Dr. Ratnakar

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.

1. Stay away from Dust and Pollution. 2. Increase your immunity, eat plenty of Fruits and vegetables. 3. Kee Hydrated. Drink plenty of water and soups. 4. Exercise - Make it a habit to exercise or run for 45 minutes daily. This will improve your immunity. 5. Green Tea - Drink green Tea and coffee , They contain flavnoids and will.improve your immunity. 6. Multivitamin - A good multivitamin of Antioxidants will also help you avoid cold and allergies . 7. Avoid eating outside food .  8. Handful of nuts like walnuts and almonds will improve your immunity to fight of the cold and allergies. 9. Maintain Healthy weight. 10. Yoga may also help in improving once immunity and inner strength.

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.

4.5 year is quite long enough time for bone to join. If the titanium plate is giving problem it must be removed. After removing the implant, the bone it's unlikely to break if it's joined properly. Sometimes removing the offending screws is enough and full implant removal is not needed. (By the way Implants are made of stainless steel or titanium. No implant is made of platinum. If in doubt you can ask your doctor to give the removed implant to you. Check it yourself.)

If you have localized back pain with - no neurological symptoms like numbness, paresthesia, weakness in limbs etc, my advice is: - intensive physical therapy initially under supervision of a physiotherapist and then at home. - avoid forward bending, lifting heavy weights etc - take an analgesic like diclofenac or something which suits your body for 5-7 days - take muscle relaxant for same time as analgesic to relieve muscle spasm - ice packs at the site of pain, muscle spasm - local analgesic spray can be used but no massage is required let me know how you are feeling. I will actually ask you to get x ray of involved region of spine (ap & lateral) and send reports across to me so that I can advise further in a better manner. Do not hesitate to contact me if you need any further assistance.

Hello, you can treat your legs with contrast bath method. Immerse leg on hot water tub for 3 min then immerse it onto cold water tub for 1 min simultaneously. Do as explained for 10-15 min. Visit to nearby physiotherapy center for proper assessment and treatment. Take care.

Already you have taken the medication so reports will not be diagnostic and instead of metilda forte I will suggest you to take tablet folvite 5mg once a day for six months and vitamin d3 60000iu once a week for six months.

Carpal tunnel is compressive neuropathies which cause pain, weakness and numbness the symptoms you have described. Surgery is one of the solutions but conservative management with home based exercises and median nerve block can help to improve quality of life. Please visit for further management.

Inflammation in the strained neck area can be reduced by undertaking either the hot treatment (hot water bags) or the cold one (ice pack).