B/l legs pain & stress fractures

16 years old female C/o bilateral lower extremity pain that has gradually worsened over the past 2 months. She is into regular running, runs 5-6 kms everyday She has been under going vigrous training from lat 1 year. She states that she consumes a normal diet and has had a regular menstrual cycle for the past year. A bone density test -Normal. MRI is obtained and shows bilateral tibial stress fractures. She is vata pitta prakriti 7 has samanya agni bala

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Stopping the activity that is causing pain. Stress fractures happen because of repetitive stress and overuse, so it’s important to avoid the activity that led to the fracture. Applying an ice pack (10 minutes) or ice massage (ice cube rub for three to five minutes) to the injured area. Resting for roughly two to eight weeks. Cross training by doing non-impact exercise (like a using a pool or bike) after discussion with your doctor may be allowed. Eventually, once you can perform low-impact activities for extended periods without pain, you can start doing high-impact exercises. Often, physical therapy can be very helpful in returning to activities and making adjustments to avoid reinjury. Adjusting your position if there is swelling in your leg, ankle or foot. You can lessen the swelling by elevating your leg — raising your foot above the level of your heart — while you’re lying on your back. Taking nonsteroidal anti-inflammatory medicines to help relieve pain and swelling. Using protective footwear to reduce stress on your foot or leg. This may be stiff-soled shoe, a wooden-soled sandal, or a post-op shoe which has a rigid sole. Using crutches to keep weight off your foot or leg until the bone heals.

हडजोड़ का चूर्ण बनाकर 10 ग्राम सुबह-शाम दूध के साथ दे। महानारायण महामासादि तेल को मिलाकर मालिश करें और फिर उस पर एरंड का पत्ता रख कर उपनाह बांध दें। महायोगराज गुगल अन्डी के तेल में मिलाकर सुबह-शाम सेवन कराएं। महारास्नादि क्वाथ 25 ग्राम सुबह-शाम खाने के बाद दें। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।

Rx cal.phos.200/3dose weekly SymphytumQ tds for 15 days C.P.6x tds for 15 days

Asthi Poshak Vati Ashwagandharishta Take Complete Rest,Stop Running Activity.

Rest for 3 weeks Sahacharadi thailam+ Dhanwanthara thailam+ Bala thailam external application regularly Pancha karma treatment advisable

Apply Shilajeet paste over the area and crepe dressing. Orally also advise Shilajeet capsules and lakshadi guggul.

Dear Dr. Vinod Mahajan Sir, Advice for the case. Tab. Laxadi guggulu 2 tds. Liq. Punarnavadi Kashya 20 ml tds.

Maha yograj guggulu Maharasnadikwath Ashvagandharisth Zandu keshri jivan

1. Asthiposhak vati 2. Punarnavadi kashaya 3. Mahalia yogaraja guggulu

Complete bed rest adv. And antiinflametry zyme and calcium sachet

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