Hi doctors, I have supra tendonitis in my left shoulder. In mri report it showed mild tear. It is more than ten years old problem. I got treatments in allopathic two three times but in last they told me for surgery. Today I heard about joint fresh and 4steps tablets in ayurvedic. They told me to take this medicine for three months. I. Confused that should I go with it or not? Please suggest me as I have limited money in corona period. Your advice is last for me. Please suggest.

Dr. Julie Mercy J DavidPhysiotherapist25yrs exp

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Rest avoid using your muscle for a few days, especially if movement causes an increase in pain. But too much rest can cause muscles to become weak. This can prolong the healing process. After two days, slowly begin using the affected muscle group, taking care not to overdo it. Ice apply ice immediately after injuring your muscle. This will minimize swelling. Don?t put ice directly on your skin. Use an ice pack or wrap ice in a towel. Keep the ice on your muscle for about 20 minutes. Repeat every hour on the first day. For the next several days, apply ice every four hours. Compression to reduce swelling, wrap the affected area with an elastic bandage until swelling comes down. Be careful not to wrap the area too tightly. Doing so can reduce your blood circulation. Shoulder exercises and stretches regular exercises and stretches can keep your shoulder strong and flexible. A few things to remember before swinging in to exercises: ?stop any exercise if you have more shoulder pain. It may be too soon for you to try. ?watch your form. Exercising incorrectly can also cause or worsen shoulder problems. ?warm up, even before deep stretching. Light shoulder rolls, gentle movements, or even a warm shower are all ways to warm up your muscles before exercise and stretching. Pendulum stretch for range of motion?stand and bend at the waist. ?let your arm on the injured side hang straight down. ?keep your neck relaxed. ?move your arm in a circle up to 20 times. ?do once or more times in a day. Overhead shoulder stretch?sit or stand to do this shoulder stretch. ?intertwine your fingers in front of you. ?bend your elbows and raise your arms above your head. You can also place your hands on your head or behind it. ?gently squeeze your shoulder blades together to move your elbows back. ?continue for up to 20 repetitions. Repeat 5 to 10 times a day. Physical therapyphysical therapy is the most common treatment for a frozen shoulder. The goal is to stretch your shoulder joint and regain the lost motion. It can take anywhere from a few weeks to nine months to see progress. A home exercise program of gentle range of motion exercises is important. If you don't see progress after six months of intense, daily exercises, speak to your doctor about other options. Medicationsto treat the pain and reduce your joint inflammation, your doctor may recommend an anti- inflammatory medication like aspirin, ibuprofen, or naproxen sodium. A steroid injection you?re your shoulder joint may also help. Home careplacing an ice pack on your shoulder for 15 minutes at a time several times per day can help to decrease pain. If you?re working with a physical therapist, the exercises can be done at home. Your physical therapist will provide instructions on the types of exercises you must do, how often to do them, and when to push yourself harder. Most people with a frozen shoulder can improve their condition without surgery.  

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