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Dr. R. Nithiyanantham

Pain Management Specialist, Villupuram

Dr. R. Nithiyanantham Pain Management Specialist, Villupuram
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
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I am 45 years old I have knee problem since 3 months daily its paining badly I hav concerned with my family doctor but no improvement is there I hv taken all medicine but no relief.

BHMS
Homeopath, Thane
I am 45 years old I have knee problem since 3 months daily its paining badly I hav concerned with my family doctor bu...
Hi, Take medicines Arnica 30 4pills thrice a day Rhustox 10M 4pills to be sucked thrice a day for 1mth Avoid any exercises during pain. Revert back for further treatment plan.
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I am getting lower back pain side I am thinking its kidney problem please suggest me any treatment I am from middle class family can't effort costly test.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Chitiradurga
I am getting lower back pain side I am thinking its kidney problem please suggest me any treatment I am from middle c...
Dear Lybrate-user, kindly do not worry. Kidney stone pain will not restrict to back region. There, the pain will radiate towards groin region. I suspect you are having back pain because of strain. It can be managed by modifying certain regimen. Sleep on a mat or flat surface giving support to back. Avoid lifting heavy objects. Do not bend down suddenly to pick something from ground. Have food regularly to avoid gastritis as it will increase the pain.
1 person found this helpful
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I am worry about my stomach pain l have some piles problem what can I do for my well.

MBBS, MBA (Healthcare)
General Physician, Delhi
I am worry about my stomach pain l have some piles problem what can I do for my well.
avoid constipation, avoid straining on stool, take fiber diet and green vegetables. take pilex tab one tab 3 times daily for one month, apply anovate on anus. consult surgeon if not ok.
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I have pain in my back. I took many medicine but it didn't work plzz suggest me proper medicine.

BPTh/BPT
Physiotherapist, Kota
I have pain in my back. I took many medicine but it didn't work plzz suggest me proper medicine.
Dear, low back pain are often referred for physical therapy for four weeks as an initial conservative (nonsurgical) treatment option before considering other more aggressive treatments, including back surgery. The goals of physical therapy are to decrease back pain, increase function, and teach the patient a maintenance program to prevent future back problems. Common forms of physical therapy include: 1.Passive physical therapy (modalities), which includes things done to the patient, such as heat application, ice packs and electrical stimulation. For example, a heating pad may be applied to warm up the muscles prior to doing exercising and stretching, and an ice pack may be used afterward to sooth the muscles and soft tissues. OSee Physical Therapy: Passive PT (Modalities) for Back Pain 2.Active physical therapy, which focuses on specific exercises and stretching. For most low back pain treatments, active exercise is the focus of the physical therapy program. This article focuses on active physical therapy and exercise as a means to help recover from back problems and prevent or minimize future flare-ups of low back pain Low back pain has lasted between two and six weeks, or if there are frequent recurrences of low back pain, physical therapy is often recommended. Some spine specialists consider physical therapy sooner, particularly if the pain is severe. •Read more: Exercise and Back Pain In general, the goals of physical therapy are to decrease pain, increase function, and provide education on a maintenance program to prevent further recurrences. A physical therapy program for back pain usually has two components: 1.Passive physical therapy to help reduce the patient's pain to a more manageable level 2.Active exercises Passive Physical Therapy - Modalities Acutely, the physical therapist may focus on decreasing pain with passive physical therapy (modalities). These therapies are considered passive because they are done to the patient. Examples of modalities include: •Heat/ice packs •TENS units •Iontophoresis •Ultrasound.
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I am 33 year old male and have a headache problem from last one month. What should I do?

BHMS
Homeopath, Faridabad
I am 33 year old male and have a headache problem from last one month. What should I do?
Take BC No. 12, 5 tabs twice daily and kali phos 6x, 5 tabs at bed time. Alpha HA, 15 drops with warm water twice daily. Revert me after 15 days.
1 person found this helpful
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Does radiation therapy to the neck and hypothyroidism cause the blood pressure to rise? After my RT last Dec, my blood pressure has elevated. Now after every meal (chewing and swallowing), my blood pressure elevates to 150/110. I am on Diovan but it does not help.

DHMS (Hons.)
Homeopath, Patna
Does radiation therapy to the neck and hypothyroidism cause the blood pressure to rise? After my RT last Dec, my bloo...
Hello ,It may happen so,hypothyroidism may cause, Hypertension but after mastication and swallowing, if your BP is raised, u need to consult some cardiologist, soon.
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I am 52 years old man. I have diabetes and high blood pressure. Having pain in left side half head. Is this due to diabetes or high blood pressure.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
I am 52 years old man. I have diabetes and high blood pressure. Having pain in left side half head. Is this due to di...
It could be due to high blood pressure. if nasal bleeding is there, then u have to think about high blood pressure. if it is migrane then take tab Noxdom 500 mg twice a day for 1 wk.
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I am suffering from Cervical spondylosis in neck region Pain moves to right hand.

MBBS
General Physician, Mumbai
I am suffering from Cervical spondylosis in neck region
Pain moves to right hand.
please go for physiotherapy neck . intermittent painkiller both local application and oral can be taken for relief of pain. avoid pillow. keep neck warm by use of muffler or scarf.
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Sir/madam, my father met with an accident in 2006 and his right knee ligament was cut in that incident.(he used medicine to relief pain at that time) but now due to pain again in right knee he consulted doctor and took MRI. It shows: 1. ACL tear 2. Complex tear of posterior horn of lateral meniscus 3. Effusion in knee joint 4. Minimal fluid collection deep to medial head of gastrocnemius origin. Doctors told to go for surgery, but my father already faced surgery for hernia. And denies for another. He has pain when going on steps. please prescribe any suggestions and measures to be followed to prevent pain and surgery.

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
Sir/madam, my father met with an accident in 2006 and his right knee ligament was cut in that incident.(he used medic...
It is upto you whether you go for surgery or not. Doctor has suggested you best option. Pain is because of instability due to ligament tear and Meniscus tear. These things do not Heal on their own. Had it been just ligament tear, you could have got relief with physiotherapy. Torn meniscus keeps rubbing on joint surfaces and pain would go on increasing. It also causes damage to cartilage. All modalities directed to reduce pain somehow temporarily will not change meniscus and ligament injury. If you have smell in room because of cat has died behind cupboard, then spraying room freshener will be useful only for some time and again you will get smell. Similar is thing with this injury. Unless you remove cat, smell won't go. Same way unless you operate knee, pain won't go. Choice is yours.
2 people found this helpful
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I have my back wrist problem on every night it's pain and lots of tablet I have taken but still no results for me still I am not feeling well please let me know how to recovered these problems and kindly share how I safe these disease in future.

BPTh/BPT
Physiotherapist, Mumbai
I have my back wrist problem on every night it's pain and lots of tablet I have taken but still no results for me sti...
Hand pain wrist pain has many causes, including injury and disease like. * de quervains tendonitis * carpal tunnel syndrome * weakness * fracture etc. Common treatments include: +resting the hand and wrist +anti-inflammatory or analgesic painkillers +wrist splints +steroid injection +physical therapy treatment will be according to diagnosis and severity of symptoms. Do reply for private consultation so that we can discuss your treatment plan in detail. Wishing you a good health.
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Joint Pain Due to Hypothyroidism - Know How You Can Manage it!

MD - Medicine, MBBS
Endocrinologist, Delhi
Joint Pain Due to Hypothyroidism - Know How You Can Manage it!

The body is controlled by chemicals known as hormones. These are produced in minute quantities by minute organs, but have great control on almost all body functions. There are different hormones, each determining different functions like how tall a person will grow, how strong the bones will be, how well a person can react to stress and the reproductive ages. There is also a master gland called the pituitary which is situated somewhere deep in the brain, which controls all these organs. Small variations in the amount of these chemicals in the body produce significant effect on their respective control organ.

Thyroid is one such major gland, which produces a hormone called thyroxine or T4 as it is commonly called. This controls metabolism and emotional health to a large extent. Reduced amounts of T4 is very common in women, and with altered metabolism, there is increased musculoskeletal pain in various joints.

Here are some of the best ways to reduce Joint Pain from Hypothyroidism:

  1. Step Up to Low-Impact Aerobics: Twenty to 60 minutes of near-daily aerobics — really any exercise that gets your heart pumping — can help speed up your metabolism and counter weight gain, a common hypothyroidism symptom and a contributor to joint pain. But if you have joint or knee pain, choose low-impact aerobics. Swimming is the ideal low-impact aerobic exercise — the water buoys your body and cushions joints.
  2. Strengthen Your Muscles: Strength- or weight-training exercises build muscle mass, which uses more calories than fat even at rest. That promotes weight loss and can ease the strain on your joints. Stronger muscles also directly help protect nearby joints. For example, strengthening exercises such as squats, lunges, and leg lifts develop the muscles that support the knees. Start slow with 15 repetitions of each exercise. Then build up to three sets of 15 reps each.
  3. Get Plenty of Sleep: Sleep is the time for muscles and joints to recover. If you're not sleeping well, you are not recovering as fast as you could be. What's more, when you're sleep deprived, you're likely to crave junk and comfort foods that can contribute to weight gain, which adds stress to your joints and increases joint pain. Aim for seven to eight hours of quality sleep each night.
  4. Stick to a Healthy Diet: Replace the junk food that can lead to weight gain with choices that enhance your health. For example, add fatty fish to your diet. It's a good source of omega-3 fatty acids, known to decrease inflammation, which may be contributing to your muscle and joint pain. Coldwater fatty fish such as salmon, mackerel, and tuna have some the highest amounts of omega-3s. Also be sure to get lots of fresh fruit and vegetables high in antioxidants, which may counter inflammation, too.
  5. Practice Yoga: Yoga poses are a great way to provide relief for joint pain while also increasing flexibility. For shoulder pain, look for poses that open your chest, like this simple pose: Sit with your feet flat on the floor. As you inhale, stretch your arms over your head. Clasp your hands together over your head and then turn your palms up toward the ceiling. Drop your shoulders and straighten up as if pushing through your head. Hold for 30 seconds. Release your hands, bringing them down behind you. Next, clasp your hands behind your back and lift your arms. Hold for another 30 seconds.
  6. Don't Let Fatigue Win: Fatigue is one of the most common hypothyroidism symptoms. Even though you might feel listless, you'll benefit from exercise because it will rev your metabolism and help you maintain flexibility despite muscle and joint pain. If you're too exhausted to complete a full exercise routine, break it up into several short bouts — even 10 minutes done three times a day will be effective. Also, stretching and relaxation exercises within two hours of bedtime may help you sleep better.
  7. Meditate for Stress Relief: Having a chronic condition such as hypothyroidism can be stressful, and that stress can actually contribute to pain and tension. That's why it's important to find ways to reduce stress, such as the practice of mindfulness meditation. This form of meditation teaches you how to distract yourself from what's bothering you by refocusing your attention, often on your own breathing. 

Thyroid hormones help all your organs work well. They control how your body uses food for energy.

What Do Thyroids Do

Thyroid hormones affect your metabolism rate, which means how fast or slow your brain, heart, muscles, liver, and other parts of your body work. If your body works too fast or too slowly, you won’t feel well. For example, if you don’t have enough thyroid hormone, you might feel tired and cold. Or, if you have too much thyroid hormone, you might feel nervous, jumpy, and warm.

What hormones does my thyroid gland produce?

The thyroid gland produces thyroxine (T4), which is a relatively inactive prohormone and lower amounts of the active hormone, triiodothyronine (T3). Collectively, T3 and T4 are referred to as the thyroid hormones. Twenty percent of the body’s triiodothyronine is made by the thyroid gland; the other 80% comes from thyroxine converted by organs such as the liver or kidneys.

The thyroid gland also produces calcitonin from cells called C-cells. Calcitonin is understood to play a role in regulating calcium levels in the body, but its exact function in humans remains unclear. Thyroid hormone is one such chemical which has effect on all organs of the body including the joints. Vague pains may be due to thyroid disorders. They are easy to manage with treatment. If you wish to discuss about any specific problem, you can consult an endocrinologist.

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From past 2 weeks my left knee is paining. I can't able to walk normal. A bit difficult. Previously my weight is 48. Now it is 56 is that a cause. Since 1mnth I had my right knee pain but I took calcium tablets. It was ok now. But now my left knee is paining. Kindly tell me the reason. I'm suffering alot.

MD - General Medicine, DM - Rheumatology
Rheumatologist, Delhi
From past 2 weeks my left knee is paining. I can't able to walk normal. A bit difficult. Previously my weight is 48. ...
If your pain is that severe that you are having difficulty in walking then you need to consult a Rheumatologist immediately. Nothing can suffice a detailed history and physical examination. Arthritis of any kind will not get treated with calcium. It just maintains your overall bone health.
1 person found this helpful
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I haven't been able to sleep since 2 days and I am having a severe headache, tried multiple home remedies, but didn't work, what to do? Please help me!

PGDHHM, MBBS
General Physician, Delhi
I haven't been able to sleep since 2 days and I am having a severe headache, tried multiple home remedies, but didn't...
Common causes of headache are - Fever, migraine, stress, cold, sinusitis, anxiety, tensions. Take over-the-counter painkiller if intolerable pain. Drink plenty of liquids. Eat healthy diet. Take adequate rest in a quiet room. Hope this helps u.
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I am suffering with back bone pain and body pains for that pains even I can't sleep in the night perfectly.

MBBS, Diploma in Psychological Medicine, M.D Psychiatry
Psychiatrist, Kolkata
I am suffering with back bone pain and body pains for that pains even I can't sleep in the night perfectly.
Hi Siva, most common cause of low back pain and body aches are postural pain. Try to seat in a correct posture while doing your works. Do stretching exercise regularly, specially back muscle exercises. It will strengthen your back muscle to relieve the pain. If not then consult with a physical medicine specialist, If not improved you consult with a psychiatrist. But you have to rule out any underlying pathology in the bones, muscles n nerves. Thanks.
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Hi sir this is garish I had got headache on two days back but it is not settled after taking the our nearest doctor prescription.

MBBS
General Physician, Mumbai
Hi sir this is garish I had got headache on two days back but it is not settled after taking the our nearest doctor p...
For headache take tablet paracetamol and Take a flow of steam (of plain water only ) over the forehead through a crescent steam inhaler, eight hourly
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I am college student and most of the time I spends on laptop so my back bone is not very well so what should I do?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am college student and most of the time I spends on laptop so my back bone is not very well so what should I do?
Avoid bending in front. Postural correction- sit tall, walk tall. Extension exercises x 15 times x twice daily - lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times. Bhujang asana -- lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily. Core strengthening exercises- straight leg raised with toes turned outward, repeat 10 times, twice a day. Apply hot fomentation twice daily.
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M.P.T.(Ortho)
Physiotherapist, Gurgaon
Neck pain can be alleviated by gently stretching the neck in whichever direction the pain allows.

I am 45 years old male since one year I am getting neck pain after sleeping of 4 to 6 hours (in between two shoulders)

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. If you have localized neck pain with no other symptoms like radiating upper limb 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 neck 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. 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 neck region and few blood tests for evaluation. 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.
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I am a 20 year old, I haven't slept for 4 days and now my head aching, what should I do please help me. Thank you.

BHMS
Homeopath,
I am a 20 year old, I haven't slept for 4 days and now my head aching, what should I do please help me. Thank you.
Hello lybrate-user it seems that there may be some issue bothering you. The first thing you need to do is focus your mind on things not related to the source of stress, you will begin feeling calm. Do things what make you happy so as to get distracted. Sleep will help reduce the headache.
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I haven't been able to sleep since 2 days and I am having a severe headache, tried multiple home remedies, but didn't work, what to do? Please help me!

MBBS
General Physician, Cuttack
I haven't been able to sleep since 2 days and I am having a severe headache, tried multiple home remedies, but didn't...
1. Take one tablet of crocin advance as and when required after food up to a maximum of 3 tablets daily, 2. Drink plenty of water 3. Take adequate rest.
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