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Dr. Anurag Awasthi

Orthopedist, Gurgaon

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Dr. Anurag Awasthi Orthopedist, Gurgaon
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Anurag Awasthi
Dr. Anurag Awasthi is a renowned Orthopedist in Sector-54, Gurgaon. He is currently associated with HCL Avitas Gurgaon Sector 54 in Sector-54, Gurgaon. You can book an instant appointment online with Dr. Anurag Awasthi on Lybrate.com.

Lybrate.com has top trusted Orthopedists from across India. You will find Orthopedists with more than 43 years of experience on Lybrate.com. You can find Orthopedists online in Gurgaon and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Medical Council of India (MCI)

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HCL Avitas Gurgaon Sector 54

Unit 9, Suncity Business Tower, Sector-54, Gurgaon, GurgaonGurgaon Get Directions
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D-Block, South City-I, Gurgaon. Landmark: Near Huda City Centre, GurgaonGurgaon Get Directions
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Sir you tell solutions for my leg which are very painful when I walk and in the morning its very panic.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Sir you tell solutions for my leg which are very painful when I walk and in the morning its very panic.
For leg pain, please follow the below advise: keep your leg raised while sitting or lying quadriceps strengthening exercises- quad clenches: lie flat on your back or sit upright on a chair with leg kept horizontally on another surface. Now, tighten the muscle on the front of the thigh by pushing your knee down. You should feel your thigh muscles clench, hold for 3 secs. Repeat 10 times twice a day. Short arcs: lie flat on your back or sit upright with your leg placed horizontally on a flat surface like a chair or bed. Place a rolled up towel under the knee. Pull your toes towards you and clench you thigh muscles. Slowly lift your foot up off the bed until your knee is straight (keep your knee resting on the towel). Hold for 3 secs and slowly lower them on the chair. Repeat 10 times twice a day. Straight leg raise: lie flat on your back. One leg and knee will be straight and other leg should be bent. Pull your toes towards you and tighten/clench the muscle on the front of the thigh, locking your knee straight. Lift your foot up in the air, about 6 inches off the bed. Hold for 3 secs and slowly lower the leg. The knee must remain straight the whole time you are doing this exercise.
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My wife aged 37 years is suffering from ankle pain since last 2 months, the pain aggravates after she gets up after sitting for long, soaking in hot water gave her temporary relief. She has thyroid and taking thyronorm 75. Please advice.

BPTh/BPT
Physiotherapist, Hyderabad
My wife aged 37 years is suffering from ankle pain since last 2 months, the pain aggravates after she gets up after s...
Hello! Get a Xray done of the painful ankle first. There are many reasons for ankle pain. In general cases, it could be because of weight of the patient, prolonged standing ,weak joint or muscle weakness. Take the Xray report to a Physiotherapist and start with the relative treatment. Medications will give you just temporary relief and so, better to avoid frequent use of them. Choose a footwear which is soft and v comfortable in wearing. A heel sole will provide good relief. Avoid prolonged standing and prolonged walking.
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While sitting with any support as cushion etc that portion gets pained after removal from such portion I feel relaxed.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
While sitting with any support as cushion etc that portion gets pained after removal from such portion I feel relaxed.
The lower end of the vertebral column is inflamed and that bone is called coccyx bone and the condition is called Coccydynia. The conservative management would be to keep ice in that inflamed area during one time in a day and also to sit in a hot water bowl where the penetration of the heat would help to reduce the inflammation. And to reduce the weight falling on the inflammed surface we suggest patients to use air cushion pillow (also called as doughnut pillow) where in the buttock's weight will not fall exactly on the painful tail bone and that would automatically reduce the pain. For this the best treatment would be to undergo Ultrasonic therapy in one of the nearby physiotherapy clinics.
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I have pain in my knee. It making difficult to bend my leg. What can I do doctor?

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I have pain in my knee. It making difficult to bend my leg. What can I do doctor?
If you have no injury in sport place like running and playing. Then do physiotherapy treatment and exercise for proper movement otherwise mri must to see ligament injury.
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Since from 2 months whenever I stand anywhere for 1 to 2 minutes my back was start paining just like that someone is injecting niddle to my back. I felt so hard to stand for longer what should I do?

BPTh/BPT
Physiotherapist, Mumbai
Since from 2 months whenever I stand anywhere for 1 to 2 minutes my back was start paining just like that someone is ...
Hi start physiotherapy treatment as you will get relief by mckenzie exercise which you can learn by physiotherapist. Do spine flexion exercise. Best wishes.
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I have pain in my right venus dimple. By venus dimple I mean the two indentations or small holes which are present near the sacro iliac joint. What could be the reason for it? I have consulted a physio and he is telling that I have anterior pelvic tilt on the right side. Can someone please explain properly to me the entire thing in detail?

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
I have pain in my right venus dimple. By venus dimple I mean the two indentations or small holes which are present ne...
An anterior pelvic tilt is when your pelvis is rotated forward, which forces your spine to curve. It’s often caused by excessive sitting without enough exercise and stretching to counteract the effects of sitting all day. If you have an anterior pelvic tilt you may notice that the muscles in the front of your pelvis and thighs are tight, while the ones in the back are weak. Your gluteus and abdominal muscles may also be weak. All of this can cause: lower back pain hip and knee pain incorrect posture forced hip and knee rotations. IF YOU HAVE IT YOU CAN TEST IT BY THOMAS TEST AS FOLLOWS- Sit on the edge of a sturdy table. Lie back onto the table so that your legs hang off the table at the knee. Pull one of your legs in toward you, holding under your knee and bending your leg until it rests against your chest. Repeat with the other leg. If your pelvis is correctly aligned, the back of your resting leg will touch the table when you get into this position. If you need to extend the resting leg or rotate your leg or hip in order to touch the table, your front thigh muscles are tight. This likely signals a tilted pelvis.
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I am suffering from pain in my legs and left toe for several months and when I woke up in the morn I feel pain in my legs. I also have some pain and burning type feeling in my left hand. If someone masag my left hand I feel some burning sensation like feeling. My vitamin d3 level is 15. I take supplement for that but the pain and my problem remains same. What should I do. Pls help.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
I am suffering from pain in my legs and left toe for several months and when I woke up in the morn I feel pain in my ...
This might be due to lack of nurtitions+ increased body heat too. Take 2 spoons of ghee with milk 2 times a day for min 15 days. Do regular stretching exercise.
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Hi. This is priyanka. From mumbai. I want to ask that I am having a knee pain from 3weak.in between my I do not have pain.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Hi. This is priyanka. From mumbai.
I want to ask that I am having a knee pain from 3weak.in between my I do not have ...
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. 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).
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I'm suffering from leg pain and fever. So what types of treatments should I want to prefer?

MBBS
General Physician, Cuttack
I'm suffering from leg pain and fever. So what types of treatments should I want to prefer?
1.Take paracetamol 500mg, one tablet sos upto a maximum of three tablets daily after food 2.cold spoonging Sos 3.Drink plenty of water 4.Take rest 4.If no relief do blood examination like ESR, CBC, Widal/ Typhidot test, Blood for mp/malaria antigen and Dengue antigen(NS1) test after consulting doctor 5. consult me for further advice
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A lady of 80 years old has a hairline fracture in hip bone. Also the ECG reports show that the operation is risky and cannot be performed. I request you to please provide a solution. I would be really very thankful to you. Please its really urgent.

MS - Orthopaedics
Orthopedist, Nizamabad
Hair line fracture in neck necissates surgery otherwise difficult to walk in future. You have take risk as advance management options available.
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When I was running I got the pain in between the ankles and knees how to reduce that pain. I would like to know how to control the breathing while running.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
When I was running I got the pain in between the ankles and knees how to reduce that pain.
I would like to know how t...
: keep your leg raised while sitting or lying quadriceps strengthening exercises- quad clenches: lie flat on your back or sit upright on a chair with leg kept horizontally on another surface. Now, tighten the muscle on the front of the thigh by pushing your knee down. You should feel your thigh muscles clench, hold for 3 secs. Repeat 10 times twice a day. Short arcs: lie flat on your back or sit upright with your leg placed horizontally on a flat surface like a chair or bed. Place a rolled up towel under the knee. Pull your toes towards you and clench you thigh muscles. Slowly lift your foot up off the bed until your knee is straight (keep your knee resting on the towel). Hold for 3 secs and slowly lower them on the chair. Repeat 10 times twice a day. Straight leg raise: lie flat on your back. One leg and knee will be straight and other leg should be bent. Pull your toes towards you and tighten/clench the muscle on the front of the thigh, locking your knee straight. Lift your foot up in the air, about 6 inches off the bed. Hold for 3 secs and slowly lower the leg. The knee must remain straight the whole time you are doing this exercise. Standing calf stretch stand away from a wall and. Put your fight foot behind you and be sure your toes are facing forward. Lean forward at the ankle while bending the right knee and keeping your heel on the ground. Hold this for 30 to 60 seconds. Repeat 10 times a twice a day.
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I'm of age 20, but I'm suffering from serious knees pain. I don't know what's the reason but it pains me a lot while cycling and not at anything, even so if I walk for a distance it doesn't pain me too much but while cycling if I just ride for a short distance it pains me so much. So would you suggest me some remedy for this problem.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I'm of age 20, but I'm suffering from serious knees pain. I don't know what's the reason but it pains me a lot while ...
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. 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).
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I am 33 years old I have back pain for past 3 months. I have seen doctor and he advice do too some exercise but I unable to continue. Tell me what do too.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I am 33 years old I have back pain for past 3 months. I have seen doctor and he advice do too some exercise but I una...
In avoid exercise at that time tk relaxation treatment so do physiotherapy treatment for few days after this automatic you can do all spine extension exercise easily.
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Back Pain

MBBS, MD - Anaesthesiology, DNB Anaesthesiology, PDCC - Pain Management
Pain Management Specialist, Mumbai
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Few daily habits to get rid of Back Pain

Hi I am Dr. Sidharth Verma and today I will tell you about Back Pain and how to prevent back pain. So back pain is, one of the most common pain which hampers the activities of mankind and it is so common that all of us will suffer from it at some point in our lifetime.

So how can you prevent that?

You can very easily prevent back pain and most of the cases which we see in our daily practice are due to lifestyle disorders and some other factors. So as far as lifestyle is concerned. Humans, when they evolved and became erect, so their back pain is the cost they have to give; and as the back is made of very small, small bones which are known as vertebrae. This is a model of the human back, you can see there are small, small bones which make up the back and there are a lot of small intervertebral discs in between. These are the structures that provide cushion and hold the vertebrae and there are a lot of small, small joints and many nerves and structures which are coming out, therefore, the back is a very complex structure and if you do not maintain it properly then you might have back pain. Now, this is all complicated stuff. Furthur, I will tell you how to easily prevent it.

First and foremost is which you can do from day 1 is maintain adequate hydration. Human body is 70% water, and if you see the back, The back has intervertebral discs and they are 90% water. So if you are not hydrated well then you will probably have more problems.

Number 2 is to control your body weight. So it has been seen that in patients or in persons who are obese, this problem occurs more. That is, they have more back pain. The causes are many but you should try to control your weight this will result in lesser back pain.

Number 3 is proper posture while you are you are doing your jobs or in your workplace or while you are driving or you are travelling. By proper posture, I mean that you should always sit with your back straight, and not hunching forward. This is one of the techniques.

Number 4 you should avoid sitting for long period of time without taking a break. This will help you to redistribute the weight of the back to different muscles and this will avoid fatigue, thereby resulting in lesser incidence of back pain.

Number 5 is selecting ergonomic furniture. Ergonomic furniture means which is designed for your body. If you go to the market usually the furniture and the kind of furniture you will get is designed more or less for a similar kind of individual maybe 5 ft 5 inches height or maybe who is sitting for a few hours. However, in actual practice, if you see that nobody is the same so everyone is different and hence you will need to have ergonomic furniture which will be specifically designed for you or there is kind of furniture available which has lots of keys or levers with which you can adjust the height, for example, the chair or the table where you are going to sit or at your workplace, you can get it all adjusted. And it may seem very difficult but if you actually start doing it is very easy. Most of the chairs which we use in our offices, they are rolling chairs which have adjustable levers and height as well as the seat quality and backrest all of it can be adjusted. Similarly the height of the tables can also be adjusted in many cases, if not all. So you can have these ergonomic furniture and this also will help.

Another factor which is responsible for majority of back pain, is unaccustomed activity. By unaccustomed activity I mean, that if you are not used to a particular activity and you do it once then probably you will have some problems. Say for example there is a folder which is kept at a height and you want to fetch it and you stretch your hand and you stretch it so much that your back muscles and your full arms, hand has to stretch so much which is unphysiological. So in these cases, it may result in micro injuries or macro injuries and this may result in back pain. Another common example can be, while lifting heavy loads. So in our routine structure, most of the people are sitting or doing jobs which do not involve lifting of heavy loads. So if you lift some heavy load on one particular day say for example, I got something to install in my house and when that thing comes and I lift it and I try to fit somewhere then that is unaccustomed for me because I am not doing it every day. So this may result in unaccustomed stress and sprains and strains to my back and this may result in back pain. So these are how you can prevent it.

Another very common cause is sleeping on very soft mattress or sleeping for inadequate amount of time. Some people have a habit of surfing mobile phone for a long period of time and they sleep on their table chair maybe on their bed with unphysiological postures. So these will result in increased incidents of back pain. Another common cause which you can prevent is while travelling. So if you are travelling and you are driving a car for example you should adjust your seat so that your back is always upright. And while taking the support, many people ask me if it is helpful to use fancy supports that are available for the car seats. The answer is no. They will not help you. In most cases, they are just fancy items and they will not help you. However, straightening your seat will help you a lot. If you straighten your seat to a point where you are sitting independently and you are seeking only the lower back support from your seat and you are sitting on your own then probably the chances of you getting back pain are less.

Another common thing which you can apply when you are travelling is do not drive for extended period of hours like, I have seen people who drive for maybe 6 hours at a stretch so if this is done occasionally or frequently then it may result in back pain. So if you can avoid and take a break maybe around 45 minutes to an hour every 45 minutes or an hour you can stop and walk around maybe for one or two minutes or you can get out of your car or you can just get down and have a break then you can continue driving so you can drive in bits and bytes then you can travel long distances also. But please be sure to take a small break at least so that your back is not strained unnecessarily.

Another common reason why people come with this back pain are these motorcycle riders or scooter riders who are travelling these long distances throughout the day. What they often do is that they carry these bags. So they carry these bags and backpacks and they funnily carry it on one shoulder. So it will be like a strap and they will carry it on one shoulder and they will do this throughout the day and then after one month or two months they will start having a pain on one side. So this one-sided stress is one of the reasons why people have back pain. If you are not driving a vehicle, then also if you are carrying a load or a backpack or if you are a student or if you are an office goer who has to carry these laptops. Because I have often seen these laptops come in suitcases or briefcases and obviously you have to carry them with one hand. SO it is better to switch from these one handed or one sided carrying devices to devices or bags which are distributing the load equally to both shoulders and back. So that the load is distributed and there is no asymmetrical stress that is the back, on one side, is not stressed unnecessarily.

Another common reason for people who travel a lot is that their legs are not properly placed. So, in addition to the back of the seat, the height of the seat also plays a role. In majority of vehicles however, the height is not an adjustable portion. So the one thing you can do is, you can go forward or you can go backwards that is towards the steering and away from the steering. This mechanism is available for most of the cars or most of the vehicles and with the help of this, you can have enough distance between the steering and your body so that your thighs are touching your seat till the point they can leave the seat that is until the maximum point they should be able to touch the seat. So this will again be helpful to reduce the stress on the back.

Another common cause of back pain is the lack of exercise. For exercise, I don’t mean well I don’t advise that you should go to the gym and lift weights or something like that. But by exercise, I mean exercises like walking. Even simple walking is one of the best exercises for back, swimming or even cycling, or even exercises for your abs. You may underestimate the importance of the exercises for your abs but you should know that abs they support the back to a great extent and weak abs or abdominal muscles are the common causes of back pain in healthy adults.

Other than these, there are causes like nutritional causes. By nutritional causes I mean the deficiency of specific nutrients in your diet. This may be deficiency of Vitamin D .This is one of the most common deficiencies which I see in my practice that most of the people who come to me with these deficiencies they are normal healthy individuals otherwise but due to some reasons, they have this Vitamin D deficiency. Many of them are non-vegetarians so it is a myth that you cannot have Vitamin deficiency if you are a non-vegetarian. So you may have deficiency of Vitamin D, which is necessary for the calcium metabolism and in the deficiency of this Vitamin you are more likely to have weak bones and this pain.

In elderly individuals, however, you may have other causes of weak bones and they may also lead to this back pain. So last but not the least, we have population which is ageing now. So we have more number of people who are above 40 years of age. In these people there are conditions known as degenerative conditions which is, due to age, the body starts degenerating. So if you don’t use your body properly, it will start to degenerate. In many people, who are using the body properly also, due to genetic reasons, and environmental factors, it starts to degenerate. So in these patients there are lot of conditions that develop, and these may affect the intervertebral discs, the joints of the back, the muscles, as well as the ligaments. So these conditions can lead to the back pain in this age group, the elderly age groups that is. So these are the common causes and if you are careful enough, you can easily prevent them and help yourself to prevent your back pain. Prevention is always better than cure, so I will strongly recommend that you take my advice and follow these steps, and you are less likely to have back pain.

To know more, you can always visit my Lybrate website on www.lybrate.com/drsidharthverma or you can also visit my website www.pain.org.in. Thank You.



 

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Sir may age is 20. I have seven months baby. Sir my back bone crossed. How much excrise I did but i am not having good result any tips and medficines for this. Because of this my back is like a old man. Sir please give any suggestion for this.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Kindly show me digital x rays of ls spine. Rule out diabetes & vit. D deficiency or any other metabolic disorder. 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. Ibuprofen 200mg od & sos x 5days bio d3 max 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. Do reply back for detailed treatment plan. Do not ignore. It could be beginning of a serious problem.
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Can HD phones affects eyes a lot? I brought a new HD phone 3 months back. I have a high usage of phones. But to my surprise I find my eyes are painting sometimes now which isn't case before with old phone. Moreover during over usage I see things blackened for sometime. What could be it?

DOMS, MBBS
Ophthalmologist, Delhi
Can HD phones affects eyes a lot? I brought a new HD phone 3 months back. I have a high usage of phones. But to my su...
May be the screen resolution and lights are giving your eyes discomfort. In general, working long hours on screen/omputer can lead to a condition called computer vision syndrome. Relax your eyes in between work. Blink regularily if working for long time on computer. Lower the brightness of your screen. Work under adequately illuminated conditions. Also try to blink your eyes properly while work. Use good tear substitutes like genteal 4 times a day. And anti glare screen for your system. Use eyedrops genteal 3 times a nd zoneph 4 times a day. Get your refraction done and wear spectacles eat green veggies. Carrots. Papayas, mangoes yellow fruits nuts butter. Strain less your eyes.
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I am 45 years old am suffering from spondilities can you please suggest me something.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
This could be due to lumbar spondylosis with nerve root compression. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Use no pillow under the head. Any way take paracetamol 250mg od & sos you will need other supportive medicines also. Do back (spine) exercises make sure you are not allergic to any of the medicines you are going to take you may have to use lumbosacral support for some time. Avoid painful act/activities. Take medicines as prescribed it may have to be further investigated. Do ask for detailed treatment plan. Do not ignore. It could be beginning of a serious problem.
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I am 20 years old female suffering with severe muscle pain particularly right shoulder from past 5 yrs. Now a days 2 arms are with the same situation. I have gone through many medications, physiotherapy.Please help me get out of this.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
I am 20 years old female suffering with severe muscle pain particularly right shoulder from past 5 yrs. Now a days 2 ...
You should take acupressure treatment and take biochemic mag phos 200x 4 tab. Thrice a day with warm water and take it 5 days
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I have a back issue. I have lot of pain in my back. I consult to my doctor regarding this problem. The doctor treat me but I have no help for this in my condition. please give me some suggestions about it.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
I have a back issue. I have lot of pain in my back. I consult to my doctor regarding this problem. The doctor treat m...
1) do massage with warm sesame oil or suitable oil for 15 min. Afterwards take hot fomentation for 10 min. 2) start natural calcium supplement. 3) do regular stretching exercise 4) in yoga do bhujangasan, halasan & suryanamaskar. Life-style correction 1) correct your sitting posture. 2) take small pillow or back rest for lower back. 3) foot should rest to floor easily. 4) take small break after 1 hr & walk few steps. 5) do neck & upper back extension, give feedback after 4 days.
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I have a very unique problem. I feel some hindrance when I bend my neck. My throat does not pain or I dont have any irritation in my throat. But when I bend my neck, I feel some disturbance. But no pain. Please advice

MPTh/MPT
Physiotherapist,
You have to strengthen your neck muscles. As your neck muscles are week. Go for neck isometfics exercises. This will be helpful.
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