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Dr. Rajashree

Physiotherapist, Mumbai

Dr. Rajashree Physiotherapist, Mumbai
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Rajashree
Dr. Rajashree is a trusted Physiotherapist in Mumbai, Mumbai. You can meet Dr. Rajashree personally at Body Rhythm Enterprises Ltd in Mumbai, Mumbai. You can book an instant appointment online with Dr. Rajashree on Lybrate.com.

Find numerous Physiotherapists in India from the comfort of your home on Lybrate.com. You will find Physiotherapists with more than 32 years of experience on Lybrate.com. You can find Physiotherapists online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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English
Hindi
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Indian Association of Physiotherapist

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Body Rhythm Enterprises Ltd

Advent Building, Next to Y. B. Chavan Auditorium, Mantralay, MumbaiMumbai Get Directions
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Replay Physiotherapy

Queens Mansion, Ground floor, Fort Mumbai, Maharashtra, MumbaiMumbai Get Directions
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Birla Wellness Center

Queens Mansion, Bank, Fort. Landmark: Near J. B. Petit School, Opp. IDBI, MumbaiMumbai Get Directions
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RNA Regency Park, Off. Link Road, Maharashtra Nagar, Kandivali West, MumbaiMumbai Get Directions
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My left wrist was lightly injured in metro, somebody sat down with full force on my wrist. An b & w ex-ray was done and found no bone fracture. But still whenever any pressure is done suddenly it gives pain. Kindly suggest.

MCh Ortho, ATLS (AIIMS), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Kolkata
Its possible that you may have torn a ligament in your wrist. Consult a physiotherapist for wrist strengthening exercises. Please use a wrist immobilizer to ease your pain and allow healing. Please do not hesitate to contact me if you need any further assistance.
15 people found this helpful
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My mother having a knee problem since last 8 years and I concerned most of the doctors and also concerned in medical but doctors said that knee pain is caused by gas. Is their any treatment so my mother knee problem is cured.

Fellowship in Shoulder and Upper Limb, Fellowship in Joint Replacement, MS - Orthopaedics, MBBS
Orthopedist, Mumbai
Knee pain cannot be explained by gas. Your mom is 50 so she must have developed early osteoarthritis which is the most common cause of knee pain if there is no history of trauma. Try pain killers only when necessary and start physiotherapy to strengthen the quadriceps muscle. Give it 3 weeks and the re-evaluate.
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I have neck and back pain from last 3 month. How to overcome from it? And how to maintain my all over body and how to loss my fat?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Do consult neuro physio and take ift and laser therapy for 12 days foliwed by strengthening exercise and abdominal exercise.
2 people found this helpful
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Hi Sir/mam I am 17 years old male. My problem is my wrist is very small compare to my friends. It makes me feel disappointed. Please suggest me something through which I can make my wrist bigger.

Hand Surgery, M.S. (Orthopaedics
Orthopedist, Ahmedabad
Dear, you are only 17 years and you can develop fitness by going to gym and doing weight training do not get carried away by size what matters is strength. Do not compare your self with others but see that you improve on your own and be happy.
1 person found this helpful
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My friend have some leg pains because of daily walk to ground to play cricket and he had some back pains.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
avoid strain full activity. hot fermentation and gently massage. after relief start stretching exercises of legs.
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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

Dear sir, I am suffering from cervical spoondylosis, I had c5-c6 disc bulge, since 2 years, I am using homeopathic medicine at the same time I am contiuning my job by sitting on computer could you please suggest me is this complete curable .

MBBS, MS - Orthopaedics
Orthopedist, Delhi
It could be due to cervical spondylosis this is quite a common condition rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Use no pillow under the head. Any way take ibuprofen 200mg od & sos x 5days do neck & back (spine) exercises contact me again if need be. Use of cervical collar will give you relief. It may have to be further investigated. Make sure you are not allergic to any of the medicines you are going to take you will need other supportive medicines also. Do reply back for private consultation and detailed treatment plan.
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I had low back pain sciatica nerve compression took medicine got pain relief but my right foot and foot finger are slightly numb should I go to work or take rest ?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Requires detailed examination and investigation. Preliminary investigations suggested: hb, tlc, dlc, esr, blood sugar fasting & pp, uric acid vit d urine r/e x-ray of the affected part. Anyway it may be tried sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick mattress 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. Do not ignore it. Let it not become beginning of a bigger problem. Make sure that patient is not allergic to any of the medicines that he/she is going to take. If it does not give relief in 4-5 days, inform
1 person found this helpful
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I'm suffering from my back bone pain and I also suffering from cold from last fifteen days so what I have to doo can you tell me plss.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma in Pharmacy
Ayurveda, Mumbai
You can take tablet sinarest 1tablet three times a day for three days. Septillin syrup 2-2-2 laxmivilaas ras 1-1-1 vyoshaadi vati 2-2-2 dashmoolarishta kadha 2spoons twice orally with equal quantity of warm water. Avoid eating chilled and sour food items. Drink a glass of warm water empty stomach every morning.
1 person found this helpful
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I am 23 year old as I am doing job. So I have to stand the entire working hours when I woke up in morning. I am not able to walk for few steps. My foot pain for first few step.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Calf muscle are stiff due to long standing do tens therapy and hot fermentation for immediate relief after relief do calf stretching exercise.
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I am 25 years old, I am suffering from joint as well as muscle pain across my body since last 3 months, please suggest me what to do.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
You should take acupressure treatment and take biochemic kali Mur 200x + Ferrum phos 200x 4 tab each thrice a day with warm water and take it 5 day's and consult private online.
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I have been having pain below my both the foot for the last about a month. Sometimes it becomes difficult for me to walk. Could you please advise.

MBBS, MD
Anesthesiologist, Hyderabad
Looks like plantar fasciitis. Cold n hot fomentation helps. Use footwear with soft sole. Change your footwear.
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I have 4 months baby. I m breastfeeding my baby. As someone told me that the breastfeeding mother shouldn't sleep on her back as the milk should go back and there will be no milk for breastfeed. Is it truth?

BPTh/BPT
Physiotherapist, Faridabad
Conditional, breastfeeding mothers need to change positions while they are not feeding. They can sleep according to their comfort. However, when they are feeding then they need to lay side se side position some mothers, particularly larger breasted women, find they will need to roll themselves and their baby over to their other side to feed from the second breast, whilst others will find that once they have fed from the lower breast they can just lean forward and feed from the top breast without changing sides. If you do choose the second alternative you will need to make sure that the lower breast is well drained before switching to the upper breast so that blockages in the milk ducts to not occur.
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I have a marketing job. So I have to travel a lot by two wheeler So I get a lot of pain in my back. Can you suggest some thing by which I don't get pain.

MBBS, MS - Orthopaedics, DNB (Orthopedics)
Orthopedist, Mumbai
The only thing thats going to help you is avoid the two wheeler ride, its a known cause for slip discs and listhesis which cause backaches and frequently severe problems too. Try uisng public transport more frequently. Regarding your backpain, apply hot/cold compresses 3-4 times a day, avoid bending forwards and lifting heavy weights, try early morning joggings and have a healthy diet,
1 person found this helpful
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I am suffering from back pain till 1 month so when ever I lift a bevy weight I have severe pain so pluses make sure me a treatment for this method.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Rest and tk muscle relaxant medicine and do hot fermentation if it work then ok otherwise tk physiotherapy treatment avoid lifting heavyweight and toward bending.
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I daily use jogging on treadmill since 2 years and previously player of badminton. Today after a span of six months I played two games of badminton. I got upper thigh pain from front side where leg joints to trunk. Please recommend remedy and possibilities of causes.

BPTh/BPT, MSPT (Master of Physical Therapy)
Physiotherapist, Madurai
Hi You must do warm up and cool down exercises and stretches before and after match. By that you can avoid most of the sports injuries
1 person found this helpful
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I was riding bike and suddenly I get slipped on the road my left leg was fractured before 6 weeks but it still pains how can I get relief from it.Please tell sir.

DHMS (Hons.)
Homeopath, Patna
Hi, tk homoeo medicne: @ arnica mont 200-6 pills, thrice a day. @ symph 20-6 pills, thrice a day. @ five phos 6x-4, thrice a day. Avoid, jerks, exhertion, junk food. Tk care.
1 person found this helpful
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I operated my right knee in 2013 for acl injury now I have pain some time knee locked so cont move leg for some time some Dr. said muscles are week some said do more exercise so can you tell me what's happen is there any other reason.

Fellowship of the Royal College of Surgeons (FRCS), Membership of the Royal College of Surgeons (MRCS)
Orthopedist, Trichy
there is a possibility of a new meniscal tear. if you pain and locking symptoms then its better to get a repeat MRI.
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Sir my friend is only just 16 years old. He had surgery in knee that over growth or swelling in knee exostosis in knee. How many days will it take to get normal after surgery and CAN he masturbate after surgery in just 15 days,what are the side effects.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
It usually takes 2-3 wks. For any one to recover from knee surgery. Masturbation has nothing to do with recovery from surgery.
2 people found this helpful
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