Dr. Sachin Bhatt

Do the cat/cow avoid bending in front. Postural correction- sit tall, walk tall. Apply hot fomentation twice daily. Extension exercises x 15 times x twice daily. Bhujang asana. Core strengthening exercises. Back stretchingstretch.

Core strengthening exercises. Back stretching. Do the cat/cow stretch. Postural correction- sit tall, walk tall.

Hello, Diabetes - a condition where the levels of sugar in your blood are too high is a serious condition that affects numerous parts of your body. When it comes to the legs and feet, high blood sugar levels can cause damage to the nerves which leads to numbness in your legs and feet. This nerve condition is called "diabetic peripheral neuropathy. This condition affects up to 30% of all diabetics, Heat Therapy: Apply a hot compress on to the area that is numb, in order to relax the muscles and nerves there. You could use a heating pad, a hot water bottle or a piece of cloth dipped in hot water. Make sure that the heat is not too strong or you could burn your skin Herbs: Gingko Biloba can help to increase the circulation of blood all over your body, thereby reducing the problem of numbness. FOR ANY HELP CONTACT US

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. Short Arcs: Lie flat on your back or sit upright with your leg placed horizontally on a flat surface like a chair or bed. Place a rolled up towel under the knee. Pull your toes towards you and clench you thigh muscles. Slowly lift your foot up off the bed until your knee is straight (keep your knee resting on the towel). Hold for 3 secs and slowly lower them on the chair. Repeat 10 times twice a day. Straight Leg Raise: Lie flat on your back. One leg and knee will be straight and other leg should be bent. Pull your toes towards you and tighten/clench the muscle on the front of the thigh, locking your knee straight. Lift your foot up in the air, about 6 inches off the bed. Hold for 3 secs and slowly lower the leg. The knee must remain straight the whole time you are doing this exercise.

Dear lybrate user it appears you have strained your back during gym exercise. Pain could be due to herniated disc. Mri can cost between 4000-6000. Before resuming exercise you need a check up.

Muscle relaxant medicine. Tk heat fermentation twice a day. Avoid long sitting and standing, toward bending, do spine extension exercise. If it work then ok otherwise do x-ray of lumbar spine and physiotherapy treatment.

Hello, Take Ferrum phos 6x , 5 tabs thrice daily. Apis mel 30 Ch , 3 drops thrice daily. Revert me after 7 days.

Please do a x -ray of the affected area. DO a hot and cold compress alternately till the time you get relief. Take Mag Phos 6x - thrice daily for few days For further queries get back to me.

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.

Do the cat/cow avoid bending in front. Postural correction- sit tall, walk tall. Apply hot fomentation twice daily. Extension exercises x 15 times x twice daily. Bhujang asana. Core strengthening exercises. Back stretchingstretch.

Dear Mr. Lybrate-user, Rheumatology is a field of medicine which deals with autoimmune diseases. Auto-immune means diseases in which your immune system which usually protects you, gets automatically activated and starts damaging your own organs. All organs can be affected with rheumatic diseases - joints (most common), spine, skin, muscle, eye, lungs, kidney, blood etc. Because joints are most commonly involved, rheumatologists are also called joint / arthritis specialists / immunologists. They are detectives who can detect more than 100 types of arthritis. Rheumatic diseases can be very serious. They can affect child and young people also. Timely treatment is necessary to prevent joint damage, avoid joint surgery and even save life.

Hi, Good initiative towards fitness! Its normal to have little pain after lunges but be regular. It might be your technique of lunge is wrong or you are not doing proper stretching and warm before doing lunges. There are no side effects of lunges if done correctly so I am suggesting some pointers. 1) while performing a lunge try to keep your knees aligned over your second toe so that the knee is moving in the same direction as the ankle joint. However, in reality we often find the knee translating (moving) forward to the toes or beyond in a squat or lunge movement. The reason for this can be attributed to the length of leg bones (tibia/fibula or femur). 2) During lunge or squat movements, we should always emphasize beginning the movement by pushing the hips backwards before they lower towards the floor. 3) In some instances we’ve seen trainers recommend keeping the back as vertical as possible which is problematic. 4) Do proper stretching exercises before doing lunges and squats. 5) Watch your technique in the mirror, the next time you lunge. Place your hands on your hips or in the small of your back and perform your lunge. If you notice any forward tilting in your hips or an increase in the curvature of your low back, you are compromising lumbar stability. Try this pointer and improve your exercise technique. If still pain persists, check with orthopedician or physiotherapist or follow up with me. Thanks.

Avoid forward bending, lifting weights, practice yogasanas (kati uttanasan), sitting always in vajrasan, avoid sitting on sofa or bed, drink water one hour after meals in sitting position, use compression stockings.

Being a diabetic, hypertensive, pl control your illness, at this age there is bound to have some pains, due to condition of your bones and muscles pl do go for walks for 30 mins everyday this will help muscles and bones.

Hello, you can take homoeopathic medicines 1.Ruta 30 ( 4 drops in little water) thrice a day for a week. 2.Rhus Tox 30 ( 4 drops in little water) thrice a day for a week and revert. Keep a gap of 15 - 20 minutes in both the medicines.

World Arthritis Day: All You Need To Know About Arthritis


What is Arthritis?

Arthritis is inflammation of the joints in one or more areas of the body. The symptoms of arthritis usually appear gradually but they may also occur suddenly.

What Causes Arthritis?

There are different causes depending on the type of arthritis. The most common types are osteoarthritis and rheumatoid arthritis.

Osteoarthritis: this is caused by normal wear and tear throughout life; this natural breakdown of cartilage tissue can be exacerbated by an infection or injury to the joints.

Rheumatoid arthritis: In rheumatoid arthritis, the body’s immune system attacks the lining of the joint capsule. This lining, known as the synovial membrane, becomes inflamed and swollen.

Who is at risk?

Risk factors for arthritis include:

Family history
Age: The risk of many types of arthritis increases with age.
Gender: Women are more likely than are men to develop rheumatoid arthritis, while most of the people who have gout are men.
Previous joint injury: People who have injured a joint are more likely to eventually develop arthritis in that joint.
Obesity: Carrying excess weight puts stress on joints, especially knees, hips and spine. Obese people have a higher risk of developing arthritis

What Are the signs of Arthritis?

These include joint pain and stiffness, swelling of the joints, decrease in range of motion of joints or redness of the skin around the joint.

How Is Arthritis Diagnosed?

The doctor diagnoses arthritis on the basis of:

Physical examination
Laboratory tests: Fluids commonly analyzed include blood, urine and joint fluid.
Imaging: Imaging scans such as X-ray, MRI, and CT scans are commonly used to assess extend of damage to joints
Arthroscopy: arthroscopy involves inserting a small, flexible tube called an arthroscope through an incision near the joint. The arthroscope transmits images from inside the joint to a video screen.

How is Arthritis managed?

The main goal of treatment is to reduce pain, prevent any additional damage to the joints and improve joint mobility. Management includes:

Medications: these are given to manage symptoms of arthritis and to improve range of motion.

Surgery: Surgery may be needed to replace the damaged joint with an artificial one.

Exercise:  Exercise can help in strengthening the muscles around the affected joint and prevent further damage. Options include stretching exercises, exercises that provide range of motion, low-impact aerobic exercise such as walking, cycling.

Weight loss: Being overweight can increase complications of arthritis and contribute to arthritis pain. Make gradual and permanent lifestyle changes like eating healthy, portion control, avoiding deep fried foods and following an exercise regimen.

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. You have mentioned your mri findings which is fine but I need to understand your clinical condition as these changes can be found in mri of many individuals. So please elaborate your problem as to a detailed discussion of your neck and back pain which means duration of pain and mode of onset. I would also like to ask you if it is associated with any radiating upper limb or leg pain or any other neurological symptoms like numbness, paraesthesias (electrical shock like abnormal sensations) or any weakness in limbs. Please also tell me about any associated symptoms like fever, weight loss etc. What medications you generally take and what has been your treatment history till now for existing problem. Do not hesitate to contact me if you need any further assistance.

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. I have gone through your treatment, maybe you can stop tab aroff ez and start with tab ultracet which has a better safety profile at your age, also we need to understand whether this is first episode of pain, or you have had episodes of back pain earlier as well? is there any radiating limb pain, numbness etc? are you doing regular exercises for your back? walking 2-3 km/day regularly? please elaborate your clinical history and send me all investigations done by you so far so that I can see and advise accordingly. Do not hesitate to contact me if you need any further assistance.

Hello, Kindly follow advises given below 1.Avoid using computers continuously, take rest for 5 min after working for half an hour 2. In pain free interval do neck exercise (kindly learn exercise by registered Trainer) 3. you can use thin pillow while sleeping so that normal posture of neck can be maintained 4.Maintain proper posture of body while watching TV/ studying Kindly go for cervical X ray AP and lateral and review with reports

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Numbness in your thigh region could commonly be due to two reasons: - it could be radiation from spine region if there is a compression of a nerve there, so please tell me whether you have back pain issues, or did you have them previously? - other reason could be entrapment of lateral cutaneous nerve, a condition called a meralgia, but the symptoms are usually more towards outer aspect of thigh. Actually if you have the first one, mri is then the best investigation because we cannot allow numbness because of compression in spine to remain there for a long time. For the second option, we can give a good trial of physical therapy to see how you are doing, and then also add some medicines kindly let me know and if possible please attach doctor's prescription papers and investigations done by you till now for the existing problem. Do not hesitate to contact me if you need any further assistance.