Dr. Humayun Shah Ali

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. You have mentioned persistent back pains since 10 years which is a long time. 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, mri ls spine and few blood tests for evaluation. 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.

Hi Faritha There could be many reason of weight gain. You are gaining weight due to hormone and metabolic imbalance in body. Hormonal imbalance can be treated with right food and supplement exm. chapati, rice, bread, potato. U can use high protein diet exm. pannier, egg, chicken.Taking some dietary supplements helps in weight loss as well. I am suggesting a general diet and supplement for you. Sample Diet Plan Breakfast - Russian salad with boiled eggs and fish Lunch – green vegetable +salad +curd. Dinner - Paneer tikka with green chutney. snacks - Dry fruits and Nuts with green tea. Suggested Supplements Microfruit and Cytofresh tablets daily after breakfast Lipolyzer tummy tablet after lunch and dinner

1. Physiotherapy is the best option and treatment. 2. In Physiotherapy clinic take Ultrasound therapy. For 10 -15 days 3.Give good rest to your hand and elbow. 4.wear tennis elbow band. 5. Do not lift anything with this hand and do not do exercise.

Hello First of all you should take rest for 1-2 days so that your body can fight with underlying infection with its full immunity and start the below medication:- TakeRhus tox 200, twice daily . Take Eupatrium perf 200, 5 drops thrice daily. Take Antifebrinum 3x, 2 tabs , thrice daily. Take Alfavena malt, 1 tsf, thrice daily. Drink lots of water and take light homemade food like dalia and khichdi, avoid oily, spicy, fried, junk and cold drinks. In case of high uncontrollable fever, don't panic you should do cold sponging to lower down the temperature.If fever does not goes then go for a set of blood tests. Revert me with feedback. Take care of your health.GOOD DAY.

Blood test for rheumatoid arthritis can be positive in 10% normal population. Only blood test doesn't indicate rheumatoid.

Hello, please send me your all investigation report to rule out whether it is ldp (lumber disc prolapsed) or anything else. This is may be due to overweight or deficiency of vitamin d3 and calcium or due to poor posture. Till then follow these advises:- 1. Take calcium supplements and sun bath daily to prevent further damage to your joints. 2. Avoid heavy lifting. 3. Avoid squatting and weight bearing activities. 4. Use western toilet. 5. Wear shock absorbing, good quality of shoes while walking. 6. Keep roll of a towel under your knees while sleeping. 7. Perform some gentle exercises and stretching of your all joints before getting out of your bed. 8. Walk straight with shoulder protracted. 9. Perform deep breathing exercises or yoga for proper functioning of lungs. I will explain you stiffness and pain reducing techniques in the next session. Wish you a happy and pain free life thanks.

You should take Acupressure therapy and take Biochemic Nat mur 200x+Kali phos 200x , 4 tab each thrice a day with warm water and take it 5day and consult private online.

Stop using indian toilet and do knee muscle strengthening exercise. Thanks and regards Dr. Ritesh kharnal

It needs to be investigated. Investigations advised - hb, tlc, dlc, esr, sugar f & pp, uric acid, vit d3 urine r/e x ray 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 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. 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.

2. Rhus tox 0/2 once a day for 4days Ruta 200 as above Sympht 200 as above Hyper200 once day for 5days Bell3 c liquid 4tims day