Activity restriction is the voluntary restriction of physical activity limited to certain parts of the body affected or the whole body as a part of the therapy in muscle, spine, bone, and nerve conditions for pain alleviation and faster recovery. They are also advised in pregnant women. Some orthopedic and neurologic conditions can cause restricted activity and range of motion, in which regard it is a pathology.
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From the MRI, kindly explain the severity of my low back pain.
Query: Hi doctor, I have low back pain, spasms, leg weakness, and neuropathy. I had an exacerbation five years before, and the current one is severe. I had MRI and blood tests. The reports are enclosed here. Read Full »
Answer: Hi,Welcome to icliniq.com.Your problem is sciatica, but it has not yet progressed to a severe stage.At this stage, you need rest and the following treatment. Consult your specialist doctor, discuss with him or her and take treatment with consent.Tablet Aceclo SR (Aceclofenac) as needed, do not use c... Read Full »
What is the treatment for lower spine injury?
Query: Hi doctor, I am a 29 year old male. My height is 176 cm and weight is 77 kg. I have pain in my right buttock for the past seven days. I tried to push the bed with leg and this caused some injury in the lower spine. Please refer to MRI report that I have attached. My MRI opinion is as follows. MRI l... Read Full »
Answer: Hi, Welcome to icliniq.com. According to the report (attachment removed to protect patient identity), you are suffering from disc herniation at multiple levels with degenerative disease of spine with L4, L5 and S1 nerve compression due to injury and thus cause your pain. The loss of lumbar lo... Read Full »
My 25-month-old daughter does not react to her name and lines up the toys. Do these symptoms suggest autism?
Query: Hello doctor, My daughter is 25 months old and does not react to her name and does not play with toys appropriately. She only lines them up and does not want anyone to play with the toys. If you show her how to play with them, she takes them off someone’s hand and lines them up again. She does not... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. Yes, delayed language development, the likeness of sameness, lining toys, and not reacting to names could be early symptoms of autism. I need information about the following to assist further. Does she make eye conta... Read Full »
My partner is experiencing severe pain in getting up and limited mobility after breaking her rib. What to do?
Query: Hi doctor,My partner is in her early seventies and she has broken her rib for the last ten days. There is very limited mobility and severe pain in getting up.She has been taking the tablet Deplatt A 75 mg and the tablet Ivabrad 7.5 mg twice daily. She is also taking the tablet Thyronorm 75 mg, the t... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through the X-ray and blood reports (attachments removed to protect the patient's identity). She has a compression of the lower thoracic vertebra and also some rib injuries which are difficult to see on X-rays and have to be correlated clinically. The doctor's... Read Full »
Is there a way to treat Osgood-Schlatter disease in both my knees?
Query: Hi doctor, I have Osgood-Schlatter in both knees and have had it for three years now. Should it be healed by now? Is there anything you can do to fix it by surgery? My knee is not stable and giving way. I have been to more than 20 physio appointments for my knees to strengthen the muscles around, bu... Read Full »
Answer: Hello, Welcome to icliniq.com. Osgood-Schlatter is a problem of the apophysis of the tibia where the patellar tendon attaches. It is a painful condition and is treated with local therapy and activity reduction till the patient stops growing. Usually, the pain settles down at that stage, but the bump... Read Full »
Can you carry on exercising with knee pain?
Query: Hi doctor, I am a 24 year old female. My height is 5'5" and weight is 58 kg. I am a cyclist and, to a lesser extent, a runner. For the past one week, I have been getting pain in the back of my left knee. It hurts when I walk and not just doing sport. It is the movement of pushing off from the groun... Read Full »
Answer: Hello, Welcome to icliniq.com. From your description, it appears that you may have anterior knee pain which sometimes presents as pain at the back of the knee. The second possibility is that you have over done your exercise and hamstrings are sore and the lower end of the knee cap is inflamed. Eith... Read Full »
My daughter has osteochondral defect in left ankle. What are the precautions to be taken?
Query: Hi doctor, My seven-year-old daughter has developed some pain and tenderness in the left ankle before twenty days back. She avoided doing weight-bearing on that side due to pain. She does not have a history of trauma and significant medical history. She has mild eczema and it has improved over a pe... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your daughter's MRI report (attachment removed to protect patient identity). There is an osteochondral defect in the medial talar dome. These are uncommon lesions seen on MRI (magnetic resonance imaging) due to ankle sprain. This is an early lesion a... Read Full »
How is increased uric acid treated?
Query: Hi doctor, Since yesterday morning, I have been having an acute pain and stiffness in the joint of the big toe on the left foot. Also, there is a little amount of swelling. The symptoms are similar to elevated uric acid levels. Four years ago, I had a spike in uric acid levels. I have given my samp... Read Full »
Dr. J. Mariano Anto Bruno Mascarenhas
Answer: Hi, Welcome to icliniq.com. I have gone through your query with diligence and would like you to know that I am here to help you. I suggest tablet Naproxen 500 mg twice daily and tablet Indomethacin 50 mg three times daily. These are generic names. Please consult your doctor, discuss with him or her ... Read Full »
Please suggest treatment for my arm that got trapped in a door.
Query: Hi doctor, I got my arm trapped between a metal pole and an electrically controlled door. The blood flow was cut off for around 30 seconds to a minute. My arm is quite painful and swollen. It has some blood spots and my wrist hurts when I bend my hand and fingers. Do I need to see a doctor? Is it sp... Read Full »
Answer: Hi, Welcome to icliniq.com. Having blood spots over the skin is a sign of the hematoma (blood collection), which could be the cause of soft tissue injury in that area. You need to see a doctor if you observe any of the following. Watch for the color of your arm and the injured area. If it is turning... Read Full »
There is bruising and pain in my hip.What is the remedy?
Query: Hello doctor, I am having pain and light bruising below my left hip since a week. It was not caused by banging/slamming into something. I was doing stomach crunches and then went for running. I felt discomfort initially while running, then got progressively worsened. Movement was matched with int... Read Full »
Answer: Hello, Welcome to icliniq.com. You have mentioned pain and bruising around your hip region since a week after physical exercise. What I can make out is that you have had a soft tissue injury which can be exactly pointed out with physical examination. I can tell you a general protocol for soft tissue... Read Full »