B/L Lower limb pain

18 years old female patient with bilateral lower extremity pain that has gradually worsened over the past 2 months. She is an athlete running 6 to 8 miles daily. Over the last 3 weeks she has been under going vigrous training. She states that she consumes a normal diet and has had a regular menstrual cycle for the past year. A bone density test ordered by her physician was normal. Coronal-view MRI is obtained and shows bilateral tibial stress fractures.

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Its an case of tibial stress syndrome.As the patient is an athlete so its quite common to overuse the leg muscles.As she has been overworking since last 3 weeks ,the pain seems to be severe.Advise the patient for a good proteinaceous diet and compressions. Stretching before and after running are good option to avoid any kind of stress.
Rx Tab Lakshaguggulu 1BD Tab Asthiposhak 1OD Murivenna+Pindataila Abhyanga BD and Oil soaked cloth raped over leg at nights Atiyoga of any thing cannot be treated with medication, better to avoid nidana ie excess stress over patient. Her body nature won't let her to do so. Rogibala
रोगी वात व्याधि से ग्रस्त है। चिकित्सा संबंधी योग,,, महायोगराज गुगल अन्डी के तेल में मिलाकर सुबह-शाम सेवन कराएं। महानारायण तैल की मालिश करें। महारास्नादि क्वाथ 25 ग्राम सुबह-शाम खाने के बाद दें। निश्चित रूप से लाभ होगा। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।
Advise to use proper cushioning is her shoes. Shock absorption is needed. Her trainer and dietitian shall be better able to bring necessary changes. Also if suddenly she is overtraining, they need to set her pace accordingly.
Trayodasang guguul Brihat vat chintamani rasa Yogendra rasa Tab rumalaya fort Dashmoolarishta Arogyaverdhini vati Mharasnadi kwata Arogyaverdhini vati Abhyanga with arand tail
Tab rumalaya fort Trayodashaag guggulu Godanti bhashma Arogyavardhani vati Avipittikar churna Ashthi poshak Mahanrayan tail massage
Dear Dr. Amrit Tanwar, Advice for the case. Tab. Ras Raj Ras 1 tds. Tab. Laxadi Guggulu 1 tds. Abhyanga with Dhanvantar tail.
Abhyang with mahakukktmasa tail Rasraj Ras Shastik shali pind sweda Mahayograj guggul Maharasnadi kadha
Leg pain start local snehan and swedan with tryodahsang gugglu and nirgundi churn kwath.
RT , ruta, cf, sarcolactic acid, (Symphytum )*** can work....
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