Tens

Tens stands for transcutaneous electric nerve stimulation. It is a therapeutic process that involves the delivery of harmless electric currents through an affected joint to both stimulate the nerves and to restore functionality by reducing pain.

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My shoulder has slipped multiple times during sport. What do I do?

Query: Hello doctor, I am a softball player and my position is the catcher. I have been playing my position for two years and in these two years, my left shoulder has partially slipped at least 50 times or more. It has been bothering me a lot even when I am not doing anything. What do I do?  Read Full »


Dr. Vaibhav Ramesh Gandhi

Answer: Hello, Welcome to icliniq.com. For recurrent shoulder dislocation, you need further investigation and treatment. MRI might show Hill-Sachs lesion or Bankart lesion which are injuries of the shoulder joint due to repeated dislocations. Hill-Sachs injury is a bony defect and you may need investigat...  Read Full »

How can I resolve my right lower back pain?

Query: Hi doctor, I have right lower back pain from the past two years. I have enclosed my MRI reports. I take Nucoxia 60, whenever needed, 3 to 4 days when pain increases. I cannot tolerate anti-inflammatory medicine due to stomach upset. The pain always remains, but it reduces when I lie on my stomach. ...  Read Full »


Dr. Atul Prakash

Answer: Hello, Welcome to icliniq.com. I would have preferred to see the MRI films myself rather than just the to report (attachment removed to protect patient identity). You seem to be describing symptoms of back pain rather than leg pain. This matches with the MRI report that does not show a disc prolapse...  Read Full »

Can cortisone injection help in treating tennis elbow?

Query: Hi doctor,My mother is 71 years old, and she is suffering from pain in the right arm for more than a month now. She has pain in the elbow, shoulder, wrist, and fingers. She is not able to grip even light objects with the fingers. We consulted an orthopedic doctor, who is suspecting tennis elbow. He ...  Read Full »


Dr. Atul Prakash

Answer: Hello, Welcome to icliniq.com. It is very unusual for a 71 year old woman to get tennis elbow, so I am not sure that it is the correct diagnosis. Assuming the diagnosis is correct, then I will recommend waiting and continuing physiotherapy, ultrasound therapy, TENS (transcutaneous electrical nerve ...  Read Full »

How do we manage neuropathy in diabetic patients?

Query: Hi doctor, My mother is a 55-year-old female who took her first dosage of the vaccine before 25 days. Now she suffers from hand and leg pain on the side the vaccine was taken. She is not having a proper sleep because of this pain. If the spray is used, she is getting relief, but the pain is once ag...  Read Full »


Dr. Nageswara Rao

Answer: Hi, Welcome to icliniq.com. Which part exactly is she having pain? Pain may be due to neuropathy or reduced Calcium and Vitamin D (possibly). In diabetics, it is more likely to be neuropathy. Therefore, she needs Calcium supplements and high-dose Vitamin D. I suggest her with: Tablet Shelcal ...  Read Full »

What is the therapeutic management for multilevel cervical spondylosis?

Query: Hello doctor, I have an impression in the MRI, which suggests multilevel cervical spondylotic changes. There is a 2 mm disk protrusion on the left C6-C7, along with 1.5 mm bulging in the central and right paracentral disk at the C4-C5 level. Can you help me with what I have to do?  Read Full »


Dr. Atul Prakash

Answer: Hello, Welcome to icliniq.com. To be more precise, I need to know about your symptoms, such as the location of pain in the neck and arms, nature of pain, any weakness in the arms and hands, stiffness, duration of symptoms, and response to treatment taken so far. However, with the report you have sen...  Read Full »

Can disc hernia cause issues with hands and legs?

Query: Hi doctor, I have a herniated disk in the neck area. Later, my right hand started tingling and the numbness grew more pronounced. I also started having burning pain on the back of both thighs. I have had some muscle twitching down my right arm. I am having accuracy issues with typing now. I had ano...  Read Full »


Dr. Akshay Kumar Saxena

Answer: Hello, Welcome to icliniq.com. You have mentioned herniated disc in your neck region with right upper limb symptoms and also associated bilateral thigh symptoms, which we call as paresthesias. But, my main focus is on the symptom of difficulty in writing, including accuracy issues, which definitely ...  Read Full »

What causes left arm and collar bone pain?

Query: Hi doctor, My wife is 32 years old. She is complaining of collar bone pain on the left side and left arm pain. Whenever there is some movement, she feels the pain. We consulted a doctor before six months. She was fine for some time, but it has started again now. Please help.  Read Full »


Dr. Atul Prakash

Answer: Hello, Welcome to icliniq.com. Looking at the investigations done (attachment removed to protect patient identity); I feel that it is not a cardiac issue. If the pain is worse with movements as you say, I presume you are talking of neck movements or the shoulder movements again, it points towards a...  Read Full »

What is the remedy for difficulty and tightness in the neck while moving?

Query: Hello doctor, I have a disc problem in my neck area on the right side. There are thickness and difficulty in moving the neck in the rightside and there is a sound if I move my neck to the right. Nerves in the neck seem tight when I swallow, and I also have a thickness in backside of the jaw. I hav...  Read Full »


Dr. Anuj Gupta

Answer: Hello, Welcome to icliniq.com. Do you have radicular pain or tingling or numbness in any of your upper limb?  Read Full »

Can shoulder labrum tear be healed without surgery?

Query: Hi doctor, I am a 26 year old female. I sustained a shoulder injury while working out and it turned out to be a labrum tear. I can rotate my arm without any problem. I feel the pain only while playing badminton. The doctor has suggested surgery and I do not want to go for it. Kindly go through my re...  Read Full »


Dr. Sumit Chawla

Answer: Hello, Welcome to icliniq.com. I have gone through your history as well as the MRI report attached to it (attachment removed to protect patient identity). I would recommend surgery to you if you wish to continue playing badminton or any activity with overhead action or involving throwing activity. I...  Read Full »

What can I do for knee lock due to hyperextension?

Query: Hello doctor, My knee is locked in hyperextension. I had an injury on my knee had lateral damage that was fixed by knee scope. This was successful, however, about two months ago, I twisted the wrong way and my knee got caught in hyperextension. I saw my Orthopedic surgeon and he told me I had a high...  Read Full »


Dr. Manav Gupta

Answer: Hello, Welcome to icliniq.com. From what I can read and understand by the brief history you have given is that there can be damage to ligaments and meniscus in your knee. Can you please elaborate on the range of motion of your knee? If it is barely movable it means that probably some tissue (eith...  Read Full »

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