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Pain & Arthritis Clinic

Rheumatologist Clinic

# 204, Choice 'A' Apts.2nd floor, Dhole Patil Rd., Pune. Landmark: Opp. to Ruby Hall Clinic and Near to Dominos Pizza, Pune Pune
1 Doctor · ₹500
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Pain & Arthritis Clinic Rheumatologist Clinic # 204, Choice 'A' Apts.2nd floor, Dhole Patil Rd., Pune. Landmark: Opp. to Ruby Hall Clinic and Near to Dominos Pizza, Pune Pune
1 Doctor · ₹500
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About

Our goal is to provide a compassionate professional environment to make your experience comfortable. Our staff is friendly, knowledgable and very helpful in addressing your health and fin......more
Our goal is to provide a compassionate professional environment to make your experience comfortable. Our staff is friendly, knowledgable and very helpful in addressing your health and financial concerns.
More about Pain & Arthritis Clinic
Pain & Arthritis Clinic is known for housing experienced Rheumatologists. Dr. Ajit Nalawade, a well-reputed Rheumatologist, practices in Pune. Visit this medical health centre for Rheumatologists recommended by 84 patients.

Timings

MON-WED
12:30 PM - 03:30 PM
THU
11:30 AM - 03:30 PM
FRI
12:30 PM - 02:30 PM

Location

# 204, Choice 'A' Apts.2nd floor, Dhole Patil Rd., Pune. Landmark: Opp. to Ruby Hall Clinic and Near to Dominos Pizza, Pune
Ruby Hall Clinic Pune, Maharashtra
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Doctor

Dr. Ajit Nalawade

MBBS, DNB
Rheumatologist
20 Years experience
500 at clinic
Unavailable today
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My mother age is 62. She suffered from knee pain. She can able to walk. But when she sit and stand she feels pain. I take her to an allopathic doctor. He gives ointment and medicine. He said come later and we take X ray. If we need we do operation he says like that. I am afraid of operation. Please give suggestions to me. She is suffering from knee pain. Please give suggestions doctor.

MCh Ortho, ATLS (AIIMS), Diploma In Orthopaedics (D. Ortho), MBBS, MS - Orthopaedics
Orthopedist, Kolkata
My mother age is 62. She suffered from knee pain. She can able to walk. But when she sit and stand she feels pain. I ...
Her treatment depends on the amount of damage to the knee. Operation is a good option but is usually reserved as a last resort. She should get physiotherapy done. Also there are many chondro protective medicines which can help in reducing her pain. Knee replacement is considered when these methods fail to provide significant pain relief.
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I am facing pain in my knee from past 4 days. I have been riding bicycle for the last 25 years and I go by walk to most of places like market. I work in cisf central police. I was diagnosed with the problem In l3-l4 disk problem for which I took medication and bit of good feeling. But now I feel pain in my knees. Suggest me the best treatment and I want good medicine. Probably homeopathic medicine I would prefer for. My knee is not painful most of time. My knee is not warm on touch, not swollen. It's troubling me since 5 days. No history of injury. I sant to know homeopathic medicine for this and with dosage and want to know what not to eat during this homeopathic medicine intake. Tsh level- 6.19 Ft3 level- 2.05 Ft3 level- 0.87.

BHMS
Homeopath, Chennai
I am facing pain in my knee from past 4 days. I have been riding bicycle for the last 25 years and I go by walk to mo...
Homeopathy offers a much better treatment option for people suffering from Rheumatoid Arthritis. That is because Homeopathy does not aim at providing short term relief for RA. On the contrary, Homeopathic medicines for RA are aimed at completely curing and eradicating the inflammation of the joints. Of course, this requires some time as the immune system has to get back into its original shape where it recognizes one’s own body as a friend and not as an enemy. In my experience, Homeopathic treatment is by far the best treatment for RA when one considers the long term effects of the treatment. It is purely a natural treatment for RA and no steroids or synthetic medicines are used.
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How much cost requires to replace the knee. How long it helps in future and is the pain removes after operation. Age of the patient is 48 years women.

MS Ayurved, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Junagadh
How much cost requires to replace the knee. How long it helps in future and is the pain removes after operation. Age ...
For Knee joint replacement it depends up on Material of Knee joint and orthopedic surgeon, it may from 1.3 lakh to 2.5 or more.
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Hello doctor I have faced a small accident today my left knee slightly injured so is any natural remedies for recovery it hurts when moving my jaw while sitting and when walk .is any Natural remedy for speed recovery.

Diploma in Rehabilitation (Physiotherapy), DPT
Physiotherapist, Delhi
Hello doctor I have faced a small accident today my left knee slightly injured so is any natural remedies for recover...
Hello! Best thing one should do when there is injury is to put ice every 2 hrs for atleast 72 hrs. One should be care in applying the ice so as not to get cold burns. In your case you should rest the knee and can support with crepe bandage. If it still hurts aftet 2to 4 days after the injury consult a Physiotherapist.
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Hii, I'm getting a click sound whenever I fold my left knee. I don't have any pain as of now. I'm a regular cyclist and I do run and swim too.

MSc Applied Biology, Diploma in Naturopathy
Ayurveda, Delhi
Hii, I'm getting a click sound whenever I fold my left knee. I don't have any pain as of now. I'm a regular cyclist a...
17 face muscles which give 10 000 face expressions may have contact with all over body by nerves muscles hormones and emotions .did you take a bath in some river /swimming / .oh you have written you swim .remedy ho gaya .submit nominal on line fee and get home remedy treatment stat.
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Fibromyalgia - Best Ways To Manage It!

MD - Anaesthesiology, DNB, MBBS, Diploma in Aesthetic Medicine
Pain Management Specialist, Amritsar
Fibromyalgia - Best Ways To Manage It!

Fibromyalgia is a chronic condition marked by constant flu-like symptoms such as fatigue, headaches, insomnia and joint pains. However, the disease has no visible symptoms. There are also no known causes for the disease. While some believe stress to be a trigger for fibromyalgia, other theories suggest that physical and emotional factors such as a prior illness lead to the onset of this disease. This leads to fibromyalgia patients being often misunderstood and misdiagnosed. Almost 80% of fibromyalgia patients are women. While the disease is not lethal, it can make daily life difficult.

The criteria for fibromyalgia were established only in the late 1900s. In addition, the symptoms of this disease present themselves differently in each patient. This makes diagnosis very difficult.

  • Constant pain all over the body is the most common symptom of fibromyalgia.
  • You may also feel constantly tired, and unable to get a restful sleep.
  • Some fibromyalgia patients also suffer from depression or anxiety and an irritable bowel syndrome.
  • Fibromyalgia patients may also feel hyper sensitive to cold or heat, and feel numbness in fingers and toes.

Fibromyalgia has no known cure, and like arthritis, treatment for this disease addresses its symptoms. Most treatment programs include a combination of drugs, physical therapy, and behavioral techniques.

Pain relievers or anti-inflammatory medication and antidepressants are the two types of drugs administered to fibromyalgia patients. However, these should not be counted on as a long-term solution, as the side effects of these medicines can cause additional problems. Therapeutic massages and chiropractic manipulations can also help ease the pain. Along with this, it is also important to rest and relax. This helps reduce stress which often triggers fibromyalgia symptoms.

To get a better night's sleep, try going to bed and getting up at the same time every day. A warm glass of milk or chamomile tea just before bedtime can also help induce sleep. As far as possible, avoid taking sleeping tablets, as the body can soon become dependent on these.

Though you may constantly feel tired, increasing the day to day activity levels can have a positive effect on your health. Consider adding low-intensity activities such as walking, cycling, yoga or dancing to your daily routine. Complement these with a well-balanced, nutritious diet that includes lots of fruits and vegetables. If you or a loved one has fibromyalgia, bad days may not be prevented. But with treatment, they can be controlled.

Hip Osteoarthritis - Know How Physiotherapy Can Help You!

M.P.T. (Neuro), BPTh/BPT
Physiotherapist, Lucknow
Hip Osteoarthritis - Know How Physiotherapy Can Help You!

With age, most bones of the body undergo degenerative changes leading to reduced movement. The cartilage that is present in the joints allowing free movement is gradually lost due to wear and tear. This loss of cartilage makes the movement painful. This can also be caused by obesity and trauma, but age is the most common cause. The reduced movement leads to weight gain, which further aggravates the osteoarthritis.

Hips are one of the most commonly affected areas of osteoarthritis. Especially with overweight people, hips are quite often affected. In most people, early diagnosis can help in arresting progress and even reverse changes. This will help avoid chronic use of pain medications and major surgical treatments for managing the osteoarthritis.

Some of the most effective ways of managing osteoarthritis include the following:

  1. Weight loss: Reducing weight is one the most important cornerstones of managing osteoarthritis. People who reduce weight will see a drastic improvement in their symptoms.
  2. Pain medications: Pain is one of the main reasons that people seek medical help and that is when the diagnosis is made. Therefore, for immediate relief, pain control is essential. Nonsteroidal anti-inflammatory drugs are often used to control pain. In parallel, other measures for long-term control of osteoarthritis should be undertaken.
  3. Cold therapy: Using cold packs in the area of pain can provide great relief from pain attacks.
  4. Electrotherapy: Use of mild amounts of electricity can stimulate the nerve endings, reduce pain, and help in pain control.
  5. Acupuncture: Relieving pressure points which can increase inflammation is also widely used to control pain.
  6. Soft tissue massage: The soft tissues around the affected hip joint are regularly massaged, augmented by the use of a topical agent, which can help relieve the pain. The circulation is also improved, which can help in long-term symptom management including improved immune functions.
  7. Regular exercise: A well-planned routine exercise regimen will help control pain, improve movement, reduce fatigue, improve endurance, and improve the overall quality of life. All affected tissues should be covered in the exercise bones, muscles and cartilage.

Using a combination of these techniques, the physiotherapy will aim to achieve the following.

  1. Pain relief and protection: The first thing to manage is the pain, which brings the patient to the doctor. Once that is controlled, then long-term management needs to be planned.
  2. Restoring hip movement and strength: Once the pain settles down, then the muscle strength, tension, endurance, and range of motion need to be worked upon. This restoration will be done in phases, and with each phase, greater range of motion will be achieved with lesser discomfort to the patient.

Physiotherapy uses various techniques to minimise symptoms and in some people, even complete reversal of changes is possible. If you wish to discuss about any specific problem, you can consult a physiotherapist.

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What are the precaution must be taken while a person is suffering from arthritis? Does any medicine which heel this problem?

BPTh/BPT, MPT - Orthopedic Physiotherapy
Physiotherapist, Gurgaon
What are the precaution must be taken while a person is suffering from arthritis? Does any medicine which heel this p...
Precautions for knee osteoarthritis- Avoid prolong standing and prolong walking. Also avoid too much stairs climbing and descending. Avoid squatting and cross leg sitting Avoid prolong sitting in a low height chair Use a knee cap.
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I am a 52 year old male. I have pain in my knees and feet and it increases on exercises or after doing sports activities. What do I do to get into the diagnosis to know the root cause of this problem.

Diploma in Rehabilitation (Physiotherapy), DPT
Physiotherapist, Delhi
I am a 52 year old male. I have pain in my knees and feet and it increases on exercises or after doing sports activit...
Hello If the pain is in both your knees .It is more on activity this need to be taken care. Get it investigated .You could go to PHYSIOTHERAPIST to get the pain areas evaluated. She can further guide you pain management protocol.
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I am having very severe knee pain problems on my right knee from the past many months, due to which I cannot walk much & also unable to stand for a longer period/duration due to such knee pain. The X-ray reports of my both the knee (as on dated 26.10.2016) says the under-mentioned three things: 1. Digitogram reveals mild OA changes noted involving both knee joints. 2. The patella-femoral compartments show early affection. 3. Joint spaces of the knees are normal. I had tried lots & lots of medicines from the past two years in order to reduce my severe knee (joint) pain problems, but all the medicines had totally/completely failed & none of them had really worked or had helped me or either reduced my severe knee pain problems. I had also gone to many best orthopaedics doctors (nearly six to seven) of Kolkata during these past two years but the medicines prescribed by all of them (i.e these orthopaedics doctors) had not really helped me, even in the least manner or to the least level. I have heard from lots of people that, the medicine named" Macvestin"is very good & extremely helpful in reducing severe & continuous knee (especially joint) knee pain problems. Should I start taking this" Macvestin"tablet/medicine. If yes, then which" Macvestin"tablet should I start with i.e either 500 mg or 1000 mg. Please advice. How many tablets should I consume within 24 hours i.e one tablet or two tablet - i.e within a day. Is this tablet is to be taken/consumed - after eating breakfast, lunch or dinner. Please advice/suggest my all these above-mentioned queries in detail - in my email id i.e"krishnakumar. Chaturvedi@gmail.com"My mobile no. Is" 9674458740"& your goodself can make a call to my mobile no. On any day & at any time. KRISHNA KUMAR CHATURVEDI.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am having very severe knee pain problems on my right knee from the past many months, due to which I cannot walk muc...
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.
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I met plastic surgery in foot last year. Then I am gaining weight can you due to which I have pain in knee can you suggest any medication or exercise as I do have pain in back due to spinal injection during surgery.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I met plastic surgery in foot last year. Then I am gaining weight can you due to which I have pain in knee can you su...
Core Strengthening Exercises- 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.
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Dear Doctor, I am male age: 44 years height 175 cm weight 78 kg vegetarian and doing central government job sedentary work. Since one year I have been suffering from Osteoarthritis leading to degeneration of cartilage (find out by MRI and X-Ray). Kindly suggest suitable ayurvedic medicines to overcome this problem as I have unbearable pain and it is in grade 2. Presently I am taking allopathic medicines. Kindly advice what to do.

MD, Fellowship in Intergrative Medicine, MBBS
Integrated Medicine Specialist, Kochi
Osteoarthritis can result from trauma or from repetitive use, although there is often no single identified cause. It is typically divided into two broad categories: Primary osteoarthritis commonly occurs with aging. Secondary osteoarthritis is usually due to another disease or condition, such as repeated trauma, infectious disease, gout or surgery on a joint. Obesity is a frequent contributor, as excess weight puts additional stress on the cartilage, particularly on the joints in the knees and hips. Suggested Lifestyle Changes Lose weight if you are overweight; it can alleviate excess mechanical stress on the affected joint (s). Avoid intense activities that injure or strain the joint cartilage. Exercise. This can actually be beneficial as long as it is performed at a level that does not stress the affected joint (s). Strengthening surrounding muscles will support and protect the joint, and physical activity helps improve and maintain joint mobility and aids weight-reduction efforts. The safest activities are swimming, stationary cycling and light weight training – which put little stress on the joints. I am a Lifestyle and wellness Physician who can help you with dietary changes Before trying Ayurvedic treatment which will definitely work but going to the right set up is very important because nowadays every thing is commercial .I can help you with that you have to do lot of dietary changes which is going through elaborate questioning and it can be only done through a consult because it involves medical history and dietary history taking and suggesting the right supplements both nutritional and medicinal. Be careful about the source of the supplements because there are lot of fake ones in the market and it will do more harm than good.
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Am 43 years lady having Rheumatoid Arthritis and Osteoarthritis for 16 yrs. I have some pain in few Teeth with blackish gum .Is it possible due to Arthritis? Is there any teeth or gum arthritis? Please help.

BDS
Dentist, Siliguri
Am 43 years lady having Rheumatoid Arthritis and Osteoarthritis for 16 yrs. I have some pain in few Teeth with blacki...
No its nothing like that. It's due to Periodontal problems. Also it may be due to pigmentation of gums. I will advised to have an appointment with a Dentist.
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I am 33, healthy 78 kg, no drinks no smoke. I have medical anxiety. I now started exercise and good diet and feeling better. I did my blood tests. RA factor is 28.74 (it's high.) anti CCP is 7.4 (in normal range) -CRP 2.3 (normal) Clinically I feel burning on top of left thumb high burning sensation sometimes .also I feel pain in dorsal soft part of both hands just below last Ungli finger. My uric acid, urine tests, heamogram r in normal range. Only RA factor 28.74. Can this be problematic in future. Or any way I can control it at home naturally.

MD, Fellowship in Intergrative Medicine, MBBS
Integrated Medicine Specialist, Kochi
I am 33, healthy 78 kg, no drinks no smoke. I have medical anxiety. I now started exercise and good diet and feeling ...
You probably have an autoimmune RA disease which occurs due to several trigger factors. You have to change your diet completely for you go go into remission. Stop animal foods No diary products eat plant based foods only lot of nutritional and medical supplents need to be taken. One thing you have to remember is once you get an autoimmune disease you are prone for others also. Change your lifestyle change your diet, reduce stress at work and home sleep well I am a wellness and lifestyle Physician who can help you. To reduce your anxiety as well as advise you on the proper diet and supplements. Remember you cannot fix your health without fixing your diet Take a consult for specific advise.
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Can Homeopathy treatment cure Rheumatoid arthritis permanently without any side effects?

MCh Ortho, ATLS (AIIMS), Diploma In Orthopaedics (D. Ortho), MBBS, MS - Orthopaedics
Orthopedist, Kolkata
Can Homeopathy treatment cure Rheumatoid arthritis permanently without any side effects?
There is no cure of rheumatoid arthritis. However rarely people do come with complete remission of pain after a few years (cause unknown). The key to successful treatment is regular medicines.
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Which diet is helpful in controlling the rheumatoid arthritis? Can RA patient do yoga?

C.S.C, D.C.H, M.B.B.S
General Physician,
Which diet is helpful in controlling the rheumatoid arthritis?
Can RA patient do yoga?
there is no specific “diet” that people with rheumatoid arthritis.but certain foods can help control inflammation like sprouts, pulses, fish, fiber rich foods etc. Yes you can do yoga.
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Fibromyalgia Syndrome (FMS) & Myofascial Pain Syndrome (MPS) - Signs That Indicate It!

MBBS, Diploma in Anesthesia, FIPM, Clinical Fellowship Training in Chronic Pain Management
Pain Management Specialist, Mumbai
Fibromyalgia Syndrome (FMS) & Myofascial Pain Syndrome (MPS) - Signs That Indicate It!

It is quite likely for you to mistake fibromyalgia syndrome (FMS) and myofascial pain syndrome (MPS) as the same condition because of the frequent overlap and similar symptoms. As a result, people with both conditions are diagnosed with only one and are treated for that. The major difference between PMS and FMS is that they need different treatment. The trigger points can be eliminated, and while MPS pain may exacerbate FMS, treating MPS can improve FMS.

About FMS and MPS

  1. FMS is a disorder featured by musculoskeletal pain along with sleep, fatigue and mood swings. It affects the way in which your brain processes pain signals.
  2. MPS is another chronic pain disorder in which the pain is caused in the body because of pressure on sensitive points in the muscles. It is known as referred pain.

Symptoms:
There are several symptoms of MPS which are similar to that of FMS, while there are some different symptoms as well. The common symptoms are as follows:

  • Soft tissue pain
  • Headaches or migraines
  • Disturbance in sleep
  • Problems with balance
  • Tinnitus or ear pain
  • Memory problems
  • Excessive sweating

Here are the symptoms which are associated with MPS only and not with FMS:

  • Extreme numbness
  • Clicking or popping joints
  • Reduced range of motion in the joints
  • Blurry and double vision
  • Unusual nausea

Here are some symptoms which are observed in FMS but not in the case of MPS:

  • Fatigue
  • Panic attacks
  • Developing allergies and sensitivities
  • Feeling overwhelmed because of high sensory input levels
  • Confusion and disorientation

Diagnosis
MPS is difficult to diagnose and treat because of referred pain. The symptoms have to be recognised and the trigger points need to be identified for detecting MPS. The trigger points are found on the basis of the symptoms. Several tests like magnetic resonance elastography (MRE) and tissue biopsy are used for MPS diagnosis. On the other hand, there are no tests or scans which can detect FMS in patients.

Treatment
There are several overlaps as well as major differences when it comes to the treatment procedures of MPS and FMS. The treatment methods which are used for both MPS and FMS are as follows:

  • Acupuncture
  • Physical therapy which may be in different forms
  • Tricyclic antidepressant medicine

According to studies, trigger point injections are not too effective in giving relief to fibromyalgia tender points, while non-steroidal anti-inflammatory drugs (NSAIDS) are not useful for the treatment of FMS pain as they are meant for inflammation. It is very important for you to visit a doctor if you experience any symptoms of FMS or PMS. You require proper diagnosis so that the right treatment can be undertaken.

Insomnia - Causes And Symptoms

MS - Counselling and Psychotherapy, MA - Psychology, aster of Science - Counseling, Psychotherapy, Phd - Counselling, Psychotherapy
Psychologist, Delhi
Insomnia - Causes And Symptoms

Insomnia is the condition of acute sleeplessness, and it takes a heavy toll on your mood, your energy levels, and your ability to concentrate and work during the day. Some of the most common symptoms of the condition are:

  • You find it difficult to fall asleep even if you are tired
  • Once you wake up in the middle of the night, you cannot get back to sleep
  • You cannot work or concentrate on anything during the day
  • You stay mostly fatigued, or irritated throughout the day
  • You have to depend on pills or alcohol to fall asleep.
  • You wake up very early in the morning, no matter how late you sleep

What could be the causes for insomnia?

Insomnia might last just a few days if it is induced by some temporary cause, like stress at your workplace, or any other personal issue you can be facing. However, when the cause is a long rooted one, insomnia might persist for a long time. There can be a mix of many causes for that to happen:

  • Psychological stress or other emotional discomforts - Common psychological problems like anxiety, depression, chronic work stress, grief, and also bipolar disorder can be the causes for insomnia.
  • Illness or other medical problems - There can be many medical causes or other illnesses at the root of insomnia like allergies, acute asthma, hyperthyroidism, Parkinson's disease, kidney related diseases and cancer as well.
  • Medications - There can be many drugs, which might be prescribed by your doctor, but still be responsible for insomnia. These include antidepressants, corticosteroids like thyroid hormone medicines, few blood pressure medications, certain contraceptives and stimulants for ADHD (Attention Deficit Hyperactivity Disorder).
  • Sleep DisordersInsomnia, though in itself is a sleep disorder, can also be the symptoms for other sleep disorders like sleep apnea, restless leg syndrome, and other disorders related to jet lag or if you are working on a late night shift.

In addition to these causes, some daily lifestyle habits might act as triggers to insomnia, which include:

  • Consumption of large amounts of caffeine on a regular basis
  • Developing irregular sleep schedules
  • Taking your smartphone to bed and ending up spending a lot of time with it in the night
  • Eating late in the evening
1 person found this helpful

Suffering from too much knee pain boyh doctors said cartilage is torn take regular pain killers but still no relief also dine physiotherapy for 2 months after that pain as it is alsompatient of hypothyroidism pls help me my pain is getting worse.

MBBS, DNB - Orthopedics, Fellowship in Arthroscopy and Sports Medicine
Orthopedist, Bangalore
Suffering from too much knee pain boyh doctors said cartilage is torn take regular pain killers but still no relief a...
You need to get a standing x-ray of both knees ap and lateral view to assess any joint angle variation first. Followed by which you need to be assessed for joint cartilage damage by Mri scan. If there is damage it can be corrected arthroscopically so that arthritis does not set in at early age and you can delay or avoid knee replacement.
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