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Geriatric Physiotherapy Health Feed

Asked for male, 52 years old from Anantapur
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I am psoriatic arthritis patient with back pain and si joint pains in addition to other joint pains. I use hcqs 200 mg for psa. Spine surgeon prescribed duloxetine 20 mg one in morning & one in the evening for my back pain. These tablets also reduce other joint pains and also helps in controlling my inflammation. But my problem is because of this duloxetine capsules my sleep has become very much disturbed and I am unable to fall asleep when I wake up in the night. I feel active all the time and suffering with racing thoughts/brain fogg. I am not able to calm my mind by all means. To counter this I added mythy cobalamin 750 mcg and 1/2 of clonotril - .25 mg. But still then I get up between 3 to 4 am and unable to fall asleep. Totally I am getting a sleep of about 4.5 hours to 5 hours a day. Increasing clonotril dose causing me irritation in the stiff muscles surrounding the joints. I tried magnesium supplement which worked nicely but it increased my scalp psoriasis rapidly. I tried all forms of magnesium but same results. Melatonin helped a bit but it causing tiredness during entire day. Could you please suggest any medicine to calm down my thoughts and to get a restful sleep? Thank you.

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MS - Orthopaedics

Orthopedic Doctor•Pondicherry
-if duloxetine is causing so many problems better to stop it - start on drugs methotrexate hope you should be recieving for your psoriasis the details of your psoriasis treatment is not available here - if you can upload the treatment details of psoriasis I can help you in better way.
321 people found this helpful
Last Updated: 5 years ago• Featured Tip
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MBBS, DNB - Orthopedics/Orthopedic Surge...read more

Orthopedic Doctor•Pune
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Osteoporosis:

Osteoporosis is a condition whereby the density of the bone decreases and the body ceases to manufacture the same quantity of bone as it did previously. Although it tends to affect both females as well as males, it is most commonly seen in women. The reason for this is the decreased production of estrogen during the menopause phase. The hormone, estrogen provides protection against osteoporosis.

When someone suffers from this condition, all their bones become weak...more
Last Updated: 5 years ago• Featured Tip
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MS - Orthopaedics, AO Fellowship in Trau...read more

Orthopedic Doctor•Gurgaon
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Bones are similar to a porous framework which is filled with minerals that make it hard and strong. With age, there is gradual degradation and the mineralized portion is lost, thereby leading to thinning of the bone. The word osteoporosis literally translates to porous bones, which is due to the gradual demineralisation. In addition to the natural ageing process, there are other diseases that can accelerate the demineralization process.

Women are more prone to demineralisation, and afte...more
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MSPT (Master of Physical Therapy), Bache...read more

Physiotherapist•Gorakhpur
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Bone tb is diagnosed by elisa. Tb gold. Cbc .and bone ct or mri.
Ffor ankylosing spondylysis blood test hlab27.
U should counslt to orthopedics.
Dnt do self medication.
Last Updated: 5 years ago• Featured Tip
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MS ( General Surgery)

Oncologist•Mandsaur
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Foot problems can occur due to a number of causes that, in most cases, are easily diagnosed. An orthopedic is a specialized doctor whose advice you should seek if you have any kind of discomfort in one or both of your feet. Discomfort may include chronic or regular pain, difficulty in movement and/or disfigurement. These are generally a result of arthritis, physical injury or a genetic or hereditary condition. In some of the cases, the pain and discomfort can be treated without any surgery, by u...more
Last Updated: 5 years ago• Featured Tip
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MBBS, MS - General Surgery

General Surgeon•Hyderabad
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The word 'surgery' is often dreaded by most patients. Be it an invasive oral surgery or a keyhole gallbladder surgery, it does not evoke a ready "yes" in most patients. There are too many patients who are ready to be on long-term medications if they could avoid the surgery and its complications. While there could be swelling, bruising, tingling, and many other symptoms, the one feared by most is the postoperative pain. What happens after the effect of the anesthetic wears off can leave many pati...more
Last Updated: 5 years ago• Featured Tip
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MD - Homeopathy, BHMS

Homeopathy Doctor•Vadodara
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Out of the many muscle and bone-related conditions, arthritis is one of the most painful degenerative ailments that begins with the inflammation of the joints. This condition can be particularly debilitating as it progresses, and it is usually known to affect the elderly and aging. Yet, they are not the only victims of the condition, as many patients suffering from arthritis are young. There are various kinds of arthritis and gouty arthritis or gout is one such form.

Gout is one of the ...more
Last Updated: 5 years ago• Featured Tip
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Post Graduation Diploma in Dietetics and...read more

Dietitian/Nutritionist•Amritsar
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Tip of the day.

How to prevent gout. (a form of inflammatory arthritis)

Consume food rich in vitamin c.
Avoid- meat, sea food, sugary food & beverages & fried food
Eat fruits & green leafy vegetables, potatoes, pear, nuts & legumes.
Exercise regularly & stay hydrated.
Last Updated: 5 years ago• Featured Tip
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Clinical Fellowship In Pain Management, ...read more

Pain Management Specialist•Hyderabad
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Lower back pain is fast becoming an epidemic not just among the elderly, but across all age groups. Primary causes of back pain are quite a few including lumbar hernia, disc degenerative disease (DDD), spondylosis etc., but the symptoms are usually the same excruciating pain in the lower region of the spine, followed by stiffness. Since back pain is caused due to a number of spinal problems, it manifests differently in different patients. The pain may be dull, burning or sharp. It could also be ...more
Last Updated: 5 years ago• Featured Tip
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BPTh/BPT, Weight Management Specialist, ...read more

Physiotherapist•Kolkata
Tennis Elbow is involved with the muscles and tendons of one s forearm. It leads to inflammation of the tendons which join the forearm muscles on the outside of the elbow. Physiotherapy treatment can be of great help. The primary goal of this treatment is to improve the strength as well as the flexibility of one's forearm muscles. Now, before we take a look at the tips regarding physiotherapy treatment, let us briefly discuss its symptoms and causes.

Symptoms

If a person suffer...more
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