These are the agents used to control pain sensations by blocking the signals that are transmitted through the peripheral nerve fibres. These are used in the form of sprays, gels, ointments, and solutions. These are available in two forms: Non-aqueous: ethyl aminobenzoate (benzocaine), lidocaine base and Aqueous forms: benzyl alcohol, tetracaine hydrochloride, and lidocaine hydrochloride.
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Why does my lower back aches occur every three to four months?
Query: Hello doctor, I have low back pain since 5 years. The pain comes once in every 3 to 4 months. The pain is more in the morning and less in the evening. Why does this pattern occur? Please advise. Read Full »
Answer: Hello, Welcome to icliniq.com. You have mentioned persistent low back pain for 5 years as your main problem. It is a known scientific fact that when you go to bed, the muscles in the body relax subconsciously, due to which any inflammatory pain is felt more. When you start with some activity, then... Read Full »
Please advise the best treatment for heel pain.
Query: Hi doctor, I have started getting heel pain after exerting in tennis. Please see the photo of the pain area marked in red. Initially, I had continuous pain while walking. It is slightly more on the first few steps after rest or sleep. My physiotherapist suggested it could be a plantar fasciitis and ... Read Full »
Answer: Hello, Welcome to icliniq.com. You have mentioned pain in the area of heel region, which has been marked by you and it looks like plantar fasciitis, which has already been mentioned to you. Just let me know whether there are any other signs and symptoms of inflammation like skin redness, ... Read Full »
Will painful sores on gum due to hard brushing heal on its own?
Query: Hello doctor, I think I brushed my gums hard and noticed that my right upper gum got hurt, and it looked red. Then a couple of days later, two white sores appeared. I will see a dentist soon, but since I am traveling, I will not be available for four days and got scared it is something terrible. I ... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your query and attachment (attachment removed to protect patient identity) and understood your concern. Please do not be worried. This is a simple traumatic ulcer (gum ulcer caused due to injury). Any gum ulcers take at least a week to ... Read Full »
Why am I getting knee pain even with simple activity?
Query: Hi doctor,I am a 27 year old male. My weight is 85 kg and height is 179 cm. About 2 years ago, I participated in a half marathon. On that day, I started feeling pain in both knees above the patella. I think in quadriceps tendon. I followed RICE and the pain went off. But, after that, whenever I do s... Read Full »
Answer: Hi, Welcome to icliniq.com. Considering your symptoms and pain, I have a few points to mention. It is possible that the pain is due to quadriceps pull. However, a condition called chondromalacia patellae should also be ruled out. Do you have pain in climbing upwards or upstairs? I wou... Read Full »
21 months old has scratched herself near her clitoris. What can be done?
Query: Hello doctor, My 21 months old daughter has scratched herself near her clitoris and I was wondering what is the best action to take or remedy is. Please advice. Read Full »
Answer: Hello, Welcome to icliniq.com. The best thing to do would be to clean the scratch with lukewarm water, dry it and then apply ointment Soframycin locally over the scratch. This application to be repeated thrice a day and it should heal in next 48 hours. Also, it is important that she does not scrat... Read Full »
My ankle is swollen and paining after it got twisted. What to do?
Query: Hello doctor, I was running, and I fell into a pit. My ankle got twisted, and I could feel some cracking sound. I had a swollen ankle immediately. I have been icing for 2 days and now the swelling has reduced. I am unable to walk. I have pain when I try to move or walk. I had a fracture fibula of t... Read Full »
Answer: Hello,Welcome to icliniq.com.As there is a history of twisting injury to your ankle with a kind of cracking sound or sensation which you have felt, I will advise you to undergo an immediate x-ray of the affected part to rule out any bone injury. X-ray ankle (anteroposterior and lateral views). Getti... Read Full »
Is my back pain, a nerve problem?
Query: Hi doctor, I am having pain in my right side lower back only if I bend or try to wear my trouser. Also, it is there if I am standing and trying to raise my leg. Even while walking I feel little pain. If I lie in bed or stand straight, then there is no pain. What is the reason and what medicine ca... Read Full »
Answer: Hello, Welcome to icliniq.com. There are three possibilities for your pain. It could be one out of these three conditions or a combination of them. Intervertebral disc prolapse. Lumbar canal stenosis. Para vertebral muscle spasm or lower back strain or lumbago (low back pain). If the pain in the low... Read Full »
What is your recommendation for my father's back pain?
Query: Hi doctor, My father is suffering from lower back pain for four months. His age is 63. His weight is 74 kg and height is 5'3". His x-ray report has been attached with this. Please consider and give us advice for further treatment. He is using a belt to control the back pain and homeopathy medicines... Read Full »
Answer: Hi, Welcome to icliniq.com. You have mentioned that your father has been suffering from lower back pain since four months and it appears that he is on homeopathic medications for his pain. There are many causes of pain in the lower back region. It can be due to faulty posture, related to weak muscle... Read Full »
I have sharp pain in my ribs when I am breathing. How can I get relieved?
Query: Hi doctor, While working out today, I was doing a shoulder press. I was doing it too fast, and at one point, I got a sharp pain in my back, near where my ribs meet my spine. Since then, I am also having very sharp pain when inhaling and exhaling, as well as when rotating my torso or neck. Should I ... Read Full »
Dr. Hafiz Muhammad Hassan Shoukat
Answer: Hi, Welcome to icliniq.com. It looks like you have muscle spasm or strain. You can use over-the-counter Motrin 600 mg (Ibuprofen) twice or thrice a day with the meal for two to three days and there are topical analgesics available for the gentle massage. It will get better within two to three days... Read Full »