Dr. Srinivas Kumar D

LOW BACK PAIN EXERCISE; DEAR you FOLLOW THIS EXERCISE LUMBAR EXTENSION STRETCHES Generally these are good for individuals who may have a disc herniation. They should be performed with caution for anyone who has spinal stenosis or any known fractures in their vertebrae. Prone Press Up: Begin by lying on your stomach with your elbows bent underneath you and palms flat on the surface. Keeping your hips and pelvis in contact with the surface, lift your upper torso off the mat with your arms, keeping your back muscles relaxed. Only go as high as you are comfortable. Perform 10 repetitions holding each one for 10 seconds each, working your way to 30 seconds Generally, the flexion based stretches are good for those with spinal stenosis or tightness through the lower lumbar musculature. Single Knee to Chest: Begin by lying on your back with both knees bent. Bring one knee up towards your chest. Perform 2-3 repetitions, holding each one for 15-30 seconds. You may feel a stretch along the lower back or buttocks area. You may also perform this with both legs up towards your chest if it is comfortable Prayer Stretch or Child’s Pose: This stretch is for the lower back muscles along the spine and is a very common yoga pose. On your hands and knees, sit back so your buttocks is resting on your heels. Reach your hands forward to lengthen your spine and feel a stretch in your middle back. You can reach your hands to either side to focus the stretch on the opposite side of your spine. Hold for 10-30 seconds and perform 2-3 repetitions. Angry Cat Stretch: This stretch can incorporate both an extension and a flexion component. You may perform either way or just one way if that is more comfortable for you. On your hands and knees, let your belly sag towards the table to increase extension through your spine (lumbar extension picture). To increase flexion through your spine, arch your back upwards, bringing your spine away from the table (lumbar flexion picture). You may hold each position for 5-20 seconds and repeat several times NERVE STRETCHES Just as you can stretch a muscle, you can stretch a nerve. Nerve stretches are very important to perform if you have any radiating pain from your lower back into your buttocks or legs. Nerve stretches are also very important to perform after lumbar surgery to ensure that there is no scar tissue adhering the nerve to any internal structures. Sciatic Nerve Stretch: This stretch should be performed if the majority of the radiating pain into the legs is felt in the buttocks, back of the leg, and/or through the calf and foot. This follows the pathway of the sciatic nerve. By stretching the nerve, it can help to desensitize it so that it will not cause as much pain. Perform this stretch by lying on your back with your hand behind one knee, preferable the leg with the sciatic pain. Straighten your knee then alternate flexing your ankle back and forth. Only hold your ankle in each position for a few seconds. Perform 10 repetitions on each side. As with beginning any new exercise, start off slowly with a very gentle stretch. Stop if you have any increase in lower back pain or sciatic pain down your leg. If unsure whether you should perform these stretches, consult your doctor or physical therapist.

Hi. Enjoy the life with family, friends, and work. Avoid alone be busy with any work. You can spend few times in game. Try to take interest in peoples, work, and nature. Do eeg tests and reply.

1. U/s of whole abdomen 2 sgpt/ sgot/ serrum billirubin/ esr/ hb% / blod sugar pp/ fastin 3, syzygium q / gymnema q take 5 drop each at interval of 1 hourl in a glass of water 8 hourly. Report in 5 dys. Or contact once in person for detailes case taking.

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.

Requires detailed investigation and examination Presently investigations suggested: hb, tlc, dlc, esr, blood sugar fasting & pp, uric acid vit d xray 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. Do not ignore it. Let it not become beginning of a bigger problem. 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.

You should take acupressure treatment and take biochemic Nat phos 200x 4 tab each thrice a day with warm water and take it 5 days and inform me private online.

Homoeopathic treatment- calc fluor 6x -4 pills 3 times calcivita syrup 1 spoonful 3 times bio combination no 19 rheumatism- 4 pills 3 times for 8 days and revert back.

You should take acupressure treatment and take biochemic Nat Mur 200x + mag phos 200x 4 tab each thrice a day with warm water and take it 5 days and inform me private online.

Yes, I think medlor is a steroid and can cause increase blood sugar. Why not talk to your Rheumatologist. We do start steroids in RA at very low doses and gradually stop it as other drugs take over. Steroids at start are very cheap and effective way to control RA, hence we use it, But all good rheumatologist will try to stop them in long run, when other drugs take over and steroids are no longer needed. I hope this helps. You can also visit arthritis and Rheumatology (arthritisrheumindia dot com) india website for more information. Best wishes.

Dear Gas is common after delivery. It is causing the pain. Take a laxative to clean your stomach and do not eat anything that is causes digestive disorder or gas. Drink adequate anount of hot water daily with a little soonth (dry ginger powder) Take regular massage to bring back health and strength. Regards.