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Dr. S.Sham

MBBS, MD - General Medicine, DM - Rheumatology

Rheumatologist, Chennai

12 Years Experience  ·  300 - 500 at clinic
Dr. S.Sham MBBS, MD - General Medicine, DM - Rheumatology Rheumatologist, Chennai
12 Years Experience  ·  300 - 500 at clinic
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. S.Sham
Dr. S.Sham is a renowned Rheumatologist in Chintadripet, Chennai. Doctor has over 12 years of experience as a Rheumatologist. Doctor has completed MBBS, MD - General Medicine, DM - Rheumatology . You can meet Dr. S.Sham personally at K M Speciality Hospital in Chintadripet, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. S.Sham on Lybrate.com.

Lybrate.com has an excellent community of Rheumatologists in India. You will find Rheumatologists with more than 42 years of experience on Lybrate.com. You can find Rheumatologists online in Chennai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
MBBS - PSG Institute Of Medical Sciences and Research - 2005
MD - General Medicine - Kasturba Medical College - Mangalore - 2009
DM - Rheumatology - Madras Medical College, Chennai - 2014
Awards and Recognitions
Cardio thoracic prize exam , Won gold medal
Best outgoing student in M.D
Best Outgoing student in D.M
Professional Memberships
Indian Rheumatology Association
Associations of Physicians of India
Indian Medical Association (IMA)

Location

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No. 453/454, R.K. Shanmugam Salai, ChennaiChennai Get Directions
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#439, Cheran Nagar, Sholinganallur To Medavakkam Road, Perumbakkam. Landmark: Near Mohammed Syed College, ChennaiChennai Get Directions
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No.153, Arcot Road, Sai square complex, Valasaravakkam. Landmark: Opposite Sivan Temple, ChennaiChennai Get Directions
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#G2, Maheshwar Niruthi, 65A, Kaliamman Koil Street, Virugamabakkam, ChennaiChennai Get Directions
400 at clinic
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153 Arcot Road, Sai Square complex, Valasaravakkam, Chennai, ChennaiChennai Get Directions
450 at clinic
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Old No 62, New No 56, 4th Main Road, Gandhi Nagar, Landmark : Behind Fortis Malar Hospital, ChennaiChennai Get Directions
500 at clinic
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439, Cheran Nagar, Chennai, Tamil Nadu 600100Chennai Get Directions
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#453/454, R.K. Shanmugam Salai. Landmark : Near K.K. Nagar Bus Stop.Chennai Get Directions
300 at clinic
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Hii this z adnan khan and I am suffering from knee pain since 1 month so I am requesting you to please give me any suggestion so that I can get recover soon.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Hii this z adnan khan and I am suffering from knee pain since 1 month so I am requesting you to please give me any su...
Advice. Avoid sitting cross legged. Avoid squatting- quadriceps exercises- lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain. Core strengthening exercise- straight leg raised with toes turned outward, repeat 10 times, twice a day. Hams stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube or normal belt. Repeat 10 times, twice a day. Sports taping- stretch the tape from both ends and apply on the affected area contrast fomentation (hot and cold).
1 person found this helpful
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I am 54 years. I have right knee pain form last 5 years. Let me know that what will be the solution?

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
For knee pain, treatment depends upon diagnosis. If it's early osteoarthritis, then brace and exercises. If unicompartmental, depending upon pain, either exercises or surgery. Ukr or hto. For tricompartmental osteoarthritis, painful and minimum two tablets needed in a week then replacement is better.
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I am a 35 yrs old and I am suffering from knee pain for last 4 months. What should I do? Please help me.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
I am a 35 yrs old and I am suffering from knee pain for last 4 months. What should I do? Please help me.
Your daily habits or age may be the root of your knee problems. Some common home care techniques for knee pain that control inflammation and help to break the inflammatory cycle are protection, rest, ice, compression, and elevation, glucosamine supplement also may help. It requires a detailed treatment plan.
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I am suffering from osteoarthritis for the last 20 days and the attending physician prescribed rumalaya tabs 2tabs twice a day and supradol tab twice a day but there is some progress with respect to inflammation, swelling and Pain on my left ankle and foot. How can I get full relief permanently? Please advise I am a diabetic patient.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma in Pharmacy
Ayurveda, Mumbai
I am suffering from osteoarthritis for the last 20 days and the attending physician prescribed rumalaya tabs 2tabs tw...
For osteoarthritis ayurvedic medicines work very well. You have to continue the treatment for 6months so that there is no relapse. You have to lead a healthy life in terms of food as well as exercise. Do daily yoga and walking for atleast half an hour. Avoid eating sour and chilled food items. Im sure you will be ok.
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I am 28 year old n I have pain in my knees from past 10 days. Please help me out.

Diploma In Orthopaedics (D. Ortho)
Orthopedist, Amravati
I am 28 year old n I have pain in my knees from past 10 days. Please help me out.
Hello, medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them. I will advise to check your vit b12 and vit d3 level. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
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As I am 49 years of age and undergone hysterectomy in2005 and my husband is 67 years of age my sexual life is not so active from last 1 year and I have osteoarthritis as well. So is it that ke I may not live for long. My husband is not interested in sex is it due to age? Any advice?

Master Of Surgery, DNB (Orthopedics)
Orthopedist, Agra
As I am 49 years of age and undergone hysterectomy in2005 and my husband is 67 years of age my sexual life is not so ...
Hysterectomy and age does not have any correlation. Yes there may be some osteoporosis. Do start its treatment and you will get better. Regarding sex life, why your husband is not interested is not clear, that may be because he may have some myth about hysterectomy, do clarify all those doubts and if still feels something that you may need help of some councilor.
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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

Hello sir/mam, in winter my knee gets too much pai. In morning I can't even able to stand when I get up.. Is there any way.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
Hello sir/mam, in winter my knee gets too much pai. In morning I can't even able to stand when I get up.. Is there an...
Knee pain- reasons can be- * cold weather *sitting in inconvenient posture constantly, without changing your position or without movement, *wearing ill fitting sandals, *lack of exercise or *internal disorder like arthritis. Point to observe- * if you have difficulty in climbing stairs, take lift while going upstairs. If there is no lift, go up slowly. * if it is due to strain of games or injury, take rest. * if it is due to obesity, reduce weight. * if it is due to constant sitting at a particular posture, change posture and engage in slow walk. * walking regularly at slow pace without unduly straining helps as it improves blood circulation around knee and eases the joint. *you can use mustard oil for massage which is good in winter season for relieving pain. Eucalyptus oil is also good homoeopathy has a good treatment for this without adverse effects. Take rhustox 200---twice daily morning and evening and give feedback after 7 days
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Good day Dr. My wife is 60+, having severe joint pain in her knees.Pl. spare some advise. Thanks, K.Basak

MPTh/MPT
Physiotherapist, Coimbatore
The common cause for this might be degenerative joint disease get an opinion from orthopedic surgeon and physiotherapist they will guide you to relieve pain
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I have a pain in my both knee. So please tell me a solution of my knee problem because I am disturbed with this problem.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have a pain in my both knee. So please tell me a solution of my knee problem because I am disturbed with this problem.
Advice. Avoid sitting cross legged. Avoid squatting. Quadriceps exercises. Hams stretching. Sports taping hot fomentation.
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My wife is suffering back pain and full leg pain also knee pain from last 3 year. (mir seen l4-l5)

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Is quite a common condition rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Use this no pillow under the head. Any way take caldikind plus (mankind) 1tab odx10days paracetamol 250mg od & sos x 5days do back (spine) exercises contact me again if need be make sure you are not allergic to any of the medicines you are going to take you may have to use lumbosacral support for some time. Avoid painful act/activities. Take medicines as prescribed it may have to be further investigated.
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My 67 year old mother is a chronic Rheumatoid Arthritis and High Blood Pressure patient for over 2 decades now. Due to very little mobility her ankles are mostly swollen and her feet are very very dark brown in colour. Doctors say it is due to poor circulation and she needs to walk around to improve t. Her knees are terribly painful so she can hardly walk.

BAMS, MD Ayurveda
Sexologist, Lonavala
My 67 year old mother is a chronic Rheumatoid Arthritis and High Blood Pressure patient for over 2 decades now. Due t...
i m recommending you an following remedy which will surely help you Natural home remedy using coconut oil: 1. Take ½ cup coconut oil 2. Heat the oil till it turns lukewarm 3. Massage the oil on the affected knee joint The massage improves the blood circulation in the region and provides relief from the pain. This is very helpful for you.
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I am 34 year old. 2 years back I played almost 4 month badminton then after I feel pain on my both the knees. Some times its goes tough sit. I always feel little heavy on my knees. I am also a diabetic since last 2 years. Pls suggest permanent remedy.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hello, thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Knee pain in young age group is actually grouped loosely into chondromalacia if there is no injury or any other inflammatory/infective pathology for it. There are multiple causes for this type of pain, which could be muscular imbalance around knee region, malalignment of knee etc. Can you kindly tell me medications you generally take and what has been your treatment history till now for existing problem. I would like to know whether you have got your inflammatory profile done till now and whether calcium and vitamin d testing/supplementation has been done. Also please let me know what all exercises you are doing on a daily basis. Do not hesitate to contact me if you need any further assistance.
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I usually get muscle spasms in left leg below knee (calf muscle ). What to do? This happens many times during my class.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I usually get muscle spasms in left leg below knee (calf muscle ). What to do? This happens many times during my class.
Standing calf stretch Stand away from a wall and.put your fight foot behind you and be sure your toes are facing forward. Lean forward at the ankle while bending the right knee and keeping your heel on the ground. Hold this for 30 to 60 seconds. Repeat 10 times a twice a day.
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I am dev from india. I hav headache and knee pain. I used all tablets but did not work out. Please help me.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I am dev from india. I hav headache and knee pain. I used all tablets but did not work out. Please help me.
Do learn relaxation techniques and breathing exercises for headache and take vacuum physiotherapy treatment for pain relief for knee pain for 12 days followed by strengthening exercise from neuro physiotherapist best wishes.
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My knees are very paining I cannot afort stair or sit on the ground. I am 55 years old. What is the reason and what to do?

MD(EH)/AM/Accupressure
Acupressurist, Chandigarh
My knees are very paining I cannot afort stair or sit on the ground. I am 55 years old. What is the reason and what t...
During pain you should not sit on the floor. Avoid it. If you have spinal problem then go for x-ray of spine and share report. Rising from bed or before sitting on chair you should give the support to your knees by hand. Before sitting or rising do dry massage of your knee for one minute. You may also take rhus tox homeo medicine in 30 potency thrice a day three drops in water for two days.
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I am having training and my leg knee and thigh is paining how to over come from this problem.

MD(EH)/AM/Accupressure
Acupressurist, Chandigarh
I am having training and my leg knee and thigh is paining how to over come from this problem.
Dear lybrate-user You msy take boiled turmeric milk after training daily and you can also take Arnica 200 thrice a day weekly.
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Hello, I am 18 years old boy, my height is 5'10" and weight 86, my legs have pain daily, from the knee to foot. And my foot size is also big and wide from others, its foot wear size is 10. I want to improve it. I also take tension always of little little things. And I cannot take part in sports activities and feel so under confident in all situation. Thanks.

Doctor of Homeopathic Medicine (H.M.D.)
Homeopath, Belgaum
Hello, I am 18 years old boy, my height is 5'10" and weight 86, my legs have pain daily, from the knee to foot. And m...
you need not to worry about you foot size as it will be proportionate to your height and weight and coming to participation in sports you r having perfect physic to participate in any sports and win it as you have good height what I feel is you need some perfect guidance and encouragement.
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