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Dr. B.R. Verma

mbbs, md

Anesthesiologist, JARDOI

Dr. B.R. Verma mbbs, md Anesthesiologist, JARDOI
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
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mbbs, md - llrm medical college , MEERUT -

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Chronic Shoulder & Neck Pain - Ways It Can Be Diagnosed!

MD, FIPP
Pain Management Specialist, Kolkata
Chronic Shoulder & Neck Pain - Ways It Can Be Diagnosed!

The neck and shoulder have a huge range of movement and thus they are more prone to injury. The ball and socket joint at the upper arm is the shoulder and both the neck and the shoulder are made up of soft tissues, muscles and ligaments.

Reasons behind pain Injured rotator cuffs: 

Rotator cuffs are the tendons supporting the shoulder. If they are injured it might lead to a chronic loss of the range of movement. This is more commonly known as a frozen shoulder. 

  1. Dislocation: Dislocated disc of the neck or shoulder due to an accident would cause severe pain in the affected area. 
  2. Fractures: Fractured collarbone or the upper arm bone may result in chronic pain. 
  3. Tendonitis: This occurs due to the over usage of the arms or neck or strains due to over exertion like in sports. 
  4. An unstable shoulder joint: If there is instability in the ball and socket joint of the upper arm, chances of having a chronic pain is high. Others: Degenerative arthritis, herniated disc, and even heart attacks can be the other possible causes of chronic neck and shoulder pain. 

When to go to the doctor? 

When the patient experiences a pain due to a severe blow or injury, the neck pain radiates down the legs and arms, a feeling of numbness and tingling sensation, or has a stiff neck with fever or vomiting, it is essential to seek the advice of a Doctor. 

Diagnosis for shoulder and neck pain X-ray: 

The main form of diagnosing a pain is an x-ray. It helps to reveal diseases from arthritis, tumour, slipped disc, narrowing spinal cord, fractures and spinal cord instability. 

  1. MRI: Magnetic Resonance Imaging or simply the MRI reveals the detail of nerve-related issues along with the problems in the ligaments and tendons. 
  2. CT scan: There may be instances when the injuries are difficult to be diagnosed. And, in the case of a fracture, a CT Scan is advised for more details. It is also an alternative to MRI. 
  3. ECG: An Electrocardiogram is a way of diagnosis if shoulder and neck pain continues along with chest pain or shortness of breath. If there is a risk of an individual having a heart attack, then an ECG is recommended. 
  4. Electro Diagnosis: Electromyography referred to as EMG and Nerve Conduction Velocity (NCV) are used to diagnose pain in the arm, neck, shoulder followed by a numb feeling on the affected areas. 

Treatment for chronic shoulder and neck pain 
A simple sprain on the neck and shoulder would demand a rest for a few days along with pain medication. If the pain is due to muscle spasms application of dry or moist heat may provide relief. In the case of a swelling due to injuries, a cold ice pack 4 to 8 times a day will provide immense relief. Patients might be advised a cast or sling for the shoulder pain. The soft tissues in the neck and shoulder can be treated with pain relievers taken for a few days. Muscle relaxants are also prescribed depending on the severity of the pain. Local corticosteroid injections are helpful for shoulder arthritis. Platelet rich plasma injection is another modern treatment for arthritis or tendinopathy. In some situation, radio frequency procedures are very helpful. Exercises are very effective for both neck and shoulder pain movement. Surgery might be an option if nerve roots are affected.

4 people found this helpful

I am 43 years old & suffering with back pain last 1.5 year every day, I have used ointment & exercise but pain not decrease, & also suffering vitamin d3 13th oct my vitamin d3 level was 6.5 second test was oct. 14 my result was 27.3 now under treatment. What I will be do please advise.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am 43 years old  & suffering with  back pain last 1.5 year
every day, I have used ointment & exercise but pain not ...
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.
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I am 18. Few days back I fell on my staircase. Since then I am feeling tremendous pain in my back. What shall I do.

CCPH, BHMS
Homeopath, Bhilai
I am 18.
Few days back I fell on my staircase.
Since then I am feeling tremendous pain in my back.
What shall I do.
If you r hvng homoeopathic pharmacy nearby ask for one drum hypericum 200 one drum n have single dose of 8 pills rest kp it with you.
1 person found this helpful
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I have pain in right foot suggest me what can I do main problem is when there is cold almost in winter.

BHMS
Homeopath,
I have pain in right foot suggest me what can I do main problem is when there is cold almost in winter.
Take homoepathic medicine Rhustox 30 daily morning and night for 2 weeks. Kindly report back aftr 2 week.
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Spreading lower back pain from past five days due to heavy weight lifting in gym.

MBBS, MS - Orthopaedics
Orthopedist, Chennai
Spreading lower back pain from past five days due to heavy weight lifting in gym.
Avoid weight lifting for a week take rest drink plenty of water stretch your self before hitting the gym.
1 person found this helpful
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My knee is bad for 5 days and i've tried everything I could my I didn't get the relief what should I do?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
My knee is bad for 5 days and i've tried everything I could my I didn't get the relief what should I do?
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.
1 person found this helpful
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I am 19 years old. I have kneeache problem since one year. Tell me what should I do?

BHMS
Homeopath, Raebareli
I am 19 years old. I have kneeache problem since one year. Tell me what should I do?
Please do an x-ray of the affected area. Take Mag phos 12x - twice daily and additional dose for pain when required. For further queries get back to me.
1 person found this helpful
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Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Ratlam
correct your posture to get rid of cervical pain

Hi, I am having back pain from 2 weeks going to my legs. What should I do to reduce pain? Please advise.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Hi, I am having back pain from 2 weeks going to my legs. What should I do to reduce pain? Please advise.
Kindly show me photograph of the affected part. 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. 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.
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my age 43 and my problem many many all body pain and weakness. So suggest me something.

MBBS
General Physician, Mumbai
my age 43 and my problem many many all body pain and weakness. So suggest me something.
For pain take tablet paracetamol and also start with Tablet folvite 5mg once a day for six months and vitamin D3 60000iu once a week for six months
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Pain in the knee (just below the knee) and extends to calf muscle and the foot both legs. Mostly in the morning after sleep.

BHMS
Sexologist, Noida
Pain in the knee (just below the knee) and extends to calf muscle and the foot both legs.
Mostly in the morning after...
Mr. You are suffer from weakness and low calcium level ok so you take proper diet ok like as milk and fruits ok.
1 person found this helpful
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I always suffer from back pain. Is it not so for driving but I dout I do no would you please tell me y is these for.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
I always suffer from back pain. Is it not so for driving but I dout I do no would you please tell me y is these for.
This back pain is due to no back exercise. Due to this muscle get stiff. When suddenly you get move fast that time this stiff muscle get break and pain start. In ayurved there is mentioned one procedure KATI BASTI .DO THIS FOR FIVE DAYS WITH MEDICATED OIL if you want to do it you should do it under doctor observation. So consult ayurvedic doctor near you. You will definitely get good result.
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I am 15 years old and I had a hard pain on leg when I fall while playing. I tried many medicines but no one worked. What can I do? Please help!

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am 15 years old and I had a hard pain on leg when I fall while playing. I tried many medicines but no one worked. W...
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.
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I have numbness in my toes and my lower back pain and my buttocks keep burning and feel they are getting squeezed when I sit on a chair for sometime if I use a hot pad I feel better this is there from past 1 year my hba1c is 6.5 doctor I am 59 years old my diabetic doctor has put me on sitagliptin (Zita 50mg) once per day how do get rid of the pain and numbness doctor please advise. Thanks.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I have numbness in my toes and my lower back pain and my buttocks keep burning and feel they are getting squeezed whe...
Requires detailed examination and investigation. Preliminary investigations suggested: hb, tlc, dlc, esr, blood sugar fasting & pp, uric acid vit d urine r/e x-ray of the affected part. Anyway it may be tried 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 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. Do not ignore it. Let it not become beginning of a bigger problem. Make sure that patient is not allergic to any of the medicines that he/she is going to take. If it does not give relief in 4-5days, inform.
1 person found this helpful
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I am having knee pain for the last four years. I have been told to go for knees replacement but there is no one to look after me as well as I am scared as my elder sister passed away due to infection after her knee replacement. I am 70 yrs old. Please advise some exercises as well as medicine. NSBehl.

MPTh/MPT, BPTh/BPT
Physiotherapist, Mumbai
I am having knee pain for the last four years. I have been told to go for knees replacement but there is no one to lo...
Hello, we understand your situation. We would advise the following exercises: 1) please use steam or a hot pad on your knees 3 times a day, provided there is not much swelling. Incase of swelling, please use an ice pack. 2) keep both your feet on the bed straight. Place a roll of towel under your knees. Press knees to squeeze towel. Hold for 10 counts & release. Repeat this 10 times x 2 hourly. Regards
2 people found this helpful
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I am suffering from cough for 2-3 days which medicine should I take for better result and also I have pain in my legs suggest a cure for it also.

MSPT (Master of Physical Therapy)
Physiotherapist,
I am suffering from cough for 2-3 days which medicine should I take for better result and also I have pain in my legs...
Placing your legs inside a tub of warm water and moving your feet may help to relieve from leg pain.
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I am 43 year old,, in the meg time I feel severe Knee Pain, Previously it was in the I night, now also some time I feel pain in the night, and later mrg, I feel heavy from my knee to toes, due to neurofibroma my nerves are pinched on both mu disc, because of that I have severe back pain, the pain is very severe, bcoz of that I no sound sleep, I am taking ultracet in the mrg and night, but no use, what could be the cause of knee pain.

MBBS, MD - Anaesthesiology, FIPM
Pain Management Specialist, Pune
I am 43 year old,, in the meg time I feel severe Knee Pain, Previously it was in the I night, now also some time I fe...
You have neurofibroma related nerve compression which is most likely causing the pain. Treatment of just the pain will not help your situation. You need to consult a neurosurgeon for definite treatment of the neurofibroma. You can consult again for further queries with your MRI scans and reports which are available.
1 person found this helpful
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My friend is suffering from neck pain from the last 3 days. What could be the possible reasons?

MBBS
General Physician, Cuttack
1.Take crocin 500mg one tablet sos after food up to a maximum of 3 tablets daily 2.Apply volini gel twice daily 3.Give local hot fomentation 4. Take rest If you have recurrent attack of neck pain a)Take X ray cervical spine to exclude spondylitis and consult orthopedic specialist b)Sometimes It could be due to bad sitting posture while reading or working on computer. Adopt proper sitting posture, put neck rest c) Consult for further advice
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I am 33 years old. I am marketing officer of lic of India. I have been suffering from back pain from 5 yrs. I have met many doctors, but I couldn't be fit.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I am 33 years old. I am marketing officer of lic of India. I have been suffering from back pain from 5 yrs. I have me...
Avoid long standing, sitting posture correction must avoid toward bending lifting weight . Do these preventions with any treatment .start physio sessions and after relief do stretching exercise daily routine
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