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Dr. Naveen

Physiotherapist, Delhi

at clinic
Dr. Naveen Physiotherapist, Delhi
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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. Naveen
Dr. Naveen is one of the best Physiotherapists in Kalkaji, Delhi. You can meet Dr. Naveen personally at Irin Hospital in Kalkaji, Delhi. Save your time and book an appointment online with Dr. Naveen on Lybrate.com.

Lybrate.com has an excellent community of Physiotherapists in India. You will find Physiotherapists with more than 36 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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DD-23, Nahru Place Road, Kalkaji. Landmark: Near Kalkaji Post Office, DelhiDelhi Get Directions
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Hi. I want o ask whether there is any permanent treatment of lichen planus on the ankle ?

BPTh/BPT
Physiotherapist
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Hello dear this is dr.Vyas there is not permanent treatment but u can go for homeopathy treatment. Some of them challenge for this prob.We have temporary treatment for it.

MPT
Physiotherapist
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Make sure that you do stretching exercises before, during and after taking a walk as a part of the warming up and cooling down process. They will keep the muscles flexible and relaxed, the joints mobile and relieving stress and tension.

He fainted , took MRI scan it's normal , doctor taking cardio and neuro scan , seems low BP but not sure ,

PGD Maternal Child Health, MBBS
General Physician
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He fainted , took MRI scan it's normal , doctor taking cardio and neuro scan , seems low BP but not sure ,
May be sudden cerebral ischaemia due to vertebro basilar insufficiency which may be demonstrated in a carotid angiogram. Wait for reports. Then something may be possible to comment upon.

I am a 22 year old male and have a backbone pain for 1 and 1/2 month. What should I do?

MBBS, MS - Orthopaedics
Orthopedist
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I am a 22 year old male and have a backbone pain for 1 and 1/2 month. What should I do?
(A) Sleep on a hard bed with soft bedding on it. (B) Use no pillow under the head. (C) Kindly take BioD3 Max 1 tab dailyx10 Paracetamol 250mg OD & SOS x5days (D) Do back(spine)/shoulder/knee exercises (E)Make sure you are not allergic to any of the medicines you are going to take (F) Do not ignore it.It may have to be investigated further. It could be beginning of a serious problem. (G) If no relief in 4_5 days,then contact me again. (H) Contact your family doctor or nearest hospital for emergency help.

I met with an accident two years back. I had got proper treatment, but, still I feel some pain in my right foot's joint (takhna). Although three z no pain actually. All type of movements I enjoy. But, still pain seems to b there. What should I do. Kindly advise. Thnx.

BHMS
Homeopath
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I met with an accident two years back. I had got proper treatment, but, still I feel some pain in my right foot's joi...
Hello, you can take homoeopathic medicine Arnica 200 (4 drops in little water) twice a day for a week and revert.

HI, my mother is 42 years old. Her legs are pain while bending. Can you help us? please advice

MD - Acupuncture, Pranic Healing, Diploma in Acupuncture
Acupuncturist
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HI, my mother is 42 years old. Her legs are pain while bending. Can you help us? please advice
Try this for joint pains try this. 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. 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. This will relieve your problem. Consult after 10 days.

My age is 28, since 4 days I am having backache left side and also urine infection, please help me in this aspect.

Bachelor Of Physiotherapy
Physiotherapist
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My age is 28, since 4 days I am having backache left side and also urine infection, please help me in this aspect.
Hello according to your condition you have to take hot water fermentation through towel and do it 3 times in a day duration-15 min along with stretching and back exercises like straingh leg raising, bridging with -20 min repetition -5 sec hold do it for 3 days sure you will get well soon take care.

I am having uric acid level 8.2 and having shoulder pain and wrist pain is there any solution.

BPTh/BPT, MPTh/MPT
Physiotherapist
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I am having uric acid level 8.2 and having shoulder pain and wrist pain is there any solution.
Shoulder advice. Regular stretching of shoulder muscles. Warm up and cool down is a must. Hot fomentation.

I have badly pain on my back on last 4 day what should I do. Please give a tips as soon as possible.

MBBS, MS - Orthopaedics
Orthopedist
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I have badly pain on my back on last 4 day what should I do. Please give a tips as soon as possible.
This treatment is being suggested on bases of the information provided. I would like to examine & investigate you in detail. Rule out Diabetes. Any way it may be tried, --.Acetaminophen 250mg OD & SOS. X 5days. --.Caldikind plus (from Mankind)1 tab OD x 5 days. --. Fomentation with warm water. --. Sleep on a hard bed with soft bedding. -- .Do mild exercises for back, (Take help of a physiotherapist or visit www.drncgupta.com). Kindly make sure, there is no allergy to any of these medicines. (Contact family doctor, if needed). For emergency treatment visit nearest hospital. Do not ignore, let it not become beginning of a major problem. Do ask for a detailed treatment plan. If no relief in 2-3 days, contact me again.

Dengue Vaxia

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician
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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
Dengue Vaxia

I feeling pain in my left hand for 2 days in two or three months. The pain is unbearable. Do you know why its paining and what should I do for this?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda
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I feeling pain in my left hand for 2 days in two or three months. The pain is unbearable. Do you know why its paining...
Apply prasarini oil or pranacharya restopain oil on affected part then give hot fomentation. Take maharasnadi kwath 2-2 tsf twice a day. 1-1 tab yograj guggul after lunch and dinner. Avoid tea. Coffee. Junk food. Spicy food. Fermented food. Take green vegetables. Drink juice. Eat fruits. Drink 7-8 glass of water in a day. Take 7 hours sleep minimum. Do pranayama early morning. Walk for minimum 30 minutes in a day. For more detail contact me in private.

Hi I am 25years old now a days my leg are getting pain I dont no for what reason?

BPTh/BPT
Physiotherapist
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Hi I am 25years old now a days my leg are getting pain I dont no for what reason?
Hi I can understand your problem. *take rest *increase fluid intake *gently stretch or massage your leg muscle. * apply heat to tight muscles or cold to tender muscles. * there are various treatment options in physiotherapy which depends on your health and severity of your symptoms. Kindly reply for private consultation to discuss detailed treatment plan. Wishing you good health.

I am 18 years old. Whenever I walk it seems that something is pinching in my knee. It causes pain. I have used several ointments but got no relief. Please help me suggesting some aids.

MSPT (Master of Physical Therapy)
Physiotherapist
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I am 18 years old. Whenever I walk it seems that something is pinching in my knee. It causes pain. I have used severa...
Check your hemoglobin level. If it is low follow iron rich diet. If hemoglobin is at level then check your knee position. If there is more backward bend in any one of the knee or both do regular exercise to strengthen hamstring muscle (you may find in net). If you regularly play in which you jump a lot ; please use knee cap.

I am a 39 years old and I am having a one sided headache, sometimes guidiness, weakness, back ache. What should I do.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist
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Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. It will be advisable for you to actually consult a neurophysician for an opinion since you have headache and giddiness. If you have localized back pain with no other symptoms like radiating leg pain, neurological symptoms like numbness, weakness, paresthesias etc, then you can start with following recommendations for initial period of 2-3 weeks: - to maintain proper posture of your back while working and sleeping - if pain is more then you can take a short course of an anti-inflammatory medication like tab etoshine or paracetamol or one which suits you - physical therapy initially under supervision of a trained physiotherapist and then to continue at home - adequate calcium & vitamin d intake if levels are low in body - ice packs can applied if your pain is acute, then hot fomentation can be done at home - analgesic spray for local application can be used and is easily available. - avoid lifting heavyweight/ acute forward bending in mornings etc we will observe you for next 2-3 weeks how you respond to this conservative management protocol. If you are not feeling better, then we will have to get some investigations like dynamic x rays of lower back and few blood tests for evaluation. Do not hesitate to contact me if you need any further assistance.

Iam 25 year old. From last one month iam suffering from knees pain. Dr. recommends bio-d3-fem. I have taken one month bt no change. Whn I walk thn I can feel pain and weird type sound. May be you knw wht type of sound iam talking abt (chatak type). Wht shud I do.

CMP, MPT - Orthopedic Physiotherapy, COMT
Physiotherapist
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Iam 25 year old.  From last one month iam suffering from knees pain. Dr. recommends bio-d3-fem. I have taken one mont...
It can possibly being wear and tear of the back surface of your knee cap called the patella, its called the chondromalacia patella common in young females who are involved in dance or sports. Need to show a physiotherapist to get yourself examined.

I'm 29 years old, working women, working as HR from past 4 years. I have savior back neck down part pain, it is there for 6 months. Can not turn my neck left or right, and also the pain passes to my both hands. regular on left hand shoulder pain. Should I consult a ortho doctor?

BPTh/BPT, MPTh/MPT
Physiotherapist
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I'm 29 years old, working women, working as HR from past 4 years. I have savior back neck down part pain, it is there...
Back Pain. Advice…. Hot Fomentation x twice daily. Avoid bending in front. Postural Correction. Sit Tall, Walk Tall. Extension Exercises x 15 times x twice daily Bhujang Asana x 15 timesx twice daily Core Strengthening Exercises. Back Stretching. Neck Advice Hot fomentation x twice daily. Neck Exercises. Neck Stretching. Postural Correction. Shoulder Shrugs. Core Strengthening Exercises. Take frequent Breaks at work Use cervical pillow. Use Back Support. Self Massage the back of neck.

I am 46 years old, suffering from knee pain some times unable control this. Please help me to over come.

MD - Acupuncture, Pranic Healing, Diploma in Acupuncture
Acupuncturist
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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. This will relieve your problem. Press the point on the web between 2nd and 3rd finger from toe in the foot 20 times by pressing and releasing with a blunt edge of a pen. Further rotate your foot clockwise and anticlockwise 10 times. Massage your leg with both hands.

Hi, I have knee pains daily. What I have to do? tel me correct solution for my problem.

MBBS, MS - Orthopaedics
Orthopedist
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Hi, I have knee pains daily. What I have to do? tel me correct solution for my problem.
Kindly show me a photograph of the affected part--knee rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful Do hot fomantation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, contact me again. Do not ignore. It could be beginning of a serious problem.

I am suffering from leg pain since 4 years. First it started in foot then knees now thighs. What is the problem?

BPTh/BPT
Physiotherapist
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I am suffering from leg pain since 4 years. First it started in foot then knees now thighs. What is the problem?
When you have foot pain and If the normal way of walking is painful, oyu instinctively change our walking pattern. This change in your walking pattern can also affect the whole chain of your lower body. From the ankle, to the knee, to the hip, and then to the lower back. If your feet or ankles aren’t working right, don’t ignore them! Contact a foot and ankle surgeon for an evaluation.
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