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Dr. Charmi Shah

Physiotherapist, Mumbai

Dr. Charmi Shah Physiotherapist, Mumbai
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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. Charmi Shah
Dr. Charmi Shah is a popular Physiotherapist in Ghatkopar West, Mumbai. She is currently practising at Physio & Rehab in Ghatkopar West, Mumbai. You can book an instant appointment online with Dr. Charmi Shah on Lybrate.com.

Lybrate.com has a number of highly qualified Physiotherapists in India. You will find Physiotherapists with more than 26 years of experience on Lybrate.com. You can find Physiotherapists online in Mumbai 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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Swastik Nursing Home 101, C wing, Bhaveshwar Plaza, Above Nidan imaging centre, Near shreyas cinema, LBS road, Ghatkopar West Mumbai -86, MumbaiMumbai Get Directions
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I am getting very bad knee pain both knees doctors advice to get SYNUSC ONE injuction will that help r not

MPT, master in physiotherapy
Physiotherapist, Lucknow
I think u may have to pain due to osteoarthritic change ..u have to get knee exercises and heat fermentation...
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7 Exercises to Relieve Back Pain

MBBS, MD, FIPP
Pain Management Specialist, Delhi
7 Exercises to Relieve Back Pain

If you are suffering from back pain, you should know that the tiniest of movements can trigger the same. Back pain may occur due to several factors or reasons and it hampers your daily activities and standards of life to a great extent. However, you need to become active instead of being immobile for relieving back pain. There are several exercises which help in strengthening your back muscles and performing these on a regular basis will provide you relief from back pain drastically. Here are 7 common exercises which you should carry out:

1. Pelvic tilt: You have to lie on your back and keep your knees bend, but touching. Your feet should stay flat on the floor. By flattening your lower back against the wall and tilting your pelvis downwards, you must maintain the position for 20 to 40 seconds. Meanwhile, you must breathe slowly and deeply and then release. This stretch requires small movements for reducing tension, thereby easing your back pain.

2. Lumbar stretch: You need to sit on a chair, roll your head, chest, neck and lower back forward till your head gets between the knees. Hold the position and take deep breaths. Slowly, get back to the sitting position. Repeat this twice.

3. Cat position: You have to kneel on your fours and keep the knees and hip width separate. Keep the stomach muscles tense, arch your back like a cat does and maintain the position for five seconds. Repeat this and then allow your stomach to drop towards the floor direction and hold it for five seconds again.

4. Curl ups: For this exercise, you should lie on your back with the knees bent and your feet kept flat on the floor. Placing your hands behind the head will make the stomach muscles tense. Then, lift your shoulders, head and upper back from the floor. Do this around 10 times. This is ideal for strengthening your back.

5. Dry swimming: Begin by lying on your stomach, keeping a rolled-up towel under your belly for support. By tightening your buttocks, raise one arm and the opposite leg simultaneously. Switch your arms and legs and perform this for about two minutes.

6. Leg lift: For leg lifts, you should lie on your back with the knees kept bend and the feet kept flat on the floor. You have to press your lower back to the floor and straighten a leg with the knees aligned. After bending your leg, return to the starting position and repeat the exercise on the other side.

7. Cobra stretch: The cobra stretch is another ideal movement for stretching your tight abdominal muscles and lower back. You need to lie on your stomach with your legs extended and your palms planted on the sides of your head. If you wish to discuss about any specific problem, you can consult an orthopedist.

3732 people found this helpful

I got vertigo problem for last 6 months. Done some test found little nerve weakness and neck spondylisis. Taken alopathy medicine nootropil 1200, trinerve, stugeron and got temporary relieve. Want homeopathy medicine and place of availability.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Vadodara
Hi, this problem if cured from within can improve your life in terms of non-dependency in future, which homeopathy can do, so kindly send little more details of your case under private consultation so that we can start with homeopathy as early as possible.
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Hi, I have body pain and shoulder pain. What should i do? Please advise.

MD - Acupuncture, Pranic Healing, Diploma in Acupuncture
Acupuncturist,
Hi, I have body pain and shoulder pain. What should i do? Please advise.
Massage with your thumbs from the mid points of the shoulder blades on both sides towards the lower back of your head up to lower level of the ears. Use oil or water for massage. Rotate your head clockwise and anticlockwise, forward and down, left and right a few times. Do for 5 to 10 times morning and evening. 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.
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I am 27 year old I have feet burn problem what should I do?

BPTh/BPT
Physiotherapist,
I am 27 year old I have feet burn problem what should I do?
Hi it is possible to prevent neuropathy in your feet. Here are some tips to help you live a healthy lifestyle and prevent damage to the nerves in your feet: +rule out diabetes, vitamin b12 +eat plenty of whole grains, vegetables, fruits, and lean protein. +exercise regularly. Avoid excessive alcohol consumption. +be aware if you are sitting or standing in a cramped position; move around or shift often. +avoid repetitive motions; if possible, change your routines. For example, swim one day and run the next. +discuss new diets and exercise programs with your doctor first. Best wishes.
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I play football 1 month ago o started to have pain in my right knee, I used spray and balm. Now my pain is gone, but when I move my foot backwards and put bring it back down, I feel a locking under the knee cap and both the sides of the knee cap. When I do sqats it pains a little while moving upwards. Please help I want to play football.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
I play football 1 month ago o started to have pain in my right knee, I used spray and balm. Now my pain is gone, but ...
Homoeopathy has a good treatment for this without adverse effects. Take bryonia 200---twice daily morning and evening and give feedback after 7 days.
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Dengue Vaxia

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
Dengue Vaxia

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

13 people found this helpful

I have pain from last 3 years in my right foot I have gone to many doctors and I have taken many medicines also but no result so what should I do pls help me out with this my pain is unbearable my age is 40.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have pain from last 3 years in my right foot I have gone to many doctors and I have taken many medicines also but n...
Avoid sitting cross legged. Ankle stretching. Ankle strengthening exercises. Avoid squatting. Quadriceps exercises. Core strenthening exercises.
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Bone Fractures: Causes and Symptoms

Fellow Adult Knee Reconstruction and Sports Injuries, Fellowship in Interventional Pain Practice, MS - Orthopaedics, MBBS
Orthopedist, Gurgaon
Bone Fractures: Causes and Symptoms

'Fracture' is a medical term for a broken bone. According to an estimate, an average person has two fractures within their lifetime. When a force exerted is stronger than the bone itself, it can lead to a fracture. The risk and chance of fracture depend on your age. With age, bones tend to become brittle and, hence, a fall that would have been potentially harmless years ago can lead to a broken bone at a later age.

There are many types of bone fractures, but the main types are:

Closed fracture: A fracture in which the bone breaks but does not tear through the skin
Open fracture: Where the broken bone punctures through the skin and protrudes out. There's a greater chance of bone infection in an open fracture
Displaced fracture: In this type of fracture the bone snaps into more than two parts
Nondisplaced fracture: The bone cracks partly or wholly but it does continue to move

Some of the common signs and symptoms of a fracture are:

- Bruising and swelling of the bones
- Open fractures marked by protruding bones from the skin
- Loss of locomotive and functional ability of the injured area
- Deformity of the injured area
- Pain in the event of movement of the injured area

A fracture can be caused by a number of reasons, and they are:

- Injuries and accidents
- Falls and slips
- Wear and tear through overuse
- Sport injuries
- Fist fights and brawls
- Osteoporosis (a disease which causes bones to weaken in adults)
- Osteomalacia ( a disease caused due to softening of your bones, which is caused by a vitamin D deficiency.) Soft bones are more likely to bow and fracture than are harder, healthy bones.

Note - Osteomalacia is not the same as osteoporosis. Osteomalacia occurs due to a defect in the bone-building process while osteoporosis develops due to a weakening of existing bones.

'Consult'.

Related Tip: How Stress Can Dissolve Your Bones + Tips to Fix It Fast

3210 people found this helpful

Hi I have pain in my leg and have some issue and when I have go to walk sometimes it have big pain so can you do something about this.

Diploma in Acupuncture, Pranic Healing, MD - Acupuncture
Acupuncturist, Bangalore
Identify the dipping portion on the back of your knee folding. Press this dip with both middle fingers and hold your knee with your thumbs for support. Please swing 20 times morning and evenings. This will relieve your problem. Press the point on the web between 2nd and 3rd finger from toe in the foot 20 times by pressing and releasing with a blunt edge of a pen. Further rotate your foot clockwise and anticlockwise 10 times. Massage your leg with both hands.
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Since long time ago my back bone and my legs are not working, either I can not walk properly when ever I walk I feel so pain on my back and and on my legs. So I need your kind suggestions for my this problem please help me I need your help.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Since long time ago my back bone and my legs are not working, either I can not walk properly when ever I walk I feel ...
Do take passive exercise for your back legs and gait training from expert in neuro physio Best wishes
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My wife (33 yrs) is suffering from body pain including back since from 2 weeks. Completed blood tests for viral fevers and c. P. K done. Its negative. Since 10 days cal360 and rivotril tablets are taken but no improvement.

DPM
Psychiatrist, Mumbai
My wife (33 yrs) is suffering from body pain including back since from 2 weeks. Completed blood tests for viral fever...
In the absence of any orthopaedic problem, body pain and other physical complaints can be part of depression. What are her other complaints? if the reasons are psychological she may feel better with amitryptiline 10mg or pregabalin. Consult your local doctor.
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I have been through a accident my wrist is broke and doctor put a plate in that. Suggest me some exercise or food to have a healthy hand like before accident.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Wear wrist brace which will help to heal the broken wrist. Once the wrist fracture is healed then exercises can be started which can be dipped in hot water and you can do under water fermentation which will help for better movements. It looks like you are anaemic. And also you have to check with your vitamin and calcium levels in the body. If the bones are weak then automatically the pain gets triggered more as there is less energy during any metabolic activity.
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Dr. I am 54 year old female of 89 kg weight and 5' 2" height having acute joint pain in both knee joints. Please advice Ayurvedic treatment for me to loose weight and joints pain. Allopathic Dr. Advice knees replacement. Please suggest.

MPTh/MPT
Physiotherapist, Coimbatore
Go to physiotherapy treatment do knee joint mobilization and strengthening . And avoid knee bending activities like floor & cross leg sitting
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What is the treatment muscular dystrophy. How to control this muscular dystrophy. Please help me sir.

BPT, MPT- Ortho
Physiotherapist, Delhi
What is the treatment muscular dystrophy. How to control this muscular dystrophy. Please help me sir.
Hello, Muscular dystrophy is a group of disorders characterized by a progressive loss of muscle mass and consequent loss of strength.The most common form of muscular dystrophy - Duchenne muscular dystrophy - typically affects young boys, but other variations can strike in adulthood.Currently, there is no cure for muscular dystrophy, but certain physical and medical treatments can improve symptoms and slow the disease's progression. I suggest to do ganeral light exercises to maintain strength and Range but not get overtired and avoide weights and resistive for exercises as theses kind of exercises will increase muscle breakdown and result in increase weakness. By doing correct exercises we can refuse the progress and effect of disease. Do let me know if you need any further help.
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Hi I am 25 year old female. Suffering from itp last three years. Now bearing full body ache. Cant comfortable in walking. What should I do.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate Itp has to be managed by a general physician or a haematologist. Do not hesitate to contact me if you need any further assistance. Thanks & regards Dr Akshay Kumar Saxena
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I started to go gym. Need to know maximum time period I can walk on treadmill to avoid any bad medical condition now or in future.. Does 40 min daily walk on average speed of 4 cn harm my knees or something else?

MD - Anaesthesiology
Anesthesiologist, Anand
I started to go gym. Need to know maximum time period I can walk on treadmill to avoid any bad medical condition now ...
Gud quation lybrate-user ji. See gym can have some adverse effect if you do not follow it properly. Wht I think you do not need to walk daily. 20 mins walk ulternate day at a speed of 5 to 6 km/ hr wil not harm your knees. And help your heart. You wil not get diabetes or bp. Bt see that you do not use inclination mode. If you want to use inclination you can reduce the speed to 4 to 5 km/ hr and duration 10 min. On other days you can do cycling for 20 mins.
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I am 41 yrs female n have low back pain n knees pain past 4 months. Please help

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist,
Hi thanks for your query and welcome to lybrate. I am dr akshay from fortis hospital, new delhi. I want to know your detailed clinical history, your relevant investigations, your treatment records till now. It helps me to better understand your condition and prescribe accordingly. Please also mention your co-morbid conditions and drug allergy. Kindly send me latest knee and your back x rays so that I can see and advise you accordingly. Do not hesitate to contact me if you need any further assistance. Thanks & regards dr akshay kumar saxena consultant orthopaedics fortis hospital, new delhi
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