Dr. Pankaj Soni

It happens due to the friction happening in the joints it can be correctEd with strengthening exercises from neuro physio best wishes

Knee replacement surgery is known as total knee replacement or unicondylar knee replacement depending upon how much of knee is replaced. It is definitely covered by insurance but it depends upon which type of health insurance you have chosen.

Pain Between Shoulder Blades:

Pain between shoulder blades can produce that nagging type of pain that is difficult to reach. Most often it is related to muscle problems, however, a herniated disc or pinched nerve in the neck can cause pain in this area, along with neck joint irritation. These causes usually respond to neck and/or shoulder movements. Pain between the shoulders can also be referred by the heart, stomach and gallbladder or, if you have osteoporosis, a possible compression fracture.

If there has been a past injury to the area or from years of poor posture, a degenerative condition like arthritis can develop in the area between the shoulders causing upper back pain.

Muscle Pain Between Shoulders:

While there are many muscles that can cause pain between the shoulder blades, the major muscles often involved are the trapezius and the rhomboid. The trapezius is a large muscle, while the rhomboid is a smaller muscle that runs between the spine and the shoulder blades.

With typical poor postural habits, the head is forward and the back becomes rounded. As the upper back becomes rounded, the rhomboid muscles stretch out. This is typically seen with a slumped posture when sitting at a computer or desk. The muscles become overstretched and weak, placing abnormal stress on the spinal bones, altered motion and, over time, can develop scar tissues from small tears which develop.

Treatment of the muscles with moist heat therapy and massage techniques can help. A particular technique called ischemic compression can be used for tender areas often called trigger points, seen in the picture with the “X”. This technique uses a tennis ball or special neck muscle release tool. Place the ball or release tool on the floor and lay on your back with the ball or tool between the shoulder blades. You can control the pressure and when you find a tender area, hold it until the pain gradually fades – about 20 to 30 seconds, although it may take a minute.

For those with chronic problems that need more than compression due to excessive scar tissue, the help of a professional Physiotherapist should help. Considerable involvement of the trapezius can cause what is often termed trapezius myalgia and the are exercises for the trapezius muscle that have proven beneficial. Since arthritic changes and joint problems may occur, this is a common area for careful spinal adjustments.

Upper back pain pillow:

The use of lumbar support pillows, which help maintain the normal curve of the lower back when sitting, can help to correct rounded shoulder posture, especially when driving a car or working at a desk. The back of the chair should not be pushed forward and should have a slight backward angle. These tips for the best posture when sitting at a computer can be helpful.

For those who sit for long periods and get so involved in work that they forget to take breaks and change postures, a timer set for 20 to 30 minutes can be placed in a location that you must get up to turn it off and reset it can be a great solution.

For some, the use of a posture support brace can assist the muscles of the upper back and spine to assume the correct posture. A universal support will allow gradual adjustments as your posture improves, so it will be a temporary aid.

When using armrests on a chair, having them too low can stress the trapezius muscle, too high can cause tension of the neck and shoulder muscles, so try to sit close to your desk with the armrests at desk level.

Often, with rounded shoulder posture, the chest muscles (pectorals) can become tight and the in the door stretch can help with tight pectoral muscles and overstretched trapezius and rhomboid muscles.

Stretch for pain between shoulder blades:

Use of door frames or resistance bands is of great use.


Sleeping with pain between shoulder blades:

For those who like to sleep on their side and have difficulty finding a comfortable position due to pain between shoulder blades, a pillow can be placed under the affected arm to prevent it from rotating forward and stretching the trapezius and rhomboid muscles. There are body pillows that can help keep the back from twisting the lower part of the trapezius and can also fit under the arm at the same time. A compact body pillow can achieve this without being to heavy or bulky. A neck pillow designed for side sleeping can add the final touch to a comfortable night’s sleep that reduces pain between shoulder blades.


Disc & Joint Causes Of Pain Between Shoulder Blades


A facet joint problem involving the small joints in the back of the neck may cause pain between shoulder blades. The lower facet joints can radiate pain to this area. This can often be as a result of a whiplash type injury or in those who spend long periods working overhead or looking up. So, this pain might be felt more when tilting the head backward. For those who work in this position, a support for the back of the head can help.

The lower discs in the neck can become herniated, torn or degenerative changes can occur which place pressure on the nerves and this may also cause pain between shoulder blades. C7 or C8 nerve pain can radiate between the shoulder blades. Typically, there will be other symptoms like pain or tingling/numbness into the arm or hand, but sometimes neck pain and pain between shoulder blades are the only sign.

Difficult cases involving pain between shoulder blades may require medications and perhaps an orthopedic consultation, however, some home treatments using moist heat, posture changes and traction units may help.

Since these various conditions may occur together, a more comprehensive approach may be required to treat pain between shoulder blades not responding to basic postural modification and conservative therapies.

For any further assistance book an appointment with us.9820011774

If pain comes in downward motion than kalmia latifoliya cm one drop if pain goes to upward than ledum pal cm one drop only.

it will take time first of all you should follow some basic thing 1.avoid=hot and cold at time 2.less the sugar as much as possible if you want to eat sweet take juggery which is black 3.dont drink water after meal drink at the time of meal sip by sip up to 150 ml 4.avoid late night sleep take following to heal as early as possible 1. lakshadi guggul 2 tab before lunch and dinner 2.ashwagandha powder 1 tsp with milk empty stomach at morning

Ankle Pumps •Lie on your back. •Move ankles up and down. Repeat 10 times. •Repeat 10 times. Heel Slides Lie on your back. Abdominal Contraction •Lie on your back with knees bent and hands resting below ribs. •Tighten abdominal muscles to squeeze ribs down toward back. •Be sure not to hold breath. •Hold 5 seconds. •Relax. •Repeat 10 times. ••Slowly bend and straighten knee. •Repeat 10 times Wall Squats •Stand with back leaning against wall. •Walk feet 12 inches in front of body. •Keep abdominal muscles tight while slowly bending both knees 45 degrees. •Hold 5 seconds. •Slowly return to upright position. •Repeat 10 times.

ur complaints seem to be related to fatigue and stress...follow 4 pillar of good health good nutritious diet exercise rest and relaxation good mental attitude

Calcium Rich Foods 1) Raw Milk. 1 cup: 300 mg (30% DV) 2) Kale (cooked) 1 cup: 245 mg (24% DV) 3) Sardines (with bones) 2 ounces: 217 mg (21% DV) 4) Yogurt or Kefir. 6 oz: 300 mg (30% DV) 5) Broccoli. 1 ½ cup cooked: 93 mg (9% DV) 6) Watercress. 1 cup: 41 mg (4% DV) 7) Cheese. 1 oz: 224 mg (22% DV) Avoid to much weight bearing

It is actually not usual for the pain relief to be permanent, although this can happen. Patients often find that after some time the pain may return, in which case, after a period of several months, the procedure may be undertaken again. There is no one single response to this procedure, it depends on various factors including the specific nerve or nerves and any damage that they have experienced.

Hello. Please provide the reason of pain. As you said you have undergone medical treatment .so what was the diagnosis. Do fulfill the needs of calcium vitamin D and other minerals and vitamins.(proper diet + supplements if needed) Do regular exercise. Few post might help you in some way. Regards!

Please correct your posture and go to physiotherapist and take medicine Ruta 200 two times in a day for 4 days.

Hi take hot water bath twice daily, sleep on hard and even mattress. Kindly rule out your diabetes, calcium, vitamin d and other metabolic disorders. Best wishes.

First avoid prolong standing and walking specially in pain. Do ankle stretching. Take hot fermentation. Use creape bandages if pain is continued.

You should take acupressure treatment and take biochemic mag phos12x + nat mur 12x. 4 tab each thrice a day with warm water and take it 5 day's. You can do testing dengue.

Try the tips.:: 1.Warm mustard oil or sesame oil (1 teaspoon) with 3-4 cloves of crushed garlic and 1 tsp of ajwain (carom) seeds until it roasts to a reddish brown colour. Ensure that it does not get burned. Massage this oil on your affected areas. After that do hot fomentation with salt potli (bag). 2.Take 8 to 10 glasses of water daily. 3.Increase the consumption of vitamin C in diet. 4.Take fresh Ginger into pieces, place in the cup of water and boil it for 30 minutes in low flame. Cool for 30 minutes after boiling. Consume this solution with Honey. 5.While sleeping, lie straight on your back or with bent knees supported by a pillow. 6.Taking hot and cold compresses on an alternate basis can be quite helpful in relieving pain. 7. Get an X ray spine done and revert back with reports.

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. Also your previous history of a spinal injection should not lead to any significant pain after 2 years as a spinal needle is very thin and does not cause any damage to the structures. 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.

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……

Hello, Is there any history of injury or hurt to the area? Any underlying medical condition? Medication: Meantime, 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. And wrap crepe bandage over it. Get back to me thereafter.

If the reports are normal you need to do few flexibility exercises along with core and back muscle strengthening exercises twice a day for 15 to 20 days. This will improve you back strength and flexibility and pain will be relieved soon. Take care.

Hello, you can take homoeopathic medicine rhus tox 30 (4 drops in little water) thrice a day for a week and update.