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Dr. Geeva Kamal Raj

Bachelor of Occupational Therapy (BOT)

Occupational Therapist, chennai

16 Years Experience  ·  500 at clinic  ·  ₹400 online
Dr. Geeva Kamal Raj Bachelor of Occupational Therapy (BOT) Occupational Therapist, chennai
16 Years Experience  ·  500 at clinic  ·  ₹400 online
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Personal Statement

Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Geeva Kamal Raj
She has been a successful Occupational Therapist for the last 15 years. She has done Bachelor of Occupational Therapy (BOT). Book an appointment online with Dr. Geeva Kamal Raj on Lybrate.com.

Find numerous Occupational Therapists in India from the comfort of your home on Lybrate.com. You will find Occupational Therapists with more than 31 years of experience on Lybrate.com. Find the best Occupational Therapists online in chennai. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Education
Bachelor of Occupational Therapy (BOT) - Santhosh College of Occupational therapy - 2001
Languages spoken
English
Hindi
Kannada
...more
Tamil

Location

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Chaitanya Therapy Centre

4, T.S.D Nagar Extension, Arumbakkam, Chennai No. 7/2B, Jaganathpuram 2nd Main Road, Velacherychennai Get Directions
500 at clinic
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How to treat mild tendinosis and type 2 Acromion. I did MRI of right shoulder. What are the other treatments except Corticosteroid injection. I heard about prolotherapy. Is this therapy useful.

BPTh/BPT
Physiotherapist, Kolkata
How to treat mild tendinosis and type 2 Acromion. I did MRI of right shoulder. What are the other treatments except C...
IFT for 10 days @ 15 min Ultrasonic therapy @ 12 min x 15 days use Ice compress by cool back use shoulder Immobilizer rest no gym for 3 years when pain is reduced do shoulder girdle exercise avoid movements now use Mentho plus balm of Emami.
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I am having sciatica. The most pain is in the buttocks hips thighs and calf region of leg. Burning sensation ks also there. I am doing yoga exercises and taking hot water bath with eucalyptus oil. What other things I should be doing? I have taken physiotherapy treatments also. Pain still persists and its a constant pain. Please help.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am having sciatica. The most pain is in the buttocks hips thighs and calf region of leg. Burning sensation ks also ...
Apply hot fomentation twice daily. Avoid bending in front. Postural correction- sit tall, walk tall. Extension exercises x 15 times x twice daily - lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times. Bhujang asana -- lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily. Core strengthening exercises- straight leg raised with toes turned outward, repeat 10 times, twice a day.
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Hello. Yesterday I met with an accident from my moped. I have some injuries on my knee and hand palm. Can you please suggest me antiseptic creams for it. And also I have pain in my left and arm too. I took two pain killer yesterday. One combiflam at morning and one flexon at night. Please suggest me a pain killer which I can take without any side effects.

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
Hello. Yesterday I met with an accident from my moped. I have some injuries on my knee and hand palm. Can you please ...
You have to clean the wounds thoroughly with water. Apply betadine lotion or ointment over wounds. If wounds are deep, then dressing will be required. If wounds are superficial, keep them open. You will need to take tetanus injection. So visit a hospital and get injection. Apply ice daily 5 times 10 min every time over painful parts. Take simple analgesic only when you have pain.
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I am 54 years old. My index finger is paining. What to do to reduce my pain? mention. Some physiotherapy exercises ?

DNB, MBBS
Orthopedist, Delhi
Get an x ray of the finger to see if there is any bony problem. Is the finger getting locked/ stuck? then it could be a trigger finger. See an orthopedic surgeon for the same.
1 person found this helpful
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Having joint pain in hips shoulder hands finger and toes. Esr is normal. Blood test seems fine except monocyte count. Monocyte count shows 00. Facing more pain while sitting after doing something or else after waking up from bed in morning. May I know what might be reason of this.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Chandigarh
Having joint pain in hips shoulder hands finger and toes. Esr is normal. Blood test seems fine except monocyte count....
Hi lybrate-user. Pain in multiple joints cud b Rheumatoid arthritis. please attach the report of tests you ve done for me to reach at a proper diagnosis. Mean time you can start taking milk wid a pinch of haldi. Tab Arthrella - 2 tabs twice daily. Do sum exercise, jogging, walking etc. Avoid heavy food.
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Sometimes my left hand or left leg suffering from pain.in my left side body painful sometime.

DHMS (Hons.)
Homeopath, Patna
Sometimes my left hand or left leg suffering from pain.in my left side body painful sometime.
Hello, Tk, Homoeo medicine:@.Spigelia 200-6 pills, thrice. @ Rhus tox 200-6 pills, thrice. Tk, plenty of water to hydrate your body. Go for meditation to reduce your stress and ease your problem. Avoid, junk food, cold intake. Tk, care.
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I feel fatigue during summers. Feel pain in my calf n heels. Don't feel like doing anything. My age is 29. What should I do to get rid off this?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Certificate in Child Health, Certificate in Skin Diseases, Certificate in Veneral Diseases, Certificate in Gynecology & Obstetrics, Post Graduate Diploma in Emergency Medical Service (P.G.D.E.M.S)
Ayurveda, Mumbai
I feel fatigue during summers. Feel pain in my calf n heels. Don't feel like doing anything. My age is 29. What shoul...
This is happening because of low electrolytes in your body to maintain the electrolytes of your body eat citrus fruits, drink plenty of water, drink nimbu pani, watermelon juice and coconut water daily.
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Some time I feel pain in shoulder. When I sit for long time then I feel the pain, what should I do please reply me via email.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
Some time I feel pain in shoulder. When I sit for long time then I feel the pain, what should I do please reply me vi...
Your shoulder pain may be due to strain, sprain, weather change etc. *Avoid bending forward while working on lap top or for any other work. *Don’t sit continuously working on laptop etc. Get up periodically and move around. *Restrict bike driving as far as possible. *Don’t carry laptop or any load on your shoulder. Carrying very light loads equally with both hands is better *Sit straight so that back bone gets proper support. A dining chair is better than a laid back sofa. *You can use mustard oil for massage which is good in winter season for relieving pain. Eucalyptus oil is also good *Soft bed will not give proper support to your back bone. Hard bed with thin mattress and thin pillow is better. *Get yourself tested whether you have spondylitis problem. Homoeopathy has a good treatment for this without adverse effects. Take Calc fluor 200--once daily in the morning for 6 days.
1 person found this helpful
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I have pain on left side below my ribs cage and sometimes feeling pain on my left testicle as well. Please am I gonna do.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
I have pain on left side below my ribs cage and sometimes feeling pain on my left testicle as well. Please am I gonna...
Dear user. TESTICULAR PAIN could be due to epididymitis, or inflammation of the testicles, caused by the STI chlamydia. gangrene, or the death of tissues, as a result of untreated testicular torsion or trauma. a hydrocele, which is characterized by swelling of the scrotum. an inguinal hernia. I suggest you to consult a doctor for further investigation and treatment. Take care.
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My sister is 16 years old she is having pain in her shoulders and a sound is also coming when she circumducts her shoulder. This is from. Past one month. She is not a sport person nor did she fall or had an injury what could be the cause plzz help. Now her wrist has also started making the sound and also pain.

BHMS
Homeopath, Vadodara
My sister is 16 years old she is having pain in her shoulders and a sound is also coming when she circumducts her sho...
Give her daily 1 glass milk in morning and give curd before lunch she need calcium and start homeopathic medicine for that give more deatils of patient and consult me privetly.
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Dear doctors, I am suffering from last two month pain in left leg as I already take medicine but still the pain remains same. Pls suggest .MRI also done Please help me.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Dear doctors,
I am suffering from last two month pain in left leg as I already take medicine but still the pain remai...
Hi Apply pranacharya restopain oil or prasarini oil on your affected part then give hot fomentation. Take maha rasnadi kwath 2-2 tsf twice a day. Take pranacharya vatari syrup and capsule twice a day. And agni tundi vati and maha yograj guggul 1-1 tab twice a day.
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Hi, I got some pain in the rotator cuff, and lats area in back. The pain is from some days. I have taken heat therapy, but it was not much effective. Please help. Thanks.

Bachelors in physiotherapy, Masters in physiotherapy(musculoskeleton)
Physiotherapist, Jaipur
Hi, I got some pain in the rotator cuff, and lats area in back. The pain is from some days. I have taken heat therapy...
Hello Lybrate user .as you mentioned source of pain is from rotator cuff .do apply ice packs for about 20 min. Keep your shoulder in a sling. Can take analgesic also for initially for one or 2 days .once pain subsides start doing strengthening exercise for rotator cuff muscle. First start isometric exercise then eccentric load for rotator cuff and then concentric exercises .if you find difficult to understand, consult me online I will explain to you. Thanks.
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Helo. I am only 18 years old boy. My legging was jerked in two times. First time jerking off 1month ago. Second time on 1 week Ago. Why the legging was jerked ? That time had pain in my leg. Pls help me and you telling useful treatment and solutions.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Helo.
I am only 18 years old boy. My legging was jerked in two times. First time jerking off 1month ago. Second time ...
It might be of muscle strain or of fatigue do take strengthening exercise from physiotherapist apply cold water fomentation for thrice a day for 7 days regularly do revert for further assistance best wishes.
1 person found this helpful
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Respected doctor I have pain in my foot from 2 years my age is 28 years please resolve my problem I also eat pain killers but no relief.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Respected doctor I have pain in my foot from 2 years my age is 28 years please resolve my problem I also eat pain kil...
Calcium supplements and do calf stretching exercise and avoid long standing tk gentle massage of foot if it work then ok otherwise tk physiotherapy treatment must.
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Can BP cause leg pain. Just above heels only pain no burning sensation. When consulted doctor she said its coz BP. Stop taking ayurvedic tablets. What should I do.?

MD(EH)/AM/Accupressure
Acupressurist, Chandigarh
Can BP cause leg pain. Just above heels only pain no burning sensation. When consulted doctor she said its coz BP. St...
Dear lybrate user, if you are wearing high heels then stop it. You should take rhus tox 30 thrice a day three drops in water
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Sir I have problem my left hand is paining since five days I want know but the medicine which is use for it.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Sir I have problem my left hand is paining since five days I want know but the medicine which is use for it.
Advice hot fomentation. Gentle stretching of hand muscles. Ball exercises. Wrist exerciser. Grip exercises.
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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

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