Dr. Arun Baviskar

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Please furnish me details of your investigations done till now and what is the cause for this numbness, if it is due to any issue in brain, then a neurophysician opinion will be required but if it is due to cervical cause, then you can send me all the details and I will be able to advise you on that. Do not hesitate to contact me if you need any further assistance.

At such advanced age you screen him for dm, x ray if trauma to rt shoulder. Only pain management might not work for him so ayurveda basti n rasayan therapy will sooth in all sense. Till then apply coconut oil on shoulders n on umbilicus n palms n feet.

Hi thanks for your query and welcome to lybrate. You will have to elaborate her complaints in detail: 1) what weakness are you talking, is it generalized fatigue after work? 2) which joints are affected, whats been the duration of joint pains? how much distance can she walk normally and what medicines is she taking on a daily basis? such issues can be due to anemia or deficiency of certain minerals and vitamins in body. I advise you to send me all investigations so that I can see and then advise you accordingly. Do not hesitate to contact me if you need any further assistance. Thanks & regards Dr Akshay Kumar Saxena

sir bachache for last 4 months falls in catagory of chronic low bachache. now it is important to evaluate the cause. i would advise you to go for imaging i.e mri lumbosacral spine if you are suffering from low bachache and thoracolumbar spine if upper back is involved

if you have an active life style and if you have instability symptoms (knee giving way) even after a proper course of hamstring strengthening exercises then you would benefit from ACL reconstruction

Hot and cold therapy has a tendency to reduce pain, assist with tissue healing, control swelling, and increase flexibility if used appropriately after an injury.

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.

Do take ift and vacuum therapy physiotherapy treatment for pain relief for 10 days followed by strengthening exercise from neuro physiotherapist avoid bending forward best wishes.

If you are symptomatic than plan for a knee replacement surgery at a later date and as of plan for symptomatic treatment

Acupuncture Therapy is the only treatment which gives cure to all patients suffering from occupational computer use hazard. Cervical Spondylosis an Occupational Hazard The occupational strain resulting from intensity and duration of working hours is taking a toll on the health of youths. Cervical spondylosis is afflicting the working class in the age group of 18 to 40 years, especially those in the IT sector. Percentage of such patients is increasing due to stress, pressure at work place and unhealthy food habits. With the rise in number of professionals like those at the call centre who remain confined to the desk or in front of computer for hours together in one posture, the number of people suffering from cervical spondylosis is on the rise. Neck pain can be caused by an injury, muscular problem or by a trapped nerve between vertebrae. Besides, inappropriate working or sleeping posture may also be responsible. It is a clinical syndrome resulting from degeneration of the intervertebral disc and consequent pressure on the cervical nerve roots or the cervical cord. An x-ray reveals the formation of osteophytes and loss of normal lordosis or forwards curve. This is essentially an extension of degenerative changes in the body as a whole. It is a degenerative disorder of the neck bones due to abnormal wear of the bone cartilage. This might lead to gradual compression of one or more than one nerve roots. It results in changes in sensation in arm, pain in neck and arm and weakness of upper limb muscles. Causes: Injury and muscular problem cause abnormal tear of joints, ligaments and the structures surrounding the joints. Trapped nerve between vertebrae. Long hour of reading or working on computer Watching TV and driving for long hours Bad posture Poor skeletal setup in the neck predisposes abnormal tear of the neck joints. Improper sleeping posture Symptoms: Headache Pain, stiffness in the neck, which may spread to other body parts, like shoulder and arm. Irritable, restless and fatigued, disturbed sleep and impaired work ability Numbness & weakness may appear in arms, hands, fingers and legs Pain at the back of the neck region, causing headache, altered sensation while combing hair Precaution: Do not bend neck for long duration while working in front of computer Avoid large thick pillow while sleeping Avoid sudden twisting of the neck Do neck-muscle building exercises Professionals who spend hours doing desk work or in front off the computers should take small breaks in between. Advice for patients: Avoid violent massage with deep pressure No manipulations by bone setters Exercise daily Drink milk and opt for calcium intake Anti-inflammatory medication, muscle relaxants Neck collar Physiotherapy, neck traction and diathermy. Note:- Prior Appointment is necessary for consultation.