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Mr. Spandan Tolia

Phlebologist, Mumbai

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Mr. Spandan Tolia Phlebologist, Mumbai
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
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I am male aged 57 years. In 1998, I had l4-l5 disc prolapse. After getting treatment for 5 years I was alright. But now since last 3 years, my calf muscles have become very stiff, unable to walk freely, developed gait problem (body disbalance) and sleeplessness. Presently I am using ropark 1 mg. Tab. Every night, but of no much help. Please Advise.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Kindly show me a photograph of the affected part. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful Do hot fomantation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 1 wk, contact me again. Do not ignore. It could be beginning of a serious problem.
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Lumbar Degenerative Disc Disease

MBBS, Diploma In Orthopaedics (D. Ortho), DNB - Orthopedics, mch
Orthopedist, Delhi
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Different methods to treat Disc problems

Hello friends, I am Dr Gaurav Khera. I am an orthopaedic surgeon, doing joint replacements and spine surgeries at the Access healthcare. Now today I will be talking about the lumbar degenerative disc disease. Now it sounds very big, but it is not as complicated as it sounds. It basically is what you people commonly know as a disc disease. So it is a fairly common problem that is seen in our population today. In fact about 30 or 40% of the patients who come to our OPD have lower back pains, some have other disc problems and very commonly seen after 40 years of age and this incidence gradually increases up to 60-70 years of age. The other ecological factors which are associated with this are, first of all smoking, secondly it is, mild to moderate trauma, thirdly its seen in people who lift heavy weights, fourth is obesity, especially central obesity, that is if you have a very heavy waistline.

Now what is Lumbar degenerative disc disease? Now, our spine is composed of multiple bones, which are starting from your neck and they come all the way down to your hip, divided into the cervical, dorsal, lumbar and sacral spine. And between these bones, there are these small pieces of discs, which act as cushions. When your body walks, these act as shock absorbers between your body’s bones. Now this discs, when these come out of their normal place, it gives or presses against the nerves which are passing through these areas and it causes pain. This is what happens in the disc disease. Basically, in the patient it will come as a lower back pain, and this pain will be travelling down to the hip, and it will also be coming down to the legs. Some people complain that as they walk, the pain increases.

They also complain of tingling numbness. They complain that sometimes their fingers or their toes are feeling numb. These are some of the very common symptoms which are being seen. Few people may have only lower back pain, and these are the people who do not have very significant disc disease. Now there are two main causes of the disc disease. First is an inflammatory reaction that occurs in the disc, and second is the micro motion instabilities that occur. Inflammatory reactions may occur as a result of some small traumas which may occur such as when you may injure your back. Such inflammatory reactions occur in the form of small swellings in the body. And micro motion instabilities are when the body ages, the disc which has an outer fibrous thick layer, that degenerates, and as it degenerates, the pulp which is there at the centre, of the discs, tends to degenerate. What I mean is it comes out of its normal space. And as it comes out of the normal place, it comes and tends to press on the nerves and these are the two most common causes.

All disc patients are not to be operated. When we get these patients, the first and foremost investigation that we do is a X-Ray. And if required, we go in for a MRI. Frankly MRI is the known standard to diagnose the disc disease. The findings of a MRI are always coordinated with the clinical findings. Once we have diagnosed that it is a disc problem, we have to establish that what the compression on the nerves is. If the nerve compression is a lot, and if we think that we cannot do anything other than surgery, then we take the patient for a surgery.

If not, we take the patient fro physiotherapy, lifestyle changes and few medications. These medications may carry on for few weeks to few months. And a lot of exercise has to be carried on regularly. Lifestyle changes such as weight loss, stoppage of smoking is very important. And if you can achieve this, then your problems are very easily solved. If you have any queries regarding your disc problems or back pains, then you can get in touch with me for the same.

You can reach me in my clinic, which is there in Indrapuri, by the name of Dr Khera’s Wellness Clinic or you can also contact me through Lybrate for the same. Thank You.
 

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In the back side of my leg muscle just below the knee (gastrocnemius muscle) I can see my veins but they are larger than normal like they are swollen my age is 20 and normal weight abt 68 kgs so my question is is these swollen veins are harmful in future presently I have no problem at all what are the precautions or treatments should I take should I worry about this. Please reply waiting for your reply.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Downward dog yoga stretch Get down on all fours with your hands under your shoulders on the floor. Walk your hands forward slightly on the floor. Spread your fingers apart to allow for a broad base of support. Push your hips up toward the ceiling and tighten your abdominal muscles. Keep your heels on the ground and gently try and straighten your knees. Repeat 10 times a twice a day. Wall calf stretch Stand about two feet away from a wall. Place the ball of your right foot against the wall while your heel remains on the ground. Slowly and gently lean into the wall while keeping your knee straight. Hold this for 5 seconds. Repeat 10 times twice a day.
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I m 28 year old, male, height 6" 1 feet, weight 98 kg I have varicose vein problem in my both legs at my knee behind, please tell me best solution without any type of surgery, and what I take or add in my daily food.

Membership of the Royal College of Surgeons (MRCS)
General Surgeon, Chennai
First thing you must do is loose weight, it will help in controlling further development of varicose vein. Definitive treatment is surgery, how ever wearing graded compression stoking for life time will help a lot. Some specific exercises and yoga asanas also help. But please have it clear in your mind, there is no cure for varicose veins, but it can be well controlled.
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My father has varicose vein ulcer on feet have very big laser treatment also done last year ago but the wound not cured one percent also so please give your advise sir.

MS - General Surgery
General Surgeon, Siliguri
Ulcers do heal slowly. If no change please consider repeat doppler study to know whether laser treatment was successful.
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I had sugery of vericos vains 8 months past now I am feeling that vericoa vains not properly cured. What should I do. I am really very upset.

BHMS
General Physician,
Hello , don't be upset my dear friend, positive attitude is best option for you, varicose veins may have multiple contributing factors from body postures to emotions, many things affect your circulation, to get rid of varicose veins naturally, you first need to reduce the pressure on your veins. Your veins, especially those in your legs, have to pump the blood? up hill? to the heart, against gravity. Simple lifestyle changes can greatly reduce the pressure on your veins, simple tips for you 1. Exercise correctly, 2. Maintain a healthy body weight, 3. Drink enough water throughout the day, 4. Wear compression stockings, 5. Elevate the foot of your bed, 6. Consult your doctor for further management.
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I have problem of varicose vein in my legs since 8 years I was on allopathic treatment for 2 years Then homeopathic for 5 years.

PDDM, MHA, MBBS
General Physician, Nashik
Earlier stages of varicose veins are treated by wearing stockings, sleeping with legs elevated and sclerotherapy (injection of sclerosing agents in the veins ). Advanced stages are treated by destruction of defective valves in the veins or surgical removal of veins. In cases where there are no symptoms except bad cosmetic experience, no treatment is offered. You must get yourself evaluated by getting a Doppler ultrasound of veins done which would reveal the exact status of your veins.
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I am 26 years old I have varicose vein in left leg in the back side. During childhood day vein on the leg is small, now its bulging outside, how to control the vein without any surgery.

BHMS
Homeopath, Delhi
Hello,you can take homoeopathic medicine a Hamamelis Q (10 drops in half cup of water) thrice a day for a week and revert. *Avoid standing or sitting for long periods without taking a break. When sitting, avoid crossing your legs.When you can, raise your legs above the level of your heart. *If you're overweight ,loose weight.
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I am 27 year boy I have back pain l4 and l5 disk light move. I there any full relief treatment means contact me sir. Back pain person do sex fully or not. After two month marriage fixed so im tired.

BPTh/BPT
Physiotherapist, Delhi
I am 27 year boy I have back pain l4 and l5 disk light move. I there any full relief treatment means contact me sir. ...
Start with physiotherapy treatment. Learn spinal exercise. Don't sit on floor. Don't lift heavy things. Share your x ray report for further discussion.
1 person found this helpful
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I have varicose veins in both of my legs. My weight is 57 kg & height is 4.11.i also have regular pain in my back & legs. Pl suggest something about my pain & also about how to cure varicose veins.

BAMS
Ayurveda, Bangalore
I have varicose veins in both of my legs. My weight is 57 kg & height is 4.11.i also have regular pain in my back & l...
Hi, please follow these tips: - wear varicose veins stockings while moving about to prevent further dilatation of the veins. - go for color doppler study of the affected limb to know the severity of the disease. - do not stand and work for long hours - consult a vascular surgeon and get yourself examined thoroughly. - perform leg raising exercises regularly. - keep your foot end elevated while sleeping.
2 people found this helpful
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Wat shud be done to painful varicose veins ? wearing a stocking the whole time is not practical for me!

MS - General Surgery
General Surgeon, Bikaner
Limb elevation Stockings in day time Cap.Calcium dobesulate bd Tab.Aceclofenac pcm bd For 30 days If not relieve than contact for Surgery Trendlenbergh's operation
2 people found this helpful
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Please advice some treatment for bulging of disc I tried everything possible. Visited all type of doctor, did physical exercise and massage as well but still pain persists.

BPTh/BPT, MPTh/MPT
Physiotherapist, Ranchi
Please advice some treatment for bulging of disc
I tried everything possible. Visited all type of doctor, did physica...
Ok, please try for the laser therapy 6 to 10 session may do some change for your back pain please don't discontinue your spinal extension exercises planks, core strengthening exercises, hamstring stretching, standing balance on stability disc or you may try for seragem for one month.
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My mother having varicose vein problem and there are two wounds on leg and not healing from so much time. She having so much pain in wounds .Please suggest how do that wounds will be heal.

MBBS, MS - General Surgery, MCh - Vascular Surgery, F.V.E.S
Vascular Surgeon, Bangalore
Varicose veins can lead to painful ulcers. Please get a venous doppler scan done of the affected limb and see the vascular surgeon. Also compression dressings will help in healing of the ulcer. The vascular surgeon will deicde whether any intervention is required or not depending on the doppler report.
1 person found this helpful
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Homeopathic Treatment for Varicose Veins

BHMS
Homeopath, Solan
Homeopathic Treatment for Varicose Veins

Varicose veins are enlarged twisted veins, can be present anywhere but are more common in legs, generally veins in the legs consist of leaflets, which prevent the back flow of the blood, leg muscles help to pump the blood back to the heart against the effect of gravity, varicosity results when leaflets of the valves become loose or incompetent due to which when there is back flow of blood it ultimately results in varicosity in legs.

Causes of varicose veins and how homeopathic medicine will help-

  • As seen varicose veins are more common in women as compared to men, there are some factors such as heredity, pregnancy, obesity, menopause, abdominal straining, leg injury, prolonged standing as in bus conductors, traffic police workers.
  • In homeopathy there are more then 100 medicines for varicose veins selection is based on complete case taking procedure and totality of the case.
  • Homeopathy is a natural and holistic approach in curing a particular disease condition rather than simply eliminating the symptom. In homeopathy minute doses help to cure a person as a whole without any side effect.
  • Generally arteries carry blood from heart to rest of the tissue, veins return blood to heart they work against gravity, muscles contractions in our legs acts like a pump and elastic vein valves help blood return to heart, tiny valves in veins open as the blood flows toward your heart then close to stop blood from flowing backward but in case of varicosity of veins these valves become incompetent and loses its elasticity which ultimately results in various symptoms. Homeopathic medicines will help to regain elasticity in the valves which results in proper blood flow.
  • The main principle of homeopathy is 'like cures like' selection is based on the symptoms and individualization of the case as every individual is different and exhibits different symptoms, have different mentality and physical generals all above helps us to achieve our goal of permanent cure.
2 people found this helpful

I undergone medical fitness test for my profession doctor said You have varicose vein ? What is the symptoms for that and how to treat that without any operation ?

DNB (Radio Diagnosis), MBBS
Radiologist, Hyderabad
Hello, It is unfortunate that you have been diagnosed with varicose veins. However this is a very common problem and can be tackled. The veins in the leg get dilated because of valves not working properly. This causes venous pressure in the leg to build up. Over time there will be dragging pain, skin changes, bulging of the leg, lipodermatosclerosis (Bottle shaped leg with hard fibrous tissue formation) and ulcer formation. Not everyone with varicose veins develop these symptoms however. Rarely clots can develop within the veins. You could go to a good specialist in chennai for the same to know your options.
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Doctor I have a compressed Disc that is L4 and l5 which is pressing my nerve and I find it very Difficult to stand straight or walk. And the pain is coming under the Thigh is there a cure either than Surgery Thanks expecting a Response soon thanks a lot. I am Diabetic and 55 years old.

MD Internal Medicine, MBBS
General Physician, Delhi
Doctor I have a compressed Disc that is L4 and l5 which is pressing my nerve and I find it very Difficult to stand st...
Being a diabetic, it's important to get your weight under control, for nerve compression you could try non surgical treatment, you need however to be aware that progression of the nerve pressure can result in paralysis of the legs.
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What is the need of giving a laxative (buscopan) a day before surgery for removal of varicose veins?

MBBS
General Physician, Jalgaon
Please For smoothness of anesthesia, to avoid vomiting and other complications during surgery or in recovery phage.
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Mri report- mild diffuse disc bulge at l4-l5 level causing the cal sac indentation and bilateral mild neural formalin narrowing (l> r). Please advice.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. These are mri findings which you have suggested, but actually it is better if you mention your clinical condition so that if significant we can correlate them with your mri findings. So please mention your back pain duration, any associated leg pain, numbness, parestheisas, weakness etc in legs. Do not hesitate to contact me if you need any further assistance. Thanks & regards Dr. Akshay kumar saxena Consultant orthopaedics fortis hospital, new delhi.
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