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40-Year-Old Woman Seeking Alternatives to Ligamento Tablets for Frozen Shoulder

Dr Karthiyayini

Dr Karthiyayini Mahadevan  |1113 Answers  |Ask -

General Physician - Answered on Jul 23, 2024

Dr Karthiyayini Mahadevan has been practising for 30 years.
She specialises in general medicine, child development and senior citizen care.
A graduate from Madurai Medical College, she has DNB training in paediatrics and a postgraduate degree in developmental neurology.
She has trained in Tai chi, eurythmy, Bothmer gymnastics, spacial dynamics and yoga.
She works with children with development difficulties at Sparrc Institute and is the head of wellness for senior citizens at Columbia Pacific Communities.... more
Victor Question by Victor on Jul 22, 2024Hindi
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My wife has been advised tablet Ligamento (collagen type-II, Chondraitun, hyluronic acid & vitamin C ) for her frozen shoulder, her MRI Xray all are normal, does any alternative tablet for the above since above not getting

Ans: Tendotrex Forte
DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.
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Physiotherapist - Answered on Mar 08, 2023

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I had frozen shoulder problem as told to me in my left hand and from November, 2020 to August, 2021 i consulted various reputed orthopedic surgeons and even got treatment from Safdarjang Sports Injury Centre New Delhi and as per advice got physiotherapy treatment for full one year but to no avail. Then in September, 2020 i consulted one of the top most Ortho Surgeons who after xray etc. told me that he will give me two injections(whereas he gave three such injections) and my problem will be got with physio treatment in three months but from day one his physio told him that my shoulder is very stiff and only solution is to get MRI done and then operation be done which was done in October, 2020 and I was told that after five week physio i will be ok but even after operation there was so much pain at the time of physio and afterwards that i could not have sleep for 20/22 hours and then Doctor extended time limit to two months and then to three months but even after five months there was no relief. ultimate i stopped treatment and consulted another ortho in south delhi reputed hospital he told me that my veins were weak and at the first place i stopped hard core physio and that surgery was not a best option. Though after I stopped physio and started doing light exercises at home there is slight improvement but at times i have great pain at lower of my shoulder/shoulder and upper half portion of left hand. It is one year since i have started treatment from present ortho. What to do?
Ans: Hello Ravinder,
What did your MRI and x-ray show? What was the operation done exactly for?

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Yoga, Mindfulness Expert - Answered on Oct 17, 2024

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I am a diabetic with HbA1C 7.4. I feel very sleepy after the breakfast, which I take around 10-10:30 AM. Also, I feel not so fresh when I get up in the morning. Infact getting up in the morning is a struggle. I generally sleep around 11 PM. How to avoid this sluggishness during the day. I do regular exercise Yoga or Walk for 30 min atleast 5 times a week. I have a feeling that I am becoming hypoglycemic during the night and that is what causing this sleepiness during the day. Quality of night sleep is reasonably ok. However, I get once during the night for urination. Please advise on my condition.
Ans: Feeling sleepy after breakfast and struggling to wake up in the morning can be linked to several factors, especially in diabetics. Here are some insights and tips to help manage your symptoms:

Possible Nocturnal Hypoglycemia: If your blood sugar drops during the night, it can affect the quality of your sleep and lead to morning sluggishness. You could try having a glass of milk before bed to help maintain blood sugar levels overnight. Consult your doctor to monitor glucose levels more closely.

Post-Breakfast Sleepiness: The type of breakfast you have might be causing a blood sugar spike, followed by a crash. Opt for a balanced meal with complex carbs, protein, and fiber to prevent rapid sugar fluctuations. Avoid sugary or processed foods that can cause drowsiness.

Sleep Quality and Schedule: Although you sleep around 11 PM, if your sleep quality is compromised (like waking up for urination), it may not be fully restorative. Try to reduce fluid intake an hour before bed, and consult a healthcare professional to address frequent urination.

Morning Exercise: Doing yoga or walking earlier in the day, particularly in the morning, can boost your energy levels and reduce daytime sluggishness.

Check with a Doctor: It’s important to discuss the possibility of hypoglycemia and other metabolic factors with your doctor, especially considering your diabetes and HbA1C levels. Adjusting your medication, diet, or routine may be necessary.

Combining balanced meals, consistent exercise, and good sleep hygiene should help reduce the sluggishness you're experiencing during the day.

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

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