The push and pull of daily life

I am a 45-year-old practicing architect suffering from the onset of diabetes and hypertension. I have developed severe pain in my legs (thigh and calves region) of late and cannot fathom the reason for this. My knees also ache while climbing stairs. Please help.

K C Kumar | Bangalore

Your symptoms seem to be developing from your muscles and nerves. However, the key is to keep yourself on top of your systemic chronic diseases like diabetes and hypertension . Lifestyle modification and being paranoid about good control of sugar and blood pressure levels is the long term solution. Specifics like diabetic neuropathy due to Vitamin B12 deficiency has to be looked at (this can happen as some of the medications for diabetes can come in the way of the vitamin B12 absorption from the intestines.) If the pain is troubling and restricting your activities , you could consult an orthopaedic spine surgeon to diagnose the cause of your problems.

I am a 28-year-old man of lean build. I have developed severe knee ache over the last couple of months. Some people suggest that this is because I run too often on the treadmill. But I have been running regularly on the treadmill over the past two years and never felt the pain before. What could be the reason?

Prashanth Nayar | Bangalore

At 28, your habit of running on the treadmill vigorously is the most probable cause of your knee pains (the over-use knee syndrome). The fact that you have been running for two years can have a cumulative effect and result in bruising of the knee. A new pair of well-cushioned shoes may help reduce the impact on your knees. However, I would certainly suggest you to see an orthopedic surgeon who can examine you clinically and probably obtain a set of radiographs to rule out any other reasons for your pain.

I have flat feet. How can I balance my body weight without straining my feet? Also, I get frequent muscle pulls in my calves and my toes. What is the best thing to do during a muscle pull to relieve the pain? I am 31 years old.

Sagarika P | Bangalore

At 31, if your flat feet are straining you the simplest answer is to use a pair of medial arch supports in all your footwear. When you have muscle pulls ( cramps), the best thing would be to gently stretch the involved muscles by moving the joint in the opposite direction, for example if the calf muscle is pulled the ankle should be pulled upwards, which will result in stretching the calf muscle. To prevent this from happening regularly Vitamin C and Vitamin E along with adequate salts and hydration will help.

I write for a travel website and have to use the keyboard and mouse extensively . Of late I have noticed pain in my right wrist which gets quite severe at times, so much so that I've had to take short breaks from work because I cannot use the computer. My husband tells me I could have developed carpal tunnel syndrome. How could I verify this and what is the best way to counter it without taking strong pain medication? I am a 32-year-old woman.

Jyothsna Prasad | Bangalore

The symptoms of carpal tunnel syndrome are tingling and numbness in the thumb, index, middle and half of the ring finger. It particularly wakes you up in the early hours of the morning and one feels like wringing one's hands. It is especially common in people who are hypothyroid and during pregnancy. The way to confirm this would be to undergo a nerve conduction study. Your symptoms are not classical, so you may not be suffering from the condition. You could very well have repetitive stress injury (RSI). You will be well advised to see an orthopedic specialist for an accurate diagnosis and treatment. The push and pull of daily life

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