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Chandni Bali

BAMS

Ayurveda, Kathua

13 Years Experience  ·  100 at clinic  ·  ₹10 online
Chandni Bali BAMS Ayurveda, Kathua
13 Years Experience  ·  100 at clinic  ·  ₹10 online
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Personal Statement

Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Chandni Bali
Chandni Bali is a renowned Ayurveda in Kathua, Jammu. She has been a successful Ayurveda for the last 13 years. She is a qualified BAMS . You can meet Chandni Bali personally at Manu Medicate in Kathua, Jammu. You can book an instant appointment online with Chandni Bali on Lybrate.com.

Find numerous Ayurvedas in India from the comfort of your home on Lybrate.com. You will find Ayurvedas with more than 38 years of experience on Lybrate.com. We will help you find the best Ayurvedas online in Jammu. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Education
BAMS - Dr RGIMS - 2005

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Manu Medicate

Ward no 9Kathua Get Directions
100 at clinic
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I am suffering from pain in joints along my knee please provide me better precautions therefor I getting free from it.

MD - Anaesthesiology
Anesthesiologist, Anand
I am suffering from pain in joints along my knee please provide me better precautions therefor I getting free from it.
Lybrate-user ji you hv not mentioned your age. Bt looking to your height your weight is ok not more so you do not need to reduce your weight. Bt you can take some precaution like do not use stairs as far as possible. Do not bend you knee more than 90 degree means do not squate. Use western toilet instead of indian toilet. While taking lunch dinner or breakfast use dinning table nd do not sit on floor. Nd yes if you can join a gym or go to a physiotherapist he wil guide you some exercise which wil strength your quadriceps muscle.
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Vertebroplasty (PVP) / Kyphoplasty - Approach To Management Of Vertebral Body Fractures!

MBBS, MD, FIMSA, FIPP
Pain Management Specialist, Delhi
Vertebroplasty (PVP) / Kyphoplasty - Approach To Management Of Vertebral Body Fractures!

As life expectancy is increasing so is the incidence of vertebral body (VB) fractures now being the commonest fracture of the body. PVP is an established interventional technique in which bone cement is injected under local anaesthesia via a needle into a fractured VB with imaging guidance providing instant pain relief, increased bone strength, stability, decreasing analgesic medicines, increased mobility with improved quality of life and early return to work in days.

In this era of minimally access surgery replacing open surgeries, PVP is a novel procedure & should be in the first line of management in place of conservatism or major spine surgery for painful uncomplicated compression fracture spine.

Morbidity & consequences of spinal fracture:

  • Traumatic VB is a painful condition requiring bed rest restricting daily activities markedly
  • Left untreated it can cause DVT, increase osteoporosis, loss of VB height, respiratory & GI disturbances, emotional & social problems secondary to unremitting pain, loss of independence with high cost of rehabilitation.
  • High risk of primary or consequential damage to neural, bony or disc element
  • Increased wedging, deformity & increase incidence of adjacent VB
  • Chronic pain of altered spine mechanics
  • Uncomfortable braces & sleep disturbance because of pain & discomfort with its sequels.
  • Cost of surgery and hospital treatment
  • Cost of implants
  • Phobia of surgery
  • Prolonged recovery period & Extensive rehabilitation
  • Changed spinal mechanics & transition syndrome
  • Major surgery & anesthesia with its own complications

Results / Outcome

  • PVP is a novel procedure with high benefit to risk ratio, which is highly underutilized in relation to the high prevalence of the vertebral.
  • Different studies show an immediate pain relief in (85 – 90)% of patients with low complication rate ranging from (1-5)% depending upon the type of lesion.
  • PVP does augment height of VB but ideal would be kyphoplasty
  • Patient is either off medicine or on reduced doses.
  • Patient feels so well that he almost forgets if he had VB
     

Percutaneous Vertebroplasty (PVP) is an emerging interventional technique in which surgical polymethyl methacrylate bone cement is injected under local anaesthesia via a large bore needle into a vertebral body (VB) under imaging guidance providing increased bone strength, stability, pain relief, decreased analgesics, increased mobility with improved QOL and early return to work. Started in 1984 by Galibert PVP is done in host of indications.

Senile osteoporotic compression remains the commonest Indication. Other indications are  Metastatic VB,  Multiple myeloma VB, VB haemangioma,  Vertebral osteonecrosis & for strengthening VB before major spinal surgery. The benefit has been extended to the traumatic stable uncomplicated VB compression (VCF)   which is commoner in younger age group with active life profile and prime of their career where strict bed rest and acute or chronic pain are unacceptable and they are more demanding for proactive treatment approach so as to be back to work ASAP.

Discovering the fact that VB is the commonest of body, its incidence >the hip, it becomes imperative to take it more seriously. With increasing life-span there is more of aged osteoporotic population, more so due to sedentary indoor lifestyle and post menopausal osteoporosis.  Diabetics, smokers & alcoholics are at higher risk of developing osteoporosis. I have seen such alcoholic patient developing six spine fractures in just three months time from a single fracture being on complete bed rest.

Quick fix of fracture spine makes patient walk back same day instead of bed rest of months together avoiding morbidity & mortality of prolonged bed rest, making bedridden patient walk, in a way bringing patient  back to normal life.

In this era of MAS replacing open surgeries, PVP is a novel procedure & should be in the first line of management in place of conservatism or major spine surgery for painful uncomplicated compression.

Morbidity & consequenses of spinal 

  • Traumatic VB is a painful condition requiring bed rest restricting daily activities markedly.
  • Left untreated it can cause DVT, increase osteoporosis, loss of VB height, respiratory &
  • GI disturbances, emotional & social problems secondary to unremitting pain, loss of independence with high cost of rehabilitation.
  • High risk of primary or consequential damage to neural, bony or disc elements.
  • Increased wedging, deformity & increase incidence of adjacent VB
  • Chronic pain of altered spine mechanics.
  • Uncomfortable braces & sleep disturbance because of pain & discomfort with its sequels.

Morbidity and complication of spinal surgery 

  • Cost of surgery and hospital treatment
  • Cost of implants
  • Phobia of surgery
  • Prolonged recovery period & Extensive rehabilitation
  • Changed spinal mechanics & transition syndrome
  • Major surgery & anesthesia with its own complications

Preparation & Procedure:
X-ray spine in a/p & lat view. CT is more informative of bone & morphology. MRI is good for soft tissue injuries. Ask for pedicle size in all dimensions and construct a 3D image aiming needle placement and cement filling in scan room itself as rehearsal of PVP. This reduces operative time & gives better results. Conventionally PVP is done by hammering the vertebroplasty needle through the bone. Here we use light weight drill to bore through the vertebra. It is important to set the needle at exact entry site & side with right trajectory aiming the defects.

In lateral view needle should go through middle of the pedicle going up to anterior 1/3 of VB. In P/A view the needle can be in midline or paramedian depending upon & if uni/bipedicular approach is planned. Approach varies as per location of vertebra, anterolateral in cervical, costotransverse/parapedicular in thoracic & transpedicular in lumbar vertebra.

Do bone biopsy if there is any doubt about lession. Do dye test (vertebral venography). Make cement more radiopaque by adding barium /or tungsten. Inject cement with 1or2 ml luerlock syringes strictly under fluoroscope in lateral view & cross checking in P/A view. Stop injecting either there is adequate filling or at the first sight of ectopic cement leak. Keep sample cement to see for hardening. Remove needle with rotational movement before cement hardens.

Pain relief is by virtue of different mechanisms postulated :

  • Cementing of fragments.
  • Thermal neurolysis of VB nerve ending due to heat of polymerization.
  • Washing away of nociceptor chemicals.
  • Neurolytic action of liquid monomer.
  • By allowing early ambulation decreasing pains of immobility & bed rest.

Complications 

  1. PVP is generally safe with low risk.
  2. Ectopic cement leak is frequent but generally inconsequential.

Outcome 

  1. PVP is a novel procedure with high benefit to risk ratio, which is highly underutilized in relation to the high prevalence of the vertebral
  2. Different studies show an immediate pain relief in (85 – 90)% of patients with low complication rate ranging from (1-5)% depending upon the type of lesion.
  3. PVP does augment height of VB but ideal would be kyphoplasty.
  4. Patient is either off medicine or on reduced doses.
  5. Patient feels so well that he almost forgets if he had VB

In case you have a concern or query you can always consult an expert & get answers to your questions!

4342 people found this helpful

Hello sir mera name mohd Nazim or mujhe ye pareshani hai ki sambhog karta waqt je se hi main sambhog karta hun vese hi mera viriya nikal jata hai kamjori hone lagta main bohot tension main rahta hun or mera viriya bilkul pani ki tarha patla mere Peron main bhi dard rahta hai mera long bhi patla dubla hai sir main bohot pareshani hun.

BAMS, MD Ayurveda
Sexologist, Navi Mumbai
Hello sir mera name mohd Nazim or mujhe ye pareshani hai ki sambhog karta waqt je se hi main sambhog karta hun vese h...
For you suggesting following remedy Natural home remedy using asparagus powder and milk: 1. Take 2 tsp Indian asparagus powder 2. Add 1 cup milk 3. Boil the mixture for 10 min 4. Drink 2 times every day This is very helpful for you.
1 person found this helpful

I am 21 years old. I have tooth ache. I'm not able to eat cold and hot foods. It gives me pain. What to do I don't know. Please help me.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
I am 21 years old. I have tooth ache. I'm not able to eat cold and hot foods. It gives me pain. What to do I don't kn...
The type of treatment you have for toothache will depend on the cause of the pain, so your dentist will examine your mouth and may carry out an X-ray to try to identify the problem. •If your toothache is caused by tooth decay, your dentist will remove the decayed area and replace it with a filling. •If your toothache is caused by a loose or broken filling, the filling will be taken out, any decay will be removed and a new filling put in place. •If the pulp inside your tooth is infected, you may need root canal treatment. This procedure involves removing the infected pulp and then inserting a special type of filling to seal the tooth and prevent re-infection. •If your toothache can't be treated using these methods, or if your tooth is impacted (wedged between another tooth and your jaw), it may need to be removed.
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I get frequent anxiety episodes, due to any smallest reason resultenting to bp and headaches. Please advice. What to do?

Hypnotherapist, DCS, BSIC, Advanced Trainee of Transactional Analysis, Advanced Skills in Counselling
Psychologist,
Everybody has tensions and stress. What is important is how you perceive the stress and react to it. Counselling helps to modify your perceptions to situations which make you anxious. 1. See the problem in small bits and pieces and try to solve each piece separately. Don't look at the problem as a whole because it can be very overwhelming and scary. See, which parts you can solve on your own and where you can take help from others. Do you need to learn an extra skill to be able to solve a particular part of the problem? then learn that skill. For eg. If you get anxious about your finances and don't know how to manage it well enough to cover you for the future, then take help of friends, experts who know the subject well. Also you can learn yourself some ways to manage your funds better. You can take classes or go on the net to educate yourself etc. 2. Everybody makes mistakes and nobody is perfect. Make room for mistakes and errors. This way you will learn from your errors and help in making better judgement next time. 3. Take external help: you need not take all the pressure. Delegate jobs to people who have the time and the knowledge to do it. It's important to network and have a sound support system of friends, colleagues, relatives, professionals, who can pitch in at the time of need. 4. Prioritise: learn to prioritise tasks and identify which are not important and do less of those. This way you will have more time on your hands to attend to what is more important. 5. Organise and plan: try to foresee the future and predict what can happen and then have a plan. If one plan fails, then have a backup plan. Successful people usually think through their problems from different angles and come up with different solutions if one doesn't work out. 6. Be flexible: be alert and notice if things are not working out the way you had wanted. Be ready to make last minute changes to your plan. It doesn't mean that you had made a mistake, it just means that some things are beyond your control and these things may not happen as you had predicted. You are willing to modify. 7. Have hope and faith: that's the most important aspect. Have hope that things will work out well. If not now. Maybe later. Have faith in your own strengths and other people. Trust god and leave it to him. If it has to happen it will one day. Meanwhile, tell yourself that you did your best. If things don't work out, then don't be hard on yourself and others. There's always another day. Cheers.
12 people found this helpful
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Hi, my problem is head is spinning. this problem last 5 days daily. please suggest me.

BHMS, Diploma in Dermatology
Homeopath, Hyderabad
Hi, my problem is head is spinning. this problem last 5 days daily. please suggest me.
Take the weight off your feet. If you suffer a bout of dizziness or light-headedness while standing, lie down on the sofa or bed to encourage blood flow to the brain. After a few minutes, you should feel less dizzy. Sit up gradually and stay sitting for a couple more minutes before standing – slowly.
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I get acidity and gastric influx almost everyday. I survive on pentacid tablets.But need a permanent solution to the problem.Many times ven the pentacid doesnt work and i suffer a lot. Second problem is that my heels pain a lot at the end of the day. I have a sitting job and dodnt walk much. Still i suffer from acute ache in my heels at night

Master of Physical Therapy MPT CARDIO, BPTh/BPT
Physiotherapist, Rajkot
IF YOU TRUST ME SO you have to go for natural ways like yoga pranayama. Go for art of living 6 days workshop, in that amazing learn sudarshan kriya breathing technique only 3 hrs per day it will resolve all your problems. This is the most permenent solution for your problem. Go for drugless therapy
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I am Very Fat. My weight is 110kg. I have to loose it. So what can I do for loosing weight.

BHMS
Homeopath, Faridabad
I am Very Fat. My weight is 110kg. I have to loose it. So what can I do for loosing weight.
Hi. You have so much of weight, but what's your age and height? Read the following guidelines and implement them in your routine: Management: 1: Drink plenty of water (at least 2-3 l/d) or other calorie-free beverages. 2: Be choosy about nighttime snacks. 3: Enjoy your favorite foods. 4: Have 6 meals per day - 3 main courses and 3 snack meals (snack meals should be healthy). 5: Do regular exercises daily (start with light and later may be little vigorous) . Exercise decreases the stress hormone in your body, burns calories and also increases the blood circulation. 6: Eat seasonal fruits. Fruit helps to satisfy your sweet tooth thanks to its natural sugars, while fresh vegetables help you fill up more quickly. Fruits and vegetables contain fiber to help you feel full quickly. 7: Eat more whole grains and cut simple carbs. Whole wheat bread, oatmeal, whole wheat pasta, sweet potato, and brown rice are all excellent sources of energy and sources of nutrition. 8: Choose lean proteins instead of fatty ones. 9: Cut the salt from your diet. Eating more sodium causes your body to retain water, which can cause you to feel bloated and gain more weight. 10: Don't skip meals.When you skip meals, your body stops breaking down fat and starts breaking down muscle tissue. Muscle tissue burns more calories at rest than other tissues, so you're actually working against your goals 11: Eat at home. Going out to eat makes it too easy to cheat. Food sold at restaurants is commonly much higher in fat, sodium, and other weight-loss killers. 12: Give yourself a treat now and then. If you're attending a party or going out for a special occasion, allow yourself an indulgence. Just make sure that these indulgences don't become daily habits. Following exercises will help you to achieve this if you don’t have any other medical condition: 1.The Plank - Lie down on your tummy and then come on your palms and toes.Lift the knees off the floor. Draw your tummy muscles up and breathe deeply into the side and back of the rib cage. Aim to hold the pose for 30 seconds. 2.Static Tiger pose - Place your hands and knees on the floor. This is the starting position. Now lift up one leg and extend the opposite arm. Hold this Static Tiger Pose for 3 deep breaths. Come back to the starting position and swap sides, extending arm and opposite leg. You can look down towards the mat to keep the spine in line. This exercise will build core strength. 3.Sitting Spinal Twist - Sit on the floor and cross your legs. Place one hand next to your hip and the other on the knee. Rotate the spine and look over one shoulder into a Sitting Spinal Twist. Inhale. Exhale back to centre. Swap sides, rotating and looking over the shoulder. Inhale. Exhale back to centre. 4.Stomach Crunches - Lie on your back, knees bent and feet flat on the floor, hip-width apart. Place your hands on your thighs, across your chest or behind your ears. Slowly curl up towards your knees until your shoulders are about three inches off the floor. Hold the position for a few seconds and lower down slowly. Perform 12 stomach crunches. 5.Oblique Crunch - Lie on your back, knees bent and feet flat on the floor, hip-width apart. Roll your knees to one side down to the floor. Place your hands across your chest or behind your ears. Slowly curl up towards your hips until your shoulders are about three inches off the floor. Hold the position for a few seconds and lower down slowly. Perform 12 oblique crunches and repeat on the opposite side. Medication: Start taking Schwabe's Phytolacca Berry tablets/ thrice daily 1/2 an hr before the meals for 1 month. Thereafter revert me back for further guidance.
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I have done my root canal in the teeth in a last year now in that teeth my swelling is come and the pain is going on so I consult to Dr. and it says to me to take it out the 7th and 8th number teeth is there any other way to recovery it.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
I have done my root canal in the teeth in a last year now in that teeth my swelling is come and the pain is going on ...
Take your antibiotics as prescribed by your dentist. Relieve pain with anti-inflammatory medication that allows for reduction of inflamed periodontal fibres during your root canal recovery as tooth heals. Give the tooth that has had a root canal started or completed some time to settle down and become more comfortable. Avoid crunchy, hard or tough foods on a recently treated root canal tooth for several days afterward. Staying with softer foods and chewing on the opposite side are helpful suggestions to reduce pain after root canal treatment. Having a crown made for a root canal treated tooth helps to maintain it, keep it intact, functional, and less likely to develop pain from fracturing. The final step of a root canal is often placing a crown.
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My last menses date was between 30th or 31st. We had protected sex on 16th this month. We had intercourse only for just not more than 15 min. My fiance wore 2 condoms during first sex. After heavy bleeding he stopped doing it. Is there any chances of pregnancy.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
My last menses date was between 30th or 31st. We had protected sex on 16th this month. We had intercourse only for ju...
As you r telling there is no chance of pregnancy if condoms was not torn during sex. If it was your first sexual intercourse then bleeding can happen.
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