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Ortho Care Clinic

Orthopaedic Clinic

Shirish Kunj, Plot 12 B, Anand Vihar Society, Khar, East Medinipur Mumbai
1 Doctor
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Ortho Care Clinic Orthopaedic Clinic Shirish Kunj, Plot 12 B, Anand Vihar Society, Khar, East Medinipur Mumbai
1 Doctor
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About

We like to think that we are an extraordinary practice that is all about you - your potential, your comfort, your health, and your individuality. You are important to us and we strive to ......more
We like to think that we are an extraordinary practice that is all about you - your potential, your comfort, your health, and your individuality. You are important to us and we strive to help you in every and any way that we can.
More about Ortho Care Clinic
Ortho Care Clinic is known for housing experienced Orthopedists. Dr. Shirishkar Rajesh Balkrishna, a well-reputed Orthopedist, practices in Mumbai. Visit this medical health centre for Orthopedists recommended by 76 patients.

Timings

MON-SAT
10:00 AM - 07:00 PM

Location

Shirish Kunj, Plot 12 B, Anand Vihar Society, Khar, East Medinipur
Khar Mumbai, Maharastra
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I have been suffering from backache for 5 years I got lots of treatment but still not well.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have been suffering from backache for 5 years I got lots of treatment but still not well.
Postural Correction- Sit Tall, Walk Tall. Extension Exercises x 15 times x twice daily - lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times. Bhujang Asana -- Lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily. Core Strengthening Exercises- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day.
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I love to play cricket and I am a bowler but when I throw ball a pain is shown in my shoulder, thereafter I can, t throw any ball, so please help and tell me what is the way to stop it.

BPT
Physiotherapist, Delhi
I love to play cricket and I am a bowler but when I throw ball a pain is shown in my shoulder, thereafter I can, t th...
- avoid any jerky movement to shoulder. Use taping therapy in physiotherapy as even you play it support your joint. - consult physiotherapist to know strength of your shoulder muscles acc to that physio will tell you various strenggening exercises by use of theraband or weight cuff. - use hot fermentation.
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Hi doctor am 41 years female having back pain in my lower back, after consult with doctor, he advised for ultrasound, tyriod,calcium ,blood test.

Radiologist, Delhi
Hi doctor am 41 years female having back pain in my lower back, after consult with doctor, he advised for ultrasound,...
Hi Ms. lybrate-user Back pain can due to many causes. Thats why thorough investigation is required. Apart from these tests, undergo an Xray LS spine- AP and lateral view also. Further management of pain can be decided after reports of these tests. Till then, you will have to manage your pain by painkillers and moov/ volini gel.
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Sir, my mother is 50 years old. She has backache due to disc problem. She haa been used more medicine since a ten year.

BHMS
Homeopath, Raebareli
Sir, my mother is 50 years old. She has backache due to disc problem. She haa been used more medicine since a ten year.
It need correction by either surgery and or she needs to wear the special ortho-belt designed for such patient. She need not to stand for long at a stretch. Also her food should be such which does not increases her body weight. Do hot and cold compresses alternately Take Mag Phos 6x - 4 tabs thrice daily with warm water as a initial treatment strategy Continue treatment.
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I have back pain in upper right side and also in breast. Is that really a problem. There is no lump in breast.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
I have back pain in upper right side and also in breast. Is that really a problem. There is no lump in breast.
As you are above 40 I would advice get a Mammography and ultrasound both breasts and axilla done to be sure there is no concern.
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Effective Management of Rheumatoid Arthritis

MBBS, MD - Medicine, ACLS, POST GRADUATE COURSE IN RHEUMATOLOGY
General Physician, Jaipur
Effective Management of Rheumatoid Arthritis

Over time, our joints, connective tissues and muscles go through a lot of wear and tear. Additionally, certain conditions may also cause problems, including inflammation and conditions that create persistent pain. These conditions usually fall under the broad category of arthritis, which can be of many types. Rheumatoid arthritis (RA) happens when your immune system targets your joints and causes inflammation. RA influences the joints on both sides of the body, for example, both hands, wrists and knees. This symmetry separates it from other kinds of arthritis. It can affect the skin, eyes, lungs, heart, blood, or nerves.

Various signs of inflamed joints are as follows:

  1. Stiffness: Functioning of the joints becomes rigid and doesn't move properly. It is particularly severe in the morning. While those with different types of arthritis have stiff and immobile joints in the morning, people with rheumatoid arthritis take over 60 minutes before their joints feel free.

  2. Swelling or Inflammation: Liquid enters the joint and gives rise to inflammation.

  3. Extreme pain: Irritation inside a joint makes it painful and delicate even to touch. In a chronic condition, this may also lead to fractures.

  4. Redness and warmth: The joints might appear hotter and more pink or red than the skin around it.

Needless to say, your lifestyle choices affect all aspects of your physical wellbeing, and that also include your joints- especially if you are suffering from arthritis.  It’s a common theory, that joints which are strained and stressed by bearing the burden of extra pounds show more inflammation, wear and tear and stiffness which lead to aggravation of arthritic pain. Here are a few holistic approaches to consider; certain changes in your existing lifestyle that can help you to reduce your arthritic pains:

  1. First and foremost, it’s important that you must indulge in plenty of exercises every single day, to keep pounds off and thus help yourself handle this degenerative disease.
  2. In case of creating a healthy diet plan, stick to low calorie and low carb foods. Also be sure that you are consuming lots of vegetables and fruits in your diet. This also helps you to keep fit and put a break on the obesity factors that are detrimental to your health.
  3.  As even a few extra pounds can worsen arthritic pain, keep track of your weight and talk to your orthopedic doctor to determine your optimal and healthiest weight. Focus on this prescribed weight coefficient and keep tracking your weight loss patterns unless you have reached your goal.
  4. Cut down on alcohol. There has never been a finer alternative to that. 
  5. Feeling depressed or stressed by arthritic pain is a common syndrome among arthritic patients. Nevertheless, on the flipside, such reactions actually worsens the agony of this disease and inhibit you from doing what you need to do, such as taking medications and exercising to keep yourself fit at the end of the day. 

Although admittedly, making drastic modifications in your lifestyle can be painful and difficult at first, these are the best remedies for easing arthritic pain in a natural way.
Don’t just rely on medications, take control of your disease in a holistic manner and you’ll soon find yourself in control of your life again.

Lifestyle Changes

Being overweight is a large risk factor for osteoarthritis because it puts a large amount of stress on weight-bearing joints. This damage is largely preventable by losing excess weight and increasing safe activity. Exercise (as long as it does not put dangerous strain on the joints) will improve your muscle strength. Strong muscles will support your weight-bearing joints and ultimately lower the chances of the negative symptoms of OA. Regular exercise can help prevent and reverse these effects. Several different kinds of exercise can be beneficial, including range-of-motion exercises to preserve and restore joint motion, exercises to increase strength (isometric, isotonic, and isokinetic exercises), and exercises to increase endurance (walking, swimming, and cycling). Exercise programs for people with rheumatoid arthritis should be designed by a physical therapist and tailored to the severity of your condition, your build, and your former activity level. Getting a sufficient amount of rest is also necessary for management of OA symptoms. 

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How Ayurveda Can Help You Treat Back Pain?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Chitiradurga
How Ayurveda Can Help You Treat Back Pain?

A painful, common condition that affects the lower part of the spine is termed as back pain. It is mostly caused by strain (muscle injury) or sprain (ligament injury). Some other causes include poor posture, improper lifting, fracture, infrequent exercise, arthritis or a ruptured disk. Usually, pain in the lower back is the only symptom.

Conventional treatment for back pain often includes
1. Traction
2. Non-steroidal anti-inflammatory drugs
3. Weight control

If these treatments fail, then the only option left is surgery. Either discectomy (surgical procedure to relieve pressure in the disc by removing the gel-like substance in the disc) or foraminotomy (surgical procedure to expand the gaps through which the nerves pass) is performed.

However, conventional therapy usually has side-effects and only manages to suppress the problem, not cure it. If you seek a cure, Ayurveda is an excellent option. Usually, Ayurvedic remedies are non-invasive, natural and can be arranged at home.

Here are some great Ayurvedic treatments:
1. According to the principles of Ayurveda, imbalance in the doshas can lead to problems in the body. The goal of Ayurveda is to balance the doshas and heal the body from the inside. So a lot of Ayurvedic treatments comprise of foods that need to be consumed for the body to heal. For example, you can blend wheat, coriander powder, khuskhus powder and milk together, boil it for twenty minutes and then consume it at room temperature. This will relieve your pain.
2. Another thing you can do is fry garlic in coconut oil and then use the oil to massage over the affected areas on your back.
3. To restore the damaged dosha, daily purgation is suggested.
4. Practicing Yoga can go a long way in managing your pain as well. In Ayurveda, pain is seen as a result of exerting yourself too much, either emotionally or physically. If your spine needs strength, your mind must be strong first of all. So, firstly, your mind needs balance before you can focus on the affected areas. When doing Yoga, start with easy postures such as back-bends. Consult a yoga therapist or teacher before you start doing any yoga posture.

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Knee Pain - It Could Be A Sign Of Arthritis!

M. Ch. (Ortho), MS - Orthopaedics, MBBS
Orthopedist, Delhi
Knee Pain - It Could Be A Sign Of Arthritis!

If you are suffering from arthritis, it is important for you to know about how it affects your knee and other joints. Arthritis is a chronic, systematic inflammatory disease which damages your joints and connective tissues. Your knee is commonly affected by arthritis and there are three primary types of arthritis that occur in the knees. They include osteoarthritis, rheumatoid arthritis and post-traumatic arthritis.

Types of arthritis 
The different types of arthritis affecting the knees occur due to different reasons. Osteoarthritis is a progressive condition, which wears away the joint cartilage over time. Rheumatoid arthritis is an inflammatory condition, which may occur at any age. Post-traumatic arthritis occurs after an injury is inflicted to the knee and may occur several years after a ligament injury or knee fracture.

Major symptoms

  1. Arthritis pain may occur all of a sudden, but commonly develops slowly. In the early stages, the pain is observed in the morning after you have been inactive over the night. Pain is likely when you want to move around. Pain may be experienced even when immobile.
  2. Periodic inflammation is a common symptom of arthritis of the knee. This happens because of the formation of bone spurs or excess fluids in your knee. The swelling gets pronounced after being inactive for a long period. The skin on your knee may look red and feel warm while you touch it. This may lead to chronic inflammation, which is very difficult to manage.

Treatment
There are several ways of treating knee arthritis. The mode of treatment depends on the severity and cause of knee arthritis. NSAIDS or nonsteroidal anti-inflammatory drugs are commonly prescribed for dealing with arthritis pain temporarily. Other medicines used for knee arthritis treatment are as follows:

  1. Analgesics, which help in pain reduction act as good alternatives to NSAIDS.
  2. Corticosteroids are used for reducing inflammation.
  3. Certain DMARDs or disease-modifying antirheumatic drugs are used.

Certain injections that are used for helping with knee arthritis. They include:

  1. Corticosteroid injections also soothe inflammation and pain.

You may also require a surgery for dealing with knee arthritis when other modes of treatment fail. The most common surgeries are as follows:

  1. Total joint replacement, where your knee is replaced with a prosthetic made of metal, plastic or ceramic.
  2. Osteotomy, where the knee bones are modified for controlling pressure and damage in the knees.

It is recommended for you to consult a doctor, if you experience any symptom of knee arthritis. Early treatment will prevent the condition from worsening.

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Osteoarthritis - Top Signs You Are Suffering from It!

MBBS, MD - Internal Medicine, Fellowship in Rheumatology
Rheumatologist, Khammam
Osteoarthritis - Top Signs You Are Suffering from It!

Osteoarthritis is the most common form of arthritis and can affect any joint of the body. Typically, the joints of the hands, knees, hips and spine are worst affected. This degenerative condition occurs when the cartilage cushioning the bones of a joint wear out. This causes the bones to grind against each other when moving the joint. The effects of Osteoarthritis cannot be reversed, but with medication and lifestyle changes, it can be managed and the progression of the disease can be slowed down. In cases where the joint pain causes immobility, joint replacement surgery may also be considered. One of the key factors that affects how well this pain is managed is the early diagnosis of the disorder. Here are a few symptoms that you should look out for.

  1. Pain: Unexplained pain that is not triggered by any kind of injury can be a sign of osteoarthritis. This pain usually worsens with movement. You may also feel a grating sensation when an affected joint is moved.
  2. Joint stiffness: Movement after a long period of inactivity or on waking up in the morning can be stiff and you may not be able to move a joint through the full range of possible motions. The joints may also feel tender when pressure is applied on them.
  3. Bone spurs: Bone spurs are extra bone growths which feel like hard lumps. This is generally formed around the affected joints.

Some people are at a higher risk of suffering from this disorder than others. The risk factors that determine this include:

  1. Age: This disease usually affects elderly people and hence advancement in age increases the risk of this disease.
  2. Sex: Women are at a higher risk of suffering from osteoarthritis than men.
  3. Obesity: Weight gain not only affects the way you look but also puts extra pressure on your joints, especially the hips and knees. In addition, proteins produced by fatty tissues can also cause inflammation around the joint.
  4. Joint injuries and bone deformities: Though an injury may have occurred and healed many years ago, it can increase a person’s risk of osteoarthritis in their later years. People born wiCalcium - 10 Excellent non-dairy foodsth defective cartilage or malformed bones are also at a higher risk of suffering from this condition.
  5. Occupation: Jobs or tasks that put stress on a particular joint can increase the risk of damage to the cartilage in that joint. Performing these tasks repeatedly can eventually lead to osteoarthritis.
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My mother is suffering from back pain in left side upper and lower (initially pain was in upper left side, pricking pain. X-ray was taken and administered physiotherapy but even after One week of physiotherapy, the pain is not reduced. Kindly tell the right treatment to be done.

BPT
Physiotherapist, Delhi
My mother is suffering from back pain in left side upper and lower (initially pain was in upper left side, pricking p...
- what treatment in physiotherapy has been given? - do contrast bath - dip and squeez hand towel in hot water and apply on affected area, when it cools down than immediately appply cold water with ice in it. Repeat this for 10- 15 min for 2- 3 times daily. - in physio thake - us, ift, tapingtherapy - stengthening exercises for back and lower leg by weight training or use of theraband.(this is done only she is able to do all exercises of back without any pain and difficulty) - precautions: 1 avoid any weight lifting 2 avoid any jerky mov 3 avoid forward bending of spine 4 take side turns whike cominv out of bed from lying position to siiting. - consult good physiotherapist for full muscle assesment and treatment. - exercises change according to increase in muscle strength. Do take therapy for atleast 20 days.
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I am suffering from knee pain in right side leg. Full legs muscle and vain also pain very hard. What can I do. Please suggest me.

BPT
Physiotherapist, Delhi
I am suffering from knee pain in right side leg. Full legs muscle and vain also pain very hard. What can I do. Please...
- Osteoarthritis Knee Pain Dos and Don’ts: - You can do many things to help knee pain, whether it's due to a recent injury or arthritis you've had for years. 1 Don’t rest too much. Too much rest can weaken your muscles, which can worsen joint pain. Find an exercise program that is safe for your knees and stick with it. If you're not sure which motions are safe or how much you can do, talk with your doctor or a physical therapist. Do exercise. Cardio exercises strengthen the muscles that support your knee and increase flexibility. Weight training and stretching do, too. For cardio, some good choices include walking, quads exercises( u can search in net). 2 Don’t risk a fall. A painful or unstable knee can make a fall more likely, which can cause more knee damage. Curb your risk of falling by wearing knee cap whike walking in house or outside home.can be taken out when u go to sleep only. 3 Do use "RICE." Rest by not standing fir prolonged time, ice, compression by bandage, and elevation (RICE) is good for knee pain caused by a minor injury or an arthritis flare. 4 Don't overlook your weight. If you're overweight, losing weight reduces the stress on your knee. You don’t even need to get to your "ideal" weight. Smaller changes still make a difference. 5Don't be shy about using a walking aid. A crutch or cane can take the stress off of your knee. Knee splints and braces can also help you stay stable. 6Do consider acupuncture. This form of traditional Chinese medicine, which involves inserting fine needles at certain points on the body, is widely used to relieve many types of pain and may help knee pain. 7Don't let your shoes make matters worse. Cushioned insoles can reduce stress on your knees. For knee osteoarthritis, doctors often recommend special insoles that you put in your shoe. To find the appropriate insole, speak with your doctor or a physical therapist. 8 in physio u can ask for us , ift, taping therapy , other rechniques , strengthening exercises knee and leg muscles by use of weight cuff or thera band. 9 check for uri acid level, vit d deficency
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She (is 70 years old) is getting pain in ankle while walking, can you give suggestions or else I want to see a doctor?

MBBS,Doctor of Medicine, CCH
General Physician, Bhopal
She (is 70 years old) is getting pain in ankle while walking, can you give suggestions or else I want to see a doctor?
You can try hot fomentation and limb elevation. Avoid putting weight on the limb. Apply crepe bandage during waking hours. You can give a mild analgesic like Paracetamol.
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Hi sir /madam my mom is having gout arthritis whats the remedy for this arthritis please suggest my mum s having knee pain for that we have done blood test in tat confirmed gout arthritis.

BPT
Physiotherapist, Delhi
Hi sir /madam my mom is having gout arthritis whats the remedy for this arthritis please suggest my mum s having knee...
- take medicine for gout - also check for vit d deficiency - knee exercises- with knees straight and back supported keep towel roll under knees and press it for 30 sec and after it rekeive pressure. Do this for 10 times atleast for 2- 3 times daily - do contrast bath prior to exercise to releive muscle - ankle pumps - apply taping therapy to support her knees. Exercises change acc to gain in muscle strength. Tgere strengthening exercises by weight cuffs or by theraband .continue exercises throught out life as if your leave them after getting pain releive, your muscles will revert back. - you can also take us, ift by physio to releive pain.
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From few days there is some unusual moments in muscles in my shoulder ball area It is happening 2-3 times a hour Is it nothing worth caring of? I had not joined any gym yet.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
From few days there is some unusual moments in muscles in my shoulder ball area
It is happening 2-3 times a hour
Is i...
Hot Fomentation. Gentle Shoulder Stretching. Core Strengthening Exercises. Gentle Neck Exercises. Avoid sleeping on affected side.. Warm up and cool down is a must.
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My question is, I am feeling lower back pain from one week, when I sit I feel relax but when I walk I feel some pain not severe I can bend down not so much pain .I can do any thing .I also go gym doing some stretches from one week .my pain starts when I take Ayurvedic medi. For energy name sexveda in this this med. The ingredients are 1.swarm bhasam, rajat bhasam, tamra bhasam, kounch ext, shatavari ext, saved Muslim, ashvagandha,akarkara .this med. I take only 20 days now I stopped .I have doubt that this med. Is not right for me pls. Tell me is my back pain due this med. Or some thing else.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
My question is, I am feeling lower back pain from one week, when I sit I feel relax but when I walk I feel some pain ...
Apply Hot Fomentation twice daily. Avoid bending in front. Postural Correction- Sit Tall, Walk Tall. Extension Exercises x 15 times x twice daily - lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times. Bhujang Asana -- Lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily.
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Doctor sir, My wife complains about localized ankle pain when she walks after long sitting posture or particularly in the morning time after wake up. However, gets relieved after few steps. She had no ankle injuries. What could be the reason and how to get rid off this pain? Pl suggest home remedies. Thanks In advance.

BPTh/BPT, MPTh/MPT
Physiotherapist, Pune
Doctor sir, My wife complains about localized ankle pain when she walks after long sitting posture or particularly in...
The pain might be because of calceneal spur, ask your wife to go to physiotherapist and take 5-7 sessions of ultrasouund therapy. And exercises for foot muscles. In home you can put you feet in warm water. And before getting up from bed do some streching exercises. Hope she feels better soon.
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I am 23 years old male. I have inflammation on my Knee and foot joint on left leg. Due to flat foot my right foot also paining. After taking my blood report My C.Reactive protein is 106.60 mg/L. How to control my CRP? What are the food items I will take? What are the thinks I will do? Let give me proper ans sir.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am 23 years old male. I have inflammation on my Knee and foot joint on left leg. Due to flat foot my right foot als...
Avoid sitting Cross legged. 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.
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5 Ways For Quick Recovery From Fracture

MBBS, Diploma In Orthopaedics (D. Ortho), DNB - Orthopedics, mch
Orthopedist, Delhi
5 Ways For Quick Recovery From Fracture

Even though we have 206 bones in our bodies, breaking just one is enough to bring our daily lives to a standstill. A partial or complete break in a bone is termed as a fracture. While minor fractures can heal in as little as 6 weeks major fractures can take 3-4 months to heal properly. In cases of complex fractures, you may need physical therapy even after this time period to get back complete mobility. Hence patience is essential when a fracture is healing, but here are a few tips on how to speed up the process.

  1. Increase your protein intake: Proteins are essential for the healing and repairing of damage to bones and tissues. Proteins also give the bone structure its strength, Hence, depriving the body of adequate protein will result in the formation of soft bones rather than hard, strong bones. This prevents a bone from fracturing in the same place again.
  2. Have a diet rich in antioxidants: Inflammation is one of the first symptoms of a fracture. This inflammation can continue for many days after the incident and until the inflammation reduces, healing cannot take place properly. Antioxidants help rid toxins from the body and help reduce inflammation thereby initiating the healing process. Antioxidants can also help relieve pain.
  3. Exercise: While you must take care not to apply too much pressure on the affected area it is essential to move the limb as much as possible. Being active promotes blood flow and in this way speeds up the healing process.
  4. Avoid alcohol and caffeine: In most cases, a doctor will prescribe pain relievers to deal with the pain of a fracture. Under no circumstances should you consume alcohol when taking these medications. Even after the antibiotic course is over it is a good idea to abstain from alcohol as this can increase inflammation. Similarly, caffeine and all caffeinated products should also be avoided as they contain compounds that can prevent calcium from being absorbed.
  5. Have an alkaline diet: Having an alkaline diet with lots of fruits and vegetables helps stabilise the pH levels of the body and conserves minerals and proteins needed to build strong bones. In this way, it creates the optimal environment for healing. An alkaline diet also increases the production of growth hormones and other growth factors like IGF insulin in the body. These are crucial to speeding up the healing process and aid in new bone formation. If you wish to discuss about any specific problem, you can consult an orthopedist.
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Sir/mam I have very hard pain in my both shoulders from one week please give me tips or medicines to overcome this problem.

DHMS (Hons.)
Homeopath, Patna
Sir/mam I have very hard pain in my both shoulders from one week please give me tips or medicines to overcome this pr...
Hello, Lybrate user, It might be due to spondylitis or postural deflect. Rotate your shoulders clockwise & anticlockwise. Tk, Rhus tox 200-6 pills thrice. Avoid, cold intake, lifting weight, jerks. Tk, care.
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My age is 30 sexually active don't smoke and drink during early morning my legs are pulling away from body. Kindly suggest medication.

MD - Alternate Medicine, Doctor of Homeopathic Medicine (H.M.D.)
Homeopath, Delhi
My age is 30 sexually active don't smoke and drink during early morning my legs are pulling away from body. Kindly su...
Discorea 12x, 4 times a day. For 1 week then Discorea 30, 4 times a day should see you through. If you wish you may contact me on my online private consultancy.
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