I am suffering from lower back pain and shoulders since 1 year. Can't lift things 1 kg more. I have been recommended the zencast Mr. tablet and some exercises with vitamin D3 tablets .Since I am suffering this pain sin e months .I have not got permanent relaxation .Visited many docs.

Dr. Julie Mercy J DavidPhysiotherapist21yrs exp

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This is a general low back ache 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 which will help you relax as well will reduce the 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 pathologicalreasons for back pain. If you have leg pain then you have to rule out the casues for having leg pain. Firstf all check your weight and your haemoglobin levels, as Anaemia always leads to the symptoms of being tired and also having leg pain though there are no issues with the knee joint or back pain. If not if the pain radiates down the back of thigh and legs then it might be due to sciatica. Kindly consult the nearby physiotherapist. Hope you recover soon from the leg pain. Physiotherapy treatment:Ift and swd can be done for localized pain.Ift and traction can be done if you have radiating pain. Shoulder pain you can do hot water fermentation and ice therapy at home. If you have shoulder pain then the stiffness will develop more that might make the arm to have less improvement which might make you to feel more pain the arm. And also cervical pillow can be used which might make you to have better posture of the shoulder neck and arm.  

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