Tab. Urtiplex Haridrakhand Prakshalan with panchvalkal kawath Gandhakraj rasayan
गर्मी के दिनों में होने वाला शीत पित्त है। चिकित्सा संबंधी योग,,, शीत पित्त भंजन रस सुबह शाम सेवन कराएं हरिद्रा खंण्ड 10 ग्राम सुबह-शाम खाने से पहले दें। चंन्दनासव 25 ग्राम सुबह-शाम खाने के बाद दें। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।
Advise for local application of Cutis Ointment in afternoon and Mahamarichyadi Tailam before sleeping Chandanasava Kaishor Guggulu Arogyavardhini Vati Trikatu Churna + Manikya Rasa +Giloy Satva =BD with luke warm water
First rule out underlying Amlapiita and ajeerna..nidan parivarjan Tab.Arogyabardhini 2BD Tab.Bresol 1TDS Tab.Gandhak Rasayan 1BD Haridra khand churn Tds, Avipatikkar HS, mahamarichyadi tailam L/A
Haridra Khand Urtiplax Cap Giloya Ghan Vati Pancha Tikta Ghrita Guggulu Prakshalan With Neem Patra luke warm water Local Application of Urtiplax Lotion. Avoid Spicy food and Sunlight.
Dear Dr. Vinod Mahajan Sir, Advice for the case. Maha Manjisthadi Quatha 30 ml BD. Gulkand praval yukta 1 tsp BD. Take bath with Nimba Patra water.
Haridrakhand Arogyaverdhini vati Gandhak rasayan Gandhkadi malham Shathdhout ghrita Panchtikta ghrita guguul Khadiraristh Mhamanjisthadi kwath
Rx Tab Gandhaka rasayan 1BD Tab Kaishora Guggulu 1BD Mahatiktakaghritam e/a If not suside do Jalukavacharana
Dx Can be PMLE, as far as treatment is considered I'm sure the ayurvedacharyas will be able to guide you doctor.
Haridra khand Laghu suta shekhar ras Urtiplax capsules Gandhaka Rasayana Bath with Neem leaves
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ABC OF : RESTLESS LEG SYNDROME ( RLS ). MAY BE USEFUL. *** Restless leg syndrome (RLS) IS A COMMON CAUSE OF PAINFUL LEGS. The LEG PAIN of restless leg syndrome TYPICALLY EASES WITH MOTION of the legs and becomes MORE NOTICEABLE AT REST. Restless leg syndrome also features WORSENING of symptoms and leg pain DURING the EARLY EVENING OR LATER AT NIGHT....... Restless leg syndrome is often abbreviated RLS; it has also been termed SHAKING LEG SYNDROME. Nighttime involuntary jerking of the legs during sleep are also known as PERIODIC LEG/LIMB MOVEMENT DISORDER....... ***** Restless leg syndrome (RLS) FACTS :- ** RLS s a condition marked by UNPLEASANT LEG SENSATIONS WHILE RESTING....... ** Restless leg syndrome frequency LEADS TO INSOMNIA....... ** The CAUSE of restless leg syndrome is UNKNOWN IN MOST INDIVIDUALS, BUT MANY CONDITIONS have been ASSOCIATED WITH IT....... ** SYMPTOMS of restless leg syndrome are aching and an URGE TO MOVE THE LOWER EXTREMITIES....... ** TREATMENT of RLS is DIRECTED TOWARDS ANY UNDERLYING ILLNESS, IF KNOWN....... ** MEDICATIONS are AVAILABLE FOR RLS....... ** HOME REMEDIES for restless leg syndrome INCLUDE :- QUITTING SMOKING, REDUCING CAFFEINE, WEIGHT REDUCTION for the overweight, WALKING, QUININE WATER, and IRON SUPPLEMENTATION for those that are iron deficient....... ** RLS IS GENERALLY NOT CONSIDERED CURABLE, MAY PERSISTS LIFELONG BUT TREATMENTS CAN SUBSTANTIALLY LESSEN OR ERADICATE SYMPTOMS....... **** D / D :- Other CONDITIONS that my MIMIC restless leg syndrome include :- POOR CIRCULATIONTO THE LOWER EXTREMITIES, PARKINSON'S DISEASE, FIBROMYALGIA, MUSCLE DISEASES, JOINT CONDITIONS, NERVE PROBLEMS such as PERIPHERAL NEUROPATHY caused by diabetes (DIABETIC NEUROPATHY), and CIRCULATION DIFFICULTIES. *** IN CHILDREN, RLS IS OFTEN MISDIAGNOSED AS "GROWING PAINS." ***** CONDITIONS ASSOCIATED WITH RLS :- * PREGNANCY, * OBESITY, * SMOKING, * IRON DEFICIENCY AND ANEMIA, * NERVE DISEASE, * POLYNEUROPATHY (which can be associated WITH HYPOTHYROIDISM, HEAVY METAL TOXICITY, TOXINS, and many other conditions), * other hormone diseases such as DIABETES, and * KIDNEY FAILURE (which can be associated WITH VITAMIN AND MINERAL DEFICIENCY). *** SOME DRUGS AND MEDICATIONS HAVE BEEN ASSOCIATED WITH RLS INCLUDING : CAFFEINE, ALCOHOL, H2-HISTAMINE BLOCKERS and CERTAIN ANTIDEPRESSANT (such as amitriptyline....... ** OCCASIONALLY, RLS RUN IN FAMILIES. ** RECENT STUDIES have SHOWN that restless leg syndrome appears to become MORE COMMON AS A PERSON AGES. Also, POOR VENOUS CIRCULATION OF THE LEGS (such as with VARICOSE VEINS) can cause restless leg syndrome....... *** SYMPTOMS OF RLS :- Many different symptoms are described by people with restless leg syndrome, for example: LEG PAIN, CRAMPS, TINGLING, ITCHY, BURNING....... DIAGNOSIS OF RLS :- The National Institutes of Health (NIH) SAYS that FOUR CRITERIA must be met FOR the DIAGNOSIS OF RLS in a person (ADULT or CHILD) : 1. A STRONG URGE TO MOVE LEGS. This urge OFTEN, but NOT ALWAYS, occurs with UNPLEASANT FEELINGS in legs. 2. WHEN the disorder is SEVERE, patient also may have the URGE TO MOVE her/his ARMS. SYMPTOMS that start or get WORSE WHEN patient is INACTIVE. The urge to move increases when she /he is sitting still or lying down and resting. 3. RELIEF FROM MOVING. Movement, ESPECIALLY WALKING, HELPS relieve the unpleasant feelings. 4. SYMPTOMS that start or get WORSE IN the EVENING OR AT NIGHT. Rx :- TREATMENT of restless leg syndrome is first DIRECTED TOWARDS ANY UNDERLYING ILLNESS, if known. FOR EXAMPLE: BLOOD TESTING to reveal underlying IRON DEFICIENCY ANEMIA may reveal the underlying cause. If VARICOSE VEINS are thought to be the cause, then SURGERY to repair the circulation may be considered. REDUCTION OR ELIMINATION of CAFFEINE, NICOTINE, and ALCOHOL from a person's diet can be very HELPFUL. STOPPING SMOKING can significantly diminish or prevent symptoms. Getting BETTER SLEEP and EXERCISE can HELP some persons affected by restless legs. ** PREGNANT WOMEN who do not sleep well at night AND other PEOPLE WITH SLEEP DISORDERS MAY DEVELOP RLS. MEDICATIONS USED TO TREAT RLS :- Considering the situation MEDICATIONS used to treat restless leg syndrome INCLUDE : NATURAL SUPPLEMENTS (such as IRON), CARBIDOPA-LEVODOPA, OPIOIDS, CARBAMAZEPINE, CLONAZEPAM, DIAZEPAM, TRIAZOLAM, TEMAZEPAM, BACLOFEN, BROMOCRIPTINE, CLONIDINE, GABAPENTIN, GABAPENTIN ENACARBIL, ROPINIROLE and PRAMIPEXOLE.......Dr. Puranjoy Saha20 Likes29 Answers
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Know Where Your Heart Is and How to Identify Heart Pain. Heart muscle is the strongest tissue in your body. It is responsible for pumping the oxygenated blood (obtained from lungs) to the rest of the body via comprehensive circulatory system. Why is it important to know heart location? For starters, it helps in categorizing the cardiac symptoms for the urgency of medical attention such as chest pain. Most people are fearful and anxious as they believe that chest pain is only associated with heart problem or ischemic injury of cardiac muscles. The truth is that not all the chest pains have association with the heart. Nonetheless, it is not something to be ignored. Where Is Your Heart Located? It might be a shocker for some of you, but hearts isn’t really located on the left side of your chest. It lies between the right and left lungs, in the middle of the chest and slightly towards the left of the breastbone. The heart is enclosed in the pericardium which is a double layer. This pericardium is attached to the diaphragm, spinal column and other parts via strong ligaments. Inside, heart is hollow and divided into 4 chambers: the upper 2 chambers are called left and right atria whereas the lower ones are called the left and right ventricles. A muscle wall (also known as interventricular septum) divides the left and right ventricles and atria. Left ventricle is the strongest chamber of the human heart. In rare cases, the heart is located towards the right side. This condition is called dextrocardia and is congenital in nature. When Are Chest Pain Heart Related? You already have a quick grasp on “where is your heart located?”, but the location of the pain can’t correctly tell if the pain is heart related. Here we are going to discuss the symptoms of several chest pains which are associated with heart. 1. HEART ATTACK Heart attack results from the occluded blood vessels that carry blood to the heart. The patient may experience the following signs: Fullness or squeezing sensation in the chest. It may come and go or may last for several minutes, steadily.The chest pain radiates to jaw, neck and arms.You may experience additional symptoms like difficulty in breathing, vomiting and nausea. According to the Association of American Family Physician, the pain radiating towards the arms is an essential indicator of an impending or acute heart attack. On the other hand, sharp pain is usually not the cause behind the heart attack. 2. ANGINA When the blood supply does not meet the demand of the heart muscles, it leads to angina. The pain in angina is more or less similar to that experienced in a heart attack. The pain may aggravate during physical exertion and may disappear upon resting. This is the characteristic feature of stable angina for which you will need a prescription medicine like nitroglycerine. However experiencing pain even when you are resting can mean that you have unstable angina that may increase the risk of heart attack by several folds. 3. COMPARISON BETWEEN CARDIAC AND NON-CARDIAC CHEST PAIN- Characteristics Cardiac Chest Pain Other Chest Pain The time when pain occurs MorningEvening What does the pain feel like?Deep, squeezing, burning, constriction, heaviness, pressure and usually radiates to back, arms and jawLocal, sharp and real pain. Usually limited to one point and can easily be pointed to.What causes the pain?Main trigger may be exertion or movements of upper arms. Exertion during extreme temperature or heavy meals may also cause pain.Mostly happens on its own and heartburn may occur after eating the meals.How long does it last?Once the exertion is reduced, the pain resolves spontaneously.It comes and goes quickly at times may last for several hours.How to alleviate the pain?Avoid exertion.Angina pain worsens while laying back. Make sure you seek immediate medical helpPain maybe alleviated by exertion, exercise or breathing exercise. Pain maybe relieved by antacids, aspirin, paracetamol and ibuprofen. Wet or dry heat may help as well. Caution At times, no chest pain is experienced when a person is having a heart attack. In such cases, the red flags may be inexplicable nausea, sweating, lightheadedness and vomiting. It’s essential to seek medical help in case you can’t figure out how to alleviate these symptoms.If the chest pain or discomfort lasts for longer than 15 minutes or it fails to resolve by glyceryl trinitrate (nitrogycerin/GTN) or rest, you must seek professional medical help as soon as possible.Other Causes of Chest Pain Now that you got the answer of of “where is your heart located” and have a brief idea of the situations where chest pain is heart related, you may want to learn about the conditions in which chest pain is not heart related. The following are some of them. 1. DIGESTIVE DISORDER Chest pain may occur due to following digestive disorders: Heartburn It’s a burning, painful sensation behind the breastbone which occurs due to backwash of stomach acid into the esophagus. Swallowing Disorders Esophageal disorders can make swallowing painful or difficult. Pancreatic or Gallbladder Issues Inflammation of pancreas or gallbladder or presence of gallstones can trigger abdominal pain which may radiate to the chest. 2. MUSCLE AND BONE PROBLEMS Some chest pains result from the structural problems in the chest wall such as: Costochondritis It is characterized by the inflammation and pain in the cartilage (the connective tissue connecting the breastbone and the ribs). Sore Muscles Some chronic pain syndromes like fibromyalgia can trigger persistent muscle associated chest pain. Injured Ribs This is characterized by chest pain due to a broken or a bruised rib. 3. LUNGS DISORDERS Chest pain may result from following lung disorders: Pulmonary Embolism It happens when the disturbance in the blood flow is caused by lodged blood clot in the pulmonary artery. Pleurisy Inflammation of the membrane that covers the lungs may lead to chest pain upon cough or even deep breathing. Collapsed Lung This condition results from the leakage of air into the spaces between ribs and lungs. The associated chest pain may be sudden and last for hours. Pulmonary Hypertension High pressure of blood in pulmonary arteries can lead to chest pain. 4. OTHER CAUSES Chest pain may also result from: Panic Attack Panic attack may bring about intense periods of fear, chest pain, rapid heartbeat, profuse sweating, rapid breathing, shortness of breath, dizziness, nausea and a fear of dying. Shingles When the chickenpox virus becomes reactivated, it often triggers pain and produces a band of blisters from the back to the chest wall. NOTE According to the Harvard Heart Letter, chest pain is less likely to be heart associated if it is relatable to the following description. However, some conditions that are not heart associated may require serious medical consultation. So be sure to get properly diagnosed. Knifelike or sharp pain that occurs when coughing or breathingSudden stabbing pain lasting for a few secondsPain restricted to the either sidesPain restricted to a particular spotPain lasting for several hours or days with no other symptomsPain that occurs with the body movement or pressing of the chestDr. Prashant Ved8 Likes8 Answers
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Friends today I am discussing about a very common problem mostly the working peoples who don't do any exercise can have Cervical Spondylosis. What is cervical spondylosis? Cervical spondylosis is a common, age-related condition that affects the joints and discs in your cervical spine, which is in your neck. It’s also known as cervical osteoarthritis or neck arthritis. It develops from the wear and tear of cartilage and bones. While it’s largely the result of age, it can be caused by other factors as well. Some people who have it never experience symptoms. For others, it can cause chronic, severe pain and stiffness. However, many people who have it are able to conduct normal daily activities. Cervical spondylosis causes The bones and protective cartilage in your neck are prone to wear and tear that can lead to cervical spondylosis. Possible causes of the condition include: Bone spurs These overgrowths of bone are the result of the body trying to grow extra bone to make the spine stronger. However, the extra bone can press on delicate areas of the spine, such as the spinal cord and nerves, resulting in pain. Dehydrated spinal discs Your spinal bones have discs between them, which are thick, padlike cushions that absorb the shock of lifting, twisting, and other activities. The gel-like material inside these discs can dry out over time. This causes your bones (spinal vertebrae) to rub together more, which can be painful. This process can begin to happen in your 30s. Herniated discs Spinal discs can develop cracks, which allows leakage of the internal cushioning material. This material can press on the spinal cord and nerves, resulting in symptoms such as arm numbness as well as pain that radiates down an arm. Learn more about herniated discs. Injury If you’ve had an injury to your neck (during a fall or car accident, for example), this can accelerate the aging process. Ligament stiffness The tough cords that connect your spinal bones to each other can become even stiffer over time, which affects your neck movement and makes the neck feel tight. Overuse Some occupations or hobbies involve repetitive movements or heavy lifting (such as construction work). This can put extra pressure on the spine, resulting in early wear and tear. Risk factors for the condition The greatest risk factor for cervical spondylosis is aging. Cervical spondylosis often develops as a result of changes in your neck joints as you age. Disc herniation, dehydration, and bone spurs are all results of aging. Factors other than aging can increase your risk of cervical spondylosis. These include: neck injuries work-related activities that put extra strain on your neck from heavy lifting holding your neck in an uncomfortable position for prolonged periods of time or repeating the same neck movements throughout the day (repetitive stress) genetic factors (family history of cervical spondylosis) smoking being overweight and inactive Symptoms of cervical spondylosis Most people with cervical spondylosis don’t have significant symptoms. If symptoms do occur, they can range from mild to severe and may develop gradually or occur suddenly. One common symptom is pain around the shoulder blade. Some complain of pain along the arm and in the fingers. The pain might increase when: standing sitting sneezing coughing tilting your neck backward Another common symptom is muscle weakness. Muscle weakness makes it hard to lift the arms or grasp objects firmly. Other common signs include: a stiff neck that becomes worse headaches that mostly occur in the back of the head tingling or numbness that mainly affects the shoulders and arms, although it can also occur in the legs Symptoms that occur less frequently often include a loss of balance and a loss of bladder or bowel control. These symptoms warrant immediate medical attention. When to see a doctor If you have the sudden onset of numbness or tingling in the shoulder, arms, or legs, or if you lose bowel or bladder control, talk to your doctor and seek medical attention as soon as possible. This is a medical emergency. If your pain and discomfort start to interfere with your daily activities, you may wish to make an appointment with your doctor. Although the condition is often the result of aging, there are treatments available that can reduce pain and stiffness. Testing for and diagnosing the condition Making a diagnosis of cervical spondylosis involves ruling out other potential conditions, such as fibromyalgia. Making a diagnosis also involves testing for movement and determining the affected nerves, bones, and muscles. Your doctor may treat your condition or refer you to an orthopedic specialist, neurologist, or neurosurgeon for further testing. Physical exam Your doctor will start by asking you several questions regarding your symptoms. Then, they’ll run through a set of tests. Typical exams include testing your reflexes, checking for muscle weakness or sensory deficits, and testing the range of motion of your neck. Your doctor might also want to watch how you walk. All of this helps your doctor determine if your nerves and spinal cord are under too much pressure. If your doctor suspects cervical spondylosis, they’ll then order imaging tests and nerve function tests to confirm the diagnosis. Imaging tests X-rays can be used to check for bone spurs and other abnormalities. A CT scan can provide more detailed images of your neck. An MRI scan, which produces images using radio waves and a magnetic field, helps your doctor locate pinched nerves. In a myelogram, a dye injection is used to highlight certain areas of your spine. CT scans or X-rays are then used to provide more detailed images of these areas. An electromyogram (EMG) is used to check that your nerves are functioning normally when sending signals to your muscles. This test measures your nerves’ electrical activity. A nerve conduction study checks the speed and strength of the signals a nerve sends. This is done by placing electrodes on your skin where the nerve is located. Treating cervical spondylosis Treatments for cervical spondylosis focus on providing pain relief, lowering the risk of permanent damage, and helping you lead a normal life. Nonsurgical methods are usually very effective. Physical therapy Your doctor might send you to a physical therapist for treatment. Physical therapy helps you stretch your neck and shoulder muscles. This makes them stronger and ultimately helps to relieve pain. You might also have neck traction. This involves using weights to increase the space between the cervical joints and relieve the pressure on the cervical discs and nerve roots. Medications Your doctor might prescribe certain medications if over-the-counter (OTC) drugs don’t work. These include: muscle relaxants, such as cyclobenzaprine (Fexmid), to treat muscle spasms narcotics, such as hydrocodone (Norco), for pain relief anti-epileptic drugs, such as gabapentin (Neurontin), to relieve pain caused by nerve damage steroid injections, such as prednisone, to reduce tissue inflammation and subsequently lessen pain prescription nonsteroidal anti-inflammatory drugs (NSAIDs), such as diclofenac (Voltaren-XR), to reduce inflammation Surgery If your condition is severe and doesn’t respond to other forms of treatment, you might need surgery. This can involve removing bone spurs, parts of your neck bones, or herniated discs to give your spinal cord and nerves more room. Surgery is rarely necessary for cervical spondylosis. However, a doctor may recommend it if the pain is severe and it’s affecting your ability to move your arms. Home treatment options If your condition is mild, you can try a few things at home to treat it: Take an OTC pain reliever, such as acetaminophen (Tylenol) or an NSAID, which includes ibuprofen (Advil) and naproxen sodium (Aleve). Use a heating pad or a cold pack on your neck to provide pain relief for sore muscles. Exercise regularly to help you recover faster. Wear a soft neck brace or soft collar to get temporary relief. However, you shouldn’t wear a neck brace or collar for long periods of time because that can make your muscles weaker. Outlook for cervical spondylosis Cervical spondylosis is a common, and often age-related, condition that can cause stiffness, discomfort, and headaches related to neck pain. On the huge list of Homeopathic medicines for cervical spondylosis, the more effective ones include Rhus Tox, Bryonia Alba, Paris Quadrifolia, Kalmia Latifolia and Cimicifuga Racemosa. Homeopathic Medicines for Cervical Spondylosis and Neck Pain Rhus Tox – Top grade Homeopathic medicine for cervical spondylosis Rhus Tox is one of the top grade Homeopathic medicines for cervical spondylosis. The indicating features for using Rhus Tox are pain and excessive stiffness in the neck. A person in need of Rhus Tox may get relief from warm applications on the neck. Neck massage may provide relief in some cases. Rhus Tox is also one of the well indicated Homeopathic medicines for cervical spondylosis complaint arising after injury to the neck. Neck pain from over straining or overuse also makes a strong case for use of Rhus Tox. Bryonia Alba – Homeopathic medicine for cervical spondylosis that worsens with movement Bryonia Alba is another majorly indicated Homeopathic medicine for cervical spondylosis. The person needing Bryonia Alba experiences pain and stiffness in the neck that worsen with motion. Taking rest relieves the symptoms. Hypericum Perforatum – Best Homeopathic medicine for cervical spondylosis from injury In addition to Rhus Tox, Homeopathic medicine Hypericum Perforatum is a very significant medicine for cervical spondylosis resulting from injury. Major symptoms deciding on Hypericum Perforatum as the best prescription are neck pain that may radiate to the shoulders and a spine that is extremely sensitive to the touch. Tingling, burning, numbness in hands may also be present. Gelsemium – Top rated Homeopathic medicine for cervical spondylosis with vertigo Gelsemium is a very useful Homeopathic medicine for cervical spondylosis with vertigo episodes. The vertigo episodes occur mostly while walking. Movement of the head may also lead to vertigo. Blurring of vision may occur during the vertigo episodes. Silicea – Effective Homeopathic medicine for cervical spondylosis with neck pain radiating up the head Silicea is one of the majorly indicated Homeopathic medicines for cervical spondylosis where pain from the neck radiates upwards to the head. Pain from the neck extends to either the occiput (back of head) or the entire head. In some cases, the neck pain radiates to the head and settles over the eyes. This may be accompanied by vertigo in some cases. Vertigo mainly arise from looking upwards.Dr. Rajesh Gupta11 Likes6 Answers
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WHAT IS FIBROMYALGIA? Fibromyalgia is a disorder that causes aches and pain all over the body. It is a chronic (ongoing) condition of pain, stiffness, and usually fatigue. The symptoms sometimes get better and at other times get worse, but you will likely keep having symptoms for months to years. Although the illness can cause a lot of discomfort, it does not damage your joints, muscles, or other tissues, and it does not shorten your life. Fibromyalgia affects several million people in the US. It is usually diagnosed in middle age although symptoms may start at an earlier age. It affects women more often than men. Although it is uncommon, it does sometimes occur in children. WHAT IS THE CAUSE? What fibromyalgia is exactly, or what causes it, is not known. Fibromyalgia has been linked to: Emotional or physical stress Anxiety Depression Traumatic events such as a car accident Infections or other illness Lack of restful sleep Women who have a family member with fibromyalgia are more likely to have it themselves. It is not known if this is due to hereditary or environmental factors. Researchers are working to find possible causes of the symptoms. One theory is that fibromyalgia causes a lower pain threshold. This may be because the brain has gotten more sensitive to the chemicals that send pain signals, or there are more of these chemicals than normal. WHAT ARE THE SYMPTOMS? Pain is the main symptom. The aches, pains, and stiffness may be different day to day or week to week. The pain may move from one part of the body to another. It is most common in the neck, chest, arms, legs, hips, and back. Other common symptoms are: Tiredness Headaches Problems with the digestive system, especially trouble swallowing, abdominal pain, an upset stomach, or diarrhea You may have: Trouble sleeping Problems with thinking and remembering things Depression Anxiety Dizziness or lightheadedness Painful menstrual periods Restless legs People with fibromyalgia are tender throughout the body. The tenderness is most noticed at specific places on the neck, shoulders, back, hips, arms, and legs. These places are called tender points. These points hurt when pressure is put on them. The symptoms may get worse when you exert yourself too much or when the weather is damp and cold. Younger adults with fibromyalgia are more likely to have chronic headaches or anxiety. Their symptoms may get worse more easily from weather, mental stress, or poor sleep. HOW IS IT DIAGNOSED? Your healthcare provider will ask about your symptoms and medical history and examine you. Your provider will look for places that are tender. There is no one test that diagnoses fibromyalgia. However, you may have blood tests to make sure you don’t have any conditions that cause symptoms similar to fibromyalgia, such as rheumatoid arthritis. HOW IS IT TREATED? The most successful treatment is a healthy diet, regular exercise, and rest. Your diet should include a large variety of fruits and vegetables. These foods provide trace elements and minerals that help the muscles. Also, the fiber in fruits and vegetables helps the digestive system. Exercise affects the levels of many biochemicals in the body, particularly in the nervous system. This may be why symptoms of fibromyalgia often get better if you exercise regularly. Because much of the pain of fibromyalgia is in the muscles and joints, you should begin an exercise program gradually. Ask your healthcare provider or a physical therapist for an exercise plan. Include good warm-ups and cool-downs. Do types of exercise that do not hurt your joints. Rest is as important as diet and exercise. Make sure you get enough restful sleep. In the evening avoid stimulating foods and drinks (such as coffee and soft drinks with caffeine) and certain medicines (for example, decongestants). If diet, exercise, and rest do not relieve your symptoms, your healthcare provider may prescribe medicine to help relieve some of the symptoms. There is no medicine that can cure fibromyalgia. However, some medicines may help some of the symptoms, such as: Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen and naproxen, for pain (NSAIDs, such as ibuprofen, naproxen, and aspirin, may cause stomach bleeding and other problems. These risks increase with age. Read the label and take as directed. Unless recommended by your healthcare provider, do not take for more than 10 days for any reason.) Muscle relaxants to help prevent muscle spasm and strain caused by the pain Antidepressants, which may help you sleep better and may also help relieve pain Medicine for depression or pain caused by problems with nerves Your provider can help to find other ways to reduce your pain and tiredness, such as heat, biofeedback, or massage therapy. HOW CAN I TAKE CARE OF MYSELF? Get regular exercise, according to your healthcare provider's recommendations. A lack of physical activity can worsen your pain. Eat a healthy diet that includes a lot of whole grains, fruits, and vegetables. Healthy foods will give you energy, help you feel better, aid your digestion, and help you avoid other health problems. Nutritional supplements may be helpful for some people, but talk to your healthcare provider before using supplements. Practice good sleep habits. Work to establish a regular, night-time sleep pattern. Make sure you get enough sleep every night. If you smoke, try to quit. Talk to your healthcare provider about ways to quit smoking. Avoid doing too much at one time. Break up daily activities with periods of rest. Treat painful areas with a heating pad on a low setting or an ice pack wrapped in a towel, whichever works best for you. Some people find that switching between heat and cold is helpful. Try to practice new ways to react to pain and manage stress. For example, try relaxation exercises or meditation. A therapist may be able to help with this. If your provider recommended or prescribed medicine, take it exactly as directed. Ask your provider how soon the medicine should start helping you feel better. Let your provider know if it has helped. If it hasn’t, you may need a different dose or a different medicine. Keep your follow-up appointments. It is helpful to you and your provider to keep track of how your symptoms change over time and whether your treatments are helping your symptoms. Note exercise,stretching and massage can prescribed according to area involved. Neck or back or arms or legs or combined.There may be many other apporaches to this problem apart form physiotherapyKirti Yadav9 Likes6 Answers
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Share your views on this case doctors A 30-year-old woman presented with a 2-month history of pruritic cutaneous lesions on the hands and arms. She insisted that she had fiber-like materials under the skin, and could find fiber-like materials when she ripped the skin off. She also complained of a stinging sensation like having a splinter in the fingers. She brought some pictures of the fiber-like materials ‘in situ,’ taken by her using a magnifying device. Twisted black, brown, and red fibers were buried in the skin. Upon dermatologic examination, multiple erythematous patches and erosions were observed on the arms, hands, and chin. Dermoscopic examination revealed nonspecific signs. Regarding past medical history, she had been diagnosed with narcolepsy 12 years previously and had taken modafinil and venlafaxine. A histopathologic examination was done to make a proper diagnosis, which was performed on the intact forearm skin. In a gross examination of specimen, a fiber was observed extruding from the dermal side of the specimen. The skin specimen and fiber was processed by the routine tissue preparation, content of which was not further investigated. Histopathological examination revealed mild superficial perivascular lymphocytic infiltration, but was otherwise normal. She was diagnosed with Morgellons Disease Morgellons disease is a mysterious disease with unknown etiology. It is characterized by fibers appearing in slow- or non-healing skin lesions and even beneath unbroken skin, along with abnormal (crawling, stinging, or biting) sensations of skin. Extracutaneous manifestations (fatigue, joint pain, fibromyalgia, or sleep disorders) have been reported to co-exist1. It has been recognized as a delusional infestation2. However, recent studies are suggesting that it could be associated with an infectious organism: Borrelia burgdorfer Case and Images taken from- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5383751/Jitendra Yadav0 Like0 Answer