I have Spinal Pain (Neck to lower back, joint pain in hand & heel pain from 5 yrs. My age: 21,weight: 58. I take treatment (medicine, physiotherapy )but I get no response. My blood test (HLAB27-negative, vitamin-45 ng/ml, Arthritis profile =Normal, Uric acid-5.5) My MRI report is Normal. My pain increased in winter. What should I do?

Dr. N C GuptaOrthopedist52yrs exp

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Control Hypertension, Diabetes or any other metabolic disorder. Any way it may be tried, --. Dolokind Plus�(Mankind) [Aceclofenac100 mg ++Paracetamol 350 mg]�1 tab. OD & SOS. X 5 days. --. Caldikind plus �(Mankind)�1 tab OD x 10 days. (You may need help of your local doctor to get these medicines.) --. Fomentation with warm water. Let the part not be exposed to cold air flowing from air conditioner. --. Sleep on a hard bed with soft bedding. �--. Use no pillow under the head. --. Avoid painful acts & activities. -- .Do mild exercises for neck and shoulders and back. �--.(Take help of a physiotherapist). --Do not ignore, let it not become beginning of a major problem. --Do ask for a detailed treatment plan. Kindly make sure, there is no allergy to any of these medicines. --For emergency treatment Contact your family doctor or visit nearest hospital. --Wish you a quick recovery & good health. --I hope, I have solved your problem to your satisfaction. �  

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