Dr. Rajesh Badiyani

No 1: Rotator Cuff Isometrics Most of these shoulders have quite high pain levels for the first few weeks and we know that isometrics are great for reducing pain (source) and they do produce some significant forces and tension in the cuff, so can be thought of beginning the needed loading program. There are lots of variations and I don't think it matters too much how you do them, it's more important how hard and how much you do them, more on this in a bit. The isometric exercises I usually give are a'Back of the hand Wall Press' used when I suspect a more superior cuff tendinopathy, it's done simply by standing next to a wall and pressing the back of the hand into the wall in the scapular plane (called Scaption) at approx 30° of abduction.

Increase water intake, reduce non veg or protein intake, take appointment for medicine prescription.

Physiotherapist per say are not allowed to advise treatment independently or proscription any medicine Is always under some doctor's advise He might be quake 3 to 4 lakhs is beyond my understanding.

The diagnosis of carpal tunnel syndrome should be seriously considered, among other things, and a nerve conduction study should be done for the same.

Back pain. Advice hot fomentation x twice daily. Avoid bending in front. Postural correction. Sit tall, walk tall. Extension exercises x 15 times x twice daily bhujang asana x 15 timesx twice daily core strengthening exercises. Back stretching.

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. 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.

Tkr total knee replacement is a good procedure for knee pain when done in properly selected patient. It gives uniformly good results, if done by properly trained surgeon. We have several such centers in delhi. Kindly show me x-rays & other reports so that a final decision is taken.

RA has not permant cure but it culd be contraled with panchakarma. Vaman, Virechan, Nasya, Raktamokshan & Erandmuladibasti for 7 days.

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. My advise for you will be to get in touch of a neurologist because it will require clinical evaluation and further management. Do not hesitate to contact me if you need any further assistance. Thanks & regards

This treatment is being suggested on bases of the information provided. I would like to examine & investigate you in detail. Any way it may be tried, --. Dolokind Plus (Mankind) [Aceclofenac 100 mg +Paracetamol 350 mg 1 tab. OD & SOS. X 5 days. --. Caldikind plus (Mankind) 1 tab OD x 10 days. (You may need help of your local doctor to get these medicines.)--. Fomentation with warm water. Avoid direct flow of AC or Cooler. --. Sleep on a hard bed with soft bedding. --. Use no pillow under the head. --. Avoid painful acts & activities. -- .Do mild exercises for Foot & ankle. All joints. Do not ignore, let it not become beginning of a major problem. Do ask for a detailed treatment plan. If no relief in 2-3 days, contact me again (through this platform only) Kindly make sure, there is no allergy to any of these medicines. (Contact your family doctor, if needed). For emergency treatment visit nearest hospital. I hope, I have solved your problem to your satisfaction. Kindly rate the answer.Wish you a quick recovery & good health.