Question

I am your old patient my heart is feeling pain and shoulder and hand pain and sugar levels is 220-250.

Dr.Julie Mercy J David · Accepted Answer

Shoulder pain:
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.
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.

Phantom Limb Pain Questions

I am your old patient my heart is feeling pain and shoulder and hand pain and sugar levels is 220-250.

Burn eye and body, joint and muscle pain light fever, more frequency of urine and dry neck.

I am 46 years old female, have few health issues like joint pain, sugar, thyroid. Need suggestions and treatment for the same.

I am suffering from inclusion body myositis Have muscle loss in thighs, have difficulty in climbing stairs, coming down from stairs, getting up from chair. Is there any solution to this disease.

I'm 21 years old, and I have pain in the joints of my hands. If I join my hands together, it provides some relief to the joint pain. I also experience difficulty in opening my mouth.

I have armpit pain on my right. The right armpit has more fat than the left and pain in it. I also have breathing issue.

My wife was beaten up by thugs yesterday now she is suffering from neck it is paining her same as stomach at the same time she is pregnant what could be the causer.

I am a 21 years male and having joints pain and chest pain. Diagnosis. Uric acid .69 cholesterol 210 hb. 16.5.

Hello doctor am having too much neck pain shoulder pain and ankle pain I have typhoid but was taking ciproflacin tablets and ibuprofen the fever and headache when but I still feel the pain. Kindly advise me.