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Dr. Hiten Kenia

Orthopedist, Mumbai

500 at clinic
Dr. Hiten Kenia Orthopedist, Mumbai
500 at clinic
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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. Hiten Kenia
Dr. Hiten Kenia is a trusted Orthopedist in Borivali East, Mumbai. You can visit him at Mukti Nursing Home in Borivali East, Mumbai. Book an appointment online with Dr. Hiten Kenia on Lybrate.com.

Lybrate.com has an excellent community of Orthopedists in India. You will find Orthopedists with more than 38 years of experience on Lybrate.com. You can find Orthopedists 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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Landmark: Near Chinchpada,borivali East, Mumbai, MumbaiMumbai Get Directions
500 at clinic
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B/1-2, Laxmi Nagar, Kasturba Road No. 3, Borivali East, MumbaiMumbai Get Directions
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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 severe upper back pain and neck pain, but I couldn't find the reason, please help me to resolve the issue, how to overcome with pain.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I have severe upper back pain and neck pain, but I couldn't find the reason, please help me to resolve the issue, how...
according ur age X-Ray must seems CS. do physiotherapy treatment must . stretching and isometric exercise. avoid towards bending lifting weight
1 person found this helpful
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BPTh/BPT
Physiotherapist, Mumbai
Knee Pain Exercise Tips
3 people found this helpful
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Is osteoarthritis a part of aging and is there away to reduce risks even after age 50?

MBBS
General Physician, Faridabad
Osteoarthritis (OA), which is also known as osteoarthrosis or degenerative joint disease (DJD), is a progressive disorder of the joints caused by gradual loss of cartilage and resulting in the development of bony spurs and cysts at the margins of the joints. The name osteoarthritis comes from three Greek words meaning bone, joint, and inflammation.
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Im 18 years old teenage girl, but im suffering with backache since 3 months I used so many medicines and creams but no use please tell me what should I do now?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Im 18 years old teenage girl, but im suffering with backache since 3 months I used so many medicines and creams but n...
Apply hot fomentation twice daily. Avoid bending in front. Postural correction- sit tall, walk tall. Extension exercises x 15 times x twice daily. Bhujang asana. Core strengthening exercises. Back stretching. Do the cat/cow stretch.
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I am 21 years old and have backache. I am using fast relief but there is no improvement.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I am 21 years old and have backache. I am using fast relief but there is no improvement.
Do rest take muscle relaxant medicine and do spine stretching exercise if it work then ok otherwise tk physiotherapy treatment avoid long sitting toward bending.
1 person found this helpful
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I have backache since on month When I sit down my back started aching it's pain so bad please suggest me.

BPTh/BPT
Physiotherapist, Kota
I have backache since on month When I sit down my back started aching it's pain so bad please suggest me.
LOW BACK PAIN PHYSIO BALL EXERCISE DEAR, 1…. The exercise ball is an exercise treatment option for back pain sufferers and is designed to help prevent or minimize further episodes of low back pain as part of a rehabilitation program. The exercise ball is effective in rehabilitation of the back because it strengthens and develops the core body muscles that help tostabilize the spine. With the exercise ball, also called a Swiss ball or physio ball, an element of instability is introduced to the exercise that one would not normally get in a floor exercise. The body responds naturally and automatically to this instability to keep balanced on the exercise ball. Over time, the muscles used to keep in balance on the exercise ball become stronger. In essence, individuals build strength in important back muscles and abdominal muscles without knowing it. •The exercise ball also uses what is called" proprioception, an awareness of where one's hand or foot is in relationship to space. The instability of the exercise ball provides the body with constant opportunities to evaluate its orientation in space, developing and training the body's natural awareness. Enhanced proprioception provides the body with increased balance and stability Simple and versatile way to start moving again after a back pain episode •Improved muscle strength •Greater flexibility and range of motion of the spine •Enhanced balance and coordination of core muscle groups used to stabilize the spine and control proper posture while using the exercise ball, which in turn reduces stress on the low back •Increased tendency to maintain a neutral spine position during exercise •In particular, many Swiss ball exercises are designed to bring movement to the spine in a controlled manner to help keep the discs nourished. Moving the vertebrae helps nourish the discs in the spine by increasing blood flow around the disc and by causing the water to flow in and out of the disc The exercise ball has additional applications in areas such as general fitness, strength or weight training, as well as exercise for pregnant women.
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My friend always get white thick discharge after menses due to which she get alot back pain and pain in legs also so please suggest something to stop this white discharge.

BHMS
Homeopath, Delhi
My friend always get white thick discharge after menses due to which she get alot back pain and pain in legs also so ...
Hi, your friend is suffering from vaginal diacharge. Having small amount of vaginal dischargs, is physiological, however it needs to be differntiated from the pathological one, pls tell the nature of discharge viz, its color, any smell, consistency, depending on which the homeopathic medicine can be prescribed. Along with the medicine, she has to maintain hygine, by properly cleaning and drying the area after every urination.
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I am 22 year old and I have pain in my legs from last 2-3 year. What should I do.

BPTh/BPT
Physiotherapist, Mumbai
I am 22 year old and I have pain in my legs from last 2-3 year. What should I do.
Hi I can understand your problem. *take rest *increase fluid intake *gently stretch or massage your leg muscle. * apply heat to tight muscles or cold to tender muscles. * there are various treatment options in physiotherapy which depends on your health and severity of your symptoms. Kindly reply for private consultation to discuss detailed treatment plan. Wishing you good health.
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I am suffering from severe back pain from many days. I go to gym everyday and often get involved in weightlifting competitions. So kindly give a home remedy for my problem.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
I am suffering from severe back pain from many days. I go to gym everyday and often get involved in weightlifting com...
this back pain is due to no back exercise.... due to this muscle get stiff .... when suddenly you get move fast that time this stiff muscle get break and pain start..... in ayurved there is mentioned one procedure KATI BASTI ....DO THIS FOR FIVE DAYS WITH MEDICATED OIL if you want to do it you should do it under doctor observation .... so consult ayurvedic doctor near you ... you will definitely get good result ..
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I have been suffered from feet pain. What should I do to get relief from this pain?

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist, Bangalore
I have been suffered from feet pain. What should I do to get relief from this pain?
The most common foot complaint is plantar fasciitis. At the first sign of soreness, massage (roll a golf ball under your foot) and apply ice (roll a frozen bottle of water under your foot). Give your feet a rest. Cut back on activities that make your foot hurt. Try not to walk or run on hard surfaces. Do toe stretches, calf stretches, and towel stretches several times a day, especially when you first get up in the morning. (For towel stretches, you pull on both ends of a rolled towel that you place under the ball of your foot.) Get a new pair of shoes. Pick shoes with good arch support and a cushioned sole. Or try heel cups or shoe inserts . Use them in both shoes, even if only one foot hurts.
1 person found this helpful
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My symptoms:- lump-pain in right testicle chest pain shortness in breathing Bone pains Frequant urination yellow urine headache my vision:- may be i am having testicular cancer stage 3.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Don't try self diagnosis. Consult a doctor and get examine and start therapy. Testicular cancer is very much curable, even in very late stage. So, don't waste time.
1 person found this helpful
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I have pain at my knee last one week. During the night sleep only. Not in day. Can you suggest me.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
A sleep disorder can affect your overall health, safety and quality of life. With accurate diagnosis, I can treat most sleep disorders effectively. I am a doctor and registered dietitian who will prescribe a customized diet plan and medications to help in sleep disorders. Do reply back for private consultation for a detailed treatment plan including dietary therapy.
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Dear Doctor, My wife has fell down on stair steps and she is feeling pain at left leg knee and right hand elbow. Little swelling was also there. This happen 2 days back and now she is suffering with fever and body pains. She is a diabetic patient. Kindly suggest.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Dear Doctor, My wife has fell down on stair steps and she is feeling pain at left leg knee and right hand elbow. Litt...
I have pain in my left side leg. This should be due to the sciatic nerve compression in the right side probably close to your L5 Vertebrae. It can also be due to the strain on the left leg, try wearing MCR chappals which would help you to get relieved from pain. Wear elbow brace which will make her to feel warm and that will make the joints become firm. Hot water fermentation will help.
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He has frequent lower back catch. We already consulted an orthopedic doctor, he has recommended a routine exercise and had stated nothing serious. Surely, he has never been doing the exercise but when he is in pain he is unable to move or walk. Heat or cold pack works wonder but I'm worried. Need help ! Regards.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Post Graduate Certficate in Ksharsutra & Ano-Rectal Diseases, MD - Medicine
Ayurveda, Mumbai
He has frequent lower back catch. We already consulted an orthopedic doctor, he has recommended a routine exercise an...
Hello there, 1) this may be due chronic spine problem and may be degenerative in nature. 2) chronic progressive degenerative spine disease 3) you need proper comprehensive management for control - cure and prevention of further complications of diseases. 4) nap therapy medicines treatment is ultimate solution for this problem 5) nap therapy medicines treatment will treat disease along with its root causes 6) nap therapy medicines treatment will treat all components (spine bone - disc - joint - nerves - spinal cord - muscles) simultaneously consult privately online-telephone-vedio or visit personally for proper management with all reports.
3 people found this helpful
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I have continuous pain in neck since long time (6 to 7 years). Any treatment in ayurveda?

BAMS
Ayurveda, Bangalore
I have continuous pain in neck since long time (6 to 7 years). Any treatment in ayurveda?
Hi, You may be suffering from cervicle spondylitis. Please take out an x-ray of the neck for conformation . You can undergo one of the panchakarma treatment called greevabasti in which the patient is made to lie down on his stomach and a tank like structure is constructed with uridgram dal, into which warm medicated oil is poured and treated for half an hour. Later oil massage is done and asked to take hot water bath. This is repeated for 1 week. Internally, some medications are also given. For more details, consult me privately.
1 person found this helpful
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I am 47 years old. About 15 year ago I faced a shock in my lower back due to put a heavy weight. I felt some heavy pain in lower back for 20-25 days but ignored. After that it may be happen 1-3 times in a year occasionally. When pain happen it remains about 8-10 days.

MBBS, Diploma In Orthopaedics (D. Ortho)
Orthopedist, Lucknow
I am 47 years old. About 15 year ago I faced a shock in my lower back due to put a heavy weight. I felt some heavy pa...
Recurrent back pain does need an evaluation by physical examination by a spine orthopaedic surgeon. Since you don't report pain radiation to lower limbs, it may be localised lesion in disc or surrounding ligaments. An MRI may give clue As of now, your treatment may be conservative, with back strengthening exercises, a brace wearing in daytime, anti inflammatory, muscle relaxant gels or oral medications. Unless your routine work is badly restricted, then only surgery may be indicated. For partial prolapse of disc without radiation of pain to lower limbs, ozone injections are given by many spine specialists to shrink the disc and for ling term symptomatic relief. If severe prolapse, as shown by symptoms or MRI, percutaneous disectomy is advisable.
1 person found this helpful
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Few days ago in my right hand suddenly hamstring and hard pain in my shoulder mussels. Please give me a suitable solution.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Few days ago in my right hand suddenly hamstring and hard pain in my shoulder mussels. Please give me a suitable solu...
Neck Advice Hot fomentation x twice daily. Neck Exercises. Neck Stretching. Postural Correction. Shoulder Shrugs . Core Strengthening Exercises. Take frequent Breaks at work Use cervical pillow. Use Back Support. Self Massage the back of neck.
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I am suffering with severe pain in my butt since may 2015. What can be reason for such kind of pain?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I am suffering with severe pain in my butt since may 2015. What can be reason for such kind of pain?
It might be of muscle strain or of pathological reasons do take ust and tens therapy for pain relief for 10 days followed by strengthening exercise from neuro physiotherapist best wishes.
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