Dr. Sudheer Sharan

Start morning walk and also start range of motion exercise of shoulder. May you feel better. Thanks.

Use of stimulant decreases the symptoms to a much good effect and if we don't give stimulant medication there will be more of conduct disorder and progress in disease and for side effects we have to monitor the person and advice them accordingly and spine block injection is effective for six months.

Core strengthening exercise- straight leg raised with toes turned outward, repeat 10 times, twice a day. Hams stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube or normal belt. Repeat 10 times, twice a day. 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. Calf stretches standing calf stretch stand away from a wall and put your fight foot behind you and be sure your toes are facing forward. Lean forward at the ankle while bending the right knee and keeping your heel on the ground. Hold this for 30 to 60 seconds. Repeat 10 times a twice a day.

check your BP. Check your eye sight. take crocin pain relief one sos for severe headache. take rest and good sleep. avoid stress.

Hi imbalance in longissimus can be corrected by exercise. Start with simple streching exercise followed by strengthening exercise. It will be good if you do exercise in under supervision of skilled physiotherapist.

Physiotherapy treatment must wax and ultrasonic therapy for 10 days and avoid long standing after relief do ankle strength exercise.

Hi if it is only back pain and there is no leg pain then you need to do regular back strengthening exercises and take vitamin d3 tablets.

Here are some tips for how to handle your back pain: -stop normal physical activity for the first few days. This will help relieve your symptoms and reduce any swelling in the area of the pain. -Apply heat or ice to the painful area. One good method is to use ice for the first 48 to 72 hours, and then use heat. Take pain relievers medicine. --While sleeping, try lying in a curled-up, fetal position with a pillow between your legs. If you usually sleep on your back, place a pillow or rolled towel under your knees to relieve pressure. -Find a mattress with back support. A good mattress should provide support for the natural curves and alignment of the spine. Medium-firm mattresses usually provide more back pain relief than firm mattresses. -Do not perform activities that involve heavy lifting or twisting of your back for the first 6 weeks after the pain begins. -Avoid bending forward and sitting in a place for long time -Good posture plays a key role in your spine health, helping to prevent additional back and neck pain and even injuries to spinal structures. Try to be aware of your posture and make good posture part of your normal routine. -head up, shoulders back, rear tucked under -Stand and walk with correct posture -Sit with support -Lift and carry carefully -And finally, keep moving:-Maintaining a static position for too long—more than twenty or thirty minutes at a time—is hard on the back. Prolonged static posture can slowly deplete elasticity from the tissues. By simply moving—be it a change of position, a stretch, or a short walk—the tissue elasticity needed to protect your joints can be restored and the associated discomfort reduced. -Stretching and strengthening exercises are important. But, starting these exercises too soon after an injury can make your pain worse. -Some Physiotherapy treatment like IFT current can give you relief. -Consult a Physiotherapist for detail assessment and management of your back pain. Best wishes.

You should take acupressure therapy and take biochemic kali phos 200x + nat mur 200x + nat sulph 12x, 4 tab each thrice a day with warm water and take it 5 days

lybrate-user kindly go for VIT D3 and calcium estimation in blood and revert back to me with the report and for complete advice.

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. I need to know what kind of arthritis are you talking about, is it degenerative or osteoarthritis or inflammatory like rheumatoid arthritis because management is entirely different for both the groups. Also please mention joints affected, latest x rays and what treatment is she currently undergoing? do not hesitate to contact me if you need any further assistance.

I suggest you keep walking for few days till the muscle strengthens. After that every alternative day, try running. And tell me how you feel.

Take proper rest. Avoid forward bending and heavy lifting avoid prolonged sitting and standing. Take hot fermentation. Be careful about your posture.

Advice…. Hot Fomentation x twice daily. Avoid bending in front. Postural Correction. Sit Tall, Walk Tall. Extension Exercises x 15 times x twice daily Bhujang Asana x 15 timesx twice daily Core Strengthening Exercises. Back Stretching.

Hello. Maintain a right standing and sitting posture, keep your back always straight (even while sitting or standing), avoid carrying weight on back. Hold or carry weight divided equally in both the hands or shoulders (to avoid over straining on one particular hand or shoulder). Always select a chair with proper back support and hand-rest. (Excessive sitting or standing is to be avoided as well don’t carry much weight on shoulders). Apart from these, stress could be the major cause of pains! Exercise: Practice Shavasana or Corpse Pose as it looks like a dead body. If practiced correctly and with full efforts, can relax every body part, relaxing not only the body but also the mind: Spread the legs one to two feet apart, the toes are turned outwards, the heels facing each other, a comfortable distance apart. Bring the arms a little away from the body, palms turned upward. Relax the neck and allow it to turn to the side if it is more comfortable. Close the eyes and focus the attention on the body, breathing normally. Begin focusing each body part and relaxing it, then moving on. Keep the mind focused on relaxation, the breath should be normal. Relax the whole body. Management: -Sit straight with a back-rest or back-support. -Stretching or activities that place additional strain on the back are discouraged. -Sleeping with a pillow between the knees while lying on one side may increase comfort. -Lying on your back with a pillow under your knees would also relieves pain and no pillow under your head. -Some people seem to benefit from the use of ice or heat. Take care, do not use a heating pad on ‘high’ or place ice directly on the skin. Medication: 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. Get back to me thereafter.

If this is so sudden onset, you probably had an acute muscle spasm. See a doctor, take pain killers and muscle relaxant. It will be better in 2-3 days.

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. There are many causes of pain in lower back region which can be attributed to issues with muscles, disc, spinal canal etc. 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.

Hello, Take Schwabe’s Alpha-CF and Biocombination-11, both after every 2 hourly for 4 days. Management: -Sponging or bathing with tepid water. The use of a fan or air conditioning may somewhat reduce the temperature and increase comfort. If the temperature reaches the extremely high level of hyperpyrexia, aggressive cooling is required. -Take rest and drink plenty of fluids. -Take light, bland, properly cooked home-made healthy food only. ******Do get your check up done for finding out the reason of all this******

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.