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Dr Shakeeb Ahmed

Dr Shakeeb Ahmed Khan  |157 Answers  |Ask -

Physiotherapist - Answered on May 15, 2025

Health
I have developed slip discs between my L4-L5 and L5-S1 position of back bone. The problem was detected in 2010. Now I am 60 years old. Occasionally I am facing sciatic pain issues during which I need to be in bed rest. Please suggest some remedies including the do's and don't'd. Thank you
Ans: Dear Mr Skt. Thank you for your query.

As a physiotherapist, I understand how challenging slip discs (L4-L5 & L5-S1) can be, especially with recurring sciatic pain. Managing this condition requires a combination of professional physiotherapy and consistent home care. Physiotherapy is crucial, it helps reduce pain without surgery, prevents recurrence by strengthening core and spinal muscles, and improves mobility for long term relief. I strongly recommend attending 10-15 physiotherapy sessions at a nearby clinic, where you’ll receive manual therapy, targeted exercises (like McKenzie extensions or Williams flexions, depending on what eases your pain), sciatic nerve glides, and postural training. These sessions will also teach you safe exercises to continue at home, such as gentle stretches and strengthening.

At home, avoid forward bending, heavy lifting, or prolonged sitting/standing, take breaks every 30 minutes. Use a lumbar support pillow while sitting and sleep in a back-friendly position (either on your side with a pillow between your knees or on your back with a pillow under your knees). Staying active with controlled movements is key, but avoid high-impact activities like jumping.

Commit to the initial physiotherapy sessions, then maintain your exercises regularly at home. Consistency is vital for recovery and preventing flare ups. Wishing you a quick recovery! Stay patient and diligent your efforts will make a difference.
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Pushpa

Pushpa R  |63 Answers  |Ask -

Yoga, Mindfulness Expert - Answered on May 09, 2025

Health
what pranayams are there for tennis elbow problem. Also I regularly do 4 pranayams 8 minutes each (1. Kapal Bhati 2. Kumbhakam 3. Anulom Vilom 4. Bharamri) apart from brisk walk everyday for 30 minutes. Is that Ok for me or do I need to increase,I'm 49 years of age with no medical problems.
Ans: It’s wonderful to know that you are consistent with pranayama and walking. Your routine is already very good for maintaining overall health, especially at 49. Since you have no major medical conditions and are practicing regularly, it seems you're on the right path.

Regarding Tennis Elbow:
Tennis elbow is caused by overuse of forearm muscles. While pranayama won’t directly treat the elbow, it reduces inflammation, stress, and improves circulation, which helps in healing.

There are no specific pranayamas just for tennis elbow, but the ones you are doing are quite effective in supporting your healing naturally.

Your Current Routine Review:
Kapalbhati (8 mins) – Energizing and good for metabolism.

Kumbhakam (8 mins) – Helps in breath control and mental focus.

Anulom Vilom (8 mins) – Balances your nervous system.

Bhramari (8 mins) – Deeply calming.

Brisk walk (30 mins) – Excellent for heart and joint health.

This routine is balanced and sufficient. You don’t need to increase anything unless you feel mentally or physically low. For your elbow, also consider gentle wrist and forearm stretches, and consult a physiotherapist if pain persists.

Keep up your regular practice under guidance if needed, and always listen to your body.

R. Pushpa, M.Sc (Yoga)
Online Yoga & Meditation Coach
Radiant YogaVibes
https://www.instagram.com/pushpa_radiantyogavibes/
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Dr Shakeeb Ahmed

Dr Shakeeb Ahmed Khan  |157 Answers  |Ask -

Physiotherapist - Answered on May 02, 2025

Asked by Anonymous - Apr 30, 2025
Health
My mother is having diabetes due to which she got frozen shoulder for the past 8 months. I am taking her for physiotherapy sessions but also she is unable to move her hand completely.
Ans: Dear Madam/Sir. Thank you for your question. Sorry to hear about your mother’s condition. Frozen shoulder, or adhesive capsulitis, is a common complication in people with diabetes and can be quite painful and limiting. Since it has been eight months, she may be in the frozen or early thawing stage, where pain might reduce but stiffness remains. It’s good that she is undergoing physiotherapy, as consistent therapy is essential in managing this condition. Make sure her treatment includes passive and active-assisted range-of-motion exercises, joint mobilizations, and stretching techniques specific to the shoulder capsule. Applying heat before therapy or using ultrasound can help relax the joint and make exercises more effective. Maintaining good blood sugar control is also crucial, as uncontrolled diabetes can worsen inflammation and delay healing. If progress is slow, consult her doctor about additional options like corticosteroid injections, hydrodilatation, or even manipulation under anesthesia in resistant cases. Encouraging her to perform gentle home exercises daily, even if painful, is important to prevent further stiffness. Recovery from frozen shoulder is often slow and can take 12 to 18 months, but steady improvement is possible with the right approach. I wish your mother a smooth and speedy recovery.
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Dr Shyam

Dr Shyam Jamalabad  |95 Answers  |Ask -

Dentist - Answered on May 01, 2025

Dr Nandita

Dr Nandita Palshetkar  |71 Answers  |Ask -

Gynaecologist, IVF expert - Answered on Apr 26, 2025

Health
Hello Dr., My wife aged 40 years have anemic problem continuously from past 2 years during this period she diagnosed with 2 times blood transfusion about 2 units 1st time and 3 units 2nd time and three times with iron drips. I have done all the tests but nothing comes out. about 5 doctors changes but nobody finds the reason of down Hb. Please suggest I am worried about her, her weight also loss now she is very week.
Ans: 40-year-old woman with anemia who has had multiple blood transfusions, is taking iron supplements, and has undergone tests with normal results, may have an underlying medical condition causing her anemia. The weight loss observed could be related to the anemia itself, or it could be a separate issue unrelated to the anemia. Further investigation to identify the cause of the persistent anemia and the weight loss is needed.
Possible reasons for persistent anemia:
Iron Absorption Issues:
Despite taking iron supplements, the woman may not be able to absorb iron properly due to conditions like celiac disease, inflammatory bowel disease, or prior surgery.
Bleeding Source:
A hidden source of bleeding, such as a polyp, ulcer, or other gastrointestinal issue, could be causing the blood loss that needs to be addressed.
Chronic Disease:
Anemia of chronic disease can occur due to conditions like kidney disease, heart failure, or inflammatory conditions, and the treatment focuses on managing the underlying disease.
Other Types of Anemia:
Conditions like aplastic anemia (where the bone marrow doesn't produce enough red blood cells) or hemolytic anemia (where red blood cells are destroyed prematurely) may also need different approaches.
Incorrect Iron Supplement:
The iron supplement being taken may not be the most effective type, or the dosage may be too low, preventing the anemia from being fully resolved.
Reasons for weight loss:
Anemia's Effects:
Underlying Medical Condition:
The woman's weight loss may be related to an underlying medical condition not related to the anemia, such as hyperthyroidism, cancer, or an eating disorder.
Iron Supplement Side Effects:
Some iron supplements can cause digestive issues like constipation or stomach cramps, potentially leading to changes in appetite and weight.
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Pushpa

Pushpa R  |63 Answers  |Ask -

Yoga, Mindfulness Expert - Answered on Apr 26, 2025

Pushpa

Pushpa R  |63 Answers  |Ask -

Yoga, Mindfulness Expert - Answered on Apr 26, 2025

Pushpa

Pushpa R  |63 Answers  |Ask -

Yoga, Mindfulness Expert - Answered on Apr 18, 2025

Pushpa

Pushpa R  |63 Answers  |Ask -

Yoga, Mindfulness Expert - Answered on Apr 14, 2025

Pushpa

Pushpa R  |63 Answers  |Ask -

Yoga, Mindfulness Expert - Answered on Mar 24, 2025

Dr Shakeeb Ahmed

Dr Shakeeb Ahmed Khan  |157 Answers  |Ask -

Physiotherapist - Answered on Mar 22, 2025

Dr Shakeeb Ahmed

Dr Shakeeb Ahmed Khan  |157 Answers  |Ask -

Physiotherapist - Answered on Mar 22, 2025

Pushpa

Pushpa R  |63 Answers  |Ask -

Yoga, Mindfulness Expert - Answered on Mar 18, 2025

Asked by Anonymous - Mar 15, 2025Hindi
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Pushpa

Pushpa R  |63 Answers  |Ask -

Yoga, Mindfulness Expert - Answered on Mar 18, 2025

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Pushpa

Pushpa R  |63 Answers  |Ask -

Yoga, Mindfulness Expert - Answered on Mar 05, 2025

Asked by Anonymous - Mar 05, 2025Hindi
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Health
Can Yoga Help Reduce My High Cholesterol?
Ans: High cholesterol can increase health risks, but with the right lifestyle changes, including yoga, diet, and medication, you can improve your heart health. Yoga helps by improving blood circulation, reducing stress, and boosting metabolism.

Yoga Asanas to Reduce Cholesterol:
? Surya Namaskara (Sun Salutations) – 6-12 rounds daily to improve heart health and burn fat.
? Bhujangasana (Cobra Pose) – Stimulates digestion and reduces belly fat.
? Setu Bandhasana (Bridge Pose) – Opens the chest and strengthens the heart.
? Ardha Matsyendrasana (Seated Twist) – Supports liver function and detoxifies the body.
? Vrikshasana (Tree Pose) – Improves balance and circulation.

Pranayama (Breathing Exercises) for Heart Health:
? Anulom Vilom (Alternate Nostril Breathing) – Regulates blood pressure and reduces stress.
? Bhramari Pranayama (Humming Bee Breath) – Calms the mind and supports heart function.

Lifestyle Tips:
Eat a fiber-rich diet (fruits, vegetables, nuts, and whole grains).
Avoid oily, processed, and sugary foods.
Walk 30 minutes daily and stay hydrated.
Why You Need a Yoga Coach?
Practicing under guidance ensures you do the right asanas safely and effectively. With consistency and proper coaching, you’ll see positive changes in your health. Start today and take control of your well-being!

R. Pushpa, M.Sc (Yoga)
Online Yoga & Meditation Coach
Radiant YogaVibes
https://www.instagram.com/pushpa_radiantyogavibes/
(more)
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