Dr. Mandar M. Puranik

Do u have any pain and tingling/numbness in any or both the legs? U can get MRI done to rule out any soft tissue injury...see some good orthopedician as well as physiotherapist to help you out.

Standing calf stretch stand away from a wall and. Put your fight foot behind you and be sure your toes are facing forward. Lean forward at the ankle while bending the right knee and keeping your heel on the ground. Hold this for 30 to 60 seconds. Repeat 10 times a twice a day.

As far as the treatment of rheumatoid arthritis is considered please understand that it is an auto-immune disorder, whose treatment is not mentioned in principles in any treatment modalities. However, ayurveda along with panchakarma therapy (bio-purification) would certainly help the patient as this treatment will be at cellular level taking all the toxins away from the body at the same time bringing the inflammations also down from the body hence reducing the pain. The holistic approach is the best therefore to treat rheumatoid athritis. The best treatments for arthritis pt in panchakarma is abhyangam (massage with medicated oils) n medicated steam bath. This wud rejuvenate your body - improving your work efficiency and bettering your sleep. It will also strengthen your nerves and muscles. These procedures will take out the harmful toxins out of your body - cleansing your body. These procedures reduce the stiffness of the body and relax the whole body.

Hi, Yes, it can be worn while walking, running, lifting heavy weights, etc. It helps to keep the joint in position. But do not wear it while sleeping; it will hinder the blood flow.

This is a general low back ache and for this you can follow these measures: one keep a pillow right under the knee while sleeping, next is you can keep ice in the painful area for about 5--10 minutes, if pain still persists you can stretch your body by twisting the waist on both sides how we used to do in the school drill similarly you can try which will help you relax as well will reduce the pain. It looks like you are anaemic. If you have back pain after you sit for long hours then it is due to your haemoglobin levels as it is important to check that. Anaemia always leads to the symptoms of being tired and also having back / leg pain though there may not be any pathologicalreasons for back pain. If you have leg pain then you have to rule out the casues for having leg pain. Firstf all check your weight and your haemoglobin levels, as Anaemia always leads to the symptoms of being tired and also having leg pain though there are no issues with the knee joint or back pain. If not if the pain radiates down the back of thigh and legs then it might be due to sciatica. Kindly consult the nearby physiotherapist. Hope you recover soon from the leg pain. Physiotherapy treatment:Ift and swd can be done for localized pain.Ift and traction can be done if you have radiating pain. •Standing hamstring stretch: Place the heel of your injured leg on a stool about 15 inches high. Keep your knee straight. Lean forward, bending at the hips until you feel a mild stretch in the back of your thigh. Make sure you do not roll your shoulders and bend at the waist when doing this or you will stretch your lower back instead of your leg. Hold the stretch for 15 to 30 seconds. Repeat 3 times. •Cat and camel: Get down on your hands and knees. Let your stomach sag, allowing your back to curve downward. Hold this position for 5 seconds. Then arch your back and hold for 5 seconds. Do 3 sets of 10. •Quadruped arm/leg raise: Get down on your hands and knees. Tighten your abdominal muscles to stiffen your spine. While keeping your abdominals tight, raise one arm and the opposite leg away from you. Hold this position for 5 seconds. Lower your arm and leg slowly and alternate sides. Do this 10 times on each side. •Pelvic tilt: Lie on your back with your knees bent and your feet flat on the floor. Tighten your abdominal muscles and push your lower back into the floor. Hold this position for 5 seconds, then relax. Do 3 sets of 10. •Partial curl: Lie on your back with your knees bent and your feet flat on the floor. Tighten your stomach muscles. Tuck your chin to your chest. With your hands stretched out in front of you, curl your upper body forward until your shoulders clear the floor. Hold this position for 3 seconds. Don't hold your breath. It helps to breathe out as you lift your shoulders up. Relax. Repeat 10 times. Build to 3 sets of 10. To challenge yourself, clasp your hands behind your head and keep your elbows out to the side. •Gluteal stretch: Lying on your back with both knees bent, rest the ankle of one leg over the knee of your other leg. Grasp the thigh of the bottom leg and pull that knee toward your chest. You will feel a stretch along the buttocks and possibly along the outside of your hip on the top leg. Hold this for 15 to 30 seconds. Repeat 3 times. •Extension exercise: Lie face down on the floor for 5 minutes. If this hurts too much, lie face down with a pillow under your stomach. This should relieve your leg or back pain. When you can lie on your stomach for 5 minutes without a pillow, then you can continue with the rest of this exercise.

Hi, Apply Bakson’s Rheum Aid oil gently (2-3 times a day) and take orally Bakson’s Rheum-Aid syrup/ 1 tablespoon thrice daily. Also, increase your dietary intake of calcium which is present in green leafy vegetables, milk, milk products, sea food, white legumes, dried fig, black-eyed peas, almonds, oranges, seasame seeds. And vitamin D which is essential for absorption of calcium in our body and is synthesized naturally after getting exposed to sunlight, so early morning sunlight for 10-15min. 2-3 times a day is mandatory. Apart from this, do walk daily along with physiotherapy will also help you.

Do Take Strengthening and stretching exercises and postural exercises from physiotherapist Best wishes.

If Physiotherapy is not giving expected results you can very well try Arthroscopic Procedure by an expert Best Wishes

Dear Sathyanarayan, Namaskar, I believe that You have now understood that MRIs have been decisive for the line of treatment in shoulder and the Left knee... I too can give you a scientific guidance only upon seeing the MRI report of the Right knee and the films as well.If you can send me..... Take care

Hi, It looks like you have developed arthralgia due to the viral fever and generalised weakness. In absence of any joint swelling you can try some simple painkillers for 3-4 days and see. If pain still has not settled I would advise you to consult a physician. Please take a well balanced diet with milk, eggs etc to recover your strength. Thank you.