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Mr.Spandan Tolia 's Clinic

Phlebologist Clinic

Mumbai Mumbai
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Mr.Spandan Tolia 's Clinic Phlebologist Clinic Mumbai Mumbai
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Our mission is to blend state-of-the-art medical technology & research with a dedication to patient welfare & healing to provide you with the best possible health care....more
Our mission is to blend state-of-the-art medical technology & research with a dedication to patient welfare & healing to provide you with the best possible health care.
More about Mr.Spandan Tolia 's Clinic
Mr.Spandan Tolia 's Clinic is known for housing experienced Phlebologists. Mr. Spandan Tolia, a well-reputed Phlebologist, practices in Mumbai. Visit this medical health centre for Phlebologists recommended by 78 patients.


07:00 AM - 07:30 AM


Mumbai Mumbai, Maharashtra - 400068

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Herniated Disc - How Surgery Can Help You?

MCh - Neurosurgery , MS - Orthopaedics
Neurosurgeon, Bangalore
Herniated Disc - How Surgery Can Help You?

The symptoms caused due to herniated disc can be very severe and can also cause a bit of disability. The disc of the spine is like a cushion and separates the set of bones on the backside. The discs are shock absorbers of the spine and are mainly composed of 2 parts, a soft jelly centre called the nucleus and a tough outer covering called the annulus.

Effects of Herniated Disk
A herniated or cracked disc is a severe condition and it seems to happen most commonly in the lower back.  It happens when a fraction of the soft centre gets pushed through the destabilized area due to degeneration, trauma or by putting pressure on the spinal cord. 

Nerves are located precisely at the back of every disc and are responsible for controlling everything in our body. While a disc gets herniated, the external covering of the disc tears and creates a bulge. The soft jelly gets shifted from the centre of the disk to the region where the damage has occurred on the disc. Most commonly, the bulge occurs in areas where the nerve is located and it causes strain on the affected nerve. It has been observed that individuals do not feel any painful sensations even if their disc gets damaged.

When is Surgery Recommended for Herniated Disc?
Surgery for herniated disc is recommended only after options like steroid injections, pain relievers, exercise and non-steroid anti-inflammatory drugs do not work. If the pain persists even after these options, then it becomes important to go for surgery. There are certain risks involved in this surgery like infection, bleeding or nerve damage. 

There are chances that the disc may get ruptured again if it is not removed. If you are a patient suffering from degenerative disc disease, then there are chances that problem occurs in other discs. It is very important that a patient maintains healthy weight to prevent any further complications.

The main factor that increases the risk of herniated disc is excess body weight, which causes a lot of stress on the lower back. A few people become heir to a tendency of developing this condition. Even individuals with physically demanding jobs are prone to this condition. 

Activities like bending sideways, pushing, twisting, repetitive lifting can increase the risk of a herniated disk. At times, emergency surgery is also required to avoid paralysis in a patient. In case you have a concern or query you can always consult an expert & get answers to your questions!

What is the success rate of Spinal Decompression Surgery and is there any risk of paralysis in the Surgery.

Diploma in Pharmacy, BPTh/BPT
Physiotherapist, Pune
Hi, actually now days success ratio is good in this type of surgery. But you should discuss with other Dr. With complete details of your problem. Very rare cases who have multiple problems get paralysis. And post surgery you need to follow Physiotherapist to recover your normal life.
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Which doctor to consult for knee vein burst? The veins in knee can be seen with red rashes. Also there is pain in the knee due to vein bursts.

Firstly go for a Physiotherapist advice, do certain specialised exes, compression therapy helpful, also take a consult from vascular surgeon if needed.
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I am 26 years old I suffered with varicose veins in left leg foot and recently my left leg was totally pain and I use blet but no use so please give the better option for me please suggest something for that.

Homeopath, Mumbai
Hello lybrate-user, Daily during daytime roll crepe bandage in such a way that you roll tightly on your sole and loose as you move your legs. During night time remove the bandage and keep your legs raised upto 10-15 elevated. Further for Homoeopathic medicine you can consult me Hopefully your questions is answered.
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Sir slip disk ka koi treatment hai without operation kyu ki mujhe slip disk ka problem hai 4 months ho gaye hai dawai khate khate par koi aram nai hai.

Master of Physiotherapy
Physiotherapist, Guwahati
Hi lybrate-user thanks for giving me the opportunity to answer your question. Slip disc treatment depends on some factors like if there is lateral bending of trunk or not. Is spine is straight or it's not straight once we palpate the spine from back side. Once we see few important factors like this treatment will be focused on our assessment .if there is lateral bending of spine treatment will be towards straightening of spine. Slip disc problem is curable witjhout surgery. Just we need to reduce the disc into original position. For more details get an audio, text or video consultation. Regards.
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Varicose Veins - Identifying The Reasons Behind It!

Integrated Medicine Specialist, Satara
Varicose Veins - Identifying The Reasons Behind It!

Varicose Veins is a severe medical condition whereby the veins (mostly legs) become swollen, tortuous and dilated, i.e. the veins become varicosed. The Venous blood flows in an upward direction from the feet to the heart. There are special valves present in the veins that assist the upward flow of the blood. Fatigue, prolonged standing, menopause and a number of other factors can weaken the valves. This affects the movement of the blood flow. As a result, some of it leaks and flows back down. The affected veins turn bluish-brown, red or blue. There also occurs dryness, leading to unbearable itching. Redness or the Red Leg syndrome is very common in case of Varicose Veins.

A number of surgical and non-surgical options are available for Varicose Veins. The Ayurvedic treatment, with its effectiveness and negligible or zero side effects, is the most sought after option.

Identifying the root cause

Accurate diagnosis is very important for effective treatment. According to Ayurveda, an imbalance of the Vata (wind and space) plays a pivotal role in Varicose Veins. The role of Rakhta (blood) and Pitta (heat) cannot be neglected either. Thus, restoring the Vata balance becomes a very important part of the treatment.

The Vata balance can be easily restored by following a healthy lifestyle and having an equally healthy and nutritious diet:

  1. Citrus fruit like Amla works miraculously to revitalise the fatigued and Varicosed vein.
  2. Include fresh fruits, whole grains (oats, millets to name a few) and proteins (milk, eggs, fish and chicken) in your diet. Drink plenty of water.
  3. Red meat and spicy foods should be strictly avoided.
  4. Garlic, onion and ginger are very beneficial. Consume them regularly.
  5. Do not indulge in rigorous exercise or walking. Never soak your feet in cold water after exercise. It can prove to be detrimental for Varicose Veins.
  6. Do not compromise on your sleep. A rejuvenated body and a relaxed mind can enhance the healing process greatly.

Ayurvedic medicines and herbs for treating Varicose Veins

A number of Ayurvedic medicines are available that treats Varicose Veins very effectively:

  • Kaishora guggulu: Being a natural cleanser of blood, Kaishora guggulu is an obvious choice for Varicose Veins.
  • Sarivadyasava: It goes a long way to detoxify the blood naturally.
  • Chirabilvadi kashaya: It is very effective in case of haemorrhoids.

Sahacharadi: It is amazing herbal oil that provides great relief. Tender application of Sahacharadi over the varicosed vein/ veins can work wonders.
Herbs like AshwagandhaShatavari, Brhami go a long way to restore the Vata balance.
Do not lose sleep over Varicose Veins. The best and most effective Ayurvedic Treatment is just a click away.

PCOD or Polycystic Ovary disease is one of the most common hormonal disorders faced by women today. The trigger for PCOD varies from person to person, and can range from poor diet and stress to fluctuating insulin and hormonal disturbances. PCOD patients have an enlarged ovary with a number of small follicular cysts. If you or a loved one has PCOD, here are a few things you should know. 

Acknowledge the symptoms 
PCOD is hard to diagnose. Some of its symptoms are irregular periods, high insulin levels, abnormal hair growth, low thyroid, acne, obesity and high blood pressure. Checkups at regular intervals are needed to confirm a PCOD diagnosis. 
A change in lifestyle is the best form of medication 

Medication for PCOD addresses its symptoms. For example, you could take medication to correct Insulin resistance or pills to control acne and hair growth. However, a lifestyle change in the form of a well balanced diet and regular exercise is essential for PCOD patients. In terms of diet, PCOD sufferers should have lesser carbohydrates and sugars, and increased amounts of fiber and protein. Exercise helps control weight and the balance between male and female hormones. PCOD patients also need to find ways to lower their stress levels. Yoga and meditation can be very helpful to this effect. Without this, no medication will be effective. 
If left untreated PCOD can lead to many other problems 

Diagnosing PCOD is difficult and even when diagnosed, regular checkups are essential for PCOD. When left unchecked, PCOD can lead to many more problems such as diabetes, high cholesterol, high blood pressure and even endometrial cancer. PCOD can also result in difficulties at the time of conception and lead to miscarriages if not treated properly. 

You can have a baby even if you have PCOD 
A PCOD diagnosis can make it hard to get pregnant, but does not limit your ability to conceive a healthy baby. If the patient has fertility problems because of PCOD, doctors often prescribe treatments to stimulate the ovaries into producing more eggs. Women with PCOD are often recommended to plan an early pregnancy, as advancing age adds to the limited capacity of the ovaries. 
Lastly, know that you aren't alone and PCOD should not embarrass you. Instead of bottling up your feelings and thoughts, find supportive friends and family members that you can talk to. You can also find support online through a number of discussion forums. Or contact us for a private consultation.

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I Suffering from bulging disc in My L1S5 Region Due To Which It Gets Difficult For me to work out Please Suggest me some Solutions To permanently recovery.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
That is called as Lumbar Vertebrae. And there are 5 Lumbar Vertebrae and the 5th Lumbar Vertebrae is always is located in the lower end where the body weight is taken and it is generally fused with Sacral Vertebrae. That is where the Sciatic nerve passes by and the nerve gets compressed that's the reason you have pain and sensation is disturbed.
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I have piles problem what to do? And I have slip disc issue also my orthopedist doctor said that operation karna padta so is it successful or not please suggest me because I have few friends who did dis slip disc operation but operation was not successful so what I do please help me.

General Surgeon, Gandhinagar
Hello dear lybrate-user, hi Warm welcome to I have evaluated your query thoroughly.* Primary guidelines for piles Drink plenty of liquids. Prefer soft, light diet with more of green leafy veg, whole grains, cereals,pulses, legumes,organic fresh fruits. Avoid all types of oily, spicy,non veg, hot beverages, junk foods, dairy fat. Manage to have smooth bowel passage with the help of bulk forming laxativesas Ispaghula husk with lukewarm drinking water. Tab. Ibuprofen (400) mg after meals for control of pain, burning if no history ofdrug sensitivity. Xylocaine (5 %)jelly application over the anal part gives soothing action. Sitz bath (sitting in a tub filled with lukewarm water 5 minutes each 3 times a day and additionally after passing stools) helps.Avoid long drives, sitting prolong on hard surfaces. Control of blood sugar, cholesterol,body weight. Avoid smoking, alcohol if consuming.* For disc problem kindly consult with all details of symptoms and scanned copy of reports done in terms of x-ray / MRI or else. You have multiple options for the same as if you wish Go for the private consultation through the website itself.
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My mom is 50 years old and she's a nurse she's got varicose vein so Dr. please suggest some home remedy or treatments for a faster recovery.

MBBS Bachelor of Medicine and Bachelor of Surgery, DNB (Peripheral Vascular Surgery), DNB (General Surgery), MNAMS
Vascular Surgeon, Nashik
Varicose vein when symptomatic require treatment confirm the severity of disease and then plan mangememt. However to prevent extent of disease 1. Avoid long standing. 2. Wear stockings throughout day. 3. During night elevate legs over two pillows 4. Get doppler of veins done to know severity and need for intervention if any. 5. Consult vascular surgeon in your area.
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Hi, I am 43 years, my both legs from the top to bottom varicose vain, What is the Best treatment for dis.

MBBS Bachelor of Medicine and Bachelor of Surgery, DNB (Peripheral Vascular Surgery), DNB (General Surgery), MNAMS
Vascular Surgeon, Nashik
Varicose veins occur in long standing jobs like traffic police, conductors. Etc 1. Avoid long time standing 2. Wear stockings. 3. Assess severity of disease after consulting a vascular surgeon and getting venous duplex done. 4. If its severe enough to consider for intervention/surgery choose it with help of your vascular surgeon5. 5. Follow 1 and 2 prevent advancement of disease.
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I'm 48 years female n overweight I have been identified having varicose veins n Dr. has given me daflon 1000 mg twice daily. My legs swell if I stand for too long. I also have blurred vision. I do not have a family history of diabetes. please advice.

DHMS (Hons.)
Homeopath, Patna
Hello, Obesity, cause varicose vein, need to reduce your weight, first apart from meducation. Tk, 3/4 litres  of water, free from conteminents to eliminate toxins and to regulate metabolism to burn fats cell.  •  Go for meditation to reduce your stress and to nourish cell& tissues to curb fats cells.     •Go for either, cycling, jogging, swimming, skipping, gardening, playing badminton, dancing,regularly.     •opt staircase, instead of a lift in your office.    •Tk, oats with green tea  or, 1 slice of whole grain bread with 1 cup of cooked vegetable soup + 1 fruit (pomegranate, pear) in d breakfast.     •Tk, salad, fruits,sprouts in ample qty in lunch, your meal b preferably, vegetarian ,high in proteins and fibre, maintains 1300-1600 calories through dietary  regulation.      •consume salad, fruits (not juice) whenever you feel hungry. Avoid, nicotine,coffee, alcohol,junk food, cookies, burger,pizza ,butter, ghee,sitting on computer late in d night. # Homoeo medicines which are gentle, rapid & safe. @ Phyto berryQ -10 drops, thrice, with little lukewarm water before each meal Tk, care.
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Sir, I am suffering with left leg vein problem. When I go for sex the pain will happen. What we have to do to cure this problem. Thank you.

Vascular Surgeon, Pondicherry
Hi, The varicose veins needs to be seen by a vascular surgeon. They will evaluate you with a duplex scan and then decide if that is the cause for your pain and treat you accordingly. Hope you get well soon. Regards.
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Can a small bulge on l5 disc can heal and my age is 18 and I get only in lower back.

MS - Orthopaedics
Orthopedist, Delhi
Depends on the type of bulge. If the disc is dry, it won't heal. But life can continue with proper exercises and precautions.
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My wife has vein knots in the back of her thigh. It’s giving her lot of pain when she is standing for lot of time. What is the cause for this and what is the remedy? Please suggest.

Vascular Surgeon, Pondicherry
Dear Mr. lybrate-user, I sorry to learn that your spouse is suffering from this condition. But many times, the exact underlying cause for the leg pain may not the varicose veins that are visible. There may be orthopedic /neuroligic problem causing this pain. Kindly meet a vascular surgeon, only a proper history and clinical examination can diagnose what is the basic cause for these symptoms. Get well soon Regards Festive greetings
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I am 33 years old. I Want to know that varicose veins ka treatment better hai? Leaser, rediotherapy and how many days it will ok?

DNB (Vascular & Endovascular Surgery), MS - General Surgery, MBBS
Vascular Surgeon, Delhi
Laser and Radiofrequency ablation are the latest, non- surgical treatment for varicose veins. It cures varicose veins permanently for life.
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Hi, I want to know about my mother problems, she is 53 year old, and she has pain her veins. So please tell me, what I do?

Vascular Surgeon, Pondicherry
Hi, At this age, even if there is veins on legs, arthritis osteoporosis can also be a caUse of leg pain. Kindly get an orthopedic opinion first. If still pain and varicose veins, needs a duplex scan evaluation and plan accordingly. Get well soon.
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Hi doctors My mothers age is 40 and her body weight is rising continuously and her thy nerves became damaged i.e. Of bluish color (some nerves) What will I do and please tell me the diet plan. ThankYou.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), M.Sc - Dietitics / Nutrition
Ayurveda, Bangalore
For thigh nerves you need to consult doctor. To control weight tell her to eat fibrous fruits two times a day. Salads 10 mins before food. Ask her to drink water half n hour before n after food. Take sprouts in snacks time these are the basic guidelines to get personalised diet plan you can contact me.
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I have spider veins in both legs and pain a lot how do I get rid of pain and spider vein.

Vascular Surgeon, Pondicherry
Dear Mr. lybrate-user, Spider veins per se don't cause much pain or Complications. They can have some itching or cosmetic issues. But the severe pain you describe doesn't occur in spider veins. You may have other orthopedic or neurological reasons for the pain. Kindly meet a good orthopedic surgeon in your area and evaluate yourself. He will decide if you need further vascular consults. Thanks hope this helps Get well soon, Regards Festive greetings
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Hello Drs, am suffering from varicose veins for 30 years up to now no pain but some times scratching my self, under doppler, it showered damaged valves and perforation. And the Dr. told me that I should go under surgery, I would like to know where I can do laser surgery in kolkata-west bengali, and again I would also like to ask is there is no re-occurrence after use of laser treatment, Thank you.

MBBS, MS - General Surgery, MCh - Vascular Surgery
Vascular Surgeon, Bangalore
I understand that you have been fairly alright with having varicose veins for the last 30 years. But body has a tolerance. If your scan is showing damage which requires it to be treated, it is better to undergo the procedure in order to avoid complications. Skin damage in Varicose veins is not completely reversible. Any procedure associated with Varicose veins has a 10-15% risk of recurrence. I am not sure as to who does laser varicose vein procedure at Kolkata.
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