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Dr. Mahesh Dombe

Orthopedist, Mumbai

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Dr. Mahesh Dombe Orthopedist, Mumbai
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Mahesh Dombe
Dr. Mahesh Dombe is a renowned Orthopedist in Metro Hospital Thane West, Mumbai. You can meet Dr. Mahesh Dombe personally at Ortho Nova Hospital in Metro Hospital Thane West, Mumbai. Book an appointment online with Dr. Mahesh Dombe on Lybrate.com.

Lybrate.com has a number of highly qualified Orthopedists in India. You will find Orthopedists with more than 44 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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Ortho Nova Hospital

201 To 205, Soham Plaza, Opposite Manpada Petrol Pump, Soham Gardens, Manpada Junction Road, Manpada WestMumbai Get Directions
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I am having pain on my waist area and pelvis area. I got treatment for stone from Hospital and pain from Pain Management Centre. But no relief. Please advise.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I am having pain on my waist area and pelvis area. I got treatment for stone from  Hospital and pain from Pain Manage...
keep continue your stone treatment. avoid spicy food. 14 glass water per day. cystone is better treatment for stone.
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Delayed Onset Muscle Soreness (DOMS)

Physiotherapy In Cerebral Palsy and Leprosy, MPT Neurology
Physiotherapist,
Delayed Onset Muscle Soreness (DOMS)

Delayed onset muscle soreness (doms), also called muscle fever, is the pain and stiffness felt in muscles several hours to days after unaccustomed or strenuous exercise.

The soreness is felt most strongly 24 to 72 hours after the exercise. It is thought to be caused by eccentric (lengthening) exercise, which causes microtrauma to the muscle fibers. After such exercise, the muscle adapts rapidly to prevent muscle damage, and thereby soreness, if the exercise is repeated.

Delayed onset muscle soreness is one symptom of exercise-induced muscle damage. The other is acute muscle soreness, which appears during and immediately after exercise.

Characteristics

The soreness is perceived as a dull, aching pain in the affected muscle, often combined with tenderness and stiffness. The pain is typically felt only when the muscle is stretched, contracted or put under pressure, not when it is at rest. This tenderness, a characteristic symptom of doms, is also referred to as" muscular mechanical hyperalgesia.

Although there is variance among exercises and individuals, the soreness usually increases in intensity in the first 24 hours after exercise. It peaks from 24 to 72 hours, then subsides and disappears up to seven days after exercise.

Cause

The soreness is caused by eccentric exercise, that is, exercise consisting of eccentric (lengthening) contractions of the muscle. Isometric (static) exercise causes much less soreness, and concentric (shortening) exercise causes none.

Mechanism

The mechanism of delayed onset muscle soreness is not completely understood, but the pain is ultimately thought to be a result of microtrauma mechanical damage at a very small scale to the muscles being exercised.

Doms was first described in 1902 by theodore hough, who concluded that this kind of soreness is" fundamentally the result of ruptures within the muscle. According to this" muscle damage" theory of doms, these ruptures are microscopic lesions at the z-line of the muscle sarcomere. The soreness has been attributed to the increased tension force and muscle lengthening from eccentric exercise. This may cause the actin and myosin cross-bridges to separate prior to relaxation, ultimately causing greater tension on the remaining active motor units.[6] this increases the risk of broadening, smearing, and damage to the sarcomere. When micro-trauma occurs to these structures, nociceptors (pain receptors) within muscle connective tissues are stimulated and cause the sensation of pain.

Another explanation for the pain associated with doms is the" enzyme efflux" theory. Following microtrauma, calcium that is normally stored in the sarcoplasmic reticulum accumulates in the damaged muscles. Cellular respiration is inhibited and atp needed to actively transport calcium back into the sarcoplasmic reticulum is also slowed. This accumulation of calcium may activate proteases and phospholipases which in turn break down and degenerate muscle protein. This causes inflammation, and in turn pain due to the accumulation of histamines, prostaglandins, and potassium.[7][9]

An earlier theory posited that doms is connected to the build-up of lactic acid in the blood, which was thought to continue being produced following exercise. This build-up of lactic acid was thought to be a toxic metabolic waste product that caused the perception of pain at a delayed stage. This theory has been largely rejected, as concentric contractions which also produce lactic acid have been unable to cause doms. Additionally, lactic acid is known from multiple studies to return to normal levels within one hour of exercise, and therefore cannot cause the pain that occurs much later

Relation to other effects

Although delayed onset muscle soreness is a symptom associated with muscle damage, its magnitude does not necessarily reflect the magnitude of muscle damage.

Soreness is one of the temporary changes caused in muscles by unaccustomed eccentric exercise. Other such changes include decreased muscle strength, reduced range of motion, and muscle swelling. It has been shown, however, that these changes develop independently in time from one another and that the soreness is therefore not the cause of the reduction in muscle function.

Possible function as a warning sign

Soreness might conceivably serve as a warning to reduce muscle activity so as to prevent further injury. However, further activity temporarily alleviates the soreness, even though it causes more pain initially. Continued use of the sore muscle also has no adverse effect on recovery from soreness and does not exacerbate muscle damage. It is therefore unlikely that soreness is in fact a warning sign not to use the affected muscle.

Repeated-bout effect

After performing an unaccustomed eccentric exercise and exhibiting severe soreness, the muscle rapidly adapts to reduce further damage from the same exercise. This is called the" repeated-bout effect.

As a result of this effect, not only is the soreness reduced, but other indicators of muscle damage, such as swelling, reduced strength and reduced range of motion, are also more quickly recovered from. The effect is mostly, but not wholly, specific to the exercised muscle: experiments have shown that some of the protective effect is also conferred on other muscles.

The magnitude of the effect is subject to many variations, depending for instance on the time between bouts, the number and length of eccentric contractions and the exercise mode. It also varies between people and between indicators of muscle damage. Generally, though, the protective effect lasts for at least several weeks. It seems to gradually decrease as time between bouts increases, and is undetectable after about one year.

The first bout does not need to be as intense as the subsequent bouts in order to confer at least some protection against soreness. For instance, eccentric exercise performed at 40% of maximal strength has been shown to confer a protection of 20 to 60% from muscle damage incurred by a 100% strength exercise two to three weeks later. Also, the repeated-bout effect appears even after a relatively small number of contractions, possibly as few as two. In one study, a first bout of 10, 20 or 50 contractions provided equal protection for a second bout of 50 contractions three weeks later.

The reason for the protective effect is not yet understood. A number of possible mechanisms, which may complement one another, have been proposed. These include neural adaptations (improved use and control of the muscle by the nervous system), mechanical adaptations (increased muscle stiffness or muscle support tissue), and cellular adaptations (adaptation to inflammatory response and increased protein synthesis, among others).

Prevention

Delayed onset muscle soreness can be reduced or prevented by gradually increasing the intensity of a new exercise program, thereby taking advantage of the repeated-bout effect.

Soreness can theoretically be avoided by limiting exercise to concentric and isometric contractions. But eccentric contractions in some muscles are normally unavoidable during exercise, especially when muscles are fatigued. Limiting the length of eccentric muscle extensions during exercise may afford some protection against soreness, but this may also not be practical depending on the mode of exercise. A study comparing arm muscle training at different starting lengths found that training at the short length reduced muscle damage indicators by about 50% compared to the long length, but this effect was not found in leg muscles.

Static stretching or warming up the muscles does not prevent soreness.[12][13][needs update] overstretching can by itself cause soreness.

The use of correctly fitted, medical-grade, graduated compression garments such as socks and calf sleeves during the workout can reduce muscle oscillation and thus some of the micro-tears that contribute to doms, proper nutrition to manage electrolytes and glycogen before and after exertion has also been proposed as a way to ease soreness.[15][16] consuming more vitamin c may not prevent soreness, but oral curcumin (2.5 gram, twice daily) likely reduces it.

Treatment

The soreness usually disappears within about 72 hours after appearing. If treatment is desired, any measure that increases blood flow to the muscle, such as low-intensity activity, massage, hot baths, or a sauna visit may help somewhat.

Immersion in cool or icy water, an occasionally recommended remedy, was found to be ineffective in alleviating doms in one 2011 study, but effective in another. There is also insufficient evidence to determine whether whole-body cryotherapy compared with passive rest or no whole-body cryotherapy reduces doms, or improves subjective recovery, after exercise.

Counterintuitively, continued exercise may temporarily suppress the soreness. Exercise increases pain thresholds and pain tolerance. This effect, called exercise-induced analgesia, is known to occur in endurance training (running, cycling, swimming), but little is known about whether it also occurs in resistance training. There are claims in the literature that exercising sore muscles appears to be the best way to reduce or eliminate the soreness, but this has not yet been systematically investigated.

I have a back problem seen last 2 year n my back problem start paining in winter time n for this my health is not good so please for better what should I do n back problem for what.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
I have a back problem seen last 2 year n my back problem start paining in winter time n for this my health is not goo...
1.Warm mustard oil or sesame oil (1 teaspoon) with 3-4 cloves of crushed garlic and 1 tsp of ajwain (carom) seeds until it roasts to a reddish brown colour. Ensure that it does not get burned. Massage this oil on your affected areas. After that do hot fomentation with salt potli (bag). 2.Take 8 to 10 glasses of water daily. 3.Increase the consumption of vitamin C in diet. 4.Take fresh Ginger into pieces, place in the cup of water and boil it for 30 minutes in low flame. Cool for 30 minutes after boiling. Consume this solution with Honey. 5.While sleeping, lie straight on your back or with bent knees supported by a pillow. 6.Taking hot and cold compresses on an alternate basis can be quite helpful in relieving pain.... 7.Practice yoga and pranayam daily early morning.
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I am 58 years old and took VR about a year before and enjoy my retired life. I have severe pricking pain around my upper portion of the right arm since last month. Raising arm above too is painful. I don't have sugar/BP. What could be my problem and which specialist should I contact. Currently I live in Bangalore. But I started having problems when I was in Trichy. Please advise.

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
I am 58 years old and took VR about a year before and enjoy my retired life. I have severe pricking pain around my up...
Your pain seems to be related to rotator cuff. You should consult shoulder specialist who can do shoulder arthroscopic surgery if needed. First thing will be clinical examination, then mri. Then treatment.
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My grandfather suffering from bones problemVery pain feel and not standup, leg is very week and also handRegular taken pain killer twice a day. His age approx 60yrs.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
My grandfather suffering from bones problemVery pain feel and not standup, leg is very week and also handRegular take...
Do massage with warm sesame oil or suitable oil for 15 min., afterwards take hot fomentation for 10 min. Start natural calcium supplement. Do regular stretching exercise In yoga DO BHUJANGASAN, HALASAN & SURYANAMASKAR. This will give you relief in mild to moderate cases. If you’re not satisfied please do consult u need medicines to achieve complete relief. go with Ayurveda & panchkarma therapy
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Sir I i have pain on my knee joint and waist .and I have uric acid problem. Is hadjod tablet by himalaya is save from side effect? Also I have pressure of 150/90. And cholesterol.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Sir I i have pain on my knee joint and waist .and I have uric acid problem. Is hadjod tablet by himalaya is save from...
Hello Lybrate user according to Ayurveda Vata vikriti is the main factor for pain. Treatment- 1-apply prasarini oil or pranacharya restopain oil on your affected part and give hot water fomentation. 2-take yograj guggul and agni tundi vati after lunch and dinner with warm water. 3-Take maha rasnadi kwath 2-2 tsf twice a day. 4-Take pranacharya vatari capsule and syrup twice a day. Diet- Avoid fermented food. Junk food. Potato rice. Sleep well.
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After having sex I feel weak up to 48 hours. And some joint pain like (knee pain, thai pain etc)

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
After having sex I feel weak up to 48 hours.
And some joint pain like (knee pain, thai pain etc)
For joint pain do Take UST and Vacuum Therapy Physiotherapy treatment for 7 days regularly Do revert for further assistance Best Wishes
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The area between my head and my neck aches a lot and it causes a lot of pain. I am not able to sleep for this reason and my head does not move freely. I tried traction but that did not work. What should I do?

MBBS
General Physician, Mumbai
The area between my head and my neck aches a lot and it causes a lot of pain. I am not able to sleep for this reason ...
For pain take tablet paracetamol 650 mg and get your blood checked for CBC and take physiotherapy treatment till recovery
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I am suffering from severe back pain for the past one year. X-ray and MRI scan taken for the swelling reveal that the spinal cord T4 and 5 is affected. What is the remedy.

BPTh/BPT
Physiotherapist, Mumbai
I am suffering from severe back pain for the past one year. X-ray and MRI scan taken for the swelling reveal that the...
Hi I can understand your problem. # relax & stay positive. # take hot and cold foementation. # learn posture care exercise. # take break every 20 minutes. # do strengthening exercise of back and core muscles not all back pains are same, you need specific treatment plan according to your symptoms. To discuss your backpain in detail reply in private consultation.
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I have developed ganglion cyst on my left hand at the age of 16 I used to have much pain and I was on counter pain killer medicines slowly it disappeared. But now the pain it came back and I am unable to bear up pain. Please suggest any home remedies.

BHMS
Homeopath, Chennai
I have developed ganglion cyst on my left hand at the age of 16 I used to have much pain and I was on counter pain ki...
Homeopathy can treat tumors (ganglion) with natural medicines only. The treatment can help you avoid the surgeon’s knife. The remedies are prescribed after taking the complete details of the symptoms of disease and the patient which includes personal details, family details, and mental state of the patient thus knowing the complete personality of a patient. There are 37 remedies which give great relief in ganglion or bible cyst. However, the correct choice and the resulting relief is a matter of experience and right judgment on the part of the homeopathy doctor. The treatment is decided after thorough case taking of the patient. Thus medicines are tailor made unlike allopathy in which all patients receive the same surgery or drugs although trade name may be different. You can easily take an online consultation for further treatment guidance.
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Back Pain - Causes And Prevention

Pain Management, MD - Pain Medicine & Anesthesiology
Pain Management Specialist, Srinagar
Back Pain - Causes And Prevention

Most of us, experience back pain due to incorrect posture or longer duration of sitting.

Sometimes you may experience back pain because of exertion - you spent the entire day doing the same kind of job or maybe you bent in a wrong manner while picking up your child. However, the actual cause of your spinal agony may not be very clear, but it pays to be aware of the possible reasons that can cause backache. It is good to consult a doctor if your back pain is consistent and recurrent.

Here are few of the causes:

1. The position of your pelvis: The pelvis consists of three bones that can shift depending on which muscles become weak or stiff. This brings about a pull in the muscle of the lower back, resulting in severe strain to this area. You should consult a physiotherapist for suggestions regarding the best exercises for strengthening your pelvic area.

2. Weak abdominal muscles: A cause of your back pain can be weak stomach muscles. Abdominal muscles play an important role in balancing out the constant bending that your back muscles perform. When you've weak abdominal muscles, your spine is not able to maintain proper balance, resulting in severe stress on the spinal column.

3. Disc injuries: Located between the bones of your spine, discs perform the function of a shock absorber. Physical injury to these padded cushions can cause them to break open, leading to a condition known as herniated disc. This can then bring about pain in the back area.

Few other causes behind back pain

  1. Weak back muscles
  2. Weak osteoporotic back bones
  3. Disc disease
  4. Facet joint arthopathy (degenerative or traumatic )
  5. Sacro Iliac joint pain
  6. Infection of the spinal bones
  7. Most of us, experience back pain due to incorrect posture or longer duration of sitting. Some people inherit back pain. Degenerative disc disease can be genetic or inherited. That is why we see degenerative spinal changes causing chronic back pain in some young age group patients without any apparent cause.
  8. Cancers which can be primary or metastasis
  9. Psychogenic 

Few precautions that can be taken for a hurting back. Despite the causes, there are certain precautions that you can take, which are:

  • Avoid sitting in a bad posture, that is, keep your back straight as much as you can. Pull and stretch your body in continual intervals to keep it relaxed.
  • Consult the right physician instead of doing exercise that can aggravate your pain.
  • Take a break from work and go for short walks, every couple of hours.

Treatment: 

Most often back pain will resolve itself in 3 to 6 weeks time and does not need to be treated. Please note, bed rest of no more than 2 days is required. Bed rest may weaken the back muscles and prolong back pain. If the back pain continues or increases, investigations are required. Expensive Investigations like MRI is usually over prescribed and will be needed only if neuro deficit is present or infection is suspected. 

Treatment includes

  1. Physical rehabilitation and Pain medication like NSAID.
  2. Neuropathic pain medications for neural compression (gabapentin or pregabalin).

Minimally invasive procedures which have revolutionised the treatment for back pain and saved millions from spinal surgeries include

  1. Radiofrequency ablation treatment for Facet pain
  2. Transforaminal blocks for nerve compression
  3. SCS for chronic back pain
  4. Intra thecal pumps
  5. Intradiscal Radiofrequency procedures. ( this procedure makes the disc painless ).

Surgery should be the last option and should be restricted to patients having progressive neuro deficit. If you wish to discuss about any specific problem, you can consult a Pain Management Specialist.

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Too much pain in my right arm. Even I dont pull out any haveay material. And the wrist also paining countinusly. What I do sir?

BPTh/BPT
Physiotherapist, Gurgaon
If you have a history of cervical problem, it may b related to that. For that you have to consult some good physiotherapist. Or there can b a muscular problem. For that take hot fermentation for 5 to 10 mins. Then take a small towel roll in your right hand and press it, hold it for 10 sec. Repeat this for 10 or 15 reps. It will hurt fot couple of days bcos your muscles r not habitual. If it hurts a lot take hot and cold fermentation 1 min each, 5 reps. Thank you.
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Hi. I have problems I n my legs nee as it pains while I am sittet more time. Please suggest medicines. Thanks harsh ad.

BHMS
Homeopath, Raebareli
Hi. I have problems I n my legs nee as it pains while I am sittet more time. Please suggest medicines. Thanks harsh ad.
Take Mag phos 12x - thrice daily for some time. If the pain is acute also do hot and cold compress alternately till the time you get relief.
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I am 60 years old retired recently and have been having tendonitis of shoulder from last two months. Underwent physiotherapy for ten day but relief is minimal. Any ayurvedic cure.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Bhavnagar
Its better to stop useless painkillers. Start ayurvedic medicines. It will take time, but you can get permanent relief up to some extent. Some karmas also will help you, like, massage, local steam, basti.
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I am 57 yrs old man, weight 70 kg, height 5'6, having aching at my left heel, particularly in the morning while getting up from bed. Please suggest remedy.

Diploma In Dermatology And Venerology And Leprosy (DDVL), MBBS
Dermatologist, Ranchi
I am 57 yrs old man, weight 70 kg, height 5'6, having aching at my left heel, particularly in the morning while getti...
sir, are u diabetic ,BP problem it is a typical case of symptoms at age ..so plz specify so that i can give u the best treatment.
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Hi I am 20 years old my question is, in morning when I walk up there is pain in my back. What should i do?

BPTh/BPT
Physiotherapist, Mumbai
Hi I am 20 years old my question is, in morning when I walk up there is pain in my back. What should i do?
Make daily routine for exercises which keeps your back fit and healthy. Exercises for back includes. Back ex, abdominal strengthening, general conditioning, posture care, daily brisk walk etc. But it will be good if you start physiotherapy session and learn exercise for your back pain under supervision of skilled physiotherapist do reply for private consultation and detailed treatment plan. Best wishes.
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I am a 63 yrs old, male, retired from a Managerial position. A patient of essential Hypertension and Diabetes (DM2), with mild cervical spondilytis . Recently passed through Diabetic Neuropathic phase with 'cramps in legs' and nerves of left hand.

BHARAT JYOTI, MRACGP, INCEPTOR, MD-PhD, MD - Psychiatry, FIPS, Fellow of Academy of General Education (FAGE), DPM, MBBS
Psychiatrist, Bangalore
You need to monitor and control DM2. Rest you get medicatios for Diabetic Polyneuropathy supplements of vitamins and Check for Cervical Spondylosis with X-ray neck. You may take Pregabalin M and Neurobion forte daily. If there is no pathology in neck bones you can do some exercises, and ruleout any other pathology like Vascular ischaemic episode of Brain. Contact us if necessary.
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I am 60 years old. Suffering with frozen shoulder since 4 months. Taken Ayurveda medicines prescribed by Ayurveda doctor. There is reduction in pain. But still shoulder pains in specific movement. Please suggest me what should be done to complete cure. Any specific foods to be taken etc. C Mallikarjuna, Hyderabad.

MPTh/MPT, BPTh/BPT, Certificate in Kinetic Control of Low Back and Hip, Neck and Shoulder, Certificate in Barefoot Training and Injury Prevention
Physiotherapist, Bangalore
I am 60 years old. Suffering with frozen shoulder since 4 months. Taken Ayurveda medicines prescribed by Ayurveda doc...
Frozen shoulder needs continuous treatment. Exercise therapy and manual therapy is the right choice of treatment. Consult a physiotherapist who will guide you for a far better recovery using scientific knowledge. You will have to continue physiotherapy for atleast a month.
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I am 26 year old male and having back pain last 3 month. I am taking pain killer medicine and pain relief oil but it can't stop. What can I do now? Please help me Dr.

D.P.T
Physiotherapist, Hyderabad
I am 26 year old male and having back pain last 3 month. I am taking pain killer medicine and pain relief oil but it ...
Pain killers or any oil can not reduce your pain, you must have to take heat fermentation and regular excercise and proper diagnosis will only help you in getting rid of pain.
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