Dr. Dinesh Kasture

Hi Thanks for your query. I am Dr Akshay from Fortis Hospital, New Delhi. Hi Ahmad these are all your MRI findings, Need to understand ACL laxity and attending knee instability, and tests for acl and meniscus both, should get a consultation and detailed examination from an Arthroscopic surgeon for an opinion whether you need Arthroscopy or not. Do not hesitate to contact me if you need any further assistance. Thanks & Regards Dr Akshay Kumar Saxena

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

Get x rays both knees AP and lateral views and serum vitamin D and uric acid levels(blood tests) and revert back with reports.

Dear lybrate user, neck pain is very common. It is due to wrong posture of sleeping or sitting. You must take physiotherapy or you should do neck exercises. For immediate relief you must do massage of neck muscles. Do not take thick pillow.

dear lybrate user avoid exposure to sun light ,use sunscreen ,drink plenty of water, have fresh fruits, vegetables. take homoeopathic medicine if needed. thanks

Sleep on a hard bed with soft bedding on it. Use no pillow under the head. Kindly take biod3 max 1 tab dailyx10 paracetamol 250mg od & sos x5days do back (spine)/shoulder/knee exercises make sure you are not allergic to any of the medicines you are going to take do not ignore it. It may have to be further investigated. It could be beginning of a serious problem. If no relief in 4_5 days, then inform again.

Hi. The symptoms mentioned by you, could be related to kidney-stone. Consult your concern physician from where you are taking the treatment.

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. Back Stretching- lie flat, pull one of the knee forward to chest, hold for 3 seconds, then bring the other knee forward to the chest and again hold for 3 seconds. Then pull both knees towards the chest and hold for 3 seconds. Repeat 10 times each exercise twice a day. Do the cat/cow stretch. Get on all fours, with your arms straight and your hands directly under your shoulders; your knees hip-width apart.

You can take multivitamin tablet daily , to remain active Avoid fried fatty processed and sugary food Avoid cold drinks , packet juices completely Have plenty of green leafy veggies n fruits Exercise for one hr daily

Hello Linu. Thank you for your question. There are stages of disc bulge. In last two stages surgery is required. In some cases physiotherapy can cure the problem by manual therapy. Some exercises in physiotherapy can help regain disc to its original position. I hope this will help you.

Upload the mri pics I can help you with the treatment. Reply and consult privately to have a detailed discussion to solve your problem.

This could be Tennis elbow. Avoid painful acts Any way take Caldikind plus (Mankind)1Tab ODx10days Paracetamol 250mg OD & SOS x 5days Contact me again if need be. Make sure you are not allergic to any of the medicines you are going to take.

If possible take hot formentation not more than 10 min and do not sleep on that side for a few days. If pain persists post a query again.

No 1: Rotator Cuff Isometrics Ok, I'm cheating here with my No 1 exercise as it's really three exercises, but the simple, basic isometric exercise is too often over looked and under used. This is a shame as I find it very effective in reducing a lot of shoulder pains in many people that it rightly deserves my No 1 spot despite them being perceived as boring and simplistic nature. Although recently they are gaining some popularity and credibility again. Isometric exercises for those non therapists reading, is when a muscle/tendon is asked to contract but there is no movement of the joint and so no change in the length of the muscle/tendon, just like when you flex your pecs and biceps in the mirror after a shower… No! just me that does that then, ok moving on…! In my clinic I see a lot of people with acute shoulder pains brought on usually after an increase in activity, sport or training and most I beleive have a reactive cuff tendinopathy. Most of these shoulders have quite high pain levels for the first few weeks and we know that isometrics are great for reducing pain (source) and they do produce some significant forces and tension in the cuff, so can be thought of beginning the needed loading program. There are lots of variations and I don't think it matters too much how you do them, it's more important how hard and how much you do them, more on this in a bit. The isometric exercises I usually give are a'Back of the hand Wall Press' used when I suspect a more superior cuff tendinopathy, it's done simply by standing next to a wall and pressing the back of the hand into the wall in the scapular plane (called Scaption) at approx 30° of abduction.

Take muscle relaxants for a week and do leg stretching and back strenghthening exercises. If the back pain still does not go, you should go for further investigations ie xray and mri. Avoid heavy work like weight lifting.

apply volini gel on neck. do warm fomentation. do neck muscle exercises in pain free period. avoid high pillow.

According to ayurveda you r suffering from sandhi vata. Here I can only advise u. Massage with mahanarayan tail on affected parts followed by light fomentation. Multivitamin and calcium supplements daily.

Hello lybrate user, refrain from consuming pain killers (analgesics) as they may have side effects that you are not aware off. Hand pain may be due to fatigue, exhaustion due to your profession. Mention if the pain is associated with tingling / numbness and refer back. In that situation we may need to get some radiological assessment done. God bless you.

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. Dizziness should not be due to your back issue and for that you need to consult a neurophysician / general physician for further opinion. 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.

The best ayurveda herb for your case is Natural home remedy using wheat, coriander powder, cuscus powder and milk: 1. Soak 60 g of wheat in water overnight 2. Add 2 tsp coriander powder in the morning 3. Add 2 tsp cuscus powder 4. Blend this into a paste 5. Take 250 ml of milk in bowl 6. Add the mixture to the milk 7. Boil for 20 min 8. Eat this lukewarm Surely you will get results.