Dr. Niranjan D Deshmukh

Hello, thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Please tell me duration of pain and which joints are involved? what are aggravating factors? how much distance can you walk and what is the analgesic requirement to carry out activities of daily routine? what medications you generally take and what has been your treatment history till now for existing problem. I also need to see your latest knee x rays if they are involved so that I know what grade of arthritis are we dealing with on your case? also kindly tell me whether any recent blood tests like esr, crp, vitamin d levels have been done in your case or not? do not hesitate to contact me if you need any further assistance.

Joint pains and swelling persist for about 1-2 years post viral infections like chikunguniya. There is no specific medicine for it. So rely more on exercises to prevent joint stiffness. Good news is it is self-remitting and will cure itself.

If I think you are suffering from ankylosing spondylitis. you can try indomethacin if you haven't. Nowadays tnf alpha inhibitors are also given for the same. Exercise is a must in these diseases.

the swelling in chest must be removed & sent for histology. Sleep on a hard bed with soft bedding on it. SPRING BEDS, FOLDING BEDS OR THICK MATRESS ARE HARMFUL Use no pillow under the head. DO HOT FOMANTATION. Paracetamol 250mg OD & SOS x 5days. Caldikind plus 1tab OD x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. 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, contact me again.. Do not ignore .It could be beginning of a serious problem.

Pain is due to overexertion Apply hot fomentation Do contrast bath therapy for both hands & feet- take hot water in one tub & cold water in another, first dip hands/feet in hot water for 3 min then immediately in cold water for 1 min, keep repeating for 20-25 min, twice a day.

Hello. Get an x-ray cervical spine done. Maintain a right standing and sitting posture, keep your back always straight, avoid carrying weight on back. Hold or carry weight divided equally in both the hands or shoulders (to avoid over straining on one particular hand or shoulder). Lie down on bed on your back without pillow. Exercise: Practice Shavasana or Corpse Pose as it looks like a dead body. If practiced correctly and with full efforts, can relax every body part, relaxing not only the body but also the mind: Spread the legs one to two feet apart, the toes are turned outwards, the heels facing each other, a comfortable distance apart. Bring the arms a little away from the body, palms turned upward. Relax the neck and allow it to turn to the side if it is more comfortable. Close the eyes and focus the attention on the body, breathing normally. Medication: Take homoeopathic medicines - Arnica 200 and Rhus Tox. 200 - take both of them thrice daily for 1 week. Also, apply Schwabe's Topi-Arnica and Topi MP Gel on the affected area in circular motions gently thrice a day. Get back to me thereafter.

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.

Advice. 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. Sports taping- stretch the tape from both ends and apply on the affected area contrast fomentation (hot and cold).

Back pain or HIP PAIN k liye back isometrics exercise kijiye or hot fragmentations kijiye. For word bandings mat kijiye. Long time ek hi positins m mat rahiye. Breegings exercise bilateral or single leg rotation kijiye phle without weight kijiye fir 1-2kg weight cuff se kijiye rotations kijiye leg single -single than avoide kijiye stair clabbings sweelings ho to ice ki massage kijiye back pain ko ap darr mat smjiye ap low back belt bi use m laa sakte h vo kisi bi tarah k jurck se apko bacha ti h deep breathing exercise kijiye I hope get well soon… thnx. Shoulder pain or elbow pain or HAND PAIN k liye ap ice massage kijiye … jurck se bachiye or shoulder wheeler exercise kijiye. Clapping kijiye. Sweeling aye to ice massage kijiye ……rotation krte rahiye. Elbow m pain ho to ap ultra sound lgaiye 4-10 days pulley exercise kijiye or weight cuff bandh kr 1-2kg k weight cuff se pendullaer exercise kijiye…. I hope get well soon thnx. Wrist pain k liye stimuleter ka use kr sakte h …. Or fingers k liye mobilization bi krsakte h I hope get well soon……thnx Leg pain k liye calf stretchings or periformis stretchings or T. F. L stretching ilio psos muscles ki stretching kijiye sweelings ho to ice pack kijiye or sweeling nhi ho to hot pack ka use ap kijiye. Heel track kijiye… weight cuff 1-2kg use kijiye or leg exercise kijitye hips up nd down exercise kijiye…. Walking kijiye phle edii rakiye fir panjaa rakijiye 6-9 kaadaam chalet huye apni walking ki capacity incress kijiye daily 1000 kaadaam ap chaliye …deep breath lijiye pani jada se jada pijiye ……. Long sitting, standing, clambing avoide kijiye I hope ap jaldi ache ho jayege thnx. KNEE PAIN k liye ap knee cap use kijiye …or hot fragmentation kijiye jada stair clambbings mat kijiye…. Long sitting or standing mat kijiye……. Heel track kijiye 4-5 time, ediii panjaa kr k chaliye 1000 kaadaam………. ANKLE PAIN k liye ap ice se massage kijiye …. Quick stretch kijiye or tempoline kr sakte h ap……for jumping……ankle toe movement kijiye countinu…. Weightcuuff bandh kr 1-2 kg k ap sit to stand kr sakte ho……. I hope ap jaldi theek ho jaayege thnx……

Dear Lybrate user, Give her one dose of Sulf. 30 three drops in water only once one day. After two days call back through Lybrate for some more details for further course of treatment.

*sit straight so that back bone gets proper support. A dining chair is better than a laid back sofa. *you can use mustard oil for massage which is good in winter season for relieving pain. Eucalyptus oil is also good *soft bed will not give proper support to your back bone. Hard bed with thin mattress and thin pillow is better. *get yourself tested whether you have spondylitis problem. Homoeopathy has a good treatment for this without adverse effects. Take calc fluor 200--once daily in the morning.

Avoid long sitting toward bending do hot fermentation and rest do spine stretching exercise and do spine extension and bridging exercise. If it work then ok otherwise x-ray must.

Please find out what is the cause for that pain. 1. Take out one x-ray of back bones. 2. Maintain errect posture always. 3. Do some exercises which relaxes your back bones and muscles. 4. Take yogaraja guggulu 2-0-2 after food. 5. Apply narayana taila daily once. Do consult after x-ray report.

Dear, maintain proper posture avoid prolonged sitting meanwhile do regular exercises & hot water fomentation. Regards.

Driving and sitting in a hunched position for too long can cause strain in the neck muscles.

Homoeopathic medicine SPONDYAID ( BAKSON) Drink 10 drops in 20 ml fresh water 3 times daily CALCAREA PHOS 6X ( Dr Reckeweg) Chew 4 tab 3 times daily Report after 15 days Use hard bed surface while sleeping.

Shoulder is a complex joint and need detailed evaluation and imaging to come to a diagnosis. Xrays with different views will give some idea about bone pathology. Usg can give lots of information about soft tissue and being dynamic study it will give lots of information. Mri will show much more details to confirm the diagnosis. Most importantly clinical examination will lead to a diagnosis and then can be confirmed by imaging.

Neck massage will give good results. Use little good oil or plain water and massage from either side on the mid shoulder blade. Use your thumbs and move it slowly upwards on the back of neck up to the lower level of ear. Repeat 5 to 10 times. Do not do from top to down. Finally move your neck up and down, sideways left and right. Results are excellent.

Apply volini gel on neck. do warm fomentation. do neck muscle exercises, avoid high pillow. consult if not ok.