Periods Stopped Suddenly

Mr. Syed Tahir RufaiDiploma - Guidance & Councelling, Masters in Psychology - Clinical and Abnormal, Bachelors in Psychology, OKR Certified, International Leader ship and Goal setting, Masters in PsychologyPsychologist

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The adjustment phase when starting a new medication can vary from person to person. Generally, side effects like drowsiness and changes in mood may occur in the initial weeks as your body adapts to the medication. For most people, these side effects tend to lessen over time. In the case of stalopam (escitalopram), which is an ssri (selective serotonin reuptake inhibitor) commonly prescribed for anxiety and panic disorders, side effects often improve within the first few weeks. However, everyone's response to medication is unique. If you're experiencing persistent drowsiness and feelings of sadness or depression, it's essential to communicate these concerns with your prescribing doctor as soon as possible. They may adjust your dosage, consider alternative medications, or offer additional support based on your individual needs. It's positive that you've noticed a reduction in panic attacks and anxiety, but it's equally important to address any unwanted side effects that may be impacting your overall well-being. Open communication with your doctor is key to finding the right balance between symptom relief and minimizing side effects. Keep in mind that sudden discontinuation of medication or changes in dosage without consulting your doctor can lead to withdrawal symptoms or a return of symptoms. Your healthcare provider will guide you through the adjustment process and make informed decisions based on your feedback and their assessment of your situation. 

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Dr. Vivek SPh.D - Psychotherapy & Counselling, Pr. Neurolinguistic Programming (NLP), Pr. Cognitive Behavioural Therapy (CBT), Gestalt Psychology Master, Diploma in Shiatsu Therapy, Diploma in Hypnotics Therapy, Master of ArtsPsychologist

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Hi intrusive thoughts and depression is an outcome of something that you experienced or witnessed in your life. While medications help, it is good to meet a psychotherapist who will work with your emotions attached to the symptoms and help you recover for good. 

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Dr. Vijay Kumar KalavakuntaBachelor of Ayurveda, Medicine and Surgery (BAMS)Ayurvedic Doctor

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Hello, greetings from your ayurveda wellness coach. Short-term use: multivitamins are often used for short periods to address specific nutrient deficiencies or to provide a boost during times of increased need, such as recovery from illness or surgery. In these cases, they may be used for a few weeks to a few months until the deficiency is corrected or the specific health goal is achieved. Long-term use: some individuals may require long-term or even lifelong use of multivitamins. This includes people with chronic health conditions that affect nutrient absorption or individuals with dietary restrictions that may lead to chronic nutrient deficiencies. Consult online for more details. Thanks and regards 

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Dr. M S HaqueBUMSSexologist

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The sensations you described could be related to normal bodily processes or they could indicate an underlying medical condition. It's possible that the movements you're feeling are caused by the natural flow of urine or residual semen in the urethra after urination. This can sometimes give the sensation that something is moving or about to come out. However, it's also possible that there could be other factors at play. If you've been masturbating excessively and suddenly stop or try to practice semen retention, your body may take some time to adjust. It's not uncommon for changes in sexual behavior or habits to have physical and psychological effects. Your body might need time to regulate its production and reabsorption of semen. The sensations you're experiencing could be a result of this adjustment period. 

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Dr. Sampath VMD - Physiology, DNB psychiatry, Certified positive psychologistPsychiatrist

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The symptoms you're experiencing could be related to various factors, including your depression, the medication you're taking, alcohol consumption, or other underlying health issues. Abruptly quitting alcohol after regular use can sometimes lead to withdrawal symptoms, which may include nausea, dizziness, headache, and mood changes. It's possible that these symptoms are a result of alcohol withdrawal. Regarding your medication, szetalo plus 10 is a combination of escitalopram (an antidepressant) and clonazepam (a sedative). Abruptly stopping the medication or changing the dosage without medical supervision can also cause withdrawal-like symptoms and a recurrence of depressive symptoms. Inderal (propranolol) is a beta-blocker primarily used to treat high blood pressure and certain heart conditions. It's important to follow the prescribed dosage and not make any changes without consulting your doctor. To address your concerns and symptoms, it's crucial to reach out to your healthcare provider as soon as possible. They will be able to evaluate your situation, review your medication regimen, and suggest any necessary adjustments. They may also consider alternative treatment options or refer you to a mental health specialist for further evaluation. In the meantime, it can be helpful to engage in self-care practices such as maintaining a regular sleep schedule, eating a balanced diet, exercising regularly, and practicing relaxation techniques like deep breathing or meditation. These lifestyle changes can support your overall well-being and potentially alleviate some symptoms. Remember, it's important to consult with a healthcare professional for personalized advice based on your specific circumstances. 

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Dr. Girish DaniMD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)Gynaecologist

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After taking the high hormonal emergency pill one gets withdrawal bleeding 5 to 10 days later, and then a new cycle starts.(means if taken near expected period it gets delayed) if this does not happen as well as the period is missed then do a pregnancy test. 

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Ms. Sampa MishraMaster in social workPsychologist

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It’s common to experience a change in mood occasionally or to go through a short period of feeling elated or blue. But if your behavior is unpredictable for a number of days or longer, it may be a sign of something more serious. For example, you may: be so excitable that you find yourself unable to control urges to spend money, confront people, or engage in other uncontrollable or risky behaviors feel like you want to harm yourself or end your life be unable to visit friends, get enough sleep, go to work, or even get out of bed. Patterns of these types of mood shifts may be symptoms of a more serious health condition. You should schedule an appointment with your doctor to discuss your feelings. They can work with you to determine why you feel this way and what you can do to resolve it. 

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

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It is called as periarthritis shoulder and for that you can do hotwater fermentation and ice therapy at home. You shall also take physiotherapy treatment called shortwave diathermy which would help you to get relieved with pain. After sleep getting up in the morning will be painful if you work in the computers for long which will definitely affect the neck and shoulder as the constant posture makes the joint to become stiffened. That's why you get usually pain in shoulder joints & in the back. •mobility exercises rest. Avoid doing things that require you to bend at the hip or put a lot of pressure on the hip. Avoid sleeping on the side of your hip that is painful and sitting for long periods of time •cold and heat. Treating pain with heat and cold may help. Wrap an ice pack or a bag of frozen vegetables in a towel to ice your hip. A warm bath or shower may also help reduce your pain and prepare your muscles for stretching. •stretch. Gently stretching your body may reduce hip pain, especially if the cause is a strain or pinched nerve. 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. Standing arm swings to do this exercise: 1.Stand tall with your arms by your sides. 2.Engage your core and swing your arms forward until they’re as high as you can go. Make sure you don’t raise your shoulders. 3.Return your arms to the starting position and repeat. 4.Do this movement for 30 to 60 seconds. Shoulder pass-through to do this exercise: 1.Stand with your feet shoulder-width apart and your arms in front of your body. 2.Hold a stick, like a broomstick or pvc pipe, with an overhand grip. Your arms will be wider than shoulder-width. Make sure the stick or pipe is parallel to the floor. 3.Engage your core and slowly raise the broomstick or pipe above your head, keeping your arms straight. Only go as far as comfortable. 4.Hold the pose for a few seconds. 5.Return to the starting position. 6.Repeat 5 times. High-to-low rows to do this exercise: 1.Secure a resistance band to a sturdy object above shoulder height. 2.Kneel down on one knee and grab the band with the opposite hand. The other hand can rest at your side. 3.Pull the band toward your body while keeping your torso and arm straight. Focus on squeezing the shoulder blades together. 4.Return to the starting position and repeat. 5.Do 2–3 sets of 10 repetitions on each side. Reverse fly to do this exercise: 1.Hold a dumbbell in each hand. 2.Stand with your feet shoulder-width apart, knees slightly bent. 3.Engage your core and bend forward at the waist. Keep your back straight. Your arms will be extended. 4.Raise your arms away from your body. Focus on squeezing your shoulder blades together. Stop when you get to shoulder height. 5.Slowly return to the starting position and repeat. 6.Do 3 sets of 10 repetitions. Rotation with dumbbell o do this exercise: 1.Stand with your feet shoulder-width apart while holding a light dumbbell in your right hand. 2.Raise your arm so your elbow is at shoulder height. The front of your hand will be facing the ground. 3.Rotate your shoulder to bring your arm and weight up so your hand is raised toward the ceiling. 4.Slowly return to the starting position and repeat before changing sides. 5.Do 2–3 sets of 12 repetitions on each arm. Mobility stretches cross-arm stretch to do this stretch: 1.Stand with your feet slightly less than shoulder-width apart and bring your right arm up to a little less than shoulder height. 2.Place your left hand on your right elbow and gently pull your right arm across your body using the left hand to support your arm. 3.Hold this position for up to 30 seconds. 4.Repeat on the opposite side. 5.Do each side 3–5 times. Sleeper stretch to do this stretch: 1.Lie on the affected side. If you have no injury or pain, choose a side to start with. Your shoulder should be stacked underneath you. 2.Bring your elbow straight out from your shoulder and bend this arm, so your fingers are pointing toward the ceiling. This is the starting position. 3.Gently guide this arm toward the floor using the unaffected arm. Stop when you feel a stretch in the back of your affected shoulder. 4.Hold this position for up to 30 seconds. 5.Do 3 repetitions before changing sides. Doorway stretch to do this stretch: 1.Stand in a doorway with elbows and arms forming a 90-degree angle. Your feet should be in a split stance. 2.Bring your right arm up to shoulder height and place your palm and forearm on the doorway. 3.Gently lean into the stretch, only going as far as comfortable. 4.Hold the stretch for up to 30 seconds. 5.Change sides and repeat. Perform on each side 2–3 times. Chest expansion to do this stretch: 1.Stand tall with your feet together. 2.Hold the end of a towel or exercise band in each hand, with your arms behind your body. 3.Use the towel or band to help move your shoulder blades together and open your chest. This will cause you to look toward the ceiling. 4.Hold this pose for up to 30 seconds. 5.Repeat 3–5 times. Strenghtening exercises 1.pendulum stretch do this exercise first. Relax your shoulders. Stand and lean over slightly, allowing the affected arm to hang down. Swing the arm in a small circle — about a foot in diameter. Perform 10 revolutions in each direction, once a day. As your symptoms improve, increase the diameter of your swing, but never force it. When you're ready for more, increase the stretch by holding a light weight (three to five pounds) in the swinging arm. 2. Towel stretch hold one end of a three-foot-long towel behind your back and grab the opposite end with your other hand. Hold the towel in a horizontal position. Use your good arm to pull the affected arm upward to stretch it. You can also do an advanced version of this exercise with the towel draped over your good shoulder. Hold the bottom of the towel with the affected arm and pull it toward the lower back with the unaffected arm. Do this 10 to 20 times a day. 3. Finger walk face a wall three-quarters of an arm's length away. Reach out and touch the wall at waist level with the fingertips of the affected arm. With your elbow slightly bent, slowly walk your fingers up the wall, spider-like, until you've raised your arm as far as you comfortably can. Your fingers should be doing the work, not your shoulder muscles. Slowly lower the arm (with the help of the good arm, if necessary) and repeat. Perform this exercise 10 to 20 times a day. 4. Cross-body reachsit or stand. Use your good arm to lift your affected arm at the elbow, and bring it up and across your body, exerting gentle pressure to stretch the shoulder. Hold the stretch for 15 to 20 seconds. Do this 10 to 20 times per day. 5. Armpit stretch using your good arm, lift the affected arm onto a shelf about breast-high. Gently bend your knees, opening up the armpit. Deepen your knee bend slightly, gently stretching the armpit, and then straighten. With each knee bend, stretch a little further, but don't force it. Do this 10 to 20 times each day. Starting to strengthen as your range of motion improves, add rotator cuff–strengthening exercises. Be sure to warm up your shoulder and do your stretching exercises before you perform strengthening exercises. 6. Outward rotationhold a rubber exercise band between your hands with your elbows at a 90-degree angle close to your sides. Rotate the lower part of the affected arm outward two or three inches and hold for five seconds. Repeat 10 to 15 times, once a day. 7. Inward rotation stand next to a closed door, and hook one end of a rubber exercise band around the doorknob. Hold the other end with the hand of the affected arm, holding your elbow at a 90-degree angle. Pull the band toward your body two or three inches and hold for five seconds. Repeat 10 to 15 times, once a day. Shoulder exercises and stretches regular exercises and stretches can keep your shoulder strong and flexible. A few things to remember before swinging in to exercises: •stop any exercise if you have more shoulder pain. It may be too soon for you to try. •watch your form. Exercising incorrectly can also cause or worsen shoulder problems. •warm up, even before deep stretching. Light shoulder rolls, gentle movements, or even a warm shower are all ways to warm up your muscles before exercise and stretching. Pendulum stretch for range of motion•stand and bend at the waist. •let your arm on the injured side hang straight down. •keep your neck relaxed. •move your arm in a circle up to 20 times. •do once or more times in a day. Overhead shoulder stretch•sit or stand to do this shoulder stretch. •intertwine your fingers in front of you. •bend your elbows and raise your arms above your head. You can also place your hands on your head or behind it. •gently squeeze your shoulder blades together to move your elbows back. •continue for up to 20 repetitions. Repeat 5 to 10 times a day.Do’s and don’ts for shoulder pain do’s do the prescribed exercise regularly to maintain strength, flexibility and range of motion. Do keep the affected arm supported. Use an ice pack for pain relief. Apply the ice pack 3-4 times a day for 10 minutes. Don’ts don't sleep on the affected side. Don't lift heavyweight with the affected arm. Don't jerk your shoulder to avoid stress. Don't use the arm to push yourself up in bed or from a chair. Don't participate in contact sports or do any repetitive heavy lifting. We suggest you to wear shoulder support brace which is available in two different sizes which makes the patient to feel comfortable as it maintains the shoulder in anatomical position and the short lever is maintained. The reason to maintain the short lever in the shoulder joint is it helps the shoulder to prevent the movements which itself is the key to have better progression of healing in the shoulder region. This is suggested for the following conditions. This shoulder support brace what we are suggesting for you 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. Pa shoulder: do’s: •exercise regularly and immediately follow a physical therapy program. •use an ice pack for pain relief. Apply the ice pack 3-4 times a day for 10 minutes. •take pain relievers as directed by your shoulder doctor. Don’ts: •don’t stop moving your shoulders entirely because of the pain. •do not do activities that involve sudden movements, such as heavy lifting on the affected side. As your body recovers, continue to make gentle movements, but avoid irritating and moving your shoulders. •doesn’t sleep on a sore shoulder •don’t miss your workout routine and physical therapy. •don’t neglect your diet. Frozen shoulder is associated with general health. Frozen shoulder is strongly associated with many low-grade systemic inflammatory conditions. Your body needs healthy, anti-inflammatory food to recover. •stop smoking and drinking alcohol. No it will definitely help you to come out of pain. You can consume preferably one tablet per day and not more than that. Drink lot of hot water during your cycle time as there might be gastric trouble during menstrual cycle. We cannot give suggestions about homeopathy medicine as we are physiotherapists. I have given the following suggestions and protocols for your other pain in the back, heel and shoulder. 

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

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After sleep getting up in the morning will be painful if you work in the computers for long which will definitely affect the neck and shoulder as the constant posture makes the joint to become stiffened. That's why you get usually pain in shoulder joints & in the back. Shoulder pain •mobility exercises rest. Avoid doing things that require you to bend at the hip or put a lot of pressure on the hip. Avoid sleeping on the side of your hip that is painful and sitting for long periods of time •cold and heat. Treating pain with heat and cold may help. Wrap an ice pack or a bag of frozen vegetables in a towel to ice your hip. A warm bath or shower may also help reduce your pain and prepare your muscles for stretching. •stretch. Gently stretching your body may reduce hip pain, especially if the cause is a strain or pinched nerve. 1. Knee lift1.Lie on the back, extending both legs flat along the floor. 2.Keeping the left leg straight, pull the right knee up toward the chest. 3.Place both hands on top of the knee to help pull it in toward the chest. 4.Hold the stretch for 10 seconds. 5.Let go of the knee and gently lower the leg back toward the floor. 6.Repeat this exercise 5–10 times on each knee. 2.double hip rotation 1.Lie flat on the back. Then, bend the knees and bring them toward the body until the feet are flat on the floor. 2.Gently rotate the knees to the left, lowering them toward the floor. Rotate the head to face the right while keeping the shoulders against the floor. 3.Hold this position for 20–30 seconds. 4.Slowly return both the head and knees to the starting position. 5.Repeat on the opposite side. 3.bridging 1.Lie on the back, bending both legs at the knee and placing the feet flat on the floor. Keep the arms by the sides of the body with the palms facing downward. If necessary, place a small pillow underneath the neck and head for support. 2.Slowly lift the pelvis and lower back upward. Be sure to keep the shoulders and upper body on the floor. 3.Hold the position for 5 seconds. 4.Gradually lower the back and pelvis toward the floor, starting at the top of the spine. Roll down through the spine until the entire back is flat against the floor again. 5.Repeat this exercise 5–10 times. 4.butterfly stretch 1.Sit on the ground, bend your legs, and bring the soles of your feet together so they touch, letting your knees fall out to the sides. 2.Bring your heels as close to your body as you can and lean forward into the stretch, using your elbows to gently push your knees toward the ground. 5.side lying leg raise 1.Lay on your right side with your legs straight and stacked on top of each other, propping yourself up with your elbow. If you’re using an exercise band, position it just above your knees. 2.Keeping your hips stacked, engage your core and lift your left leg straight up as far as you can. Slowly lower back down. Repeat on other side. 6.hip flexion 1.Stand upright. 2.Extend one arm out to the side and hold on to a sturdy surface, such as a wall, table, or chair, for support. 3.Slowly raise the right knee to the level of the hip or as far as is comfortable while keeping the left leg straight. 4.Only hold this position for a second before placing the left foot back on the floor. 5.Repeat with the left knee. 6.Do 5–10 repetitions of this exercise. 7.hip extension 1.Stand upright with the legs straight and the feet shoulder-width apart. 2.Extend both arms out in front and hold on to a chair, table, or wall for support. 3.Keeping the right leg straight, lift the left leg backward without bending the knee. 4.Lift the leg as far as possible without causing discomfort, then clench the buttock tightly and hold the position for 5 seconds. Repeat this stretch 5–10 times on each leg. To increase the resistance, try attaching small weights to the legs. 8.hip abduction 1.Stand upright. 2.Extend the left arm out to the side and hold on to something solid, such as a chair, table, or wall. 3.Starting with the feet together, lift the right leg out to the right side. Keep the left leg straight and avoid rotating the hips. 4.Hold the position for 5 seconds and then slowly return the leg to the starting position. Do this exercise 5–10 times on one leg, then repeat it on the other side. 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. Standing arm swings to do this exercise: 1.Stand tall with your arms by your sides. 2.Engage your core and swing your arms forward until they’re as high as you can go. Make sure you don’t raise your shoulders. 3.Return your arms to the starting position and repeat. 4.Do this movement for 30 to 60 seconds. Shoulder pass-through to do this exercise: 1.Stand with your feet shoulder-width apart and your arms in front of your body. 2.Hold a stick, like a broomstick or pvc pipe, with an overhand grip. Your arms will be wider than shoulder-width. Make sure the stick or pipe is parallel to the floor. 3.Engage your core and slowly raise the broomstick or pipe above your head, keeping your arms straight. Only go as far as comfortable. 4.Hold the pose for a few seconds. 5.Return to the starting position. 6.Repeat 5 times. High-to-low rows to do this exercise: 1.Secure a resistance band to a sturdy object above shoulder height. 2.Kneel down on one knee and grab the band with the opposite hand. The other hand can rest at your side. 3.Pull the band toward your body while keeping your torso and arm straight. Focus on squeezing the shoulder blades together. 4.Return to the starting position and repeat. 5.Do 2–3 sets of 10 repetitions on each side. Reverse fly to do this exercise: 1.Hold a dumbbell in each hand. 2.Stand with your feet shoulder-width apart, knees slightly bent. 3.Engage your core and bend forward at the waist. Keep your back straight. Your arms will be extended. 4.Raise your arms away from your body. Focus on squeezing your shoulder blades together. Stop when you get to shoulder height. 5.Slowly return to the starting position and repeat. 6.Do 3 sets of 10 repetitions. Rotation with dumbbell o do this exercise: 1.Stand with your feet shoulder-width apart while holding a light dumbbell in your right hand. 2.Raise your arm so your elbow is at shoulder height. The front of your hand will be facing the ground. 3.Rotate your shoulder to bring your arm and weight up so your hand is raised toward the ceiling. 4.Slowly return to the starting position and repeat before changing sides. 5.Do 2–3 sets of 12 repetitions on each arm. Mobility stretches cross-arm stretch to do this stretch: 1.Stand with your feet slightly less than shoulder-width apart and bring your right arm up to a little less than shoulder height. 2.Place your left hand on your right elbow and gently pull your right arm across your body using the left hand to support your arm. 3.Hold this position for up to 30 seconds. 4.Repeat on the opposite side. 5.Do each side 3–5 times. Sleeper stretch to do this stretch: 1.Lie on the affected side. If you have no injury or pain, choose a side to start with. Your shoulder should be stacked underneath you. 2.Bring your elbow straight out from your shoulder and bend this arm, so your fingers are pointing toward the ceiling. This is the starting position. 3.Gently guide this arm toward the floor using the unaffected arm. Stop when you feel a stretch in the back of your affected shoulder. 4.Hold this position for up to 30 seconds. 5.Do 3 repetitions before changing sides. Doorway stretch to do this stretch: 1.Stand in a doorway with elbows and arms forming a 90-degree angle. Your feet should be in a split stance. 2.Bring your right arm up to shoulder height and place your palm and forearm on the doorway. 3.Gently lean into the stretch, only going as far as comfortable. 4.Hold the stretch for up to 30 seconds. 5.Change sides and repeat. Perform on each side 2–3 times. Chest expansion to do this stretch: 1.Stand tall with your feet together. 2.Hold the end of a towel or exercise band in each hand, with your arms behind your body. 3.Use the towel or band to help move your shoulder blades together and open your chest. This will cause you to look toward the ceiling. 4.Hold this pose for up to 30 seconds. 5.Repeat 3–5 times. Strenghtening exercises 1.pendulum stretch do this exercise first. Relax your shoulders. Stand and lean over slightly, allowing the affected arm to hang down. Swing the arm in a small circle — about a foot in diameter. Perform 10 revolutions in each direction, once a day. As your symptoms improve, increase the diameter of your swing, but never force it. When you're ready for more, increase the stretch by holding a light weight (three to five pounds) in the swinging arm. 2. Towel stretch hold one end of a three-foot-long towel behind your back and grab the opposite end with your other hand. Hold the towel in a horizontal position. Use your good arm to pull the affected arm upward to stretch it. You can also do an advanced version of this exercise with the towel draped over your good shoulder. Hold the bottom of the towel with the affected arm and pull it toward the lower back with the unaffected arm. Do this 10 to 20 times a day. 3. Finger walk face a wall three-quarters of an arm's length away. Reach out and touch the wall at waist level with the fingertips of the affected arm. With your elbow slightly bent, slowly walk your fingers up the wall, spider-like, until you've raised your arm as far as you comfortably can. Your fingers should be doing the work, not your shoulder muscles. Slowly lower the arm (with the help of the good arm, if necessary) and repeat. Perform this exercise 10 to 20 times a day. 4. Cross-body reachsit or stand. Use your good arm to lift your affected arm at the elbow, and bring it up and across your body, exerting gentle pressure to stretch the shoulder. Hold the stretch for 15 to 20 seconds. Do this 10 to 20 times per day. 5. Armpit stretch using your good arm, lift the affected arm onto a shelf about breast-high. Gently bend your knees, opening up the armpit. Deepen your knee bend slightly, gently stretching the armpit, and then straighten. With each knee bend, stretch a little further, but don't force it. Do this 10 to 20 times each day. Starting to strengthen as your range of motion improves, add rotator cuff–strengthening exercises. Be sure to warm up your shoulder and do your stretching exercises before you perform strengthening exercises. 6. Outward rotationhold a rubber exercise band between your hands with your elbows at a 90-degree angle close to your sides. Rotate the lower part of the affected arm outward two or three inches and hold for five seconds. Repeat 10 to 15 times, once a day. 7. Inward rotation stand next to a closed door, and hook one end of a rubber exercise band around the doorknob. Hold the other end with the hand of the affected arm, holding your elbow at a 90-degree angle. Pull the band toward your body two or three inches and hold for five seconds. Repeat 10 to 15 times, once a day. Shoulder exercises and stretches regular exercises and stretches can keep your shoulder strong and flexible. A few things to remember before swinging in to exercises: •stop any exercise if you have more shoulder pain. It may be too soon for you to try. •watch your form. Exercising incorrectly can also cause or worsen shoulder problems. •warm up, even before deep stretching. Light shoulder rolls, gentle movements, or even a warm shower are all ways to warm up your muscles before exercise and stretching. Pendulum stretch for range of motion•stand and bend at the waist. •let your arm on the injured side hang straight down. •keep your neck relaxed. •move your arm in a circle up to 20 times. •do once or more times in a day. Overhead shoulder stretch•sit or stand to do this shoulder stretch. •intertwine your fingers in front of you. •bend your elbows and raise your arms above your head. You can also place your hands on your head or behind it. •gently squeeze your shoulder blades together to move your elbows back. •continue for up to 20 repetitions. Repeat 5 to 10 times a day.Do’s and don’ts for shoulder pain do’s do the prescribed exercise regularly to maintain strength, flexibility and range of motion. Do keep the affected arm supported. Use an ice pack for pain relief. Apply the ice pack 3-4 times a day for 10 minutes. Don’ts don't sleep on the affected side. Don't lift heavyweight with the affected arm. Don't jerk your shoulder to avoid stress. Don't use the arm to push yourself up in bed or from a chair. Don't participate in contact sports or do any repetitive heavy lifting. We suggest you to wear shoulder support brace which is available in two different sizes which makes the patient to feel comfortable as it maintains the shoulder in anatomical position and the short lever is maintained. The reason to maintain the short lever in the shoulder joint is it helps the shoulder to prevent the movements which itself is the key to have better progression of healing in the shoulder region. This is suggested for the following conditions. This shoulder support brace what we are suggesting for you 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. Pa shoulder: do’s: •exercise regularly and immediately follow a physical therapy program. •use an ice pack for pain relief. Apply the ice pack 3-4 times a day for 10 minutes. •take pain relievers as directed by your shoulder doctor. Don’ts: •don’t stop moving your shoulders entirely because of the pain. •do not do activities that involve sudden movements, such as heavy lifting on the affected side. As your body recovers, continue to make gentle movements, but avoid irritating and moving your shoulders. •doesn’t sleep on a sore shoulder •don’t miss your workout routine and physical therapy. •don’t neglect your diet. Frozen shoulder is associated with general health. Frozen shoulder is strongly associated with many low-grade systemic inflammatory conditions. Your body needs healthy, anti-inflammatory food to recover. •stop smoking and drinking alcohol. No it will definitely help you to come out of pain. You can consume preferably one tablet per day and not more than that. Drink lot of hot water during your cycle time as there might be gastric trouble during menstrual cycle. We cannot give suggestions about homeopathy medicine as we are physiotherapists. I have given the following suggestions and protocols for your other pain in the back, heel and shoulder. 

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Dr. Sushma ShahMBBSGeneral Physician

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unable to say. anxiety is one of the reason. syr longifene 10 ML one hr before lunch n dinner. it is a hunger initiative medicine but must follow by rest. 

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