Mr. Jayendra Aryindlal Shah, MD

Memory loss can be treated if care is given in time. Plus, newer medication do have some helpful outcomes. Structured programs can make comfortable, but constant help is needed for such patients. Family support, help, and medication can help to slow down the worsening of the problem - activities of daily living, for we all mostly decrease as we age beyond 60-70-80- yrs or so.

Too difficult to know sex, age, h/o accident-injury, etc., etc., and allergy.
Minor pain - use motrin-ibuprof 600 mg or OTC 300 x2 with food twice or three times. USE HEAT 15 MIN FOLLOWED BY COLD 5 MIN. ALTERNATE 2-3 X PLUS REST ON MODERATE HARD SURFACE. NO JOB IF INVOLVES LIFTING WEIGHTS 10-25lbs OR MORE WEIGHTS. Moderate-severe - use tylenol no 3 or 4 x daily, muscle relaxants, local heat cream can help. If you can't tolerate like pain if acute, 7-8/10, then norco10/30 moms or oxycodone 10-20 moms 3x good. If first time acute pain, treat ago so no chronic problems. Best to go to ER or reg md or pain specialist like rehab medicine or others. Think- no magic in care. Stop root cause - bed rest, heat, etc., can help lot - simple measure then after 7 days once better do exercise + weight control, etc., help, too.
Have a happy new year...age-sex-job-accident-injuries - all needed for best ideal care.

djd - osteoarthritis is most common as it's due to many reasons - old trauma plus obesity is a major reason in old age - but it does develop slowly so by 50-60-70 yrs plus, we all have it, but in different degrees: some a lot, some minor aches ... walking, weight control exercises help since humans walk on two legs instead of like animals, who walk with four legs. We all will develop djd - it is not hereditary in a real sense. Heat, motrin, exercise, weight control will help a lot to be comfortable till 90 plus age.

YOU ARE LUCKY AS YOU CAN WALK. KEEP WALKING PLUS GOOD DIET. DO SPECIFIC ROM AND STRENTHENING EXERCISES FOR RT UPPER EXTREMITY. 20 MINUTES TWICE. IF PAIN, USE HEAT FOR 15 MINUTES BEFORE EXERCISES.
EAT PROPER AMOUNT OF GOOD FOOD. NO JUNK FOOD. WEIGHT CORRECTION CAN HELP. GOOD PROTEIN CAL PLUS LESS FAT, CARBOHYDR CAN HELP IN GEN BODY HEALTH. REPEATED EXERCISES IS ONLY WAY TO GET STRENGTH BACK PLUS FUNCTION TOO. WRIST ROM IS ESSENTIAL TOO. DON'T GIVE UP. NOW IS THE TIME TO ALL THE WAY TO GET BETTER COMPLETELY. USE RUBBER BALL, SQUEEZING DAILY 100-200 TIMES SO RT HAND HOLDING POWER CAN INCREASE.

FOR A HEALING OF FRACTURE - PORTABLE NERVE STIMULATOR CAN BE TRIED. FUSION OF BONE IS DONE AND CAN HELP TOO. YOU CAN TRY DIFFERENT CONSERVATIVE TREATMENT SO PAIN IS LESS, PLUS USE ANALGESICS, NARCOTICS UNDER CONTROL, SMOKE MARIJUANA AS IT RELAXES REDUCES PAIN TOO. AMPUTATION IS LAST RESORT IF HEALTHY - YOUNGER THAN 3-4 MONTHS. YOU CAN BE WALKING OK NO PAIN EITHER. DECIDE BUT AMPUATAION IS AMPUTATION... GOOD BLOOD SUPPLY TO AREA, SO HEAL BETTER FAST, NO INFECTION, PLUS GOOD GEN HEALTH. ALL IS VERY IMPORTANT. IMPORTANT IS SECOND OPINION.

WHEN QUESTION ASKED, PLEASE TELL AGE, SEX, WEGHT, HEIGHT, WORK TYPE, AND ACCIDENTS, ETC. UNKNOWN Q MEANS MD CAN ANSWER MANY WAYS.
I SAY STOP JOGGING; LONG DIST RUNNING, CONTROL WEIGHT, REST, DO CORRECT EXERCISES, PLUS, SWIMMING IS BEST. ALSO TAKE MOTRIN IF U CAN OR APPLY BALM PAIN CREAMS, USE HEAT.
MAKE QUADS STRONG BY STRAIGHT LEG RAISING EXERCISES - GREDED LOT MORE CAN BE DONE FOR RELIEF OF PAIN -- YOU MUST STOP ABUSE FIRST -- GIVE REST, HEALING HELPS.

MANY GIVE UP LIVING AFTER TRAGEDY BUT ITS WRONG. LIVE AS LONG AS WITH GOOD HEALTH, TRY ALL OUT EFFORTS TO LIVE HAPPILY AND ENJOY LIFE.
REHAB MD OR PHYSIATRIST ARE TO HELP - TO RESTORE LIFE. WE SAY - OUR MISSION - MY MOTTO SINCE 1970 -- AS REHAB MED DOES -- ADD LIFE TO YEARS AND ADD YEARS TO LIFE. LIVE LONG AS MUCH AS POSSIBLE. REHAB MDS LIKE ME - IN MY TEAM TEAM - I HAVE ALL TYPES OF SUPPORTIVE CARE -- LIKE PT, OT, PSYCHOLOGIST, VOCATIONAL AND RECREATIONAL THERAPIST, DIETICIANS, REHAB NURSES, SOCIAL WORKERS -- PURPOSE IS TO TREAT WHOLE PERSON. SOLVE PROBLEM BY ENCOURAGING. GET BACK TO NORMAL LIFE BEFORE STROKE OR INCIDENT LIKE EVEN AMPUTATIONS. IN FIRST WORLD WAR, MILLIONS DIED BY POOR CARE AS PER CURRENT STANDARDS OF CARE. IN SECOND WORLD WAR, MUCH LESS DIED, MANY MORE SURVIVED. YOU CAN EXPECT FULL RECOVERY DEAR, SO JUST KEEP GOING. FAMILY, FRIENDS, REHAB TEAM, AND YOU ALL CAN WORK TO GET GOING FOR GOAL OF NORMAL LIFE. YOU CAN LIVE ACTIVE LIFE OF 25-30 YEARS EASILY. BE A PROUD RECOVERED STROKE PATIENT -- EXAMPLE FOR SENIORS AROUND.

DEAR CONSUMER- PATIENT,
PLEASE EDUCATE ABOUT DIFFERENT PEOPLE IN MED CARE SYSTEM. REHAB MDS PHYSIATRIST ARE NOT ENOUGH IN NUMBER LIKE GPS ORTHOPEDIC DOCS OR TECH LIKE PHYS THERAPIST. EACH PROVIDER HAVE HIS OR HER OWN SYSTEM OF CARE AS PER EDUCATION EXPERIENCE. BEWARE OF WASTING MONEY ON WRONG PROVIDER.
IN USA MANY A TIMES CONSUMERS ARE CHEATED BY MANY WITH WHITE COAT AND STETHOSCOPE.
PHYSIATRISTS ARE MDS LIKE ME PLUS HAVE SPECIFIC TRAINING. PHYS THERPIST, OCCUP THER, SPEECH THER, VOCATIONAL THER, REHAB NURSES ALL TAKE CARE AS PER ORDERS BY TEAM LEADER MD REHAB EXPERT. HERE WE SEE CHIROPRACTOR CLAIMS LOT SO IS EXERCISE GURUS OR PHYS THERAPIST. AVERAGE MD GP, INTERNIST OR OTHERS, DON'T KNOW, SO JUST ORDER TREAT BY PT. HOW, WHY, AND DETAILS ARE ABSENT, SO PT IS DECIDING CARE, NO GUIDANCE BY MD OR PROVIDERS. ALSO, CORRUPTION IN POLITICIANS EXTREME AND LOTS OF MONEY TO BE MADE IN HEALTH CARE- NURSES ARE DIFFERENT SPECIALIST, PA ARE IN MANY FIELD, PT OR OT ETC ARE WORKING INDEPENDENTLY. OUR USA MED CARE QUALITY IS 30TH IN WORLD, BELOW CUBA, BUT WE SPEND NEARLY $1000 PER CAPITA. MANY GET LICENSES AND SYSTEM ENCOURAGES SUCH DECEPTIVE ADVERTISEMENT.
ST MED BD JCAHO ARE WITH BIG CARE PROVIDERS JOIN HANDS IN COVER UP OF POOR CARE POOR OUTCOME. ROOT CAUSES ARE OPEN, BUT PUBLIC MISGUIDED. WE HAVE MORE MRI, MORE REPLACEMENT SURGERIES, MORE CESARIANS, SO DOCS WIFE CAN GET MINK COAT.
BE EDUCATED CONSUMER GET THE CARE OR SURGERY ONLY IF REALLY NEEDED AND GET SECOND OPINION. WE HAVE EXPLOSION OF PAIN MANAGEMENT PROVIDERS AS IT'S A BIG, LUCRATIVE BUSINESS. MEDICARE WASTE BILLIONS OF DOLLARS PER MONTH IN SUCH UNNECESSARY CARE . DR J A SHAH, MD

SHE IS LUCKY AND SO NO LIMITATIONS. BEST IS TO INCREASE STRENGTH BY-- GOOD DIET, GENTLE EXERCISES OF UPPER LOWER EXTREMETIES- USE ONE TO TWO POUNDS WEIGHT. SHE CAN INCREASE TO 5 LBS, ROM EXERCISES CAN HELP WALKING TWICE DAILY. STOP RESTING TIME INCREASE ACTIVITIES TIME. SUPPORT HER, GIVE COMPANY, MILD DEPRESSION CAN ALSO MAKE - NO INTEREST, NO ENERGY- WEAKNESS. DRINK LOTS OF WATER TILL 6 PM. REST IN BED FOR 7 HOURS -SLEEP. HELP HER BY ONE HOUR OF AFTERNOON SLEEP. BREATH DEEP, INCREASE IRON INTAKE BY FOODS, CONTROL WEIGHT, CONTROL CALORIES INTAKE. BEST LUCK, GOD BLESS YOU ALL.

As we don't know your sex, I assume u r man and it's most common problem after 50 or so. May worse as you get older due to mostly benign prostatic hypertrophy. Prostate enlarge as age increases. Go to urologist- doctor for care of prostate. Drink no water after 6 PM. Infection after blockage of urethra is possible, doc can help very well. Once treated well, no problem. Prostate can be shrinked, CEALIS 5 mgms daily plus FLOMAX 0.4 mgms at bed time can help. Orange juice, cranberry juice gives vit C, can help, but pl go to see doctor soon. God bless you. In China, 5000 years old saying is--- Most Pleasurable experience for a man, after 50 years of age, is evacuation of bladder.