Have cervical and lumbar pain, give some advice for type 2 diabetes and pain and stiffness in leg.
Hello. Diabetes comes with multiple issues but all are controllable and treatable. Pain is mostly caused by diabetic neuropathy. Feet are to be taken care as much as a face. Stict diabetes control and life style modification are the key to control diabetes related problems. Feel free to consult to get in details.
help! i am a female, in my mid 50's. my mri showed mild cervical and lumbar stenosis, with multi-level degenerative disc disease. there was also multi level mild foriminal encroachment, and disc buldging. the pcp sent me to a physical therapist for exercises for my lumbar spine. the pt found that i have thoracic joint dysfunction and sacroiliac joint dysfunction. she saw that i could not do squats, either. could someone tell me if it is normal for a woman my age to have so much wrong with her spine? should the pcp try to find out what is causing the thoracic and sacroiliac joint dysfunction, before any mnore physical therapy? (i have had stiffness and pain in my sacral spine since 2001, and it has gotten progressively worse. i also have leg muscle pain and heaviness when i stand or walk, that is also getting progressively worse.) could i have spinal stenosis in my thoracic region? (it feels like a band of tightness around my chest, and i can not turn over in bed.) could i have sacral nerve compression? im sorry ur going through this......i cant answer ur questions as still looking my own answers but i can tell u what has helped me, i think u should also try it.................a natural drug recommended to me by pain consultant.......glucosamine sulphate.....also take cod liver oil capsuals..........although it is not a cure i felt alot more ease of general pain, bones/joints and muscles. please try them ! hopefully someone here will be able to answer ur questions ! i wish u well ! :) consider following
a. x ray of the foot, to rule out osteomyelitis, if present needs to be dealt 
b. radical debridement
c. npwt 
d. strict glycemic control and sugar charting daily.
d. routine blood investigation
e. doppler study of both lower limb.
f. considering her morbidities, skin grafting can be done to cover the wound. 
g. modified pmr footwear to be advised.
h. regular follow and educationon of the patient to avoid any trivial trauma in future.
i to do amputation at this stage, is very early. but yeah if there is recurrent ulceration, patient is not keeping glycemic control and if other morbidities present(cardiac and or renal), patient is not regular on follow up, amputation can be considered later. 
j. most important thing remember your patient is diabetic, dnt forget to evaluate cardiac system, renal, and ophthalmology to stage and manage other systemic issues in diabetes. i was officially diagnosed when i was 11/12 but had been experiencing pain and flares since i was quite young about 5/6. doctors initially wrote it off as "growing pains" or symptoms from high/low blood sugars (diagnosed with type 1 diabetes when i was 9) but went for more extensive testing out of town at a children's hospital where it was later discovered i have juvenile onset inflammatory arthritis (later ra) and a condition where the ligament's/muscles on the insides of my knees are very weak (can't think of the name right now.) and you are quite right, this journey we all deal with is a long and tiring one, but remembering to stay positive, do what you can when you can, to rest when you need to, and to have support whether through family/friends or sites like this we can all come out saying we got this! xo brief answer: its probably the heart detailed answer: hello and welcome in hcm i can understand your concern according to the history you explain its not osteoporosis causing this pain. there are three organs that you have to control . first the heart with the following tests: repeat ecg, and the... that sounds rough, i am sorry you aren't feeling well. my advice is just go to a different hospital to get a different view on your situation. please don't hold off on it, this problem really needs to be taken care of. your condition is likely surgical. you may require a tibiotalar fusion to complete the pantalar arthrodesis or an ankle replacement. before going for these drastic measures i feel it is reasonable to consider an arthroscopic debridement of the joint, getting rid of the osteophytes on the front of the ankle and stabilizing the peroneals. the ankle joint tolerates arthritis far better than the hip or the knee. there is no perfect answer but you should always try being as least aggressive as possible. best of luck! primarily pt has got phimosis and due to friction developed cracked fore skin with super added infection.
pt should go for blood sugar and hba1c test to see really diabetic or not because these sorts ailment common with the diabetic patients.
initially treatment of infection with
antibiotic broad spectrum
to clean the part and dried up application of mipurocin ointment 
once the infection is controlled
plan for curcumcission dear marv<br>because this is just as much of a problem as losing weight, i wrote a number of articles on the subject of gaining weight. click on &#39;diet&#39; and &#39;view old diet & food site&#39; and read the articles on &#39;to gain weight i & ii&#39;. this info should help you. it is also a good idea to join a good gym and ask the instructor to work out a programme that builds muscle - mainly weight training and you can try one of the protein supplements - ask at your chemist.<br>good luck<br>dietdoc dear blossom<br>you may have a bit of inflammation in the hip joints called bursitis. anti inflammatory medication like voltaren and physiotherapy may help. cut down on the exercise - unfortunately the joints need a bit of rest.<br>dr bets<br> Good evening, thanks for asking at HealthReplies.com. Complaints that you experience can be caused by various things, which among each symptom can be interrelated or not. Among the possibilities are:



 Pinched nerve disorders Infection or inflammation of the nerve lining Low blood pressure Spinal structural abnormalities Kidney stones This condition is most likely harmless, but it must be checked immediately because up to this point, the possibility is still very diverse, whereas the handling of each possibility can be different. So our advice, try to check yourself to a general practitioner, and may go directly to a neurologist, to find out more about his condition through direct examination. The handling that you will receive later depends on the results of this inspection.



Meanwhile, consume foods that are rich in B vitamins, limit physical activity, meet your fluid needs, and see your doctor immediately. So, hopefully answering your question.