Dr. R K Ranjan

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. Can you also send me your previous prescription papers and investigations as well. Do not hesitate to contact me if you need any further assistance. Thanks & regards dr akshay kumar saxena consultant orthopaedics fortis hospital, new delhi

Where exactly is the pain upper or lower is it travelling down the leg what is your height and weight what is your work nature apply voveran gell in your back and then give hot water fomentation take rest for further queries consult privately to have a detailed discussion to solve your problem you may need to do some exercises.

Physiotherapy & Antioxidants like Caldikind plus (from Mankind) 1 tab /day helps. Kindly make sure that you are not allergic to any of its ingradients.You may have to take paracetamol 500mg BD/TDS as well.

Most of the sedentary sitting job people suffer from back ache. Please do start with general exercise routine like yoga or swimming or spine strengthening exercises. You are overworking your spine! Please do some justice for your body!

Tk muscle relaxant medicine do rest avoid strain like bending, lifting weight, long sitting, toward bending. Do hot fermentation and stretching exercise of spine.

Exercises for cervicogenic headache hi dear, I hope you will fitt and fine The following exercises are commonly prescribed to patients with this condition. You should discuss the suitability of these exercises with your physiotherapist prior to beginning them. Generally, they should be performed 2 – 5 times daily and only provided they do not cause or increase symptoms. Your physiotherapist can advise when it is appropriate to begin the initial exercises and eventually progress to the intermediate and advanced exercises. As a general rule, addition of exercises or progression to more advanced exercises should take place provided there is no increase in symptoms. ________________________________________ Initial Exercises Chin Tucks Begin this exercise by sitting or standing tall with your back and neck straight, shoulders should be back slightly. Tuck your chin in as far as you can go without pain and provided you feel no more than a mild to moderate stretch (figure 4). Keep your eyes and nose facing forwards during the movement. Hold for 2 seconds and repeat 10 times provided there is no increase in symptoms. Repeat 3 – 5 times daily. (N. B In some cases it may be beneficial to perform this exercise every 1 or 2 hours provided the exercise does not cause or increase symptoms). Shoulder Blade Squeezes Begin this exercise by sitting or standing tall with your back straight. Squeeze your shoulder blades together as hard and far as possible pain-free (figure 5). Hold for 5 seconds and repeat 10 times provided there is no increase in symptoms. Repeat 3 – 5 times daily. (N. B In some cases it may be beneficial to perform this exercise every 1 or 2 hours provided the exercise does not cause or increase symptoms) Some of the most commonly recommended products by physiotherapists to hasten healing and speed recovery in patients with this condition include: 1.Postural Supports To enjoy a long and healthy life 2.Therapeutic Pillows 3.Ice Packs and Heat Packs 4.Lumbar Rolls (for sitting) 5.Sports Tape (for postural taping) 6.McKenzie Treat Your Own Neck Book 7.Foam Rollers 8.Massage Balls (for self massage) 9.TENS Machines (for pain relief)

Nowadays back pain is a very common complaint in young adults. So donot worry. It can be due to various reasons any injury, muscle strain eg-sudden twist while lifting object, bad posture, overuse of muscle or any internal disease like spondylitis, infection etc. Many of the problem occurs for which we are not aware. After looking at your pain I am recommending you some precautions and treatment to get rid from this pain. Precautions: 1. Avoid forward bending, if required then bend your knees first and then bend forward. 2. Avoid weight lifting. 3. Sit in chairs or car seats with proper back support. 4. Try to sleep in a position that helps you maintain the curve in your back like sidelying. 5. Get enough vit d from sun as vit d keep bones strong including spine, 6. Drink plenty of water to enhance the inter vertebral disks 7. Avoid standing in the one position for a long time. 8. Try to sleep in a position that helps you maintain the curve in your back. Physio care: I would recommend you for i-care treatment that is especially for back or neck pain. Rest required but it doesn't mean a complete bed rest. Do not over exert your body. Work take rest and then work so that you do not feel tired and started paining. Treatment- 1. Apply ice or heat which ever suits you directly to the area of low back pain will decrease swelling and inflammation, and ease your discomfort. Apply it for 10 to 15 minutes only. 2. Relaxing for 5 minutes after ice or heat treatment. Massage - ask someone to massage your painful area using fingers or thumb. Massage using kneading technique. Slightly press the thumb and start rotating as it helps to induce relaxation, relieve pain, and reduce levels of stress chemicals, such as cortisol and noradrenaline. It will give you pain relief for time being. 3. After massage again relax for 5 min and apply any pain relieving ointment eg - volini or oraflame gel etc. Make sure not to do massage with the gel, it should not penetrate the body. Just a topical application of gel should be done. 4. Again relax your body for 5 minutes and perform some normal back extension and hamstring stretching exercises to get relief from your pain. Other exercises that can be done in pain are: 1. Straight leg raising 2. Knee to chest. 3. Hamstring stretch. 4. Back extensors stretches and strengthening. 5. Gluteal stretch. 6. Prone on elbow. All the above can be done for 10-15 times with the hold (stretch) time of 5 -6 secs while performing exercises if pain occurs then would recommend you to stop doing exercise. Massage or slightly rub the painful area and consult your near by physio to diagnose the actual cause of the pain as he/she can guide you proper exercise plan which will be beneficial for you after checking grade of your back pain. If you did not understand or have any doubt regarding the i-care plan, please inform or send me an email at swatisagar121@gmail. Com.

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. You have back pain since a long time for which we will require evaluation. 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 mri of your affected region of spine, dynamic x rays of lower back and few blood tests for evaluation. Do not hesitate to contact me if you need any further assistance. Thanks & regards

Dear its due to postural problem .. try the tips they will help u:: Dear, follow the tips they will help you ::: 1.Warm mustard oil or sesame oil (1 teaspoon) with 3-4 cloves of crushed garlic and 1 tsp of ajwain (carom) seeds until it roasts to a reddish brown colour. Ensure that it does not get burned. Massage this oil on your affected areas. After that do hot fomentation with salt potli (bag). 2.Take 8 to 10 glasses of water daily. 3.Increase the consumption of vitamin C in diet. 4.Take fresh Ginger into pieces, place in the cup of water and boil it for 30 minutes in low flame. Cool for 30 minutes after boiling. Consume this solution with Honey. 5.While sleeping, lie straight on your back or with bent knees supported by a pillow. 6.Taking hot and cold compresses on an alternate basis can be quite helpful in relieving pain. 7. Sit and stand in straight posture. While driving take a break after 1 hr for 10 min and walk for a mile and do stretching and deep breathing. 8. Do yoga and pranayam daily specially shalabhasana, bhujangasana, natrajasana, mandukasana and suryanamaskar daily 10 min each pose. Revert back for further management.

Hi I can understand your problem. # relax & stay positive. # take hot and cold foementation. # learn posture care exercise. # take break every 20 minutes. # do strengthening exercise of back and core muscles not all back pains are same, you need specific treatment plan according to your symptoms. To discuss your backpain in detail reply in private consultation.

You should take acupressure therapy and take biochemic kali phos 200x +nat mur 200x, 4 tab each thrice a day with warm water and take it 5 days.

It may be a meniscus injury or a ligament tear. Can't tell diagnosis unless examination is done. Please visit knee specialist. Get an mri of knee is possible. It should be 3 tesla mri, which has better clarity than 1.5 tesla mri.

It might be of muscle atrophy and strain Hence do learn stretching and Strengthening exercises from physiotherapist gently with stages Best Wishes.

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.

There is in ayurveda mention pinda swed. It is a type of swedan karma [phomentation] but it do some another manner. 1. Boiled a rice in milk then take this rice in one white cloth then tied it properly and warmly it rub on your face every morning for 15 days then stop it and do next month again 2. Apply almond oil on your face and massage for 3-5 min at night. By doing above thing you will get good result.

Take rhustox200 once a week,and calcarea flour6x 3 tab three times a day and apply alpha MP gel on lumbar region at night and cover the affcted area properly

Do spine stretching exercise and heat fermentation. Avoid long sitting and toward bending ya physiotherapy treatment.

Dear lybrate user, when you will start any exercise it happens that there is pain in legs and body. Increase your exercise day by day gradually.

You may need back strengthening exercises and a back care programme what kind of bed do you use i can help you and consult privately to have a detailed discussion to solve your problem