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Dr. Surendra Singh

Orthopedist, Mumbai

Dr. Surendra Singh Orthopedist, Mumbai
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Surendra Singh
Dr. Surendra Singh is a renowned Orthopedist in Kurla West, Mumbai. You can visit him at Fauziya Hospital in Kurla West, Mumbai. Save your time and book an appointment online with Dr. Surendra Singh 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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Fauziya Hospital

#209, Solanki Apartment, L.B.S. Marg, Kurla West, Landmark: Opposite Kurla Way Bridge & Next to shara hotel, MumbaiMumbai Get Directions
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My left ankle is pain in 1year, medicine and silicon pad is not effective, now what I do?

Fellowship in Neurological Rehabilitation, BPTh/BPT
Physiotherapist, Gurgaon
Hi, A common cause of ankle pain is a sprain, but a lot of other causes can lead to ankle pain. Consult a orthopedician or physiotherapist to have an accurate diagnosis. Advice: *Do Hot or cold or contrast bath: alternating cold and hot water bath with a ratio of 1: 2 mins (Like 2 min hot and one min cold water). * Avoid standing for long hours and walking bare foot. * Lose weight if you are overweight. •Do stretching of the muscles that support the ankle like calf muscle stretch. *Avoid sports and activities requiring high impact ground landing or stress foot like lawn tennis or basket ball or football specially without proper conditioning. *Make sure that shoes fit you properly. *Work on strengthening, balance and do agility exercises under physiotherapist supervision. Thanks and get well soon!
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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 have very curved spinal. How to resolve it. I work mainly seating. So I got little bend. What can I do.

MS - Orthopaedics
Orthopedist, Surat
You have to take x-ray and measure the curve of spine. If the curve is small, exercises may be done to prevent it from developing further. Operations are also available. If you are having sciatic scoliosis, it will get corrected with proper treatment of back pain.
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I am 30 year old male have problem of morning foot pain & more sweating. what to do?

BPTh/BPT
Physiotherapist, Delhi
I am 30 year old male have problem of morning foot pain & more sweating. what to do?
Wearing a pair of comfortable lacced up shoes which would support your foot rather then high heels and slipper will prevent you from falling & you tack hot water in a tub & deep your foot in tub sometime.
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I'm SLE patient since 2014 but at present I have little seasonal knee pain only. Thyroid reports are normal, still I'm using thyrofit 75 mg tablet daily as suggested by the doctor. Recently I have diagnosed and ascertained that I'm having deficiency levels of Vitamin D i.e. 9.58 ng/ml. Please suggest me a better solution.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
I'm SLE patient since 2014 but at present I have little seasonal knee pain only. Thyroid reports are normal, still I'...
Cap DWell Aq weekly for 2 month Tab CCM once daily with meal for two months. Take these two for getting better results for Vit d.
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I am suffering from knee pain badly tht pain goes til my tight and I feel bad burnt inside my legs and it's unsaleable suggest me somthng I cannot sit on floor. All feel joke at home wen I tell them.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am suffering from knee pain badly tht pain goes til my tight and I feel bad burnt inside my legs and it's unsaleabl...
Advice. Avoid sitting cross legged. Avoid squatting- quadriceps exercises- lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain. Core strengthening exercise- straight leg raised with toes turned outward, repeat 10 times, twice a day.
2 people found this helpful
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Am suffering from back pain from the past two months. I works in shifts. Can you please suggest to take preventive steps to reduce my stress.

BHMS
Homeopath, Delhi
Am suffering from back pain from the past two months. I works in shifts. Can you please suggest to take preventive st...
Hi lybrate user. For backpain firstly you have to take care of your posture. Maintain an erect posture while at work. Stretch your body after every few hours of work. And also you should do some yoga exercises for your back like sarvaang asan,snake asan etc
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I am suffering from a back pain from last three months I have taken lots of medicines and other treatments which other people told me but it is helpless so please help what can I do?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am suffering from a back pain from last three months I have taken lots of medicines and other treatments which othe...
Extension exercises x 15 times x twice daily - lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times.
1 person found this helpful
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What is reason for my problem. That is neck pain, shoulder tightness and right chest tightness.

MBBS, MBA (Healthcare)
General Physician, Delhi
apply volini gel on neck. do warm fomentation. do neck muscle exercises when ever pain free. avoid high pillow. inform if not ok.
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I am (male) 27 years old from Krishna district .I am suffering from ankle pain (under the ankle). It started only after continuously sitting and after Early morning wakeup.

MBBS, MD - Anaesthesiology, FIPM, Fellowship in palliative medicine, certificate in interventional pain management
Pain Management Specialist, Pune
I am (male) 27 years old from Krishna district .I am suffering from ankle pain (under the ankle).
It started only aft...
Heel pain as in your situation is most likely due to plantar fascitis. In Plantar fascitis there is inflammation of the fascia at undersurface of heel and sole. Treatment mostly is conservative and lifestyle modifications to achieve maximum functionality with minimum pain. Follow these lifestyle changes religiously to get benefit. 1. Reduce body weight if you are obese, as obesity will aggravate the stress on heel. 2. Avoid exercises like running / walking on hard surfaces. Stop such activities when you start developing pain. 3. Roll your feet on bottle of cold water for 20 mins 4 times a day or can apply ice pack. 4. Use shoes with silicone sole inserts. 5. Do calf muscle and heel stretches daily. 6. Avoid prolonged standing or sitting. 7. Use night splint to keep foot flexed at night. Stop using it once pain is relieved. 8. Use analgesics like Ibuprofen for decreasing pain and inflammation. With above measures you will have relief, If problem persists you can get injection at plantar fascia. With proper lifestyle changes as above 90 % patients have relief and functionality. Only 10% patients would require surgical intervention like plantar fascia release or gastrocnemius recession. For further queries consult again.
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I have problem, there is locking and popping noise from my legs, knees and neck. Please help me.

A.F.I.H, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Gurgaon
I have problem, there is locking and popping noise from my legs, knees and neck.
Please help me.
Your muscles tone appears weak, can be due to many reasons for which you should be investigated. Physiotherapy will help.
2 people found this helpful
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I am 50 years old female and suffering from joint pains all over my body. What should I do for it, and should be my diet for everyday.

BPTh/BPT
Physiotherapist, Mumbai
I am 50 years old female and suffering from joint pains all over my body. What should I do for it, and should be my d...
Hi take hot water bath twice daily, sleep on hard and even mattress. Kindly rule out your uric acid, calcium, vitamin d and other metabolic disorders. Best wishes.
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I have sciatica problem from past 1 yr. Can we solve it completely? I am under physiotherapy medication it helps me to control pain but I wanted to cure it fully, can anyone suggest me.

MS Orthopaedics
Orthopedist, Panchkula
I have sciatica problem from past 1 yr. Can we solve it completely? I am under physiotherapy medication it helps me t...
You have selected the right treatment ask your physio to tell you back exercise and have rest lying down in bed for a week You can take sides The sciatica will go away.
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I Am 25 years old girl I suffering from left leg joint pain from 1 month what can I do?

MD.ayurveda , Diploma in Aesthetic Medicine, Diploma in Trichology - Cosmetology, Diploma in Diet and Nutrition, Register master Ayurveda practitioners
Dermatologist, Mumbai
I Am 25 years old girl I suffering from left leg joint pain from 1 month what can I do?
At this age joint is cause of concern, get your knee joint x-ray, mostly chance are that there is injury related cause at the joint you can start with following ayurveda treatment, tab maha yograj guggul 1 tab twice a day syp maha rasanadi 20 ml twice a day, rest can deffer depending on x ray report.
4 people found this helpful
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I am 50 year old man, getting pain on right shoulder for the last ten days. Please advice.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am 50 year old man, getting pain on right shoulder for the last ten days. Please advice.
Kindly show me a photograph of the affected part. 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 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 1 wk, contact me again. Do not ignore. It could be beginning of a serious problem.
1 person found this helpful
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When I am walking I feel my knees are making some sort of sound like tak tak Wht is the reason?? And can I go for jogging and on trade mill? I am over weight around 80 kg And my height is 5'2 Suggest me.

DNHE, BPTh/BPT, weight management specialist
Dietitian/Nutritionist, Kolkata
When I am walking I feel my knees are making some sort of sound like tak tak Wht is the reason??
And can I go for jog...
If you are having knee problem, get yourself checked by an orthopedic, if its early arthritic changes seen in your knee joint, then don't go for treadmill running, firstly you can take physiotherapy for your knee joint, do exercises given by the therapist to strengthen knee muscles, and take necessary precautions for further damage, secondly start with your weight loss goal, do exercises like brisk walk on a smooth surface, yoga and a proper balanced diet to loose weight.
1 person found this helpful
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M pardeep kaur. M 43year old lady. Having hyper acidity nd constipation too. M also suffering from joints pain. I want to reduce my weight.

fellowship in diabetes, Professional Training in Mind Body Medicine, MS, MBBS
Dietitian/Nutritionist, Ahmedabad
M pardeep kaur. M 43year old lady. Having hyper acidity nd constipation too. M also suffering from joints pain. I wan...
Hello lybrate-user, to achieve weightloss - think long term. Weight loss achieved over short term, always comes back. There is a general approach and a specific approach as per individual patients metabolic profile. Try this general approach (see below) for 4 weeks. If this works then continue. If this is not enough then revert for further assessment and customised approach. With customised lifestyle modification approaches, people over 100-150 kg are also losing weight for long term. 1. Do not eat anything sugary or sweet. Zero sweetness in diet. 2. Eat plenty of salad in lunch and dinner along with other foods. 3. Do not drink any liquid calorie like cola or fruit juices. 4. Go for brisk walks or jogging for 45 minutes every day.
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