Hello Doctor, I am facing a little spine pain in lower back, while standing, sleeping. will it be reduce from streching or exercises?

Hello Rajinder Ji,

Thank you for reaching out. We understand how challenging it must be for your wife to deal with persistent shoulder and neck pain for two years, along with diabetes. Let us guide you through the next steps:

1. Comprehensive Evaluation: Chronic pain like this requires a detailed assessment. It’s essential to identify the root cause—whether it's due to muscle strain, nerve compression, cervical spondylosis, or diabetic neuropathy.

2. Diagnostic Tests: I recommend an MRI of the cervical spine and shoulder joint, along with blood tests to assess inflammation, vitamin deficiencies (e.g., Vitamin D, B12), and diabetic control (HbA1c).

3. Specialist Consultation: If not already done, consult an orthopedic specialist or neurologist for a deeper evaluation. If phototherapy hasn’t worked, alternative options like physiotherapy (specific exercises or TENS therapy), trigger-point injections, or advanced pain management approaches could help.

4. Surgical Treatment: Surgery is typically considered only if conservative treatments fail or if diagnostic imaging reveals a condition requiring intervention, such as severe nerve compression (e.g., a herniated disc or cervical spondylosis with radiculopathy). An expert evaluation will help determine if surgery, such as decompression or joint repair, is necessary.

5. Diabetes Management: Poorly controlled diabetes can worsen pain and delay healing. Ensure her blood sugar levels are well-managed. Consulting a diabetologist for medication optimization might be beneficial.

6. Lifestyle Modifications: Encourage light stretching exercises and ergonomic adjustments during daily activities. Avoid prolonged sitting or neck strain.

At HexaHealth, we can help connect you with top specialists to determine the need for surgery or alternative treatments. Let us assist you in scheduling an expert consultation or arranging a second opinion for a clearer direction.

Feel free to share her previous reports or any other medical details for personalized guidance. We're here to support you every step of the way!

Namaste Santosh Ji,

Aapke L4-L5 disk bulge ke liye yeh samajhna zaroori hai ki symptoms kitne severe hain. Agar aapko pain, numbness, ya weakness feel ho rahi hai, toh yeh treatment steps follow karein:

Treatment Options

1. Rest aur Posture Correction: Zyada der tak sitting avoid karein aur ergonomic posture maintain karein.
2. Physiotherapy: Back strengthening aur stretching exercises disk bulge ke pressure ko reduce karte hain.
3. Medications: Pain relief ke liye anti-inflammatory drugs prescribed ho sakte hain. Severe pain ke liye epidural injection recommended hai
4. Surgery (Agar Zarurat Ho): Agar pain bohot severe ho aur conservative treatment se relief na mile, toh minimally invasive surgery jese microdiscectomy consider ki ja sakti hai. Is surgery me bulged part of the disk ko remove kiya jata hai, jo nerves pe pressure daal raha hota hai. Recovery fast hoti hai aur incision bhi chhota hota hai.

Additional Information

Kya aapko back ke alawa leg me pain, tingling ya numbness feel hoti hai? Pain kitne time se hai? Kya MRI recent hui hai? Yeh details share karein toh hum aapki aur madad kar sakte hain.

How HexaHealth Can Help

HexaHealth aapko expert neurologists aur spine surgeons se consult karne, advanced physiotherapy sessions book karne, aur surgery options ke liye top hospitals select karne me madad karega. Hume contact karein aur personalized guidance lein.

Hello Cafinia Ji,

Thank you for sharing your concern. Based on your report indicating an ACL (Anterior Cruciate Ligament) tear and your three years of knee pain, it's essential to address both the chronic discomfort and the structural damage for the best outcomes.

Treatment Options

1. Non-Surgical Treatment (if not yet attempted or for partial tears):

   • Physiotherapy: To strengthen the muscles around the knee and improve joint stability.
   • Lifestyle Modifications: Reducing activities that stress the knee.
   • Pain Management: Anti-inflammatory medications or corticosteroid injections for temporary relief.
   • Knee Brace: A supportive knee brace can provide stability and reduce strain on the ligament during daily activities.

2. Surgical Treatment (recommended for complete tears or when non-surgical methods fail):

   • ACL Reconstruction Surgery involves replacing the torn ligament with a graft, either from your own tissue (autograft) or a donor (allograft).
   • Arthroscopic Surgery: A minimally invasive procedure to repair or reconstruct the ACL with quicker recovery times compared to open surgery.

Request for Additional Information

It would be helpful to know:

• When the imaging report was done—was it recent, or does it reflect the status from three years ago?
• The severity of the ACL tear (as mentioned in your imaging report or doctor's note),
• Whether you've already tried any non-surgical treatments,
• If you experience knee instability, locking, or difficulty with day-to-day activities.

How HexaHealth Can Help

At HexaHealth, we specialize in connecting you with top orthopaedic surgeons and hospitals. We offer:

• Expert Consultation: We help you schedule a consultation with leading orthopaedic specialists for a detailed evaluation.
• Personalized Treatment Plans: Whether you need physiotherapy or surgery, our team will guide you through every step.
• Minimally Invasive Surgery Options: Access to advanced arthroscopic ACL repair techniques for a quicker recovery.
• Cashless Treatment Assistance: We assist with insurance approvals and provide transparent cost estimates.
• Post-Operative Care: Including physiotherapy and follow-ups to ensure complete recovery.

Let us know if you'd like to schedule a consultation or need further guidance!