Dr. Manoj Dubey

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Obviously your management of blood sugar levels will continue under supervision of a general physician or an endocrinologist. From an orthopaedic point of view I advise you for regular physical therapy for both lower back and neck region, anti inflammatory medications as required, adequate calcium and vitamin d medications, daily walks for 2-3 km per day, please let me know if there are any symptoms like numbness, weakness or paresthesias in either upper or lower limbs, also rule out any other symptoms like fever etc. Let me know in 2-3 weeks time how you are feeling otherwise we might think of getting some x rays and blood tests done for you. Do not hesitate to contact me if you need any further assistance.

Pain in the knee joints can be due to multiple reasons. One of the common condition is age related arthritis known as osteoarthritis, that affects the cartilage covering the bones and helps in smooth movement. This is a condition occurring due to wear and tear of the cartilage. Increasing uric acid in the blood invariably affects smaller joints like great toe and other smaller joints. Have got the uric acid level checked? is it high? joint pain can be relieved by pain killers or antiinflammatory drugs. Plus weight control and life style management is also helpful. For reducing uric acid levels there are drugs available as well as there is a need to avoid purine rich foods like organ meet, alcohol, chicken, sweetened drinks, certain fishes etc.

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.

Dear Sir It all depends on your condition of your knee at present. Basically there are three grades of Osteoarthritis. Grade 1 in which there is reduction of joint space 10 to 20%,Grade 2 in which there is reduction of 50 to 60 % and grade 3 in which there is 80 or more than 80 percent reduction so first of all we will have to see in which grades your knees are?

Dear sir take a vutamin b complex like neurobion forte after breakfast daily. Wait for a month regards.

Avoid stress. Some Relax during work. Drink more water, high-carbohydrate foods such as potatoes, rice, pasta and bread. You can take Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, avoid oily foods,junk foods, go for walk. Tests every 3 to 6 months.

You should take Acupressure therapy and take Biochemic Ferrum phos 200x+ Kali mur 200x 4 tab each thrice a day with warm water and take it 5 day

lybrate-user ji, Thanks for the query. Collection of synovial fuid (extra amount) in the joint space, could be due to may reasons. Whether it is infected or not can not be detected based on your description. It needs to be examined by the doctor. So please get it examined by preferably an orthopedic surgeon. Then you can get proper treatment for it. Thanks.

Start walk every day. And don't stand and sit on one place for long time, avoid weight lifting. Rest is the best treatment.

Its better to stop useless painkillers. Start ayurvedic medicines. It will take time, but you can get permanent relief up to some extent. Some karmas also will help you, like, massage, local steam, janu basti, janu dhara.