Dr. Baviskar Arun

Hi thanks for your query and welcome to lybrate. I am dr akshay from fortis hospital, new delhi. Can you kindly tell me as to when did it start and reason you can remember for it? which part of thigh, outer or inner part is affected, maybe you can send a clinical picture pointing to the area of pain etc, do you also feel numbness and electric current like sensations there? do not hesitate to contact me if you need any further assistance. Thanks & regards dr akshay kumar saxena consultant orthopaedics fortis hospital, new delhi

Exercise regularly including stretching, yoga and exercises by lying on back. Do not sit at one place for longer time, avoid bending and lifting heavy weight. Apply orthomove oil or orthomove ointment over back twice daily. If didn't re-leaved, you may need internal medication. Consult privately for any query.

Patients suffering from most types of low back pain are often referred for physical therapy for four weeks as an initial conservative (nonsurgical) treatment option before considering other more aggressive treatments, including back surgery. The goals of physical therapy are to decrease back pain, increase function, and teach the patient a maintenance program to prevent future back problems. Common forms of physical therapy include: 1.Passive physical therapy (modalities), which includes things done to the patient, such as heat application, ice packs and electrical stimulation. For example, a heating pad may be applied to warm up the muscles prior to doing exercising and stretching, and an ice pack may be used afterward to sooth the muscles and soft tissues. OSee Physical Therapy: Passive PT (Modalities) for Back Pain 2.Active physical therapy, which focuses on specific exercises and stretching. For most low back pain treatments, active exercise is the focus of the physical therapy program. This article focuses on active physical therapy and exercise as a means to help recover from back problems and prevent or minimize future flare-ups of low back pain Low back pain has lasted between two and six weeks, or if there are frequent recurrences of low back pain, physical therapy is often recommended. Some spine specialists consider physical therapy sooner, particularly if the pain is severe. •Read more: Exercise and Back Pain In general, the goals of physical therapy are to decrease pain, increase function, and provide education on a maintenance program to prevent further recurrences. A physical therapy program for back pain usually has two components: 1.Passive physical therapy to help reduce the patient's pain to a more manageable level 2.Active exercises Passive Physical Therapy - Modalities Acutely, the physical therapist may focus on decreasing pain with passive physical therapy (modalities). These therapies are considered passive because they are done to the patient. Examples of modalities include: •Heat/ice packs •TENS units •Iontophoresis •Ultrasound.

Hi thanks for your query and welcome to lybrate. You are very young to actually have persistent back pains. 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.

Get a custom made insole.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 knee against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain.

Do Take IFT and laser Therapy for pain relief for 12 days followed by strengthening exercise from physiotherapist Best wishes.

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. You will have to actually specify which part of the foot are you feeling pain, is it the forefoot with involved toes, midfoot region or the hindfoot with heel region which is involved. Also apart from pain, do you also feel any swelling, skin redness or any local warmth as well? 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.

Hi use hot compression and stretching exercise for upper limb. And use ice comopression around shoulder joint before sleeping, consult me after 6days.

You might need to go for corrective surgery depending upon the angle. Have you gone for any x-ray if you can share it.

Try few things for your back pain: - Apply Ice and Heat Heating pads and cold packs can comfort tender trunks. Most doctors recommend using ice for the first 48 hours after an injury -- particularly if there is swelling — and then switching to heat. You can use whichever you find comforting as long as your skin is protected. - Limit Bed Rest Studies show that people with short-term low-back pain who rest feel more pain and have a harder time with daily tasks than those who stay active. -Keep Exercising Activity is often the best medicine for back pain. Simple exercises like walking can be very helpful. But remember to move in moderation, Stay away from strenuous activities like gardening and avoid whatever motion caused the pain in the first place. -Maintain Good Posture Most people have poor posture when going about their daily activities, putting unnecessary strain on their backs. -Strengthen Your Core Most people with chronic back pain would benefit from stronger abdominal muscles. If the abdominals are weak, other areas must pick up the slack. When we strengthen the abdominals, it often reduces the strain on the lower back. - Improve Flexibility Too much tension and tightness can cause back pain. By increasing flexibility you need to put an equal load throughout the body from the feet all the way up to the head. -Sleep the Right Way The amount of rest you get is important, and so is the position you get it in. Sleeping in a bad position or on a mattress without support can cause back pain. Back sleepers should put pillows under their knees. Side sleepers should place pillows between their knees to keep their spine in a neutral position. Stomach sleeping causes the neck and head to twist and can put undue stress on the back. -Use Relaxation Techniques Research shows that practices such as meditation, deep breathing and yoga, which help put the mind at rest, can do wonders for the back. -See a Specialist Developing an individualized exercise plan is essential to managing chronic back pain. Some patients need more core strengthening while others benefit mainly from stretching and improving flexibility. Please consult a Orthopedic Physiotherapist for the right exercise plan. Best wishes.

Hello do proper rest & do hot fomentation for 15-20 min thrice in a day. Take ust followed by ift for 15 days. Learn strengthening & stretching exercises from physiotherapist. This will help in reducing the pain. Thanks.

Hello, Is there any history of injury or hurt to the area? Any underlying medical condition? Medication: Meantime, 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.

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. There are many causes of swelling in the legs. Most common reason is postural and many patients develop it when they stand for a long time, but as soon as they elevate their leg up, the swelling subsides. It can happen after any injury which is a priority to diagnose and treat accordingly. Also there could be infection or inflammation which can lead to swelling. Sometimes heavy physical activity may also lead to swelling in your calf muscles. But we have to look at medical causes as well, chronic cardiac conditions can lead to swelling, any pathology which leads to low proteins in the body like deranged lft, kft etc can also lead to swelling. Hypothyroidism can also lead to generalized swelling like appearance in the body. So for accurate diagnosis we need to clinically evaluate and get appropriate tests: cbc, esr, crp, lft, kft, serum electrolytes and thyroid profile. Please get back to me should you need more information or with test results. 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, Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them . I will advise to check your vit B12 and vit D3 level. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

hot water fomentation and apply volini locally, can take tab dolo sos. do muscle exercise,it will help. Welcome

Take Ars alb 200one dose for 4days Arnica 1m once a day for 4days Callendul 200one dose for 4days

Take attention as per weight because for normal weight dose in akt4 is less. Better consult your treating doc.

Hi Fortis is a good hospital. Spine tumors have to be biopsied or FNAC for finding if it's benign or malignant. Excision of tumor is done for benign lesion and defect filled with bone graft, fusion of vertebra etc, if malignant then type and nature of tumor, whether more extended surgery or radiotherapy or chemotherapy responsiveness guide treatment guidelines. I may suggest biopsy, fnac before surgery for confirmation of diagnosis first. If patient has no other problems, like prostate, lung, kidneys etc this could be primary bone tumor. Doctors do PET -Ct glucose uptake study or bone scans before surgery to look for other focus of tumors or secondaries, or diagnosing benign or malignant nature.

In your age keeping both feet in hot / cold water alternately for 10 min daily before going to bed Plus long walks Static Cycling Will be really helpful.

1. Avoid intake of pitta-aggravating foods like hot, penetrating, or excessively salty and spicy foods, as well as chilies, garlic, pickles, fermented and preserved foods. 2. Increase intake of foods that are sweet and have a cooling effect on the body, like milk, butter, purified butter, almonds, raisins, black gram, licorice and asparagus. 3. Take 2 tab tenex forte, 1tsf dhatupaushtik churna twice a day with milk for 1month. 4. Do sarvangasna, kandasana, gomukhasna, vajrasana, mandukasana 10 min daily each pose early morning.