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Dr. Praveen Ray

Physiotherapist, Delhi

300 at clinic
Dr. Praveen Ray Physiotherapist, Delhi
300 at clinic  ·  ₹ online
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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. Praveen Ray
Dr. Praveen Ray is a popular Physiotherapist in Malviya Nagar, Delhi. You can meet Dr. Praveen Ray personally at AO Speciality Clinic- Joint & Bone Center of Excellence in Malviya Nagar, Delhi. Don’t wait in a queue, book an instant appointment online with Dr. Praveen Ray on Lybrate.com.

Lybrate.com has an excellent community of Physiotherapists in India. You will find Physiotherapists with more than 41 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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#3/36, Malviya Nagar. Landmark: Near to B-block shivalik, Red light cross, DelhiDelhi Get Directions
300 at clinic
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I am 22 yrs male. And I am suffering from back pain. What I have to do?

MS - Orthopaedics, MBBS
Orthopedist
Ask Free Question
Backache is the commonest ailment. 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 use no pillow under the head. Any way take ibuprofen 200mg od & sos x 5days you will need other supportive medicines also. Take multivitamins & other antioxidants along with. Do back (spine) exercises make sure you are not allergic to any of the medicines you are going to take do ask for detailed treatment plan. Don? t ignore, lest it becomes starting point of a major problem.

I am 25 year old I have back pain in daily please give me suitable medicine for me.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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I am 25 year old I have back pain in daily please give me suitable medicine for me.
Homoeopathic medicine---------------- spondyaid (bakson) drink 10 drops in 20 ml fresh water 3 times daily------------- magnesia phos 6x (dr reckeweg) chew 4 tab every 2-3 hrly depending on pain daily------------- drink 2 glass milk and an egg daily----------------- report after 15 days---------------------------
1 person found this helpful

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
9 people found this helpful

Pain in right elbow from last 4 month & back from last 2 year. Homeo treatment is continue but no relief.

BPTh/BPT
Physiotherapist
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1.Take Physiotherapy sessions and learn exercise. 2.Use lumber spine belt also. 3.Take calcium and methylcobalamine supplement with Omega3
1 person found this helpful

Something happening in my left hand veins. At 3 places it has got stiff, it is elevated, it is paining, unlike other veins I can catch them, are that tumors or something else. Like fat deposition. Earlier it was at only 1 place but then it growed at two more places.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist
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Hi thanks for your query and welcome to lybrate. I advise you to get in touch of a vascular surgeon if possible or a general surgeon if not because we need to actually see and palpate them to make a diagnosis. Do not hesitate to contact me if you need any further assistance. Thanks & regards Dr Akshay Kumar Saxena
1 person found this helpful

Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? If so, what are they and what medications are implicated? What exactly is a spine block injection? Will it work long-term for low back pain due to disc problems? What causes Hashimoto's thyroiditis, and what is the best method of treatment? Can iodine help this condition?

MBBS
General Physician
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Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? I...
Use of stimulant decreases the symptoms to a much good effect and if we don't give stimulant medication there will be more of conduct disorder and progress in disease and for side effects we have to monitor the person and advice them accordingly and spine block injection is effective for six months.

age 24 Yrs last one week exactly last sunday one Dog has bite to left leg just below (Back side) knee point it is very small size around 0.03 mm. Now what type of food I have to taken, can take non-veg items.

BHMS
Homeopath
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age 24 Yrs last one week exactly last sunday one Dog has bite to left leg just below (Back side) knee point it is ver...
There are no restrictions as far as diet is concerned. I hope you have taken an anti tetanus injection. Secondly if it was to be a stray dog better take anti rabies vaccines. Thanks.

I have a severe knee pain.What can i do?

Advanced Aesthetics
Ayurveda
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I have a severe knee pain.What can i do?
Knee pain can have many causes. The knees are large joints with subject to heavy loads to the joint?s bone and cartilage and part of membranes, menisci, ligaments and viscous bags. Around the knee joint, there are many tendons and muscles. All these structures can give rise to pain in knee. The prevalence of knee pain is increasing, which may be related to several sports injuries (baseball, football, skiing) and unilateral load. In a survey, 30 % of women What are the causes of knee pain? Common causes of general knee pain are ? ? Osteoarthritis ? Occurs any time in the elderly or in people who have had a serious knee injury earlier. The condition produces pain in the knee during and after impact. Initially, pain may be prominent, rest pain and nocturnal pain is in advanced disease. ? Wearing of the patella ( patellofemoral arthrosis) - Is common with age over 40 years- This occurs by walking up and down hills and by sitting with the knee bent. ? Arthritis-May results from a wide variety of underlying diseases. It occurs with pain, swelling, increased warmth and reduced mobility in the joint. ? Inflammation of cartilage and bone- A tendon can detach from the joint surface and form a free body cavity of joints that can become stuck. Patients are usually between 15 and 20 years. Typically, there has been one or more previous damage to the joint. One can experience the locking of the joint, knee pain, failure, and swelling. ? Anterior cruciate ligament injury- it is severe knee injury that often occurs when the knee rotates while the foot is stationary Ayurveda uses the inherent power of natural herbs to bring about wonderful results on the human body. The herbs are natural and 100% safe. Ayurveda helps to strengthen the body muscles and bones, making them strong even to withstand any external pressures. The herbs in Ayurvedic for bone and arthritic diseases help complete the body deficiency in a natural, herbal way. Medicines are- PARVAL PISHTI . GILOY .. Yograj Guggul

My father right hand at shoulder paining not able rotate hand. Also more pain if change direction during sleep also.

BHMS
Homeopath
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My father right hand at shoulder paining not able rotate hand. Also more pain if change direction during sleep also.
Hello, give your father the below medicines:- Arnica 200, 5 drops once daily in the morning and Rhus tox, 5 drops once daily in the evening. Five phos 6x, 5 tabs twice daily.

I am 29 years old have back pain and whole body pains with where touch for long time. I.e sit's on chair for 5 mins back that sits part getting pain, I hold a plate on hands that hand will get pain while eating. Etc,

BPTh/BPT, MPTh/MPT
Physiotherapist
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I am 29 years old have back pain and whole body pains with where touch for long time. I.e sit's on chair for 5 mins b...
Apply hot fomentation twice daily. Avoid bending in front. Postural correction- sit tall, walk tall. Extension exercises x 15 times x twice daily - lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times. Bhujang asana? lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily. Core strengthening exercises- straight leg raised with toes turned outward, repeat 10 times, twice a day.

I am a 35 years old from Hyderabad working in a software company I had been in backache since last 3 month I used to take medicine not healing my pain what should I do now.

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist
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I am a 35 years old from Hyderabad working in a software company I had been in backache since last 3 month I used to ...
People working in software companies usually work in ACs. They have vitamin D deficiency and calcium deficiency. Due to continuous sitting type of work, they have back muscle weakness. You would need modification of chair if its uncomfortable. Back muscle strengthening exercises. Some medicines You will do fine.

I'm 30 years old I have backpain from last 8years. If I bend my body i'm unable to touch my leg with my hands. Also my hand and legs are shivering.

MBBS, MS - Orthopaedics
Orthopedist
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Morning stiffness of back is quite a common condition. Kindly rule out diabetes & vitamin d deficiency or any other metabolic disorder. Proper physiotherapy will help. Medicines will also be needed. Kindly visit my website www. Drncgupta. Com it gives detailed information regarding backache, causes consequences & cure - & pain in & around neck & physiotherapy in general. Antioxidants like caldikind plus (from mankind) 1 tab /day helps. Paracetamol 250mg bd/tds will also give you relief kindly make sure that you are not allergic to any of the ingredients of the brands you are going to take. Common.

My mother is 65 yrs & she is a breast cancer patient. She use to take medicine like letronat 2.5 & ccm daily & osteofos 70 once in a week for the last 3yrs. It is observed for the last 3 months she is feeling pain in knee & tenderness in lower part of the leg muscle. Her weight is 62 kgs. Please advise remedy.

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. There could be a lot of reasons for her pain, it may not actually be linked with her previous history of breast cancer and could just be degenerative arthrosis setting in the joints. I will advise for a fresh x ray (ap standing & lateral views) of affected knee and get her esr, crp, serum electrolytes and serum vitamin d levels done so that I can see and advise accordingly. Do not hesitate to contact me if you need any further assistance.

My mother is 69 years old. She is suffering from severe sciatica pain on her lower back, thighs and hip area. This pain has been with her for last 3 years now. What shall we do?

MBBS
General Physician
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Sciatica pain is called a syndrome. It signifies nerve pain spreading along the back if the thigh from lower back. There may be. Sensation problems of different varieties as well as muscle wasting and weakness in the region where the sciatic nerve is locared. But the mere syndromic diagnosis is not enough as the same symptoms may happen due to sciatic nerve compression like slipped disc. Intra spinal tumour. Local abscess. Bony growth compressing the nerve. Among many. At her age she is likely to suffer from osteoporosis. Vitamin d and calcium deficiency etc. So an mri of the limbo sacral spine will be of immense help. Youay consult van orthopedic surgeon for proper management.
1 person found this helpful

I have a problem with my right hand Whenever ivory to lift any weight it doesvfeel. Paining I have all my elreports ok butvdont know why it pains Please helpvme sir.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist
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I have a problem with my right hand Whenever ivory to lift any weight it doesvfeel. Paining
I have all my elreports o...
Muscular strain is possible so avoid overstrain and tk muscle relaxant medicine for 2 days and heat formation also apply.

Hello Dr, My back is paining too Much in every month do you you suggest me what can I do?

MBBS, MS - Orthopaedics
Orthopedist
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Hello Dr, My back is paining too Much in every month do you you suggest me what can 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 & 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 18 years old. I have a severe pain in my lower back. I had a mri done in december 2014 according to that I have a minor slip disc. All the doctors have sent me to a physiotherapist. I have been exercising regularly but still there is no relief. What should I do?

MBBS, MS - Orthopaedics
Orthopedist
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You are too young. These symptoms should not be ignored. Stiffness & pain in back & other joints is quite a common condition. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful use no pillow under the head. Any way take ibuprofen 200mg od & sos x 5days you will need other supportive medicines also. Take multivitamins & other antioxidants along with. Do back (spine) exercises contact me again if need be. Make sure you are not allergic to any of the medicines you are going to take do reply back for private consultation and detailed treatment plan.
1 person found this helpful

My back and right hand has full paining.What can i do?

MD - Acupuncture, Pranic Healing, Diploma in Acupuncture
Acupuncturist
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My back and right hand has full paining.What can i do?
Give pressure the dipping point on the portion between the thumb and the index finger on the back of the palm. Press and release for 15 times where the pain is more. This will solve the problem. Further do some wrist rotation exercise. Consult after 5 days. For further guidance and treatment.

I am a 28 yr old female and having backache since I have delivery of 2nd boy in 2010, and also I had family planning operation also. What should I do?

MBBS, MS - Orthopaedics
Orthopedist
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Kindly show me a photograph & digital x rays of affected part. 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 use no pillow under the head. Do hot fomantation. Ibuprofen 200mg od & sos x 5days. Bio d3 max 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. Do reply back for detailed treatment plan. Do not ignore. It could be beginning of a serious problem.

I am 46year old lady. There is a pain in my right hip. Doctor told me that it is a sciatic nerve pain. I am taking gabapin not tablet twice a day. It is giving me reflex and pain is also not that much. Kindly advice me whether I should continue this tablet or go for MRI.

MBBS, MD - Internal Medicine
Internal Medicine Specialist
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I am 46year old lady. There is a pain in my right hip. Doctor told me that it is a sciatic nerve pain. I am taking ga...
Pl. Continue this medicine. And do mri spine to confirm it. Avoid stress and heavy weight. Avoid spicy and oily foods.
1 person found this helpful
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