Amit Girey

Hi Thanks for your query. I am Dr Akshay from Fortis Hospital, New Delhi. You will have to start doing intensive exercises, long walks for about 2-3 km/day and take care of your nutrition. Do not hesitate to contact me if you need any further assistance. Thanks & Regards Dr Akshay Kumar Saxena

Please do one XRay -hip joint and send report. Till you get the test done you can start with homoeopathic medicine Rhustox 30-5 pills three times daily.

Get treated with Ultrasonic therapy which would directly heal the calcaneal spur (inflammation of the calcaneum bone) which causes the heel pain in majority of the cases. Along with ultrasonic therapy, shortwave diathermy also can be given. Simultaneously it is better to wear MCR chappals (micro cellular rubber) which will help to transfer the weight evenly in the feet so that the weight will be completely felt in the heel area.

Investigations advised - hb, tlc, dlc, esr, sugar f & pp, uric acid, vit d3 urine r/e x ray of the affected part. Anyway you may try- sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick mattress are harmful use no pillow under the head. Do hot fomentation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Cyra-20mg 1 tab od x 5 days do neck back knee & general exercises. It may have to be further investigated. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, inform me.

Nowadays back pain is a very common complaint in young adults. So donot worry. It can be due to various reasons any injury, muscle strain eg-sudden twist while lifting object, bad posture, overuse of muscle or any internal disease like spondylitis, infection etc. Many of the problem occurs for which we are not aware. After looking at your pain I can recommend you following treatment. Precautions: 1. Avoid forward bending, if required then bend your knees first and then bend forward. 2. Avoid weight lifting. 3. Sit in chairs or car seats with proper back support. 4. Try to sleep in a position that helps you maintain the curve in your back like sidelying. 5. Get enough vit d from sun as vit d keep bones strong including spine, 6. Drink plenty of water to enhance the inter vertebral disks 7. Avoid standing in the one position for a long time. 8. Try to sleep in a position that helps you maintain the curve in your back. Physio care: I would recommend you for i-care treatment that is especially for back or neck pain. Rest required but it doesn't mean a complete bed rest. Do not over exert your body. Work take rest and then work so that you do not feel tired and started paining. Treatment- 1. Apply ice or heat which ever suits you directly to the area of low back pain will decrease swelling and inflammation, and ease your discomfort. Apply it for 10 to 15 minutes only. 2. Relaxing for 5 minutes after ice or heat treatment. Massage - ask someone to massage your painful area using fingers or thumb. Massage using kneading technique. Slightly press the thumb and start rotating as it helps to induce relaxation, relieve pain, and reduce levels of stress chemicals, such as cortisol and noradrenaline. It will give you pain relief for time being. 3. After massage again relax for 5 min and apply any pain relieving ointment eg - volini or oraflame gel etc. Make sure not to do massage with the gel, it should not penetrate the body. Just a topical application of gel should be done. 4. Again relax your body for 5 minutes and perform some normal back extension and hamstring stretching exercises to get relief from your pain. While performing exercises if pain occurs then would recommend you to stop doing exercise. Massage or slightly rub the painful area and consult your near by physio to diagnose the actual cause of the pain as he/she can guide you proper exercise plan which will be beneficial for you after checking grade of your back pain. If you did not understand or have any doubt regarding the i-care plan, please inform or send me an email at swatisagar121@gmail. Com.

Ankylosing spondylitis is a cause of back pain in adolescents and young adults. Ankylosing spondylitis is a form of chronic inflammation of the spine and the sacroiliac joints Chronic inflammation in these areas causes pain and stiffness in and around the spine, including the neck, middle back, lower back, and buttocks. Over time, chronic inflammation of the spine (spondylitis) can lead to a complete cementing together (fusion) of the vertebrae, a process referred to as ankylosis. Ankylosis causes loss of mobility of the spine. Pt treatment deep breathing for lung expansion and stretching exercises to improve spine and joint mobility. Are also advised to sleep on a firm mattress and avoid the use of a pillow in order to prevent spine curvature. Aerobic exercise is generally encouraged as it promotes full expansion of the breathing muscles and opens the airways of the lungs.

Check for vit b12 deficiency. You may try gentle static stretches for calfs after hot water fomenting as per comfort.

Apply ice pack for 10-15 min each, this will subside swelling & relieve pain To subside swelling you may also do retrograde massage Keep legs on high pillow while lying on bed this will prevent swelling to recur & proper blood circulation will be there.

X-ray to confirmation and a checkup of vit d and calcium levels and do heat fermentation twice a day avoid long sitting, standing.

First of all check your posture when you are lifting any material like heavy bucket. And try to lift the heavy bucket without bending your back. You may lift the bucket after bending your knees only. This will definitely help you. * gentle massage with lukewarm mustard oil of your waist area will also give you relief. * surya namaskar is only exercise which you need to do. * in diet vegetable protein of cereal, b complex supplements and half teaspoon of haldi in a cup of milk for seven days will give you enough relief.