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Ans: Hello Sir. To address your symptoms, it's crucial to consult a physiotherapist for a detailed assessment and diagnosis. A physiotherapist can then design a personalized exercise and treatment plan for you, which may include stretching exercises to relieve nerve pressure, strengthening exercises for your back and hip muscles, and posture correction techniques to prevent further strain. Depending on the assessment, imaging studies such as an MRI or X-ray may be recommended to provide a clear picture of your spine and hip condition. I wish you quick recovery.

Ans: Thank you for your query regarding physiotherapy following your surgery for Flexor Tenosynovitis of the thumb. It is possible for the index finger adjacent to the affected thumb to become sore during physiotherapy. This soreness can occur due to increased use or compensation during exercises aimed at improving thumb mobility. The muscles and tendons of the hand are interconnected, and stress on one area can affect adjacent areas. Ensure that your physiotherapist is aware of the soreness in your index finger so they can adjust your exercises or provide specific techniques to alleviate the soreness.

The time it takes to regain full movement in the thumb can vary based on the severity of the initial condition, the extent of the surgery, and individual healing rates. Generally, it may take several weeks to months. Stiffness is common in the early stages of recovery, but continued physiotherapy, including range-of-motion exercises and stretching, will gradually improve flexibility and movement. Many individuals can achieve significant improvement and even full recovery of thumb movement with consistent physiotherapy, but the extent of recovery can vary.In a retrospective study of 41 patients with flexor tenosynovitis, Dailiana et al. found that the best functional outcome associated with this condition resulted from early diagnosis, drainage through small incisions, and continuous postoperative irrigation. Worse outcomes were associated with delayed treatment and infections with specific pathogens. By following these guidelines and working closely with your physiotherapist, you should be able to maximize your recovery and regain as much thumb function as possible.

Ans: It's commendable that you are looking ahead to support your daughter's future. Given her interest in commerce and her talent in drawing, there are several ways to help her navigate her educational and career path effectively. Here are some detailed steps and suggestions to guide you:
Ensure the educational institution she plans to attend for her 11th and 12th grades can accommodate her needs. Speak to the school or college principal about making the environment accessible, including providing necessary aids like large print materials, magnifying devices, or digital resources. Advocate for sensitization programs in the school to ensure her peers and teachers understand her needs and can provide appropriate support. Completing her graduation will open up numerous opportunities. Encourage her to pursue her interests in commerce, as this field offers diverse career paths. Utilize the 1% reservation in identified government jobs and higher education for people with physical disabilities. This reservation is an important entitlement and can provide a secure career path. Guide her to prepare for competitive exams like SSC, UPSC, or banking exams that have reservations for physically disabled candidates. Various coaching centers and online platforms offer preparatory courses tailored to these exams. Look for scholarships and educational grants specifically for students with disabilities to support her higher education financially. Please refer National Handicapped Development Finance Corporation Scheme for scholarship. Connect with NGOs that support individuals with disabilities. These organizations can provide resources, training, and advocacy support.

Ans: Thank you for sharing your daughter's situation. It sounds like you've been dedicated in seeking help and support for her. Here are some detailed steps and suggestions to further assist her and ensure she receives the necessary support:

1. Disability Certificate:
- Application Process: Applying for a disability certificate is a crucial step. This certificate can officially document her disability, making her eligible for various benefits, schemes, and support systems.
- Evaluation: It will involve a thorough medical and psychological evaluation. Given her symptoms, a professional might assess her for conditions such as Autism Spectrum Disorder (ASD).

2. Vocational Training and Education:
- Local NGOs: Look for non-governmental organizations (NGOs) or institutions nearby that offer vocational training and educational programs tailored for individuals with disabilities. These programs can enhance her skills and increase her independence.
- Specialized Programs: Many NGOs provide tailored programs focusing on communication skills, daily living skills, and specific job training.

3. National Trust Schemes:
- Niramaya Health Insurance Scheme: This scheme offers health insurance coverage for individuals with autism and other disabilities, covering various medical needs without age limitations.
- Other Schemes: Explore other schemes under the National Trust, which aim to provide lifelong shelter, care, and employment for individuals with disabilities.

4. Support Groups and Associations:
- Parent Associations: Joining a parent association group can be incredibly beneficial. These groups offer emotional support, share resources, and provide practical advice from experienced parents.
- Disability Support Groups: These groups can connect you with other families facing similar challenges, and offer workshops, social events, and advocacy support.

5. Legal Guardianship:
- National Trust Act 1999: This act includes provisions for appointing legal guardians for adults with disabilities. This can ensure that your daughter has a designated guardian to make decisions on her behalf if necessary.
- Guardianship Boards: Look into the local guardianship boards or legal advisors to understand the process and ensure your daughter's future security.

Additional Tips:
- Therapeutic Support: Continue exploring different types of therapies. Sometimes, a combination of speech therapy, occupational therapy, and behavioral therapy can yield better results.
- Healthy Lifestyle: Encourage physical activities suited to her abilities to help manage her weight and improve overall health. This could include walking, swimming, or specialized fitness programs for individuals with disabilities.
- Social Skills Training: Work on her social skills gradually, focusing on eye contact, conversation skills, and building confidence in social settings.

By pursuing these steps, you can help create a supportive environment for your daughter that fosters her independence and improves her quality of life. Your proactive approach and dedication will be invaluable in ensuring she receives the necessary support and opportunities for personal growth

Ans: I’m sorry to hear about your daughter's diagnosis. Congenital Muscular Dystrophy (CMD), particularly the Merosin-deficient type (LAMA2), is indeed a challenging condition, and I understand your concerns about finding effective treatments. Unfortunately, there is currently no cure for CMD. However, several supportive treatments can help manage symptoms and enhance the quality of life for those with CMD. Management includes include physical therapy, which is essential for maintaining muscle function and preventing contractures, and occupational therapy, which aims to assist with daily activities and improve overall quality of life. Additionally, breathing exercise prescribed by Physiotherapy is crucial, as respiratory muscles can be affected; thus, regular monitoring and non-invasive ventilation may be necessary. Proper positioning and ergonomics are vital for managing skeletal deformities such as scoliosis. Ongoing research into stem cell therapy holds promise for the future, with hopes of repairing or replacing damaged muscle tissue, though it remains in the experimental stages and is not yet available as a treatment. It is also important for parents to seek counseling to build mental resilience and cope with the emotional and psychological challenges of caring for a child with CMD. My best wishes for your family.

Ans: Hello Amita. Sorry to hear your condition. I would suggest if you can visit Physiotherapist nearby, who will help you to evaluate and recommend necessary exercise and use pain relieving modalities to relieve pain.

Ans: Hello Joyal. Thank you for your question. I am not a career counsellor but as a Physiotherapist, I can recommend that you can take Masters in Hospital Administration or Masters in Business Administration to pursue career in corporate. Even you can do learn some IT skills and get certification if you have interest in software .

Ans: My son is having motor tics like blinking,tensing the abdomen for 6 months..all other reports are normal..he was not much disturbed by that.my neurologist was advising to start medication.do I should start..Ans: Hello Deepa,

Thank you for your query. First and foremost, I would like to inform you that I am not a neurologist but a physiotherapist, so my advice will be from a physiotherapy perspective. If you are hesitant to start medication, you may consider seeking a second opinion from another neurologist, as neurologists are well-equipped to manage motor tics medically.

From a physiotherapy standpoint, we can offer supportive management of motor tics through various non-pharmacological interventions. These include teaching stress management techniques, as stress and anxiety can exacerbate tics. For instance, diaphragmatic breathing can help reduce overall stress and tension. Additionally, physiotherapists can guide the child through Progressive Muscle Relaxation (PMR) exercises to help relax muscle groups and reduce the frequency of tics.

Physiotherapists also engage children in activities that improve overall motor control, which might help lessen the frequency and severity of tics. Proprioceptive training exercises enhance body awareness and proprioception. Postural correction is another key area, addressing any postural issues that may arise due to repetitive tics, ensuring the child maintains a healthy posture to avoid secondary complications. Furthermore, we implement programs to strengthen weak muscles and stretch tight muscles to support better posture and overall muscle function.

Encouraging regular physical activity is also beneficial, as it can help reduce stress and improve overall well-being. By incorporating these strategies, physiotherapy can provide valuable support in managing motor tics, enhancing the child's quality of life, and complementing other medical and therapeutic interventions. Wishing for his quick recovery.

Ans: Hello.. Thank you for your question. Please do consult a Physiotherapist.. It will definitely help

Ans: Hello Deepa,

Thank you for your query. First and foremost, I would like to inform you that I am not a neurologist but a physiotherapist, so my advice will be from a physiotherapy perspective. If you are hesitant to start medication, you may consider seeking a second opinion from another neurologist, as neurologists are well-equipped to manage motor tics medically.

From a physiotherapy standpoint, we can offer supportive management of motor tics through various non-pharmacological interventions. These include teaching stress management techniques, as stress and anxiety can exacerbate tics. For instance, diaphragmatic breathing can help reduce overall stress and tension. Additionally, physiotherapists can guide the child through Progressive Muscle Relaxation (PMR) exercises to help relax muscle groups and reduce the frequency of tics.

Physiotherapists also engage children in activities that improve overall motor control, which might help lessen the frequency and severity of tics. Proprioceptive training exercises enhance body awareness and proprioception. Postural correction is another key area, addressing any postural issues that may arise due to repetitive tics, ensuring the child maintains a healthy posture to avoid secondary complications. Furthermore, we implement programs to strengthen weak muscles and stretch tight muscles to support better posture and overall muscle function.

Encouraging regular physical activity is also beneficial, as it can help reduce stress and improve overall well-being. By incorporating these strategies, physiotherapy can provide valuable support in managing motor tics, enhancing the child's quality of life, and complementing other medical and therapeutic interventions. Wishing for his quick recovery.

Ans: Good evening. Yes, you can use 20-pound dumbbells during exercise. However, avoid jumping and start gradually. Also, be mindful of your heart and blood pressure conditions. It's important to consult with your doctor before beginning any new exercise routine to ensure it's safe for your health. Here's a gradual regime to help you safely reach the goal of using 20-pound dumbbells. In Weeks 1-2, start with 5-pound dumbbells, exercising three times a week with 2 sets of 12-15 reps for bicep curls, shoulder press, tricep extensions, lateral raises, chest press, and bent-over rows. In Weeks 3-4, increase to 8-pound dumbbells and reduce reps to 10-12. For Weeks 5-6, use 12-pound dumbbells and do 3 sets of 8-10 reps. In Weeks 7-8, advance to 15-pound dumbbells with 3 sets of 6-8 reps. Finally, in Weeks 9-10, transition to 20-pound dumbbells with 3 sets of 6-8 reps. Warm-up with 5-10 minutes of light cardio and cool down with 5-10 minutes of stretching in each session. Wishing you the best

Ans: Good morning. Given your wife's condition, where the knee joint gap is almost negligible, I would first recommend opting for conservative management through physiotherapy and medication before considering knee replacement surgery.

Focus on strengthening the muscles around the knee, such as the quadriceps, hamstrings, and calf muscles, with exercises like leg lifts, hamstring curls, and calf raises. Perform exercises to maintain and improve the knee's range of motion, including knee bends and stretches. Engage in low-impact activities like swimming, cycling, or using an elliptical machine to reduce stress on the knee while maintaining cardiovascular fitness.

Include exercises that improve balance and stability to help prevent falls and further injury. Starting with physiotherapy and conservative management can often provide significant relief and improve quality of life, potentially delaying or even avoiding the need for surgery.

Ans: As a physiotherapist, I strongly advise you to stop consuming alcohol, as it significantly impacts your health and contributes to abdominal weight gain. Focus on consuming fewer calories overall to create a calorie deficit, which is necessary for weight loss. Incorporate more lean proteins into your diet, such as chicken, fish, tofu, and legumes. Protein helps build and repair muscle tissue and keeps you feeling full longer. Limit your intake of refined carbohydrates like white bread, pasta, and sugary snacks. Opt for complex carbs like whole grains, vegetables, and fruits.

Engage in short bursts of high-intensity exercises followed by brief periods of rest or low-intensity exercise. Examples include sprinting, cycling, or jumping jacks. Aim for 20-30 minutes per session, 3-4 times a week. Incorporate longer sessions of low-intensity activities such as walking, swimming, or light jogging. Aim for at least 30-60 minutes per session, 5 times a week. Regular exercise is crucial for effective weight management. Make sure to stick to your workout routine. Drink plenty of water throughout the day to stay hydrated and support metabolic processes. Ensure you get adequate sleep, as it is essential for recovery and overall health.

Practice stress-reducing techniques such as meditation, yoga, or deep breathing exercises. Consider scheduling regular sessions with a physiotherapist to tailor a specific exercise program to your needs and monitor your progress. Additionally, consulting a nutritionist can help you develop a balanced diet plan that aligns with your weight loss goals.

Ans: I’m sorry to hear about your diagnosis. Bell's palsy can be difficult to deal with, but many people experience good recovery with proper treatment and exercises. It's crucial to follow a structured rehabilitation program, preferably under the supervision of a physiotherapist.

Incorporate various facial exercises such as raising your eyebrows, blowing air, winking, inflating your cheeks, and puckering your lips as if to whistle. Additionally, gently massage your facial muscles. If you have trouble closing your eyes while sleeping, consider using a blindfold to protect them.

Ans: I'm sorry to hear about your elder brother's diagnosis with GBS Syndrome. It’s great that he received treatment at the hospital. Physiotherapy is indeed crucial for recovery from GBS and however can take considerable time Here are my recommendations Find a Local Physiotherapy Cente.It’s best to find a physiotherapy center close to your home to make frequent visits more manageable. This way, he can have regular sessions without the added stress of long travel times and travel expenses. It’s beneficial to learn various physiotherapy exercises that can be practiced at home. This will complement the professional sessions and help in continuous progress.
As for whether I provide physiotherapy , please specify your location so we can provide more accurate recommendations.
Feel free to reach out for further assistance. I wish your brother a smooth and speedy recovery.

Ans: I'm sorry to hear about your wife's experience with Guillain-Barre Syndrome (GBS). It's important for your wife to continue with her physiotherapy sessions and other rehabilitation efforts. Even if progress seems slow, consistent therapy can help maintain existing mobility and potentially lead to further improvements over time.

Ans: Dear Mr. Madhusudan. Thank you for your question. It's great to hear that you're committed to your health by walking 40 minutes every morning. To enhance your weight loss efforts, I recommend incorporating resistance training into your routine in addition to your regular walking. While walking is beneficial for cardiovascular health, resistance training is more effective for burning calories, building muscle, and improving overall fitness. Apart from this aim to create a calorie deficit by consuming fewer calories than you burn, which is crucial for weight loss. Include high-quality protein sources in your diet, such as lean meats, fish, eggs, legumes, and low-fat dairy. Protein helps in maintaining muscle mass and keeps you full longer.

Ans: If you have slightly high blood pressure, it's essential to exercise cautiously and choose activities that won't excessively strain your cardiovascular system. I suggest you can continue with all your exercises but in moderation. Make sure to stop immediately if you feel short of breath or experience any discomfort.

Ans: Hello . Thank you for your query. Considering the pain is only on right wrist , I would suggest one more opinion from Physiotherapist to rule out carpel tunnel syndrome. For burning sensation in upper abdomen ,please take gastroenterologist opinion.

Ans: Hi. I'm sorry to hear about your condition. It's important to understand that weight loss involves a two-pronged approach: reducing calorie intake and burning calories. Given that your ankle and knee pain prevent you from doing weight training, I recommend visiting a physiotherapist for an assessment. They can provide therapeutic management for your pain, enabling you to engage in aerobic and weight training exercises to some extent. Wishing you quick recovery

Ans: Maintaining a healthy lifestyle through diet and exercise is crucial, particularly as you near your 50s. With a BMI of 25, which is at the higher end of the normal range, emphasizing a balanced diet and consistent exercise can help you stay fit and ward off potential health issues. From a physiotherapist's perspective, I recommend increasing your daily steps and incorporating resistance exercises to lose fat and build muscle. It's also important to reduce calorie intake, especially from carbohydrates, and to increase protein intake.

Ans: Hello Mr. Nanda. Thank you for question. I suggest you visiting Physiotherapist as I believe this could be radiating pain from lower back and probable involvement of disc.

Wish you quick recovery.

Ans: Hello Subhash. Sorry to hear about your condition. I have a little different view point . I suggest taking one more opinion from a different Physiotherapist. It is hypothesized that nearly 70% of lumbar herniated nucleus pulposus (HNP) undergo the resorption to a significant degree after acute herniation. From my perspective back extension is most important exercise.

Ans: Thank you for your question. It's nice to hear about your weight loss journey through walking! Walking is indeed a great start, but that it's essential to consider other factors like calorie intake and exercise intensity for optimal health. For your age and weight, incorporating high-intensity interval training (HIIT) along with a balanced diet might help further in achieving your fitness goals. As for your target weight, it's best to consult with a healthcare professional or a nutritionist who can provide personalized guidance based on your overall health, body composition, and lifestyle factors. However, a healthy weight range can vary greatly depending on factors such as muscle mass, bone density, and overall body composition, so it's not solely determined by age alone. Keep up the good work with your fitness efforts, and consider incorporating a variety of exercises and dietary adjustments for long-term health benefits!

Ans: I'm sorry to hear that you're experiencing discomfort. Costochondritis can be quite painful, but there are ways to manage it at home. Applying either ice or heat to the affected area can help reduce inflammation and ease the pain. Additionally, gentle stretching exercises can improve flexibility and relieve tension in the chest and back muscles. Ultrasound therapy, which uses high-frequency sound waves to promote healing and reduce pain in soft tissues, can also be a helpful option for managing costochondritis when administered by a qualified physiotherapist. Wishing you quick recovery.

Ans: Hello. Thank you for your query. I would suggest you to visit Physiotherapist close by to you to determine exact reason and suggest possible treatment options.

Ans: You're doing well. At this point, I recommend maintaining regular visits to your doctor to monitor your heart and blood pressure status.

Ans: Thank you for your questions. I agree with your concerns about posture and its impact on confidence. I recommend consulting a physiotherapist to assess your condition and determine the underlying reasons for forward shoulder posture. Activities that involve prolonged periods of looking down, such as using smartphones or laptops and sitting for extended periods, can contribute to this issue. Stretching and strengthening exercises like Scapular Squeezes, T stretches, shoulder bracing, and shoulder retractions are generally beneficial. Improving ergonomics can also help prevent further deterioration. I wish you a speedy recovery.

Ans: Hello,

I'm sorry to hear about your wife's pain. The location you described, where the pain is at the point where the finger starts from the foot, could indeed be caused by various conditions such as corns or plantar fasciitis, as you mentioned.Corns are small areas of thickened skin that develop as a result of pressure or friction. They can cause pain and discomfort, especially when walking or wearing tight shoes. Plantar fasciitis, on the other hand, is inflammation of the thick band of tissue (plantar fascia) that runs across the bottom of the foot. It commonly causes stabbing pain near the heel or along the arch of the foot, but it can sometimes affect other areas of the foot as well.To determine the exact cause of your wife's pain and the best course of treatment, it would be advisable for her to visit a physiotherapist or a healthcare professional specializing in foot conditions. They can conduct a thorough examination, possibly including imaging tests if necessary, to make an accurate diagnosis and recommend appropriate treatment options. In the meantime, she can try some self-care measures to alleviate the pain, such as resting the foot, applying ice packs, wearing comfortable and supportive footwear, using over-the-counter pain relievers, and possibly using orthotic inserts or pads to reduce pressure on the affected area.I hope your wife finds relief soon.

Ans: The appropriateness of a 19,000 steps/15 km walk as a weight reduction strategy depends on various factors, including age, heart health, blood pressure condition, condition of knee ,hip and ankle joint . While physical activity is crucial for weight management, it's essential to ensure that the intensity and duration of the exercise align with individual health status and fitness levels.

For some individuals, a 19,000 steps/15 km walk might be perfectly manageable and beneficial for weight reduction, especially if they have a healthy heart and blood pressure. However, for others, such a vigorous exercise routine could be too strenuous and potentially harmful .It's always advisable to consult with a Physician and later Physiotherapist before embarking on any new exercise regimen, especially if you have underlying health concerns. They can provide personalized guidance based on your individual circumstances and help you find the right balance between diet control and physical activity to achieve your weight loss goals safely and effectively.

Ans: It appears you're experiencing significant discomfort and limited movement, particularly in your left arm, despite seeking treatment at a sports injury center. The slow recovery and worsening symptoms are concerning, especially considering your age and medical history. It's essential to consider various factors like arthritis or nerve issues contributing to your condition, even though your blood sugar readings are normal. Consulting orthopedic surgeon for further evaluation, including additional tests or adjustments to your treatment plan, is crucial. Regarding Physiotherapist, please take advise from Physiotherapist who is experienced with well qualified degree with Bachelors of Physiotherapy or MPT closer to your home.

Ans: Thank you for your query . Your weight isn't the sole indicator of fitness; factors like muscle mass and overall health are crucial. It's important to assess whether your weight aligns with your height and body type using tools like BMI. Exercise needs vary based on goals and health, but typically, adults should aim for 150 minutes of moderate-intensity aerobic activity weekly, complemented by muscle-strengthening exercises. Consulting a healthcare professional can provide personalized guidance.

Ans: mpressive! Your dedication to jogging and trekking has clearly cultivated impressive endurance and strength, especially considering your age. Sustaining this level of activity requires attentive self-care. Consistency is key, ensuring you adhere to your exercise routine to maintain and even enhance your fitness. Variety in exercises prevents monotony and engages different muscle groups. Prioritize proper nutrition and hydration to fuel your body adequately. Don't overlook the necessity of rest and recovery to prevent overtraining and injuries. Regular check-ups with your doctor are crucial for monitoring your health as you age. Your commitment to an active lifestyle is truly commendable and serves as an inspiration to others. Keep up the great work and cherish every moment of your journey!

Ans: Dear Sir,

Thank you for your inquiry. Achieving a reduction in belly size entails embracing a comprehensive approach that encompasses healthy eating habits, regular physical activity, and lifestyle adjustments. Here are some guidelines to assist you in reaching your desired goal: Focus on maintaining a balanced diet rich in fruits, vegetables, lean proteins, and whole grains, while avoiding processed foods, sugary snacks, and high-fat meals. Incorporate a variety of exercises into your routine, including cardiovascular workouts like walking, jogging, cycling, or swimming, to burn calories and reduce overall body fat, including belly fat. Additionally, include strength training exercises such as weightlifting or bodyweight exercises to build muscle mass and enhance metabolism. Targeting specific abdominal muscles through exercises like crunches, planks, and leg raises can help tone and strengthen the core. Monitor your caloric intake and limit consumption of sugary and processed foods. Consistency is key to achieving and maintaining a healthy weight and reducing belly fat, so remain dedicated to your diet and exercise regimen while exercising patience with your progress. With commitment and perseverance, you can work towards achieving your desired waist size and overall health goals.

Ans: Dear Sir, Thank you for your inquiry. Understanding concerns regarding belly size is crucial, as it can also contribute to back pain. Achieving a reduction in belly size entails embracing a comprehensive approach that encompasses healthy eating habits, regular physical activity, and lifestyle adjustments. Here are some guidelines to assist you in reaching your desired goal: Focus on maintaining a balanced diet rich in fruits, vegetables, lean proteins, and whole grains, while avoiding processed foods, sugary snacks, and high-fat meals. Incorporate a variety of exercises into your routine, including cardiovascular workouts like walking, jogging, cycling, or swimming, to burn calories and reduce overall body fat, including belly fat. Additionally, include strength training exercises such as weightlifting or bodyweight exercises to build muscle mass and enhance metabolism. Targeting specific abdominal muscles through exercises like crunches, planks, and leg raises can help tone and strengthen the core. Monitor your caloric intake and limit consumption of sugary and processed foods. Consistency is key to achieving and maintaining a healthy weight and reducing belly fat, so remain dedicated to your diet and exercise regimen while exercising patience with your progress. With commitment and perseverance, you can work towards achieving your desired waist size and overall health goals, thereby alleviating concerns related to back pain.

Ans: Thank you for reaching out. It appears that you may be displaying symptoms associated with cervical spinal stenosis, a condition characterized by the narrowing of the spinal canal in the neck area. It's crucial to seek guidance from a skilled medical professional, such as a neurologist or orthopedic surgeon, who can offer a thorough diagnosis and develop a treatment regimen tailored to your individual needs. A physical therapist can create a personalized exercise regimen aimed at strengthening the muscles that support the spine, increasing flexibility, and promoting better posture. Additionally, physical therapy may incorporate manual techniques to relieve discomfort and enhance mobility. Wishing you Happy Recovery

Ans: Dear Sir,Thank you for reaching out. Given the duration of your symptoms and your previous consultations without a definitive diagnosis, it might be beneficial to consider consulting specialists like orthopedic doctors, or neuro physiotherapist experienced in addressing repetitive strain injuries and musculoskeletal disorders.

These specialists may suggest additional assessments, nerve conduction tests (NCT) , to identify the root cause of your symptoms. Moreover, they can offer tailored treatment approaches, including ergonomic modifications to your workstation, exercises aimed at enhancing strength and flexibility, and strategies to minimize repetitive motions and strain on your muscles and nerves. Wishing for your quick recovery .

Ans: Dear Sir, Thank you for your inquiry. For individuals like yourself, aged 73 and managing diabetes, it's crucial to prioritize physical activity, taking into account your age and health status. Walking serves as an excellent exercise option for those with diabetes, but it's important to initiate activity gradually and progressively increase intensity, particularly if you've been less active recently.
Before embarking on any new exercise regimen, especially with diabetes or other health concerns, it's imperative to seek guidance from Physician. They can offer personalized recommendations tailored to your specific health profile and potential risks.
Strive for a minimum of 150 minutes of moderate-intensity aerobic activity per week, aligning with health guidelines. This can be distributed across the week in smaller intervals, such as 30 minutes daily for five days.
Consistency plays a pivotal role in managing diabetes through physical activity. Make walking and other exercises a consistent part of your routine to reap the numerous health benefits associated with staying active.

Ans: Hello. I am sorry to hear this. I would suggest a visit to orthopedic surgeon first to assess you completely and then visit to Physiotherapist. I do not recommend any application of oil or ointment when injury is traumatic in nature. My best wishes for your recovery.

Ans: appreciate you sharing your question. It's great to see your dedication to staying physically active despite managing Type 1 diabetes at 71 years old.

Your walking regimen of covering 4.5 to 5 kilometers in approximately 40-42 minutes is certainly praiseworthy. For individuals aged 65 to 99, the average time for this distance is around 42 minutes and 59 seconds.
It's advisable to pay attention to your body's signals and modify your activity level as needed. If you're feeling comfortable and not encountering any discomfort or negative effects during or after your walks, then your current routine appears appropriate.

Ans: Thank you for sharing your concerns. Given your situation of experiencing knee pain when you start running, combined with your age, diabetes, and regular walking routine, it's crucial to address this issue effectively.

I highly recommend visiting a physiotherapist to evaluate your knees and determine the underlying cause of the pain. As someone managing diabetes and aiming to incorporate running into your fitness routine, it's essential to prioritize your joint health and address any discomfort or issues promptly.

A physiotherapist can provide a comprehensive assessment, including examining your running form, muscle strength, and joint flexibility.

Ans: Dear Col R A K'Maneck,

It's truly commendable that you maintain an active lifestyle at the age of 80, engaging in brisk walks of approximately 4 kilometers at least 4 times a week. Your dedication to physical activity is admirable.

Regarding your question about the briskness of your walks, it sounds like you're already maintaining a good pace, averaging around 12.5 minutes per kilometer. However, considering your age and the importance of heart health, it would be prudent to consult with a physician. A thorough check-up including vital signs, blood pressure, and an electrocardiogram (ECG) can provide valuable insights into your heart condition.

While walking is generally beneficial for overall health, especially for cardiovascular fitness, it's essential to ensure that your exercise routine aligns with your individual health needs. Your physician can offer personalized advice based on your specific health status.

Keep up the fantastic work with your walks, and do prioritize your health by consulting with a healthcare professional.

Ans: I'm sorry to hear about your daughter's condition. It's positive that her fracture has healed, but it's concerning that she's experiencing ongoing pain and difficulties with walking. It's good that she's undergoing treatment and therapy to manage her symptoms.

To further reduce her pain and improve her ability to walk normally, it might be beneficial for her to explore additional physiotherapy options such as ultrasound or laser therapy. These modalities are commonly used by physiotherapists to alleviate pain, reduce inflammation, and promote tissue healing. Additionally, continuing with nerve stimulation exercises, medication as prescribed, and using assistive devices like a walking stick can aid in managing her symptoms and gradually improving her mobility. Regular follow-ups with Physiotherapist will also ensure that her progress is monitored and adjustments to her treatment plan can be made as necessary.

Ans: Striving for a healthier lifestyle at 63 is commendable. While walking is beneficial for overall health and can aid in weight management, it may not be enough to specifically target belly fat. Incorporating diverse exercises like trunk curls, core exercises, and lower abdominal exercises alongside regular walking can effectively reduce belly fat. Additionally, focusing on diet adjustments such as reducing carbohydrates and increasing protein intake, with guidance from a qualified dietitian, is crucial.

Maintaining a balanced diet with appropriate portion sizes and staying hydrated is essential alongside exercise. Prioritizing whole foods like fruits, vegetables, lean proteins, and whole grains while minimizing processed foods and sugary beverages can support weight loss efforts.

Achieving and maintaining a healthy weight requires consistency and patience. Consulting healthcare professionals or Physiotherapists who have expertise in fitness and aerobic training for personalized guidance tailored to individual needs and goals can be beneficial.

Ans: Hello Mr. Sudesh Kumar. I'm sorry to hear about your condition. I suggest that you visit a therapist in your vicinity who can assist you with your knee-related concerns. Unfortunately, I'm unable to provide contact details. Please excuse this limitation.

Ans: I understand the challenges you've faced with your health situation. It seems like you've tried various therapies already but haven't seen the progress you were expecting. Here are some recommendations that might be beneficial for you:

Firstly, it's important to seek consultations from both a neurosurgeon and an experienced orthopedic surgeon. Based on their assessments and recommendations, you should then consider consulting with physical therapists specializing in neurology (MPT in neuro) to address issues of weakness and involuntary movement.

In addition, you might find it helpful to utilize assistive devices such as braces, canes, walkers, or orthotic devices. These aids can support your mobility and enhance stability, compensating for weaknesses or involuntary movements in your limbs.

Furthermore, staying updated on advancements in medical research related to your condition is crucial. There may be new treatments, breakthroughs, or clinical trials offering promising prospects for improvement in the future. Keeping informed can help you explore additional options and remain hopeful about potential avenues for progress.

Ans: Hello, thank you for reaching out. It seems you're maintaining good endurance with your daily 20 km cycling routine, which is commendable. However, considering your age, it's advisable to consult a physician to assess your vital signs such as blood pressure and heart condition, especially given your level of physical activity. Regarding your knees, it's important to recognize that degeneration is a continuous and gradual process. As long as you're not experiencing any pain in your knees, there's no need for concern.

Ans: Thank you for your inquiry. I empathize with your concern and admire your dedication to achieving fitness and wellness. Weight gain and fat accumulation occur gradually, and likewise, shedding excess weight takes time and commitment. It necessitates a balanced approach, including adopting a nutritious diet, reducing calorie intake, and engaging in aerobic and high-intensity exercises. Seeking guidance from a professional for personalized diet and fitness recommendations is advisable. Consistency is pivotal in this journey

Ans: Hello Sir. Thank you for your question.
The efficacy of cervical collars in alleviating neck pain is a topic of debate. While they may provide temporary relief, there's a lack of evidence supporting their effectiveness in the long run. Despite anecdotal accounts from some doctors endorsing their usefulness, soft cervical collars are commonly prescribed out of convention for patients with neck discomfort. However, it's worth noting that even though cervical collars appear harmless, prolonged use can lead to adverse effects. Therefore, I recommend consulting a physiotherapist for a thorough evaluation and appropriate guidance .Wishing you quick recovery

Ans: Hello Sir. Thank you for your question. I believe the pain you are experiencing is due to the wear and tear of knee and degenerative in nature. I do advise taking sufficient rest in between while walking. Kneecap can also be helpful. if pain persist, please visit Physiotherapist to get it evaluated.