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Dr. Dhruti Mehta

Physiotherapist, Mumbai

700 - 1000 at clinic
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Dr. Dhruti Mehta Physiotherapist, Mumbai
700 - 1000 at clinic
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Personal Statement

I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Dhruti Mehta
Dr. Dhruti Mehta is a popular Physiotherapist in Vile Parle East, Mumbai. You can visit her at Dhruti Mehta in Vile Parle East, Mumbai. Book an appointment online with Dr. Dhruti Mehta on Lybrate.com.

Lybrate.com has an excellent community of Physiotherapists in India. You will find Physiotherapists with more than 42 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.

Location

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Dhruti Mehta

301,Shreeji Darshan,Dikshith Cross Road NO.1,Vile Parle East, MumbaiMumbai Get Directions
700 at clinic
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Dhruti Mehta

Vileparle, MumbaiMumbai Get Directions
800 at clinic
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Qi Spine Clinic

Brij Bhoomi, 1st Floor, B Wing Nehru Road, Above Canara Bank, Landmark : Next to PN Gadgil, MumbaiMumbai Get Directions
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I found that in some of the people have a problem like pain in his/her arm. Is this due to cold season or anything disease because it happen first time. Thank!

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
I found that in some of the people have a problem like pain in his/her arm. Is this due to cold season or anything di...
I think you are asking about shoulder pain. Many people have shoulder pain. It is usually because of impingement or Rotator cuff tear.
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I lost someone close last year and I feel depressed! I can not be happy. Can I retain my old days back and be active?

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I lost someone close last year and I feel depressed! I can not be happy. Can I retain my old days back and be active?
Do meditation and change your atmosphere keep busy your self and diverts your self with work music ya other things otherwise meet phycologists for tk anti depression treatment.
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Hi doctor, I am having back pain issues from few days and day by day its getting worse. I do not have any accident neither getting hit or something else .its jst started. Pls suggest. Thank you.

BHMS
Homeopath, Chennai
Hi doctor,
I am having back pain issues from few days and day by day its getting worse. I do not have any accident ne...
The usual cause of low back pain is the sedentary lifestyle that we lead these days. There is hardly any movement. We remain seated most of the time and stand for very short periods of time. Unfortunately walking, running and cycling like activities are also not a part of our daily routine. To add to it, our diet consists more and more of junk food. Fresh fruits, vegetables and high fibre foods are consumed less and less. This is a worldwide trend and is seen across all ages and cultures. These daily practices lead to obesity. The increased body weight puts lot of pressure on the spine which has to bear all the extra unwanted weight. The back muscles which are already weak due to lack of exercise and wrong posture are unable to cope with this increased load. This causes pain in the back muscles. When it comes to the medicinal treatment, homeopathic medicines are very helpful. They not only treat the acute stages but are also very helpful in the chronic stage of back pain. It must be said here that homeopathy offers a much better alternative for the permanent cure for low back pain. The focus of the homeopath is not just to relieve the immediate pain but to also eliminate the root cause of the pain. That is precisely why the homeopath asks so many questions which may or may not seem related to your immediate problem. A common cause that is easily overlooked is the presence of stress in an individual. Mental stress can also contribute to low back pain and should be taken into account while taking the details of the patient. This is absolutely necessary if you want a lasting cure.
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Sir/madam I had a femur fracture in my left femur there is a titanium rod place in it but the fractured part did not get join yet. I can walk easily but getting too much of pain alternatively. I had consulted with the Dr. Of sir ganga ram hospital they told me for respiration. What to do I am very confused.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
First you should take an x-ray and see the internal structures then you can start doing some strengthening exercises which will help you to have more strength in the joint. And ice therapy will definitely help you to get more healing.
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I had an accident in which my shoulder got hurt now my joint is weak and it pains when I do some heavy work or lifts some objects please help me.

BHMS, PhD Arthritis
Homeopath, Chennai
I had an accident in which my shoulder got hurt now my joint is weak and it pains when I do some heavy work or lifts ...
Dear user, first you should avoid lifting the weight objects.. sleeping position should lying straight or abdomen don't on sideways.. don't eat flatulant food like potato, spicy foods.. take homeopathic remedy arnica30 thrice daily for one week.. it will reduce your pain.. further clarification msg me
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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, Gorakhpur
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

14 people found this helpful

I suffer from following ailments: 1. Hypertension for last 30 years. My lipid profile always shows higher value of bad chlostral inspite of my consuming very very low fat diet. 2. Knee pain for last 12 years. Cartage of left leg got broken 12 years back , which under went minicus operation in year 2003. Now I started medicines for lowering chlostral (Rosvas F) for last two months in addition to my regular BP medicine. 3. I also take medicine for Prostate. 4. After starting medicine for chlostral, I now find very severe pain has started in my knees. My age is now 63 years.

DNHE, BPTh/BPT, weight management specialist
Dietitian/Nutritionist, Kolkata
Whats your weight? You need to get a personalised diet plan as per your body type and health problems, which will help you in lowering your bad cholestrol and raising the good one and also to keep BP under control. And about the knee pain you could be having degenerative changes in the knee joint,get a x-ray done.
1 person found this helpful
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I am 48 years my left knee and thigh pain when walk or enter steps,please help me

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I am 48 years my left knee and thigh pain when walk or enter steps,please help me
Hi Apply pranacharya restopain oil or prasarini oil on your affected part then give hot fomentation. Take maha rasnadi kwath 2-2 tsf twice a day. And agni tundi vati and maha yograj guggul 1-1 tab twice a day..
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Sir my mother has a lot of pain her knees she's in her early 50's we have tried many medicines but none seem to work.

BSc
Ayurveda, Ujjain
Sir my mother has a lot of pain her knees she's in her early 50's we have tried many medicines but none seem to work.
Give to your mother r compound tablet 2 after break fast 2 after lubch end 2 after dinner end 1calcium tablet with milk after dinner for a month end feedback. Massaje miostol oil on knees. Walk 1 km daily.
1 person found this helpful
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Hi I am 32 year male last one my 2 leg very pain redness on leg please. Suggest what To do?

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Coimbatore
If there is swelling and severe pain during walking take a doppler study of veins and artery of the leg and see for further queries consult privately to have a detailed discussion to solve your problem.
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