Ear Ache And Stiff Neck

Dr. Karun GuptaBDS, Non-Resident J.R. in Dept. of Orthodontics, Certified oral implantologist, Advanced Aesthetics, Digital Smile DesignerDentist

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I understand your discomfort! using glasses for extended periods can indeed lead to facial muscle tension, particularly around the temples and ears where the frame sits. This can result in radiating soreness and jaw stiffness. Here are some potential causes and ways to alleviate the discomfort: possible causes: muscle strain: wearing glasses puts constant pressure on specific facial muscles, causing them to fatigue and tighten over time. Poor fit: an ill-fitting frame can exacerbate pressure points and lead to muscle strain. Eye strain: if your glasses prescription isn't accurate, it can cause eyestrain, which can also contribute to facial muscle tension. Underlying medical conditions: in some cases, pre-existing conditions like temporomandibular joint (tmj) disorder can be amplified by wearing glasses. Tips for reducing tension: take breaks: give your eyes and face a break by removing your glasses for short periods throughout the day. Massage the affected areas: gentle massage around the temples, ears, and jaw can help release tension and improve circulation. Apply a warm compress: applying a warm compress to the tense areas can help relax the muscles. Adjust your glasses: ensure your glasses fit properly and adjust the frame if necessary to distribute pressure evenly. Check your prescription: if you experience eyestrain, visit your optometrist to check your prescription. Consider alternative options: if the discomfort persists, explore alternative vision correction options like contact lenses or laser surgery, depending on your needs and suitability. Additional recommendations: practice facial stretching exercises: regular facial stretches can help loosen tight muscles and improve overall comfort. Maintain good posture: proper posture can improve head and neck alignment, potentially reducing tension on facial muscles. Manage stress: stress can worsen muscle tension. Consider stress-management techniques like meditation or yoga. If the discomfort persists or worsens, it's crucial to consult your doctor or optometrist to rule out any underlying medical conditions and receive proper diagnosis and treatment. Remember, your well-being is important. Don't hesitate to seek professional advice if the discomfort significantly impacts your daily life. I hope this information helps! feel free to ask any further questions you might have. 

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Dr. Karun GuptaBDS, Non-Resident J.R. in Dept. of Orthodontics, Certified oral implantologist, Advanced Aesthetics, Digital Smile DesignerDentist

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I understand your concern about your wife's severe jaw pain and headache. However, I cannot provide medical advice or diagnoses as I am not a medical professional. It is crucial to seek immediate medical attention for your wife due to the severity of her symptoms and the potential for serious underlying conditions. Here are some reasons why immediate medical attention is important: the pain radiating to the brain is concerning and could indicate a serious problem like a temporal artery aneurysm, trigeminal neuralgia, or a tumor. Headaches accompanied by jaw pain can also be related to various issues like tmj disorders, sinus infections, or dental problems. Prompt diagnosis and treatment are crucial to prevent potential complications from these conditions. Here are some steps you can take: call emergency services (112 in india) immediately if your wife is experiencing any of the following: difficulty speaking or swallowing numbness or weakness in the face or arms vision changes confusion or dizziness severe neck pain or stiff neck fever or chills if the symptoms are not life-threatening, take your wife to the nearest emergency room or doctor's office as soon as possible. Be prepared to provide the doctor with information about your wife's medical history, current medications, and any other relevant details about her symptoms. Please remember that self-diagnosing or attempting home remedies could be dangerous in this situation. The best course of action is to seek immediate medical attention to ensure your wife receives a proper diagnosis and appropriate treatment. I hope this information helps you take the necessary steps to get your wife the medical care she needs. Please prioritize her health and do not hesitate to seek immediate medical help. I wish your wife a speedy recovery. 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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Plank the world record for the longest plank is 8 hours. Luckily, you don’t need to hold it that long for the exercise to have an effect! in fact. You can hold it for 10-15 seconds. • the plank is similar to a push-up position, but instead of resting on your hands, you rest on your elbows and bring them directly underneath your chest. • after kneeling, lean forward and place your elbows on the ground directly below your shoulders. • lift your knees off of the floor and push your feet back. Ensure your back is straight and keep your neck aligned with the rest of your spine. • hold the position and tighten your core muscles for the desired time. 2. Side plank just like the original plank, but only balancing on one side. • lie on the floor on your side, facing sideways with your feet together. • lift up your body until you are supporting yourself with your elbow, directly below your shoulder. • raise your hips until your body is in a straight line and tighten your core muscles; your body should create a slant from your shoulders to your feet. • hold this position without dropping your hips. • repeat on the opposite side. 3. Pelvic tilt with exercise ball sit on a ball that allows your legs to be at a 90-degree angle with your feet flat on the floor. • keep your shoulders back and spine straight. • tilt your hips forward and flex your abdominals tight. • tilt your hips backward as you stick your tailbone out. • move back and forth slowly, keeping your shoulders back. • repeat 10 times for 3 sets. 4. Superman lie on your stomach, face down, with your arms out in front of you. • lift arms, legs, and chest off the floor simultaneously while keeping your hips grounded. • hold for a minimum of two seconds. • lower back down slowly. • repeat 10 times for 3 sets. 6. Crunches lie flat on your back, placing your feet flat on the floor with your legs bent. • fold your arms across your chest and lift your torso up until your head, neck, and torso are off the ground. • hold for a moment before lowering back down. • repeat. 6. Quadruped arm opposite leg raises • kneel on the floor, lean forward, and place your hands palm-down on the floor. • make sure your back is straight, your knees are below your hips, and that your palms are directly below your shoulders. • raise one arm as you raise the opposite leg until both are aligned straight out from your body, parallel to your spine. • slowly lower both your arm and leg until you are back in the starting position. • switch arm and leg, and repeat. 7. Dead bug lie flat on the floor on your back. • lift your arms straight up from your body, reaching through the air. • raise one leg until it is at a 90-degree angle from your body. • slowly lower until it is in the starting position. • switch legs and repeat. 8. Hip bridge lie on your back with your knees bent and raised, your feet flat on the floor, and your arms at your sides. • keep your feet hip-distance apart and try to keep your leg in vertical alignment with your knee. • flex your glutes and push through your heels to raise your hips upward. Try to make a diagonal line from your shoulders to your knees. • hold for a short moment before lowering back down. • repeat 10 times for 3 sets. 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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Physical exercise aerobic activity for 20–30 minutes 5 days a week improves cardiovascular health. If injured, pursuing an activity that avoids the injured muscle group or joint can help maintain physical function while recovering. Stress management pursuing an enjoyable activity or verbalising frustration to reduce stress and improve mental health. Relaxation techniques deep breathing, meditation, yoga, rhythmic exercise and other activities that reduce symptoms of stress hydrotherapy using water to relieve pain, treat diseases and maintain health. For example, mineral baths and hot tubs. Stretching stretching exercises can improve flexibility and improve physical function. Graded exercise therapy physical exercise that starts very slowly and gradually increases over time. Massage relaxes tense muscles. Heat therapy using heat is an excellent way to help relax muscles and encourage blood flow to areas that are particularly painful. This can easily be done at home using dry or damp hot towels. Simply hold the towel against the affected area until you feel relief. Ultrasound an ultrasound uses sound waves to produce heat which improves blood flow to deep muscle tissue. It can be used to relieve pain, stiffness, spasms, and inflammation widespread muscle pain and tenderness. Symptoms requires a medical diagnosis widespread muscle pain and tenderness are the most common symptoms. People may experience: pain areas: in the muscles, abdomen, back, or neck pain types: can be chronic, diffuse, sharp, or severe pain circumstances: can occur at night gastrointestinal: constipation, nausea, or passing excessive amounts of gas whole body: fatigue, feeling tired, or malaise muscular: muscle tenderness, delayed onset muscle soreness, or muscle spasms sensory: pins and needles, sensitivity to cold, or sensitivity to pain mood: anxiety, mood swings, or nervousness sleep: difficulty falling asleep or sleep disturbances cognitive: forgetfulness or lack of concentration hand: sensation of coldness or tingling also common: depression, flare, headache, irritability, joint stiffness, painful menstruation, or tingling feet. 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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It looks like you are weak and it might be due to anaemia. You need to consume good iron diet in the body (haemoglobin and folic acid supplement) if not it is difficult for you to cope up the body metabolism. Since you are very young this might the reason. The reason might be due to back pain which is called sciatic nerve compression and it happens due to weakness where in the inflammed disc is not nourished and which touches the sciatic nerve which causes the radiating pain in the back and buttocks and also thighs and legs. 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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Hydrotherapy hydrotherapy is the practice of using water to relieve aching muscles. Simply soak in a tub full of warm water (not hot as it can cause your blood pressure to drop). You can add essential oils or epsom salts to help relieve pain. A warm bath before bed may also improve your sleep. Tens transcutaneous electrical nerve stimulation (also known as tens) is something you may associate with childbirth, but a tens machine can also be used for fibromyalgia patients to help ease muscle pain and spasms. It stops the pain signals from reaching the spinal cord, while also triggering the release of endorphins which naturally relieve pain. Deep tissue massage a trained massage therapist will apply intense pressure when massaging to ensure they’re reaching the deep tissue and connecting tissue. This helps to lessen the tension in the muscles and decrease spasms. Heat therapy using heat is an excellent way to help relax muscles and encourage blood flow to areas that are particularly painful. This can easily be done at home using dry or damp hot towels. Simply hold the towel against the affected area until you feel relief. Ultrasound an ultrasound uses sound waves to produce heat which improves blood flow to deep muscle tissue. It can be used to relieve pain, stiffness, spasms, and inflammation. Low-impact aerobic exercise any low-impact exercise that doesn’t put additional pressure on the joints is good for helping with pain relief. Aqua aerobics, walking, swimming, and cycling are all low-impact exercises that may benefit fibromyalgia patients. Strength and flexibility exercise exercises that target strength and flexibility help to strengthen muscles and relieve pain. These include weight-lifting, yoga, pilates and resistance training. 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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Do’s and don’ts for neck pain: do’s •do turn to one side while getting up from supine position. •use hot pack for your neck. •use towel roll under the neck during supine lying. •use pillow of normal thickness in side lying position. •do isometrics for neck. •arms should be supported in one of the three positions:•™ hands in pocket ™ •hands on thighs/or on table. •™ hand behind back with elbow straight. •in order to avoid holding the head in the same position for long periods, take break while driving, watching tv or working on a computer. •use a seat belt when in a car. •use cervical collar in case of giddiness. •retraction of shoulders every hour: move shoulders backward. Don’t’s •don’t sleep straight. •don t’ bend your neck. •avoid hanging of arms. •avoid sitting sitting for prolonged prolonged period of time in stressful stressful postures postures. •do not lift heavy weights on head or back. •do not drive for long hours; take breaks. •avoid habit of holding the telephone on one shoulder and leaning at it for long time. •do not take many pillows below the neck and shoulder while sleeping, •in order to turn around, do not twist your neck or the body; instead turn around by moving your feet first. Many people experience neck pain because of poor posture and muscle strain. In these cases, your neck pain should go away if you practice good posture and rest your neck muscles when they’re sore. The most common types of mild to moderate neck pain usually respond well to self-care within two or three weeks. If you have minor neck pain or stiffness, take these simple steps to relieve it: apply ice for the first few days. After that, apply heat with a heating pad, hot compress, or by taking a hot shower. Exercise your neck every day. Slowly stretch your head in side-to-side and up-and-down motions. Use good posture. Avoid cradling the phone between your neck and shoulder. Change your position often. Don’t stand or sit in one position for too long. Get a gentle neck massage. Use a special neck pillow for sleeping. Short-term immobilization. Use a soft collar that supports your neck may help relieve pain by taking pressure off the structures in your neck. However, if used for more than three hours at a time or for more than one to two weeks, a collar might do more harm than good. Forward and backward tilt this can be done while you're seated or on your feet. Keep your moves slow and smooth. Start with your head squarely over your shoulders and your back straight. Lower your chin toward your chest and hold for 15-30 seconds. Relax, and slowly lift your head back up. Tilt your chin up toward the ceiling and bring the base of your skull toward your back. Hold for 10 seconds, then return to the start position. Repeat the set several times. Do it every day. Side tilt do this while standing, with your feet hip-width apart and arms down by your sides. Gently tilt your head toward your right shoulder and try to touch it with your ear. Stop when you feel the stretch. Don't raise your shoulder. Hold the stretch for 5-10 seconds, then return to the start position. Repeat on your left side. You can do several sets and work your way up to 10 repetitions. For extra stretch, put the hand on the same side of your tilted head on top of your head, and press lightly with your fingertips. Side rotation you can do this while seated or standing. Keep your head squarely over your shoulders and your back straight. Slowly turn your head to the right until you feel a stretch in the side of your neck and shoulder. Hold the stretch for 15-30 seconds, and then slowly turn your head forward again. Repeat on your left side. Do up to 10 sets. Press your palm against your forehead. Resist with your neck muscles. Hold for 10 seconds. Relax. Repeat 5 times. Do the exercise again, pressing on the sides (both the sides (right & left side) of your head. Repeat 5 times. Switch sides. Do the exercise again, pressing on the back of your head. Repeat 5 times.Hot or cold compresses. Applying heat or cold may help. "some people like heat, some like cold, deal says. "whatever feels best. Tens (transcutaneous electrical nerve stimulation). A tens system includes a small, battery-powered machine, connected by wires to a pair of electrodes. The electrodes are connected to your skinnear the pain source. A mild electrical current travels through your skin and goes along your nerve fibers. It may reduce pain by changing the way your brain perceives pain, experts say. One session takes about 15 minutes. "tens is sometimes helpful -- not a game-changer but worth a try, deal says. Massage. This may give your muscles relief. Get your doctor's approval first, only get massage from a qualified therapist, and make sure the therapist knows about your osteoporosis and your fracture. Osteoporosis exerciseexercisingregularlybuildsandstrengthensbones. Weight-bearingexercises—wherebonesandmusclesworkagainstgravity—arebest. Theseincludeaerobics,dancing, jogging,stairclimbing, tennis,walking, andliftingweights.peoplewhohaveosteoporosismaywant to attemptgentleexercise, such as walking, ratherthanjogging or fast-pacedaerobics, whichincreasethechance of falling. Exercisingthree to fourtimesperweekfor 20-30 minuteseachtimehelps. Osteoporosis treatmentthe treatment of osteoporosis involves reducing any of the factors contributing to poor bone health. Yosur doctor may advise you to address current exercise regime, review your medications or review current lifestyle factors that predispose you to osteoporosis. Your doctor may also advise you to increase your: calcium intake via your diet or with supplements. Calcium is used to build and maintain bone health. vitamin d intake via supplements or exposure to low levels of sunlight. Vitamin d is used to absorb calcium in the bone and regulate calcium in the blood. Tips for osteoporosisweight bearing exercise, such as walking, can help to strengthen bonesexercises to improve your balance and strength will help to prevent falls follow a healthy diet that includes enough calcium and vitamin duse this handy calculator to make sure you are getting enough calcium. Wear sensible, well-fitting shoes to avoid fallsavoid rugs and sloppy slippers – both can cause tripshave good lighting on your stairsget your eyesight checked regularly (free for people over 60) try to avoid heavy lifting – consider home delivery grocery shoppingthis 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. 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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You need to improve the tone of the muscles in a rhythmical manner. If you do that with proper diet restriction nothing will happen to you. Body pain will be there after gym activity due to tiredness and you need to consume good protein and iron diet in your body which will help you to break the fatigue and body pain as well as back pain. You can go join a gym and learn the exercises which all help you to built your muscle tone .if possible try to get advice from a personal trainer in gym. You should concentrate more on strengthening exercises. And take more protein containing dietsrest periods during a workout or physical activity are valuable. Frequent 5- to 10-minute breaks promote muscle relaxation and proper posture. Lying down or sitting in a high-backed chair with arms supported during a break may help the muscles thoroughly relax. 

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Dr. Karuna ChawlaBHMSHomeopathy Doctor

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What r other symptoms that you r experiencing? By doing what like walking, exertion, eating or empty stomach- it increases or decreases in intensity. For how much time the pain remains? Is there stiffness also? How is your appetite? R you constipated? Any problem in urine? I need details of case. In the meanwhile follow this 1. Don't take tea empty stomach. Eat something like a banana (if you are not diabetic) or any seasonal fruit or soaked almonds and a glass of water first thing in the morning (within 10 mins of waking up). No only biscuits or rusk will not do. 2. Don't overeat 3. Take your breakfast every day. Don't skip it. U should eat whatever your mother or grandparent eat in bfast. I mean to say whatever is your traditional food. If punjabi eat paratha, if belongs to south then take idli/ dosa etc. 4. Have light meals every 2 hours (in addition to your breakfast, lunch n dinner) e.g. Nariyal paani, chaach, a handful of dry fruits, a handful of peanuts, any fresh n seasonal fruit, a cup of curd/milk etc 5. Finish your dinner at least 2 hours before going to sleep. 6. Maintain active life style7. Avoid fast foods, spicy n fried foods, carbonated beverages 8. Take a lot of green vegetables n fruit. 9. Drink lot of water.10. Everyday preferably sleep on same time exercise in the form of yoga, cycling, swimming, gym etc. Till lockdown do suryanamaskar every day. for this homeopathy offers good results. Consult online with details. 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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Back pain can affect people of any age, for different reasonsas people get older, the chance of developing lower back pain increases, due to factors such as previous occupation and degenerative disk disease. Lower back pain may be linked to the bony lumbar spine, discs between the vertebrae, ligaments around the spine and discs, spinal cord and nerves, lower back muscles, abdominal and pelvic internal organs, and the skin around the lumbar area. •acute pain starts suddenly and lasts for up to 6 weeks. •chronic or long-term pain develops over a longer period, lasts for over 3 months, and causes ongoing problems. Home advise: •resting from strenuous activity can help, but moving around will ease stiffness, reduce pain, and prevent muscles from weakening. •applying heat, ice, ultrasound, and electrical stimulation — as well as some muscle-release techniques to the back muscles and soft tissues — may help alleviate pain. •as the pain improves, the physical therapist may introduce some flexibility and strength exercises for the back and abdominal muscles. Techniques for improving posture may also help. •the patient will be encouraged to practice the techniques regularly, even after the pain has gone, to prevent back pain recurrence. Regular exercise helps build strength and control body weight. Guided, low-impact aerobic activities can boost heart health without straining or jerking the back. Before starting any exercise program, talk to a health care professional. There are two main types of exercise that people can do to reduce the risk of back pain: •core-strengthening exercises work the abdominal and back muscles, helping to strengthen muscles that protect the back. •flexibility training aims at improving core flexibility, including the spine, hips, and upper legs. We suggest you to wear lumbosacral corset (belt) which is available at our clinic. If you want you can buy from us, if you are far away from chennai we can send you by courier. The reason why we are conveying you to buy from us is we can demonstrate over the videocall (using whatsapp) and also we can monitor you throughout when to wear it and how long to wear it. And also if you find any difficulty wearing the brace you can also revert back to us for few more suggestions and we can propose you good solution how to go about it. Uses of lumbosacral corset (belt) a lumbosacral corset adds pressure to the intra-abdominal area. This adds stability to the spine. It is prescribed to people suffering from moderate to severe pain. Other benefits of using a lumbar spine belt are: 1.helps in a certain degree of immobilization of facet joints. 2.reduces pain to allow continuation of normal activities. 3.speeds up the healing process. 4.the pressure exerted by a lumbar spine belt helps in stretching the erector spine muscles. 5.this belt can also be used to support the lower back while exercising. Ohelps prevent rolling oprovides stability to lumbar and sacral regions of the back ocan be used when performing actions like lifting and handling heavy items ocan also be used when playing sports orestricts back movement to aid treatment of back problems do’s and don’ts sitting do: • sit as little as possible and then only for short periods. • place a supportive towel roll at the belt line of the back especially when sitting in a car. • when getting up from sitting, keep the normal curves in your back. Move to the front of the seat and stand up by straightening your legs. Avoid bending forward at the waist. • try to keep the normal curves in your back at all times. Don’t: • do not sit on a low soft couch with a deep seat. It will force you to sit with your hips lower than your knees and will round your back. You will loose the normal curve in your back. • do not place your legs straight out in front of you while sitting (e.g. Sitting in the bath tub). Standing do: • if you must stand for a long period of time, keep one leg up on a foot stool. • adapt work heights. Don’t: • avoid half bent positions. Lifting avoid lifting if you can. Do: • use the correct lifting technique. Keep your back straight when lifting. Never stoop or bend forward. Stand close to the load, have a firm footing and wide stance. Kneel on one knee, keeping the back straight. Have a secure grip on the load and lift by straightening your knees. Do a steady lift. Shift your feet to turn and do not twist your back. Don’t: • do not jerk when you lift. • do not bend over the object you are lifting. Lying do: • sleep on a good firm surface. • if your bed sags, use slats or plywood supports between the mattress and base to firm it. You also can place the mattress on the floor, a simple but temporary solution. • you may be more comfortable at night when you use a pillow for support. Don’t: • do not sleep on your stomach unless advised to do so by your doctor or physical therapist. Bending forward do: • keep the natural curves of your back when doing these and other activities: making a bed, vacuuming, sweeping or mopping the floor, weeding the garden or raking leaves. Coughing and sneezing do: • bend backwards to increase the curve of your back while you cough or sneeze. Driving a car do: • drive the car as little as possible. It is better to be a passenger than to drive yourself. • move the seat forward to the steering wheel. Your seat must be close enough to the wheel to keep the natural curves of your back. If your hips are lower than your knees in this position, raise yourself by sitting on a pillow. Exercises for low back pain safety guidelines • an increase in your low back pain can be expected with these exercises. This is acceptable as long as your leg symptoms are not increasing. • if while doing these exercises, your pain worsens or you have new pain or symptoms, stop the exercises and discuss your symptoms with your doctor or physical therapist. • stop exercising and let your doctor or physical therapist know right away if you have any change in your bowel or bladder control or any increase in weakness in your leg or foot. Exercises ‰ •press-ups: keep your back and buttocks relaxed and use your arms to press up. Concentrate on keeping your hips down and push up your upper body as high as possible. •double knee to chest: grasp both your knees with your hands and pull toward your shoulders. Hold the stretch for 1 second. Let your knees return, but keep them bent at arms length. ‰ •lumbar spine stretches: lie on your back. Bring your knees towards your chest. Rotate your knees towards the pain. •side-lying position: lie on your side and face forward. Have both arms straight in front and bend your knees. Turn your head as you move your top arm across your body as far as you can. Keep your arm in place and turn your head back to the starting position. Look back again and turn your head farther if you can. Bring your head and arm back to the starting position. Relax and repeat 10 times on each side. •hamstring stretch: lie on your back with your legs out straight. Raise your leg up and put your hands around the upper leg for support. Slowly straighten the raised knee until you feel a stretch in the back of the upper leg. Hold, then relax and repeat 10 times on each leg. •standing arch: stand with your feet apart and hands on the small of your back with fingers pointing backwards. Bend backwards at the waist, supporting the trunk with your hands. Keep your knees straight. Hold for 5 seconds. Repeat 3 to 5 times. Side glides: stand at a right angle to the wall about 2 feet o eliminate your pain improve your muscular endurance and strength attain better posture, balance, body awareness and co-ordination improve your balance and flexibility learn to lift properly. posture when standing: make sure you have a neutral pelvic position. Stand upright, head facing forward, back straight, and balance your weight evenly on both feet. Keep your legs straight and your head in line with your spine. Posture when sitting: a good seat for working should have good back support, arm rests and a swivel base. When sitting, try to keep your knees and hips level and keep your feet flat on the floor, or use a footstool. You should ideally be able to sit upright with support in the small of your back. If you are using a keyboard, make sure your elbows are at right-angles and that your forearms are horizontal. Shoes: flat shoes place less of a strain on the back. Driving: it is important to have proper support for your back. Make sure the wing mirrors are properly positioned so you do not need to twist. The pedals should be squarely in front of your feet. If you are on a long journey, have plenty of breaks. Get angle. Out of the car and walk around. Bed: you should have a mattress that keeps your spine straight, while at the same time supporting the weight of your shoulders and buttocks. Use a pillow, but not one that forces your neck into a steep. 

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