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Sunil dhaker

Acupressurist Clinic

Ramganjmandi Kota
1 Doctor
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Sunil dhaker Acupressurist Clinic Ramganjmandi Kota
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It is important to us that you feel comfortable while visiting our office. To achieve this goal, we have staffed our office with caring people who will answer your questions and help you ......more
It is important to us that you feel comfortable while visiting our office. To achieve this goal, we have staffed our office with caring people who will answer your questions and help you understand your treatments.
More about Sunil dhaker
Sunil dhaker is known for housing experienced Acupressurists. Dr. Sunil, a well-reputed Acupressurist, practices in Kota. Visit this medical health centre for Acupressurists recommended by 48 patients.

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Ramganjmandi
Kota, Rajasthan - 326519
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Multimodal Pain Relief After Total Knee Replacement

MBBS, MS - Orthopaedics, Fellowship in Joint Replacement , M.Ch - Orthopaedics
Orthopedist, Delhi
Multimodal Pain Relief After Total Knee Replacement

Knee replacement can be extremely painful. Previously, opioids or narcotics were administered for pain relief. But excessive addition of opioids is not exactly effective for controlling pain.

Multimodal pain management has become an important part of the perioperative care of patients undergoing total joint replacement. The principle of multimodal therapy is to use interventions that target several different steps of the pain pathway, allowing more effective pain control with fewer side effects. Many different protocols have shown clinical benefit. The goal of this review is to provide a concise overview of the principles and results of multimodal pain management regimens as a practical guide for the management of joint arthroplasty patients.

Multimodal denotes administering two or more than two types of medications that work with different mechanisms. The following are the techniques used:

  1. Pre-operative Femoral Nerve Block: Prior to the surgery, a catheter is placed beside the femoral nerve for blocking it. This nerve is located in the upper thigh. Medication is delivered through the catheter for the nerve to be numbed for 24 hours. Thus, pain signals to the brain are blocked. This method reduces the use of narcotics and the consequent side effects.

  2. Patient Controlled Analgesia (PCA): This method is also known as ‘Pain Pump’. An intravenous pump is used to administer pain relief medications, such as oxymorphone or morphine, after the surgery. The control button of the machine could be pressed, by the patient for 6 to 10 times per hour. The machine is used for two post-operative days.

  3. Oral Medications: The oral medications include Non-Steroidal Anti-Inflammatory drugs or NSAID; such as Celebrex which is similar to aspirin, structurally. Alternatively, acetaminophen, such as Tylenol or its equivalent composition, can also be used.

  4. Acetaminophen: It acts on the Central Prostaglandin Synthesis and relieves the patient of pain through multiple mechanisms.

  5. Epidural Analgesia: It produces lower pain scores and involves less time for achieving physical therapy goals. However, this is subject to side effects such as dizziness, urinary retention and itchiness.

  6. Gabapentinoids: These medications include membrane stabilizers such as Gabapentin and Pregabalin.

The objective of multimodal treatments is to provide quick relief to the patient and immediately so. Earlier the rehabilitation, more successful will be the knee replacement surgery.

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Hair Transplant - What To Expect From It?

MCh - Plastic and Reconstructive Surgery, MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon, Chennai
Hair Transplant - What To Expect From It?

There are a few things in our lives which we don’t value until we lose it and our hair is one of those blessings that we are endowed with. For many such people, the hair transplant treatment can bring back the hair that they have lost owing to both external and internal factors. There are a variety of causes behind hair fall such as regular exposure to pollution and harmful UV rays. Also, our daily dose of stress and tension has a role to play in this respect.

What is a hair transplant treatment?
If an individual is bothered about the thinning of hair at certain places, then hair transplant is a treatment worth consideration. It will not only restore back the lost tresses but boost up the self-confidence as well.
Hair transplant is a kind of surgery which helps in moving the hair that you already possess to an area which has less or no hair at all. The treatment has been in practise since the 1950s in the United States of America although the advancement of medical science has contributed to making hair transplant much effective only in the recent years.

How is hair transplant done?
The hair transplant treatment is done at the doctor’s office where he removes a thin strip of skin measuring between 6 and 12 inches from the back of the head. This strip of skin is kept aside, and the scalp is closed and is instantly hidden by the hair present in the surrounding.

The next task of the surgeon is to divide the removed piece of scalp into 500 to 2000 little grafts where each of them comprises of a single or a few hairs. The type and the amount of graphs that an individual requires is based on the type of hair, quality, hair colour, hair condition and the size of the area where the hair is required to be transplanted. The actual process of hair transplant is all the same after this point. Once the graft is prepared, the surgeon would clean the area and numb the zone where the hair would be transplanted. Then slits or holes are created with the aid of needle or scalpel and finally the each graft is delicately placed in one of the holes. The whole process of hair transplantation may take 4 to 8 hours depending on the extent of treatment. An individual may require another session of the treatment if he or she decides to get thicker hair or if the problem of hair loss persists.

What you may expect after the treatment?
After the hair transplantation, the scalp may become very tender, and the doctor may prescribe am antibiotic and a painkiller to alleviate the condition. It is normal for the transplanted hair to fall out but the new growth of hair should start within a few months after the treatment. Most people who are treated with hair transplant notice 60 percent of renewed hair growth within 6 to 9 months after the treatment.

4 people found this helpful

My hair growth is too slow. One month is passed I have cut my hair by zero machine. Since one month is passed but my hairs are small only. please give home remedy for fast growth of hair and for stronger hair roots.

MBBS, MD - Dermatology
Dermatologist, Bangalore
My hair growth is too slow. One month is passed I have cut my hair by zero machine. Since one month is passed but my ...
Hi, hair growth has it's own cycle. This most often cannot be changed but factors like inappropriate nutrition can affect it. Please take lots of sprouts (half baked better), walnuts, almonds and boiled egg (if you like). Minoxidil can only lengthen the growth phase but does not increase the speed of growth. Stress also delays growth. Sleep atleast 7 hours at a stretch and exercise for an hour daily.
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Hi how to improve blood circulation in hole body because before 2 week back I am suffering from my right thumb & left thumb leg getting vibration is there any solutions for that.

BHMS
Homeopath, Secunderabad
Hi how to improve blood circulation in hole body because before 2 week back I am suffering from my right thumb & left...
Go for a routine health check up and (also check blood sugar and BP). I don't think there is any serious problem but let the doctor decide it based on examination and some tests. On your part you need to become aware about the basics of health and not take life for granted. Start exercising every day (add yoga as it can be relaxing and empowers the nervous system ). Eat healthy food. Avoid all junk food and cold-drinks. Eat more of fruits and vegetables. Avoid bad habits. Sleep for 7-8 hrs everyday.
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I have a pain in right side number since 20 to 25 days. And now I have a weakness in my both leg with lumbar pain.

DHMS (Hons.)
Homeopath, Patna
I have a pain in right side number since 20 to 25 days. And now I have a weakness in my both leg with lumbar pain.
Hello, Lybrate user, You might have been injured on your back cause pain lumber region. Tk, Homoeopathic medicine:@ Hypericum 200-6 pills, thrice. Tk, care.
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Can I use my beard hair as a donor for hair transplant? Can I use my back side hair as a donor for hair transplant n will my donor area will regrow back?

DHMS (Hons.)
Homeopath, Patna
Can I use my beard hair as a donor for hair transplant? Can I use my back side hair as a donor for hair transplant n ...
Hello, Lybrate user, Your hair will be rejected by the system of another recipient as you can be a doner of your own, only.Tk, care.
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I am having pain in right shoulder my pharmacist gave me an injection of deca50 mg with diclofenac q. S I am still having pain and some part of shoulder is very hard n stiff I want to know that is shoulder stiff /hard due to injection. My ultrasound of shoulder as well x ray is OK please suggest me the right way. With regard Ashu Tandon Age 40 male.

MPT (Sports Medicine)
Physiotherapist, Delhi
I am having pain in right shoulder my pharmacist gave me an injection of deca50 mg with diclofenac q. S I am still ha...
First of all you have to be assessed for any of the muscles or soft tissues of your shoulder. Then your movements have to be checked properly. And for this you need expert consultation. Then only reach to some decision else you would be prescribed 1 thing or another by different people no matter whether you get relief or not.
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I have swelling in my finger joints n pain in knees. RA test is negative. Plss suggest it's cause n remedy.

CCP, MBA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Karnal
I have swelling in my finger joints n pain in knees. RA test is negative. Plss suggest it's cause n remedy.
Many times all tests are negative and the patient still suffers. You are suffering from indigestion and due to which there is a toxin called AMA being formed in your stomach. This is accumulating in joints leading to swelling and stiffness. So digestion needs to be rectified first along with panchakarma treatment. Pls see me personally.
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I used hair dye long back n after dat now so much of white hair so I used garner hair dye for now I felt small irritation on my scalp nt for longer tim so shall I stop using it r shall I go for som other products suggest me wch 1 s best.

MD- Dermatologist
Dermatologist, Ranchi
I used hair dye long back n after dat now so much of white hair so I used garner hair dye for now I felt small irrita...
Hair dye may cause reaction because of several chemicals, PPD being the most common culprit. You should avoid dye for a fortnight and then may use a ppd free dye. Several brands like vegetal and altris HD are available.
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Healthy hair

BHMS
Homeopath, Delhi
Healthy hair

Healthy hair needs. Balanced proteins, vitamin a, iron, folic acid, essential oils and good pH balance of skin.

4 people found this helpful

Hi Doc. I want to grow more facial hair. What should I do? Is there any specific diet that I need to follow?

Graduate of Ayurvedic Medicine and Surgery (GAMS)
Ayurveda, Delhi
Hi Doc. I want to grow more facial hair. What should I do? Is there any specific diet that I need to follow?
Avoid smoking to increase facial hair growth. Keep your skin clean. Wash it with warm water and a mild cleanser every morning and evening. Take Vitamin A, vitamin B, vitamin C and vitamin E rich foods as they speed up the hair growth process. You may find these foods on net. Manage stress in healthy ways through meditation and yoga for better results. Facial massage and regular shaving, promote hair growth very fast. Protein intake is also recommended.
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My mother has a severe pain in her legs and joints from long ago. She is 52 years of age. She is no a diabetes patient. Can you help her in this?

BHMS, MD - Homeopathy, Post Graduation Diploma In Psychological Counselling, Certificate Course in Medical Transcription
Homeopath, Mumbai
My mother has a severe pain in her legs and joints from long ago. She is 52 years of age. She is no a diabetes patien...
Get her dexa scan done. She will have to take calcium supplements and do mild exercise. Eat well. Yes, homeopathy can help her.
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My mother has a severe pain at her lower parts of legs and joints. She s 52 years of age. She is not a diabetes patient.

BHMS, PGD PPHC, BMCP, TRAINING IN USG
Homeopath, Kolkata
My mother has a severe pain at her lower parts of legs and joints. She s 52 years of age. She is not a diabetes patient.
give her RHUS TOX 30inglobules 4-6pills thrice daily for 7 days.have x ray of knee joint and blood for uric acid. and CONSULT after that . thanks
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In my scalp my hair has so much gap between each other but it looks like in young age only you have bal head. For this is also I need natural recipes to. Grow my. Hair and to became to strong.

B.A.M.S, M.D In Ayurvedic Medicine
Ayurveda, Amritsar
In my scalp my hair has so much gap between each other but it looks like in young age only you have bal head. For thi...
Many factors are involved in the process of hair loss like Tension or stress, chemical damage, nutritional deficiency, enviornmental factors, unadequate sleep or diet etc. A careful analysis of the person is required to initiate the treatment From Home remedy part you can use following: Take 100 ml coconut oil boil 2-4 pcs of amla fruit n 8-10 curry leaves in that oil till fruit n leaves turn black. Filter and strain. Massage it on scalp with finger tips gently. Wash hair next morning with curd mixed with besan. In ready to use you can start using rishi grow hair oil at bed time & wash with robin plus herbal shampoo. Clean oil is recommended if dandruff is the reason as this oil treats it in just two applications along with reducing itching. Internal ayurvedic medicines can be provided after studying your bodily constitution as per ayurveda. This process should be continued for two months and your hair fall will reduce to normal. As it's a very slow process so you can't see results in a week. Eat more of green leafy vegies and fresh seasonal fruits. Take amla powder or amla murabba/ carrot murabba twice daily. Use neem wood comb for managing hair and this should be changed regularly. Reduce your stress by yoga, Pranayam and meditation. Add some coconut daily in your diet. Keep water in copper vessel overnight and drink in the morning empty stomach. Avoid chinese foods and food stuffs packed in plastics. Avoid white flour (maida), excessive salt and spices. Let me know after it and I will advise accordingly.
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My hairs are very dry and rough and also facing spitals problems. So please do suggest me some treatment and medicines to cure it?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bhopal
My hairs are very dry and rough and also facing spitals problems. So please do suggest me some treatment and medicine...
hello massage with olive oil at sleep time drink plenty of water and fibre diet protein rich diet.eat 1 apple daily empty stomach further consult
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I lost my hair so much at top of my head and came nearly to bald head so please tell me how to regain my hair please tell me.

BHMS
Homeopath, Pune
I lost my hair so much at top of my head and came nearly to bald head so please tell me how to regain my hair please ...
Dear Lybrate user Drinking lots of water - atleast 2 litres everyday - everyday helps in maintaining the water level in your body and fastens the digestive process. Aloe vera: Usage of aloe vera to hair may reduce hair from scalp and itching. Alkalizing property in aloe vera improves the hairs pH levels which promote hair growth. Even aloe vera gel can fight with dandruff. Take an aloe vera leaf extract the gel and apply that gel to the hair. Leave it for hours and wash the hair with warm water. Follow this procedure for 3 – 4 times a week for better results. Onion Juice: The sulpfur content in the onions improves blood circulation to hair follicles. Onion juice consists of anti bacterial properties that scratch the germs and parasites. Apply the onion juice on the scalp and leave it for half hour. Later shampoo your hair. Hair oil massage: Proper hair and scalp massage will increase blood flow to the hair follicles, condition the scalp, and enhance the strength of your hair’s roots. It will also promote relaxation and reduce feelings of stress. You can use hair oils like coconut or almond oil, olive oil, castor oil, amla oil, or others. Add a few drops of rosemary essential oil to the base oil for better and faster results. .Indian Gooseberry (Amla: Use Indian gooseberry / amla for fast natural hair growth. Amla consists of rich vitamin If you have deficiency in the body this may results to hair loss. So gooseberry can help to maintain a healthy scalp and gives good hair growth. Take gooseberry and make pulp. Mix this pulp with lemon juice and massage your scalp with this mixture. Keep this overnight and shampoo in the morning. Spinach and lettuce juice: Spinach and lettuce juice is thought to help with hair growth. Drink once in day this juice for healthy hair growth. Take Homeopathic biochemic medicine kali sulph 6x thrice daily for one month Revert back Thanks.
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Hello, I have unwanted hairs on my face at the region under eyes and on cheek. So how can I remove it permanently and what does it cost.

MBBS, MD - Dermatology, venereology & Leprology
Dermatologist, Kota
Hello, I have unwanted hairs on my face at the region under eyes and on cheek. So how can I remove it permanently and...
Dear lybrate-user. Laser Hair Reduction is the best way to get rid of unwanted hairs. No creams will help. Please visit a Cosmetologist with an advanced technology and an expertise in it. Cost depends on the quality. Chinese Lasers offer low cost. But they are usually associated with side effects.
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Scalp: Complete oily scalp Hair: very thin due to hair loss Scalp is visible if does not cover in a specific way Mild Dandruff Undergone several tests regarding thyroid and iron n blood deficiencies Everything is fine regarding those cases Working as software engineer Note: I do not want use any pills or take treatment Question: I need a daily routine like which kind of specific foods If I take daily will be helpful for my regrowth of hair (I want hair regrowth becoz my scalp is completely turning into bald) Which Shampoo Which Conditioner Which oil How many times and when and for how much time I have to apply oil Can I shampoo daily.

MBBS
General Physician, Jalgaon
Scalp: Complete oily scalp
Hair: very thin due to hair loss
Scalp is visible if does not cover in a specific way
Mild...
Please Wake up early go for morning walk in greenery daily till good sweating Do yogasanas and pranayam daily Avoid oily spicy and fast food, non veg food, processed food Take salads and fruits more Take carrots and beet root juice daily Take dates, anjeer, jaggery, green leafy vegetables regularly Use herbal shampoos by Himalaya or patnjali Apply antihairloss cream by Himalaya regularly Or Divya kesh tel by Patanjali regularly.
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I have unwanted hair on my face and body. I am troubled of this. Suggest me any easy and permanent solution for this.

MBBS, MD - Dermatology, venereology & Leprology
Dermatologist, Kota
I have unwanted hair on my face and body. I am troubled of this. Suggest me any easy and permanent solution for this.
Dear lybrate-user. Laser Hair Reduction is the best way to get rid of unwanted hairs. No creams will help. Please visit a Cosmetologist with an advanced technology and an expertise in it.
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What medicine or remedy could aid to relieve from cervical spondylosis pain from neck to right shoulder blade, hand n leg. Thank you doc.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
What medicine or remedy could aid to relieve from cervical spondylosis pain from neck to right shoulder blade, hand n...
You have to go for traction and also you can do IFT. Please consult the near by therapist for quick relief. It is also suggestible to go for cervical muscle strengthening exercises.
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