Dr. Divakara. P
Internal Medicine
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I am a 35 year old male. For the past two years, I am suffering from muscle pain near ankle and also have muscle tightness in both feet while sleeping. Please help.
Hi,
Welcome to icliniq.com. Your problems could be due to arthritis of ankle joint or due to bone weakness. I recommend you to get the following tests done and revert back with reports. C-reactive protein (CRP), serum uric acid, serum vitamin D3 levels and rheumatoid arthritis (RA factor). You can use tablet Zerodol-MR (combination of Aceclofenac, Paracetamol and Tizanidine) twice a day till you revert back with reports.
Patient's Query
Hello doctor,
I am attaching the reports and pictures of areas with pain. I want to notify that it is very much difficult to stand for a long time. My foot sole always paining and does not have plantar fasciitis. Please help.
Hi,
Welcome back to icliniq.com. I went through your reports (attachment removed to protect patient identity). Your vitamin D is low. I recommend you to take Cholecalciferol sachets weekly once for three months. Your CRP (C-reactive protein) and uric acid levels are normal. So, the pain is very much likely due to vitamin D deficiency causing weakness of bones. You can take painkillers like Zerodol P (combination of Aceclofenac and Paracetamol) twice a day for a week for pain relief. In addition, I recommend you to learn yoga and do it every day.
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Internal Medicine
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