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Madhuri Pune Pain Clinic

Pain Management Specialist Clinic

Krishnatara 3 Sindh Society Baner Road Pune
1 Doctor
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Madhuri Pune Pain Clinic Pain Management Specialist Clinic Krishnatara 3 Sindh Society Baner Road Pune
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It is important to us that you feel comfortable while visiting our office. To achieve this goal, we have staffed our office with caring people who will answer your questions and help you ......more
It is important to us that you feel comfortable while visiting our office. To achieve this goal, we have staffed our office with caring people who will answer your questions and help you understand your treatments.
More about Madhuri Pune Pain Clinic
Madhuri Pune Pain Clinic is known for housing experienced Pain Management Specialists. Dr. Madhuri Lokapur, a well-reputed Pain Management Specialist, practices in Pune. Visit this medical health centre for Pain Management Specialists recommended by 87 patients.

Location

Krishnatara 3 Sindh Society Baner Road
Baner Pune - 411007
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Knee Pain and Exercise Therapy

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Knee Pain and Exercise Therapy

Health Tip Knee Pain and Exercise Therapy

 

Knee pain is second most pain next to back pain in middle age. It could be due to physical injury or by pathological reasons. And correct alignment should be maintained in sitting walking or standing involving body pressure to the limbs expecially to knees. In case of pathological causes should be watched and followed to control infections or to improve immunological components in the body to support the efficiency in managing the resistance against all agents

 

Exercise science or therapy plays a very vital role in controlling the pain and to reduce symptoms. The foremost exercises are to strengthen the quadriceps and hamstring muscles, which could be done by keeping a pillow or small bedsheets preferably cotton beneath knee and pressing hard for 5 to 7 seconds and repeating the same for 15 times resting for 3 second in every repitations (see the pic attached). And hamstring muscle strengthening by lifting straight into 90% without bending the knees and holding the same for 3 to 5 seconds as possible and repeating it for 10 to 15 times for one duration, better to do for twice daily in stipulated time regularly, along with calcium rich and vitamin d3 in sufficlient level.

 

For pain even hot and cold water fomentation for thrice a day for 5 days regularly can be given to receive locally, for worst pain management physiotherapy interferential therapy (ift) and vacuumtherapy can be given for 7 to 10 days followed by strengthening exercise under guidance from physiotherapist


www.pmnspeciaality.com

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I am feeling uneasiness around underarm area, while lifting left hand I am getting pain in my shoulder, Kindly suggest.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am feeling uneasiness around underarm area, while lifting left hand I am getting pain in my shoulder, Kindly suggest.
Hot Fomentation. Gentle Shoulder Stretching. Core Strengthening Exercises. Gentle Neck Exercises. Avoid sleeping on affected side.. Warm up and cool down is a must.
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I have an ache in my Joints after a long walk of nearly 15 Kms. What should I do to get Better?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have an ache in my Joints after a long walk of nearly 15 Kms. What should I do to get Better?
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.
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Hello doctor I have stomach cramps and loose stools since 4-5 days. I vomited yesterday after having food. What should I do.

DHMS (Hons.)
Homeopath, Patna
Hello doctor I have  stomach cramps and loose stools since 4-5 days. I vomited yesterday after having food. What shou...
Hello, Lybrate user, it might be the case of indigestion consuming junkfood, tk, plenty of water to hydrate your body to eliminate toxins. Tk. Care, homeo medicines: @ Nux vom 30-6 pills, thrice. Avoid, junk food, alcohol, nicotine, report, wkly tk. Care.
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I have back pain from last 2 to 3 days also I get burps in early morning sometimes and my vitamin d is 13 and sugar is fasting 134 and pp is 191 and hemoglobin is 10.3 and taking thyroid medicine as thyronorm 25 mcg .wanted to know reason for my back pain.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have back pain from last 2 to 3 days also I get burps in early morning sometimes and my vitamin d is 13 and sugar i...
lybrate-user, Looking at your weight and height it is clear that you have almost grade 2 obesity with a BMI of 34.16 Kgs/M2. This itself can be the cause for back pain. Since you are on treatment for hypothyroidism, it is necessary to maintain TSH around 3 to 4 mU/L, to be free from all the symptoms. Plus even to be successful in reducing the weight. Your blood glucose levels show you probably have T2 diabetes. There is no mention about whether any treatment is being taken for that. Hb% 10.3 g is marginally low. Most important is to reduce weight, that will help in overcoming all the problems. Thanks.
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Physiotherapy For Carpal Tunnel Syndrome

MPT - Orthopedic Physiotherapy
Physiotherapist, Palwal
Physiotherapy For Carpal Tunnel Syndrome

Carpal tunnel syndrome is a painful disorder of the hand caused by pressure on your median nerve as it runs through the carpal tunnel of the wrist. Symptoms include numbness, pins and needles, and pain (particularly at night). Anything that causes swelling inside the wrist can cause carpal tunnel syndrome, including repetitive hand movements, pregnancy and arthritis.

Cause of Carpal Tunnel Syndrome
Carpal Tunnel Syndrome symptoms begin when the pressure inside the tunnel becomes too high. This results in your median nerve becoming compressed as it passes through the small tunnel. 

The carpal tunnel pressure increase occurs when either of two things happens:

  1. The tunnel space decreases, such as when the wrist swells eg after a traumatic injury, partial subluxation of the carpal bones or fracture or tenosynovitis.
  2. When the contents of the tunnel (median nerve, blood vessels and tendons) enlarge. 
  3. Both of these situations increase the pressure on the nerve, leading to the carpal tunnel symptoms.

Symptoms of Carpal Tunnel Syndrome

Carpal Tunnel Syndrome (CTS) sufferers will usually experience the following symptoms in their hand or fingers:

  1. hand pain or aching
  2. pins and needles
  3. numbness esp at night of with wrist flexing
  4. burning
  5. weakness or cramping
  6. perceived swelling

The symptoms are usually worse at night and your grip will weaken as the condition progresses. Eventually you will notice muscle atrophy of the thenar (thumb) muscles and loss of hand function or clumsiness. If this sounds like you, suspect carpal tunnel syndrome.

Physical Therapy Treatment

  1. Gliding Exercises: Moving your fingers in a specified pattern of exercises may help your tendons and nerves glide more smoothly through your carpal tunnel. While there’s some evidence that gliding exercises can help relieve symptoms when used alone, these exercises appear to work better in combination with other treatments -such as splinting.
  2. Graston Technique/Manual Therapy: The Graston Technique incorporates a patented form of instrument-assisted soft tissue mobilization that enables clinicians to effectively detect and treat scar tissue and restrictions that effect normal function. Manual therapy techniques such as myofascial release or Active Release Technique are hands-on techniques that release tight tendons and musculature.
  3. Ultrasound: Deep, pulsed ultrasound directed at the carpal tunnel can reduce pain and numbness, and improve hand strength. Continuous superficial ultrasound doesn’t help.
  4. Traction: Some people obtain relief from carpal tunnel symptoms by using a hand traction device, called C-Trac. You might try this device, which can be purchased for home use, if other conservative treatment options have failed.
  5. Splints: Splints (braces) are the most commonly used nonsurgical treatment for carpal tunnel syndrome. Splints that immobilize the wrist in a neutral (unbent) position are most likely to relieve discomfort. An unbent wrist maximizes the size of the carpal tunnel, which reduces pressure on the median nerve, relieving your symptoms.
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Ayurveda For Back Pain

MD - Ayurveda
Ayurveda, Jaipur
Ayurveda For Back Pain

Backs are stabbed by the postural deformities and irregular lifestyle. In our hectic lifestyle, we come accross many wrong postures everyday which are hampering our back and lifestyle in day to day life and this is causing back pains to all of us.

These might be the luxurious couches or the uncomfortable chairs in office or just a simple foot-slip in bathroom, anything can cause this kind of distress or pain. Generally all back pains start very mildly and these keep on aggravating with the time and start causing different problems in life. If we look at the data from the different pharmacies, pain killers are most commonly sold for back pain. We all keep on taking these painkillers to relieve from the pain, but we never understand and believe that these are some solution.

Ayurveda treats all types of back pains and also have researched that there are several causes behind the back pain. In some cases, we all fee that …ohh!! this cannot be the cause of the back pain! Here is the list of the reasons-

  • You comfortable Sofa or chair, on which you slouch daily: this deforms your back muscles and also makes you a patient of spondylosis.
  • Your habits of walking very fast- chances of injury are very high in such cases.
  • Heavy intake of dry foods in other language lack of proper unctuousness which can maintain the smoothness of your muscles and keep the rigidity away from you.
  • Bad digestion and excess of intestinal gases in your body.
  • A heavy sneeze, which you supressed because you were sitting somewhere in a meeting?
  • A wrong way to pick the weight.
  • Postural irregularities during pregnancy
  • History of injury or accident

These are most common causes we have found in different patients but in almost all the cases we have found that this is the stiffness of the back muscles, which caused the problem. To give an add on many of the patients, just get into bed on recommendation of some physicians and this Bed-Rest proved BAD for most of them, because it increased the stiffness of the back over all.

Regular use of painkillers might give us a pleasant feeling of- “absence of pain” for a while but the same pain killer keep on worsening the health regularly and after years we feel- cheated, because we used the painkillers to just get rid of a sensation. We at Sukhayu Ayurveda are treating the cases of Back Pain since years. Among all these cases, if we talk scientifically, there were many patients of-

  • Protrusion of Intervertebral Disc
  • Herniated Disc
  • Bulged disc
  • Annular Ligament Tear
  • Ruptured Disc
  • Degenerative Disc Disorder
  • Scoliosis/Kyphosis
  • Spondylosis and Spondylitis along with Spondylolisthesis.

Ayurveda has been curing all types of back pains. This was not relief for two-three days or months, patients are free from all the symptoms since seven years now. So if you are suffering from back pain since years and want to get rid of this, visit a specialized ayurvedic consultant and find a permanent cure for your back pain with Ayurveda.

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I am 20 year old and my left hand fracture when I was 12 year old. I started gym last 3 days and I feel little bit pain in joint part of elbow than the other hand. So I should take calcium tablet or any other medicines please suggest me.

BHMS
Homeopath, Secunderabad
I am 20 year old and my left hand fracture when I was 12 year old. I started gym last 3 days and I feel little bit pa...
Do not do any exercise which can be hard for you. Take the help of a doctor or an expert and go slow with the exercise regimen. Resting the muscles is equally important . Eat nutritious food ( a balanced diet ) and take supplements only if there is deficiency ( or get a prescription by a doctor .)
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Headache - Certain facts one should know

MBBS
General Physician, Durg
Headache - Certain facts one should know

Headache is a pain in any part of the head, including the scalp, upper neck, face (including the eye area).

A primary headache is caused by problems with or overactivity of pain-sensitive structures in your head. A primary headache isn't a symptom of an underlying disease.

What are the causes and triggers?

The three most common causes of a primary headache are:

  1. Cluster headache
  2. Tension-type headache
  3. Migraine

Some primary headaches can be triggered by lifestyle factors, including:

  • Alcohol, particularly red wine
  • Certain foods, such as processed meats that contain nitrates
  • Changes in sleep or lack of sleep
  • Poor posture
  • Skipped meals
  • Stress

Doctors focus on determining whether a headache has another cause. They also check for symptoms suggesting that a headache is caused by a serious disorder. If no cause is identified, they focus on identifying which type of a headache is present.

Tips that could help before seeking consultation:

  • Try to keep stress in check. Stay organized and prepared to minimize stressful situations. Have some fun, and don't overdo it at work.
  • Try incorporating meditation or yoga in your daily regime
  • Apply a heating pad, hot water bottle or warm compress to aching muscles. Or take a hot shower.
  • Apply an ice pack wrapped in a towel to the neck.
  • Practice good posture to ease muscle strain. While standing, keep shoulders back and head level, buttocks and abdomen pulled in. While sitting, keep your head straight and thighs parallel to the floor.

When to seek consultation?

In people with headaches, certain characteristics are cause for concern; these people should immediately seek medical consultation:

  • It occurs more frequently than usual
  • Are more severe than usual
  • Worsen or don't improve with appropriate use of over-the-counter drugs
  • Prevent you from working, sleeping or participating in normal activities
  • Headaches that cause you distress, and you would like to find treatment options that enable you to control them better
  • Tenderness at the temple (as when combing hair) or jaw pain when chewing
  • The presence of cancer or a disorder that weakens the immune system
  • Use of a drug that suppresses the immune system
  • Red eyes and halos seen around lights
  • If you are experiencing certain other symptoms like- headaches that increase in frequency or severity, headaches that begin after age 50, worsening vision, weight loss

A headache can be a symptom of a serious condition, such as a stroke, meningitis or encephalitis. Go to a hospital emergency room or your local emergency number if you have the worst headache of your life, a sudden, severe headache or a headache accompanied by:    

  • Confusion or trouble understanding speech
  • Fainting, drowsiness, confusion
  • High fever, greater than 102 f to 104 f (39 c to 40 c)
  • Numbness, weakness or paralysis on one side of your body
  • Stiff neck
  • Trouble seeing, speaking or walking
  • Nausea or vomiting (if not clearly related to the flu or a hangover)

If people with none of the above symptoms or characteristics start having headaches that are different from any they have had before or if their usual headaches become unusually severe, they should call their doctor.

Doctors can usually determine the type or cause of headaches based on the medical history, symptoms, and results of a physical examination. Depending on their other symptoms, the doctor may advise taking an analgesic or ask them to come for an evaluation.

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How Can Muscular Dystrophy Be Treated in Children?

MD - Paediatrics, MBBS
Pediatrician, Faridabad
How Can Muscular Dystrophy Be Treated in Children?

Weakness of the muscles due to a genetically inherited condition is known as muscular dystrophy. This condition prevents the body from producing the required protein that can help in building muscles. This protein is also responsible for making the muscles strong and stable. This is most commonly seen in children who may seem clumsy as they begin to grow up and indulge in varied kinds of movements. Let us learn more about this condition and the ways in which it may be treated.

  1. Symptoms: In order to better understand the ways of treating this condition, it is important to take stock of the varied signs and symptoms that are associated with the same. The main symptom of this condition includes difficulty in walking as well as constant slips and falls that may be endured by the child. Also, the children suffering from this condition will have trouble in lifting the leg and foot in a normal way.
  2. Other Complications: This condition can also affect the heart and lungs by making the muscles in these regions weak. Also, this condition can lead to a number of serious breathing problems that will need immediate medical intervention so that it does not become fatal. It may also lead to accelerated heart beats and affect the hands and feet of the patient in an adverse manner. This condition can be found in different types, each of which will affect the patient in a different manner.
  3. Physical and Occupational Therapy: One of the most effective ways of dealing with condition in the long run is to indulge in physical and occupational therapy. With the help of a physiotherapist and other specialists, the patient will be taught to move in a more deliberate and normal manner without falling too often. Also, the patient will be eventually trained to go about life and various functions with certain kinds of movements that will be limited to the issues that the patient may be facing. Bracing will also be required so as to help the child cope better in the physical sense.
  4. Prednisone: This medicine may be prescribed by the Pediatrician to ensure that the progression of the heart issues may be slowed down. This will ensure that the heart may function in a more normal manner despite the muscle issues that it may be facing. The doctor will usually recommend that the medicine should be started when the child is around five or six years old.
  5. Spinal Fusion: This surgery can lessen the pain and reduce the severity of the symptoms, which can lead to better chances of moving in a normal manner. This will also give the child better posture so that the child may breathe normally.
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The Link between Posture and Technology: How your gadgets may lead to injuries?

MBBS, MS - Orthopaedics, Fellowship in Arthroscopy & Arthroplasty Shoulder & Knee
Orthopedist, Gurgaon
The Link between Posture and Technology: How your gadgets may lead to injuries?

In the technologically advanced era one lives in, it is pretty much easy to use up one’s entire day glued to the digital screens; right from checking the social media updates while commuting to sitting before the computer for everyday work. Yet nobody is aware of the fact that apart from creating a social gap, these electronic gadgets can take a toll on their postures too.

  1. You lean against your desks with your neck leaned forward in an attempt to grasp what is on the computer screen and your hand on your mouse scrunched up on one side. Sadly, human body was never designed to pose in such a consorted way resulting in adverse side effects.
  2. The head usually weighs 10 to 12 pounds on an average when it is balanced evenly over the shoulders. However, with each extra tilt forward, the weight on your spine might escalate up to 60 pounds and even beyond that. Excessive weight on the spine can lead to its subsequent collapse.
  3. Too much use of tablets and smart phones for swiping or texting can cause inflamed index fingers, thumb joints and tendons. You tend to suffer from wrist pain, enfeebled grip or popping sound while moving the fingers. Typing with one thumb without giving considerable breaks in between can also exert stress on the fingers.
  4. Hunched over, shoulders slumped and necks bent down are the ways majority of the people use their electronic gadgets. This can trigger misalignment of the spine aggravating your health. Spine protects the nervous system, coordinating and controlling various functions of the body. Any sort of disruption might render a drastic consequence.
  5. Poor posture impacts the ligaments and muscles in a negative way giving way to a series of complications such as gastrointestinal problems, back or neck pain or severe curvature of the spine, heightening the risk of arterial or pulmonary problems.
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Back Pain and Bad Sleep

MBBS, MD - Physical Medicine & Rehabilitation
Pain Management Specialist, Jaipur
Back Pain and Bad Sleep

Pain related sleep disruption has affected a large number of people around the globe. Statistics has it that, in India, about 25% of the population suffers from pain-related sleep deprivation. Studies call it ‘the vicious cycle of pain and sleep’ as pain affects your ability to sleep and lack of sleep makes the pain even worse.

Back pain and arthritis are examples of some common pain-related medical disorders. People with these types of chronic pains have reported persistent sleeplessness or have had immense trouble falling asleep.

The following are the primary sleep disorders associated with chronic pain:

  1. Insomnia: It is a medical condition that is characterized by an inability to fall asleep no matter how physically exhausted you are. Insomnia can be acute (lasting for one night to a week) or chronic (that lasts for more than 3 weeks).
  2. Hypersomnia: It is a condition wherein you tend to sleep excessively; in this condition, you will have trouble being awake throughout the day or can fall asleep at any point of time.
  3. Sleep Apnoea: This is a sleep disorder wherein breathing pauses and resumes repeatedly. Risk factors include obesity, age and gender; it is more commonly observed in men. This condition can be chronic with symptoms such as snoring loudly or feeling very tired even after one has had a night’s sleep.
  4. Restless leg syndrome: It is a sleep disorder wherein you continuously move your legs while sleeping. However, this condition can also cause you to move your legs even if you aren’t sleeping.

Some of the causes of sleep disorders due to chronic pain are:

  1. Pain
  2. Worry and anxiety
  3. Sweating at night
  4. Depression and other mental disorders

Treatment

A pain and sleep disorder should be simultaneous as both the components of it, pain and sleep, are interrelated. Some of the ways people with chronic pain can still have a good night’s sleep are:

  • Limiting caffeine intake
  • Abstaining from alcohol and smoking, as these disrupt the sleep cycles, thus aggravating the existing pain.
  • Practicing meditation and other relaxation techniques
  • Pain killers or sleeping pills can be administered, but only with the doctor’s advice.
  • Hot water fomentation over painful area during night, for better sleep.
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I have been playing badminton from the last 2 days, and after playing the right side of my back starts paining very badly and the pain increases as I breath. Is it normal coz I have been playing since the last 2 days.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have been playing badminton from the last 2 days, and after playing the right side of my back starts paining very b...
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. Core Strengthening Exercises- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day
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I have back pain from few days. I think it is due to continuous sitting. I took calcitas d3 & nurokind lc last night but these tablets causing headache.

M.B.B.S
General Physician, Kota
I have back pain from few days. I think it is due to continuous sitting. I took calcitas d3 & nurokind lc last night ...
Yes its due to sitting .take a walk between sittings and most importantly sit with a proper back support.
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Sir/madam. Sometimes I will be suffering from Severe headache that to only left side. What does that mean. How to cure. Please give suggestion.

MBBS ,MD
Pain Management Specialist, Hyderabad
Sir/madam.
Sometimes I will be suffering from Severe headache that to only left side. What does that mean. How to cur...
It could be tension headache take good food and rest vitamins supplements start yoga or morning exercise
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I am 61 years old, For the past one week I have pain at the bottom of my stomach, slightly more when I urinate. Please advice. Thank you.

MD - Medicine, DM - Gastroenterology
Gastroenterologist, Delhi
I am 61 years old, For the past one week I have pain at the bottom of my stomach, slightly more when I urinate. Pleas...
Dear Mr. lybrate-user, lower abdominal pain with burning in urine can be due to urinary infection. You may have urinary infection or prostate enlargement. Get your ultrasound abdomen- pelvis and routine urine examination done. In addition to above there are other causes for lower abdominal pain without urinary involvement. Please consult your doctor for detail evaluation.
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Hi sir I was suffering last one week in neck pain and shoulder pain wen I take pain killer tablet then ok and next started pain again so pls tell me what I do now.

DHMS (Hons.)
Homeopath, Patna
Hi sir I was suffering last one week in neck pain and shoulder pain wen I take pain killer tablet then ok and next st...
Hello, Lybrate user, you might be suffering from spondylitis causing neck and shoulder pain, please. You should consult a physiotherapist, first to tone up the condition. Tk, Homoeo medicine @ Arnica. Mont 200-6 pills thrice. Tk care.
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Hello Doctor, I have a pain in my feet for 3 days after running with wrong shoes. Please help cure this issue.

BAMS
Ayurveda, Bangalore
Hello Doctor, I have a pain in my feet for 3 days after running with wrong shoes. Please help cure this issue.
Hi, Apply Rumalaya lineament and gently massage for 10-15 mins. Then immerse the feet in a bucket filled with hot water for 10-15 mins. Do this twice daily for a week.
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I am facing pain in left side of the chest since 2 days and some times I am facing shortness of breath this is happened earlier 2 months ago so I consulted pulmonoligist he advice me to have tests like CBP ECG PFT so I done those tests everything was normal in that tests so doctor advice me to take tablets for 1 month those tablets are montair-FX and nexito plus so I used that medicines for month then there was no problem again the same problem arises now.

PGD Maternal Child Health, MBBS
General Physician, Akola
I am facing pain in left side of the chest since 2 days and some times I am facing shortness of breath this is happen...
Most likely to be myalgia chest. ( muscular pain). The pain restricts total expansion of chest, hence shortness of breath. Do breathing exercises taking long deep breath despite pain, this will stretch the intercostal muscles and at normal expansion the pain will disappear so there will be no holding of breath halfway.
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Since past one month or so I'm having an on and off pain in my right bicep. Sometimes it gets difficult to bend my arm backwards and sometimes it's normal. Please advise.

MBBS
General Physician, Mumbai
Since past one month or so I'm having an on and off pain in my right bicep. Sometimes it gets difficult to bend my ar...
Dear lybrateuser, - Give rest to the arm, do not bend, lift weight or do not do exercises involving the arm till pain subsides - do hot fomentation of the affected area twice a day - apply pain relief gel three times a day lightly on the area, do not rub - take pain relief tablet 2-3 times a day after meals.
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