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History of heart attack. What is best treatment for spondylitis in the neck? - Online Doctor Chats

Date : 19-Mar-2013
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
User: XXXXXXX this side
Doctor:welcome to XXXXXXX
User:I had a query regarding a problem I have been facing since last few months
Doctor:Please proceed
User:I had a minor heart attach last April .........
Doctor:may i know your age ?
User:Angioplasty was done as a treatment..........
User:I completed 34 years last October
Doctor:may i know ur height and weight ?
User:177.8 cm and currently 76 Kg
User:at the time of my attach I was 93 Kg
User:At the time of my heart attack I was 93 kg
User:Last September I was diagnosed with spondalitis in the neck.
User:What treatment do you suggest for me now???
Doctor:do u have any symptoms due to that now ?
User:I do regular exercises, walking & jogging...
User:Yeah symptoms ....
User:like sometimes pain in the shoulder, or neck or hand
User:not always but especially after talking on the mobile phone, or riding a bike or using the laptop for long hours.
Doctor:being overweight, and bad posture, is the most common reason of inflammation, in the joints of the spine
Doctor:but since now, you have lost weight
Doctor:and your BMI is in good range your symptoms should subside
Doctor:but in case, there was neurological damage, during the early days of the condition, then some symptoms can persist
Doctor:have any X rays of MRI have been done ?
User:yeah X XXXXXXX revealed the problem
Doctor:most of your pain, appear to be due to muscle spasm, related and can be controlled easily
Doctor:you can take a Disprin OR Crocin tablet, when ever u have the pain
Doctor:in addition, try to exercise the affected part, and do stretching exercises
User:Hope this will not pose any threat to my heart condition!!!
Doctor:no, both the issues are different
User:this like Disprin or Crocin will not affect my heart condition
Doctor:also avoid using a hand carry bag, to carry your laptop, instead use a good ergonomic laptop backpack, with proper shoulder supports
Doctor:no, the medicines will not cause any such issues
Doctor:infact, aspirin in disprin, is cardioprotective , and prevents heart blocks
User:nice to know this
Doctor:when ever u have such pain, u can apply VOLINI spray
Doctor:and also use hot water bags, to help the muscles relax
User:Ok, infact I use Voline ointment
User:Volini ointment
Doctor:In case the pain is very severe and intolerable, you can consult your doctor, for a prescription of muscle relaxants , which will relieve the spasm, and hence the pain
User:is there any permanent solution to the problem???
User:like some therapy??
Doctor:no, this is a musculoskeletal condition, that arises due to wear and tear in the joints and tissues
Doctor:there is no complete cure
Doctor:prevention by proper prophylactic measures is the best way
Doctor:avoid damaging the arm, by doing excess work
Doctor:Physiotherapy , can help to some extent, this is the same as regular stretch exercises, to improve the joint and muscle mobilty
Doctor:hope u followed my suggestions
User:very well
User:Hope this will serve as a prescription to lower the pain I experience
Doctor:Do u have any doubts or other questions ?
User:Hope my current weight is Ok??
Doctor:yes, your BMI is 23
Doctor:which is very good
Doctor:continue to work hard and exercise, so that you can either maintain the BMI or improve it further
User:Normally I do walking & jogging of around 7 km daily.....
Doctor:that is very good
User:Hope this will not pose any problems to my heart condition???
Doctor:no, actually exercise is very good for the heart
Doctor:as it reduces the clogging of arteries
Doctor:continue to do the same, and it will prevent any further such episodes
User:Then I have a breakfast comprising of oats, milk & XXXXXXX with no or very less amount of sugar.
User:sometimes I use honey in my tea....
Doctor:ok , that is good too
User:Shall I continue to do so or am I doing something wrong???
Doctor:please continue the same good work
Doctor:no need to change anything
User:Then I use olive oil in my food which too I suppose is Ok??
User:Is there anything more or different that I should do in my diet ???
Doctor:that is perfect
User:like have bananas too in the breakfast???
Doctor:no, you are following good XXXXXXX habits, which were probably advised after your heart attack
Doctor:continue the same
User:yeah, thats right
Doctor:there is no need to take more bananas
Doctor:if u feel hungry in between, you can have them instead
User:Thats a good idea
User:Thanks for your valuable inputs
Doctor:the basics is to keep some space empty in your stomach , and eat when needed
User:yeah, right
Doctor:avoid junk food, and food that supposedly tastes good
Doctor:eat healthy, stay healthy
Doctor:having 1-2 servings of fruits will help , along with food , or when u are hungry
Doctor:whole fruits , fruit salad, or fresh fruit juice, all are ok
User:It was very nice talking with you
User:It was a very insightful chat
User:Thank You.
Doctor:my pleasure
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