Dr. Meena Suren Kothari

DEAR Lybrate USER. You have to follow some basic things so that you get better results in a short period of time. …. 1) take solid diet two times in a day and liquid diet two times in a day …2) drink only 100-150 ml of lukewarm water during meals …. 3) don’t drink water before meal for one hour and one hour after meal…4) avoid oily, spicy, junk, fermented and stale foods…. 5) avoid late night sleeping habits …6) avoid coffee and tea…. A) take 30ml of triphala juice and 10 ml of honey early in the morning on empty stomach and at night before sleep. B) take 2-2 tablets of lakshyadi guggul and vasantkusumakar rasa early in the morning on empty stomach with triphala juice…. C) take 10 gm of black cumin seeds along with 10 gm of jiggery after meals…. D) apply equal quantity mixture of fresh lemon juice and aloe vera juice on the roots of hairs…. Leave it for 30-45 minutes…. After that wash hairs with ROOTZ SHAMPOO (rajah ayurveda)…… do all things for 30 days. These things are much more effective. Consult to me for further suggestion. THANKS.

You can take it once a month regularly. Alternate solution is sunlight exposure daily at afternoon 11am to 2 pm for 15 to 30 minutes depending upon exposure. Direct exposure to skin is required not through clothes.

You should go for complete hand rehabilitation for atleast 3 months. If you are in mumbai, visit my clinic or else you can also visit a good physiotherapy clinic near your locality.

It is mental trauma to her & may be reaction to guilt. Assure her and do not make her remember of that incident. Give warm love to her and make her realize you are with her. You can take help from psychiatric doctor or psychological councelling from psychologist.

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.

Try these range-of-motion exercises to keep hands, fingers flexible and to ease pain in the fingers and in the hands overall: Close your fist and then gradually open your hand, stretching your fingers out, then close slowly into a fist again. Make circle motions with your thumb, keeping it straight. Stretch your thumb away from the palm of your hand, then use it to touch each fingertip. Repeat these exercises 3 to 10 times daily. Stop if you feel pain in a joint or if you're experiencing additional pain (lasting more than two hours) once you’re done. Some people find that doing these hand exercises under warm water is helpful. It is important to keep both your hands and body active. If you have doubts about how to do this safely, talk to a Physiotherapist.

General Back Pain:This is a general low back ache and for this you can follow these measures: one keep a pillow right under the knee while sleeping, next is you can keep ice in the painful area for about 5--10 minutes, if pain still persists you can stretch your body by twisting the waist on both sides how we used to do in the school drill similarly you can try which will help you relax as well will reduce the pain. 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. •Standing hamstring stretch: Place the heel of your injured leg on a stool about 15 inches high. Keep your knee straight. Lean forward, bending at the hips until you feel a mild stretch in the back of your thigh. Make sure you do not roll your shoulders and bend at the waist when doing this or you will stretch your lower back instead of your leg. Hold the stretch for 15 to 30 seconds. Repeat 3 times. •Cat and camel: Get down on your hands and knees. Let your stomach sag, allowing your back to curve downward. Hold this position for 5 seconds. Then arch your back and hold for 5 seconds. Do 3 sets of 10. •Quadruped arm/leg raise: Get down on your hands and knees. Tighten your abdominal muscles to stiffen your spine. While keeping your abdominals tight, raise one arm and the opposite leg away from you. Hold this position for 5 seconds. Lower your arm and leg slowly and alternate sides. Do this 10 times on each side.•Pelvic tilt: Lie on your back with your knees bent and your feet flat on the floor. Tighten your abdominal muscles and push your lower back into the floor. Hold this position for 5 seconds, then relax. Do 3 sets of 10. •Partial curl: Lie on your back with your knees bent and your feet flat on the floor. Tighten your stomach muscles. Tuck your chin to your chest. With your hands stretched out in front of you, curl your upper body forward until your shoulders clear the floor. Hold this position for 3 seconds. Don't hold your breath. It helps to breathe out as you lift your shoulders up. Relax. Repeat 10 times. Build to 3 sets of 10. To challenge yourself, clasp your hands behind your head and keep your elbows out to the side. •Gluteal stretch: Lying on your back with both knees bent, rest the ankle of one leg over the knee of your other leg. Grasp the thigh of the bottom leg and pull that knee toward your chest. You will feel a stretch along the buttocks and possibly along the outside of your hip on the top leg. Hold this for 15 to 30 seconds. Repeat 3 times. •Extension exercise: Lie face down on the floor for 5 minutes. If this hurts too much, lie face down with a pillow under your stomach. This should relieve your leg or back pain. When you can lie on your stomach for 5 minutes without a pillow, then you can continue with the rest of this exercise.

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 and neck pains. If you have localized back and neck pain with no other symptoms like radiating upper limb pain or 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 & neck 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 neck region and a few blood tests for evaluation. Also you need to actually decrease your weight simultaneously to offload your spine of weight transmission. 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.

Hi you can take physiotherapy treatment as electrotherapy will reduce pain and spasm. Exercise will strengthen your neck and shoulder muscles. Best wishes.