Q. Shoulder pain , on moving by hand in circular motion feels a sound of bone Swelling at back of my right shoulder , age 20, weight 45

Doctor Answer is medically reviewed by SecondMedic medical review team.

Answered by Secondmedic Expert

Shoulder pain is a common problem and can be caused by a variety of issues. The sound of bone that you are describing may indicate bursitis, tendonitis, or even an impingement syndrome. All of these conditions generally produce shoulder pain with certain movements.

The first step in treating shoulder pain is to accurately diagnose the cause. You can begin with a thorough physical examination from your doctor who may suggest imaging studies such as X-ray or MRI scans if needed for diagnosis. Depending on the cause, you may be prescribed certain medications or possibly physical therapy in order to reduce swelling and restore movement. Additional treatments like corticosteroid injections, manipulative therapies (chiropractic/osteopathic), trigger point injections and other nonoperative treatments might also help in reducing inflammation and restoring range of motion (ROM).

If none of these methods provide adequate relief then surgery might be recommended depending upon how severe the condition is and how long it has been going on for. Surgery should always be considered as a last resort since there will likely be some level of post-surgical recovery period along with increased risk for infection at the surgical site.

In short, if you are experiencing chronic shoulder pain then it's important to get an accurate diagnosis from your doctor so that you can make informed decisions about treatment options available for both short term symptom relief as well as long term solutions for managing discomfort over time. Good luck!

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Q. Hello Doctor, from past 3 weeks I have too much dandruff problem and it cause hair loss will you suggest any best solution for this?

Doctor Answer is medically reviewed by SecondMedic medical review team.

Answered by Secondmedic Expert

Dealing with excessive dandruff leading to hair loss can be frustrating, but there are effective ways to address this issue. Here's what you can do:

1. Switch to a Gentle Shampoo: Opt for shampoos specifically designed for dandruff, containing ingredients like ketoconazole, zinc pyrithione, coal tar, or selenium sulfide. Use these shampoos regularly to reduce dandruff buildup.

2. Scalp Massage: Gently massage your scalp while shampooing to help remove flakes and improve blood circulation, which can promote healthier hair growth.

3. Avoid Hot Water: Wash your hair with lukewarm water instead of hot water, as hot water can dry out your scalp and worsen dandruff.

4. Balanced Diet: Ensure you're eating a balanced diet rich in vitamins and minerals essential for healthy hair and scalp, such as omega-3 fatty acids, zinc, and B vitamins.

5. Manage Stress: Stress can exacerbate dandruff problems. Practice stress-relief techniques like meditation, yoga, or regular exercise to help manage stress levels.

6. Apple Cider Vinegar Rinse: Consider using diluted apple cider vinegar as a rinse after shampooing. It can help restore the scalp's pH balance and reduce dandruff.

7. Consult a Dermatologist: If the issue persists despite trying home remedies or over-the-counter solutions, seek advice from a dermatologist. They can provide a personalized treatment plan tailored to your specific scalp condition.

Remember, consistency is key when dealing with dandruff. Give these remedies some time to work, as immediate results might not always occur. It's essential to find what works best for your scalp, so don't get discouraged if you don't see immediate improvements.

Taking care of your scalp health not only addresses dandruff but also aids in reducing hair loss associated with this issue. Feel free to incorporate these tips into your routine and observe how your scalp responds. If the problem persists or worsens, seeking professional guidance is always recommended.

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