Dr. Harish Tahiliani

Hello lybrate-user, I am sorry to know you are suffering from mcl tear. As you know. An MCL injury is a sprain or tear to the medial collateral ligament. The MCL is a band of tissue on the inside of your knee. It connects your thighbone to the bone of your lower leg. The MCL keeps the knee from bending inward. Following are the self help strategies to get rid of your problem. Using Self-help Strategies 1.Protect your knee from further damage. Limit the amount of moving around you do right after the injury occurs. Injured ligaments should be well rested to promote faster healing and to avoid further injury. Make sure to avoid placing any excessive pressure on your MCL, as this could cause further complications.[1] •Another way to avoid damaging your knee further is to avoid exposing your knee to hot temperatures for at least 48 hours after the injury occurs. Hot temperatures could cause your knee to swell up and become even more tender. 2.Immobilize your knee. Your doctor may recommend that you wear a knee brace for a period of time (the length of time depends on how badly the knee was injured). A brace can help to keep your knee stable, which in turn can keep further damage from occurring. 3.Compress your knee. Use an ice compress to do this. Cold temperatures can help to numb the area so you feel less pain, while also restricting the flow of blood to the area, which can help to bring the swelling down. •Do not place an ice pack or ice directly against your skin; make sure to wrap it in a hand towel first to avoid damaging your skin. Hold the ice pack against your knee for 15 to 20 minutes, then let your knee rest.[2] You can repeat this process throughout the day. 4.Elevate your knee. You should elevate your knee above the level of your heart; doing this can help to keep the amount of swelling that occurs to a minimum. Continue to elevate your knee as much as possible for at least 48 to 72 hours after the injury occurs.[3] •You can use a pillow to prop up your leg.

Pain in back is becoming very common days it is because of normal day to day activity and lifestyle. Especially found lot of females complaining of back pain because of there day to day working and pressure. There could be many reasons for back pain. Many of the problems occur for which we are not aware. I understand your pain. Let me recommend you the treatment as well as the precautions you can take at home to get away your backache. Precautions: 1. Avoid forward bending, if required then bend your knees first and then bend forward. 2. Avoid weight lifting. 3. Sit in chairs or car seats with proper back support. 4. Try to sleep in a position that helps you maintain the curve in your back like sidelying. 5. Get enough vit d from sun as vit d keep bones strong including spine, 6. Drink plenty of water to enhance the inter vertebral disks 7. Avoid standing in the one position for a long time. 8. Try to sleep in a position that helps you maintain the curve in your back. Treatment- 1. Apply ice or heat which ever suits you directly to the area of low back pain will decrease swelling and inflammation, and ease your discomfort. Apply it for 10 to 15 minutes only. 2. Relaxing for 5 minutes after ice or heat treatment. Massage - ask someone to massage your painful area using fingers or thumb. Massage using kneading technique. Slightly press the thumb and start rotating as it helps to induce relaxation, relieve pain, and reduce levels of stress chemicals, such as cortisol and noradrenaline. It will give you pain relief for time being. 3. After massage again relax for 5 min and apply any pain relieving ointment eg - volini or oraflame gel etc. Make sure not to do massage with the gel, it should not penetrate the body. Just a topical application of gel should be done. 4. Again relax your body for 5 minutes and perform some normal back extension and hamstring stretching exercises to get relief from your pain. While performing exercises if pain occurs then would recommend you to stop doing exercise. Massage or slightly rub the painful area and consult your near by physio to diagnose the actual cause of the pain as he/she can guide you proper exercise plan which will be beneficial for you after checking grade of your back pain. For any doubt please inform. Best regards.

Backache is the commonest ailment. 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. Any way take ibuprofen 200mg od & sos x 5days you will need other supportive medicines also. Take multivitamins & other antioxidants along with. Do back (spine) exercises make sure you are not allergic to any of the medicines you are going to take do reply back for detailed treatment plan. Don? t ignore. Pantocid 20mg taken empty stomach should give relief in pain abdomen.

For pain apply hot water and cold water fomentation thrice a day for 12 days of 15 minutes duration each and consult neuro physiotherapist and take ift and laser therapy for 12 days of 15 minutes duration each followed by spinal extension exercise use only firm hard and even mattress for sleep

Hello, this is a pain killer injection . I think you should first consult a good physiotherapist instead of taking the injection.Because this injection will not solve your problem by root.

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Please tell me whether you mean that you are experiencing lower back pain or something else? also tell me if it is associated with any leg pain or any other neurological symptoms like numbness, paraesthesias (electrical shock like abnormal sensations) or any weakness in limbs. Please also tell me about any associated symptoms like fever, weight loss etc. What medications you generally take and what has been your treatment history till now for existing problem. Do not hesitate to contact me if you need any further assistance. Thanks & regards

1. Start with Physiotherapy treatment 2. Learn exercises for knee 3. Don't sit on floor. 4. Apply volini cream before sleeping. 5. Wear knee cap. 6. Take calcium, vitamin D 3 and Methylcobalmine supplement for one month minimum.

Hi, Take homoeopathic medicine - Rhus Tox. 200/ twice a day. Apply Bakson’s Rheum Aid oil gently (2-3 times a day) and take orally Bakson’s Rheum-Aid syrup/ 1 tablespoon thrice daily. Also, increase your dietary intake of calcium which is present in green leafy vegetables, milk, milk products, sea food, white legumes, dried fig, black-eyed peas, almonds, oranges, seasame seeds. And vitamin D which is essential for absorption of calcium in our body and is synthesized naturally after getting exposed to sunlight, so early morning sunlight for 10-15min. 2-3 times a day is mandatory. Apart from this, do walk daily along with physiotherapy will also help you.

U need to get your x-ray repeated after 6 weeks of injury. On seeing the x-ray if there are evidence of healing then you can weight bear partially with the brace or walking cast. Nirmally it takes 3 months for person to return to its normal activities. Hopethis information is helpful for further assistance you can contact.

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. My advise will be to get an opinion from a neurophysician because we have to rule out anything in brain if symptoms are one sided, and also neck region. 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.

Kindly show me a 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. Spring beds, folding beds or thick matress are harmful 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 1 wk, contact me again. Do not ignore. It could be beginning of a serious problem.

Kindly show me a 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. 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 1 wk,contact me again.. Do not ignore .It could be beginning of a serious problem.

Your weight has to be something between 65 to 70. First of all reduce some weight. If Possible take WheatGrass Powder once in morning at 7 am with Lukewarm Water after taking this take your breakfast at 8 am.

Once they open the suture then you can walk immediately no problem because the more you will walk the more you will exercise it is beneficial for you by not moving not doing anything physically activity will make your more stiff so better if you walk properly good for your health.

Back Pain. Advice…. Hot Fomentation x twice daily. Avoid bending in front. Postural Correction. Sit Tall, Walk Tall. Extension Exercises x 15 times x twice daily Bhujang Asana x 15 timesx twice daily Core Strengthening Exercises. Back Stretching.

Homoeopathic medicine---------------- spondyaid (bakson) drink 10 drops in 20 ml fresh water 3 times daily------------- magnesia phos 6x (dr reckeweg) chew 4 tab every 2-3 hrly depending on pain daily------------- drink 2 glass milk and an egg daily----------------- report after 15 days---------------------------

If there is no fracture in x-ray you should definitely go with a mri. Since you are not able to give w8 on your knee it can be acl (ligament) injury or meniscal injury too. To make a diagnosis both mri and physical tests need to be performed on you. I would suggest you to go to an orthopedic doctor 1st and then to physiotherapist. I hope I helped you. Thank you!

Your calf muscle and ankle muscle are tight .pain duration is last 6 month so with physiotherapy take sm stretch exercise.

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. You are very young to have a persistent back pain as a health issue. If you have localized back pain with no other symptoms like radiating leg pain, neurological symptoms like numbness, weakness, paresthesias etc, then you can start with following recommendations for initial period of 2-3 weeks: - to maintain proper posture of your back while working and sleeping - if pain is more then you can take a short course of an anti-inflammatory medication like tab etoshine or paracetamol or one which suits you - 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 can be used and is easily available. - avoid lifting heavyweight/ acute forward bending in mornings etc we will observe you for next 2-3 weeks how you respond to this conservative management protocol. If you are not feeling better, then we will have to get some investigations like dynamic x rays of lower back and few blood tests for evaluation. Do not hesitate to contact me if you need any further assistance. Thanks & regards