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Dr. Alok Sharma

Physiotherapist, Delhi

900 at clinic
Dr. Alok Sharma Physiotherapist, Delhi
900 at clinic
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Alok Sharma
Dr. Alok Sharma is an experienced Physiotherapist in Madhu Vihar, Delhi. He is currently practising at Dr Alok Sharma Clinic in Madhu Vihar, Delhi. Book an appointment online with Dr. Alok Sharma on Lybrate.com.

Lybrate.com has top trusted Physiotherapists from across India. You will find Physiotherapists with more than 33 years of experience on Lybrate.com. You can find Physiotherapists online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Hindi

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F-50, Gurudwara Road, I.P. Extension, Madhu Vihar, DelhiDelhi Get Directions
900 at clinic
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I am suffering from my back pain since a month. I consult to my doctor its not being ok till now.

BHMS
Homeopath, Delhi
I am suffering from my back pain since a month. I consult to my doctor its not being ok till now.
Hello, you can take homoeopathic medicines 1. Ruta 30 (4 drops in little water) thrice a day for a week. 2. Calci aid (bakson) (2tabs) thrice a day for a week and update. Keep a gap of 15 - 20 minutes in both the medicines.
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My wife is 40 year old, weight 54 Kg, Hight 148CM, last few day having pain in all joints of the body barring Knee. The pain starts by 5 Pm onward, The Uric acid test shows 4.11mg/dl. Platelet count 252000, No Malarial parasites found. Yesterday she had feaver of 100 F. Please let me know what happened to her, which specilist should I consult?

MPT-SPORTS MEDICINE, BPTh/BPT
Physiotherapist, Delhi
not need to be worry about it. you much consult an Sr. Physical therapist in your area, let them what is your difficulty is, sir. not need to go ORTHOPAEDIC and other doctors to consult. you much consult only expert physical therapist, good luck. if you want to consult me then please send me your whole reports in my mail id: drvikramaditya2008@gmail.com
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I am having pain in my foot while lying on bed its a kind of nerve pain I think. I am having this pain from last month after having an injury during football. Please help.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
I am having pain in my foot while lying on bed its a kind of nerve pain I think. I am having this pain from last mont...
You should take Acupressure therapy and take Biochemic Mag phos 200x 4 tab thrice a day with warm water and take it 5 days than consult private online.
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I am 44 yrs old male and have a problem of leg pain so what shall I do?

BPTh/BPT
Physiotherapist,
I am 44 yrs old male and have a problem of leg pain so what shall I do?
Hi = relax and stay positive. = increase fluid intake. = eat seasonal fruits for natural vitamins = do stretching of hamstring, quadriceps, and calf muscles. = if you are overweight, reduce weight by cycling or swimming as it gives low impact on joints. = do check your calcium and vit. D = apply moist heat pad to affected joint and muscles. If still you don't get relief see a physiotherapist as there are various causes for leg/ joint pain and some test may be required for further investigation. Best wishes.
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I was accident on December 4 2014 and my leg was broken after that I felt so lazy and also pain in my head s please sugest me some solution,

BHMS
Homeopath, Faridabad
I was accident on December 4 2014 and my leg was broken after that I felt so lazy and also pain in my head s please s...
Hello, take Arnica 200 CH, 5 drops twice daily. five phos 6X , 5 tabs twice daily. BC No 12 , 6 tabs , thrice daily. Revert me after 10 days.
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I have immense pain in my lower back since the previous 6 months. Please suggest what to do over this. The pain is exponentially increasing with time.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have immense pain in my lower back since the previous 6 months. Please suggest what to do over this. The pain is ex...
Core strengthening exercises. Back stretching. Do the cat/cow stretch. Postural correction- sit tall, walk tall.
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I am 23 years old am having backpain.what can i do?

MS - Orthopaedics, MBBS
Orthopedist,
I am 23 years old am having backpain.what can i do?
Sleep on a hard bed with soft bedding on it. Use no pillow under the head. Kindly take biod3 max 1 tab dailyx10 paracetamol 250mg od & sos x5days do back (spine)/shoulder/knee exercises make sure you are not allergic to any of the medicines you are going to take do not ignore it. It may have to be further investigated. It could be beginning of a serious problem. If no relief in 4_5 days, then please inform Contact your family doctor or nearest hospital for emergency help.
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Hello sir, My brother have De qwervein tenosynovitis in wrist, how it cure please help me.

DHB
Homeopath, Sagar
Hello sir, My brother have De qwervein tenosynovitis in wrist, how it cure please help me.
Dear lybrate user de quervain's tendinosis may be caused by overuse. It also is associated with pregnancy and rheumatoid disease. It is most common in middle-aged women but men also suffer from it. Following measures will be helpful 1- avoid massaging 2- avoiding activities that cause pain and swelling. 3- take homoeopathic medicines they are very effective and safe in comparison to painkillers and steroids in such cases.
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Swelling in my left knee from last 1 month without any injury.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist,
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Can you tell me whether you have any history of locking of knee while walking or any instability which you feel. Also are there any s/s of inflammation or infection like severe pain, skin redness, local warmth etc? do you feel any systemic symptoms like fever, loss of weight, appetite, sweating at night etc? please get some blood tests done cbc, esr, crp, serum electrolytes and send your reports to me. We might require some more tests based upon the reports of these, also it will be helpful if you can send me a clinical photograph of your affected knee as well. Do not hesitate to contact me if you need any further assistance.
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I m 39 yrs old widow lady having tremendous pain in my toes and hands. Not able to hold or grip or walk properly. I am a working lady. Please help from last 5 yrs I m having only pain killers. Don't have money to expense on myself as having 2 little daughters.

M.P.T
Physiotherapist,
Please get your blood test done. For uric acid, r. A.&crp. Then only I can advise sum medicine.& gripping exes in hot water bucket. Also do ankle toe movement s in hot water bucket.
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I always have back pain problem, please give me some treatment tips for the same.

BHMS
Homeopath, Faridabad
I always have back pain problem, please give me some treatment tips for the same.
Hello, first of all you should know what is backache and by which factors it caused and aggravated. The usual cause of low back pain is the sedentary lifestyle that we lead these days. There is hardly any movement. walking, running and cycling like activities are also not a part of our daily routine. To add to it, our diet consists more and more of junk food. Fresh fruits, vegetables and high fibre foods are consumed less and less. These daily practices lead to obesity. The increased body weight puts lot of pressure on the spine which has to bear all the extra unwanted weight. The back muscles which are already weak due to lack of exercise and wrong posture are unable to cope with this increased load. This causes pain in the back muscles. Management for Back Pain:-Along with medicines for relieving pain, one needs to identify the cause and correct it. This may require some medicines or some correction in your posture or reducing weight or improving your lifestyle. At the same time, there is a need to work on the local muscle strengthening. Back muscles need to be strengthened so that they can bear the weight of the upper body. For this exercises of the back muscles are very helpful. Regular walking is also very helpful as it is a wholesome exercise of the body, improves blood circulation and helps lose weight. Most importantly if you are overweight then losing weight is an important part of the whole treatment plan .Long term use of painkillers for low back pain is harmful Treatment for back pain:- Homeopathic medicines are very helpful. They not only treat the acute stages but are also used for the treatment of chronic back pain.Selection of the exact remedy depends upon the individual symptoms of the person.So share the complete symptom picture for the proper treament. In the mean time take Arnica 200, 3 drops in the morning and Rhus tox. 200, 3 drops at night for 7 days.Take care.
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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

Sir, my hands are too thin above elbow so what I do to make strong my hand muscle?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Sir, my hands are too thin above elbow so what I do to make strong my hand muscle?
Do keep strengthening with dumb bells of 3 to 5 kgs gradually of 12 min duration of thrice a day and push up on floor to minimum 12 repitations in beginning
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You Won't Need Knee Replacement (TKR) Anymore!

Clinical Exercise Specialist, Certificate in Population Health, Certificate in Diabetology and Prevention, Nutritionist, MHSc (Public Health), MPT - Orthopedic Physiotherapy
Physiotherapist, Delhi
You Won't Need Knee Replacement (TKR) Anymore!
New alternative to knee replacement

Osteoarthritis (OA) of the knee is a severe joint problem, that has become highly prevalent in India. It is a major cause of lack of mobility, particularly among women. Currently, total knee replacement (TKR) surgery is a common solution for OA knee. However, there are risks associated with it. Surgeries for knee OA often throw up mixed results. Sometimes, TKR leaves patients with unresolved pain and loss of function for long periods. Now, however, doctors in USA have come up with the Bionicare Knee System which works by sending therapeutic electrical currents to the joint with an un-loader brace, that reduces pain and improves overall health of the joint. This is the most thoroughly researched, clinically proven, non invasive, non-drug alternative for the treatment of the knee.

5 benefits of using this treatment:

1. Effective pain relief
2. Non surgical, non-invasive and non-drug treatment
3. No adverse effects
4. Decreases dependency on painkillers
5. Improves function and quality of life

My recommendation to patients who have chronic knee issues, knee injuries, knee pain etc (particularly if doctors have suggested you surgeries for the same), is to try this treatment instead.

If you would like to consult with me privately, please click on consult.

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45 people found this helpful

I am a male of 50 years having pain in lower back and hip joint of the right side. Due to work schedule I need to sit long hours on the chair. I am non-diabetic, non-hypertensive, non-smoker and non-alcoholic. I do light exercises like walking and Pranayam also. I have not taken any medical advice on this problem till now. Kindly advise me.

MS - Orthopaedics, DNB (Orthopedics), Fellowship in Joint Replacement, fellowship in Arthroscopy
Orthopedist,
I am a male of 50 years having pain in lower back and hip joint of the right side. Due to work schedule I need to sit...
This pain might just be due to postural problem. Right posture can go a long way. 1. Use a small cushion placed behind your lumbar spine while you sit. Sit with a backrest. 2. Start some lower back strengthening exercises if the problem persists. Please consult someone. Hope you get well soon.
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Mere mata ji ke kamar me hamesh sr dard hota rhta hai jo kisi shop se li huwi medicine se thik ho jata hai lekin pichhale ek hafte se dard jane ka nam hi nhi leta.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Mere mata ji ke kamar me hamesh sr dard hota rhta hai jo kisi shop se li huwi medicine se thik ho jata hai lekin pich...
Requires detailed examination and investigation. Preliminary investigations suggested: hb, tlc, dlc, esr, blood sugar fasting & pp, uric acid vit d urine r/e x-ray of the affected part. Anyway it may be tried sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick mattress are harmful use no pillow under the head. Do hot fomantation paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back, knee & general exercises. It may have to be further investigated. Do not ignore it. Let it not become beginning of a bigger problem. Make sure that patient is not allergic to any of the medicines that he/she is going to take. If it does not give relief in 4-5days, inform.
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Mere back m hips k joint m 3 din se bhot pain ho rha h khade hone pr bhot jyada hota h or bethe rhne per. Ye pain kis wajh se h or is pain ko thik krne k liye kya kru.

MPT - Orthopedic Physiotherapy
Physiotherapist, Jaipur
Mere back m hips k joint m 3 din se bhot pain ho rha h khade hone pr bhot jyada hota h or bethe rhne per. Ye pain kis...
Aapke hip me nerve compressed ho gai hai hot water bottle se sake kare. Sath me nerve swelling kam karne ke leya physiotherapy machines lagane hoge 7 din tak.
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I am 50 yrs female having knee pain since 2 yrs and orthroscopy done last yr. Due to severe pain took inj synvisc one today what tobe done next.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
This could be due to oa knee &/or obesity. Physiotherapy along with medicines will help. Do knee exercises. It may have to be further investigated rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with a soft bedding on it. Any way take multivitamins & other antioxidants along with. Ibuprofen 200mg od & sos x 5days you will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. Do reply back for private consultation and detailed treatment plan.
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I am 25 year old male and have backache for last 2 months. What should I do?

MS - Orthopaedics, MBBS
Orthopedist,
I am 25 year old male and have backache for last 2 months. What should I do?
Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful use no pillow under the head. Do hot fomantation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back knee & general exercises. It may have to be further investigated. Make sure you are not allergic to any of the medicines you are going to take. For emergency treatment contacts your nearest hospital or family doctor. If it doe s not give relief in 4-5days, contact me again.
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