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Dr. Divya Agarwal

Rheumatologist, Delhi

800 - 1000 at clinic
Dr. Divya Agarwal Rheumatologist, Delhi
800 - 1000 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Divya Agarwal
Dr. Divya Agarwal is a renowned Rheumatologist in Panchsheel Park, Delhi. You can consult Dr. Divya Agarwal at Max Medcentre Panchsheel Park in Panchsheel Park, Delhi. You can book an instant appointment online with Dr. Divya Agarwal on Lybrate.com.

Lybrate.com has top trusted Rheumatologists from across India. You will find Rheumatologists with more than 25 years of experience on Lybrate.com. You can find Rheumatologists 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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Languages spoken
English
Hindi
Professional Memberships
Delhi Medical Association (DMA)
Association of Physicians of India (API)

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Max Medcentre Panchsheel Park

N-110, Landmark: Panchsheel Park, Panchsheel Enclave, DelhiDelhi Get Directions
1000 at clinic
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Max Super Specialty Hospital-Saket

#2, Press Enclave Road, Saket. Landmark: Near Malviya Nagar Metro Station & Hauz Rani Bus Stop, Select City Walk Mall, DelhiDelhi Get Directions
800 at clinic
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Insomnia And it's Causes

Ph. D - Alternative Medicine, PG Diploma in Psycological Counseling
Psychologist, Mumbai
Insomnia And it's Causes

Insomnia is the condition of acute sleeplessness, and it takes a heavy toll on your mood, your energy levels, and your ability to concentrate and work during the day. Some of the most common symptoms of the condition are:

  • You find it difficult to fall asleep even if you are tired
  • Once you wake up in the middle of the night, you cannot get back to sleep
  • You cannot work or concentrate on anything during the day
  • You stay mostly fatigued, or irritated throughout the day
  • You have to depend on pills or alcohol to fall asleep.
  • You wake up very early in the morning, no matter how late you sleep

What could be the causes for insomnia?

Insomnia might last just a few days if it is induced by some temporary cause, like stress at your workplace, or any other personal issue you can be facing. However, when the cause is a long rooted one, insomnia might persist for a long time. There can be a mix of many causes for that to happen:

  • Psychological stress or other emotional discomforts - Common psychological problems like anxiety, depression, chronic work stress, grief, and also bipolar disorder can be the causes for insomnia.
  • Illness or other medical problems - There can be many medical causes or other illnesses at the root of insomnia like allergies, acute asthma, hyperthyroidism, Parkinson’s disease, kidney related diseases and cancer as well.
  • Medications - There can be many drugs, which might be prescribed by your doctor, but still be responsible for insomnia. These include antidepressants, corticosteroids like thyroid hormone medicines, few blood pressure medications, certain contraceptives and stimulants for ADHD (Attention Deficit Hyperactivity Disorder).
  • Sleep Disorders - Insomnia, though in itself is a sleep disorder, can also be the symptoms for other sleep disorders like sleep apnea, restless leg syndrome, and other disorders related to jet lag or if you are working on a late night shift.

In addition to these causes, some daily lifestyle habits might act as triggers to insomnia, which include:

  • Consumption of large amounts of caffeine on a regular basis
  • Developing irregular sleep schedules
  • Taking your smartphone to bed and ending up spending a lot of time with it in the night
  • Eating late in the evening 

    If you wish to discuss about any specific problem, you can consult a psychiatrist and ask a free question.

3791 people found this helpful

10 Tips to Sleep Better

M.Sc - Dietitics / Nutrition, DNHE, P.G. Diploma in Panchkarma, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Hapur
10 Tips to Sleep Better

10 tips for how to sleep better:

  1. Rest in cozy comfort: quality mattress, soft blankets and cool temperature will reduce annoying distractions (too hot! achy back!) and help you relax.
  2. Turn on some soothing sounds: use a sound machine or a fan to drown out what may be preventing you from falling asleep within 15 minutes of laying down.
  3. Complete darkness: If your room isn’t completely dark, consider a sleep mask—this will also increase your natural production of melatonin, which is not only a great sleep inducer but a great cancer fighter as well (study).
  4. Snooze-inducing smells: wearing lavender lotion or using a diffuser with lavender essential oil may help you hit deep sleep sooner. Plus, who doesn’t love the smell of lavender? ahhh…
  5. Turn off tech and meditate: Turn off tech at least 1 hour before going to bed. Then, keep lights dim and read or meditate to let your body naturally make some sleepy melatonin (the hormone that is produced as it gets dark out, and regulates sleep and wake cycles).
  6. Skip or reduce caffeine: Caffeine not only prevents many folks from falling asleep at night initially, but it can also decrease the amount of restful sleep that happens at night (study). If you’re having trouble sleeping at night, try decaf, herbal tea or keep it to one cup very early in the morning.
  7. Go easy on the alcohol: Alcohol feels like a sedative at first because it slows down motor and brain function, leaving us feeling relaxed and worry-free. But, as it’s metabolized, acetaldehyde is produced, which acts like a stimulant in our bodies. This is what wakes us up in the wee hours of the morning unable to get the rest we need. So for a good night’s sleep, peel back on the alcohol and drink it earlier and with food (or not at all).
  8. No nicotine: Nicotine is similar to caffeine in that it’s a stimulant and may cause insomnia. And even once you fall asleep, you’ll have decreased slow wave sleep, which means it’s less restorative (study). Tough love: stop smoking
  9. Exercise: Try to fit in 20-30 min of moderate exercise daily, but make sure to do it several hours before bed. Ideally, 20-30 minutes of cardio in the morning with some restorative yoga in the afternoon.
  10. Clear your mind: If you’re tossing and turning after switching the lights off, you may need to hit the reset button on your mind. Here are a few things to try. Before going to bed, journal—jot it all down. You could also try a guided meditation. If you can’t fall asleep after lying in bed for 15 minutes, get up and do something relaxing for 15-30 minutes before returning to bed. Don’t give up. You’ll find a strategy that works for you.
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She has pain in her knees. She felt very tired after walking a little distance. What should I do for her so that she could feel better?

M. sc Psychology, BHMS
Homeopath, Hyderabad
She has pain in her knees. She felt very tired after walking a little distance. What should I do for her so that she ...
Mr. Lybrate user, for her knee pains, first we should know the cause, nature of origin. Is it sudden or gradual? if its sudden, then the diagnosis & t/t will be different. In the same way, if its gradual process, then we could assess it as r. Arthritis. In such cases, by the t/t she can get improvemnet gradually& more over, further expansion can be controlled. Frequent usage of pain killers will effect the body/gastro intestinal system in another way. So, try to take suugested prescription& follow the proper system of medicine. *for her weakness, once its better to get her checkup for blood sugar[fasting]& thyroid harmones levels. Try to suggest her to take rest, take proper nutritious food intake.
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For a long time I am feeling pain at my knee. When I weak up early morning, I do not stand for few minutes. And I feel weak. I do not understand what happening. Please help me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
For a long time I am feeling pain at my knee. When I weak up early morning, I do not stand for few minutes. And I fee...
1) do massage with warm sesame oil or suitable oil for 15 min. Afterwards take hot fomentation for 10 min. 2) start natural calcium supplement. 3) do regular stretching exercise 4) in yoga do bhujangasan, halasan & suryanamaskar. 1) do massage with warm sesame oil or suitable oil for 15 min. Afterwards take hot fomentation for 10 min. 2) start natural calcium supplement. 3) do regular stretching exercise 4) in yoga do bhujangasan, halasan & suryanamaskar. Life-style correction 1) correct your sitting posture. 2) take small pillow or back rest for lower back. 3) foot should rest to floor easily. 4) take small break after 1 hr & walk few steps. 5) do neck & upper back extension, give feedback after 4 days. Best treated with ayurved & panchakarma procedures. 1) massage + steam 2) pinda swedan 3) agnikarma you must start ayurvedic medicines to 1) strengthen bones & muscles. 2) stop further degeneration of joint. 3) healing of joint. 4) release muscular spasm even chronic. 5) reduce swelling & pain.
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Sir, I am Vishnu working as an engineer, I am suffering from ache on my knee joints from 6 months, a nd allergic problem due to dust... Please help me by suggesting some tips n cure.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Sir, I am Vishnu working as an engineer, I am suffering from ache on my knee joints from 6 months, a nd allergic prob...
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.
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My right knee pains sometimes. Especially while exercising. It has been pain irregularly since the past 3-4 months.

BPTh/BPT
Physiotherapist, Mumbai
Hi 1) immediately stop exercises which are hurting your knee especially lunges 2) always do exercise under supervision of trainer or physiotherapist 3) start physiotherapy sessions, and learn exercise to strengthen your knee joint do reply for private consultation and detailed treatment plan.
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4 years back my right knee got injured, my knee's ligament got cracked while played football. So, still sometimes it's disconnects upper bone and lower bone, of my right leg in up & down roads, when its disconnects its pains a lot. Then I have to bring to the normal position. Then I feel no pain. How to recover soon my cracked ligaments.

Fellowship of the Royal College of Surgeons (FRCS), Membership of the Royal College of Surgeons (MRCS)
Orthopedist, Trichy
4 years back my right knee got injured, my knee's ligament got cracked while played football. So, still sometimes it'...
sounds like you have damaged your ACL in the knee. if you are having instabillity symptoms then you would require surgery (arthroscopic ACL reconstruction).
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Symptoms Of Torn Meniscus And Its Treatment!

M.S in Orthopedic, Fellowship in arthroplasty & reconstructive surgery , D.N.B in Orthopedic, Fellowship in Joint Replacement
Orthopedist, Ahmedabad
Symptoms Of Torn Meniscus And Its Treatment!

Your knee is guarded and cushioned by a cartilage known as meniscus. A meniscus tear, therefore, is an extremely painful and discomforting situation. It occurs very frequently and has emerged as one of the most commonly occurring cartilage injuries. What makes a meniscus tear an extremely common phenomenon is the way it can tear that is all it takes is a twist of the knee for it to happen.

People involved in sports mostly face the brunt of this form of injury. The risk of getting meniscus torn increases with age and tends to occur at the slightest change of direction of movement. 

Symptoms 
Some of the symptoms of a torn meniscus are:

  1. Pain and inflammation: It goes without saying that an internal injury of the cartilage or tearing away of it would inevitably result in extreme pain and inflammation near the knee.
  2. Immobility: The extreme pain and inflammation, which follows will inevitably make it difficult to move. Since the pain occurs in the joint, you will have difficulty in walking and any forceful movement will only aggravate the pain.
  3. Locking of the knee: Locking of the knee refers to a situation when you are unable to move your knee. This occurs most commonly after you have your meniscus torn.

Treatment
Notwithstanding its frequency of occurrence, there are several ways, by which you can treat a torn meniscus. Some of the ways are:

  1. Apply ice: In order to get some relief, applying ice is a suitable option. If you apply ice every day for some time, it wonders in reducing swelling and the consequent pain.
  2. Use a bandage: In order to control the swelling, it is important that you cover your knee with an elastic bandage.
  3. Change the posture: It is important that you keep the affected knee in an elevated plane, in order to ensure an efficient blood supply and a consequent relief from pain.

Some Medical Treatments
There are many things to consider when deciding how to treat your torn meniscus, including the extent and location of the tear, your pain level, your age and activity level, your doctor's preference, and when the injury occurred. Your medical treatment choices are:

  1. Nonsurgical treatment with compression, elevation, and physical therapy. This may include wearing a temporary shoulder brace.
  2. Surgical repair to sew the tear together.
  3. Partial meniscectomy, which is surgery to remove the torn section.
  4. Total meniscectomy, which is surgery to remove the entire meniscus. This is generally avoided, because this option increases the risk for osteoarthritis in the shoulder.
  5. Whenever possible, meniscus surgery is done using arthroscopy, rather than through a large cut in the shoulder.
3 people found this helpful

Sir I had a knee injury while playing badminton in College 3-4 months back, for which I had been diagnosed by a doctor for which my X-ray doesn't show any problem to my knee. But since then I am facing problems while walking or doing any activity. So please advice me or allow me get this problem of mine to you.

DNHE, BPTh/BPT, weight management specialist
Dietitian/Nutritionist, Kolkata
Sir I had a knee injury while playing badminton in College 3-4 months back, for which I had been diagnosed by a docto...
Hello,if the x-ray is clear, that means you dont have any bony injury...but there may be some soft tissue injury in the knee joint which can only be seen in MRI or get a proper examination of your knee from an orthopedic to know what is the exact problem.In the meanwhile just avoid exerting your knee a lot,wear a knee support and avoid doing any exercises like squatting,lifting etc.ALSO take precautions like cross legged sitting ,climbing stairs up and down,using of indian toilet.Do icing 3-4 times a day and keep your leg elevated.
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I am a 25yr old female and have joint pain in my knee for last 2 months. What should I do?

Diploma in Acupuncture, Pranic Healing, MD - Acupuncture
Acupuncturist, Bangalore
Identify the dipping portion on the back of your knee folding. Press this dip with both middle fingers and hold your knee with your thumbs for support. Please swing 20 times morning and evenings. Identify the mid point between the ankle bone and tendons and give pressure with a blunt edge on either side of your foot for 2 minutes. Also give pressure in the web between 2nd and 3rd finger from your toe for 2 minutes. Finally give a good massage for both feet in hot water. This will relieve your problem. Consult after 10 days.
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I'm 46 years old and I'm suffering from knee pains which are making me unable to even walk can I get any solution for this problem?

BHMS
Homeopath, Delhi
I'm 46 years old and I'm suffering from knee pains which are making me unable to even walk can I get any solution for...
Hello, you can take homoeopathic medicines 1. Rhus tox 200 (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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I am a sports person my leg knee is paining for last one week I think it is because of twisting of leg what is the best way to cure it without medication.

M.Sc - Dietitics / Nutrition, DNHE, P.G. Diploma in Panchkarma, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Hapur
I am a sports person my leg knee is paining for last one week 
I think it is because of twisting of leg 
what is the ...
According to ayurveda you r suffering from sandhi vata. Here I can only advise u. Massage with mahanarayan tail on affected parts followed by light fomentation. Multivitamin and calcium supplements daily.
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I am taking mag phos 6 for my knee pain for last 15 days as advice by Dr. I want to know for how many days at a stretch should I take?

BHMS
Homeopath, Delhi
I am taking mag phos 6 for my knee pain for last 15 days as advice by Dr. 
I want to know for how many days at a stre...
This depends on the state of your problem, usually in 15 days time your pain should have been better if the remedy is suited to your case. If its better then you should not take this further. If your pain is similar and Mag Phos offered no relief then also there is no reason to take this medicine any longer. Your case need a re evaluation and remedy or potency might be changed or both.
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My knee aches when I climb up the stairs. I used to be a drummer but my bavk started having problem because of too much sitting posture do I had to take a break . But what's this .

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
My knee aches when I climb up the stairs. I used to be a drummer but my bavk started having problem because of too mu...
Physiotherapy treatment best option for you after relief do back stretching exercise and quadriceps exercise. Tk break between long sitting.
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Sir, my mother was suffering from rheumatic pains ; Which tests will confirm for knee joint replacement?

BPTh/BPT
Physiotherapist,
Sir, my mother was suffering from rheumatic pains ; Which  tests will confirm for knee joint replacement?
There is no such test. Well you can test for ra factor. Knee jt replacement is the last option. Depends on what is the condition of joint at present.
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My mom having a lot of pain in knee so plzz tell me how to solve this problem fastly.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
My mom having a lot of pain in knee so plzz tell me how to solve this problem fastly.
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).
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Hello doctor.my mother is facing a problem of arthritis. Doctors recommend for knee replacement. She don't want so can you help me.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
If so do consult musculoskeletal physiotherapist and take ift and laser therapy physiotherapy treatment for 12 days of 15 minutes duration and continue hot water and cold water fomentation thrice a day for 12 days of 15 minutes duration each followed by static quadriceps exercises once pain subsides
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I am 40 years old man, weight 91 kg. I am having knee problem so I cant run or do squat exercise. I can walk. I have a big stomach. I want to be slim by doing exercise of 30 minutes. Please suggest me some exercise tips like situps etc?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am 40 years old man, weight 91 kg. I am having knee problem so I cant run or do squat exercise. I can walk.  I have...
You must lose some weight Weight reduction can not be done overnight. You have to take it as a way of life. Do Diet control. no sugar in tea,coffee,milk etc. NO sweets Take small frequent meals. When you get used to it, skip one meal. Then after 3 months skip another meal, & so on? You should do non weight bearing Yoga exercises. Do not ignore It. could be beginning of a serious problem.
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