Respected Vaidyas, Today a rare case came to OPD. Below the details are mentioned. A male patient of Age 65 yrs complaining of - 1. Mild swelling of Bilateral Feet - 20-25 yrs. ( swelling automatically decreases but never come to normal) 2.Tingling sensation and Pricking type of pain in B/L feet since 3 yrs. 3. Stiffness in metatarsal and Tarsal joints 4. Decreases sensation of B/L feet 5. Burning Sensation of B/L feet 6. Discolouration of B/L Lower limbs ( Below knee joint ) 7. Swelling of face -2 yrs. NORMOTENSIVE, NON DIABETIC Occupation - Farmer Personal History - 1. Appetite - Normal 2.Bowel Habit - Regular, Not cleared since 1 yrs. 3. Urinary Habit - Normal 4. Sleeping Habit - Normal 5. Mental status - Stress = ++ ( Familiar, Land related ) Pathological Reports - LFT - WNL RFT- WNL Anti CCP - Negative ANA - Negative HbA1C - 4.51 WNL ESR - 25 ( 1st hour ) ( Increased ) Vitamin B1 and B12 levels are normal. Venous and Arterial Doppler of Both Lower limb - Normal MRI of L.S spine - 1. Diffuse posterior bulges of L1-L2, L2-L3,L3-L4,L5-S1 2. IV discs and Osteophytes causing narrowing of Neural foramina Bilaterally at respective level 3. Disc Osteophyte complex at L4-L5 level is causing indention over anterior Sub- arachnoid space All features in MRI suggestive of Lumbar Canal Stenosis. Nerve Conduction Study ( NCS ) suggestive of Axonal Sensori-Motor Polyneuropathy. Intellect Curofians kindly diagnose the case Acc. to Ayurvedic Parameters and suggest best possible management.

present with vertigo and stiffness of neck radiating to the arms

Pt Complane pain in cervical region and tangling sensation on below elbow little finger and Ring finger in sleeping time .. Plzz Rx And Dx

45f with mild sensory loss on forearm patches with severe itching all over the body. diagnosis??

28y female patient c/o itching and this type of lesion all over the body except face since 6 months. She has taken allopathic treatment but not relived. please Diagnosis and treatment.