Dr. Anupam Tiwari

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. There are many causes for swelling, it could be inflammatory or secondary to some trauma etc. Can you please tell me whether there is any local warmth on touch or any other symptoms like skin redness etc? please also send me a clinical picture showing your elbow movements from full bent posture to a straight posture. Also kindly send recent blood tests so that I can see and advise accordingly. 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.

Hi take chitrakadi vati and shool vajrini tab 1-1 tab after lunch and dinner. Take pranacharya udar bhaskar kshar churna twice a day. And pranacharya live cure capsule twice a day. Avoid spicy food and non vegetarian.

Hot fomentation x twice daily. Neck Exercises. Neck Stretching. Postural Correction. Shoulder Shrugs . Core Strengthening Exercises. Take frequent Breaks at work Use cervical pillow. Use Back Support.

Here are some tips for how to handle your back pain: -stop normal physical activity for the first few days. This will help relieve your symptoms and reduce any swelling in the area of the pain. -apply heat or ice to the painful area. One good method is to use ice for the first 48 to 72 hours, and then use heat. Take pain relievers medicine. --while sleeping, try lying in a curled-up, fetal position with a pillow between your legs. If you usually sleep on your back, place a pillow or rolled towel under your knees to relieve pressure. -do not perform activities that involve heavy lifting or twisting of your back for the first 6 weeks after the pain begins. -avoid bending forward and sitting in a place for long time -stretching and strengthening exercises are important. But, starting these exercises too soon after an injury can make your pain worse. -some physiotherapy treatment like ift can give you some relief. -a physical therapist can tell you when to begin stretching and strengthening exercises and how to do them.

1. Apply ice pack if there is swelling 2.Apply volini gel twice daily 3.Apply crepe bandage 4. Take crocin pain relief, one tablet as and when required after food up to a maximum of 3 tablets daily 5.Take rest 6.If no relief take x Ray of ankle and consult orthopedic specialist 7. Consult doctor for further advice.

Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful use no pillow under the head. Do hot fomantation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back knee & general exercises. It may have to be further investigated. Make sure you are not allergic to any of the medicines you are going to take. For emergency treatment contacts your nearest hospital or family doctor. If it doe s not give relief in 4-5days, contact me again. Why not discuss with me in a video conference?

Sleep on a hard bed with soft bedding on it. SPRING BEDS, FOLDING BEDS OR THICK MATRESS ARE HARMFUL Use no pillow under the head. DO HOT FOMANTATION. Paracetamol 250mg OD & SOS x 5days. Caldikind plus 1tab OD x10. Do neck, back & general exercises. 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.

A check up of vit d and calcium levels for back pain do hot fermentation and rest. Posture correction must avoid long sitting toward bending lifting weight.

twice daily. Avoid bending in front. Postural Correction- Sit Tall, Walk Tall. Extension Exercises x 15 times x twice daily. Apply Hot Fomentation

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 could be beginning of a serious problem. If no relief in 4_5 days,then contact me again.

Dear sir your body weight is excess according to your height n spine is loading joint so you need to do physical activity. U should avoid jogging jerky movt rather you should begin with floor exercises followed by 20 min normal walk with progression to brisk walk later. U cn also contact us for same

Core Strengthening Exercise- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day. Hams Stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube or normal belt. repeat 10 times, twice a day. Sports Taping- stretch the tape from both ends and apply on the affected area Contrast Fomentation (Hot and Cold). Contrast bath---It is a form of treatment knee is applied warm water followed by the immediate application of the knee with ice water. This procedure is repeated several times, alternating hot and cold. Note that the treatment should always end in the ice water, as heat will induce the body's inflammatory response, while cold helps to decrease inflammation.

Keep stretching and walking for few minutes every hr or two in office itself. Drink hot milk n turmeric.

If your disease activity is high in terms of pain intensity and you are not responding adequately to pain killers and sulfasalazine ( saazo) then you need to take biologic drugs ( injections ) for spondyloarthritis. The final decision is made after detailed history and examination and certain investigations.

Yes, there is simple remedy. You need to strengthen your back muscles. Posture modification is required. Exercises regularly. Milk intake and sunlight exposure.

Stop gym. For few days. Investigations advised - hb, tlc, dlc, esr, sugar f & pp, uric acid, vit d3 urine r/e x ray of the affected part. Anyway you may try- sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick mattress are harmful use no pillow under the head. Do hot fomentation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck back knee & general exercises. It may have to be further investigated. 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, inform

Give acupressure around the knee with blunt edge of a pen especially where it pains. Also identify the dip in the fold just opposite to the knee cap and press this point for 3 minutes. Do this for 10 days & contact me.

Kindly mention your age. Do you want to say that your knee becomes stiff in the morning and later when you move it it frees up?? Morning stiffness in young is usually seen in rheumatoid arthritis. Kindly mention the above said details for further management.

Hello,take homoeopathic medicines 1.Rhus Tox 30 (4 drops in little water) thrice a day for a week. 2.Urtica Urens 30 (4 drops in little water) thrice a day for a week and revert. Make a gap of 15 minutes in both the medicines. *Make a habit of 8-10 glasses of water daily. *If overweight,loose weight. *Eat more fruits, vegetables and whole grains. Avoid foods such as white bread, cakes, candy, sugar-sweetened beverages. *Limit daily proteins from lean meat, fish.Add protein to your diet with low-fat such as low-fat yogurt or skim milk, which are associated with reduced uric acid levels. *Vitamin C may help lower uric acid levels.

Postural Correction- Sit Tall, Walk Tall. Extension Exercises x 15 times x twice daily. Apply Hot Fomentation twice daily. Avoid bending in front.