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Destiny Advanced Physiotheraphy& Stroke Managment

Physiotherapist Clinic

RTC Colony, Tirmulgherry,Seunderabad, beside-Apollo Pharmacy. Hyderabad
1 Doctor
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Destiny Advanced Physiotheraphy& Stroke Managment Physiotherapist Clinic RTC Colony, Tirmulgherry,Seunderabad, beside-Apollo Pharmacy. Hyderabad
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Our goal is to offer our patients, and all our community the most affordable, trustworthy and professional service to ensure your best health....more
Our goal is to offer our patients, and all our community the most affordable, trustworthy and professional service to ensure your best health.
More about Destiny Advanced Physiotheraphy& Stroke Managment
Destiny Advanced Physiotheraphy& Stroke Managment is known for housing experienced Physiotherapists. Dr. B.Dinesh, a well-reputed Physiotherapist, practices in Hyderabad. Visit this medical health centre for Physiotherapists recommended by 97 patients.

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MON-SAT
10:00 AM - 07:00 PM

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RTC Colony, Tirmulgherry,Seunderabad, beside-Apollo Pharmacy.
Trimulgherry Hyderabad, Andhra Pradesh - 500015
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Doctor in Destiny Advanced Physiotheraphy& Stroke Managment

Dr. B.Dinesh

MPTh/MPT
Physiotherapist
4 Years experience
Unavailable today
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I feel intense back pain while seating from lying position. It did not happen when I do it little oblique toward Rt or left. What can be possible reason. Kindly explain treatment modality. Can it be PIVD?

B.P.Th, PGDM in Physiotherapy/Occupational Therapy Assistant Program
Physiotherapist, Mumbai
I feel intense back pain while seating from lying position. It did not happen when I do it little oblique toward Rt o...
Hello lybrate-user, Yes, it is suggestive of classic back pain where your IV disc of the spine is slipping posterior, i.e. The jelly like structure between your disc is slipping out of its normal borders. This could be a clear case of PIVD (posterior inter-vertebral disc involvement) with no slipping from the sides of the disc. To begin with, avoid sitting with crossed legs and on a chair for a few days until your pain intensity is reduced. This is to avoid hitting your jelly like disc and prevent it slipping more posterior (backwards) towards the spine. This can cause more pain and might extend up to hips, legs or foot. 1. Tuck your stomach inside for about 20 percent in without holding your breath. This activates main core muscle which was hidden due to pain history. Repeat 10 reps for about 5-6 times/day 2. Standing position: Extend your back backwards without bending your neck to avoid over pressure with your hands on your hips. Gently and slowly do this exercise to push that disc back into this place. Avoid clenching your buttocks and maintain a minimum basic distance between your feet. Repeat 10 reps for 6 times/day 3. Lie on your back and lift your hips off the bed with your hands by your side. This is a bridege-like exercise in sections. I.e. Lift your hips first followed by stomach followed by chest up in a slow and controlled manner till the point of pain. If you feel better and back pain level goes down then kindly keep going and repeat 10 reps for 5 times/day. ** Exercise ball: Try to sit on a ball with a good core balance (tuck tummy in) and legs apart as per the requirement. Kindly do exercise no 1** (tummy tuck) while sitting on it and move your pelvis/hip forwards and backwards without moving any other PART OF YOUR BACK, CHEST OR STOMACH- (LIKE A CAT AND CAMEL) ** If pain arises from back or anywhere else then stop the exercise immediately and lie down on your back with 2 pillows under your knees to relax your tight muscle behind the thighs which often pulls out leading to back pain** Kindly perform these exercises and update me further regarding your pain status. Double check with ball exercise in front of mirror to avoid mistakes and feel free to ask any queries. Take care, Thank you.
1 person found this helpful

Why Do You Need Knee Replacement?

MBBS, M.S., M.Ch - Orthopaedics
Orthopedist, Lucknow
Why Do You Need Knee Replacement?

Knee replacement is a surgery wherein an artificial joint is used to replace a diseased, damaged or worn out knee. This surgery is common among people who fall in the age group of 60-80, but recent trends seem to suggest that younger people are opting for this surgery as well. The lifetime of the artificial knee joint is around 20 years, provided the knee is well cared for.

Why do you need knee replacement?

Most common reason is “high grade osteoarthritis” due to wear and tear of the knee joint. The pre-hospital study of the Knee joint is mandatory and would decide what kind of Replacement is suitable to the patient. If there is diabetes or hypertension associated with this, then it should be controlled well before undergoing surgery. Hemoglobin of at least 10 gm% is required.

If the mobility in your knee joint is reduced leading to impaired functioning of the knee joint, then you might need a knee replacement surgery. You may experience pain while walking, sitting and, in some cases, resting as well.

Some of the common reasons why you may opt for this particular surgery are:

  1. Gout, where, small crystals are formed inside the joint.
  2. Rheumatoid Arthritis, an autoimmune disorder, wherein the immune system of the body attacks the body’s healthy tissues.
  3. Hemophilia, wherein, the blood ceases to clot normally.
  4. Injuries to the knee.
  5. Disorders that cause unusual bone growth (bone dysplasias).
  6. Death of bone in the knee joint following blood supply problems (avascular necrosis).
  7. Knee deformity with pain and loss of cartilage.
  8. Unusual growth of bones in the knee joint.

Knee replacement surgery is classified into:

  1. Partial Knee Replacement: In this surgery, only one part of the joint is replaced.
  2. Total Knee Replacement: Total knee replacement surgery involves replacement of both sides of the knee joint.

The usual hospital stay period is around 2-3 days after the surgery is completed. Initially, you will require the help of crutches to walk for at least 2 months. You may also be asked to do gentle knee strengthening exercises. It may take up to 3 months to recover completely from a knee replacement surgery.

Knee Pain - How Physiotherapy Can Help?

BPTh/MPT
Physiotherapist, Jaipur
Knee Pain - How Physiotherapy Can Help?

Knee pain or injuries are very common and have numerous causes. Knee pain can emerge from delicate tissue wounds like ligament sprains and muscle strains. Bone conditions like knee joint pain, Osgood Schlatters, and biomechanical dysfunction can also cause knee pain. Treatment can include basic knee mobilization techniques, taping, massages or knee strengthening exercises completely through a careful recovery method after knee replacement or reconstruction.

Physiotherapy can help you overcome the pain and increase your strength and flexibility. A physiotherapist can suggest you a number of treatments and also help you understand your issue and get you back to your everyday routine. Physiotherapists are said to be successful in getting rid of the source of the knee pain by diagnosing a cause. This includes tightness around the knee and treating it with stretching and exercises.

Following are some of the exercises a physiotherapist might generally recommend for knee pain:

  1. Hamstring stretch: Stretching keeps you flexible and increases your scope of movement, or how far you can move your joints in different directions. It additionally helps you reduce your chances of injuries and pain. Continuously warm up with a five minute walk first. Lie down when you are prepared to stretch your hamstring. Circle a bed sheet around your right foot, use the sheet to pull the leg up and hold for twenty seconds and then lower the leg. Repeat twice and switch legs.
  2. Calf stretch: Use a chair for balance. Bend your left leg. Step back with your right leg and gradually straighten it behind you. Press your left heel toward the floor. You should feel the stretch in the calf of your back leg. Hold for 20 seconds. Repeat twice and then switch legs.
  3. Straight leg raise: It helps build muscle strength to give support to the weak joints. Lie on the floor. Twist your left knee, foot on the floor. Keep the right leg straight, toes pointed up. Tighten your thigh muscles and raise your right leg.
  4. Quad set: With these, you don't raise your leg. Just tighten the thigh muscles, also called the quadriceps, of one leg at once. Begin by lying on the floor. Keep both legs on the ground, loose. Flex and hold the left leg tense for five seconds and then relax. Do three sets of ten repetitions. Switch legs after every set.
  5. Cushion squeeze: This move strengthens your legs from the inside so that they can support the knees. Lie on your back, both knees facing inwards. Place a cushion or a pillow between the knees. Press your knees together, squishing the cushion between them. Hold for five seconds and then relax. Do three sets of ten repetitions. Switch legs after every set.
  6. Heel raise: Stand tall and hold the back of a seat for support. Lift your heels off the ground and rise on the toes of both feet. Hold for three seconds. Gradually lower both heels to the ground. Do three sets of ten repetitions.
1 person found this helpful

I have problems in my left wrist, it gets swallowed and pains a lot. It remains same even after treatment. So what to do now.

Doctor of Osteopath, MSPT (Master of Physical Therapy), BPTh/BPT, MSc Osteopathy, Certification In Applied Manual Therapy, Certification From Bell Rogerouth & Harris / Upper and Lower Quadrant Dysfunction, Certified Dry Needling Practitioner, Certified Wheel Chair Trainer, Master P.G Diploma in Chiropractic
Physiotherapist, Lucknow
I have problems in my left wrist, it gets swallowed and pains a lot. It remains same even after treatment. So what to...
First you do hot pack on you affected wrist then you do some wrist strengthening exercises after that you can perform some for wrist stretches and take advice with physiotherapist.

I am suffering from right clavicle fracture. I got it one month later due to a bike accident amd my doctor tight n me with a clavicle brace and a hand sling. Kindly suggest me the precautions after collar bone healing and how much more time it will take to heal properly.

MS - Orthopaedics
Orthopedist, Hyderabad
Dear lybrate-user Clavicle breaks often and easily when you fall and try to break your fall with an outstretched hand. It unites and heals as quickly. Even if it bends a bit it works perfectly. Rest your arm in a sling or brace for three weeks and then start moving it out of the brace. Can lift upto 5 kg weight after three weeks and increase by one kilo every week. By three months you can do anything. Do an X ray at 3 and 6 weeks and show a orthopaedic.
1 person found this helpful

When I play intensely I got joint pain what is the reason behind this? How can I fix this problem.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
When I play intensely I got joint pain
what is the reason behind this?
How can I fix this problem.
It is called as Rheumatic arthritis. If your pain is more in the distal joints, ie. In the upper limbs if the pain is present in the fingers/wrist and in the lower limbs it the pain is present in the toes/ ankle, then we shall definitely say it is Rheumatic arthritis. Wear elbow brace and wrist brace which will make her to feel warm and that will make the joints become firm. Hot water fermentation will help Knee cap will also help to prevent the damaged cartilages. If your pain is more in the distal joints, ie. In the upper limbs if the pain is present in the fingers/wrist and in the lower limbs it the pain is present in the toes/ ankle, then we shall definitely say it is Rheumatic arthritis. Which joints you have pain? If your proximal joints (ie. Shoulder, hip & knee has pain) then you can pour hot (warm) water in that area to reduce the inflammation. If you have pain in the distal joints ie. Wrist, fingers, ankle, toes then you can wear either elbow brace or wrist brace which will help you to feel warm and very protective. And also immerse the distal joints in the hot water tub which will help you to reduce the pain.Consult the near by physiotherapy clinic and also consult a general physician to check with your ESR levels to check whether you have inflammation.

Hi, My mom age is 65 years. She is getting low back pain. Used many pain killers. nothing effect.

MS - Orthopaedics
Orthopedist, Hyderabad
Hi, My mom age is 65 years. She is getting low back pain. Used many pain killers. nothing effect.
She needs to see a spine surgeon. Needs X ray clinical examination and MRI. Most likely shall need a surgery. But first show a spine surgeon.

Pain In Back & Homeopathic Remedies For It!

BHMS, INSTITUTE FOR BEHAVIORAL AND MANAGEMENT STUDIES
Homeopath, Nashik
Pain In Back & Homeopathic Remedies For It!

Pain in the back can be due to a number of reasons. It may be habitual, occupational, sports-related, or idiopathic.

  • Habitual pain is usually due to patients being habituated to a faulty posture.
  • Occupational pain is related to professions, which require standing or driving for long hours or professions like dentists who need to have a bent posture for extended periods of time.
  • Sports-related pain usually affects athletes or children who bend their back inadvertently during taking part in sports.

Apart from these, back pain may also occur due to unknown or unrelated reasons. Homeopathic is a great alternative compared to allopathic medicines because it has no side effects and the cure is long term. The several homeopathic medications that may be used for back pain are as follows:

  1. Sulphur: It is a great remedy for patients who have back pain due to a slouching posture and whose pain worsens when they stand up.
  2. Ruta Graveolens: It is the remedy of choice in cases the patient experiences stiffness in joint or muscles, accompanied with feeling of soreness and lameness all over the back.
  3. Aesculus: It is a good homeopathic remedy in cases of very low back pain, which gets worse when the patient tried to stand upright from a previously sitting position.
  4. Rhus Toxicodendron: It is a recommended medicine in cases of pain of the lower back, shoulders and neck. Pain is worsened by damp and cold weather and by movement. Relief to such pain is provided by massage, hot baths, and warm applications.
  5. Arnica: This homeopathic gel is popular for its good effect on soft tissues and muscular pain.
  6. Nux Vomica: It is a great remedy for cases where pain gets worse by damp and cold weather, especially at night and painful muscle cramps are experienced in the lower back.
  7. Ignatia: It is a good remedy for emotional distress and for pain in the muscles of the lower back.
  8. Natrum Muriaticum: It is indicated for use in the pain of the lower back, which gets better from lying down on a hard surface.
  9. Bryonia: It is recommended in cases of strong pain in the lower back that prevents the patient from even moving, turning from side to side in the bed, coughing, or making any kind of sudden movement.
  10. Kali Carbonicium: It is a good remedy for patients who have frequent and strong night pains, accompanied with increased back pain during menses.

In addition to these, there are other homeopathic remedies that are recommended in cases of back pain such as Cimifuga, Calcarea Carbonica, Calcarea Phosphorica, Dulcamara, etc. To accurately understand which medication needs to be taken under which condition, it’s always wise to consult a homeopathic doctor before popping in any globules.
 

1 person found this helpful

7 Things That Can Help Manage Throbbing Pain In Your Muscles!

MD - Anaesthesiology, FIPM, MBBS Bachelor of Medicine and Bachelor of Surgery
Pain Management Specialist, Bhubaneswar
7 Things That Can Help Manage Throbbing Pain In Your Muscles!

The musculoskeletal structure of your body is what enables you do any physical movement. The bones provide the solid structure while the muscles provide the strength and agility for all the necessary movements. However, muscles can be affected either due to internal problems within the body or due to wear and tear. Pain in the muscles can be quite debilitating and problematic.

Some of the more common methods to treat and deal with muscle pain are mentioned below.

  1. Correct electrolyte imbalances in your daily food intake: Electrolytes are important minerals required in your body such as potassium or magnesium. A lack of these minerals within the body will cause muscle pain including cramps and spasms. These could be caused due to:
    • Strenuous exercising or physical activity such as playing sports
    • High blood pressure
    • The onset of the menstrual cycles
    • Dehydration
    • An imbalanced diet that doesn’t supply these minerals
  2. Proper stretching and massaging your muscles: You should get into a habit of properly warming up and cooling down before and after exercising as this will allow the muscles to get into optimal physical condition. If you suddenly start exercising, it may damage them and cause immediate pain or may develop into chronic pain over time. The best way to correct this imbalance is to include foods in your diet which contain these minerals, such as bananas for potassium, organic meat for potassium and magnesium, organic eggs, and legumes.
  3. Start exercising if you aren’t doing it regularly: Muscle pain may occur due to atrophy or weakening of the muscles. Bad habits and posture overtime will also result in muscle pain and the best way to strengthen them is to start exercising and stretching them slowly. Once they are strong enough, some of the muscle pain issues will go away on their own.
  4. Correcting bad posture: Bad posture is another culprit for muscle pain. Especially common with sedentary jobs behind a desk postures tend to deteriorate overtime and cause, muscle pain. Thus along with exercising, try to change your posture and correct any bad habit that may have crept in.
  5. Stay hydrated: Dehydration is another common cause for muscle pain especially from muscle spasms or cramps. Ensure that you are properly hydrated throughout the day to avoid pain from spasms.
  6. Use either hot or cold therapy: You can use ice packs or hot water packs to soothe muscle pain depending on the type of causes. For example, throbbing muscle pain and spasms can be relaxed through warm compress while inflammations can be soothed by icepacks.
  7. Medications: In certain disorders of the body such as fibromyalgia, you will need to take specialized medications in order to correct the problem. For excessive and chronic pain, you should visit your doctor as it may require more extensive treatment.

घुटने की सूजन - Ghutne Ki Sujan!

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri
घुटने की सूजन - Ghutne Ki Sujan!

घुटनों में सूजन एक प्रचलित समस्या है जो निरंतर घिसने के कारण सूजन का कारण बन जाती है. ये समस्या ज़्यादातर बुजुर्गों और वयस्कों द्वारा महसूस की जाती है. महिलाओं में पुरुषों से अधिक घुटनों में सूजन की परेशानी होती है. सूजन घुटनों की हड्डियों के किसी भी क्षेत्र में हो सकता है जैसे फीमर, टिबिया और फिबुला, घुटने की ऊपरी हड्डी, पेटेला या फिर लिगामेंट और कार्टिलेज आदि. घुटने में सूजन आपको सामान्य से गंभीर हो सकता है.

* हल्दी है लाभदायक
हल्दी को दर्द से निजात पाने के लिए सदियों से इस्तेमाल किया जा रहा है. हल्दी में करक्यूमिन पाया जाता है. इसमें सूजनरोधी और एंटीऑक्सीडेंट गुण होते हैं जो सूजन और दर्द को कम करने में सहायक होते हैं. हल्दी रयूमेटाइड आर्थराइटिस के प्रभाव को कम करता है जिसे घुटने के सूजन का मुख्य कारण माना जाता है. हल्दी का इस्तेमाल करने के लिए एक कप पानी में एक या आधा चम्मच अदरक और हल्दी को मिलाकर इसे दस मिनट के लिए इसे ही उबालें. अब इस मिश्रण को छानकर इसमें हल्दी को मिलाकर इसे पूरे दिन में दो बार ज़रूर पियें. एक ग्लास दूध में एक चम्मच हल्दी पाउडर मिलाएं. अब इसे शहद के साथ मिक्स करें और पूरे दिन में एक बार ज़रूर पियें.

* मेथी का बीज
मेथी के बीज में भी हल्दी के सामान ही गुण होते है. इसमें मौजूद सूजनरोधी और एंटीऑक्सीडेंट गुण घुटने के सूजन और दर्द से राहत दिलाने में अहम् भूमिका निभाते हैं. मेथी के बीज को स्वाभाविक रूप से गर्म माना गया हैं और गठिये से पीड़ित मरीजों के लिए लाभदायक माना गया है. इसके लिए रातभर एक चम्मच मेथी के बीज को भिगोकर रख दें. सुबह पानी को निकाल लें और उन बीजों को चबाएं. इस प्रक्रिया को पूरे दिन में एक या दो हफ्ते तक करें.

* सरसों का तेल
सरसों के तेल कई रूप से इस्तेमाल किया जाता है. यह आपके रसोई से लेकर औषधिय रूप में भी इस्तेमाल किया जाता है. गर्म सरसो के तेल से मसाज करने से सूजन और दर्द से राहत मिलती है. यह आपके शरीर में रक्त रिसंचरण में सुधार करता है जो सूजन को ठीक करता है. इसके लिए आपको दो चम्मच सरसों के तेल को गर्म करना होगा और उसमें लहसुन को काट कर डाल लें. इसे डालने के बाद लहसून को भूरा होने तक गर्म करते रहें. लहसून को भूरा होने के बाद तेल को छान ले और ठंडा होने तक छोड़ दें. अब इस गुनगुने गर्म तेल से अपने घुटनों पर मसाज करें.

* सेब का सिरका
सेब साइडर सिरका में कई प्रकार के औषधिय गुण होते है. यह जोड़ो में चिकनाई लाता है जो घुटने में सूजन और दर्द को कम करने में मदद करता है और घुटनो में गतिशीलता प्रदान करती है. इसे इस्तेमाल करने के लिए आपको दो कप पानी में दो चम्मच सेब के सिरके को मिलाएं. इस मिक्सचर को अच्छी तरह से मिलाने के बाद पी लें. इस मिक्सचर को सूजन और दर्द कम होने तक रोजाना पीएं. इसके अलावा आप एक बाल्टी पानी को गर्म कर लें और इसमें दो चम्मच सेब साइडर सिरका को मिक्स कर दें. अब इसमें अपने प्रभावित क्षेत्रों को आधे घंटे के लिए डालें रखें. आप चाहें तो एक एक चम्मच सेब का सिरका और जैतून के तेल को मिला लें. अब इस मिश्रण को घुटनों पर मसाज की तरह इस्तेमाल करें.

* लाल मिर्च का करें उपयोग
लाल मिर्च में कैप्साइसिन गुण पाया जाता है जो सूजन को कम करने के लिए सहायक होता है. कैप्साइसिन के स्वाभाविक एनाल्जेसिक में गर्माहट पैदा करने वाले गुण होते है जो घुटनों के सूजन और दर्द से राहत प्रदान करता है. आधे कप गर्म जैतून के तेल में दो चम्मच लाल मिर्च मिलाकर इस पेस्ट को प्रभावित क्षेत्रों पर एक हफ्ते तक रोज़ाना पूरे दिन में दो बार ज़रूर लगाएं. इसके अलावा आप एक चौथाई या एक चम्मच लाल मिर्च को एक कप सेब के सिरके में मिलाएं. अब एक कपडा लें और उसे इस मिश्रण में भिगोएं और प्रभावित क्षेत्रों पर बीस मिनट तक लगाकर रखें.

* अदरक
अदरक में सूजनरोधी गुण मौजूद होते हैं. अदरक घुटनों की सूजन और सूजन को कम करने में मदद करता है. इसके लिए ताज़ा अदरक को सबसे पहले काट लें और उसे फिर क्रश कर लें. अब इन्हें एक कप पानी में क्रश कर लें और दस मिनट के लिए उबलने को रख दें. अब इस मिश्रण को छान लें और इसमें बराबर मात्रा में शहद और नींबू का जूस मिलाएं.

* सेंधा नमक को दर्द और सूजन को कम करने के लिए प्राचीन समय से ही इस्तेमाल किया जा रहा है. सेंधा नमक में मैग्नीशियम सल्फेट मौजूद होता है. यह गुण घुटनों से दर्द और सूजन से राहत प्रदान करता है. मैग्नीशियम स्वाभाविक रूप से मांसपेशियों में दर्द से राहत पहुंचाने में मदद करता है जिससे मांशपेशियों के ऊतकों से तरल पदार्थों को निकालने में मदद मिलती है. करने के लिए गर्म पानी के बाल्टी में एक या आधा कप सेंधा नमक को मिलाएं. अब अपने प्रभवित हिस्से को गर्म बाल्टी में डाल कर कुछ देर के लिए छोड़ दें. यह सूजन और दर्द को कम करने में अत्यंत मददगार साबित होगा. इस बात का ध्यान रखें की जो ह्रदय से सम्बंधित समस्यायों या हाई बीपी और शुगर से पीड़ित है वह इससे परहेज करें.

* नींबू है उपयोगी
नींबू में मौजूद सिट्रिक एसिड यूरिक एसिड क्रिस्टल के लिए एक द्रावक की तरह काम करता है जो कि कुछ प्रकार के गठिया का कारण होता है. इसका इस्तेमाल करने के लिए एक या दो नींबू को छोटे-छोटे टुकड़ों में काट लें. कॉटन के कपडे में इन टुकड़ों को बाँधकर तिल के तेल में डुबायें और इस कपडे को प्रभावित क्षेत्रों पर दस मिनट तक लगाकर रखें. इस प्रक्रिया को पूरे दिन में दो बार ज़रूर करें तब तक जब तक सूजन चला नहीं जाता.

* आइस पैक का उपयोग करें
आइस बैग भी घुटनों में घुटने और दर्द से निजात पाने में कारगर उपाय सिद्ध होता है. यह आपके रक्त वाहिकाएं को करती है, जिससे प्रभावित हिस्सों पर रक्त का प्रवाह कम हो जाता है और इससे सूजन से राहत मिलती है. मुट्ठीभर बर्फ लें और उसे किसी तौलिये या कपडे में लपेटकर रख दें. 10 से 20 मिनट के लिए प्रभावित क्षेत्रों पर तौलिए या कपडे को लगाएं.

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