Orthopedic Disorders Online Doctors Consultation — page 2

Take calcium tablets 30 0-1-0(A/F) Also take vitD3/ cholecalciferol capsules weekly once for 1 month.

According to your history looks like muscle spasm. Take analgesics with muscle relaxants zerodol MR 1-0-1*5 days with powergesic gel. Avoid using pillow

Dear Karuna, Your severe back spasms affecting mobility despite normal X-ray and calcium levels may be due to muscle strain, nerve compression, or posture-related issues. Since you need to stand for long hours as a teacher, proper management is key. Next Steps: 1. Continue Physiotherapy – Strengthening and stretching exercises are essential. 2. OTC Pain Relief: • Topical pain relievers – Volini gel, Moov, or Diclofenac gel. • Painkillers (if needed) – Paracetamol or Ibuprofen (after meals). • Muscle Relaxants (like Thiocholchicoside) may be prescribed if pain is severe. 3. Posture & Lifestyle Adjustments: • Use a lumbar support belt while standing. • Take frequent sitting breaks while teaching. • Avoid bending forward suddenly or lifting heavy objects. 4. Further Evaluation (if pain persists): • MRI of the spine – To check for disc issues or nerve compression. • Vitamin B12 levels – Deficiency can cause muscle weakness and nerve pain. If symptoms persist despite physiotherapy and posture correction, consult an orthopedic doctor for further evaluation.

Hello, Your grandmother’s multiple health issues (hernia, orthopedic problems, ear & eye conditions, and constipation) require a holistic approach. Since medications haven’t helped much, a combination of medical follow-ups, dietary changes, and supportive care may improve her condition. What You Can Do: 1. For Hernia & Orthopedic Issues: • Avoid heavy lifting & straining (which worsens hernia). • Use a hernia belt (if advised by a doctor). • Physiotherapy for orthopedic pain relief. 2. For Constipation Relief: • Increase fiber intake (fruits, vegetables, whole grains). • Drink 2.5-3L of water daily. • OTC options: Isabgol husk, mild stool softeners (consult a doctor first). 3. For Ear & Eye Problems: • Regular check-ups with an ENT and ophthalmologist to manage hearing & vision. • Eye drops or hearing aids (if needed). 4. General Support: • Balanced diet – Protein, calcium, and vitamin D for strength. • Gentle activity – Short walks & stretching for mobility. If her pain is severe or symptoms are worsening, consult her doctors for treatment modifications.

Leg pain can have multiple causes. Once kindly take an X-ray of spine so that if any bone architectural defect is noted then can start related medications.

Consult me for further evaluation

I understand your concern about your baby boy’s bowed knees—seeing anything unusual in your child’s growth can be worrying. First, I want to reassure you that mild bowing of the legs is normal in toddlers and often corrects itself as they grow. However, since your son is 1 year and 10 months old, let’s go step by step to assess whether any treatment is needed. Possible Causes of Bowed Legs: 1. Physiological Bowing (Normal Growth) – Most babies are born with bowed legs, and this usually corrects itself by age 2-3 without any treatment. 2. Rickets (Vitamin D Deficiency) – Since your baby’s weight (12 kg) and height (83 cm) are within normal range, we should still check for any signs of rickets, especially if he has: • Delayed walking or difficulty standing • Soft skull bones (craniotabes) • Excessive sweating, especially on the head • Pain or tenderness in bones 3. Blount’s Disease (Less Common) – If bowing is severe, worsening, or affecting one leg more than the other, further evaluation is needed. What You Can Do Now: 1. Check Vitamin D & Calcium Intake – If not already done, include foods rich in Vitamin D (egg yolk, fish, fortified milk) and Calcium (dairy, green leafy vegetables). Sun exposure is also important. 2. Vitamin D Supplementation – If your child has limited sun exposure or signs of rickets, consult a doctor about Vitamin D3 drops (400–600 IU/day) and calcium supplements. 3. Observation & Follow-Up – If the bowing is mild, wait until after 2 years to see if it improves naturally. If it worsens, a pediatric orthopedic consultation may be needed. 4. Avoid Heavy Ayurvedic Medications – Some Ayurvedic treatments contain heavy metals, which might not be safe for toddlers. When to See a Doctor? • If bowing is severe or getting worse after 2 years. • If your baby has pain, difficulty walking, or asymmetric bowing (one leg more affected than the other). • If he has any other signs of rickets like soft bones or delayed milestones. If you can share a picture of the legs while standing or any X-ray reports (if done), I can guide you better. Stay positive—most cases resolve on their own!

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