Hi Sir
I have been suffering from psoriasis (a skin disease that causes red, itchy scaly patches, most commonly on the knees, elbows, trunk and scalp) for the last 20 years.
I have tried various medications -- homeopathy, allopathy and Ayurveda -- but none have worked.
Can you please suggest an effective medication please?
Name withheld on request.

Ans: Hello Sumukh,

Unfortunately, no. Ankle exercises alone will not be sufficient. They should be part of a comprehensive fitness plan that includes aerobic exercises, resistance training, and flexibility exercises, along with a balanced diet and medical supervision if necessary. A calorie deficit, combined with these types of exercises, will help regulate blood sugar levels effectively.

Ans: Dear Mr. Surana,
Thank you for your query. If your doctor has recommended a total knee replacement, it is likely based on the severity of your condition as indicated by the X-ray and your ongoing pain. However, you may still explore conservative options before deciding on surgery. I suggest consulting a physiotherapist for a comprehensive rehabilitation program. Physiotherapy can help strengthen the muscles around the knee, improve joint stability, and potentially reduce pain.
That said, your age and weight also play an important role in determining the best course of action. If you are overweight, weight management can significantly reduce stress on the knee joint and alleviate symptoms. Lifestyle changes, such as a tailored exercise regimen and a healthy diet, can also be beneficial.

If conservative measures don’t provide sufficient relief, total knee replacement may be the best option for living a pain-free life. It’s natural to be concerned about side effects, but modern surgical techniques and post-operative care have made the procedure highly effective and safe. Discuss all your concerns with your doctor and physiotherapist to make an informed decision.
Wishing you the best,

Ans: Hello Shenaa,

Following a proper diet and walking 5 km daily is a positive start, but it alone may not be enough to reverse the condition. To effectively manage and potentially improve it, focus on creating a calorie deficit, following a low-carbohydrate diet, and incorporating regular exercise. Along with walking, adding resistance training can enhance metabolic health and yield better results.

It’s also essential to seek guidance from a physiotherapist to develop a safe and effective exercise plan and consult a nutritionist for a tailored diet strategy. A combination of these efforts will help you achieve your goals more efficiently.

Ans: Dear Mr. Srinivas,

Thank you for your query. Weight reduction is a gradual process that requires consistent effort and a balanced approach. It is advisable to consult a physiotherapist and a nutritionist to guide you through this journey. Focus on a high-protein, low-carbohydrate diet to support weight loss while maintaining muscle mass. Ensure your meals are nutritious and create a calorie deficit.

For exercise, start with low-impact aerobic activities such as walking, cycling, or swimming, as these can burn calories without putting pressure on your hernia. Incorporate gentle core-strengthening exercises like pelvic tilts and side planks to build core stability without straining the affected area. If suitable, include short bursts of high-intensity workouts or moderate-intensity, long-duration activities such as brisk walking or light jogging to enhance endurance and fat loss. Additionally, light resistance training can help maintain muscle mass, but avoid exercises that strain your abdominal muscles or involve heavy lifting.

Always consult a physiotherapist before starting any exercise program to ensure it is safe and appropriate for your condition. Wishing you success in your weight loss journey and a smooth recovery.

Ans: Hello Mr. Prashant,

Thank you for your query. Physiotherapy is generally recommended for 12-15 consecutive days to achieve lasting relief. After completing the sessions, it is important to continue regular exercises, including core strengthening, back strengthening, back extension, and aerobic activities. Additionally, avoid prolonged sitting without breaks. This approach can help alleviate your symptoms and effectively manage your condition over time. Wishing you a speedy recovery.

Ans: Restarting your life after financial setbacks is possible with a disciplined approach. Settling your debts with banks and NBFCs requires a strategic plan, negotiation, and commitment. Here's a 360-degree approach to help you resolve your situation:

Assess Your Current Financial Position
List All Debts: Create a detailed list of all outstanding loans and debts, including principal, interest, and penalties.

Identify Income Sources: Calculate your monthly income and any other sources of funds.

Evaluate Essential Expenses: Identify non-negotiable expenses such as rent, food, utilities, and transport.

Determine Negotiable Debts: Focus on debts with higher interest rates or legal implications.

Negotiating with Lenders
Possibility of Settling at 70% Waiver
Banks and NBFCs Are Open to Negotiation: They prefer recovering some amount rather than declaring a loan as non-performing.

Settlement Terms Vary: Each lender may have unique policies. Some might agree to 70% waiver, but others may not.

Present Your Case Transparently: Show proof of your financial hardship. Explain your inability to pay in full.

Request a One-Time Settlement (OTS): Offer to pay a lump sum of the waived-off amount to close the debt.

Steps to Negotiate Effectively
Reach Out to the Right Department: Contact the collections or recovery department of your lender.

Seek Professional Help: A certified financial planner or debt resolution expert can negotiate on your behalf.

Prepare a Settlement Plan: Propose a realistic amount you can pay. Mention the sources for this payment.

Ask for Written Confirmation: Ensure the lender provides a formal agreement on the waived-off amount.

Negotiate for Reduced Interest and Penalties: Request removal of penalties and reduction of interest rates.

Managing Your Financial Obligations
Repayment Strategy
Prioritise High-Interest Loans: Focus on clearing loans with higher interest rates first.

Consolidate Debts: Consider consolidating multiple loans into one with a lower interest rate.

Use Liquid Assets Wisely: If you have savings or assets, use them to reduce your debt burden.

Building a Fresh Financial Foundation
Avoid Gambling and High-Risk Activities
Adopt Healthy Habits: Seek professional help if gambling is an addiction. Join support groups like Gamblers Anonymous.

Focus on Financial Literacy: Learn to manage your money effectively through courses or books.

Create a Budget and Emergency Fund
Track Income and Expenses: Use apps or spreadsheets to monitor your financial activity.

Save for Emergencies: Set aside 3–6 months of expenses as a safety net.

Restart Investments Gradually
Start with SIPs: Begin investing small amounts in mutual funds. Avoid direct stock trading initially.

Build a Retirement Corpus: Plan for long-term financial security systematically.

Final Insights
Rebuilding your life after a financial setback takes effort but is achievable. Focus on negotiating your debts transparently and settling them systematically. Learn from past mistakes and adopt disciplined financial habits. Restart your journey with renewed confidence and a commitment to avoid risky behaviours. Seek professional guidance when needed to make informed decisions.

Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in
https://www.youtube.com/@HolisticInvestment

Ans: Hello;

Yes your last employer can do it in the EPFO records.

Best wishes;

Ans: Hello;

If you will be employed by them you can't avoid EPF cut.

Talk to your employer about possible other options.

EPS is not applicable now since it matures at 58 years of age.

Best wishes;

Ans: Hello;

I believe your name in the bank account is exactly same as that on Aadhar card and UAN.

If it is so try once again and if it fails lodge a complaint thru EPFiGMS portal.

Try their telephonic helpline.

If you don't get resolution, complain to Labour Ministry with cc to PMO through cpgrams portal.

There is no need to visit any EPF office if you have an active UAN and can log in to the EPF website.

Lastly legal recourse is also available to you.

Don't fall for any agents and corrupt personnel.

Best wishes;