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Dr Boyner Clinic

Podiatrist Clinic

L-4, First Floor, EPDP Road, Opposite Gate No. 3 of Nehru apartments, ISU Darshan Munjal Marg, Chittaranjan Park, Delhi Delhi
1 Doctor
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Dr Boyner Clinic Podiatrist Clinic L-4, First Floor, EPDP Road, Opposite Gate No. 3 of Nehru apartments, ISU Darshan Munjal Marg, Chittaranjan Park, Delhi Delhi
1 Doctor
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About

Our medical care facility offers treatments from the best doctors in the field of Podiatrist.We are dedicated to providing you with the personalized, quality health care that you deserve....more
Our medical care facility offers treatments from the best doctors in the field of Podiatrist.We are dedicated to providing you with the personalized, quality health care that you deserve.
More about Dr Boyner Clinic
Dr Boyner Clinic is known for housing experienced Podiatrists. Dr. Boyner Clinic, a well-reputed Podiatrist, practices in Delhi. Visit this medical health centre for Podiatrists recommended by 92 patients.

Timings

MON-SAT
10:00 AM - 06:00 PM

Location

L-4, First Floor, EPDP Road, Opposite Gate No. 3 of Nehru apartments, ISU Darshan Munjal Marg, Chittaranjan Park, Delhi
Chittaranjan Park Delhi, Delhi
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Is it critical to have diagnosed with gall stone of 18 mm? What diet is recommended? Is it possible to get it cured without surgery?

F.N.B.(Minimal Access Surgery), MS (General Surgery) , MBBS, FALS(Fellow Advanced Laparoscopic Surgery), FCLS(Fellow International College of Laparoscopic Surgeons), FIAGES
General Surgeon, Bhubaneswar
Is it critical to have diagnosed with gall stone of 18 mm? What diet is recommended? Is it possible to get it cured w...
How many nos of stones in gall bladder. If a single stone and not having pain we can wait. But there is no medicine to cure gall stones. Surgery is the only treatment.
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My foot are swollen. They are very painful. When I sleep they coming to normal stage. But when I sit or stand they are swelling and painting a lot. Please suggest me some tablets to rid off this painful swelling. Some is forming there and when I press impression is forming. Please doctors please.

Post Doctoral Research (Ph.D.) (A.M) (Oncology), Integrative Oncology for Physicians (MSKCC, N.Y, USA), Doctor of Natural Medicine (N.D/ N.M.D), Ayurveda (I) Cert., Advanced Strategic Management (APSM), B.E (Computer Sc. & Engg.), Clinically Relevant Herb-Drug Interactions (CME) - (Cine-Med Inc. USA)
Alternative Medicine Specialist, Bhubaneswar
My foot are swollen. They are very painful. When I sleep they coming to normal stage. But when I sit or stand they ar...
Hi lybrate-user, I appreciate you seeking help. Well, it appears to be edema of the lower limbs. Should you not have any other specific symptoms apart from pain in the limbs, you can meet up a nephrologist at the earliest for further clinical assessment. Just make sure to take a heart healthy, balanced & anti-inflammatory diet, preferably Mediterranean. Try adding leafy greens, beans, pumpkin, grapes, watermelon, banana, beets, pineapple, garlic etc all to your diet. Restrict salt intake and foods that are processed, greasy, fatty, oily and also fast foods etc all. Follow dietary instructions as recommended by your doc specifically. If you require to stand or sit for a long time, do take frequent breaks, move around a little as convenient. At the same time, while sleeping, keep a pillow underneath your feet which shall help subside the swelling. You may also have to have a cardiology/ pulmonology opinion too, which your doc will suitably refer should it require. Hope this helps. Do take care and all the very best.
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Sir, I am suffering with the problem of joint pain mainly with wrist joint and knee joint. And there is a swelling in my right ankle. This problem came one month ago. What could I do please suggest me sir. My ra factor is negative Crp is also negative Esr is 49.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
Sir, I am suffering with the problem of joint pain mainly with wrist joint and knee joint. And there is a swelling in...
You should take Acupressure therapy and take Biochemic Calc phos 200x + Nat phos 200x , 4 tab each thrice a day with warm water and take it 5 days than consult private online.
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My age 25 .My hand fingers often swelling since my childhood .i just apply some pain relief on the hands. Last month I test my blood and submit the report to orthopedic doctor .he said everything correct in blood test report. But my hand fingers still swelling whenever I lift or pull some weight it happened or whenever I playing games it swell. So please help me the reasons for the problem. Suggest me any other test that I want to take?

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
My age 25 .My hand fingers often swelling since my childhood .i just apply some pain relief on the hands. Last month ...
Get your vit D3 and B12 levels checked along with a detailed health check profile, especially the urea ,uric acid levels and get back to us for further advice on this. Meanwhile supplements of this can be taken along with physiotherapy to build your muscle strength and stamina. Should you need any further information or advice you can consult us again, we will be happy to help you.
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My father is suffering from elephantiasis. He just can not bear the pain, I need advise? He can not even move a little bit! Please help?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Pune
My father is suffering from elephantiasis. He just can not bear the pain, I need advise?
He can not even move a littl...
Do oil massage, take proper diet, stress free life, take milk & milk products, take dry fruits,seasonable fruits,green vegetables,do regular exercise, yoga ,pranayam. Avoid - oily,spicy ,fast,bakery foods, excessive salt intake,dry foods,food kept in fridge,excessive tea,coffee,cold drinks,tobacco,smoking,alcohol etc.if any of these addiction... All The Best..
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I'm suffering with severe foot pains, I'm having swelling near foot joints, and burning sensation on right heel, Severe pain on the left leg 2nd finger.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
I'm suffering with severe foot pains, I'm having swelling near foot joints, and burning sensation on right heel, Seve...
You should take Acupressure therapy and take Biochemic Mag phos 200x + Calc phos 200x , 4 tab each thrice a day with warm water and take it 5 days than consult private online.
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Causes of Eczema

MBBS, DDV
Dermatologist, Mumbai
Causes of Eczema

Causes of Eczema:

The specific cause of eczema remains unknown, but it is believed to develop due to a combination of hereditary (genetic) and environmental factors.

Children are more likely to develop eczema if a parent has had it or another atopic disease. If both parents have an atopic disease, the chances increase further.

Environmental factors are also known to bring out the symptoms of eczema. These include:

  • Irritants - soaps, detergents, shampoos, disinfectants, juices from fresh fruits, meats, or vegetables
  • Allergens - dust mites, pets, pollens, mold, dandruff
  •  Microbes - bacteria such as Staphylococcus aureus,viruses, certain fungi
  • Hot and cold temperatures - hot weather, high and low humidity, perspiration from exercise
  • Foods - dairy products, eggs, nuts and seeds, soy products, wheat
  • Stress - it is not a cause of eczema but can make symptoms worse
  • Hormones - women can experience worsening of eczema symptoms at times when their hormone levels are changing, for example during pregnancy and at certain points in their menstrual cycle.
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My Mother suffering from Eczema since 3-4 years. She 50 years old. She has full body swelling. And I think in her body ulcer. Please advise it's permanent solution.

BAMS
Ayurveda, Sonipat
My Mother suffering from Eczema since 3-4 years. She 50 years old. She has full body swelling. And I think in her bod...
Give makoy ark 4 tsf with water and applyand rub self saliva (thook) on eczema at morning 15 days then consult on line.
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My mother is suffering from Eczema. Full body swelling and suffers from Eczema. Her age 50 years old. Please advise is that full treatment and permanent solution.

C.S.C, D.C.H, M.B.B.S
General Physician,
Eczema is likely related to conditions that adversely affect the skin's barrier function (including genetic factors, nutrient deficiencies, bacterial infection, and dry, irritated skin) Certain foods such as nuts and dairy can trigger symptoms Eczema can also be triggered by environmental factors such as smoke and pollen Treatment focuses on healing damaged skin and alleviating the symptoms For some, their eczema will eventually disappear completely, but for others, it remains a lifelong condition. There is no cure for eczema. Treatment for the condition aims to heal the affected skin and prevent flaring of the symptoms. Doctors will suggest a plan of treatment based around a patient's age, symptoms, and current state of health. For some people, eczema goes away over time, and for others, it remains a lifelong condition.
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My mother's heel is paining for more than 5 days. She took some medicine but the problem remains the same. So I want to know why this happens (due to less of vitamins or any other cause) & and also what necessary steps to be taken to cure this. Thank you.

MBBS, DNB (Orthopedics)
Orthopedist, Bangalore
My mother's heel is paining for more than 5 days. She took some medicine but the problem remains the same. So I want ...
The pain will not go with medicine. It will only relieve partially. She needs to change her footwear and do ankle and foot exercises. Put her leg in warm water and massage the heel. And do Physiotherapy. If its becoming very severe she will need a locally acting steroid injection (it's a locally acting one so don't worry whether it will affect the body).
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I got ankle twist while playing basketball ball. I consulted doctor two times. Doctor said its nothing. Ankle sprain. Now its fifth month. Swelling is there, and its much thicker type of swelling. Please help.

MBBS, DNB (Orthopedics)
Orthopedist, Bangalore
I got ankle twist while playing basketball ball. I consulted doctor two times. Doctor said its nothing. Ankle sprain....
An ankle sprain is associated with ligament injury. The ligament gets strained. What needs to be done is applying an ankle brace for 4 weeks following which you need to do exercises to stabilize the ankle. It will take you two months for full recovery.
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My dad is 61 years old, weighing 92 kilos now. He had renal and gall stones 17 years back, got it operated to remove the kidney stone and had to remove the gall bladder itself. After that operation he is gaining weight gradually and his tummy is really big now. He is finding it difficult with his day to day activities. Please suggest if we could go for Liposuction to reduce the size of his tummy.

BHMS
Homeopath, Raebareli
My dad is 61 years old, weighing 92 kilos now. He had renal and gall stones 17 years back, got it operated to remove ...
Yes you can go for the same However please look if there is a dietetic-error or not. If he is taking balance food and on proper time or not. If there is any alcoholic habit or not,etc If he is able to walk - he needs to do brisk walking daily in morning for 40 minutes.
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Early morning as soon as wake up my legs and hands will be swollen what would be the reason what test to be done for it.

BAMS
Ayurveda, Ludhiana
Early morning as soon as wake up my legs and hands will be swollen what would be the reason what test to be done for it.
lybrate-user, folliwing tests you need to get checked. 1.Rft, fasting lipid profile, thyroid test and blood sugar and get your bp check up done. 2.Start Taking wheat grass juice 20 ml twice daily with water empty stomach.
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Before 2 years ago I had burning feet .but I chekd 2 month ago result not good please Dr. sap what should I do.

DHMS (Hons.)
Homeopath, Patna
Before 2 years ago I had burning feet .but I chekd 2 month ago result not good please Dr. sap what should I do.
Hello, Lybrate user, Obesity cause pressure on feet to compress your nerve resulting burning sensation in feet. Secondly, hyperacidity might cause burning sensation in sole, chest, vertex, abdomen. Your diet be easily digestible to avoid acidity. Tk, plenty of water to hydrate eliminating toxins. Go, for meditation to calm your nerves to check burning feet. Tk, Homoeo medicine; @.Acid sulph 30-6 pills, thrice. Report, wkly. Your feedback. Matters for, further follow-up, please. Tk, care.
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Know Everything About Hypothyroidism

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
Know Everything About Hypothyroidism

Hypothyroidism is a condition in which the thyroid gland is not producing the thyroid hormones adequately. This is a fairly common condition.

What is thyroid gland?

The thyroid gland is a small butterfly-shaped gland located just below Adam’s apple. It encircles the windpipe or the trachea. It is about 4 cms in height and weighs about 18 gms. This gland is responsible for the secretion of thyroid hormones. Hormones are chemicals produced by special glands like thyroid, adrenals, ovaries etc. They act as messengers and are carried by the blood to the various target organs.

What are the hormones produced by thyroid gland and what do they do?

The thyroid hormones are of two types – T3 (Tri iodo thyronine) and T4 (Thyroxine). These hormones are mainly responsible for the body’s metabolism - a process in which food is converted into energy in the cells. They influence growth and development and regulate various bodily functions which are mentioned below:

  • Heartbeat
  • Body temperature
  • Breathing
  • Body weight
  • Metabolism of fat
  • Menstrual cycles in females
  • Functioning of Nervous system
  • Digestion
  • Burning calories etc.

What is Hypothyroidism?

Inadequate production of hormones by the thyroid gland is termed as hypothyroidism. This is also called Underactive thyroid state. Hypothyroidism can make the body’s development to slow down and reduces metabolism rates.

What are the causes of Hypothyroidism?

Hypothyroidism can be caused by a number of factors:

  1. Hashimoto's thyroiditis: This is the commonest cause. This is an autoimmune disorder (normally body’s defence system fight against external infections. In autoimmune disorder the defence system attacks the healthy cells of the body by mistake). In Hashimoto’s thyroiditis the immune system/defence system produces antibodies that attack the thyroid gland and destroy it.
  2. Iodine deficiency in diet. For the production of thyroid hormones iodine is very important. The body does not produce iodine normally, so it needs to be supplemented from outside. Iodine is mainly present in the food we eat. It is mainly present in shellfish, salt-water fish, eggs, dairy products. If a person does not eat iodine rich foods, he may end up with iodine deficiency leading to hypothyroidism. Currently, this causative factor is on the decline due to government initiative of table salt with iodine.
  3. Surgery: Surgery to remove thyroid gland (for e.g. thyroid cancer treatment, overactive thyroid etc.)
  4. Radiation to the neck (to treat cancer in the neck area): The thyroid gland cells are damaged due to the radiation.
  5. Treatment with radioactive iodine: This treatment is used for managing hyperthyroidism/overactive thyroid, where the thyroid gland produces excessive thyroid hormones. One of the treatment modalities is by radioactive iodine. Sometimes this radiotherapy destroys normal functioning cells which lead to hypothyroidism.
  6. Certain medicines: Certain medicines used to treat heart conditions, cancer, psychiatric conditions etc. – for e.g. amiodarone, lithium, interleukin-2, interferon-alpha.
  7. Pregnancy: Pregnancy (the reason is unclear but it has been noticed that the thyroid may get inflamed after delivery – this is called Postpartum thyroiditis.
  8. Damage to the pituitary gland: Pituitary gland is a gland which is present in the brain. It produces a hormone called TSH (Thyroxine-Stimulating hormone).The TSH tells the thyroid gland how much thyroid hormone it should make. If the levels of thyroid hormone in the blood are low, then the TSH will stimulate the thyroid gland to produce more Thyroid hormone.
  9. Hypothalamus disorders: This is an organ in the brain. This produces a hormone called TRH (Thyrotropin Releasing Hormone) which acts on the Pituitary gland to secrete TSH. So any disorder of Pituitary gland will indirectly effect the production and secretion of Thyroid hormones. These are very rare disorders.
  10. Congenital thyroid defects: Some babies are born with thyroid problems. This is due to the thyroid not being developed normally during pregnancy. Sometimes the thyroid gland does not function normal. This can be identified by screening for thyroid disorders in the first week after delivery. This is usually by a blood test using a small drop of blood from the baby’s heel.

What are the different types of hypothyroidism?

One classification is based on whether the defect is with the thyroid gland or not:

  1. Primary hypothyroidism: The problem is in the thyroid gland itself and thus there is reduced production /secretion of thyroid hormones.
  2. Secondary hypothyroidism: Here the problem is with the Pituitary gland or the Hypothalamus. This results in abnormal production of TSH or TRH, which indirectly leads to less production and secretion of thyroid hormones.

Another classification is based on the symptoms and levels of the thyroid hormones and TSH:

  1. Overt hypothyroidism: Here the patient is having the symptoms. Further the T3/T4 are low and TSH is high
  2. Subclinical hypothyroidism: Here patient may or may not have symptoms. The T3/T4 levels are normal but TSH is high. In this situation the patient is at an increased risk of developing overt hypothyroidism in the future especially if he has Thyroid peroxidase antibodies on testing.

Who are at risk of developing Hypothyroidism?

  1. Women have a higher risk of suffering from hypothyroidism than men.
  2. Older people are at increased risk.
  3. People suffering from other autoimmune diseases like Coeliac disease, Type-1 Diabetes Mellitus, Vitiligo, Pernicious anemia, Multiple sclerosis, Rheumatoid arthritis, Addison’s disease etc.
  4. People with psychiatric conditions such as bipolar disorder
  5. People with Chromosomal abnormalities like Down syndrome, Turners syndrome also have a high risk of suffering from hypothyroidism.

What are the symptoms of hypothyroidism?

Symptoms vary from person to person. They may also mimic other conditions and hence be difficult to diagnose. Symptoms may also develop very slowly over a span of moths-years. Some of the characteristic symptoms of this disease are:

  1. Depression
  2. Constipation
  3. Hair loss
  4. Dry hair
  5. Dryness of the skin
  6. Tiredness
  7. Body pains
  8. Fluid retention in the body
  9. Irregular menstrual cycles
  10. Increased sensitivity to cold
  11. Reduced heart rate
  12. Increase in size of the thyroid gland – called Goitre. This is due to constant stimulation of the thyroid gland by TSH.
  13. Weight gain
  14. Carpal tunnel syndrome
  15. Hoarse voice
  16. Infertility
  17. Loss of libido/sex drive
  18. Confusion or memory problems especially in the elderly

What are the symptoms to look for in a baby if you suspect hypothyroidism?

Infants suffering from congenital hypothyroidism may show no symptoms or exhibit signs of excessive drowsiness, cold hands, cold feet, constipation, hoarse cry, poor growth or absent growth, poor appetite, bloating of abdomen, puffiness of face, swollen tongue, persistent jaundice.

How to diagnose hypothyroidism?

Blood tests:

  1. TSH: This hormone is made in the pituitary gland and it stimulates the thyroid gland to produce thyroxine. If the thyroxine levels are low in the blood, the pituitary gland produces and secretes more TSH into the blood to act on the thyroid gland to produce more thyroxine. A raised TSH level indicates hypothyroidism. Other tests are not usually necessary unless a rare cause of hypothyroidism.
  2. T4: A low level of thyroxine indicates hypothyroidism.
  3. T3: these levels are generally not needed to diagnose hypothyroidism
  4. Anti-Thyroid peroxidase antibodies (anti-TPO antibodies) or Anti- thyroglobulin antibodies are present in 90-95% of patient with autoimmune thyroiditis.
  5. Other blood tests include Creatinine Kinase, Serum Lipids, Complete blood picture etc.
  6. Ultrasound of the neck is done if the patient presents with a thyroid swelling.

What is the treatment of hypothyroidism?

Overt hypothyroidism is treated by synthetic Thyroxin hormone which should be taken every day on an empty stomach at least 30 – 45 minutes before breakfast. The treatment is continued for the rest of the patient’s life. Regular thyroid function tests are done once every 8 weeks-12 weeks to adjust the dose of the thyroxine in the initial period of diagnosis. Once the thyroxine dose is stabilised, the tests can be done even once a year. This treatment is quite effective.

Sub-clinical hypothyroidism is only treated if the patient is a woman and is contemplating pregnancy, in patients with symptoms or if the TSH is quite high.

What are the side-effects of thyroxine medication?

There are few side effects if any. Most people tolerate these medications quite well. An important consideration before starting medication is to check if the patient has chest pain/angina. These people are started on the least available dose. If these patients are started on a higher dose they notice a worsening of their angina pains.

Side effects mainly occur if the thyroxine dose is high which leads to hyperthyroidism. The symptoms of this could be palpitations 9increased heart beat), weight loss, profuse sweating, anxiety, irritability etc.

There are some tablets which increase with thyroxine tablets. These include carbamazepine, iron supplements, calcium supplements, rifampicin, phenytoin, warfarin etc.

What are the complications of hypothyroidism?

If untreated hypothyroidism can lead to:

  • Heart problems like heart attack due to increased levels of bad cholesterol like LDL, or heart failure due to fluid retention
  • Obesity
  • Infertility
  • Joint pains
  • Depression
  • A pregnant woman with hypothyroidism is at increased risk of giving birth to a baby with congenital hypothyroidism, also known as cretinism. Further, the woman may have pregnancy related complications like pre-eclampsia, premature delivery, low birth weight baby, anemia, post-partum haemorrhage (bleeding after delivery) etc.
  • Myxoedema is another complication where the patient has extremely low levels of thyroid hormone. The body temperature drops drastically making the person lose consciousness or go into a coma. If you wish to discuss about any specific problem, you can consult an endocrinologist.
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I have continuous pain in my foot from last 3 months. Now I have painful urination and pain in lower abdomen from 2 days.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have continuous pain in my foot from last 3 months. Now I have painful urination and pain in lower abdomen from 2 d...
Avoid sitting Cross legged. Ankle Stretching. Ankle Strengthening Exercises. Avoid Squatting. Quadriceps Exercises. Core Strenthening Exercises. Stretch Calves Get a custom made insole. Hams Stretching. Sports Taping. Hot Fomentation.
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Sir/mam in my right leg in near ankle its pain so much. Some times in night uncertain pain occurs. It is from 5 year and have no swelling issue in xray every bone is ok.

BPTh/BPT
Physiotherapist, Delhi
Sir/mam in my right leg in near ankle its pain so much. Some times in night uncertain pain occurs. It is from 5 year ...
1. Start with Physiotherapy treatment 2. Learn spinal exercises 3. Wear sports shoes only 4. Take calcium vitamin D 3 and Methylcobalmine supplement for one month minimum 5. Don't sit on floor 6. Don't lift heavy things 7. Do hot fermentation twice a day 8. Apply volini cream before sleeping.
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I have problem of gal bladder stone, stone is a multiple, stone size 5 to 12 mm seen.

MBBS
General Surgeon, Calicut
I have  problem of gal bladder stone, stone is a multiple, stone size 5 to 12 mm seen.
Hello, Thanks for using Lybrate! I have gone through your query and I can understand your concerns. Treatment options generally depend on patient's condition and clinical symptoms and not based on the size of the stone. The size of your gall stone is a moderate, generally no surgical intervention is not needed unless you have pain and other symptoms. If you have severe pain that could not be managed with general analgesics (pain killers) surgery may be needed. Nowadays laparoscopic removal of gall bladder is preferred and you can get back to your daily activities with in few days. Prior to surgery a USG scan may be needed to assess the condition of your gall bladder. I suggest you to consult a general surgeon with good experience in laparoscopy and he will explain you regarding the various treatment options. As of now you can continue you pain killers. Hope this information helps. Wishing you good health.
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