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Dr. Kaustubh Ravindra Durve

Diploma in Sports Medicine, Membership of the Royal College of Surgeons (MRCS...

Orthopedist, Mumbai

17 Years Experience  ·  500 at clinic
Dr. Kaustubh Ravindra Durve Diploma in Sports Medicine, Membership of the Royal Colle... Orthopedist, Mumbai
17 Years Experience  ·  500 at clinic
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Personal Statement

To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Kaustubh Ravindra Durve
Dr. Kaustubh Ravindra Durve is a renowned Orthopedist in Trombay, Mumbai. He has been a practicing Orthopedist for 17 years. He is a Diploma in Sports Medicine, Membership of the Royal College of Surgeons (MRCS), MS - Orthopaedics, MBBS . He is currently associated with Nova Specialty Surgery - Chembur in Trombay, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Kaustubh Ravindra Durve on Lybrate.com.

Find numerous Orthopedists in India from the comfort of your home on Lybrate.com. You will find Orthopedists with more than 28 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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Specialty
Education
Diploma in Sports Medicine - Royal College of Surgeons of Edinburgh (RCSE), U.K, - 2008
Membership of the Royal College of Surgeons (MRCS) - Royal College of Surgeons of England, - 2006
MS - Orthopaedics - Bombay hospital, - 2004
...more
MBBS - - 2000
Languages spoken
English
Hindi

Location

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Sunder Baug, Ujagar Compound, Gate Off. Sionâ??Trombay Road, Deonar, Chembur. Landmark: Opp. Deonar Bus Depot Main & Near Tata Institute Of Social Sciences, MumbaiMumbai Get Directions
500 at clinic
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I always have legs tired behind nee.My age is 28 male.Always feel very restless in my knee and downward portion. Kindly suggest something

BPTh/BPT
Physiotherapist, Delhi
1.Start with Physiotherapy sessions and learn exercise.2. Take calcium and methylcobalamine supplement.3 drink water
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I am 13 days post op from a left tkr and am having trouble sitting due to a pain in my thigh, above the drain wound and was wondering if anyone else has had this problem. Would love to hear from others about their experience during recovery x.

BPTh/BPT
Physiotherapist, Kota
I am 13 days post op from a left tkr and am having trouble sitting due to a pain in my thigh, above the drain wound a...
Leg exercises are a vital part of senior and elderly fitness. Strengthening the lower body is one of the most effective and efficient methods of preserving your independence and improving your health as you age. Strengthening exercise has many health related benefits which reduce disease and improve your functional quality of life including: •Improving your lean muscle mass. •Reducing your blood pressure which reduces your risk of stroke and coronary heart disease. •Improving your bone health to reduce the risk of osteoporosis. •Improve your glucose tolerance and insulin resistance. •Increase the strength of your low back reducing lower back pain. •Providing beneficial effects on lowering your total cholesterol. •Below you will find 12 great lower body strengthening exercises to try. Have a chair handy for some of the standing exercises to help with balance. •Pick two or three to perform when you exercise during the week. Strengthening exercises for seniors should be done at least twice a week. •Three times per week is even better. So give some a try. Remember it takes 4 to 6 weeks for your body to become used to any new demands placed upon it. Watch These Exercise Videos - Lower Body Strengthening Exercises 1. Ankle Circles 1. Ankle Circles •This exercise improves your ankle flexibility and ability to move your ankle upward and downward. •This is a great warm up exercise for the lower leg and feet. 2. Hip Marching 2. Hip Marching •This exercise will strengthen your hip flexor and thighs. •With correct seated posture it will also help your abdominal muscles. 3. Knee Extension •Strengthening your knees width knee strengthening exercises will improve your ability to stand and balance. •This exercise will improve your available knee range of motion. 4. Calf Raises •Strengthening your calf muscles with calf exercises will give your more power to step forward on level surfaces or carry you up hills on uneven terrain. •Helps pump blood up from your legs to your upper-body and brain. 5. Standing Knee Flexion •These knee exercises strengthens your hamstring muscles. •Also helps with your standing balance. 6. Side Hip Raise •Safely strengthens your side hip muscles to help with hip arthritis. •Helps maintain your lower body endurance to better walk and side step around objects. 7. Sit to Stand.
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I have shoulder pain, beyond my neck. Can you suggest me any medicine or cream for that.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I have shoulder pain, beyond my neck. Can you suggest me any medicine or cream for that.
Homoeopathic medicine SPONDIN ( R.S.Bhargawa) Drink 15 drops in 20 ml fresh water 3 times daily MAG PHOS 6X ( Dr Reckeweg) Chew 4 tab 2-4 Hrly according to pain.
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What exactly is a spine block injection? Will it work long-term for low back pain due to disc problems?

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
What exactly is a spine block injection? Will it work long-term for low back pain due to disc problems?
Spine block injection is actually a nerve root block injection. It is given by an expert in back under image intensifier. It is intended to reduce swelling and inflammation around the nerve roots. Depending upon pathology, it may work for long duration.
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I have pain in my right hand from 3 days. What I do?

MS - Orthopaedics, MBBS
Orthopedist,
Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful use no pillow under the head. Do hot fomantation. Ibuprofen 200mg od & sos x 5days. Bio d3 max 1tab od x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. Do reply back for detailed treatment plan. Do not ignore. It could be beginning of a serious problem.
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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 a pain in my Rt Upper arm, not in shoulder, for over 4 months now. Shown to Orthopaedic, I am told it is common now and goes away over time. Warm fomentation was advised. The pain was not continuous till about 2 weeks back but now it is constant. Any stretch is painful. Otherwise, the shoulder has free movement.

MPTh/MPT, MSC CVR, MANUAL THERAPIST
Physiotherapist,
it is a muscle strain by description, visit nearest physiotherapist and get 100% relief in 3 sittings. dial 9820011774 for any assistance.
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My mothers back is paining, slightly above the hips, she is 48 years old, the situation is I cannot reach any doctor right now, can anyone refer me any medicine?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
My mothers back is paining, slightly above the hips, she is 48 years old, the situation is I cannot reach any doctor ...
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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Dear Dr. My foot's thumb's nail was cracked due to the falling of bicycle on my nail. Due to which my nail is broken from the middle please suggest me any cure so that it does not comes out and starts bleeding.

BHMS
Homeopath, Faridabad
Hello, take hypericum 200 ch, 3 drops twice daily. Ledum pal 30 ch, 3 drops twice daily. Revert me after 7 days.
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I am from silchar ,Assam. Before 3 weeks age I have pain in my left foot toe and after that the pain increases and it came to my knee .then I test my uric acid level .and this was 6.8 and hemoglobin is 15.3 GM/dt of blood .i take tablet like DILONA .but the pain is still in my knee, my main problem is I can't bend my knee and it is very woeful and when I stand up the pain is unbearable .what should I do ?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am from silchar ,Assam. Before 3 weeks age I have pain in my left foot toe and after that the pain increases and it...
Mr. Lybrate-user, uric acid 6.8 is at ypper limit of normal. But at this level there is usually no precipitation of gout. The pain in knee may be an arthritic one, type is difficult decide. The drug being taken should be able to control the joint pain. You may have to take it for a longer time. Thanks.
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I'm a soccer player and I most frequently get across sprains etc in my foot ankles. Will these sprains, occurring often, affect my foot or my abilities at any rate whatsoever. Hope you reply soon. Thank you.

MS - Orthopaedics, MBBS
Orthopedist, Faridabad
Frequent sprains cause ligament weakening. This predisposes you to recurrent sprains and can cause disabling joint damage. Consider wearing elastic ankle supports while playing. A lateral shoe raise by 1/8 inch also helps.
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I have pain in my left back side in the area of spleen, why it is?

MS - Orthopaedics, MBBS
Orthopedist,
I have pain in my left back side in the area of spleen, why it is?
Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful use no pillow under the head. Do hot fomantation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck back knee & general exercises. It may have to be further investigated. Make sure you are not allergic to any of the medicines you are going to take. For emergency treatment contact your nearest hospital or family doctor. If it does not give relief in 4-5days, contact me again. Why not discuss with me in a video conference? (facility provided by lybrate. Com)
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I am a male of 36 years. I am a regular jogger and runner. I used to jog and run for approx 7-9 km everyday. For last 30 days I am experiencing pain in lower part of the leg ie where the palm and leg is joined. Can you please help.

BPTh/BPT
Physiotherapist, Mumbai
I am a male of 36 years. I am a regular jogger and runner. I used to jog and run for approx 7-9 km everyday. For last...
Hi * stop running completely or decrease your training. *apply ice to reduce inflammation. *gently stretch your achilles and your calves. *consider cross-training for a while swim, run in the pool or ride a bike. *when you return to running, increase your mileage slowly, no more than 10 percent weekly. *make sure you wear the correct running shoes do reply for detailed treatment plan. Best wishes.
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My mom is having pain in her shoulder. She consulted many doctors. But her pain still persists. She is a diabetic patient. Her shoulder pain is there for the last 6 months. She is using some belt in her shoulder which gets heat. Kindly help my mother to get rid of this pain.

MD - Medicine
Endocrinologist, Ahmedabad
My mom is having pain in her shoulder. She consulted many doctors. But her pain still persists. She is a diabetic pat...
Seems to be frozen shoulder due to high sugars or other complication. See needs to go for physiotherapy and ultrasonic diathermy of shoulder joint for partial relief.
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Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? If so, what are they and what medications are implicated? What exactly is a spine block injection? Will it work long-term for low back pain due to disc problems? What causes Hashimoto's thyroiditis, and what is the best method of treatment? Can iodine help this condition?

FAMS, MS - Orthopaedics, Diploma In Orthopaedics (D. Ortho)
Orthopedist, Indore
Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? I...
Dear Mr. Lybrate-user, namaskar, you must ask the first question to a psychiatrist. Spine block injections are used to treat such discs which are not so bad in the mri but still causing problem to the patient. Or where the patient does not accept surgery despite an indication in the mri. This is a palliative measure to alleviate pain temporarily. For few weeks to few months. Can not be predicted by the doctor. The hashimoto's disease is treated by endocrinologists. He will be able to answer your question properly. Take care.
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From last week I am feeling a pain in waist when getting up from bed. What should i do? please advise.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
From last week I am feeling a pain in waist when getting up from bed. What should i do? please advise.
Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful use no pillow under the head. Do hot fomantation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, contact me again. Do not ignore. It could be beginning of a serious problem.
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I am 87 yrs old and get lower back pain while walking. Pain stops if I sit down for just two minutes. Please advise.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I am 87 yrs old and get lower back pain while walking. Pain  stops if I sit down for just two minutes. Please advise.
Do consult neuro physio and take ift send laser therapy for 12 days followed by strengthening exercise.
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I am a sports person my leg knee is paining for last one week I think it is because of twisting of leg what is the best way to cure it without medication.

M.Sc - Dietitics / Nutrition, DNHE, P.G. Diploma in Panchkarma, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Hapur
I am a sports person my leg knee is paining for last one week 
I think it is because of twisting of leg 
what is the ...
According to ayurveda you r suffering from sandhi vata. Here I can only advise u. Massage with mahanarayan tail on affected parts followed by light fomentation. Multivitamin and calcium supplements daily.
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Why there is swelling in legs after sitting for long hours is it normal or sign of any disease. Please suggest the propoer treatment for this swollen legs. And why there pain and feet becomes hot. Kindly revert on this problem. Thanks.

MBBS
General Physician, Mumbai
Why there is swelling in legs after sitting for long hours is it normal or sign of any disease. Please suggest the pr...
Swelling in legs after sitting is an indication of improper circulation of blood and for that do cbc lipid profile fbs pps creatine and revert back to us with reports.
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