Dr. Priyamwada Borkar

Requires detailed investigation and examination Preliminary investigations suggested: hb, tlc, dlc, esr, blood sugar fasting & pp, uric acid vit d urine r/e x-ray of the affected part. Anyway it may be tried 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. Do not ignore it. Let it not become beginning of a bigger problem. Make sure that patient is not allergic to any of the medicines that he/she is going to take. If it does not give relief in 4-5 days, inform. Reduce weight.

Kindly see your school bag is light as possible when ever it is possible for you stand for few minutes in between the periods concentrate on spinal mobility & spinal extension exercise do hot fomentation at night.

Kindly show me x rays of your shoulder. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Do hot fomentation any way take ibuprofen 200mg od & sos x 5days you will need other supportive medicines also. Do neck & shoulder exercises it may have to be further investigated make sure you are not allergic to any of the medicines you are going to take.

Common causes of spasms in hands due to overusage of muscles,low calcium,low magnrsium, low potassium, fatigue. Treatment depends on the cause.

Go ahead and take the scan as it will give a clearer picture to come to a diagnosis. The Cause of the problem needs to be sorted out. This seems to be a nerve impingement which may cause radiating pain in your arms, Forearm and hand if complicated further. Also consult a physio for exercises to mantain the BP and others. Later check your VitD3 and Vit B12.

• 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.

Its due to vitamin d 3 deficiency, start with vitamin D 3 suppliments and check serum calcium level checked?

Calf muscle are tight so tk tens therapy and hot pack in physiotherapy tk rest avoid walk for 2 days with treatment then start calf stretching exercise.

I also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. You can take Ultrasonic therapy in one of the nearby physiotherapy clinics which would help to heal the damaged cartilages along with shortwave diathermy which would help to improve the blood circulation. Ice therapy would definitely help to reduce the inflammation. We also suggest people with knee pain to use MCR chappals which would reduce the inflammation of the damaged/inflammed cartilages.

Avoid sitting for long hours! take breaks in between. Do sit straight. Move your chair close to desk so that you can sit straight. Drink lots of water. Apply ice on affected area 2/3 times in a day! avoid bending and lifting heavy weights. Do extension exercises.