Dr. Ashish Nagar Pt

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Because of your previous history and lifestyle I will advise you conservative management initially failing which we will have to investigate you in a greater detail. For back pain: if you have localized back pain with no other symptoms like radiating leg pain, neurological symptoms like numbness, weakness, paresthesias etc, then you can start with following recommendations for initial period of 2-3 weeks: - to maintain proper posture of your back while working and sleeping - if pain is more then you can take a short course of an anti-inflammatory medication like tab etoshine or paracetamol or one which suits you - physical therapy initially under supervision of a trained physiotherapist and then to continue at home - adequate calcium & vitamin d intake if levels are low in body - ice packs can applied if your pain is acute, then hot fomentation can be done at home - analgesic spray for local application can be used and is easily available. - avoid lifting heavyweight/ acute forward bending in mornings etc we will observe you for next 2-3 weeks how you respond to this conservative management protocol. If you are not feeling better, then we will have to get some investigations like, dynamic x rays of lower back and few blood tests for evaluation. For leg pain: actually pain at calf/leg region can be due to many reasons, commonly it is muscular in nature but it can also be due to tendons, nerves, blood vessels etc. My advise to you for initial 2-3 weeks will be: - ice packs application intensively with elevation of your limbs at night - take a short course of anti-inflammatory medication as per your body's suitability - stop your physical activity till pain completely subsides - intensive physical therapy, training and proper muscle conditioning once pain has subsided - slow resumption of physical activities with proper pre activity warm up and stretching of muscles and short increments in duration of physical activity each day as per pain tolerance. - we will get some blood tests for you - serum vitamin d and serum potassium levels, esr and crp once you have all these reports then you can contact me as I can advise you for proper supplementation do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation.

Hi it can be fibromyalgia. Some test may be required like cervical xray, diabetes, calcium, vitamin d etc. But first it will be good if you visit orthopaedic or physiotherapist personally for clinical examination. Meanwhile take hot water bath twice a day and take healthy and balanced diet. Best wishes.

Hi, your backache seems to be postural. Make sure you sit and stand erect. Avoid slouching while on the computer, mobile or watching t. V. All the best.

Knee advice. Avoid sitting cross legged. Avoid squatting- 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. Hams stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube or normal belt. Repeat 10 times, twice a day. Sports taping- stretch the tape from both ends and apply on the affected area contrast fomentation (hot and cold).

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Although there can be many causes for heel pain like spurs, fascial inflammation, infection, trauma etc but normally plantar fascitis is the most common cause especially if there is no history of any injury or any s/s of inflammation or infection like swelling, skin redness etc. This kind of pain is usually due to inflammation of your heel fascia. It is chronic pain which get aggravated especially when you walk more and is better with rest. Treatment modalities are aimed at relieving inflammation of the fascia, like ice packs, physical therapy, footwear modification and anti-inflammatory therapy. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation.

Dear lybrate-user, Your father is using steroids (formonide) for a long time 8 years and exposure to steroid medications have major effects on the metabolism of calcium, vitamin D and bone. This can lead to bone loss, osteoporosis, and broken bones. When steroid medications are used in high doses, bone loss can happen rapidly, Suffering from cervical spondylosis can be due to the formonide use. Try to visit your chest physician and have detailed check up. Home precautions: 1. Donot use a pillow 2. Not to bend a lot 3. Avoid fast moving on either side 4.Use ice pack to relieve pain with any analgesic ointment (which ever is available at home) 5. Cervical collar is must and take a gud quality and give a proper measurement so that neck is supported properly, never use when he is sleeping or taking rest. 6. For nausea and chakkar there are lot of medications but the dosage depends upon the intensity your father is having and its calibrated after physical examination. 7. Use of multivitamins and calcium can lower the damage.

Dear low back pain k liyyy you can do it perfectly…. 1, Lying on your stomach, prop yourself up on your forearms. Align your elbows directly under your shoulders. Press firmly through your palms and the tops of your feet. Press your pubic bone forward. You will feel sensations in your lower back, but breathe through it. You are allowing blood flow int From all-fours, bring your right knee behind your right wrist with your lower leg at a diagonal toward your left hip. Square off your hips toward the ground. Bend forward. Widen the elbows and place one hand on top of the other as a pillow for your forehead. Hold 2-3 minutes and then switch to the left side for 2-3 minutes. O the lower back for healing. Hold for 1-3 minutes. 2…. Lying on your back, bend both knees with the feet flat on the ground. Bend the right knee like a figure four, with the outer left ankle to the right thigh. Lift the left foot into the air, bringing the left calf parallel to the ground. Thread your right hand between the opening of the legs and interlace your hands behind your left thigh. Hold 2-3 minutes and then repeat on the other side 3…Scoot your buttocks all the way into the wall and swing your feet up the wall. This pose is excellent for relaxing the muscles of the lower back and drains stagnant fluid from the feet and ankles. Do this pose after a challenging workout and always after traveling by plane. Hold for 5-10 minutes. I hope you will fittttt ands fine……………. Thnx.

Hi lybrate-user do calf muscle streaching exercises 20reps two times a day along with hot formentation.

Dear lybrate-user, Yogasana are the best set of exercises to keep healthy joints. In addition, do low impact cycling and climbing stairs to keep strong legs that will support your knees. It is not necessary to do any surgery if your knees are alright. Eat the right food to build healthy body, bones and muscles. Normal, natural foods. No supplements or un-natural proteins etc necessary. Regards.

Get your vitamin d3 levels checked. Most commonly upper and mid back is associated with vitamin d deficiency.

Avoid toward bending and long sitting, standing, if you want to bent firstly bend your knee then sit straight. Heat fermentation twice a day and do stretching exercise.

Frequent episodes of urinary tract infections are common conditions, Conventionally, courses of antibiotics are administered. Though antibiotics take care of the acute infection, antibiotics never prevent the recurrence. Homeopathic comes to rescue which helps control and prevent recurrences of urinary tract infections. Homeopathy treats the person as a whole. It means that homeopathic treatment focuses on the patient as a person, as well as his pathological condition. The homeopathic remedies for UTI are selected after a full individualizing examination and case-analysis, which includes the medical history of the patient, physical and mental constitution etc. A miasmatic tendency (predisposition/susceptibility) is also often taken into account for the treatment of chronic conditions. you can easily take an online consultation for further treatment guidance

Hi lybrate-user, you can take help of chiropracticner or physiotherapist for proper positing while sitting for longer period. They will alao help with streching & strengthning of lumbar paraspinal muscles. Despite of all this effort with no to least help, either visit a pain specialist or orthopedician in your city to look at things in detail for diagnosis of your condition & further treatment.

If mri doesnt reveal any major problem in your spine and spinal cord your pain may be because of weak or overused muscles. Have tried physical therapy. Exercises for your back muscles might help with your pain

It may be ligament or meniscus tear. Get MRI of your knee. It should be best quality MRI with 3 tesla machine.

Hello, It might be due to gastric or postural disorder. Hydrate yourself tkg plenty of water. Go for meditation to reduce your stress to ease your intercoastal pain. Tk homoeopathic medicine:@.Rhus tox. 200-6 pills. Thrice. Avoid. Jerks, junk food, cold intake. Tk, ,care.

Hypothyroidism is a condition in which the thyroid gland is under active and does not produce sufficient amounts of thyroid hormones required in the body. The most cause of hypothyroidism is Hashimoto’s thyroiditis. Hashimoto’s thyroiditis is an auto immune disorder in which the antibodies are produced by the immune system against its own tissue, which in turn attacks the thyroid gland resulting in hypothyroidism.Severe Iodine defficiency can also lead to hypothyroidism . Natural Homeopathic remedies for hypothyroidism are highly effective and especially useful for people who want to avoid the side effects of prescription drugs. Top Homeopathic Remedies for Hypothyroidism Calcarea carb , Sepia ,Lycopodium, Graphites and Nux Vomica are the leading homeopathic remedies for hypothyroidism The normal range of TSH levels is 0.4 to 4.0 milli-international units per liter. You can easily take an online consultation for further treatment guidance and permanent cure without any side effects

These are symptoms of osteoarthritis which is common in this age nowadays. You may do easy and light exercises under the guidance of physio. He will help you. You may not take green vegetables like spinach, saag, okra. Avoid curd and rice as much as you can. You may also consult homoeopathic doctor for better results.

Hello. It can be due to calcium deficiency. Improve your diet. Include whole milk and all dairy products in your diet. Take homoeopathic tonic:- alfa alfa syrup one spoon twice a day half an hr before meal. Take this for 15 days and update me for follow up.