From last 3month having acute back pain doctor suggested for a ap, lat xray image of d-l spine and found L3-L4 erosion and checked serum PSA-151, acid phosphatase 260 creatinine-9.97, normal BP, sugar level normal, usg abdomen mentions that prostatomegaly and biopsy result is adenocarcinoma of prostrate with PNI and gleason score of 7 (3+4, suggested for orchiectomy but with the help of nuclear medicine they diagnosed that multiple myeloma. Rightnow I am having chest infection, cough, fever, body pain, shall I confirm it as a c/o multiple myeloma? What are the proper diagnostic to confirm it? If it is multiple myeloma what will be the better treatment for it?

Dr. Vishwas VirmaniPhysiotherapist20yrs exp

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Apply Hot Fomentation twice daily. Avoid bending in front. Postural Correction- Sit Tall, Walk Tall. 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. Back Stretching- lie flat, pull one of the knee forward to chest, hold for 3 seconds, then bring the other knee forward to the chest and again hold for 3 seconds. Then pull both knees towards the chest and hold for 3 seconds. Repeat 10 times each exercise twice a day. Do the cat/cow stretch. Get on all fours, with your arms straight and your hands directly under your shoulders; your knees hip-width apart. 

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