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Sree Clinic Diabetes Centre

Endocrinologist Clinic

#20, Besant Avenue Road Landmark: Near Awai Home School, Adyar Chennai
1 Doctor
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Sree Clinic Diabetes Centre Endocrinologist Clinic #20, Besant Avenue Road Landmark: Near Awai Home School, Adyar Chennai
1 Doctor
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Our goal is to provide a compassionate professional environment to make your experience comfortable. Our staff is friendly, knowledgable and very helpful in addressing your health and fin......more
Our goal is to provide a compassionate professional environment to make your experience comfortable. Our staff is friendly, knowledgable and very helpful in addressing your health and financial concerns.
More about Sree Clinic Diabetes Centre
Sree Clinic Diabetes Centre is known for housing experienced Endocrinologists. Dr. Srivasta, a well-reputed Endocrinologist, practices in Chennai. Visit this medical health centre for Endocrinologists recommended by 59 patients.

Timings

MON-SAT
09:00 AM - 11:30 AM 06:00 PM - 08:00 PM

Location

#20, Besant Avenue Road Landmark: Near Awai Home School, Adyar
Adyar Chennai, Tamil Nadu - 600020
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Doctor

Dr. Srivasta

MBBS
Endocrinologist
28 Years experience
Available today
06:00 PM - 08:00 PM
09:00 AM - 11:30 AM
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Hi! my father is 61 year old and he is diabetic since last 8 year. Few days ago he had minor attack and after medical treatment doctor diagnosis him some tablets. My question is when he took Telvas 40 tablet he feel low BP at same moment. What is its side affect after taken this tablet?

MD - Consultant Physician, Doctor of Medicine, MD
General Physician, Ahmedabad
Hi! my father is 61 year old and he is diabetic since last 8 year. Few days ago he had minor attack and after medical...
unless bp below 100 /80 mm hg no worry also if nò chakkar giddiness vertigo no need to worry but with above complaìnts or if no is less than 100 / 60 mm. in this case reduce dose of telvas to 20 mg.and give some fruit juìce alone and make him lie down till ok.
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Since last 6 months my TSH is above 5 and below 10. T3/T4 being normal. Ultrasound of thyroid also normal. Last 15 days having chronic constipation, fatigue and cold feeling. Are the above due to hypothyroidism. Male 46, Weight 90 kgs, Height, 177 cms. BP 150/100 Medicines taking: cilnidipine 10 mg twice daily. Do I need further medical evaluation.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, thanks for the query. Usually with TSH < 10 mU/L, no treatment is advocated. However, if there are troublesome symptoms are present then treatment is given. In your case symptoms like constipation, fatigue and cold intolerance as well as weight increase are indicating that there is a need for treatment. Your BP is also not in good control (ideally with treatment it should be 120 to 130 / 70 to 80 mmHg). Thanks.
3 people found this helpful
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From one and half year (Since Aug-16) I'm taking TB medicine. 1.mycobutol 750 2.pyrazinamide 750 3.Rifampin 600. Now I having join pain due to uric acid (aug-17 blood checkup uric acid is 7.2),so please suggest now what I do.

MBBS
General Physician, Greater Noida
From one and half year (Since Aug-16) I'm taking TB medicine.
1.mycobutol 750
2.pyrazinamide 750
3.Rifampin 600.
Now ...
Your uric acid is marginally on the upper side. Continue with ATT for few more days and after 2 months it will be only 2 drug therapy.
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I am 60 yes male. Non diabetic. Dr. prescribed tonacttg tabs 1 per day. By mistake I have taken 1 in morning and 1 at night for 6 months. My sugar level gone up to 300 from 100 in 6 months. Is it due to this over dosage?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 60 yes male. Non diabetic. Dr. prescribed tonacttg tabs 1 per day. By mistake I have taken 1 in morning and 1 at...
Mr. lybrate-user, Thanks for the query. By taking Atorvastatin 2 tablets a day (20 mg per day), is unlikely to cause any such problem of increase in blood glucose. It is possible that you were earlier in a pre-diabetes state and that condition has now changed to overt diabetes. Please tell me the earlier Fasting, PP levels if you remember. In any case if present level is showing 300 mg, then it needs to be treated. So please check fasting, PP and HbA1c% and come back. Also inform details like your height, dietary pattern, extent of daily exercise. Also check the lipid profile. 300 mg (whether fasting or after food) is a very high glucose level, demanding urgent correction. Thanks.
1 person found this helpful
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I am recently diagnosed with TSH 6.45 Will my mental ability, brain function memory degrade for sure? I am doing my PhD and I will remain in research field in electronics engineering. But this diagnosis really made me frustrated. Should I change my domain. I mean is it still possible for me to remain in research field where my brain function is highly required? Please help me please. I am 28 years old male. Weight 71 kg height 5 feet 7 inch. Sugar normal.

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Hyderabad
I am recently diagnosed with TSH 6.45 Will my mental ability, brain function memory degrade for sure? I am doing my P...
1. You are perfectly normal and you can do every time of physical or mental activity without any hindrance. 2. TSH high - indicates Hypothyroidism - which means you will have to take Thyroxine to compensate for lack of it being produced by your body. 3. It is a very common problem with no impact on your health. 4. Please visit a physician with test results who will guide you further. 5. Be relaxed, no need for worry.
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I AM diabetic patient. WHICH MEDICINE I SHOULD TAKE. Would I TAKE MEDICINE regularly.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I AM diabetic patient. WHICH MEDICINE I SHOULD TAKE. Would I TAKE MEDICINE regularly.
Hello, Thanks for the query. For treating diabetes there are many different medications both oral and injectable. The drug selection is done on the basis of individual patients needs. One has to look at blood glucose levels, HbA1c%, weight, height, dietary pattern and extent of daily exercise. Without those details drug/s can not be decided. Hence, my suggestion is please come in a private conversation (paid consultation) with all the above mentioned details, then I will be able to give the specific prescriptions and much needed instructions to be followed for stricter glucose control. Or else consult a close by diabetologist and start treatment early. Neglecting the condition is detrimental to your health. Thanks.
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I was diagnosed with hypothyroidism on October 2016 with TSH level 5.12 I consulted with endocrinologists. They suggested me not to start medicine and keep on checking TSH, T3, T4 level once in 2 months. I did so. My TSH level in the mean time came as 2.49, 2.21, 3.09 and also normal T3, T4 levels. But now 10 days ago my TSH level came as 6.45 I am extremely worried. I am preparing for civil services exam (IAS) which is the toughest exam. If I am diagnosed with hypo thyroid, my brain power will surely get diminished. Then is it possible for me to crack the exam? Many of my friends and family members suggested me to forget the IAS exam as it may not be possible anymore. I am worried. Please suggest.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I was diagnosed with hypothyroidism on October 2016 with TSH level 5.12 I consulted with endocrinologists. They sugge...
Mr. lybrate-user, Thanks for the query. The TSH levels earlier and current both are in sub-clinical hypothyroidism level. Usually at this level no treatment is advised. When level crosses 10 mU/L, hypothyroidism is confirmed and treatment is initiated. However, occasionally in some patients even at the sub-clinical level, if there are troublesome symptoms of hypothyroidism present then treatment is initiated with a minimal dose. Please tell me why was the test done? Was there any specific reason for getting the test done? If there is no specific problem, then there is absolutely no reason to worry. But if you have any specific issue, then treatment can be started. As regards your preparation for civil service exam and clearing it, if you are confident of your preparation and capabilities, then nothing will stop you from clearing it with flying colours. Low thyroid levels affect clear thinking and intelligence etc only when it is uncontrolled hypothyroidism. Still if you have any doubts please come back with answers to my few queries mentioned above, then I will be able to guide. Thanks.
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My wife's T3=89 T4 =5.1 TSH=57.08 Is it hypothyroidism? Taking 100 mg thyroxine tablet, is it ok?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My wife's T3=89
T4 =5.1
TSH=57.08
Is it hypothyroidism? Taking 100 mg thyroxine tablet, is it ok?
Hello, Thanks for the query. TSH 57.08 mU/L, shows it is confirmed hypothyroidism. Hence the treatment is also correct. Please ensure that TSH level is maintained between 3 to 4 mU/L, with adequate dosage of thyroxine. So please check TSH after 6 to 8 weeks, if the level is still above the recommended range, then there is a need to increase the dose further. Plus it is necessary to take the drug early morning on empty stomach, then nothing to be taken for at least 1 to 1 and half hour. Plus she should avoid soy beans, soy containing products and consume more of green leafy vegetables, salads and fruits. Avoid bakery items and foods made of maida completely. Thanks.
1 person found this helpful
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I am 34 years old n i am 100 kgs. I delivered a baby a year bck n was diagnose wid diabetes on the 9th month. Nw I simply chkd at home my sugar level on fasting shows 400. I panicked. Pls advice wt shld I do.

MBBS, MD
Endocrinologist, Delhi
I am 34 years old n i am 100 kgs. I delivered a baby a year bck n was diagnose wid diabetes on the 9th month. Nw I si...
Fasting blood sugar 400 is indicative of diabetes. Get your fasting, pp blood sugar, HbA1c done and consult a physician with reports. He will evaluate you clinically, look for other associated problems after which he will suggest diet restrictions, exercise and medicine which are suitable for you.
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Today I Tested fast sugar &H1Abc and random sugar Results are Fast sugar 100.6 Hiabc 5.1 7& random sugar is 111 doctor advised me to go for glucose tolerance test. Is I am diabetic.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Today I Tested fast sugar &H1Abc and random sugar Results are Fast sugar 100.6 Hiabc 5.1 7& random sugar is 111
docto...
Mr. lybrate-user, Thanks for the query. The blood glucose levels and HbA1c% shown all confirm that there is no diabetes. I do not see any reason for doing a OGTT. Thanks.
1 person found this helpful
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I 67 yrs, Type 2 Diabetes since 6 years .On 5 July 17 - Amylase -207 U/L, Lipase- 285.(method- Enzymatic Colorimetric Assay, by Thyrocare) but by SRL Diagnostics on 25 July 17 -Amylase-90 U/L & Lipase -242 (method- spectrophotometry - Ref. Interval units- 73-393? By thyrocare report range is 13-60 U/L? In ultrasound my pancreas is normal, I have no physical symptoms of pancreatitis. What I should do?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I 67 yrs, Type 2 Diabetes since 6 years .On 5 July 17 - Amylase -207 U/L, Lipase- 285.(method- Enzymatic Colorimetric...
Mr. lybrate-user, Thanks for the query. Please tell me why did you go for those enzyme tests? Is there any problem or just because the offer was there from Thyrocare? Most important is to keep your blood glucose in good control with fasting < 100 mg, PP 160 to 180 mg & HbA1c% <7. If you have no symptoms bothering please ignore those results. Another important thing to remember is to reduce your weight, with a BMI of 26.95 kgs/M2, you are overweight. Your ideal body should be about 55 kgs. Therefore, please look at your diet and exercise. Do not worry about other things. Thanks.
2 people found this helpful
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I am 62 years old, diabetic since 20 yrs. Took oral allopathic medicines till July 6th. Had an heart attack and standing was done due to a 100% block. As my hbA1c was 11.4 I have been asked to take 40 units of insulin and blood thinners, statins and thyronorm for thyroid problem. My glucose readings vary from 115 to 400. BP normal, TSH is 5.93. Creatinine is 1.7. Now along with present allopathic medicines Can I take Ayurvedic medicines (Divya kit). Will it be helpful. Does insulin taken for long create any further complications? Pl advice.

MBBS, MD - Internal Medicine, DM - Cardiology, Cardiac Device Specialist (CCDS - Physician )
Cardiologist, Delhi
I am 62 years old, diabetic since 20 yrs. Took oral allopathic medicines till July 6th. Had an heart attack and stand...
Please understand that because of longstanding uncontrolled diabetes, you were already at a high risk of complications like heart attack and kidney dysfunction, and after the heart attack now that risk has come true and also your kidneys are already show impact of diabetes because creatinine is 1.7, So in your case it is ABSOLUTELY NECESSARY that you have good sugar control as well as take all necessary medication timely to prevent any new heart blockage or further worsening of kidney problem. Insulin is a very safe and effective medication and you should take it as advised, also please remain in close follow up of a endocrinologist to keep your hbA1c around 6.5%. And I will advise you against mixing of allopathic and ayurvedic medicine because of two reasons - 1) it can lead to drug interactions with blood thinners and stains and side-effects due to those interactions. The blood thinners and statins are absolutely essential for your stent to function normally. 2) Because quite a lot of ayurvedic medications are excreted from kidneys and can cause further damage to your already damaged kidney function. So it will be best if you take your allopathic medication and insulun and lifestyle precautions and proper diet to stay helathy and please keep in close touch with your endocrinologist for proper sugar control.
1 person found this helpful
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M suffering from thyroid. Don't know which type of. But very early age mai muje hua ye in 15 years. Why what are the causes of thyroid? Kya ye kabhi thik nahi hoga.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello, Thanks for the query. Diseases related to thyroid gland are usually either hypothyroidism where the gland is producing less or nil thyroxine and second common problem is hyperthyroidism where there is excess activity of thyroxine. It would have been better if you had given the thyroid test results and the medicine that is being taken. Above mentioned conditions can only be controlled by proper medication and one can live a very normal life. There is no cure. Isake saath hi rehana padata hai. Thanks.
2 people found this helpful
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My blood sugar level (fasting )is 95 mg/dl. Is it normal .any precautions. Please reply.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My blood sugar level (fasting )is 95 mg/dl. Is it normal .any precautions. Please reply.
Mr. lybrate-user, Thanks for the query. The blood glucose value given is very much normal. There is no reason to worry. Thanks.
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Ovarian Cysts - Ways Laparoscopic Surgery Can Help!

MD - Obstetrtics & Gynaecology, MBBS, Diploma in Specialised Advanced Gynaecological Endoscopy
Gynaecologist, Delhi
Ovarian Cysts - Ways Laparoscopic Surgery Can Help!

Ovarian cysts are fluid-filled sacs in the ovaries, often in multiples, which are very common in women. This is absolutely different condition from polycystic ovaries. Most of them are benign and not indicative of an underlying problem. They produce no specific symptoms and even if detected, can be watched over a period of time. Treatment may be required only if there are serious symptoms or there is higher possibility of cancerous nature of the cyst. Read on to know more. 

Types 

  1. Functional: There are two types in this. The follicular variety is when the egg that is ready for fertilization does not completely shrink and stays for a few more days before it disappears. Another variety, the luteal ovarian cysts are formed when after the release of the egg, there is blood filling up in the corpus luteum. 
  2. Pathological: There are many types here – dermoid, cystadenomas, endometriomas, cancerous cystadenocarcinomas etc. These are worrisome and need to be treated. Both varieties, once identified, should be monitored. The functional variety, though may not cause a problem, can cause infertility and so necessitate treatment. 

Symptoms 

Any ovarian follicle larger than 2 cm can be called as an ovarian cyst. They are usually benign and do not produce any symptoms. However, if they turn pathologic or grow in size, they can cause various symptoms such as: 

While cysts are often quiet and do not produce any symptoms, they can cause intermittent, nonspecific symptoms like above. If there is a family history of ovarian cancers in mothers, maternal aunt, Sisters, Grandmothers etc then women should have regular Gynaecological checkups to have a check done for ovarian cysts. 

Why go for laparoscopic surgery? 

  1. Laparoscopic surgery is considered to be one of the most effective ways of treating the condition of ovarian cysts. During the surgery, problem causing non-cancerous cyst can be removed without harming the ovaries. In the case of cancer, both ovaries along with uterus etc may have to be removed. This decision is taken by the operating surgeon depending upon age of the patient, characteristics and nature of the cyst and future fertility desires of the patient. 
  2. The patient is given general anesthesia during the surgery. After the surgery, one is suggested to rest for a day and may be permitted to return to normal activities within a day’s time. However, one needs to avoid any strenuous activity for almost a week. 
  3. While some cysts can be watched for years, others need treatment. This would be specifically true in cases where the couple is facing infertility issues or if there is a higher possibility of cancerous cysts. Such cysts need urgent intervention and should be monitored by a gynecologist with an experience in oncology. There are few blood tests that are needed to be done to know the nature of the cyst if it is benign or cancerous.
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Hypothyroidism - Know Its Homeopathic Remedies!

BHMS
Homeopath, Delhi
Hypothyroidism - Know Its Homeopathic Remedies!

Hypothyroidism refers to the lack of thyroid hormones in your body. Hypothyroidism is caused when the thyroid gland of your body is unable to produce the thyroid hormones like T3 (triiodothyronine) and T4 (thyroxine). Hypothyroidism can occur due to the inflammation of the thyroid gland or as a result of previous thyroid treatments, where a major portion of the thyroid producing cells has been removed. Hypothyroidism is more common in women. But, it can develop in any person irrespective of age or sex.

The symptoms of hypothyroidism are as follows:

  1. Fatigue
  2. Increased feeling of cold
  3. Dryness of skin
  4. Constipation
  5. Depression
  6. Obesity
  7. Increased blood cholesterol level
  8. Your muscles may be become weak and you may suffer from muscle pain
  9. Disruption in menstrual cycle

Though these are the common symptoms, but it may vary from person to person. Hypothyroidism is a very common problem and homeopathy offers a very safe, painless and effective treatment for hypothyroidism.

Homeopathic Treatment For Hypothyroidism

Homeopathy is best holistic therapy for hypothyroidism. Homeopathic medicines have been known to correct the imbalance in the thyroid hormones in a very mild and subtle manner.  The homeopathic medicines for hypothyroidism are purely natural in origin and have no side effects at all. They are able to improve the functioning of the thyroid gland permanently. Once cured, one has no need to take medicines and can live a disease free as well as medicine free life.

Doses-

There are excellent remedies in homeopathy for the patients suffering from hypothyroidism symptoms.The homeopathic remedies are prepared from a wide range of substances such as the vegetables, herb, mineral, chemicals and animal products in extremely minute. The homeopathic remedy selected will be based on all the symptoms of the patient including physical, mental and emotional states and family history of the patient.

Homeopathic remedies stimulate the body’s own immune system and offer a long lasting cure rather than giving temporary relief.

There are two ways to treat hypothyroidism-

  1. Supplement body with external thyroid hormone
  2. Administer medicines that could stimulate the thyroid gland

The conventional method is to supplement the hormone. But the problem here is that the body gets used to it and stops producing its own hormone in desired quantity.

In case of homeopathic treatment, it tries to stimulate the gland to make it produce normal production of hormone.

Know the Facts About Common STDs in Women!

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Master of Hospital Administration, pg (yoga therapy)
Sexologist, Bhubaneswar
Know the Facts About Common STDs in Women!

Although STDs are capable of affecting both genders, the impact on men and women is different. In women, this problem can cause long-term issues such as infertility in women. Although most STDs can be readily treated as soon as the symptoms surface, some cases might not throw up any symptom. Some of the curable STDs that can affect women are discussed below:

  1. Gonorrhoea: This STD is caused by bacteria living in mucous membranes of the vagina, urethra, mouth, rectum and eyes and is capable of spreading through contact. The symptoms in women include excessive discharge from the vagina, abdominal cramps, pain in the pelvic region and bleeding from the vagina after sex.

  2. Chlamydia: This STD is a result of a bacterial infection of ‘Chlamydia trachomatis’. Symptoms in females include burning sensation during urination, unusual vaginal discharge and bleeding between periods. Without treatment, the infection might spread to the urinary tract which could potentially cause PID (Pelvic Inflammatory Disease) which is capable of causing problems in pregnancy and even infertility.

  3. Genital Herpes: Genital herpes is generally caused by the herpes simplex virus-2 (HSV-2) or the herpes simplex virus-1 (HSV-1). The virus is commonly known to be the chief cause of cold sores. Symptoms may appear soon after infection and usually are severe. This includes blisters, which turn into raw and painful sores that scab and heal over time. This might be accompanied by swollen lymph nodes and fever.

  4. Chancroid: This infection is caused by the bacterium ‘Haemophilus Ducreyi’. It occurs most commonly in the vulva (the female external genital organ that includes the clitoris, labia as well as the opening of the vagina). The condition starts out as a tender lump that appears during the incubation period after intercourse. The incubation period generally ranges between 3-10 days. The bump turns into an ulcer i.e. an open sore, due to the death of the cells. This is usually painful.

  5. Syphilis: It is caused by the bacterium ‘Treponema pallidum’ and the disease mainly occurs if you have sexual intercourse without any protection, that too with multiple sexual partners. The other mode of infection is blood transfusion. Symptoms of Syphilis include appearance of ulcers around the genitals or the oral region known as a chancre, severe rashes around the hand or feet coupled with other symptoms of mild fever, headache, throat pain and immense fatigue.

8 people found this helpful

I am undergoing a medical test for my gov job. They have specifically mentioned to categorically specify sugar and albumin level of urine. But my report contains protein and glucose level of urine. Is albumin similar to protein and sugar equovent to glucose?

Bsc Food & Nutrition, Msc Food & Nutrition
Dietitian/Nutritionist, Delhi
I am undergoing a medical test for my gov job. They have specifically mentioned to categorically specify sugar and al...
The glucose urine test measures the amount of sugar (glucose) in a urine sample. The presence of glucose in the urine is called glycosuria or glucosuria. An albumin test checks urine for a protein called albumin. Albumin is normally found in the blood and filtered by the kidneys. When the kidneys are working as they should, there may be a very small amount of albumin in the urine. But when the kidneys are damaged, abnormal amounts of albumin leak into the urine. Proteinuria is a condition when there is excess protein in the urine. So the protein tests are different. Albumin test is specific.
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My father has recently got tested that he is diabetic, every day he gets severe pain in legs and feet joints ,pls suggest remedies.

MPT, BPT
Physiotherapist, Noida
My father has recently got tested that he is diabetic, every day he gets severe pain in legs and feet joints ,pls sug...
Keep your leg raised while sitting or lying • Quadriceps strengthening exercises- • Quad Clenches: Lie flat on your back or sit upright on a chair with leg kept horizontally on another surface. Now, tighten the muscle on the front of the thigh by pushing your knee down. You should feel your thigh muscles clench, Hold for 3 secs. Repeat 10 times twice a day. • Short Arcs: Lie flat on your back or sit upright with your leg placed horizontally on a flat surface like a chair or bed. Place a rolled up towel under the knee. Pull your toes towards you and clench you thigh muscles. Slowly lift your foot up off the bed until your knee is straight (keep your knee resting on the towel). Hold for 3 secs and slowly lower them on the chair. Repeat 10 times twice a day. • Straight Leg Raise: Lie flat on your back. One leg and knee will be straight and other leg should be bent. Pull your toes towards you and tighten/clench the muscle on the front of the thigh, locking your knee straight. Lift your foot up in the air, about 6 inches off the bed. Hold for 3 secs and slowly lower the leg. The knee must remain straight the whole time you are doing this exercise.
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