Dr. Dilip Tanna

Hi lybrate-user, it seems you have pain at jaw & neck. I'd advise you to proceed ahead in this manner. First comsult a cardiologist to rule out any cardiac issue (i know you have done 2d echo, but sometime there is transient vasospastic angina which can give rise to such pain & echo can still be normal. Best way to rule out any cardiac pathology is to get dobutamine stress echo done, which will show any positive cardiac issue, which is missed in standard echo or even angiography). Once you have ruled out cardiac pathology then your pain could be due to cervical nerves (facet median branch or even disc herniation at lower cervical spine mainly c7/t1 nerves) or some other neural problem such as atypical facial/non facial neuralgia, which can only be confirmed on clinical examination, proper history & radiological investigation. For same you visit interventional pain specialist for proper diagnosis & further treatment. Hope it helps your query.

Please ask your mom to continue to use the involved shoulder and extremity as much as possible given her pain and range-of-motion limits. Applying heat or cold to her shoulder can help relieve pain. A physiotherapist can teach her range-of-motion exercises to help recover as much mobility in the shoulder as possible. Her commitment to doing these exercises is important to optimize recovery of her mobility. Most frozen shoulders get better on their own within 12 to 18 months. For persistent symptoms, go to a orthopedic doctor who may suggest: steroid injections or shoulder manipulation or surgery. Best wishes.

Take Calc Phos 6X three times in a day for 1 week. For further proper management...please consult properly in a systematic manner...

: keep your leg raised while sitting or lying quadriceps strengthening exercises- quad clenches: lie flat on your back or sit upright on a chair with leg kept horizontally on another surface. Now, tighten the muscle on the front of the thigh by pushing your knee down. You should feel your thigh muscles clench, hold for 3 secs. Repeat 10 times twice a day. Short arcs: lie flat on your back or sit upright with your leg placed horizontally on a flat surface like a chair or bed. Place a rolled up towel under the knee. Pull your toes towards you and clench you thigh muscles. Slowly lift your foot up off the bed until your knee is straight (keep your knee resting on the towel). Hold for 3 secs and slowly lower them on the chair. Repeat 10 times twice a day. Straight leg raise: lie flat on your back. One leg and knee will be straight and other leg should be bent. Pull your toes towards you and tighten/clench the muscle on the front of the thigh, locking your knee straight. Lift your foot up in the air, about 6 inches off the bed. Hold for 3 secs and slowly lower the leg. The knee must remain straight the whole time you are doing this exercise. Back 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. Core strengthening exercises- straight leg raised with toes turned outward, repeat 10 times, twice a day.

Hello with out proper consult. I can not give any advice. But for initial perpose use hot compression on low back. Avoid forward bending and weight lifting from ground and consult me after 15days.

Hi. Lies down on hard surface on your back. Put a tennis ball on your trigger point. And roll for 5 minutes initially you got pain. After then you can relief .If still persist. U can go for physiotherapy.

Hello . I think you are having a meniscal injury. Do you have any fall or twisting injury? do you have swelling? give rest to your knee apply ice and take some painkillers. Take out a xray of knee and feel free to share it with me.

hello try to stop watching TV prolong do hot fermentation daily 15 min twice a day do stretch followed by hold and relax

If you quit masturbation automatically backache and problems related to it will get solved. Following measure will help you to boost up your confidence and to reduce the frequency of masturbation  1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) Take high protein diet rich in vegetables and fruits and Vitamin A, C, D, E. And Zinc 3) Take anti oxidants like Almonds 5-6 everyday. 4) Avoid alcohol and smoking. 5) Get yourself engaged in some activities like reading, sports. Listeneing to music so that you will not get free time to masturbate. 6. Homoepathic treatment helps to by rid of masturbation as well as side effects of masturbation.

Hi Thanks for your query and welcome to Lybrate. I am Dr. Akshay from Fortis hospital, New Delhi. You are very young to actually have persistent back pains. 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. You can also discuss your case and treatment plans with me in a greater detail in a private consultation. Thanks & Regards Dr Akshay Kumar Saxena Consultant Orthopaedics Fortis Hospital, New Delhi