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Dr. Manjunatha

MBBS, MS - Orthopaedics

Orthopedist, Bangalore

38 Years Experience  ·  150 at clinic
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Dr. Manjunatha MBBS, MS - Orthopaedics Orthopedist, Bangalore
38 Years Experience  ·  150 at clinic
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Personal Statement

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Manjunatha
Dr. Manjunatha is an experienced Orthopedist in Uttarahalli, Bangalore. She has had many happy patients in her 38 years of journey as a Orthopedist. She is a qualified MBBS, MS - Orthopaedics . You can visit her at Srishti Ortho Clinic in Uttarahalli, Bangalore. You can book an instant appointment online with Dr. Manjunatha on Lybrate.com.

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

Info

Specialty
Education
MBBS - Mysore Medical College, - 1980
MS - Orthopaedics - Bangalore Medical College and Research Institute, Bangalore, - 2000
Languages spoken
English
Professional Memberships
Indian Medical Association (IMA)
Indian Orthopaedic Association
Karnataka Orthopaedic Association

Location

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Srishti Ortho Clinic

Basement Corporation Bank Building , Near Cafe Coffee day, Uttarahalli Main Road, UttarahalliBangalore Get Directions
150 at clinic
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Hii Good morning I slipped from stairs now my backbone is paining. What I will do for relief .please suggest me.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Hii Good morning I slipped from stairs now my backbone is paining. What I will do for relief .please suggest me.
This is a general low back ache and for this you can follow these measures: one keep a pillow right under the knee while sleeping, next is you can keep ice in the painful area for about 5--10 minutes, if pain still persists you can stretch your body by twisting the waist on both sides how we used to do in the school drill similarly you can try which will help you relax as well will reduce the pain. It looks like you are anaemic. If you have back pain after you sit for long hours then it is due to your haemoglobin levels as it is important to check that. Anaemia always leads to the symptoms of being tired and also having back / leg pain though there may not be any pathological reasons for back pain. If you have leg pain then you have to rule out the casues for having leg pain. First of all check your weight and your haemoglobin levels, as Anaemia always leads to the symptoms of being tired and also having leg pain though there are no issues with the knee joint or back pain. If not if the pain radiates down the back of thigh and legs then it might be due to sciatica. Kindly consult the nearby physiotherapist. Hope you recover soon from the leg pain. •Standing hamstring stretch: Place the heel of your injured leg on a stool about 15 inches high. Keep your knee straight. Lean forward, bending at the hips until you feel a mild stretch in the back of your thigh. Make sure you do not roll your shoulders and bend at the waist when doing this or you will stretch your lower back instead of your leg. Hold the stretch for 15 to 30 seconds. Repeat 3 times. •Cat and camel: Get down on your hands and knees. Let your stomach sag, allowing your back to curve downward. Hold this position for 5 seconds. Then arch your back and hold for 5 seconds. Do 3 sets of 10. •Quadruped arm/leg raise: Get down on your hands and knees. Tighten your abdominal muscles to stiffen your spine. While keeping your abdominals tight, raise one arm and the opposite leg away from you. Hold this position for 5 seconds. Lower your arm and leg slowly and alternate sides. Do this 10 times on each side. •Pelvic tilt: Lie on your back with your knees bent and your feet flat on the floor. Tighten your abdominal muscles and push your lower back into the floor. Hold this position for 5 seconds, then relax. Do 3 sets of 10. •Partial curl: Lie on your back with your knees bent and your feet flat on the floor. Tighten your stomach muscles. Tuck your chin to your chest. With your hands stretched out in front of you, curl your upper body forward until your shoulders clear the floor. Hold this position for 3 seconds. Don't hold your breath. It helps to breathe out as you lift your shoulders up. Relax. Repeat 10 times. Build to 3 sets of 10. To challenge yourself, clasp your hands behind your head and keep your elbows out to the side. •Gluteal stretch: Lying on your back with both knees bent, rest the ankle of one leg over the knee of your other leg. Grasp the thigh of the bottom leg and pull that knee toward your chest. You will feel a stretch along the buttocks and possibly along the outside of your hip on the top leg. Hold this for 15 to 30 seconds. Repeat 3 times. •Extension exercise: Lie face down on the floor for 5 minutes. If this hurts too much, lie face down with a pillow under your stomach. This should relieve your leg or back pain. When you can lie on your stomach for 5 minutes without a pillow, then you can continue with the rest of this exercise.
1 person found this helpful
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Hi everyone, I have pain in right knee. When I am sitting down for 20-25 minutes legs crossed, I am unable to keep my right knee straight after that; it bends a little. I am 65. Please advise

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hello, Sir it seems you are suffering from knee arthritis . Please upload your latest knee x rays so that i can see and advise accordingly.
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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, Gorakhpur
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

14 people found this helpful

Respected sir, I am 32 year old male person having pain on my right shoulder from 3 years after a accident 3 years ago. Doctor said 3 years ago that there is no facture but little stiff in my two joint bone on right shoulder 3 years ago. Doctor prescribed a exercise of pulling a rope from up and down. But the pain remains on my shoulder and also I cannot throw a stone from my right shoulder. So give me a solution and remedy.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Kindly show me x rays of your shoulder. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Do hot fomentation any way take bio d3 max 1tab odx10days ibuprofen 200mg od & sos x 5days do neck & shoulder exercises it may have to be further investigated make sure you are not allergic to any of the medicines you are going to take.
4 people found this helpful
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Hi Sir/Mam One day one of my friend mother is fasting and she took pain killer on the same day and she died. How it happened we don`t no please tell me the reason?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi Sir/Mam
One day one of my friend mother is fasting and she took pain killer on the same day and she died. How it h...
Mr. Lybrate-user, this could be a simple coincidence, because usually no pain killer can cause such a serious problem, unless it is an anaphylactic (very severe acute allergy). Plus there is no mention of her other ailments. She may have had some other ailments or conditions related to heart which is not mentioned. So no explaination can be given.
13 people found this helpful
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There is a pain at Right side Hip. I scan my stomach and notice that there is a stone in right kidney measuring 4 mm. What to do now. Please Help me sir.

M.D.(AM), B.A.M.S.(PB)
General Physician,
There is a pain at Right side Hip. I scan my stomach and notice that there is a stone in right kidney measuring 4 mm....
Although scanning stomach & stone in right kidney does not have any relevance ,, but if you are having stone ,, tke plenty of water daily, avoid rice ,tomato ..take kulath dall along with herbal treatment
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Ayurvedic Treatment for Joint Disorders

MD, Bachelor of Ayurveda, Medicine and Surgery (BAMS), PGDEMS, DNHE, DYA
Ayurveda, Mumbai
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The Ayuredic approach to cure joint pain and other joint disorders

Good morning everyone my name is Dr. Pratik Bhoite and today we are going to discuss Joint disorders and its remedies by Ayurveda.

Ayurveda is the science of life it is a non side effective treatment which is there from ancient times. Ayurveda is known to cure chronic diseases and joint problems from the past many decades. Now what exactly is joint disorders any problem happening to your joint in which there is pain stiffness swelling is called joint disorders. The most common form of joint disorders is arthritis. Arthritis today affects more than fifteen percent of the Indian population. it is a serious problem basically a problem which was occurring in the age of 60s today is knocking those when you are at the age of 30s. So it is a great concern for everyone. How does Ayurveda help in the joint problems.

Joint disorders have been or to immune in nature. Rheumatoid arthritis, alkalizing spondylitis, gout these diseases have grabbed people of today. So in Ayurveda basically the ayurvedic formulations along with panchakarma therapy has been found very effective in the joint diseases. Ayurveda is known to give a specific disease wise a dietary regime which when followed by the patient is really helpful and is found to be effective. Ayurveda has do's and don't which when followed in the right manner helps the patient to reduce the symptoms. Joint disorders basically include the main symptom pain. Patient are really worried regarding the pain when they are walking or when it is paining continuously and if their pain subsides they find joint disorders to be cured but actually the joint disorders is not cured.

So Ayurveda believes in removing the disease from the root cause. Hence it is very important to get rid of the diseases causing elements and eliminate the cause which is causing the disease. Thus by having prepared formulations and following a dietary regime along with a specific exercise really helps in joint disorders. Now let us move on to panchakarma today the pancha karma treatment is known to all now what exactly is this panchakarma treatment.

Panchakarma treatment is nothing but a natural way in which the diseases causing elements are removed out of the body. For joint disorders basti that is medicated anima is found to be the most effective treatment of all. Thus when these Ayurvedic formulations are taken it reduces that increased vata dosha in the body which causes decrease in the vitiation of pitta and cough and ultimately the defective asti and mojada to which are the integral part of the joint are cured thus, in the long run, the joint remains healthy. So you can imagine at the age of 60 someone saying hey I am consuming Ayurvedic medicines and am healthy. It reduces the degeneration which is happening in the body and keeps you healthy thus the Ayurvedic medicine is found to be very effective in joint disorders even though the treatment takes time but having a longer duration treatment helps you to make sure that the healing of the body and the diseases causing elements are removed from the body.

So, I hope that with the treatment surely helps you in your joint problems for ayurvedic treatment and punchkarma therapies. It is very easy to get in touch with me at lybrate.com. thank you stay blessed, stay healthy. God bless you.

3788 people found this helpful

I am 16 years old and I suffer pain in my lower back sometimes when I get up from my bed.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I am 16 years old and I suffer pain in my lower back sometimes when I get up from my bed.
rest must. gentle massage. hot fermentation. avoid strain till relief like playing, long sitting. toward bending.
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I am having pain in my back for 3 months what should I do to get rid of it please tell me soon.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am having pain in my back for 3 months what should I do to get rid of it please tell me soon.
Postural correction- sit tall, walk tall. Extension exercises x 15 times x twice daily. Apply hot fomentation twice daily. Avoid bending in front.
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