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Dr Hemalata

Dr Hemalata Arora  |17 Answers  |Ask -

General Physician - Answered on May 25, 2023

Asked by Anonymous - May 25, 2023
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Hello Doctor-DD here and am 50 years old. I had lower back pain on left hand side along with radiating pain in left groin area since end of March 2023. After initial local pain management, the pain did not go, so my GP asked me to do LS Spine MRI. The report suggested some nerve root issue in L4 and L5, so I was asked to refer it to spine specialist. I tried to connect with Dr. Bapat at Nanavati Hospital, but could not see him as his assistant reviewed the reports and said its mild and suggested medicines – Ultracet 1-0-1 for 10 days, Vitencial – 0-1-0 for 30 days and Calciman K10 – 0-1-0 for 30 days. However, the pain persisted with bit of increase in pain in groin area. So the assistant suggested that for pain in groin area better to check with general surgeon about hernia and / or prostate. Since my regular GP is out of town and I had to take my mother to see Dr. Pande, Urologist at Kokilanben Hospital for Urinary Tract problems. So I checked with him about my problem. So he first did Uroflow test and then physically examined the prostate also and later said it’s all fine. He said due to L4-L5 nerve issue, there is pain in groin area and suggested medication – Synaptol 50mg 1-0-1 for 3 weeks, Pregablin (50mg) 0-0-1 for 6 weeks and Etoshine 90mg – 1-0-0 for 10 days and said to do USG of Groin, PSA (total) test and HBA1C after 6 weeks and then again see him. I have started his medication from 20.5.23. He said this type of pain is due to L4-L5 nerve falls under his area and now there is no need to again see Dr. Bapat (I am scheduled for his appointment on 29.5.23). I had also done MRI for hip joints in Nov 22 and the reports were normal. Please note all through last 2-3 months, most of the time the pain is dull and mild specially when in sitting position and at times in sleeping position. If I stand, walk, there is as good as no pain or very very minimal pain. But the pain still continues but in less intensity. Since yesterday, I have also started getting pain on right hand side also, but it pains only while getting up and / or twisting the body a bit here and there. Also, today morning I was having some burning sensation in pelvic area in sleeping position but no pain at that time. I am worried about all this and do not understand what the problem could be and why it is taking so long to become normal and whether all these pains is only due to L4-L5 nerve root issue or is it due to some other complications. I had done CBC test, LFT, KFT, Routine Urine and stool test around one month back and the reports were all normal.
Ans: This would need a thorough examination in addition to the tests that were done. The possibilities are nerve root pain both in the lumbosacral and cervical areas accounting for the arms pain and pelvis and leg pain, vitamin B12 deficiency, folic acid deficiency, or a kind of nerve inflammation. Please do keep your appointment with Dr Bapat on 29th and in fact you may please come meet me as well on the same day.
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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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Mam, my son has just completed his 12 class in commerce stream. His self confidence is low and in exams he failed to give his 100% and score low marks than his capability. His is also careless in studies. please guide how we can help him and how he can improve on this. We are very much disturbed due to this. Please help...
Ans: Dear Lakhbinder,
That age is a very confusing time for youngsters as they not only have to deal with the expectations of the school and parents but also 'fit in' with their peers.
It is natural to be defocused from academics and not do their best and I do understand your worry especially if he is aiming at a highly academic course after Class 12.

In my experience, working with youngsters, this is what I have understood:

Youngsters are not careless with their studies without reasons.
- They are doing a course which they were forced into or don't have an aptitude for
- They have immense pressure at home and school to perform
- They have been subject to a lot of comparison with those performing well in their class
- They have a lot of unwanted influences through chat apps and social media apps
- They are constantly monitored as to how much effort they are putting
- They are simply giving into their rebellious streaks given the age

It could be any of the above. Do identify and if there are things as a parent you can do, kindly step in NOT as a friend but by being more accepting and FRIENDLY. If it's about focus orientation, seek an expert who in one session will be able to help him through re-training the mind hacks which are simple to follow with amazing results.

All the best!
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