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Dr. Vishnu Garje

Physiotherapist, Pune

250 at clinic
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Dr. Vishnu Garje Physiotherapist, Pune
250 at clinic
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Vishnu Garje
Dr. Vishnu Garje is one of the best Physiotherapists in central Panchgani, Pune. He is currently associated with Rao Nursing Home,Bibvewadi in central Panchgani, Pune. Book an appointment online with Dr. Vishnu Garje and consult privately on Lybrate.com.

Lybrate.com has top trusted Physiotherapists from across India. You will find Physiotherapists with more than 26 years of experience on Lybrate.com. You can find Physiotherapists online in Pune 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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Hindi

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Rao Nursing Home,Bibvewadi

#672 5B Ayodhya Complex, Swami Vivekanand Marg, Bibvewadi,Landmark: Opp Canara Bank, PunePune Get Directions
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I am 38yrs old woman. I have problem in my knee since childhood. My patellas are dislocated and as doctors told in childhood ligaments are also loose. As a result often the patella used to get twisted and I used to fell down and after that it was tremendous pain. The same problem persists today also. As I gained weight after birth of 2 children, the pain is now unbearable. Doctor suggested some physiotherapy for temporary relief in my childhood. What is the permanent remedy for this problem?

Diploma in Acupuncture, Pranic Healing, MD - Acupuncture
Acupuncturist, Bangalore
Identify the mid point between the ankle bone and tendons and give pressure with a blunt edge on either side of your foot for 2 minutes. Also give pressure in the web between 2nd and 3rd finger from your toe for 2 minutes. Finally give a good massage for both feet in hot water. Identify the dipping portion on the back of your knee folding. Press this dip with both middle fingers and hold your knee with your thumbs for support. Please swing 20 times morning and evenings. This will relieve your problem. Consult after 10 days.
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Hi, Neck turning is difficult for me and my left arm pains for last 3 months. Please help.

BPTh/BPT
Physiotherapist, Mumbai
Hi, Neck turning is difficult for me and my left arm pains for last 3 months. Please help.
Hi I can understand your problem 1) avoid activities that make your symptoms worse 2) apply hot packs 3) start physiotherapy treatment as electrotherapy will reduce pain and inflammation 4) exercise and manual therapy will help in pain free movement. Please describe your problem in detail and do share investigation reports if you have. Best wishes.
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Since last two months I am suffering from shoulder pain (left). The upper arm also is paining. Tried allopathic medicine fo a month but no results. Some times I feel that there is no strength on my hand. Please suggest treatment and the reason.

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
Since last two months I am suffering from shoulder pain (left). The upper arm also is paining. Tried allopathic medic...
Reason behind such kind of pain and weakness usually is rotator cuff tear. It can be diagnosed by clinical examination and mri. Treatment for this problem is appropriate exercise plan. No medicines are helpful. If exercises are not helpful, then surgery is last option.
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My mom has diabetes and she has always pain in their foot what precautions we have to take to control her diabetes,

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
My mom has diabetes and she has always pain in their foot what precautions we have to take to control her diabetes,
Avoid sugar,junk food, fried food and fruit juices. Exercise regularly and take medicene prescribed by your doctor.
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My father is 55 ys old. He is suffering from back pain. Then we consulted to the doctor. After MRI done, he said it is tb infection. And started medicines like forecox and bendon. After 20 days we went again. The same medicines advised without recommendations of any tests. Is that ok?

Physiotherapist, Latur
My father is 55 ys old. He is suffering from back pain. Then we consulted to the doctor. After MRI done, he said it i...
You can start with back extension exercises Avoid bending and standing for long time. Lifting heavy weights Keep pillow below your knees while lying on bed it will reduce the pain
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I am 27 years old I feeling pain of my ankle, toe, hand finger joints and some small joints And swelling some joints. How to relief at this situation?

MBBS, MD - Physical Medicine & Rehabilitation
Pain Management Specialist, Jaipur
I am 27 years old I feeling pain of my ankle, toe, hand finger joints and some small joints And swelling some joints....
Hello Mr. lybrate-user U r having polyarthralgia. Go for hot packs over affected joints. If not relieved, Get CBC, ESR, CRP done. We need to see your investigations and discuss your problem in detail. I can't write medicines here without proper diagnosis. Kindly consult me in private for complete treatment. Thank u.
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My mother is 67 years old and is suffering from knee pain for last few months. Her blood sugar is 7 hba1c and pp is 212. Pressure is fluctuating day and night. Please suggest how to reduce the pain. Thank you.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
My mother is 67 years old and is suffering from knee pain for last few months. Her blood sugar is 7 hba1c and pp is 2...
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. Hams stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube or normal belt. Repeat 10 times, twice a day. Sports taping- stretch the tape from both ends and apply on the affected area contrast fomentation (hot and cold).
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Back Pain Management

BPTh/BPT
Physiotherapist, Pune
Back Pain Management

Spondylitis includes swelling of the vertebra. It happens because of wear and tear of the ligament and bones found in your cervical spine, which is in your neck. While it is to a great extent because of age, it can be brought on by other reasons too. Side effects incorporate pain and stiffness starting from the neck to the lower back. The spine's bones (vertebrae) get fused, bringing about an unbending spine. These changes might be mellow or extreme, and may prompt a stooped-over posture. Some of the non-surgical methods to treat spondylitis are as follows-

Exercise based recovery/physiotherapy: your specialist may send you to a physiotherapist for treatment. Non-intrusive treatment helps you extend your neck and shoulder muscles. This makes them more grounded and at last, relieves pain. You may neck traction, which includes using weights to build the space between the cervical joints and decreasing pressure on the cervical disc and nerve roots.

  • Medications: your specialist may prescribe you certain medicines if over-the-counter medications do not work. These include:
  • Muscle relaxants, for example, cyclobenzaprine, to treat muscle fits
  • Opiates, for example, hydrocodone, for pain relief
  • Epileptic medications, for example, gabapentin, to ease pain created by nerve damage
  • Steroid infusions, for example, prednisone, to decrease tissue irritation and diminish pain
  • Home treatment: in case your condition is less severe, you can attempt a couple of things at home to treat it:
  • Take an over-the-ounter pain reliever, for example, acetaminophen or a calming medication, for example, advil or aleve.
  • Use a warming cushion or an ice pack on your neck to give pain alleviation to sore muscles.
  • Exercise routinely to help you recover quickly.
  • Wear a delicate neck prop or neckline to get transitory help. In any case, you shouldn't wear a neck brace for temporary pain relief.
  • Acupuncture: acupuncture is a highly effective treatment used to mitigate back and neck pain. Little needles, about the extent of a human hair, are embedded into particular points on the back. Every needle might be whirled electrically or warmed to improve the impact of the treatment. Acupuncture works by prompting the body to deliver chemicals that decrease pain.
  • Bed rest: severe instances of spondylitis may require bed rest for close to 1-3 days. Long-term bed rest is avoided as it puts the patient at danger for profound vein thrombosis (dvt, blood clots in the legs).
  • Support/brace use: temporary bracing (1 week) may help get rid of the symptoms, however, long-term use is not encouraged. Supports worn for a long time weaken the spinal muscles and can increase pain if not continually worn. Exercise based recovery is more beneficial as it reinforces the muscles.
  • Lifestyle: losing weight and eating nutritious food with consistent workouts can help. Quitting smoking is essential healthy habits to help the spine function properly at any age.

Once the conservative treatment fails:

Early aggressive treatment plan of back leg pain has to be implemented to prevent peripherally induced cns changes that may intensify or prolong pain making it a complex pain syndrome. Only approx 5% of total lbp patients would need surgery approx 20% of discal rupture or herniation with neurologically impending damage like cauda equina syndrome would need surgery. Nonoperative treatment is sufficient in most of the patients, although patient selection is important even then. Depending upon the diagnosis one can perform combine properly selected percutaneous fluoroscopic guided procedures with time spacing depending upon patient`s pathology response to treatment. Using precision diagnostic therapeutic blocks in chronic lbp, isolated facet joint pain in 40%, discogenic pain in 25% (95% in l4-5 l5-s1), segmental dural or nerve root pain in 14% sacroiliac joint pain in 15% of the patients. This article describes successful interventions of these common causes of lbp after conservative treatment has failed.

Need for non-surgical options: outcome studies of lumber disc surgeries documents, a success rate between 49% to 95% and re-operation after lumber disc surgeries ranging from 4% to 15%, have been noted. “in case of surgery, the chance of recurrence of pain is nearly 15%. In fbss or failed back surgery the subsequent open surgeries are unlikely to succeed. Reasons for the failures of conventional surgeries are:

  • Dural fibrosis
  • Arachnoidal adhesions
  • Muscles and fascial fibrosis
  • Mechanical instability resulting from the partial removal of bony ligamentous structures required for surgical exposure decompression
  • Presence of neuropathy.
  • Multifactorial aetiologies of back leg pain, some left unaddressed surgically.

Epidural adenolysis or percutaneous decompressive neuroplasty is done for epidural fibrosis or adhesions in failed back surgery syndromes (fbss). A catheter is inserted in epidural space via caudal/ interlaminar/ transforaminal approach. After epidurography testing volumetric irrigation with normal saline/ l. A./ hyalase/ steroids/ hypertonic saline in different combinations is then performed along with mechanical adenolysis with spring loaded or stellated catheters or under direct vision with epiduroscope sciatica gets complicated by pivd with disco-radicular conflict causing radicular pain sometimes disabling. In this era of minimally invasive surgery lot many interventional techniques have evolved to address the disc pathology. We are still working for the ideal, safe effective technique to tackle disco- radicular interphase. Here now we have devised a mechanical neuroplasty or foraminoplasty technique using an inflatable balloon tip catheter with guide wire via targeted transforaminal or interlaminar route aided by drugs instillation. Selected patients are procedured fluoroscopic guided with local anesthesia under prescribed sedation aseptically via preselected route depending upon location type of pivd causing root insult. First a suitable size needle is placed at desired site confirming with radiolucent dye through which hyaluronidase with saline or la was injected. A flexible guide wire is passed at selected location direction on which the inflatable balloon is threaded to the area of interest.

Adhesiolysis is achieved mechanically with inflating balloon for 10 seconds at a time location. We inflated the balloon with contrast agent to have visualization of adhesiolysis opening up of adhesions or root route. Here the balloon pressure time has to be kept in minimum to avoid neurological damage, for which we inflate balloon for 10 seconds at a time. Close observation is made to balloon shape, pressure patient`s response. Once dilatation is done the drug mixture of steroid with la or hynidase/ hypertonic saline is instilled over nerve in epidural space. We have logically used same approach for our balloon neuroplasty foraminoplasty as it is safe targets exactly the area of disco-radicular interphase or conflict. We can manage to address both the exiting and traversing nerve roots with single entry just by manipulating our guide wire to the place of offence. The procedure can be done via transforaminal route at level or level above or below, especially via s1 foramen. Now we are employing this technique for fresh cases coupling with intradiscal decompression aided by instant disc retrieval by epidural balloon inflation with good results. The idd is done by coblation/ laser/ dekompressor or rf biacuplasty. There is scope of coupling this technique with endoscopic spine surgery. By adding “balloon neuroplasty” to the armamentarium of the interventional pain management many patients can be benefited relieved of previously interventionally unmanageable disco-radicular pain including fbss sufferers.

Intradiscal procedures:

Provocative discography: coupled with ct a diagnostic procedure prognostic indicator for surgical outcome is necessary in the evaluation of patients with suspected discogenic pain, its ability to reproduce pain (even with normal radiological finding), to determine type of disc herniation /tear, finding surgical options in assessing previously operated spines.

Percutaneous disc decompression (pdd): after diagnosing the level of painful offending disc various percutaneous intradiscal procedures can be employed.

Ozone-chemoneucleoplasty: ozone discectomy a least invasive safe effective alternative to spine surgery is the treatment of choice for prolapsed disc (pivd) done under local anaesthesia in a day care setting. This procedure is ideally suited for cervical and lumbar disc herniation with radiculopathy. Total cost of the procedure is much less than that of surgical discectomy. All these facts have made this procedure very popular at european countries. It is also gaining popularity in our country due to high success rate, less invasiveness, fewer chances of recurrences, remarkably fewer side effects meaning high safety profile, short hospital stay, no post operative discomfort or morbidity and low cost. If despite the ozone therapy the symptoms persist, percutaneous intradiscal decompression can be done via transforaminal route with drill discectomy/ laser or coblation nucleoplasty/ biacuplasty/ disc-fx / endoscopic discectomy are good alternatives before opting for open surgerical discectomy; which has to be contemplated in those true emergencies, as mentioned above as the first choice. In biacuplasty radiofrequency energy is used in bipolar manner heating shrinking the disc  making it harder as well for weight bearing. It also seals the annular defect ablates annular nerves relievingback pain. In laser or coblation nucleoplasty energy is used to evaporate the disc thereby debulking it to create space for disc to remodel itself assisted by exercises. 

Dekompressor: a mechanical percutaneous nucleotome cuts drills out the disc material somewhat like morcirator debulking the disc reducing nerve compression. A mechanical device cuts drills out the disc material debulking the disc reducing nerve compression curing sciatica brachialgia. It comes in needle size of 17g for lumbar discs 19 g for cervical discs. In lumbar region postero-lateral approach is used  in cervical discs anterolateral approach is used. 

Disc-fx : endoscopic discectomy: in this novel technique a wide bore needle is inserted placed sub-annular in post disc just under the disc protrusion. Disc is then mechanically extracted with biopsy forceps to empty the annular defect. This painful sensitive annular defect supplied be sinuvertebral nerve is thermo-ablated with radiofrequency which also seals the defect to prevent decrease recurrences. Next higher procedure, endoscopic discectomy is done with endoscope put through sheath inserted via posterolateral transforaminal or posterior interlaminar approach. Mostly done under local anaesthesia its fast becoming standard of care for disc protrusion extrusions causing spinal canal stenosis with root or cord compression with leg pain.

Laser discectomy done for closed bulging discs is an outpatient procedure with one-step insertion of a needle into the disc space. Disc material is not removed; instead, nucleus pulposus is debulked by evaporating it by the laser energy. Laser discectomy is minimally invasive, cost-effective, and free of postoperative pain syndromes, and it is starting to be more widely used at various centers. 

Seld: epiduroscopic laser neural decompression is considered an effective treatment alternative for chronic refractory low back and/or lower extremity pain, including lumbar disc herniation, lumbar spinal stenosis, failed back surgery syndrome with morbid adhesion neuritis that cannot be alleviated with existing noninvasive conservative treatment. This procedure is done under vision via an epiduroscope inserted via caudal canal or transforaminally employing front or side firing laser fibers /or fine instruments. If you wish to discuss about any specific problem, you can consult a pain management specialist.

2 people found this helpful

I'd been spending a lot of time lying on my bed lately & This morning when I was trying to push my bed my back kind of snapped/popped, I felt something move there and the pain was just overwhelming. It hurts too much to just sit, lie down or even when just standing. I can't seem to relax my posture, its very painful. What should I do?

MBBS, M. S. Orthopedics, M.ch. Orthopaedics, MD - Sports Medicine
Orthopedist, Delhi
I'd been spending a lot of time lying on my bed lately & This morning when I was trying to push my bed my back kind o...
You might have a muscle spasm. You will require a pain killer and muscle relaxant. No massage at all. With this it should settle down. And yes please Rohit water fomentation of the back
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I am 33 yes of age. Recently I am having knee pain almost everyday n also burning sensation with cramps at times in my knees. Are these symptoms of arthritis. If yes y am I having it at such a early stage. I don't even have kids till now n I am really worried about it. Kindly help.

BPT, BPTh/BPT
Physiotherapist, Delhi
I am 33 yes of age. Recently I am having knee pain almost everyday n also burning sensation with cramps at times in m...
check for vit d, uric acid, b12 deficiencies. for diagnosis. - drink plenty of fluids and avoid overactivity of leg muscles such as climbing stairs to avoid cramps. - rhere is possibilty of weak leg muscles , kindly strengthen your muscles by exercises. do hot hot fermentation to relax your muscles specially at night.
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Hello im siya 28 years old. Since 2 years im having upper back right side pain along with rib pain from side in right. I did everything bt its nt cured pain pattern different throughout the day and even hours. sometime chronic sometime mild. Im so depressed cuz of dis. Can not do any job cuz of dat. Could anyone help me in dis n advice me it is curable or nt. Affected area of right is shoulder, shoulder blades, and rib cage of right side. Thanks.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Hello im siya 28 years old. Since 2 years im having upper back right side pain along with rib pain from side in right...
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.
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Physiotherapy And Soft Tissue Injuries

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Physiotherapy And Soft Tissue Injuries

A soft tissue injury occurs due to overuse of ligaments, muscles or tendons. Most cases of soft tissue injuries occur due to uncontrolled or unexpected movement. A Certain example of the same includes awkward stepping of foot and getting the ankles rolled. Soft tissue injury can also happen from overuse of muscles, tendons, and ligaments. The example of the same includes using the same hand for heavy lifting day after day. Certain soft structures of the body that are prone to injuries are Achilles tendons and calf muscle.

Difference Between a Sprain and a Strain:

A strain is defined as a trauma that occurs to the tendons or muscles because of overstretching. Tendons are soft in nature and are responsible tying the muscle and the bone together. Sprain, on the other hand, are trauma caused due to overstretching of the ligaments. There exist 3 severity levels: grade 1 is mild tenderness and minimal stretching of the soft tissue, grade 2 is a tear of fiber resulting in swelling and moderate pain, grade 3 is a rupture of the soft tissue resulting in sharp pain, deep swelling and immobility of the affected area.

Pre-medical Care:

Immediately after the injury, certain things such as total rest and immobility should be ensured, an ice pack should be applied to the structure, compression, and elevation should be ensured in order to avoid any major damage to the soft tissue. Certain things that hamper the healing process immediately after the injury include applying heat to the injured area, consumption of liquor, exercising or running with an injured condition and massaging the injured area.

Physiotherapy For Soft Tissue Injury:

  1. Pain Relief: The first task for a physician is to ensure that the level of pain comes down. Although this is the primary task of a medical practitioner, physiotherapists ensure that the pain does not aggravate to an unbearable level. They recommend certain movements and advice against some movements which could do harm to the injured structure.

  2. Full Structure Movement: The immediate goal of a physiotherapist is to ensure that the full movement of the injured structure is regained at the earliest. This includes identifying abnormalities, verifying the range of motion and suggests corrective exercises ensure that the full movement of the soft tissue can be regained without having to go through the hassle of a surgery.

  3. Muscle Strengthening: While the injured structure is in the process of healing, physiotherapists ensure that the surrounding muscles support the tendon and the ligament by binding well. This is done by suggesting very individualistic exercise for the muscle to hold up. It also negates the possibility of a recurring injury at the same place.

9 people found this helpful

I got pain in left leg muscle and knee and muscle of leg next to groin. Also have some white dots on skin on wrist.

MBBS
General Physician, Cuttack
I got pain in left leg muscle and knee and muscle of leg next to groin.
Also have some white dots on skin on wrist.
1.Take one tablet of crocin pain relief sos after food upto a maximum of 3 tablets daily 2.Apply volini gel twice daily 3.Give warm compress locally 4. Take rest
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I have joint pain on knee since long time after taking medicine is okay. Do you have any permanent solution?

International Arthroscopy , Shoulder Surgery Fellowship, M Ch. Ortho, Fellowship in Joint Replacement, Fellowship Tr.Sports surgery/arthroscopy, Fellowship in Orthopaedic Rehabilitation (FOR), MS - Orthopaedics, MBBS
Orthopedist, Delhi
We need to ascertain cause of pain to treat you and your symptoms by pain killlers Dr Kamal Bachani,MS(ortho)
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Since there is occasional back pain - occasional pain in right testicle - occasional restriction in passage of urine - also swelling in umbilical area - under these conditions and since I am aged 65 years - what kind of condition I may be in please...."

MPTh/MPT, MSC CVR, MANUAL THERAPIST
Physiotherapist,
Get a urological screening done, You could be a lumbosacral radiculopathy, prostate enlargement or many other possibilities.
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I am 47 years male and having sugar last 7 years with thyroid problem. And feel tired and bodyache and left leg pain below knee. Please advice what would be my diet and some healthy medicine.?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 47 years male and having sugar last 7 years with thyroid problem. And feel tired and bodyache and left leg pain ...
IN HYPOTHYROIDISM:--- where there is deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving thyroxine tablets. And dose are according to level of thyroid for life time. Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consult doctor on time.
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What is the reason of knee dislocation? Is it a serious problem or normal problem?

MD(EH)/AM/Accupressure
Acupressurist, Chandigarh
What is the reason of knee dislocation?
Is it a serious problem or normal problem?
Dear lybrate user, there are so many reasons of dislocation of knee as running wrong posture for a long time lifting of weight. You must take care of it. You may take a homeo medicine sulf. 30 empty stomach three drops in water daily morning empty stomach. After that call back with the results for further course of action.
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My father is suffering from elephantiasis. He just can not bear the pain, I need advise? He can not even move a little bit! Please help?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Pune
My father is suffering from elephantiasis. He just can not bear the pain, I need advise?
He can not even move a littl...
Do oil massage, take proper diet, stress free life, take milk & milk products, take dry fruits,seasonable fruits,green vegetables,do regular exercise, yoga ,pranayam. Avoid - oily,spicy ,fast,bakery foods, excessive salt intake,dry foods,food kept in fridge,excessive tea,coffee,cold drinks,tobacco,smoking,alcohol etc.if any of these addiction... All The Best..
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I am 63 year old male, having- (1) a sciatica on right side (2) herniation between in lumber, as a result suffering from leg and lower back pain. I want your valued answer of treatment.

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. For me to answer your question, I need some information from your side: - a detailed neurological examination including assessment of motor, sensory ex and analysis of deep tendon reflexes of lower limbs - dynamic x rays of ls spine - mri ls spine to correlate clinical findings with radiology. 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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