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Questions Answered By Dr. Hanisha Ramchandani (137)

Female | 62

1.Regarding the lingering issue, Knee Pain! After above 4 months not yet detected the reason for the pain? Is it muscle cramp, HISTORY 1. Used to have tiredness in leg while standing or sitting for a long time (both legs). At times little pain on the back of the right leg knee. 2. Projected Vein Blue Colour on leg ( Varicose Vein ? ) More on Left Leg but knee pain on right leg So far doctors ruled out pain due to Varicose) -3. After retirement, started regular exercise, mainly walking + some minor aerobic exercise from August 2022 onwards lasted till about November 2022. Earlier able to sit comfortably on "Padmasana”. Later started getting leg pain in that pose. 3. On November 2022, felt calf pain on Right Leg. Initially suspected Sciatica since my husband had the same.4. Did some exercise for Sciatica as advised by some doctors on You Tube. Pain aggravated. On 30-11-22 did an Arthritis Profile check + Some blood tests. Found D3 Deficient. Not many other issues found the blood test. 5. Shooting pain – on right leg calf muscle. Consulted Ortho Dr. on 02-12-22. 6.5/12/22 LEG XRAY (knee) done – Not much issue (mild osteoarthritic changed … mild reduction …. joint space) Not much issue found-a. Doctor Ruled out spine issues + b. TABLETS D SHINE – 60000IU (1 tab per week) + NICE JEL +MANY SUCH BALMS + ZERODOL-P TABLET (Aceclofenac (100mg & Paracetamol-325mg)-6 Nos + ZIX-MR TABLET (Aceclofenac 100mg & Thiocolchicoside-4mg)6 Tabs + T Pan 40mg Tablet .c. PHYSIO THERAPY (Ultra Sonic 10 days+ Calf Pain got shifted to one side of the knee. 7. 07/12/22 / Right lower limp V Doppler Study of Right Leg – No issues found. 8. Some AYURVEDA (Sahacharadi Kashayam + Shallice Tablets + Mortal Forte) + 9. Did More PHYSIO THERAPY (10 Days) (+ USM + IFT+MHT+LASER+ HEAT) Pain mainly localised in one place i.e., side of knee. Later though not so acute but pain around the knee.10. 13-01-23- Another Doctor - Another Ortho Hospital – D3 IM S.C INJECTION (Arachitol 6L) +HEEL SUPPPORT GEL for shoe) (later felt discomfort & discontinued) +2 Tablets -NUCOXIA 90 ETORICOXIB _ +Advised Exercises (heel press) + Advised steroid if agreed – but not taken so far. 11. 28-01-2023- Again- Another Doctor , some More Medicines: - a. PROLAGE PLUS TABLET (Calcium+ osteoarthritis & rheumatoid arthritis) 30 Tablets b.ALTRADAY CAP (Aceclofenac 200mg) & Rabeprazole 20mg)- 10 Tablet. c.DOLO TH 4 TABLET (PARACETAMOL-500MG & THIOCOLCHICOSIDE-4MG- 7 Tablets d.Some more exercises advised – All done & consumed – No result.12. Also did some self- medication “Combination Homeo “medicine from 14-02-23. till now 13.Using an `Ultrasonic Machine for home use on pain points. 3 places around knee.14. Then some ayurvedic massage from on knee 9 days till 08-03-23.15. Then consuming- Lupin Colvise Capsule (Avocado soy unsaponifiables+ collagen type II+Glucosamine hydrochloride+Chondroitin) – 10 Tablets so far.16. End : Medicines taken plenty + Met many a doctors + >3 Months are over (a).Result - Pain though reduced remains there around the knee and still get aggravated on little prolonged sitting, walking, standing. 17.IS IT MUSCLE CRAMP, LIGAMENT, SOME TYPE OF ARTHRITIS, PAD, DVT, SCIATICA.? What are the remining tests to be done ‘before advising some more medicines?

Answered on 18th Mar '23

Hello
Pl take acupuncture for your condition. It will internally solve and balance your problems 

take care 

Female | 56

What causes thigh pain after hip replacement?

Answered on 11th July '23

* Thigh pain after hip replacement may be mild to moderate, 

   Thigh pain after hip replacement,  may or may not require therapeutic intervention 
* Usually some discomfort in the hip and thigh region is common as body adjusts to the changes made in that area.
* Thigh pain after surgery may be due to dislocation of the implant 
* Or due to fracture around the implant 
* Thigh pain may also be due to changes in the length of the leg, some exercises will help to increase the mobility and strength 
* If thigh pain is more while walk and ok at rest, then it might be due to loode acetabular cup component.
* In some cases it may be due to bone prosthesis micromotion
* Excess stress transfer to the femur bone 
* Tendonitis I.e. inflammation around the tendons can cause thigh pain
* stress fractures, 
* Labral tears
* Cartilage/ tendon tears
* Periosteal irritation
* If thigh pain is immediately after hip surgery few points to be ruled out are
- subtle infection 
- femur fracture
- loose implants that doesn't allow bone to grow into the implant due to too much of micro motion

How do i strengthen my back after a compression fracture

Answered on 21st Apr '22

First step would be pain management , the target points and local points, electro stimulation therapy would help to increase blood flow in the body and help quick repair of the disc fracture, moxibustion ( passing heat in the body) through specific points, diet tips to strengthen back would be recommended, Some exercises will also be given to patient. Everything mentioned above is tried and tested with excellent response in patients.

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