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Dr. Vasanthi

Physiotherapist, Hyderabad

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Dr. Vasanthi Physiotherapist, Hyderabad
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Vasanthi
Dr. Vasanthi is a renowned Physiotherapist in Yousufguda, Hyderabad. You can consult Dr. Vasanthi at Dr. Singh's The Physiotherapy and Pain Management Clinic in Yousufguda, Hyderabad. Save your time and book an appointment online with Dr. Vasanthi on Lybrate.com.

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Dr. Singh's The Physiotherapy and Pain Management Clinic

1st floor,krishna hospital, beside Savera bar and Restaurent, Krishna Nagar Main Road, Landmark: Near Yousufguda Check Post, HyderabadHyderabad Get Directions
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I had suffering from knee pain also I can not take more load on my foot. It is very painful.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I had suffering from knee pain also I can not take more load on my foot. It is very painful.
Keep your leg raised while sitting or lying quadriceps strengthening exercises hamstring stretching calf muscles stretching contrast bath.
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My lowest part of leg starts paining after few minutes of walk. What can be the reason?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Actually pain at calf/leg region can be due to many reasons, commonly it is muscular in nature but it can also be due to tendons, nerves, blood vessels etc. My advise to you for initial 2-3 weeks will be: - ice packs application intensively with elevation of your limbs at night - take a short course of anti-inflammatory medication as per your body's suitability - stop your physical activity till pain completely subsides - intensive physical therapy, training and proper muscle conditioning once pain has subsided - slow resumption of physical activities with proper pre activity warm up and stretching of muscles and short increments in duration of physical activity each day as per pain tolerance. - we will get some blood tests for you - serum vitamin d and serum potassium levels, esr and crp once you have all these reports then you can contact me as I can advise you for proper supplementation 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.
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Sir I have back pain in last 2 month please give me good suggestion for this treatment plzz .

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Sir I have back pain in last 2 month please give me good suggestion for this treatment plzz  .
Do take ift and laser therapy for pain relief for 12 days followed by strengthening exercise from neuro physiotherapist apply hot and cold water fomentation for thrice a day for 7 days regularly best wishes.
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I am having pain in shoulders. I don't why it's happening. Whenever I sit. That time it's happen. Even now neck started paining. Please tell solution for it. Or o should x-ray testing.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I am having pain in shoulders. I don't why it's happening. Whenever I sit. That time it's happen. Even now neck start...
posture correction must. do stretching exercises of neck and shoulder. hot fermentation and volini gel. isometrics exercises. avoid toward bending and computer work
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Age is 40 yes. She has so much leg pains while walking legs have arthritis problem I am consulted so many doctors but didn't recover few days back she is unconscious for some time. Doctors told her blood vessels has some water percentage.

MD(EH)/AM/Accupressure
Acupressurist, Chandigarh
Age is 40 yes. She has so much leg pains while walking legs have arthritis problem I am consulted so many doctors but...
Start treatment by giving homeo medicine Sulf. 30 daily one dz. of five drops in water empty stomach for three days. After one week call back with the results and more details fir further course of treatment.
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I am based in bangalore aged 54. Having severe joint pain and loosin weight drastically. Within one month I lost almost 13 kg. For what treatment I have to go?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am based in bangalore aged 54. Having severe joint pain and loosin weight drastically. Within one month I lost almo...
Requires detailed investigation and examination. 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.
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I have pain in my shoulders when sleeping. I keep turning to the other side to sleep. That disturbs my sleep a lot.

BPTh/BPT
Physiotherapist, Kolkata
I have pain in my shoulders when sleeping. I keep turning to the other side to sleep. That disturbs my sleep a lot.
Take ift over both shoulders @ 15 min x 20 days uric acid sugar pressure all are normal? consult with orthopaedic arthroscopic surgeon.
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I have pain on my back from 8 days. It becomes too much in night. What are the solutions for back pain?

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I have pain on my back from 8 days. It becomes too much in night. What are the solutions for back pain?
do hot fermentation. do rest . do stretching exercise. posture correction must. if it work then OK other wise physiotherapy treatment must. avoid long sitting toward bending lifting weight
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I am 39 years male I have backpain since 9 years. When I pull up heavy thing & eat sure & driving bike I got heavy backpain. Now what can I do?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. You have mentioned backache as only problem. Since you are very young, if you have only localized backache with no other associated symptoms like radiating leg pain, numbness, paresthesias etc, and no systemic symptoms like fever, loss of appetite, loss of weight etc, my advice to you for initial 2-3 weeks will be: - to maintain proper posture while working and sleeping - if pain is more then you can take a short course of an anti-inflammatory medication like tab etoshine or even tab paracetamol which suits you - intensive 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 like dynapar qps spray can be used and is easily available. - avoid lifting heavyweight/ acute forward bending in mornings etc we will need to evaluate you further in form of dynamic x rays to look for any instability as a cause for pain and some blood investigations to rule out any deficiencies etc. Do not hesitate to contact me if you need any further assistance.
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A small clarification is sought on" Whether there is any relation/connection/effect of digestion process and sciatica pain" Appreciate your comments and views. Regards.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Noida
Sir according to ayurveda sciatica is vata disease and mainly nervous system's diseases. But if one is using excessive quantity of vata aggravating foods and behaviour then vata is vitiated in the sciatic nerve and gradually pain and inflammation arises either one leg. We suggest to avoid curd, citrus taste e. G. Pickles, tamarind and highly proteineous food. We suggest to hot water sipping boiled with ginger every half-hour. Oil massage and hot fomentation as these are vata pacifying.
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I have suffering from low back pain I have took M.R.I scan of lumbosacral spine and in the report the report details below M.R.I scan report Technique . T1 weighted and T2 weighted axials /sagittal Report Straightening of the lumbar spine is seen with loss of lordosis-muscle spasm Slight retrolisthesis of L5 and S1 vertebra noted - degenerative Minimal posterior annular bulge is seen at L5 and S1 . Spinal canal, neural forminal and nerve roots are normals The reaming intervertebral discs do not show any significant bulge /protrusion The vertebral bodies are normal in height and signal intensity. No lysis/fracture Can Know the meaning of the report and can I do running and continue my gym please tell me and what should I take precautions and stretching exercises what is actually in report means.

MPTh/MPT
Physiotherapist, Bhopal
I have suffering from low back pain I have took M.R.I scan of lumbosacral spine and in the report the report details ...
Dear your mri is giving you an early warning that this is the time to act. My suggestion is based on following points 1. Straightening of lumbar spine: please see nearby physio clinic and get you musculation examined for tightness, physio will give good treatment to make your lumbar posture correct. 2. Retrolisthesis l5 s1: need to strengthen your back not in gym way but as per physio guidance. As there is no neurological deficit so need not to worry but yes time to act yes you should do your activities but without straining yourself because its easy to say stop activities but by this way we are getting relief from symptom and paying in term of muscular weakness. Please do visit nearby physio clinic for better solution.
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Dr. My mother has back pain from one week and having asthma with cough please tell me what should she need to do for relax. thanks.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
Dr. My mother has back pain from one week and having asthma with cough please tell me what should she need to do for ...
Back pain may be due to strain, sprain, weather change etc. *Avoid bending forward while working on lap top or for any other work. *Don’t sit continuously working on laptop etc. Get up periodically and move around. *Restrict bike driving as far as possible. *Don’t carry laptop or any load on your shoulder. Carrying very light loads equally with both hands is better *Sit straight so that back bone gets proper support. A dining chair is better than a laid back sofa. *You can use mustard oil for massage which is good in winter season for relieving pain. Eucalyptus oil is also good *Soft bed will not give proper support to your back bone. Hard bed with thin mattress and thin pillow is better. *Get yourself tested whether you have spondylitis problem. Homoeopathy has a good treatment for this without adverse effects. Take Calc fluor 200--once daily in the morning for 6 days.
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My sister is 15 years old and at most time she feels pain in legs due to weaknesses prescribe some energetic medicine for her.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Pain in musclesis a common condition. Do hot fomentation keep a pillow under the legs at night &/when resting. Any way take ibuprofen 200mg od & sos x 5day caldikind plus (mankind) 1 tab odx10days you will need other supportive medicines also. Do knee exercises it may have to be further investigated make sure you are not allergic to any of the medicines you are going to take. Do ask for detailed treatment plan. Do not ignore. It could be beginning of a serious problem.
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I my 55 year mom can't even sleep please Doctors Kya kru mah Btao Pain killer k injecton bhi le liye hai fir v kch nhi ho rha h jlde btao Unka Thighs, Legs,Joint, Me bhut jyda pain h.Please tell.

Master of Occupational Therapy (MOT), Bachelor of Occupational Therapy (BOT)
Occupational Therapist, Delhi
I my 55 year mom can't even sleep please Doctors Kya kru mah Btao Pain killer k injecton bhi le liye hai  fir v kch n...
Hot pack apply karo Leg stretching karo Back isometrics- lying straight place a towel roll under lower back & ask her to press downwards hold for 3sec then relax, 10times, twice daily Bridging- lying straight fold both knees & lift back upwards hold for 3sec relac, 10times, twice daily
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I am 44 year old female and having pain in my left side shoulder but it become worse just after waking up I also used the ointment dynapar gel but there is no improvement. What should I do now?

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
I am 44 year old female and having pain in my left side shoulder but it become worse just after waking up I also used...
Shoulder pain in this age group is usually due to impingement syndrome. You need to strengthen your shoulder muscles and scapular stabilisation exercises should be done.
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Hii sir my right hands some problem its fracture in accident during exam time. But this time its some area have pain what I do?

BSc
Ayurveda, Ujjain
This pain remains for life time in rainy and winter time during this time take lakshadi guggul 2 tab mor and night
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I am suffering from leg pains by running so please give me suggestion to overcome that?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I am suffering from leg pains by running so please give me suggestion to overcome that?
Do Take balanced diet and hyderated Do regular stretching and Strengthening exercises from physiotherapist Best wishes.
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घुटनों के दर्द का आयुर्वेदिक इलाज (Knee Pain - Home and Ayurvedic Treatment)

B.A.M.S, Diploma in Nutrition and Health Education (DNHE, PG Diploma in Hospital Managment
Ayurveda, Delhi
घुटनों के दर्द का आयुर्वेदिक इलाज (Knee Pain - Home and Ayurvedic Treatment)

घुटनों की पीडा ( Knee Pain) :-

हमने कई बार अपने बड़े बुजर्गो को घुटनों के दर्द से तडपते हुए देखा है | दिन रात दवाई खाने से भी उन्हें कोई आराम नही मिलता है चलने फिरने में बहुत परेशानी होती है और साथ ही घुटनों को मोड़ने में, उठने – बैठने में भी दिक्कत आती है | कभी कभी उन्हें इतना ज्यादा दर्द होता की वो ठीक ढंग से सो भी नहीं पाते और उनके घुटनों में सुजन तक भी आ जाती है | उम्र के साथ हड्डियों की बीमारी बढती जाती है |

शरीर के जोड़ों में सूजन उत्पन्न होने पर गठिया होता है या कहे कि जब जोड़ों में उपास्थि (कोमल हड्डी) भंग हो जाती है। शरीर के जोड़ ऐसे स्थल होते हैं जहां दो या दो से अधिक हड्डियाँ एकदूसरे से मिलती हैं जैसे कि कूल्हे या घुटने। उपास्थि जोड़ों में गद्दे की तरह होती है जो दबाव से उनकी रक्षा करती है और क्रियाकलाप को सहज बनाती है। जब किसी जोड़ में उपास्थि भंग हो जाती है तो आपकी हड्डियाँ एक दूसरे के साथ रगड़ खातीं हैं, इससे दर्द, सूजन और ऐंठन उत्पन्न होती है।

सबसे सामान्य तरह का गठिया हड्डी का गठिया होता है। इस तरह के गठिया में, लंबे समय से उपयोग में लाए जाने अथवा व्यक्ति की उम्र बढ़ने की स्थिति में जोड़ घिस जाते हैं जोड़ पर चोट लग जाने से भी इस प्रकार का गठिया हो जाता है। हड्डी का गठिया अक्सर घुटनों, कूल्हों और हाथों में होता है। जोड़ों में दर्द और स्थूलता शुरू हो जाती है। समय-समय पर जोड़ों के आसपास के ऊतकों में तनाव होता है और उससे दर्द बढ़ता है।

गठिया क्या होता है?

गठिया एक लंबे समय तक चलने वाली जोड़ों की स्थिति होती है जिससे आमतौर पर शरीर के भार को वहन करने वाले जोड़ जैसे घुटने, कूल्हे, रीढ़ की हड्डी तथा पैर प्रभावित होते हैं। इसके कारण जोड़ों में काफी अधिक दर्द, अकड़न होती है और जोड़ों की गतिविधि सीमित हो जाती है। समय के साथ साथ गठिया बदतर होता चला जाता है। यदि इसका उपचार नहीं किया जाता है, तो घुटनों के गठिया से व्यक्ति का जीवन काफी अधिक प्रभावित हो सकता है। गठिया से पीडि़त व्यक्ति अपनी रोजमर्रा की गतिविधियां करने में समर्थ नहीं हो पाते और यहां तक कि चलने-फिरने जैसा सरल काम भी मुश्किल लगता है। इस प्रकार के मामलों में, क्षतिग्रस्त घुटने को बदलने के लिए डॉक्टर सर्जरी कराने के लिए कह सकता है।

क्यों होता है गठिया

अनहेल्दी फूड, एक्सरसाइज की कमी और बढ़ते वजन की वजह से घुटनों का दर्द भारत जैसे देशों में एक बड़ी समस्या का रूप लेता जा रहा है। 40-45 की उम्र में ही घुटनों में दिक्कतें आने लगी हैं। सर्वेक्षण कहते हैं कि दुनिया में करीब 40 प्रतिशत लोग घुटनों में दर्द से परेशान हैं। इनमें से लगभग 70 प्रतिशत आर्थराइटिस जैसी बीमारियों से भी जूझ रहे हैं। इनमें से 80 फीसदी अपने घुटनों को आसानी से मोड़ तक नहीं सकते। घुटनों की खराबी के शिकार 25 फीसदी लोग अपने रोजमर्रा के कामों को भी आसानी से नहीं कर पाते हैं। भारत में यह समस्या काफी गंभीर है। घुटनों का दर्द काफी हद तक लाइफ स्टाइल की देन है। यदि लाइफ स्टाइल और खानपान को हेल्दी नहीं बनाया तो यह समस्या और भी गंभीर हो सकती है। घुटने पूरे शरीर का बोझ सहन करते हैं। इन्हें बचाने का तरीका हेल्दी लाइफ स्टाइल, एक्सरसाइज और हैल्दी खानपान है। खाने में कैल्शियम वाला भोजन सही मात्रा में लें, सब्जियाँ जरूर खायें, फैट और चीनी से परहेज करें और मोटापे का पास भी न फटकने दें।

क्या वजन कम करने से (घुटनों के दर्द) गठिया में लाभ मिलता है?

घुटनो के गठिया से पीडि़त व्यक्ति के लिए निर्धारित वजन से अधिक वजन होना या मोटापा घुटनों के जोड़ों के लिए हानिकारक हो सकता है। अतिरिक्त वजन से जोड़ों पर अतिरिक्त दबाव पड़ता है, मांसपेशियों तथा उसके आसपास की कण्डराओं (टेन्डन्स) में खिंचाव होता है तथा इसके कार्टिलेज में टूट-फूट द्वारा यह स्थिति तेजी से बदतर होती चली जाती है। इसके अलावा, इससे दर्द बढ़ता है जिसके कारण प्रभावित व्यक्ति एक सक्रिय तथा स्वतंत्र जीवन जीने में असमर्थ हो जाता है।

यह देखा गया है कि मोटे लोगों में वजन बढ़ने के साथ साथ जोड़ों (विशेष रूपसे वजन को वहन करने वाले जोड़) का गठिया विकसित करने का जोखिम बढ़ जाता है। इसलिए, यह महत्वपूर्ण है कि मोटे लोगों को या तो अपने वजन को नियंत्रित करने अथवा उसे कम करने केलिए उचित कदम उठाने चाहिए।

गठिया से पीडि़त मोटापे/अधिक वजन से पीडि़त लोगों में वजन में 1 पाउंड (0.45 किलोग्राम) की कमी से, घुटने पर पड़ने वाले वजन में 4 गुणा कमी होती है। इस प्रकार वजन में कमी करने से जोड़ पर खिंचाव को कम करने, पीड़ा को हरने तथा गठिया की स्थिति के आगे बढ़ने में देरी करने में सहायता मिलती है।

घुटनों के दर्द के कई कारण हो सकते है  ( Cause of Knee Pain )

  • अधिक वजन होना,
  • कब्ज होना,
  • खाना जल्दी-जल्दी खाने की आदत,
  • फास्ट-फ़ूड का अधिक सेवन,
  • तली हुई चीजें खाना,
  • कम मात्रा में पानी पीना,
  • शरीर में कैल्सियम की कमी होना।

घुटनो में दर्द  के बचाव के कुछ आसान तरीके । (Home treatment for knee pain)

  • खाने के एक ग्रास को कम से कम 32 बार चबाकर खाएं। इस साधरण से प्रतीत होने वाले प्रयोग से कुछ ही दिनों में घुटनों में साइनोबियल फ्रलूड बनने लग जाती है।
  • पूरे दिन भर में कम से कम 12 गिलास तक पानी अवश्य पिए। ध्यान दीजिए, कम मात्रा में पानी पीने से भी घुटनों में दर्द बढ़ जाता है।
  • भोजन के साथ अंकुरित मेथी का सेवन करें।
  • बीस ग्राम ग्वारपाठे अर्थात् एलोवेरा के ताजा गूदे को खूब चबा-चबाकर खाएं साथ में 1-2 काली मिर्च एवं थोड़ा सा काला नमक तथा ऊपर से पानी पी लें। यह प्रयेाग खाली पेट करें। इस प्रयोग के द्वारा घुटनों में यदि साइनोबियल फ्रलूड भी कम हो गई हो तो बनने लग जाती है।
  • चार कच्ची-भिंडी सवेरे पानी के साथ खाएं। दिन भर में तीन अखरोट अवश्य खाएं। इससे भी साइनोबियल फ्रलूड बनने लगती है। अनुभूत प्रयोग है।
  • एक्यूप्रेशर-रिंग को दिन में तीन बार, तीन मिनट तक अनामिका एवं मध्यमा अंगुलि में एक्यूप्रेशर करें।
  • प्रतिदिन कम से कम 2-3 किलोमीटर तक पैदल चलें।
  • दिन में दस मिनट आंखें बंद कर, लेटकर घुटने के दर्द का ध्यान करें। नियमित रूप से अनुलोम-विलोम एवं कपालभाति प्राणायाम का अभ्यास करें। अनुलोम-विलोम धीरे-धीरे एवं कम से कम सौ बार अवश्य करें। इससे लाभ जल्दी होने लगता है।

 

हल्दी चुने का लेप (Lime and turmeric paste)

  1. हल्दी और चुना दर्द को दूर करने में अधिक लाभदायक साबित होते है ।
  2. हल्दी और चुना को मिलकर सरसो के तेल में थोड़ी देर तक गरम करे फिर उस लेप को घुटने में लगाकर रखे ।
  3. कुछ समय बाद दर्द मेा आराम मिलेगा
  4. इस प्रक्रिया को दिन मेा दो बार करे ।

हल्दी वाला दूध (Turmeric Milk) :-

एक ग्लास दूध में एक चम्मच हल्दी के पावडर को मिलाकर सुबह शाम काम से काम दो बार पीए
यह एक प्राकृतिक दर्द निवारक का काम करता है

नेचुरल ट्रीटमेंट ( Natural treatment):-

विटामिन डी (vitamin D )का सबसे अच्छा स्रोत सूरज से उत्पन धुप ( sun light) है , जिससे आपको नेचुरल विटामिन डी (vitamin D ) मिलती है  जो हड्डी (bones)के लिए अधिक लाभदायक है

आयुर्वेद के अनुसार में बनाई गयी औषधियां ( Natural Medicine made in Ayurveda)

  • अमृता सत्व,
  • गोदंती भस्म,
  • प्रवाल पिष्टी,
  • स्वर्ण माक्षिक भस्म,
  • महावत विध्वंसन रस,
  • वृहद वातचितामणि रस,
  • एकांगवीर रस,
  • महायोगराज गुग्गुल,
  • चंद्रप्रभावटी,
  • पुनर्नवा मंडुर

इत्यादि औषधियों का सेवन  आयुर्वेदिक डॉक्टर  के परामर्श से करे। औषधियों के सेवन से  बिना किसी साइडइपैफक्ट के अधिक लाभ मिलता है।

दर्द के दौरान क्या न खाये। (Donot eat during Pain)

  • अचार,
  • चाय तथा रात के समय हलका व सुपाच्य आहार लें।
  • रात के समय चना, भिंडी, अरबी, आलू, खीरा, मूली, दही राजमा इत्यादि का सेवन भूलकर भी नहीं करें
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My ucle have severe disk problem. After every treatment. Only surgery was left after surgery there was no pain but now he is facing foof fall condition and is losing sensation of toes. What can be done?

BPT
Physiotherapist, Bangalore
My ucle have severe disk problem. After every treatment. Only surgery was left after surgery there was no pain but no...
Hi probably the condition of your uncle has worsened and that's the reason he is getting loss of sensation in his toes. Probably the disc is impinging the nerve which is causing this problem. Meet a physiotherapist to know more about the treatment options and if the problem does not subside with physiotherapy then surgery is the only option where you need to meet an orthopedician. To know the severity of the condition you are further advised to take an mri of the spine. Wishing you good health.
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After 3-4 hrs of sleep, pain develops in my lower back, subsequently transmits to left hip, both thighs. X ray show loss of space in L5-S1, suffering for 4-5 months, taken Checal for 3 months, 5 injection of VIT D, tablet for b12, ayurvedic medicine for VAT Dosh, treated by acupressure, physiotherapy for 6 days each, but no relief, Ayurved advises panchakrma. What is non surgical treatment for it?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
After 3-4 hrs of sleep, pain develops in my lower back, subsequently transmits to left hip, both thighs. X ray show l...
Do Take IFT and laser Therapy for pain relief for 21 days followed by strengthening exercise from physiotherapist Apply hot Water fomentation for twice a day best wishes.
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