Dr. Sunil Nigam

Apply hot fomentation Do hamstrings, quadriceps & calf muscles stretching followed by strengthening program Do ankle pumps Do back, knees & heels isometric exercise Do straight leg raising exercise

Hi, cervical spondylosis is also called cervical osteoarthritis. It is a condition involving changes to the bones, discs, and joints of the neck. These changes are caused by the normal wear-and-tear of aging. With age, the discs of the cervical spine gradually break down, lose fluid, and become stiffer. Cervical spondylosis usually occurs in middle-aged and elderly people. Cervical spondylosis most often causes neck pain and stiffness. Although cervical spondylosis is rarely progressive, corrective surgery can be helpful in severe cases. Management: mild cervical spondylosis might respond to: -rest -regular exercise. Maintaining activity will help speed recovery, even if you have to temporarily modify some of your exercises because of neck pain. People who walk daily are less likely to experience neck and low back pain. -heat or ice. Applying heat or ice to your neck can ease sore neck muscles. -soft neck brace. The brace allows your neck muscles to rest. However, a neck brace should be worn for only short periods of time because it can eventually weaken neck muscles. Medication: take homoeopathic medicines - guiacum 30 and rhus tox. 30 - both 3 times a day for a month. Then revert for further guidance.

Mr. lybrate-user! In Ayurveda we have treatment for all diseases.In your case first please know the cause of your pain .If it happened after any new exercise or prolonged sitting or fall then take proper rest n can do hot fomentation after applying warm Dhanwantharam tail above effected bone part.

Hi I can understand your problem. *take rest *increase fluid intake *gently stretch or massage your leg muscle. * apply heat to tight muscles or cold to tender muscles. * there are various treatment options in physiotherapy which depends on your health and severity of your symptoms. Kindly reply for private consultation to discuss detailed treatment plan. Wishing you good health.

I read your message and I don't feel she should face any problems in her marriage life but we have to examine her for further information.

Hi You can start physiotherapy treatment to strengthen the muscles around shoulder. Do reply for private consultation and detailed treatment plan Wishing you a good health.

Hot fomentation x twice daily. Neck Exercises. Neck Stretching. Postural Correction. Shoulder Shrugs . Core Strengthening Exercises. Take frequent Breaks at work Use cervical pillow. Use Back Support. Self Massage the back of neck

Dear lybrate user, take homoeopathic mother tincture acid phos q, 30 drops, thrice daily, after meals in a cup of water. Try to get a un-interrupted sleep of 8 hours daily. Drink a lots of water daily. If you have a habit of masturbation then you should not masturbate for more than twice in a week. Abstain from any type of addiction if you have any.

Do ift at physiotherapy clinic avoid forward bending don't give any jerking to spine use hard bed & avoid pillow while sleeping.

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.

First of all you should follow some basic thing 1. Avoid=hot and cold at time 2. Less the sugar as much as possible if you want to eat sweet take juggery which is black 3. Do not drink water after meal drink at the time of meal sip by sip up to 150 ml 4. Avoid late night sleep 5. Panchamrut parpati 1 tab before lunch and dinner 6. Audumbaravleha 2 tsp before lunch and dinner.

Do Take UST and laser Therapy for pain relief for 12 days followed by strengthening exercise from Neuro physiotherapist best wishes

Back ache can be due to several reasons. It can be muscular, related to disc degeneration or prolapse, joint irritation or nerve pinching. Most common is muscle pain due to tight and weak back and abdominal muscles. Keep a positive attitude, focus more on keeping good posture especially when sitting for long hours, use lumbar support. Take frequent breaks and stretch in between. Try changing sleeping habits. Try hot or cold therapy as tolerated. Wish you speedy recovery.

Hi back pain usually occurs due to prolonged sitting in a bad posture hence the pressure on the back increases and you get back pain as your muscle dont support any undue pressure so for this now you can start with a hot packs for ten minutes twice a day and also start strethening your core muscles.

About your 1st question this is your habit think good do good. And for your leg start some weight training it may help full for increase your muscle girth.

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Swelling and pain around ankle region could be due to multiple reasons but you can initiate ice packs, gentle anti inflammatory medication, limb elevation at night, compression bandages. Also let me know if there is any skin redness, warmth at local site etc? do not hesitate to contact me if you need any further assistance.

Hi Mr. Lybrate-user your symptoms indicate a cervical radiculaopathy. It could be a simple neck muscles spasm too. Apply hot fermentation to the painful area. If no relief cunsult a physiotherapist. These symptoms can be relieved in simple 1 week, 6 -7 physio sessions. By stretching the tight muscles and using pain relieving modalities.

1) gout is one of the most common arthritis

2) it occurs due to increased uric acid levels which get deposited into joints, heart, kidneys, every patient with raised uric acid doesn't have gout.

All such patients not having gout need not be treated with uric acid lowering agents.

3) it commonly presents as acute sudden attack of red hot swollen joint, usually base of great toe, to begin with (see photograph below)

4) then patient will have a phase where he/she is completely normal. Later on attacks will be more in number, as disease progress they will be more frequent, the attack will last for longer days, and will spread to other joints

5) gout is not only a disease of joints, but it affects heart and kidneys too. It can kill! also severe disease develops 5-10 years after first attack.

6) that is why gout need to be treated with life long therapy, rather than only few days of therapy as commonly practiced incorrectly.

7) gout patients can have dals. Its a wrong concept and biggest myth in gout to stop dals. You have to anyways take medicine, dals are good for health, no use stopping them.

8) gout its along with their medicine should also consume lot of water (washes uric acid in urine). Should also limit alcohol and red meat (they can be allowed in reasonable quantity, no need of complete stopping, remember its a lifelong commitment:)

9) if you don treat gout properly

- the disease can spread to other joints (see hand joints photographs below), with severe damage to joints (see x-ray)

Chang you're sitting n sleeping position. Do not take pillow. Apply mahanarayana oil n massage gently. Do fomentation. Do cervical exercises daily. Medicine is also available.

Take tablet paracetamol 500mg eight hourly till symptomatic and apply crepe bandage for external support