Sports Medicine Online Doctors Consultation

Dear Tapiwanashe, Since your hamstring injury has been persisting for a year, it suggests incomplete healing or chronic strain, possibly due to scar tissue formation, tendon damage, or nerve involvement. Since you experience pain while sitting, there may be deep muscle tightness or sciatic nerve irritation. Steps for Recovery: 1. Rest & Activity Modification • Avoid high-impact activities like sprinting or jumping. • Limit prolonged sitting—try using a cushion or ergonomic chair. 2. Stretching & Strengthening (Gradual Progression) • Gentle hamstring stretches (avoid overstretching). • Isometric exercises (holding a light contraction without movement). • Glute and core strengthening to offload strain from the hamstrings. 3. Physiotherapy & Massage • A physiotherapist can help with soft tissue mobilization, ultrasound therapy, or dry needling. • Foam rolling and deep tissue massage can reduce muscle tightness. 4. Ice & Heat Therapy • Ice packs (for pain relief after activity). • Heat therapy (before stretching to relax muscles). 5. Pain Management • Topical anti-inflammatory gels (e.g., diclofenac). • Over-the-counter NSAIDs (if needed, after consulting a doctor). 6. When to See a Specialist • If pain persists despite rehab or worsens. • If you experience weakness, numbness, or shooting pain down the leg (possible nerve involvement). • An MRI may be needed to check for deep muscle or tendon damage. A sports medicine doctor or physiotherapist would be best suited to guide your recovery with a tailored rehabilitation plan.

Hi Krishna, You’ve already made impressive progress in your weight loss journey, especially with such dedication to your diet and exercise. It can be frustrating when weight loss slows down despite your efforts, but it’s a normal part of the process as your body adapts. Let’s address your concerns: 1. Slowing Weight Loss: The initial rapid weight loss often comes from water loss, and over time, fat loss slows due to metabolic adaptations. Since you’re burning a lot of calories through intense training, your body might also be holding onto extra water due to exercise-induced inflammation. 2. Ozempic (Semaglutide) and Safety with Your Medications: Ozempic (semaglutide) is commonly used for weight loss and diabetes management by reducing appetite and controlling blood sugar. However, given your medications (especially Lithosun SR and Tryptomer), it’s essential to be cautious, as semaglutide may affect glucose metabolism and potentially interact with these drugs. 3. Recommendations: • Consult Your Doctor: Before starting Ozempic, consult your psychiatrist or endocrinologist to assess any potential interactions, especially with lithium and Tryptomer. • Diet Adjustments: Consider consulting a dietitian to evaluate your macronutrient intake and ensure you’re not under-eating, as extreme calorie deficits can slow metabolism. • Alternate Fat Loss Strategies: • Try increasing NEAT (non-exercise activity thermogenesis) – simple activities like walking or stretching throughout the day. • Incorporate refeed days (higher carb intake once a week) to reset metabolism if it’s adapting to prolonged calorie restriction. Next Steps: You’re on the right track, Krishna, but given the medications and upcoming surgery, medical guidance is crucial before adding Ozempic to your regimen. Keep up the great work, and I’m here if you need more detailed support!