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I am getting gargling sounds in my spine which sounds like farting, it happens when I sit for a long period of time about 5-6 hour, if I change my position then it decreased, even my stomach and intestine make weird sounds, which sounds like crying and some time it sound like farting, entire process is very loud, painful and disturbing, I used to awaken all night and sit on chair without any support, my sleeping cycle has changed. I am unable to sit for long time if I sit for a long time the it start creating a weird loud sounds, what is the reason? Please let me know the treatment and solution for this problem.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I am getting gargling sounds in my spine which sounds like farting, it happens when I sit for a long period of time a...
It looks like you are anaemic. If you have back pain after you sit for long hours then it is due to your haemoglobin levels as it is important to check that. Anaemia always leads to the symptoms of being tired and also having back / leg pain though there may not be any pathological reasons for back pain. It looks like you are anaemic. And also you have to check with your vitamin and calcium, if the bones are weak then automatically the pain gets triggered more as there is less energy during any metabolic activity.
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In how many days, we should go to doctors for mallet finger injury after injury so, it can be done without surgery.

B.P.T, M.P.T(Orthopedics)
Physiotherapist,
In how many days, we should go to doctors for mallet finger injury after injury so, it can be done without surgery.
Respected Lybrate user. It depends on your interest. Need not to go for surgery. Untill or unless deformity formed. Or affects your daily activities. Please go and try the physical therapy treatment for your problem.
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Hi Dr. I had lower back left side muscle injury 2 years back. I couldn't stand straight and move during that period. I had complete bed rest for 4 days and took painkiller and Mr. tables. After that I could stand and it got cured. Now again I got same problem but less severe as I can't stand straight but can go for work with little bend. Now feeling bit ok after taking Mr. medicine. Can I apply volini gel on that area? Pl. Advise.

D.P.T, BPTh/BPT, MD Acupuncture
Physiotherapist, Hyderabad
Hi Dr. I had lower back left side muscle injury 2 years back. I couldn't stand straight and move during that period. ...
Check with mri if there are any soft tissue problems to avoid any more damage to muscles and nerves. Meanwhile you can apply diclofenac ointment to the area of pain and cover it with a cloth for 10 mins. Clean it with warm water following hot water fermentation, this process provides some quick relief from pain.
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In my left there is a injury in my ankle and near by fingers. This happened in june, becoz of exercise. After few days I consulted a orthopedic, he gave me some medicine and suggest for complete rest. I followed this for months but my leg didn't recover till now. I also consulted a physiotherapist ,he said that metabolite and some extra mass is deposited on muscles, so firstly he gave deep heating and then broke the extra mass by mobilization to free the muscles for faster recovery. But now Dr. is not treating well, swallowing is continue in leg. please suggest what to do.

BHMS
Homeopathy Doctor, Noida
In my left there is a injury in my ankle and near by fingers. This happened in june, becoz of exercise. After few day...
Leg swelling generally occurs because of an abnormal accumulation of fluid in the tissues of the lower extremity. Common causes of leg swelling include idiopathic edema (swelling of unknown cause), overweight, is older, salt retention, cellulitis, congestive heart failure, venous insufficiency, pregnancy, and medication side effects. Some tips that may help reduce swelling: 1.Put your legs on pillows to raise them above your heart while lying down. 2.Exercise your legs. This helps pump fluid from your legs back to your heart. 3.Follow a low-salt diet, which may reduce fluid buildup and swelling. 4.Wear support stockings (sold at most drugstores and medical supply stores). 5.When traveling, take breaks often to stand up and move around. 6.Avoid wearing tight clothing or garters around your thighs. 7.Lose weight if you need to.
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Since childhood, I have suffered from muscle and ligament injuries in all parts of my body from any slight movement, and with age (36) I became almost unable to move I have not done any investigations before for that is this happening due to a lack of a certain thing? Is there a treatment that I can use permanently? Male 36 year old 168 c 50 k.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Since childhood, I have suffered from muscle and ligament injuries in all parts of my body from any slight movement, ...
. Exercise helps maintain muscle tone. It also helps preserve and recover joint range of motion and function. Your doctor may recommend a physical therapist to design an appropriate exercise program. It is important to balance activity with rest. Although pain sometimes limits sports and physical activity, children with juvenile arthritis can often fully participate when symptoms are under control. Swimming is a particularly good exercise because it uses many joints and muscles without putting weight on the joints. In some cases, splints and other devices can help maintain joint alignment. Splints. Splinting is useful in children with juvenile arthritis, either at night or during the day, to reduce inflammation and prevent contractures. Splints (braces made of plastic or other materials) are often used in the arm and hand to prevent contractures of the fingers and wrists. Additional options. In addition to medications, warm baths or an electric blanket may help soothe sore joints.
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Injuries During Exercise - Tips To Help You Avoid Them!

MBBS, D (ORTHO), DNB (Orthopedics), MCH (Orthopedic), Spine Fellowship DePUY, Medtronics Spine Fellowship
Orthopedic Doctor, Delhi
Injuries During Exercise - Tips To Help You Avoid Them!
An injury during an intense work out session can occur anytime, irrespective of your fitness level or experience; the more common ones being wrist dislocation, knee or shoulder injury, muscle strain and many more. But you can certainly bring down your risks of sustaining these injuries only by adhering to certain precautions. If you are a man above 45 or a woman above 55, you need to consult your health care professional before starting with an exercise program.

Quick tips must always remember:

Every work-out should commence with a warm up and close with a cool-down activity. Warm-up makes you ready for your exercise as it slowly enhances your heart rate and loosens your joints and muscles, such as a quick 5 to 10 minutes burst of jogging. A cooling down exercise gets your heart rate back to normal, such as few minutes of walking.
Practise stretching as it adds to your flexibility and prevents injury.
When you begin a new exercise, do it with ease and then gradually raise your frequency, duration and intensity. Don t be so hard on yourself initially.
Bring about a variation in your movements. Do not just overuse the same set of muscles repeatedly or else you will be prone to injuries such as tendinitis (inflammation of the tendon that connects your bone to the muscles) and shin splits (acute pain in the lower leg).
Customize your workouts as per your problem areas and refrain from doing activities that hurt or put unnecessary strain on the body.
Remember you can stay fit without actually getting wounded. Take a day break from your work outs if you are injured. Remember, if you exercise even if you have been nursing an injury, it can be counterproductive to your health and general fitness goals. Take some time out to rest for a day.
Drink sufficient amount of water during, before and after your work outs. Opt for periodic small meals which fuel your body and replenish your energy.
Get yourself a trainer to guide you in your exercises and help you set a realistic and a safe exercise program.
Choose a proper outfit necessary for your workouts to avoid accidents from falls or weightlifting, for instance, wearing the proper shoes or gloves.
It is best to exercise 6 days a week as your body needs one day s rest to recover from the strain that you have been putting it to.
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I am 42 years old. I got calf muscle tear and doctor advised for bed rest 4 weeks. But almost 8 weeks completed and the pain is reduced to 50% but still not able to walk. As per the mri scan water formation in calf muscle and not sure what to do next. Kindly advised further.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I am 42 years old. I got calf muscle tear and doctor advised for bed rest 4 weeks. But almost 8 weeks completed and t...
Take rest and wear mcr chappals so that the body weight does't fall on the calf muscles while walking and moving around. Rest is the only medicine here and that's the permanent solution for the calf muscles to completely heal.
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I am 52 years old male. I have complaint of restricted movement of left hand since feb, 20. I consulted orthopaedic and as per his advise carried out mri and blood test. As per mri there miner mussel tear and slight uric acid increase. I have taken medicines & physiotherapy for one month but no relief. Please advise me further course of treatment.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I am 52 years old male. I have complaint of restricted movement of left hand since feb, 20. I consulted orthopaedic a...
This might be due to lack of blood circulation in the hands and we suggest to do contrast bath therapy ie. Immersing in cold/hot water in the interval of 3-5 minutes which will help you reduce the pain. If there is muscle tear then you have to apply pop by consulting a near by ortho doctor.
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Rotator Cuff Injury - How To Handle It?

MBBS, MS - Orthopaedics
Orthopedic Doctor, Ahmedabad
Rotator Cuff Injury - How To Handle It?
You must have often heard about sports person, especially those associated with tennis or baseball (that involves continuous arm movement) suffer from rotator cuff injury. But what exactly is this injury? To understand the condition better, you need to know what is a rotator cuff. A rotator cuff is a group of tendons and muscles that keep the shoulder joints stable enabling a person to rotate or lift their shoulders freely.

With time, certain activities may cause a wear and tear of the rotator cuff injuring them. The injury sustained can result from a partial or a complete tear.
A partial tear of the rotator cuff may damage the tendons, but it will remain attached to the bones. However, in the case of a complete tear, the injury is more severe that penetrates deep within detaching the tendons off the bone (humerus).

Who can suffer from a Rotator Cuff Injury?
While the condition can affect anyone, people under the following situations stand a greater chance of injuring their rotator cuff.

People in their old age may suffer from the Rotator Cuff injury as with age the tendons and muscles may undergo a degeneration.
The injury may also be genetically linked.
The problem is found to be common among tennis and baseball players.
Painters, as well as carpenters who need to move their arms and shoulders continuously in a particular direction, stand at a risk of injuring the rotator cuff.
Symptoms associated with a Rotator Cuff Injury
People with a Rotator Cuff Injury may exhibit the following symptoms and associated discomfort.

The rotator cuff ensures the free and comfortable rotation of the arm and the shoulder. An injury will limit this rotation. As a result, a person may experience great difficulty and pain in lifting and moving the arm.
Lying on the affected shoulder can be a painful experience.
There is instability of the shoulder joints followed by weakness.
A person finds it difficult to carry out the basic activities such as bringing a glass of water close to the mouth or combing the hair.
Treatment

Anti-inflammatory drugs and painkillers (Acetaminophen) may be used to reduce the pain and swelling associated with the injury.
Physiotherapy and various strengthening exercise can go a long way to deal with shoulder weakness, stiffness, and restricted movement. However, one needs to have patience as the treatment may take time to produce the desired results.
In extreme cases, the doctor may opt for surgery.
Arthroscopic surgery: The procedure is simple and involves a small incision on the affected shoulder to place an arthroscope (that comes fitted with a camera and the surgical instruments) to treat the condition.
The doctor may also carry out an open surgery or a mini-open surgery (an amalgamation of open and arthroscopic surgery) to fix the tear.
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