Vitamin D 25 - Hydroxy (1) Questions

Doctor my mother has osteoarthritis is it curable its in initial stage is it curable and may I know how long it takes to cure. Even though she is given physio therapy for last 20 days but couldn't find any improvement.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Doctor my mother has osteoarthritis is it curable its in initial stage is it curable and may I know how long it takes...
Symptoms of arthritis symptoms of osteoarthritis may include joint pain and progressive stiffness that develops gradually. Symptoms of may include painful swelling, inflammation, and stiffness in the fingers, arms, legs, and wrists occurring in the same joints on both sides of the body, especially upon waking up in the morning. Knee arthritis can be painful and debilitating. For osteoarthritis (oa) of the knee, self-care early on can often help significantly. It is important to stretch and strengthen the surrounding leg muscles to provide more support and reduce stresses around the joint. The following best bet exercises will help you get started on your path to feeling stronger, more flexible and more active. Remember: exercise should not be painful – if you experience pain, discontinue and consult with your physician. Advice: 1.must take adequate rest 2.apply hot water with mild heat with cotton towel 3.avoid cross leg sitting and long time standing 4. Put the small size chair under the ankle during sitting in the chair for leg elevation 5.do the exercise given below 2 times per day 1.quadriceps setting exercise helps to strengthen the quadriceps muscle (the big muscle on the front of the thigh), an important stabilizer of the knee. Lie on your back with the leg you want to exercise straight. Place a small rolled towel underneath the knee. Slowly tighten the muscle on top of the thigh (quadriceps) and push the back of the knee down into the rolled towel. Hold contraction for 5 seconds and then slowly release, resting 5 seconds between each contraction. Perform 3 sets of 10 repetitions, 1 time daily. 2.straight leg raise also helps to strengthen the quadriceps muscle. Lie on your back with the leg you want to exercise straight. The other knee should be bent to support your lower back. Tighten the muscle on the top of your thigh and lift to the level of your other knee. Slowly lower. Perform 3 sets of 10 repetitions, 1 time daily. Knee pain •patellar tendinitis: •risk factor •a combination of factors may contribute to the development of patellar tendinitis, including: •physical activity. •running and jumping are most commonly associated with patellar tendinitis. Sudden increases in how hard or how often you engage in the activity also add stress to the tendon, as can changing your running shoes. •tight leg muscles. Tight thigh muscles (quadriceps) and hamstrings, which run up the back of your thighs, can increase strain on your patellar tendon. •muscular imbalance. •if some muscles in your legs are much stronger than others, the stronger muscles could pull harder on your patellar tendon. This uneven pull could cause tendinitis. •chronic illness. •some illnesses disrupt blood flow to the knee, which weakens the tendon. Examples include kidney failure, autoimmune diseases such as lupus or rheumatoid arthritis and metabolic diseases such as diabetes. •complications •if you try to work through your pain, ignoring your body's warning signs, you could cause increasingly larger tears in the patellar tendon. Knee pain and reduced function can persist if you don't tend to the problem, and you may progress to the more serious patellar tendinopathy. •prevention •to reduce your risk of developing patellar tendinitis, take these steps: •don't play through pain. As soon as you notice exercise-related knee pain, ice the area and rest. Until your knee is pain-free, avoid activities that put stress on your patellar tendon. •strengthen your muscles. Strong thigh muscles are better able to handle the stresses that can cause patellar tendinitis. Eccentric exercises, which involve lowering your leg very slowly after extending your knee, are particularly helpful. •improve your technique. To be sure you're using your body correctly, consider taking lessons or getting professional instructions when starting a new sport or using exercise equipment. •therapy •a variety of physical therapy techniques can help reduce the symptoms associated with patellar tendinitis, including: •patellar tendon strap. A strap that applies pressure to your patellar tendon can help to distribute force away from the tendon and direct it through the strap instead. This may help relieve pain. •iontophoresis. This therapy involves spreading a corticosteroid medicine on your skin and then using a device that delivers a low electrical charge to push the medication through your skin. •platelet-rich plasma injection. This type of injection has been tried in some people with chronic patellar tendon problems. Studies are ongoing. It is hoped the injections might promote new tissue formation and help heal tendon damage. •probably your stamina would've gone down due to over use of the joints and the metabolic activity is more due to running. You need to consume good protein diet so that your body will act as a reservoir. It will help you to fight against rather than affecting one particular area of your body for eg. Knee joint. For knee ligament pain or inflammation you need to keep ice which will help you to prevent the inflammation progressing further. •patellofemoral pain syndrome •usually fully relieved with simple measures or physical therapy. It may recur, however, if you do not make adjustments to your training routine or activity level. It is essential to maintain appropriate conditioning of the muscles around the knee, particularly the quadriceps and the hamstrings. •there are additional steps that you can take to prevent recurrence of patellofemoral •they include: •wearing shoes appropriate to your activities •warming up thoroughly before physical activity •incorporating stretching and flexibility exercises for the quadriceps and hamstrings into your warm-up routine, and stretching after physical activity •increasing training gradually •reducing any activity that has hurt your knees in the past •maintaining a healthy body weight to avoid overstressing your knees •joints, ie. In the upper limbs if the pain is present in the fingers/wrist and in the lower limbs it the pain is present in the toes/ ankle, then we shall definitely say it is rheumatic arthritis. •if your proximal joints (ie. Shoulder, hip & knee has pain) then you can pour hot (warm) water in that area to reduce the inflammation. If you have pain in the distal joints ie. Wrist, fingers, ankle, toes then you can wear either elbow brace or wrist brace which will help you to feel warm and very protective. And also immerse the distal joints in the hot water tub which will help you to reduce the pain. •knee pain during driving or watching movie. •it might due to lack of movements in the knee while the joints are immobilized during driving and while watching movies. It is important that you need to have movements in and around the knee so that the blood flow will not be disturbed. •knee ligament laxity•if you have problem in your legs then it might be due to ligament laxity where your legs would become very weak due to the old ligament injury and that should be treated immediately. •wear knee cap so that you will feel firm while walking or climbing stairs.•this is a general strain and for this you can follow these measures: one keep a pillow right under the knee while sleeping, next is you can keep ice in the painful area for about 5--10 minutes, if pain still persists you can stretch your body by twisting the waist on both sides how we used to do in the school drill similarly you can try! one time you can do hot water fermentation that would help to reduce the muscle strain. •legs becoming numb and also pain is there when the patient walks for 10-15 minutes?•it looks like you are anaemic. If you feel that the legs are becoming numb then keep your legs warm which is important, probably you can wear mcr chappals inside the house/ socks inside the house. Put a door mat when ever you sit so that you will feel comfortable. Also pour warm water in the legs which would help you to get better circulation. •knee pain. If you are overweight, losing weight will also help to reduce pressure on your knee. Knee pain this is a general knee pain and for this you can follow these measures: one keep a pillow right under the knee while sleeping, next is you can keep ice in the painful area for about 5--10 minutes, it looks like you are is important to check that. Anaemia always leads to the symptoms of being tired and also having body pain though there may not be any pathological reasons for knee pain. With knee exercises you will definitely feel better and muscles must be strengthened .•don't play through pain. As soon as you notice exercise-related knee pain, ice the area and rest. Until your knee is pain-free, avoid activities that put stress on your patellar tendon. •strengthen your muscles. Strong thigh muscles are better able to handle the stresses that can cause patellar tendinitis. Eccentric exercises, which involve lowering your leg very slowly after extending your knee, are particularly helpful. •improve your technique. To be sure you're using your body correctly, consider taking lessons or getting professional instructions when starting a new sport or using exercise equipment. •therapy •a variety of physical therapy techniques can help reduce the symptoms associated with patellar tendinitis, includingback pain it looks like you are anaemic. If you have back pain after you sit for long hours then it is due to your haemoglobin levels as it is important to check that. Anaemia always leads to the symptoms of being tired and also having back / leg pain though there may not be any pathological reasons for back pain. It looks like you are anaemic. And also you have to check with your vitamin and calcium, if the bones are weak then automatically the pain gets triggered more as there is less severity of the painbe strengthened 1.resisted terminal knee extension: make a loop with a piece of elastic tubing by tying a knot in both ends. Close the knot in a door at knee height. Step into the loop with your injured leg so the tubing is around the back of your knee. Lift the other foot off the ground and hold onto a chair for balance, if needed. Bend the knee with tubing about 45 degrees. Slowly straighten your leg, keeping your thigh muscle tight as you do this. Repeat 15 times. Do 2 sets of 15. If you need an easier way to do this, stand on both legs for better support while you do the exercise. 2•standing calf stretch: stand facing a wall with your hands on the wall at about eye level. Keep as arthritis is very common that you get generally bilaterally. Ice therapy would definitely help to reduce the inflammation. We also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone •stretching exercises. Regular, steady stretching exercises can reduce muscle spasm and help lengthen the muscle-tendon unit. Don't bounce during your stretch. 3•strengthening exercises. Weak thigh muscles contribute to the strain on your patellar tendon. Exercises that involve lowering your leg very slowly after extending it can be particularly helpful, as can exercises that strengthen all of the leg muscles in combination, such as a leg press.•this is a general knee pain and for this you can follow these measures: one keep a pillow right under the knee while sleeping, next is you can keep ice in the painful area for about 5--10 minutes, it looks like you are is important to check that. Anaemia always leads to the symptoms of being tired and also having body pain though there may not be any pathological reasons for knee pain. With knee exercises you will definitely feel better and muscles must be strengthened.
1 person found this helpful
Submit FeedbackFeedback

I am a 22 year old male. I had a mid-shaft oblique humerus fracture which is fixed by ss plate implant. After 10 weeks post surgery, I met with my surgeon and he said that your bone is 90% united by looking at the x-ray. I can still see an oblique gap in my humerus. I have been taking calcium supplements since surgery. Was the gap supposed to fill within 12 weeks?

MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow Of Academy Of General Education (FAGE), DNB, Fellowship in Critical Care Medicine, ATLS(Advanced trauma life support )
General Physician, Delhi
I am sorry to hear about your concern but will be happy to assist you. Let's connect over a call so that we can discuss your concern in details and make a treatment plan for you.
Submit FeedbackFeedback

“my grandmother sustained fractures in her hip and leg, which have been surgically repaired. At 90 years old, the doctor explains that her bones are taking longer to heal due to her age and their weakened state, and she’s receiving calcium injections. She has been bedridden since the incident and is feeling disheartened. We’re unsure of her recovery timeline. What can we do to uplift her spirits and help her feel better?”

diploma in dietetics and public health, MscDfsm
Alternative Medicine Specialist, Delhi
“my grandmother sustained fractures in her hip and leg, which have been surgically repaired. At 90 years old, the doc...
Do not look sad or disheartened or struggling in front of her. Try to feel normal first yourself even if you do not. Just for her. Spend good quality time with her. May be doing prayers, discussions, watching tv. Talking. Ask her to do meditation and pranayam. Make feel loved not dependent. Then time will pass.
Submit FeedbackFeedback

Having difficulty in walking and maintaining proper stance while walking due to stiffness in knees. Diagnosed with osteoarthritis in left knee.

APPLYING FUNCTIONAL MEDICNE IN CLINICAL PRACTICE
Integrated Medicine Specialist, Theni
Having difficulty in walking and maintaining proper stance while walking due to stiffness in knees. Diagnosed with os...
Hi it's better to take vit d3, vit mk2-mk7, and mineral complex supplements. Omega 3 fatty acids supplements also will help you.
Submit FeedbackFeedback

Hi sir, I had scaphoid fracture 2 months ago and taking medicine what doctor suggest and 3 days ago I was gone to another hospital and there given me rockbon kit medicine and I took this medicine yesterday morning after that night h got sharp body and chest muscle and joint pain and fever what should I do please suggest me can I stop rockbon kit medicine or should I continue?

MBBS, MD - Physical Medicine & Rehabilitation
Orthopedic Doctor, Mysore
The kit contains a single tablet called ibandronate which can cause your symptoms. Rest all are calcium tablets only in my opinion as you are only 26 years you do not require this medicine which is given for osteoporosis you can continue taking calcium tablet as you have already taken the single ibandronate in the kit. Nevertheless you can take vitamin d 3 60 k once a week for 2 monthhs.
Submit FeedbackFeedback

My 2 year child fell down while playing and had a fracture in his hand. After seeing the x- ray report the doctor advised for a plaster and to remain empty stomach before the procedure. Now I worried that my child will be administered with anaesthesia. Is it safe to give anaesthesia to a 2 year child? Will there be any side effects?

MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Delhi
My 2 year child fell down while playing and had a fracture in his hand. After seeing the x- ray report the doctor adv...
I am sorry to hear about your concern but will be happy to assist you. Other common side effects can include nausea or vomiting, chills or shakiness, or a dry throat (from the breathing tube). Let's connect over a call so that we can discuss your concern in details and make a treatment plan for you.
Submit FeedbackFeedback

I broke my leg 3 months ago and had a surgery with platinum inside and i’m still on the walker so how long will it retune to normal bone and when can I walk again.

Orthopedic Doctor, Jammu
I broke my leg 3 months ago and had a surgery with platinum inside and i’m still on the walker so how long will it re...
You have to send serial x rays and records otherwise your treating orthopaedic surgeon is best guide but why taking long to heal.
Submit FeedbackFeedback

I had a patella fracture surgery 3 months back today my knee starting giving out some water is it anything serious.

MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Delhi
I had a patella fracture surgery 3 months back today my knee starting giving out some water is it anything serious.
I am sorry to hear about your concern but will be happy to assist you. Other possible complications of orif of a patella fracture include anterior knee pain, weakness, osteonecrosis, nonunion of fragments, stiffness, and infection. Let's connect over a call so that we can discuss your concern in details and make a treatment plan for you.
Submit FeedbackFeedback

this is Referred to you by Dr. My sister aged 56 yrs, is having trouble in walking due to degenerative osteoarthritis of both knee joints.

BHMS
Homeopathy Doctor, Noida
this is Referred to you by Dr. My sister aged 56 yrs, is having trouble in walking due to degenerative osteoarthritis...
U can do the following exercises for knee pain url/articles/311138. Php follow these dos and don’ts to help your knees feel their best. 1. Don’t rest too much. Too much rest can weaken your muscles, which can worsen joint pain. Find an exercise program that is safe for your knees and stick with it. If you're not sure which motions are safe or how much you can do, talk with your doctor or a physical therapist. 2. Do exercise. Cardio exercises strengthen the muscles that support your knee and increase flexibility. Weight training and stretching do, too. For cardio, some good choices include walking, swimming, water aerobics, stationary cycling, and elliptical machines. 3. Don’t risk a fall. A painful or unstable knee can make a fall more likely, which can cause more knee damage. 4. Rest, ice, compression, and elevation (rice) is good for knee pain caused by a minor injury or an arthritis flare. Give your knee some rest, apply ice to reduce swelling, wear a compressive bandage, and keep your knee elevated. 5. Don't overlook your weight. If you're overweight, losing weight reduces the stress on your knee. You don’t even need to get to your "ideal" weight. Smaller changes still make a difference. 6. Don't be shy about using a walking aid. A crutch or cane can take the stress off of your knee. Knee splints and braces can also help you stay stable. 7. Don't let your shoes make matters worse. Cushioned insoles can reduce stress on your knees. 8. Do play with temperature. For the first 48 to 72 hours after a knee injury, use a cold pack to ease swelling and numb the pain. A plastic bag of ice or frozen peas works well. Use it for 15 to 20 minutes three or four times a day. Wrap your ice pack in a towel to be kind to your skin. After that, you can heat things up with a warm bath, heating pad, or warm towel for 15 to 20 minutes, three or four times a day. 9. Don’t jar your joint (s). High-impact exercises can further injure painful knees. Avoid jarring exercises such as running, jumping, and kickboxing. Also avoid doing exercises such as lunges and deep squats that put a lot of stress on your knees. These can worsen pain and, if not done correctly, cause injury. Homeopathy is a very effective for this problem n has very encouraging results. And homeopathic medicines are safe and do not have any side effects at all.
Submit FeedbackFeedback