Dr. Ramesh

It better to do your surgery after 6 month, after healing of recent injury of knee, do physiotherapy after your pain diminished.

You have to wear corrected arch supported mcr chappals which will definitely be good for you and for knock knees you have to strengthen the knee by doing simple exercises. Knee cap should be worn to correct the knocked knees.

For erectile dysfunction and back pain,you need to take treatment for two months.and for urethral stricture,you need to go for surgical options.The cost is around ?500 to ?1000 for erectile dysfunction and back pain.

leg swelling caused by the retention of fluid in leg tissues is known as peripheral edema. It can be caused by a problem with the circulatory system, the lymphatic system or the kidneys. swelling may be due to low calorie diet tends to draw lesser amount of water from the tissue because of meager presence of protein, which leads to water retention. and high salt intake also cause for swelling. first take balance diet and reduce salt intake. do exercise and yoga regularly. if still problem remain then visit to doctor and take proper treatment.

Hi, sudden increase of creatinin in blood may be due to 1. Rhabdomyolysis-may occur due to crush injuries after accidents. In this damaged skeletal striated muscle breaks down rapidly. Breakdown products of damaged muscle cells are released into the bloodstream; some of these, such as the protein myoglobin, are harmful to the kidneys and may lead to kidney failure. The severity of the symptoms, which may include muscle pains, vomiting, and confusion, depends on the extent of muscle damage and whether kidney failure develops. The muscle damage may be caused by physical factors (e. G. Crush injury, strenuous exercise, medications, drug abuse, infections.) 2. Some kinds of antibiotics or blood pressure medicines will cause. Normally, it's totally reversible when you reduce or stop taking these medicines, 3. Diet-. Fox example, pickles, bacons, sausages pizzas and so on are all of high quality of salt, which will cause water-sodium retention in the kidneys 4. Infections-, who have renal insufficiency previously, get infections, such as cold, pneumonia, intestinal infection, and urinary tract infection, they are easy to have an elevated creatinine level in a short time. 5. Dehydration-drinking less water, a fever or sweating, especially during frequent urine, can cause severer narrowed blood volume in kidneys.

It is that you have diabetic neuropathy. You check your fbs, 2hr ppbs and hba1c ad send report to me. To prescribe any medicines you have to ask personally.

Kindly show me a photograph & digital X RAYS of affected part. Rule out diabetes & vit.D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. SPRING BEDS, FOLDING BEDS OR THICK MATRESS ARE HARMFUL Use no pillow under the head. DO HOT FOMANTATION. Paracetamol 250mg OD & SOS x 5days. Caldikind plus 1tab OD x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. Do reply back for detailed treatment plan. Do not ignore .It could be beginning of a serious problem.

See this condition can be age related. Also entity called as mineral bone disorder in ckd patient. You are on correct medications.

DEAR U FOLLOW THIS EXERCISE LUMBAR EXTENSION STRETCHES Generally these are good for individuals who may have a disc herniation. They should be performed with caution for anyone who has spinal stenosis or any known fractures in their vertebrae. Prone Press Up: Begin by lying on your stomach with your elbows bent underneath you and palms flat on the surface. Keeping your hips and pelvis in contact with the surface, lift your upper torso off the mat with your arms, keeping your back muscles relaxed. Only go as high as you are comfortable. Perform 10 repetitions holding each one for 10 seconds each, working your way to 30 seconds Generally, the flexion based stretches are good for those with spinal stenosis or tightness through the lower lumbar musculature. Single Knee to Chest: Begin by lying on your back with both knees bent. Bring one knee up towards your chest. Perform 2-3 repetitions, holding each one for 15-30 seconds. You may feel a stretch along the lower back or buttocks area. You may also perform this with both legs up towards your chest if it is comfortable Prayer Stretch or Child’s Pose: This stretch is for the lower back muscles along the spine and is a very common yoga pose. On your hands and knees, sit back so your buttocks is resting on your heels. Reach your hands forward to lengthen your spine and feel a stretch in your middle back. You can reach your hands to either side to focus the stretch on the opposite side of your spine. Hold for 10-30 seconds and perform 2-3 repetitions. Angry Cat Stretch: This stretch can incorporate both an extension and a flexion component. You may perform either way or just one way if that is more comfortable for you. On your hands and knees, let your belly sag towards the table to increase extension through your spine (lumbar extension picture). To increase flexion through your spine, arch your back upwards, bringing your spine away from the table (lumbar flexion picture). You may hold each position for 5-20 seconds and repeat several times NERVE STRETCHES Just as you can stretch a muscle, you can stretch a nerve. Nerve stretches are very important to perform if you have any radiating pain from your lower back into your buttocks or legs. Nerve stretches are also very important to perform after lumbar surgery to ensure that there is no scar tissue adhering the nerve to any internal structures. Sciatic Nerve Stretch: This stretch should be performed if the majority of the radiating pain into the legs is felt in the buttocks, back of the leg, and/or through the calf and foot. This follows the pathway of the sciatic nerve. By stretching the nerve, it can help to desensitize it so that it will not cause as much pain. Perform this stretch by lying on your back with your hand behind one knee, preferable the leg with the sciatic pain. Straighten your knee then alternate flexing your ankle back and forth. Only hold your ankle in each position for a few seconds. Perform 10 repetitions on each side. As with beginning any new exercise, start off slowly with a very gentle stretch. Stop if you have any increase in lower back pain or sciatic pain down your leg.

This could be due to lumbar spondylosis with nerve root compression. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Use no pillow under the head. Paracetamol 250mg od & sos any way take caldikind plus (mankind) 1tab odx10days x 5days do back (spine) exercises contact me again if need be. Make sure you are not allergic to any of the medicines you are going to take you may have to use lumbosacral support for some time. Avoid painful act/activities. Take medicines as prescribed it may have to be further investigated.

Hi Thanks for your query. I am Dr Akshay from Fortis Hospital, New Delhi. If it is only a 4 day story take a short course of anti-inflammatory medications and physical therapy & it should be ok. If it persists then kindly get in touch with me. Do not hesitate to contact me if you need any further assistance. Thanks & Regards Dr Akshay Kumar Saxena

Consult your doctor for vitamin B 12,calcium,vitamin D . You find any problem ask again. Thanks Dr B M GUPTA BP, SUGAR & THYROID CLINIC DELHI

Hi, first let me know the type of pain like is it radiating from back to lower leg is there any back pain, if it's radiating it might be nerve compression in back for that try to streatch hamstring muscle by letting one leg straight down and lifting other one straight up as much as you can and lower back strengthning exercises. For cramp you can try electrolyte solution because cramps occur mainy of times due to ion imbalance. Do let me know if you need any further help.

Hi I can understand your problem 1) avoid activities that make your symptoms worse 2) apply hot packs 3) start physiotherapy treatment as electrotherapy will reduce pain inflammation 4) exercise and manual therapy will help in pain free movement. Describe your problem in detail and do share related reports and prescription if you have. Best wishes.

people with patellectomy need extensive rehabilitation to mobilise. is she under the supervision of a physiotherapist?

Back pain may be due to strain, sprain, weather change etc. *Avoid bending forward while working on lap top or for any other work. *Don’t sit continuously working on laptop etc. Get up periodically and move around. *Restrict bike driving as far as possible. *Don’t carry laptop or any load on your shoulder. Carrying very light loads equally with both hands is better *Sit straight so that back bone gets proper support. A dining chair is better than a laid back sofa. *You can use mustard oil for massage which is good in winter season for relieving pain. Eucalyptus oil is also good *Soft bed will not give proper support to your back bone. Hard bed with thin mattress and thin pillow is better. *Get yourself tested whether you have spondylitis problem. Homoeopathy has a good treatment for this without adverse effects. To start with, take Calc fluor 200--once daily in the morning and once in the evening for 6 days.

Back Pain Advice…. Hot Fomentation x twice daily. Avoid bending in front. Postural Correction. Sit Tall, Walk Tall. Extension Exercises x twice daily. Bhujang Asana x twice daily. Back Stretching. General Advice... Contrast Bath. Sports Taping. Gentle Stretching

You should take Acupressure therapy and take Biochemic Nat mur 200x + Calc Sulph 200x 4 tab each thrice a day with warm water and take it 5 days and consult private online.

Quadriceps Exercises- Lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain. Core Strengthening Exercise- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day.

Tk mag phos 6x, 4tab 4times in aday than reprt me. Drink 10-12 glass of water, drink a glass of milk daily, eat ggd quantity of fruits n vegetables.