Dr. Manjeet Mundhe

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 contact me again. Contact your family doctor or nearest hospital for emergency help.

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.

Dear , Maintain some disciplines first: 1) Take plenty of water (more than 3 ltrs a day) 2) Take 1 or 2 fruits a day 3) Do aerobic exercise in the morning (30 mins of outdoor walking) 4) Avoid coffee, cigarette and other addictives 5) Sleep a a specific place at a specific time everyday. 6) Take your dinner well before going to bed.(At least 1 hr) 7) Don't engage yourself into vigorous activities at the evening. 8) Avoid watching TV at the evening and before going to bed. If you can adhere to these and still your problem doesn't solve, you can consult with me personally.

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 fomentation. 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 me.

Some signs of ligament sprain pain over side of ankle sudden giving way when walking on uneven surface pain on stretching or weight bearing try gentle flexibility and strengthening as tolerated ultrasound treatment and ice can help too. Gud luck.

Only disc buldge is not an indication for operation. Consult a good orthopaedic surgeon or a neurosurgeon

Hot and cold therapy has a tendency to reduce pain, assist with tissue healing, control swelling, and increase flexibility if used appropriately after an injury.

Apply hot fomentation twice daily. Avoid bending in front. Postural correction- sit tall, walk tall. Extension exercises x 15 times x twice daily. Bhujang asana. Core strengthening exercises. Back stretching. Do the cat/cow stretch.

Do passive movements of each joint of left hand twice a day Initiate ball squeezing activity Do clay activities then gradually move on to theraputty Active movements should be initiated followed by hand strengthening program

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. There are multiple causes of shoulder pain which can include issues in ligaments, tendons, bursa or the joint itself. I will advise you that if you have a localized pain in your shoulder without any history of recent significant injury or any associated swelling, redness or any other sign of infection or inflammation, then start with physical therapy, anti inflammatory medications and ice packs at home because most of these pains are due to tendinitis, bursitis or ligaments etc. See if your pain starts improving in 2-3 weeks time, then its ok otherwise I advise mri of the shoulder to see whats going on. Also try to avoid sporting activities using the involved shoulder, rest to shoulder is important. Do not hesitate to contact me if you need any further assistance.

For leg pain, please follow the below advise: 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.

Gentle massage over knees with lukewarm herbal pain relieving oils daily for about 15-20 minutes and hot fomentation afterwards will greatly help in subsiding the pain. These procedures would give strength to your knee and reduce the pain and stiffness. Regular oiling the joint will improve the lubrication also. Use knee caps over the joints and avoid over exertion of the joint. This will greatly help. Although some herbal medicines might also help you but after proper history taking.

Hi kindly rule out your diabetes, uric acid, calcium, vitamin d and other metabolic disorders. Best wishes.

Swelling in both the limbs indicates that you have a problem that concerns the entire body as opposed to a local problem which will lead to a local swelling only (like swelling in one leg only). In your case swelling may mean a lot of things but I am more worried about your kidney functions which can lead to such cases very frequently in diabetics and BP patients. Hence as a forthright advice - please get Urine ACR (albumin Creatinine Ratio) and KFT test from reputed standardised lab in your area.

LOW BACK PAIN PHYSIO BALL EXERCISE DEAR, 1…. The exercise ball is an exercise treatment option for back pain sufferers and is designed to help prevent or minimize further episodes of low back pain as part of a rehabilitation program. The exercise ball is effective in rehabilitation of the back because it strengthens and develops the core body muscles that help tostabilize the spine. With the exercise ball, also called a Swiss ball or physio ball, an element of instability is introduced to the exercise that one would not normally get in a floor exercise. The body responds naturally and automatically to this instability to keep balanced on the exercise ball. Over time, the muscles used to keep in balance on the exercise ball become stronger. In essence, individuals build strength in important back muscles and abdominal muscles without knowing it. •The exercise ball also uses what is called" proprioception, an awareness of where one's hand or foot is in relationship to space. The instability of the exercise ball provides the body with constant opportunities to evaluate its orientation in space, developing and training the body's natural awareness. Enhanced proprioception provides the body with increased balance and stability Simple and versatile way to start moving again after a back pain episode •Improved muscle strength •Greater flexibility and range of motion of the spine •Enhanced balance and coordination of core muscle groups used to stabilize the spine and control proper posture while using the exercise ball, which in turn reduces stress on the low back •Increased tendency to maintain a neutral spine position during exercise •In particular, many Swiss ball exercises are designed to bring movement to the spine in a controlled manner to help keep the discs nourished. Moving the vertebrae helps nourish the discs in the spine by increasing blood flow around the disc and by causing the water to flow in and out of the disc The exercise ball has additional applications in areas such as general fitness, strength or weight training, as well as exercise for pregnant women.

it is better to talk the in-charge doctor of you father for whatever you say so, after that you much do what the doctor said

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. Apply hot fomentation twice daily.

Dear reduce mobile use and stop mastrubation. Increase your physical activity and improve your diet.

If the stone is small, it will pass in urine automatically. If it is large causing obstruction, It has to be treated by surgery. Take CT scan Abdomen/USG kUB and consult urologist with report for advice and treatment.

Ayurveda believes it as a vitiated vata disease. Aama generated from the stomach blocks the way of vata. Hence vata is accumulated and blocked in specific areas of body and its most favorite sites are the joints of body. The blocked vata creates sharp pain with swelling and inability to move speedily. There are procedures like kizhi, abhyangam, vasti, pizhichhil and may others that help to balance vitiated vata dosha and eradicate the disease permanently. Avoid sour and spicy food like curd, tamarind. Regularize your eating habits. Do not drink water with meals.
Initial treatment requires around 45 - 60 days of panchakarma therapy along with internal medicines and diet, life style modification. After this phase only internal medicines are continued.

If patient can come for the treatment in early stages, even total cure is also possible.

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