Dr. Shabnam

Keep your leg raised while sitting or lying quadriceps strengthening exercises- quad clenches: lie flat on your back or sit upright on a chair with leg kept horizontally on another surface. Now, tighten the muscle on the front of the thigh by pushing your knee down. You should feel your thigh muscles clench, hold for 3 secs. Repeat 10 times twice a day. Short arcs: lie flat on your back or sit upright with your leg placed horizontally on a flat surface like a chair or bed. Place a rolled up towel under the knee. Pull your toes towards you and clench you thigh muscles. Slowly lift your foot up off the bed until your knee is straight (keep your knee resting on the towel). Hold for 3 secs and slowly lower them on the chair. Repeat 10 times twice a day. Straight leg raise: lie flat on your back. One leg and knee will be straight and other leg should be bent. Pull your toes towards you and tighten/clench the muscle on the front of the thigh, locking your knee straight. Lift your foot up in the air, about 6 inches off the bed. Hold for 3 secs and slowly lower the leg. The knee must remain straight the whole time you are doing this exercise.

Apply hot fomentation twice daily Do isometroc exercises Do gentle aerobic exercises Take milk & milk products Take calcium & vitD supplements Take calcium & protein rich foods

Hi initially, tell her to rest 1) apply cold pack or ice pack for 20 min. At every 2 hrs. 2) keep her ankle elevated by placing pillow under ankle. 3) wrap elastic bandage around ankle which you can learn from physiotherapist. Also ultrasound therapy will be good for her. And for elbow you have not given enough information do reply back for private consultation and detailed treatment plan.

Start doing back muscles strengthening exercise at least 5 minute twice daily. Take vitamin D and calcium tablets for straight away 3 months. Then get your blood vit d and B12 levels done. Take crocin once or twice a day for back pain. Regards

Requires detailed examination and investigation. Preliminary investigations suggested: hb, tlc, dlc, esr, blood sugar fasting & pp, uric acid vit d urine r/e x-ray of the affected part. Anyway it may be tried 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 fomantation paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back, knee & general exercises. It may have to be further investigated. Do not ignore it. Let it not become beginning of a bigger problem. Make sure that patient is not allergic to any of the medicines that he/she is going to take. If it does not give relief in 4-5 days, inform

Your back muscles had been got stiff due to back injury. Prolonged pain cause muscle weakness. Take physiotherapy treatment for reducing pain and stiffness. Once pain reduced start regular back strengthen exercises to build strong muscles under qualified physio guidance.

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. In my opinion, it will be better if you can contact a pulmonologist or a chest physician for evaluation and further management. Do not hesitate to contact me if you need any further assistance. Thanks & regards

most important is specified exercises for this problem Which can be advised by occupational therapist after Proper examination.secondly supplement have role including morning sunshine + weight bearing progressive training.

Advice. Avoid sitting cross legged. Avoid squatting- quadriceps exercises- lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain. 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. Sports taping- stretch the tape from both ends and apply on the affected area contrast fomentation (hot and cold).

Hi there There is no cure for muscular dystrophy. But medications and physiotherapy can help to manage symptoms and slow the course of the disease. Medicines prescribed can be Corticosteroids, such as prednisone, which can help improve muscle strength and delay the progression of certain types of muscular dystrophy. But prolonged use of these types of drugs can cause weight gain and weaken bones, increasing fracture risk and Heart medications, such as angiotensin-converting enzyme (ACE) inhibitors or beta blockers, if muscular dystrophy damages the heart. Physiotherapy will help in maintain range of motion of joints by stretching and strengthening exercises, aerobic exercises to maintain strength, mobility and general health. Braces to avoid contractures and maintaining muscle length. There can be need of breathing assistance if respiratory muscles weaken, a sleep apnea device may help improve oxygen delivery during the night. For further medicinal advice contact neurologist and physiotherapist.