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Dr. Girish

Physiotherapist, Bangalore

200 at clinic
Dr. Girish Physiotherapist, Bangalore
200 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Girish
Dr. Girish is an experienced Physiotherapist in Nagarbhavi, Bangalore. You can visit him at Unity Life Life Hospital (India) Pvt.Ltd in Nagarbhavi, Bangalore. You can book an instant appointment online with Dr. Girish on Lybrate.com.

Find numerous Physiotherapists in India from the comfort of your home on Lybrate.com. You will find Physiotherapists with more than 42 years of experience on Lybrate.com. You can find Physiotherapists online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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No.193 Ekadantha, 80 Feet Road 2nd Block 2nd Stage, Nagarabhavi Layout. Landmark:- Near Bda ComplexBangalore Get Directions
200 at clinic
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I have for pain in my legs bone during and after running or jogging. No pain in muscle. Is it a cramp or what. Kindly help.

BPTh/BPT
Physiotherapist, Mumbai
I have for pain in my legs bone during and after running or jogging. No pain in muscle.
Is it a cramp or what. Kindly...
Hi = relax and stay positive. = increase fluid intake. = eat seasonal fruits for natural vitamins = do streching of hamstring, quadriceps, and calf muscles. = if you are overweight, reduce weight by cycling or swimming as it gives low impact on joints. = do check your calcium and vit. D = apply moist heat pad to affected joint and muscles. If still you dont get relief consult physiotherapist as there are various causes for leg/ joint pain and some test may be required for further investigation. Best wishes.
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My left hand have minor shaking for last 8 months. What may be the cause?Is there any test to ascertain.

Hand Surgery SR Ship, MS - Orthopaedics, Thesis Work, M.B;B.S
Orthopedist, Jaipur
Shaking or tremors could be due to multiple reasons. I would suggest you to consult your Neurologist early.
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I am 22 years old male have Nervousness & pain in backache due to fat around legs. My face very dull & black shade below eye's dark circle. please advise.

BPTh/BPT, Bachelor of Science
Physiotherapist, Gurgaon
I am 22 years old male have Nervousness & pain in backache due to fat around legs. My face very dull & black shade be...
Hello , we have to rule out this type of pain through investigation (xray or mri. It may be due to piriformis syndrome or lumber disc prolapse. *initially you have to take rest as much as you can. *place pillow under your knees while sleeping. *lying on bed which is firm (not too hard and not too soft) *take calcium rich diet and sun bath daily to prevent further damage to your joints. *avoid heavy lifting. *avoid excessive rotational activities, forward bending etc. *perform some gentle exercises and stretching of all joints. *walk straight with shoulder protracted. I will explain you stiffness and pain reducing techniques in the next session. Wish you a happy and pain free life thanks.
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Hi, I have pain in my legs for 6 days. What should I do?

Ph.D, MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist,
Hi, I have pain in my legs for 6 days. What should I do?
Do consult neuro physio and learn stretching exercise if possible do check your vitamin d3 level from nabl lab.
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I have given birth to a baby boy before 6 months. Now from the last month I am having pain in my hips. I am not able to walk properly due to pain.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have given birth to a baby boy before 6 months. Now from the last month I am having pain in my hips. I am not able ...
Hot fomentation x twice daily. Postural correction. Core strengthening exercises. Back stretching. Imp. Piriformis stretch, quadratus lumborum stretching.
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I am 21 years old male and I have back pain for more than a couple of years. Why do I get back pain at this early age? what should I do?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am 21 years old male and I have back pain for more than a couple of years. Why do I get back pain at this early age...
Sleep on a hard bed with soft bedding on it. SPRING BEDS, FOLDING BEDS OR THICK MATRESS ARE HARMFUL Use no pillow under the head. DO HOT FOMANTATION. Paracetamol 250mg OD & SOS x 5days. Caldikind plus 1tab OD x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, contact me again.. Do not ignore .It could be beginning of a serious problem.
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Dengue Vaxia

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
Dengue Vaxia

Dengvaxia - first vaccine against dengue

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Read more:

Dengue symptoms and what to do if you think you have denguedengue fever - remedies using papaya leaf juice

Full prescribing info - dengvaxia

Contents

Dengue tetravalent vaccine (live, attenuated).

Indications / uses

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Dosage / direction for use

The patient will receive 3 injections of 0.5 ml each at 6-month intervals.

The first injection will occur at the chosen or scheduled date; the second injection, 6 months after the first injection; and the third injection, 6 months after the second injection. Dengvaxia should be used according to the local vaccination schedule.

If the patient forgot an injection of dengvaxia: if the patient missed a scheduled injection, the physician will decide when to give the missed injection.

It is important that the patient follows the instructions of the physician, pharmacist or nurse regarding return visits for the follow-up injection. If the patient forgets or is not able to go back to the physician, pharmacist or nurse at the scheduled time, ask the physician, pharmacist or nurse for advice.

Administration: dengvaxia is given by the physician or nurse as an injection underneath the skin (subcutaneous route) in the upper arm.

Contraindications

Do not use dengvaxia if the patient is allergic (hypertensive) to the active substances or any of the other ingredients of dengvaxia listed in description (see description); has developed an allergic reaction after prior administration of dengvaxia. Signs of an allergic reaction may include an itchy rash, shortness of breath and swelling of the face and tongue; is suffering from a disease with mild to high fever or acute disease. In this case, the physician will postpone the administration of dengvaxia until the patient has recovered; has a weakened immune system, for example due to a genetic defect, hiv infection or therapies that affect the immune system (for example, high-dose corticosteroids or chemotherapy); is pregnant; is breastfeeding.

Use in pregnancy lactation: dengvaxia must not be given to pregnant or breastfeeding women.

If the patient is of child-bearing stage, the patient should take the necessary precautions to avoid pregnancy for 1 month following administration of dengvaxia; is pregnant or breastfeeding, the patient thinks may be pregnant or is planning to have a baby, ask the physician, pharmacist or nurse for advice before receiving dengvaxia.

Special precautions

Inform the physician, pharmacist or nurse before receiving dengvaxia if the patient is taking an immunosuppressive treatment (prednisone or equivalent to 20 mg or 2 mg/kg for 2 weeks or more). The physician will postpone administration of dengvaxia until 4 weeks after the treatment is discontinued; has experienced any health problems after prior administration of any vaccines. The physician will carefully consider the risks and benefits of vaccination.

As with all vaccines, dengvaxia may not protect 100% of persons who have been vaccinated. Vaccination with dengvaxia is not a substitute for protection against mosquito bites. The patient should take appropriate precautions to prevent mosquito bites, including the use of repellents, adequate clothing, and mosquito nets.

Fainting, sometimes accompanied by falling, can occur (mostly in adolescents) following, or even before, any injection with a needle. Therefore inform the physician, pharmacist or nurse if the patient fainted with a prior injection.

Adults above 45 years of age: adults above 45 years of age should not receive the vaccine.

Driving and using machines: no data are available on the effects of dengvaxia on the ability to drive or use machines.

Use in children: children less than 9 years of age should not receive the vaccine.

Side effects

Like all medicines, dengvaxia can cause side effects, although not all patients get them.

Serious allergic reactions: if any of these symptoms occur after leaving the place where the patient received an injection, consult a physician immediately: difficulty in breathing, blueness of the tongue or lips, a rash, swelling of the face or throat, low blood pressure causing dizziness or collapse.

When these signs and symptoms occur they usually develop quickly after the injection is given and while the patient is still in clinic or physician's surgery.

Serious allergic reactions are very rare (may affect up to 1 in 10, 000 people), after receiving any vaccine.

Other side effects: the following side effects were reported during clinical studies in children, adolescents and adults (from 9 to and including 60 years of age). Most of the reported side effects occurred within 3 days after the injection of the vaccine: very common (may affect more than 1 user in 10): headache, muscle pain (myalgia), generally feeling unwell (malaise), feeling of weakness (asthenia), injection site pain, fever.

Common (may affect up to 1 user in 10): injection site reactions: redness (erythema), bruising (hematoma), swelling, and itching (pruritus).

Uncommon (may affect up to 1 user in 100): infections of the upper respiratory tract, dizziness, sore throat (oropharyngeal pain), cough, runny nose (rhinorrhea), nausea, skin eruption (rash), neck pain, hardening of skin at the injection site (injection site induration).

Additional side effects in adults (from 18 to and including 60 years of age): uncommon (may affect up to 1 user in 100): swollen glands (lymphadenopathy), migraine, joint pain (arthralgia), flu-like symptoms (influenza-like illness).

Additional side effects in children and adolescents (from 9 to and including 17 years of age: uncommon (may affect up to 1 user in 100): itchy rash (urticaria).

Reporting of side effects or any suspected adverse event: if the patient experiences any side effects after vaccination, advised to seek immediate medical attention.

By reporting side effects, it can help provide more information on the safety of the vaccine.

Click to view adr monitoring form

Interactions

Using other medicines and dengvaxia: dengvaxia may not have an optimal effect if it used at the same time as medicines that suppress the immune system such as corticosteroids or chemotherapy.

Inform the physician, pharmacist or nurse if the patient is taking or has recently taken any other vaccines or any other medicines, including medicines obtained without a prescription.

Caution for usage

Before administering any biological, the person responsible for administration must take all precautions to prevent allergic or other reactions. As with all injectable vaccines, appropriate medical treatment and supervision must always be readily available in the event of an anaphylactic reaction following the administration of dengvaxia.

Epinephrine (1: 1000) and other appropriate agents used to control immediate allergic reactions must be available to treat unexpected events such as anaphylaxis.

Dengvaxia must not be mixed with other medicinal products in the same syringe.

Dengvaxia must not be administered by intravascular injection under any circumstances.

Syncope (fainting) can occur following, or even before, any vaccination as a psychogenic response to injection with a needle. Procedures should be in place to prevent injury from falling and to manage syncopal reactions.

Separate syringes and needles, separate injection sites and preferably separate limbs must be used if any other vaccine (s) or medicinal product (s) is/are concomitantly administered.

Dengvaxia is reconstituted by transferring all the solvent (0.4% sodium chloride solution) provided in the blue-labeled pre-filled syringe into the vial of freeze dried powder with a yellowish green flip off cap. The pre-filled syringe is fitted with a sterile needle for this transfer. The vial is then gently swirled. After complete dissolution, a 0.5 ml dose of reconstituted suspension is withdrawn into the same syringe. For injection, the syringe should be fitted with the new sterile needle.

The suspension should be visually inspected prior to administration. After reconstitution, dengvaxia is clear, colorless liquid with the possible presence of white to translucent particles (of endogenous nature).

After reconstitution with the solvent provided, dengvaxia must be used immediately.

Any unused dengvaxia or waste material should be disposed of, preferably by heat inactivation or incineration, in accordance with local regulations.

Do not throw away any medicines via wastewater or household waste. Ask a pharmacist on how to throw away medicines that no longer use. These measures will help to protect the environment.

Storage

Store in a refrigerator. Do not freeze. Keep the vaccine in the outer carton in order to protect it from light.

Description

After reconstitution, one dose (0.5 ml) contains 4.5-6.0 log10 ccid50* of each serotype of the cyd dengue virus** (1, 2, 3 and 4).

* ccid50: 50% cell culture infectious dose.

** produced in serum-free vero cells by recombinant dna technology.

The powder is a white, homogenous, freeze-dried powder with possible retraction at the base, and may form a ring-shaped cake.

The solvent (0.4% sodium chloride solution) is a clear, colorless liquid.

After reconstitution with the solvent provided, dengvaxia is a clear, colorless liquid with the possible presence of white to translucent particles.

Excipients/inactive ingredients: essential amino acids including l-phenylalanine, non-essential amino acids, l-arginine hydrochloride, sucrose, d-trehalose dihydrate, d-sorbitol, trometamol, urea, sodium chloride, water for injections.

Mechanism of action

Dengvaxia contains dengue virus serotypes 1, 2, 3 and 4 that have been weakened. Dengvaxia works by stimulating the body's natural defenses (immune system), which produces its own protection (antibodies) against the viruses that cause dengue disease.

Dengue is a viral infection transmitted to humans through the bite of an infected aedes mosquito. Dengue is not transmitted directly from person-to-person. Nevertheless the virus which replicates in an infected individual can be transmitted to other humans through mosquito bites for 4-5 days (maximum 12 days) after the first symptoms appear.

Dengue disease results in a wide range of symptoms including fever, headache, pain behind the eyes, muscle and joint pain, nausea, vomiting, swollen glands or skin rash. Symptoms usually last for 2-7 days. Dengue disease can also be asymptomatic.

However, occasionally dengue can be severe and potentially lead to hospitalization and in rare cases to death. Severe dengue is characterized by high fever and any of the following symptoms: severe abdominal pain, persistent vomiting, rapid breathing, severe bleeding, bleeding in stomach, bleeding gums, fatigue, restlessness, coma, seizure and organ failure.

Source:- http://www.mims.com/philippines/drug/info/dengvaxia

More information about dengvaxia - first vaccine against dengue

Sanofi awaits govt approval to launch dengue vaccine in india

Sanofi pasteur - dengue vaccine frequently asked questions

13 people found this helpful

Sir I have a severe pain of my right hand middle finger. Last month I play cricket that time the fracture on my hand on that the pain starts till now also the pain is there. Then please told me what should I do.

MD(EH)/AM/Accupressure
Acupressurist, Chandigarh
Sir I have a severe pain of my right hand middle finger. Last month I play cricket that time the fracture on my hand ...
Apply on your fingure arnica q rhus tox q mixed in equal qty. Four times a day. After one week call back with the results.
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I am 34 yrs. Female having joints pain, uric acid is normal in range but deficiency in calcium. Bone density is done report is 2.6.

BPTh/BPT
Physiotherapist, Mumbai
I am 34 yrs. Female having joints pain, uric acid is normal in range but deficiency in calcium. Bone density is done ...
Hi and what about vitamin d? you can start physiotherapy treatment to strengthen the muscles around the joint, stabilize the joint, and improve your range of motion. The therapist will use techniques such as ultrasound, heat or cold therapy, electrical nerve stimulation, and manipulation. Do reply for private consultation and detailed treatment plan wishing you a good health.
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I have been facing intense pain in my knee and Dr. has told me abt the ligament tear it has in it. Can I knw abt any alternate treatment abt that.

CCP, MBA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Karnal
I have been facing intense pain in my knee and Dr. has told me abt the ligament tear it has in it. Can I knw abt any ...
The best treatment is to undergo janu vasti & matra vasti. We have cured pts. Of tear with panchakarma.
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My mother is diabetic and these days she is suffering with fever. Mostly in evening time. She is osteoporosis with excessive pain in joints and lower back pain. Kindly help.

Master of Occupational Therapy (MOT), Bachelor of Occupational Therapy (BOT)
Occupational Therapist, Delhi
My mother is diabetic and these days she is suffering with fever. Mostly in evening time. She is osteoporosis with ex...
Apply hot fomentation Take bath with luke warm water adding salt to it Do each joint isometric exercises Take care of posture For low back pain do spinal extension exercises
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Hello Sir, I am suffering pain last 10 years pain in back and stiffness in back every morning and evening when I want go in to my bed I feel lot of back in my back in now this day I am in tension a doctor He is tell me some blood test. My HLA 27 is positive.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Hello Sir,
 I am suffering pain last 10 years pain in back and stiffness in back every morning and evening when I wan...
Means now is your problem only stiffness and test are positive it is as do spine extension exercise and tk physiotherapy help to maintain your fiexbility you can use other relaxation treatment but exercise must for you bcoz in this cause spine convert in bamboo shape stiff n rigid.
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From yesterday I am feeling a flesh ball just above the anus layer. Feeling little pain while walking and at the time of cough. What exactly is this, how serious is this and what should I need to do?

PGDMLS, PGDHHM, LLB, PhD Surgery, MS - General Surgery
General Surgeon, Gurgaon
From yesterday I am feeling a flesh ball just above the anus layer. Feeling little pain while walking and at the time...
This could be a fissure with sentinel pile. Anal fissure improves with general measures but may require surgery. The general measures I would suggest are 1. Take lot of vegetables & fruits in your diet 2. Avoid chillies & spices 3. Take lot of fluids 4. Avoid constipation 5 periodically do anal exercises (alternately contracting & relaxing the buttocks, anal area & upper thighs) 6. Take sitz bath 3-4 times a day. This means sitting in a tub of warm water & doing anal exercises 7. Atleast once get it examined by a general surgeon. Purulent discharge might be due to a fistula. The surgeon will find it on examination.
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Hello, I am very tired of my back pain. So please tell me what should I do.?

MS - Orthopaedics, MBBS
Orthopedist,
Hello, I am very tired of my back pain. So please tell me what should I do.?
Sleep on a hard bed with soft bedding on it. SPRING BEDS, FOLDING BEDS OR THICK MATRESS ARE HARMFUL Use no pillow under the head. DO HOT FOMANTATION. Paracetamol 250mg OD & SOS x 5days. Caldikind plus 1tab OD x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, contact me again.. Do not ignore .It could be beginning of a serious problem.
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I'm 60+. I'm a farmer. I'm getting a severe pain in my both knees and can't able to walk for a small distance. Some of relatives said that I should have a surgery. Please suggest me whether to have a surgery or any medicines can cure it.

Doctor Of Physical Therapy (DPT), Bachelor of Physical Therapy
Physiotherapist, Bangalore
I'm 60+. I'm a farmer. I'm getting a severe pain in my both knees and can't able to walk for a small distance. Some o...
Please try physiotherapy treatment. A combination of ultrasound, stretching and strengthening exercises can help control pain. Sometimes it can help to an extent that you may no longer need surgery. Wish you speedy recovery.
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I have severe back pain due to slip disc, can physiotherapy help me to relieve pain.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I have severe back pain due to slip disc, can physiotherapy help me to relieve pain.
Ye physiotherapy will help you with treatment preventions must like avoid long sitting toward bending, lifting heavy weight, and di stretching exercise in daily routine.
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I am felling back pain for about 1 month long what should I do? I never felt it before but recently I face a long train journey after that I am felling this backpain.

BHMS
Homeopath, Sindhudurg
I am felling back pain for about 1 month long what should I do? I never felt it before but recently I face a long tra...
Homeopathy is one of the most important and effective therapy for back pain. Homeopathy produces excellent results in backache treatment without producing any side effect and is extensively used in all over the world. Homeopathy is a nature system of healing and that is why it can heal whole symptoms of illnesses and it also cure the illness from its root. Tips for backache: heavy objects should be pushed rather than pulled. The weight of the objects should be taken in your bent legs and arms and not in your back. During an acute attack sleep with a pillow under the knees. Choose shoes that offer good support in the arch and have low, but not flat, heels. Prop up one foot on a box or low stool when you're standing for a long time. Use a chair that provides support for your back, or tuck a little pillow behind your lower back. Tips to improve balance/alignment/motion: lift your leg so your thigh is parallel to the ground while touching a wall. Hold it for five breaths. For alignment, move side to side while sitting on a balance ball. For motion, try moving forward and backward on the ball.
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I have very much pain leg knees what I will do?

MS - Orthopaedics, MBBS
Orthopedist,
I have very much pain leg knees what I will do?
Investigations advised - hb, tlc, dlc, esr, sugar f & pp, uric acid, vit d3 urine r/e x ray of the affected part. Anyway you may try- sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick mattress are harmful do hot fomentation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do back knee & general exercises. It may have to be further investigated. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, inform me.
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Doctor I having problems to back pain to daily hard study because I am a students so doctor what can I do daily and not do.

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
Doctor I having problems to back pain to daily hard study because I am a students so doctor what can I do daily and n...
Use study table during studies. Posture modification. Back strengthening exercises and back support while studying. Don't sit for long duration get some breaks.
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