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Dr. Rajiv Desai

Orthopedist, Mumbai

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Dr. Rajiv Desai Orthopedist, Mumbai
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Personal Statement

My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Rajiv Desai
Dr. Rajiv Desai is an experienced Orthopedist in Kandivali West, Mumbai. He is currently associated with Mangal Murti Hospital & Polyclinic - Kandivali West in Kandivali West, Mumbai. Book an appointment online with Dr. Rajiv Desai and consult privately on Lybrate.com.

Find numerous Orthopedists in India from the comfort of your home on Lybrate.com. You will find Orthopedists with more than 36 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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English
Hindi

Location

Book Clinic Appointment with Dr. Rajiv Desai

Mangal Murti Hospital & Polyclinic - Kandivali West

Plot No 264, Tirupati Balaji Chs, Charkop, Dr Babasaheb Ambedkar Road, Kandivali West. Landmark: Near Parche Medical Shop, MumbaiMumbai Get Directions
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Hi my aunt, got diagnosed with diabetes last saturday and she is having pain in legs from long time so we consult doctor and found sugar level on 355 on saturday and 325 on monday. Could you please suggest what can be done here to bring down the sugar level in body as the doctor to whom we are consulting is just prescribing medicine and there is no significant change in situation so far?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I think your aunt require immediate medical attention. First of all her sugar levels must be kept normal either by insulin or any other medicine prescribed by your doctor. Consult an endocrinologist. In case of severe medical attention, homoeo medicines can be taken as helping medicine. Once you r out of your crital position please try to get rid of the trong allopathic mediciness as soon as possible with side by side taking homoeo medicines.
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I am 18 year old after sleeping my back is full of pain no medicine can relief me what should I do for my back pain?

MD, BAMS
Ayurveda, Mumbai
I am 18 year old after sleeping my back is full of pain no medicine can relief me what should I do for my back pain?
Hello, you can start wid 1. Yograj guggul 2 tablets twice a day with warm water. 2. Apply mahanarayan oil gently on back followed by hot fomentation twice a day. See that your bowel is cleared everyday. Avoid long time sitting or standing or sleeping in one position.
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I am 40 year old I am suffer from shoulder pain from last 3 month. While playing volleyball I am slip. What should we do?

BPTh/BPT
Physiotherapist, Mumbai
I am 40 year old I am suffer from shoulder pain from last 3 month. While playing volleyball I am slip. What should we...
Hi start physiotherapy sessions. Meanwhile apply cold pack for 20 min. Thrice a day for 5 days. Still pain doesn't go and need further advice contact me via lybrate. Wishing you a good health.
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I have black tiny muscles emerging at my neck and armpits. I want to know what these are and how can I cure?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Requires detailed investigation and examination Presently investigations suggested: hb, tlc, dlc, esr, blood sugar fasting & pp, uric acid vit d xray of the affected part. Anyway you may try 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 fomentation. 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 you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, inform.
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Hello how to detect if having diabetes. .wht kind of test needed to detect it. I'm having upper n mid back pain in right side since last year .cause still nt clear. Movement I can do any activity I can do. When sitting in chair or in something hard surface dat area painful. Pain sometime less sometime intense. Ntg helping me can it's something else cause of dis pain. I hv insulin resistance.

PG Certificate (Sports), Bachelor of Physiotherapy
Physiotherapist, Ghaziabad
Hello how to detect if having diabetes. .wht kind of test needed to detect it. I'm having upper n mid back pain in ri...
Dear lybrate-user, for diabetes get hba1c blood test done. And also get your vit d3 levels checked. You may have muscular weakness as the cause of your pain.
2 people found this helpful
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I am diabetic. Hypertensive. After lifting a bucket of water have muscular pain n rt arm. Pls do advise.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I am diabetic. Hypertensive. After lifting a bucket of water have muscular pain n rt arm. Pls do advise.
Take heat formation and give rest your hand after this apply pain relief ointment. And avoid over strain if it work then ok otherwise ultrasonic therapy for your diabetic and hypertensive so be passionate.
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Dengue Vaxia

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician, Gorakhpur
Dengue Vaxia

Dengvaxia - first vaccine against dengue

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Read more:

Dengue symptoms and what to do if you think you have denguedengue fever - remedies using papaya leaf juice

Full prescribing info - dengvaxia

Contents

Dengue tetravalent vaccine (live, attenuated).

Indications / uses

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Dosage / direction for use

The patient will receive 3 injections of 0.5 ml each at 6-month intervals.

The first injection will occur at the chosen or scheduled date; the second injection, 6 months after the first injection; and the third injection, 6 months after the second injection. Dengvaxia should be used according to the local vaccination schedule.

If the patient forgot an injection of dengvaxia: if the patient missed a scheduled injection, the physician will decide when to give the missed injection.

It is important that the patient follows the instructions of the physician, pharmacist or nurse regarding return visits for the follow-up injection. If the patient forgets or is not able to go back to the physician, pharmacist or nurse at the scheduled time, ask the physician, pharmacist or nurse for advice.

Administration: dengvaxia is given by the physician or nurse as an injection underneath the skin (subcutaneous route) in the upper arm.

Contraindications

Do not use dengvaxia if the patient is allergic (hypertensive) to the active substances or any of the other ingredients of dengvaxia listed in description (see description); has developed an allergic reaction after prior administration of dengvaxia. Signs of an allergic reaction may include an itchy rash, shortness of breath and swelling of the face and tongue; is suffering from a disease with mild to high fever or acute disease. In this case, the physician will postpone the administration of dengvaxia until the patient has recovered; has a weakened immune system, for example due to a genetic defect, hiv infection or therapies that affect the immune system (for example, high-dose corticosteroids or chemotherapy); is pregnant; is breastfeeding.

Use in pregnancy lactation: dengvaxia must not be given to pregnant or breastfeeding women.

If the patient is of child-bearing stage, the patient should take the necessary precautions to avoid pregnancy for 1 month following administration of dengvaxia; is pregnant or breastfeeding, the patient thinks may be pregnant or is planning to have a baby, ask the physician, pharmacist or nurse for advice before receiving dengvaxia.

Special precautions

Inform the physician, pharmacist or nurse before receiving dengvaxia if the patient is taking an immunosuppressive treatment (prednisone or equivalent to 20 mg or 2 mg/kg for 2 weeks or more). The physician will postpone administration of dengvaxia until 4 weeks after the treatment is discontinued; has experienced any health problems after prior administration of any vaccines. The physician will carefully consider the risks and benefits of vaccination.

As with all vaccines, dengvaxia may not protect 100% of persons who have been vaccinated. Vaccination with dengvaxia is not a substitute for protection against mosquito bites. The patient should take appropriate precautions to prevent mosquito bites, including the use of repellents, adequate clothing, and mosquito nets.

Fainting, sometimes accompanied by falling, can occur (mostly in adolescents) following, or even before, any injection with a needle. Therefore inform the physician, pharmacist or nurse if the patient fainted with a prior injection.

Adults above 45 years of age: adults above 45 years of age should not receive the vaccine.

Driving and using machines: no data are available on the effects of dengvaxia on the ability to drive or use machines.

Use in children: children less than 9 years of age should not receive the vaccine.

Side effects

Like all medicines, dengvaxia can cause side effects, although not all patients get them.

Serious allergic reactions: if any of these symptoms occur after leaving the place where the patient received an injection, consult a physician immediately: difficulty in breathing, blueness of the tongue or lips, a rash, swelling of the face or throat, low blood pressure causing dizziness or collapse.

When these signs and symptoms occur they usually develop quickly after the injection is given and while the patient is still in clinic or physician's surgery.

Serious allergic reactions are very rare (may affect up to 1 in 10, 000 people), after receiving any vaccine.

Other side effects: the following side effects were reported during clinical studies in children, adolescents and adults (from 9 to and including 60 years of age). Most of the reported side effects occurred within 3 days after the injection of the vaccine: very common (may affect more than 1 user in 10): headache, muscle pain (myalgia), generally feeling unwell (malaise), feeling of weakness (asthenia), injection site pain, fever.

Common (may affect up to 1 user in 10): injection site reactions: redness (erythema), bruising (hematoma), swelling, and itching (pruritus).

Uncommon (may affect up to 1 user in 100): infections of the upper respiratory tract, dizziness, sore throat (oropharyngeal pain), cough, runny nose (rhinorrhea), nausea, skin eruption (rash), neck pain, hardening of skin at the injection site (injection site induration).

Additional side effects in adults (from 18 to and including 60 years of age): uncommon (may affect up to 1 user in 100): swollen glands (lymphadenopathy), migraine, joint pain (arthralgia), flu-like symptoms (influenza-like illness).

Additional side effects in children and adolescents (from 9 to and including 17 years of age: uncommon (may affect up to 1 user in 100): itchy rash (urticaria).

Reporting of side effects or any suspected adverse event: if the patient experiences any side effects after vaccination, advised to seek immediate medical attention.

By reporting side effects, it can help provide more information on the safety of the vaccine.

Click to view adr monitoring form

Interactions

Using other medicines and dengvaxia: dengvaxia may not have an optimal effect if it used at the same time as medicines that suppress the immune system such as corticosteroids or chemotherapy.

Inform the physician, pharmacist or nurse if the patient is taking or has recently taken any other vaccines or any other medicines, including medicines obtained without a prescription.

Caution for usage

Before administering any biological, the person responsible for administration must take all precautions to prevent allergic or other reactions. As with all injectable vaccines, appropriate medical treatment and supervision must always be readily available in the event of an anaphylactic reaction following the administration of dengvaxia.

Epinephrine (1: 1000) and other appropriate agents used to control immediate allergic reactions must be available to treat unexpected events such as anaphylaxis.

Dengvaxia must not be mixed with other medicinal products in the same syringe.

Dengvaxia must not be administered by intravascular injection under any circumstances.

Syncope (fainting) can occur following, or even before, any vaccination as a psychogenic response to injection with a needle. Procedures should be in place to prevent injury from falling and to manage syncopal reactions.

Separate syringes and needles, separate injection sites and preferably separate limbs must be used if any other vaccine (s) or medicinal product (s) is/are concomitantly administered.

Dengvaxia is reconstituted by transferring all the solvent (0.4% sodium chloride solution) provided in the blue-labeled pre-filled syringe into the vial of freeze dried powder with a yellowish green flip off cap. The pre-filled syringe is fitted with a sterile needle for this transfer. The vial is then gently swirled. After complete dissolution, a 0.5 ml dose of reconstituted suspension is withdrawn into the same syringe. For injection, the syringe should be fitted with the new sterile needle.

The suspension should be visually inspected prior to administration. After reconstitution, dengvaxia is clear, colorless liquid with the possible presence of white to translucent particles (of endogenous nature).

After reconstitution with the solvent provided, dengvaxia must be used immediately.

Any unused dengvaxia or waste material should be disposed of, preferably by heat inactivation or incineration, in accordance with local regulations.

Do not throw away any medicines via wastewater or household waste. Ask a pharmacist on how to throw away medicines that no longer use. These measures will help to protect the environment.

Storage

Store in a refrigerator. Do not freeze. Keep the vaccine in the outer carton in order to protect it from light.

Description

After reconstitution, one dose (0.5 ml) contains 4.5-6.0 log10 ccid50* of each serotype of the cyd dengue virus** (1, 2, 3 and 4).

* ccid50: 50% cell culture infectious dose.

** produced in serum-free vero cells by recombinant dna technology.

The powder is a white, homogenous, freeze-dried powder with possible retraction at the base, and may form a ring-shaped cake.

The solvent (0.4% sodium chloride solution) is a clear, colorless liquid.

After reconstitution with the solvent provided, dengvaxia is a clear, colorless liquid with the possible presence of white to translucent particles.

Excipients/inactive ingredients: essential amino acids including l-phenylalanine, non-essential amino acids, l-arginine hydrochloride, sucrose, d-trehalose dihydrate, d-sorbitol, trometamol, urea, sodium chloride, water for injections.

Mechanism of action

Dengvaxia contains dengue virus serotypes 1, 2, 3 and 4 that have been weakened. Dengvaxia works by stimulating the body's natural defenses (immune system), which produces its own protection (antibodies) against the viruses that cause dengue disease.

Dengue is a viral infection transmitted to humans through the bite of an infected aedes mosquito. Dengue is not transmitted directly from person-to-person. Nevertheless the virus which replicates in an infected individual can be transmitted to other humans through mosquito bites for 4-5 days (maximum 12 days) after the first symptoms appear.

Dengue disease results in a wide range of symptoms including fever, headache, pain behind the eyes, muscle and joint pain, nausea, vomiting, swollen glands or skin rash. Symptoms usually last for 2-7 days. Dengue disease can also be asymptomatic.

However, occasionally dengue can be severe and potentially lead to hospitalization and in rare cases to death. Severe dengue is characterized by high fever and any of the following symptoms: severe abdominal pain, persistent vomiting, rapid breathing, severe bleeding, bleeding in stomach, bleeding gums, fatigue, restlessness, coma, seizure and organ failure.

Source:- http://www.mims.com/philippines/drug/info/dengvaxia

More information about dengvaxia - first vaccine against dengue

Sanofi awaits govt approval to launch dengue vaccine in india

Sanofi pasteur - dengue vaccine frequently asked questions

14 people found this helpful

I am a female aged 58 years. I have osteoarthritis. I am taking calcium substitute in the form of CCM (Calcium Citrate Malate-Vitamin D3 Oral). Is it a good calcium supplement or is there any other which is better than this?

MD - Medicine , MBBS
General Physician, Vadodara
Please check your Vitamin D. Calcium supplement will not digest unless you have proper vitamin D supplement also. You can restrain yourself from all fermented food. Check for ozone doctor in your city, ozone therapy may help you.
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I have met with accident. And I was injured. There is no any fractures but injuries are there. I am using megapen capsules an antibiotic and megaheal ointment to heal the injuries. But the injuries are not getting recovered since 10 days. I kindly request you to suggest good antibiotics and ointment.

FAMS, MS - Orthopaedics, Diploma In Orthopaedics (D. Ortho)
Orthopedist, Indore
Dear lybrate-user, hello, some bodies have a little slow healing speed. You are taking right drugs. You should get surgical /aseptic dressings done in good clinics/ hospitals with sterile dressing material. Have patience. You will settle soon. Take care.
1 person found this helpful
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I had undergone ACL reconstruction surgery and today (21.11.2017) is the 10th day. Presently I face the following problems. (1) Swelling &pain in the knee (mild) and swelling in the foot (mild). (2) Knuckle occurs (with a popping sound and pain) when rising up from the bed (bending the knee from a fully stretched position. The knee is also very stiff when rising up. (3) Whether knee exercises can be done in the swelled position? Kindly suggest the possible solutions.

MBBS, M. S. Orthopaedics, Fellowship in Arthroscopy and sports medicine, DNB (Orthopaedics)
Orthopedist, Jaipur
I had undergone ACL reconstruction surgery and today (21.11.2017) is the 10th day. Presently I face the following pro...
Hi. 1) Pain will be there for some time and it will reduce gradually. Swelling over the knees and foot will take some time to go as it is the dependent edema. Keep leg elevated over pillow and apply ice pack. 2) Physiotherapy should be done as the Quadriceps are now not firing so do your Quadriceps stretching and static strengthening exercises. 3) Yes definitely you should do exercises or else swelling may remain and your muscles will get wasted.
1 person found this helpful
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