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Questions & Answers

Q&A

Answered by Dr. Atul Prakash

How do I manage chronic lower back pain and a disc bulge?

Hello, Ideally I would have like to see the films myself as the interpretation of an opinion without clinical examination findings had a limited value. It is obvious from the report that the Neves care not being compressed either in the canal or in the lateral recess. The problem is it does not explain the recent onset of tingling in your left leg and pain in the toe. The disc Bulge is more on the left though and the only explanation is that the punching of the nerve is dynamic with certain positions bringing about the symptoms while the MRI done in a straight posture and lying down does not replicate the offending posture. The way to go about will be to try root injections as if the symptoms are relieved temporarily it will help by pinpointing the exact nerve which is the source of symptoms and help direct surgery or will rule out the spine as the source of your symptoms and you may then have to try to do the nerve conduction studies to get to find out the exact cause Hope this helps Thank you..

June 23, 2026

What is the MRI interpretation of a golfer's elbow?

Hi, Welcome back to icliniq.com. I understand your concern. Looks like you have managed to upload only the initial cuts of a set of four to eight. I need to see the series on T1, T2, axials, sagittal and coronal views to comment. There must be over 60 to 80 images.

June 23, 2026

Is my leg discomfort caused by the COVID vaccine?

Hello, Welcome to icliniq.com. It is a coincidence that you experienced discomfort in the right buttock region after the COVID-19 vaccination. As you mentioned that you are not doing much physical activity and tend to sit down for extended periods due to online classes, I suspect this is posture-related and probably due to the sacroiliac joint. You need to see a doctor as a clinical examination will determine the exact cause. I suggest you take anti-inflammatory tablets in the meantime.

June 16, 2026

Although I am on vitamin D supplement, why does the knee pain persist?

Hi, Welcome to icliniq.com. I feel that the two problems are indirectly related, but not causative. Vitamin D deficiency leads to muscle pain, bone pain and also muscle weakness. The pain in the knee that you are suffering is called anterior knee pain, which is due to a muscle imbalance leading to the patellar tracking going off-track. The muscle pain and bone pain due to vitamin D deficiency will take six weeks to settle, but the anterior knee pain needs you to exercise under physiotherapy supervision to improve knee symptoms (while stair climbing).

June 11, 2026

Can knee arthroscopy cause scoliosis and pain?

Hello, Welcome to icliniq.com. Scoliosis is a structural problem, and knee pain will not cause this. Arthroscopy can rarely lead to the formation of a blood clot; however, it is not a known risk factor for DVT (deep vein thrombosis), as you are likely to mobilize very quickly, and the procedure is usually brief. Scoliosis does not add to the risks either. I hope this helps.

June 5, 2026

Will a pinched nerve in the neck affect the wrist?

Hi, Welcome to icliniq.com. There is a phenomenon of double crush syndrome where two smaller compressions add to the significant issues and symptoms. You may have a compression of the median nerve at the wrist called carpal tunnel syndrome, while compression on the roots of the neck can also lead to these symptoms at the wrist. So, the neck and wrist symptoms are related. You need to wear a wrist splint, do neck strengthening exercises, avoid having poor posture, and avoid working on the laptop.

June 3, 2026

I am 35, male. What exercises can help reduce RA pain?

Hi,Welcome to icliniq.com.I have read your query and can understand your concern.Rheumatoid arthritis is an autoimmune condition and has a progressive course left untreated. One can suffer severe swelling of joints, persistent pain, and, later on, difficulty in performing simple tasks of independent living.You need to ask your doctor about both the tablet Methotrexate and biologics, which are now available and more effective in improving long-term outcomes than anti-inflammatory tablets used alone.

June 3, 2026

Can lockjaw treatment exercises help my son's jaw?

Hi, Welcome to icliniq.com. I understand your concern. I would say it is a case of the temporomandibular joint, and it is usually self-resolving. It can be severe if the cartilage gets torn inside the joint. So, I will suggest you, Have an MRI (magnetic resonance imaging).

June 2, 2026

Why do I have mild to moderate hip pain post-menopause?

Hello, Welcome to icliniq.com. I wanted to know, Is the pain in the front (deep groin), on the side of the hip bone, or at the back and buttock region? Are you able to walk and bear weight on the affected side? Is there pain at rest and night? Try a Paracetamol and Tramadol combination after consulting a specialist doctor. Get an X-ray of the hip and pelvis if the pain persists. I hope this answers your questions. Please feel free to follow up whenever needed.

May 29, 2026

How to cure severe pain in my right arm and joints, which started after developing goiter?

Hello, Welcome to icliniq.com. Do you have morning stiffness? Do the small joints of your hand feel swollen in the morning? Do you respond to arthritis medications? Which medications have you been taking? Please get erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), RA (rheumatoid arthritis) factor, and anti-CCP (anti-cyclic citrullinated peptide) tests done to rule out rheumatoid arthritis. Please follow up with the reports. Thank you..

May 15, 2026

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