day for 15 days.

A frozen shoulder may get better over time on its own without treatment, but recovery is often slow and can take at least 18 to 24 months. In some people, the condition may not improve for 5 years or more.

A number of different treatments can be used to treat frozen shoulder, although it is uncertain how effective they are and which is best.

The treatments described below can help reduce shoulder pain and keep the joint mobile while the shoulder heals.

Early stage treatments

The first stage of a frozen shoulder is the most painful. Therefore, treatment is mainly focused on relieving the pain.

During this stage, your GP may recommend avoiding movements that make the pain worse, such as stretching. However, you should not stop moving altogether.

Painkillers

If you are in pain, you may be prescribed painkillers, such as paracetamol, a combination of paracetamol and codeine or a non-steroidal anti-inflammatory drug (NSAID).

Some painkillers, such as paracetamol andibuprofen, are also available from pharmacies without a prescription. Always follow the manufacturer’s instructions and make sure you are taking the correct dose.

Taking painkillers, particularly NSAIDs, in the long term can increase your risk of side effects. See the patient information leaflet that comes with your medication for more information.

Later stage treatments

After the initial painful stage, stiffness is the main symptom of a frozen shoulder. Your GP may suggest stretching exercises, and you may also be referred to a physiotherapist.

Shoulder exercises

If you have a frozen shoulder, it's important to keep your shoulder joint mobile with regular, gentle stretching exercises. Not using your shoulder could make the stiffness worse, so you should continue to use it as normal.

However, if your shoulder is very stiff, exercise may be painful. Your GP or physiotherapist can give you some simple exercises to do every day at home that won't damage your shoulder any more.

Physiotherapy

A physiotherapist can use a number of techniques to keep the movement and flexibility in your shoulder. If you are referred to one, you may have treatments including:

stretching exercises that use specific techniques to move the joint in all directionsmassagethermotherapy, with warm or cold temperature packs

There is no clinical evidence to show that other treatments, such as transcutaneous electrical nerve stimulation (TENS), IFT and lazer are effective in treating frozen shoulder.

you have a neuromuscular problem.Do Muscular stretching and strengthening exercises. Take Multivitamins and consult with a Physiotherapist.

Herniated Intervertebral Disc Disease

The vertebral column (backbone) is made up of 33 vertebrae separated by spongy disks and classified into four distinct areas. The cervical area consists of seven bony parts in the neck; the thoracic spine consists of 12 bony parts in the back area; the lumbar spine consists of five bony segments in the lower back area; five sacral bones (fused into one bone, the sacrum); and four coccygeal bones (fused into one bone, the coccyx).

Between each vertebra is a fibrous disc with a jelly-like core. These cushions of cartilage allow the body to accept and dissipate load across multiple levels in the spine and still allow for the flexibility required for performing normal activities of daily living. As the body twists, bends, flexes and extends, the intervertebral discs are constantly changing their shape.

Causes

When discs degenerate, becoming less supple due to age or back strain, the disc may prolapse — squeezing out some of the soft core. This loss of cushioning may cause pressure on local nerves and cause back or neck pain, numbness or tingling in the arms, or searing pain down one or both legs. If the prolapse is severe it can damage the spinal cord. As a part of the aging process the discs lose their high water content and their ability to cushion the vertebrae. This is called degenerative disc disease. As the discs deteriorate, the spine can initially become less stable. Bony spurs can develop as a result of this instability and can cause pressure on nearby nerves leading to leg or arm pain. Narrowing of the neural canal by these bony spurs is known as degenerative spinal stenosis.

By the age of 35, approximately 30% of people will show evidence of disc degeneration at one or more levels. By the age of 60, greater than 90% of people will show evidence of disc degeneration at one or more levels on MRI. In some patients, this disc degeneration can be nearly asymptomatic; in others, disc degeneration can lead to intractable back pain.

The outer layer of the discs themselves can also tear. When this occurs, the inner, gelatinous layer can herniate out (a “herniated” or “ruptured” disc) and also cause pressure on an adjacent nerve. If the herniation occurs in the neck and causes pressure there, it can cause pain that radiates into the shoulder and arm; if it occurs in the lower back, the pain produced can radiate down into the hip and leg.

Symptoms

Patients with disc disease in the cervical, thoracic, or lumbar spine experience variable symptoms depending on where the disc has herniated and what nerve root it is pushing on. The following are the most common symptoms of lumbar disc disease:

Intermittent or continuous back pain (this may be made worse by movement, coughing, sneezing, or standing for long periods of time)Spasm of the back musclesSciatica — pain that starts near the back or buttock and travels down the leg to the calf or into the foot.Muscle weakness in the legsNumbness in the leg or footDecreased reflexes at the knee or ankleChanges in bladder or bowel function

The symptoms of lumbar disc disease may resemble other conditions or medical problems. Always consult your physician for a diagnosis.

In rare cases, patients with large disc herniations may experience weakness in an extremity or signs of spinal cord compression such as difficulty with gait, in coordination, or loss of bowel/bladder control.

Treatment

Treatment for disc disorders must be closely tailored to the patient, based on:

The history and severity of their pain whether or not they have had prior treatments for this problem and how effective they have been and whether or not there is any evidence of neurologic damage such as weakness of an extremity or the loss of reflexes

Some of the treatments used include

Activity modification patient education on proper body mechanics (to help decrease the chance of worsening pain or damage to the disc)Physical therapy, which may include ultrasound, massage, conditioning, and exercise programs
Weight control medications (to control pain and/or to relax muscles)

You may be able to avoid back pain or prevent its recurrence by improving your physical condition and learning and practicing proper body mechanics.

To keep your back healthy and strong:

Exercise. Regular low-impact aerobic activities — those that don't strain or jolt your back — can increase strength and endurance in your back and allow your muscles to function better. Walking and swimming are good choices. Talk with your doctor about which activities are best for you.Build muscle strength and flexibility.Abdominal and back muscle exercises (core-strengthening exercises) help condition these muscles so that they work together like a natural corset for your back. Flexibility in your hips and upper legs aligns your pelvic bones to improve how your back feels. Your doctor or physical therapist can tell which exercises are right for you.Maintain a healthy weight. Being overweight strains back muscles. If you're overweight, trimming down can prevent back pain.

Use proper body mechanics:

Stand smart. Maintain a neutral pelvic position. If you must stand for long periods, place one foot on a low footstool to take some of the load off your lower back. Alternate feet. Good posture can reduce the stress on back muscles.Sit smart. Choose a seat with good lower back support, armrests and a swivel base. Consider placing a pillow or rolled towel in the small of your back to maintain its normal curve. Keep your knees and hips level. Change your position frequently, at least every half-hour.Lift smart. Avoid heavy lifting, if possible, but if you must lift something heavy, let your legs do the work. Keep your back straight — no twisting — and bend only at the knees. Hold the load close to your body. Find a lifting partner if the object is heavy or awkward.

Back strengthening exercises, hot fomentation, light stretching of back muscles. Intake of multivitamins will boost you.

Lots of reasons can behind this. Keep body warm i. E use blanket while you sleep. Use antioxidant and vit d3.

Ok. Ankylosing spondylitis decreases mobility and flexibility of whole spine which leads stiffness all over body. Do active exercises, avoid all exercises with weight. Join yoga. It will benefit you.