Dr. Venu Gopal

Hi thanks for your query and welcome to lybrate. I as an orthopaedic surgeon do not prescribe any medication which has a possible misuse possibility, hence I will like you to consult a general physician regarding its dose. Do not hesitate to contact me if you need any further assistance. Thanks & regards Dr Akshay Kumar Saxena

Ankle injuries take longer to heal as our weight falls on it. Use ankle support brace when walking for long distances. Regarding fracture check with orthopedic if its healed fully. Stretching exercises for calf, strengthening of ankle muscles and ice therapy can help with faster healing.

Hello homoeopathy is a good choice of treatment treatment period depends on how long you suffering but you will get results. Thanks.

Your neck pain could be due to disc problem in the neck, such pain can radiate to the arm forearm and hand. consult your Orthopaedic for this

Hello. Permanent is nothing. But as a say I follow precautions. With that keep doing exercises for maintaining muscle strength of your spinal column. Regards!

Hi. Let me tell you about hairfall. In layman's language, hairfall can be divided into 2 types - temporary hairfall and permanent (which is called as 'Hairloss' rather). In temporary hairfall, hair grows back again from the same hair root, but in case of permanent hairloss, may be because of formation of DHT (Di- Hydro -Testosterone) around hair root it gets choked up, subsequently affects the blood supply to the hair and thus hair root is lost forever. (There are different pattern and types of hairloss, because of different reasons like Alopecia Areata, Telogen Effluvium, Scarring Alopecia, Traction Alopecia, etc.) Causes of hairloss: Many factors are responsible formation of this DHT or male/ female pattern baldness - hereditary, post-illness/ ailment, post-delivery, post- chemotherapy, nutritional deficiencies, hormonal imbalance, insufficient sleep, sudden loss of weight, stress/ tensions/ excessive anger, use of bore water, any other underlying diseases, etc. Need to rule out any causative factor or underlying medical condition. Management: Take diet rich in protein like non-veg., eggs (it's loaded with essential nutrients such as proteins, Vitamin B12, iron, zinc and Omega 6 fatty acids in large amounts and biotin) , different pulses & legumes, sprouts, nuts (sp. walnuts and almonds); iron-rich food like green vegetables, dates, carrots, prunes, green peas; also oats, shrimp, take flaxseeds, sunflower seeds, sesame seeds, green tea, soyabean, fruits, salads, etc. Take low-fat dairy products (they also contain whey and casein, two high-quality protein sources) Take proper 6-9hrs of sound sleep. Give up the habit of smoking and excessive alcohol intake. Avoid junk food and any kind of beverages (tea, coffee, aerated drinks, cold drinks, etc.) Avoid canned/ tinned food or food that contains preservatives (eat fresh ones). Avoid use of hard water to wash the head rather use boiled water for head wash. Avoid use of harsh hair colour, hair treatment like rebonding, straightening, perming, etc. Avoid vigorous exercises or any supplements provided by the gym! Cover your head with scarf or cap while stepping outside. Use Rose wood/ any wooden hair comb to brush your hair. Regular exercising is also one of the important point, but should be done under some good, qualified yoga teacher or instructor for proper guidance; it also releases the stress/ tension in the mind and the body and keeps you FIT and YOUNG!! Medication: Take homoeopathic Rx - Schwabe's Wiesbaden 200 & Alfalfa Tonic twice a day for 1 month and revert. Also, use Schwabe's Arnica shampoo and Hair Growth oil regularly as per the condition of your scalp (minimum 3 times a week). After shampooing, use Bakson's Arnica Hair conditioner as well after every head wash. Apart from this, take Follihair tablets (multivitamin) - 1 tab. daily once for 1 month. Investigations advised: Get your blood tested for (empty stomach) - CBC, S. Iron, S. Folic acid, S. Ferritin, S. Calcium, S. Vitamin D3, S. Vitamin B12. If there is any family history of Thyroid dysfunction, get Thyroid function test done as well.

Hi Kindly rule out your calcium, vitamin d and other metabolic disorders also and start physiotherapy sessions. Best wishes.

Hello. Maintain a right standing and sitting posture, keep your back always straight, 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). (Excessive sitting or standing is to be avoided as well don’t carry much weight on shoulders). 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: -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.

Start working up on the muscles of your right side slowly and gradually it will start building up. If it causes you pain even after one year, take Arnica 6C one dose daily for 2 weeks. It will be alright. Still if you have any queries, please let me know. Take care. :)

Hello, Take Rhus tox. 200, 5 drops in the morning and bryonia 200, 5 drops daily evening. Five phos , 4 tabs twice daily. Revert me after 10 days.

Apply Hot Fomentation twice daily. 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. Back Stretching- lie flat, pull one of the knee forward to chest, hold for 3 seconds, then bring the other knee forward to the chest and again hold for 3 seconds. Then pull both knees towards the chest and hold for 3 seconds. Repeat 10 times each exercise twice a day. Do the cat/cow stretch. Get on all fours, with your arms straight and your hands directly under your shoulders; your knees hip-width apart.

Identify the mid point between the ankle bone and tendons and give pressure with a blunt edge on either side of your foot for 2 minutes. Also give pressure in the web between 2nd and 3rd finger from your toe for 2 minutes. Finally give a good massage for both feet in hot water. Identify the dipping portion on the back of your knee folding. Press this dip with both middle fingers and hold your knee with your thumbs for support. Please swing 20 times morning and evenings.

Hi initially take following precautions 1) start physiotherapy sessions and learn exercise for spine 2) use lumbar support belt while walking and traveling 3) stop normal physical activity for couple of days and take rest. 4) apply ice for the first 48 to 72 hours, then apply heat. 5) do not do activities that involves heavy lifting or twisting of your back for few days 6) after 2 to 3 weeks, slowly begin to exercise 7) avoid wearing high heels and lifting heavy bags. A physiotherapist can give you personalized exercise plan. Take care! wishing you good health!

Apply hot fomentation twice daily. 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.

Foot exercises. Do the following exercises barefoot: •1. First write digits 1 to 10 using your toes raised up in the air. •2. Sit on a chair, raise your toes and curl them •3. Pick up a small piece of cloth off the floor using your toes. •4. Still in a sitting position, point your toes and circle your ankles in a slow counter and clockwise motion. •5. Stand up from the sitting position and go on tip toe for 5 seconds.

Dear lybrate user, protein is one of the most vital nutritional substances which are required for human body. Almost every high protein diet contains purine. This purine produces uric acid on oxidation. Excess uric acid is accumulated at the joints of human beings as urate salts. This accumulation of urate salts lead to pain & swelling of those affected joints & this condition is clinically known as gout. You should avoid high protein rich diet like mutton, chicken, beef, eggs, sea fish, spinach, garden pea, tomato, lentils etc. Also you need to take homoeopathic mother tincture urtica urens q, 30 drops, thrice daily, after meals, in a cup of water. This medicine will help to dissolve the accumulated excess urate salts from the joints.

i think your posture may be the problem. check your posture: *both shoulders are at level. *both elbows are at level. *your hip curves at level. *the gap between your hanging upper limb and hip curves are equal. *your knees at level. * your ankle joint is at level. * your feet placed properly at ground with V shape. it should be done before mirror. then monitor your walking style: * bending to one side. *placing irregular steps with irregular length. if not try to correct the wrong segment. if everything is correct, consult a qualified physiotherapist for more findings.

Dear , Maintain some disciplines first: 1) Take plenty of water (more than 3 ltrs a day) 2) Take 1 or 2 fruits a day 3) Do aerobic exercise in the morning (30 mins of outdoor walking) 4) Avoid coffee, cigarette and other addictives 5) Sleep a a specific place at a specific time everyday. 6) Take your dinner well before going to bed.(At least 1 hr) 7) Don't engage yourself into vigorous activities at the evening. 8) Avoid watching TV at the evening and before going to bed. If you can adhere to these and still your problem doesn't solve, you can consult with me personally.

You can take rhus tox - 30 / 5 drops in little water thrice a day for one week. And please send me your toe nails photo. Revert back after one week with feedback.

In case of spondylolisthesis caution is advised to do exercises that may increase the slippage of the verterbra over the other. You need to under supervision of a skilled physiotherapist. Gentle core stabilization exercises, hip and low back strengthening is needed to stabilize the spine. For detailed plan please click consultation. Good luck for speedy recovery.