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Dr. Vandana S. Huded

Physiotherapist, Navi Mumbai

Dr. Vandana S. Huded Physiotherapist, Navi Mumbai
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Vandana S. Huded
Dr. Vandana S. Huded is a trusted Physiotherapist in Nerul West, Navi Mumbai. You can consult Dr. Vandana S. Huded at Arjun Homoeo Clinic in Nerul West, Navi Mumbai. Save your time and book an appointment online with Dr. Vandana S. Huded on Lybrate.com.

Lybrate.com has a nexus of the most experienced Physiotherapists in India. You will find Physiotherapists with more than 43 years of experience on Lybrate.com. Find the best Physiotherapists online in Navi Mumbai. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Shop Number 15, Plot Number 50, Konkan Rail Vihar Rd, Nerul West, Sector 40,Seawoods, Landmark: Sadguru Plaza, Navi MumbaiNavi Mumbai Get Directions
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I am 20 years old boy, I am suffering from backache from a several weeks. I have tried many aids, referred by doctors but all are ineffective. What should I do to get the relief?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
I am 20 years old boy, I am suffering from backache from a several weeks. I have tried many aids, referred by doctors...
*Avoid bending forward while working on lap top or for any other work. *Don’t sit continuously working on laptop etc. Get up periodically and move around. *Restrict bike driving as far as possible. *Don’t carry laptop or any load on your shoulder. Carrying very light loads equally with both hands is better *Sit straight so that back bone gets proper support. A dining chair is better than a laid back sofa. *You can use mustard oil for massage which is good in winter season for relieving pain. Eucalyptus oil is also good *Soft bed will not give proper support to your back bone. Hard bed with thin mattress and thin pillow is better. *Get yourself tested whether you have spondylitis problem. Homoeopathy has a good treatment for this without adverse effects. To start with, take Bryonia 200--once daily in the morning and evening for 6 days.
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Dengue Vaxia

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

Dengvaxia - first vaccine against dengue

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

Read more:

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

Full prescribing info - dengvaxia

Contents

Dengue tetravalent vaccine (live, attenuated).

Indications / uses

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

Dosage / direction for use

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

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

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

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

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

Contraindications

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

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

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

Special precautions

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

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

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

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

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

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

Side effects

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

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

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

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

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

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

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

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

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

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

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

Click to view adr monitoring form

Interactions

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

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

Caution for usage

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

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

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

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

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

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

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

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

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

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

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

Storage

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

Description

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

* ccid50: 50% cell culture infectious dose.

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

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

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

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

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

Mechanism of action

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

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

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

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

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

More information about dengvaxia - first vaccine against dengue

Sanofi awaits govt approval to launch dengue vaccine in india

Sanofi pasteur - dengue vaccine frequently asked questions

13 people found this helpful

My shoulders are having pain daily. I had consulted many doctors. But no use. Is there any solution?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. There are many causes of shoulder pain, but at your age if there is no history of any injury, it can be due to some inflammation, tendinitis etc. Please let me know if there is any associated swelling, skin redness etc? start with gentle anti inflammatory medication which suits you, ice packs 3-4 times in a day at home, intensive physical therapy for around 2 weeks and let me know in 2 weeks time how you are feeling? I would, if possible, also like to see your doctor's prescription papers and x rays or mri, any investigation which you may have done for the problem. Do not hesitate to contact me if you need any further assistance.
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I am suffering from mid bone effect caused during second delivery and medicines continued for pain. It is paining during sitting, standing. I am not able to walk. Then second time when I am gone to the doctor they said that liver is lightly effected by the medicines. So they given both the medicines for paining and for liver. Even then the medicines are not working. So give me the solution for this.

FIPP, MD - Anaesthesiology, M.B.B.S, AAFIPM ( aesculap Academy Fellow in Pain Practice )
Pain Management Specialist, Ahmedabad
I am suffering from mid bone effect caused during second delivery and medicines continued for pain. It is paining dur...
Yes it is common after pregnancy. You get the mri done. Following dat you can have ice application 3 4 times per day still not benefitted v can go ahead with sum intervention.
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I have an pain in my left hand from tw o months. I have shown it to a doctor. He told me that some nerve has been tampered. N gave me some medicines. Bt pain is still there. What should I do. Pain in in my left hand wrist n palm n all fingers. Reply plz.

BPTh/BPT
Physiotherapist, Mumbai
I have an pain in my left hand from tw
o months. I have shown it to a doctor. He told me that some nerve has been tam...
Hi = relax and stay positive. = increase fluid intake. = eat seasonal fruits for natural vitamins = do stretching of hamstring, quadriceps, and calf muscles. = if you are overweight, reduce weight by cycling or swimming as it gives low impact on joints. = do check your calcium and vit. D = apply moist heat pad to affected joint and muscles. If still you dont get relief see a physiotherapist as there are various causes for leg/ joint pain and some test may be required for further investigation. Best wishes.
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I am male person 36 years old suffering with back pain problem since last week and cannot sleep properly. So I request that kindly suggest best medicines.

BAMS
Ayurveda, Ambala
I am male person 36 years old suffering with back pain problem since last week and cannot sleep properly. So I reques...
Dear, First of all check your posture when you are lifting any material like heavy bucket . And try to lift the heavy bucket without bending your back . you may lift the bucket after bending your knees only. This will definitely help you. * Gentle massage with lukewarm mustard oil of your waist area will also give you relief. * Surya Namaskar is only exercise which you need to do. * In diet vegetable protein of cereal , B complex supplements and half teaspoon of haldi in a cup of milk for seven days will give you enough relief.
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A constant mild pain in backbone between shoulders and sometimes sudden muscles contraction in the body, it may be in chest or legs or back.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
A constant mild pain in backbone between shoulders and sometimes sudden muscles contraction in the body, it may be in...
Do Take IFT and laser Therapy for pain relief for 12 days followed by Breathing and stretching exercises from physiotherapist Best wishes.
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I have a doubt that I am suffering from spondylitis. What are the tests that I can go through? What are the natural ways to cure it?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have a doubt that I am suffering from spondylitis. What are the tests that I can go through? What are the natural w...
Neck advice neck exercises. Neck stretching. Postural correction. Shoulder shrugs. Take frequent breaks at work. Core strengthening exercises. Use cervical pillow. Use back support. Self massage the back of neck.
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I am 30 yrs old from the past 5 years I am complaining of lower back ache sometimes. Whenever I do work for full day or stand upright. I do exercises my self to overcome this problem. Sometimes I get pain in both sides of the abdomen and in the left thigh near testicle. Please help me to find the best treatment. I hope for positive response from your side. Thanks.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. You have mentioned persistent back pain since last 5 years, actually in that case I will recommend a thorough work up including mri lower back region, dynamic x rays ans a detailed clinical examination. Also it will be useful if you can see a general surgeon or a urologist and get a usg abdomen and kub region done for yourself as well. I do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation.
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Am getting pain on upper chest bone till hands joints too, I had a vry mild pain since one month but now from d last one week its more paining, what should I do please suggest me! thank u.

Diploma in Acupuncture, Pranic Healing, MD - Acupuncture
Acupuncturist, Bangalore
Massage with your thumbs from the mid points of the shoulder blades on both sides towards the lower back of your head up to lower level of the ears. Use oil or water for massage. Rotate your head clockwise and anticlockwise, forward and down, left and right a few times. Do for 5 to 10 times morning and evening. Give pressure the dipping point on the portion between the thumb and the index finger on the back of the palm. Press and release for 15 times where the pain is more. This will solve the problem. Further do some wrist rotation exercise. Consult after 5 days. For further guidance and treatment.
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I have back ache problem from past 3 years which is called L1S5 (Slip Disk) whats the best solution for this problem. When I do work for long time, it gives me problem during sleep and driving an walk. Please suggest me what to do.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have back ache problem from past 3 years which is called L1S5 (Slip Disk) whats the best solution for this problem....
Extension exercises x 15 times x twice daily. Bhujang asana. Core strengthening exercises. Back stretchingstretch do the cat/cow avoid bending in front. Postural correction- sit tall, walk tall. Apply hot fomentation.
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What is medicine for frozen shoulder. I am suffering from 8 months. There is pain in right shoulder Thnx.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
What is medicine for frozen shoulder. I am suffering from 8 months. There is pain in right shoulder Thnx.
You should take acupressure therapy and take biochemic kali phos 12x +nat sulph 12x, 4 tab each thrice a day with warm water and take it 5 days.
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I have been suffering from pain in my right shoulder for last 2 weeks. Is this pain forgetable or needs some medicine?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Kindly show me x rays of your shoulder. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Do hot fomentation any way take ibuprofen 200mg od & sos x 5days caldikind plus (mankind) 1tab odx10days you will need other supportive medicines also. Do neck & shoulder exercises it may have to be further investigated make sure you are not allergic to any of the medicines you are going to take. Do ask for detailed treatment plan. Do not ignore. It could be beginning of a serious problem.
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I got an fracture. How much time it take to heal. I want to know it as soon as possible.

M S Orthopaedics, MBBS
Orthopedist, Mumbai
Hello lybrate user, healing of a fracture depends on the many things. Firstly, on the bone which is fractured. Large bones of the arm, forearm, thigh and leg usually take 6 weeks or more to heal. Smaller bones of the hand and the foot usually take 3 to 4 weeks to heal. Secondly, the region of fracture in a particular bone. End of bones are highly vascular and heal much faster than the middle part fractures. Thirdly, type of fracture. Simple fractures tend to heal faster than a fracture with many bony fragments which we call communition. Also the gap at the fracture site. More the gap, more delayed is the healing fourthly, the type of intervention which is used. Fractures require rigid immobilization to prevent any motion at the fracture site. Any motion at the fracture site can lead to delayed healing. This rigid immobilization can be provided by use plasters, splints or through surgery and fixation with metallic implants. The better the stability, faster is the healing. Lastly, it also depends on the patient's general health and nutrition. The most important factor is the management. I would suggest, you consult a qualified orthopaedic surgeon for the best management. But, in general a fracture would take anywhere between 3 weeks to 3 months to heal depending on all the factors. But any problem at the fracture site would delay it further. Hope this helps.
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I have a back problem. Some bound pain in leg. Some spot in my hand. So please treatment facility.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have a back problem. Some bound pain in leg. Some spot in my hand. So please treatment facility.
Do the cat/cow Avoid bending in front. Postural Correction- Sit Tall, Walk Tall. Apply Hot Fomentation twice daily. 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. Bhujang Asana – Lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily. Core Strengthening Exercises- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day. Back Stretching- lie flat, pull one of the knee forward to chest, hold for 3 seconds, then bring the other knee forward to the chest and again hold for 3 seconds. Then pull both knees towards the chest and hold for 3 seconds. Repeat 10 times each exercise twice a day. Do the cat/cow stretch. Get on all fours, with your arms straight and your hands directly under your shoulders; your knees hip-width apart.
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My name is anuj I am 18 year old I suffering with the fiberomylegia kind of disease when I wake up in morning my tender of body or joint are continuously pained what I do.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
My name is anuj I am 18 year old I suffering with the fiberomylegia kind of disease when I wake up in morning my tend...
you should take acupressure therapy , take nat phos 3x 4tab thrice a day with warm water, take it, 5 day and inform me .
1 person found this helpful
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Mere knee se chalte huye awaz aati hai or dard hota hai. please btao kya karu.

BPTh/BPT
Physiotherapist, Kota
Mere knee  se chalte huye awaz aati hai or dard hota hai. please btao   kya karu.
Ap milk pijiye or jada stairs na chadiye regular silm way pr chale or traidmile excercise kijiye or hot pack ka use ap kr sakte h. Thnx.
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I am 38 years old I am having back pain what I have to do tell me the answer please.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am 38 years old I am having back pain what I have to do tell me the answer please.
Do the cat/cow avoid bending in front. Postural correction- sit tall, walk tall. Apply hot fomentation twice daily. Extension exercises x 15 times x twice daily. Bhujang asana. Core strengthening exercises. Back stretchingstretch.
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I am suffering from pain in upper left back. It happens if I move my arm or take a heavy breath.

MS - Orthopaedics, MBBS
Orthopedist, Pune
I am suffering from pain in upper left back. It happens if I move my arm or take a heavy breath.
Hello lybrate user, get a chest x-ray done physiotherapy rest hot water fomentation course of analgesics god bless you.
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