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Asking for Other, Female, 25 years old, Karachi
Request Only senior orthopaedic dr
Mareez ko more than 1 year se back pain aur shoulder pain ho raha hai. Aksar neck mein left side, aagay ki taraf kisi vein ya nerve mein bohat khinchao aur pain hota hai jo jaw tak mehsoos hota hai. Patient ne CMH Rawalpindi mein specialist ko dikhaya tha, lekin dawai itni heavy thi ke patient zyada der tak le nahi saka. Sirf Synflex tablet 1 month li thi aur Sunny D 20,000 IU bhi 4 weeks tak li.
Ab bhi jab patient zyada kaam karta hai, jaise safai ya ghar ka koi heavy kaam, to pain phir start ho jata hai.
Ramzan mein rozay rakhne ki wajah se weakness hoti hai aur aksar Maghrib ke baad fever ho jata hai.
Reports mein shoulders ki bones par swelling mention hai aur Vitamin D level 12 tha. Us ke baad dobara Vitamin D test nahi karwaya gaya. Baqi blood tests sab clear thay.
Patient dawai lene mein bohat sensitive hai. Dawai lene se irritation feel hoti hai, is liye wo dawai lene se parhez karti hai. Yahan tak ke Panadol bhi nahi leti.
I am consultant physician pt demand is senior orthopaedic surgeon
need orthopedic surgeon opinion
I am not Orthopaedic dr.butshe needs detailed investigations for proper treatment.If the patient doesn't want to take medicines, how treatment is provided?
Patient
Post Owner
Patient cannot tolerate heavy medication
I just need suggestion 4 weeks vid tab 2000iu done once a week
Synflex done for 1 month
Neogab didn't take due to side effects acidity and nausea
4 months ago
Take Tablet Nuberol forte 2times a day for 5days.
Tablet Osnate D once a day for 3months.
Capsule SGINDROP D 2lakh units every 15th day for 2months and then one monthly for 3months.Advised Physiotherapy for her..
4 months ago
Patient
Post Owner
Patient ny already 20000iu ki 4 tabs li hain once a week wo kafi nhi? Course kitny days ka hota h ager vid d level 12 ho
4 months ago
12is low take it every 15th day for 2months and then 1monthly for 3months. Then repeat the test after 1week to see the level of Vitamin D.
4 months ago
Patient
Post Owner
Okay and can prescribe any ointment that can apply for pain if sometime pateint cannot take medi due to arritation
Also as you said nuberol fortre for 5 days so after 5 days ? What if pain remains little bit
4 months ago
Apply Deep Heat Ointment for local application. Take Tablet Distalgesic 2times a day if pain appears.Complete the course of Vitamin D Supplements and Calcium also.
4 months ago
Patient
Post Owner
Okay you've already prescribed nuberol Forte above so have to take both Distalgesic and Nuberol forte? She's already arritates with medicines as i said
4 months ago
Stop Nuberol forte after 5 days.Ok.If pain appears after sometime then start Distalgesic tablet 2times a day.Otherwise apply Voltral Emulgel or Deep Heat ointment locally.
4 months ago
5 days.
4 months ago
Don't take analgesics for long periods. May cause kidney damage.Both of them are safe but not for long. Focus on deficiencies for which I have already told you.
4 months ago
Patient
Post Owner
Okay thank you for your kind response
One more thing i want to ask
Jab patient stress lai to usay kamar mai , shoulders per, garden Mai bht pain start hojata hay
Wo alreasy depression anxiety ki patient hai but wo iski Medicine nhi laiti just phsycotherapist sy sessions laiti Hain
Yay pain stress say q hota h iski waha bata saktin Hain ap ?
Thank tou
4 months ago
Stress se sari pareshanian ho jati hain.Vitamin D deficiency se bhi depression hota hey.For any other more questions Kindly have online consultation.
4 months ago
homeopathic medicine se koi irritation nai hoti or back pain ka permanent treatment hy pareshan na hon detail bat kr lain kindly book appointment with me itni bari bat nai hy buhat jldi theek ho jain gi
visit to specialist physician
Have you ever tried physiotherapy session. If not please consider. Neck Kay samnay ki side par Kuch muscles hotay Hain jinkay neeche arteries Hain unki tightness ki waja sey bhi patient bht irritate hota hai or jab tk in muscle kor please na karien tab tk it won't get better medicine sey temporary relief milega bas.
IASTM dry needling and myofascial release is tarhan ki pain management techniques used karkay physiotherapist Bina medicine Kay pain management kartay Hain so you must give it a try
Patient
Post Owner
Give your advice please
4 months ago