Dr. Shoyeb Patel

You small joint pains. Please do following test, rheumatoid arthritis panel. Serum uric acid, esr, rheumatoid titre, serum calcium, vit d, vit b12, cbc, crp.

Sir I would advice you to go for thorough investigation related to your kidney. As you have mentioned 6litre water intake and output only. 5litres. Suggest kidney issues. - blood test, renal profile, cbc, esr, c reactive protein, urine routine, 24 hour creatinine clearance, liver panel - sonography abdo and pelvis. First b4 drawing to conlusion. Investigation matters. Pls do it as soon as possible.

Could you pls elaborate the xray and mri report of both hip joint. And what is the reason for decrease hip joint space so that you have to undergo hip replacement.

Here most of every one commented on back pain. I know it is commonest problem. And it needs to be addressed.

Exercise and advice what all physios have posted are excellent.

List out as below:-
Muscle strength
aerobic conditioning
Stretching muscle
Posture
Weight loss to change angle of the spine
Dynamic and static stretching
Important of all neural stretch to maintain neural flexibility as most of the sedentary people develop stiff muscles and that leads to decrease neural mobility with due to pinching or getting compressed within the muscles or entry and exit between the muscles. Main nerves for neural stretch is sciatic nerve.
that is the commonest affected. Please do consider in your practices as it will provide a very good outcome for back pain.

and this has to be learned and practice under physiotherapist suprvision

thanks
dr. Shoyeb patel (pt)
mumbai

First of all you need to control your weight, bring it doen to 55 to 60kg. It will relieve lots of pressure from the knee. Plus have you done any blood test. If yes could you pls send me here.

Pls mention current status of your spine, are they fused, how much is the movment. Pain scale on 1 to 10. Stiffness on 1 to 10. Recnet xray. Mri and ne radiating pain.

First continue with doctors prescription. For a couple of months. Than only you wwill able to make out the difference. Nerves heal slowly. So give it some time. It would b n instant reaction of medicine. I suppose you must have done emg, nc test. Could you pls writr the main impressio. Of the report. Do you have diabetes. What abt sensation. Can you differentiate between hot cold soft touch hard touch. Etc.

Pls mention the values. Serum uric acid. Do c reactive protein. Will advicce you to c your physician and after assessing he might advice you to a specialist considering your issue.

Sir first of all I would like to know have you done any investigation or examination by any doctor regarding this. Are you on any sleep medication or do you use to take any sort of medication. Would like a detail medical history of yours before providing you with the answer. Regards Dr. Shoyeb patel physiotherapist mumbai central.