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Dr. Vinayak P. Patil

Pain Management Specialist, Sangli

Dr. Vinayak P. Patil Pain Management Specialist, Sangli
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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. Vinayak P. Patil
Dr. Vinayak P. Patil is a renowned Pain Management Specialist in Vishrambagh, Sangli. You can meet Dr. Vinayak P. Patil personally at Vinayak Sangli Pain Clinic in Vishrambagh, Sangli. Book an appointment online with Dr. Vinayak P. Patil and consult privately on has a number of highly qualified Pain Management Specialists in India. You will find Pain Management Specialists with more than 31 years of experience on Find the best Pain Management Specialists online in Sangli. View the profile of medical specialists and their reviews from other patients to make an informed decision.


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Vinayak Sangli Pain Clinic

Nilaya Opp. Pushkuruj Ashish Apt Near Khare Club House Dhamni Road VishrambagSangli Get Directions
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I haven't been able to sleep since 2 days and I am having a severe headache, tried multiple home remedies, but didn't work, what to do? Please help me!

MBBS, Diploma In Dermatology And Venerology And Leprosy (DDVL)
Dermatologist, Raigarh
Headach as of now for headache you can take tablet paracetamol. But we will have to make a diagnosis to get to the cause of it which can be either due to frontal sinusitis or due to migrane or due to refractive error of the eyes or due to other causes for which we have to investigate.
2 people found this helpful
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I pee a lot and there's also a little bit of stiffness in my stomach when I get up in the morning as if I have not peed for hours and also I think I have problem of premature ejaculation.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Actually your pelvic floor muscles are weak may be due to excessive masturbation and weakness------------in my routine practise I have come across many cases of pe and in 80 % cases the reason was the same and that was h/o masturbation frequently or sexual excesses along with erection problems. If yours is also such kind of a case then please feel free to consult me as myself being a homoeopathic physician with a experience of 20 years in this field, can assure you that your problem of pe or any other problem regarding sex will be permanently cured with some very effective homoeopathic treatment and management.------------
1 person found this helpful
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I am 20 years old. I usually suffer from backache. What can be the remedies for it?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
You most probably are suffering from oa of knee. Knee surgery-total knee replacement (tkr) is quite safe & gives uniformly good results, in our hands. We have well equipped centers in delhi. Do ask for detailed treatment plan. Surgery should be done when patient is still active & will be able to take benefit of surgery. Do not ignore. It could be beginning of a serious problem. Kindly show me x rays before a final decision can be taken. You will be thoroughly investigated before surgery is under taken.
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I am 35 years male. I don't smoke but why my joints are paining for last 2-3 month. Please advise.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Kindly show me a photograph & digital X RAYS of 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 Use no pillow under the head. 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. Do reply back for detailed treatment plan. Do not ignore .It could be beginning of a serious problem.
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My age 23 and height 5.11fit and My weight is 81. I lost my energy in some small works. heartbeat fast. When I wakeup my foot is paining. When I stand my backbone pain.

General Physician, Mumbai
Apart from taking symptomatic treatment take Tablet folvite 5mg once a day for six months and tablet vitamin D3 60000iu once a week for six months and exercise regularly
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Im 18 years old and I have pain in my back. I used to take medicines. But does not work. Even take advice of doctors but not work. After that I started excursions. Now its more pain full. What should I do now? Im dying day by day. Hi I know here have lot of experts so I decide to visit here. Please if anyone can help me than help. Im really in a big trouble. Please it my request.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
Back pain may be due to strain, sprain, weather change etc. 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 calc fluor 200--once daily in the morning for 6 days.
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Dengue Vaxia

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


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.


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


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.


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


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.


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 22 year old I have pain in my joints I use move to have relief for a period of time. What can you do for this?

Physiotherapist, Delhi
Start with Physiotherapy treatment. Learn exercise for Spine and knee joint. Don't sit on floor. Don't lift heavy things. Apply volini cream before sleeping. Take Calcium; multivitamin and vitamin D 3 for 2 month.
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Low Back Ache - Causes and Treatment

Partners in Health
Multi Speciality, Gurgaon
Low Back Ache - Causes and Treatment

There is a fun saying that anybody who has a back is going to have back pain. Jokes apart, its a stark reality that we are witnessing and will continue to witness in the coming decades due to the over dependence on machines for day to day activities and a higher prevalence of sedentary life style, especially among the young generation whose work depends on computers and staying indoors mostly.

90% people suffer from back pain in their lifetime, among them a fair number need medical help for the same.

Symptoms may include:

  • Difficulty in sitting/walking/standing due to back pain
  • Pain radiating to buttock, thigh, and or leg
  • Muscle spasm and stiffness, sometimes in the morning or at the end of the day
  • Soreness / tenderness in spine

Possible causes may be:

Strain of muscle or ligament - most common
Lumbar disc herniation (disc prolapsed/SlipDisc) - Pain mainly in buttock, leg and foot (sciatica)
Facet/spinal joint arthritis - usually causes slow back pain and leads to referred pain in thigh as the disease advances
Spinal canal stenosis and spondylolisthesis-narrowing of space available for spinal cord/nerves in the spinal tunnel -leading to sciatica and back pain that typically increases with standing /walking.
Spinal compression fracture - sudden onset of pain especially in postmenopausal women, osteoporotic individuals and long term steroid use, especially in asthmatics.
Less common causes can be:

  • Infection
  • Ankylosing Spondylitis
  • Coccydynia
  • Piriformis syndrome
  • Spinal tumours


Treatment depends upon primary cause of pain. A large number of patients improve by conservative treatment or natural healing but short period of rest, reduced activity, analgesics/painkiller medication and physical therapy etc. help in recovery.

In some acute and non-responding cases, patients need Injection therapy where medicine is directly injected in and around the painful nerve/joint that provides short to long term relief.

In patients not responding to conservative/injection therapy, surgical treatment is offered. Depending upon the cause it may vary from keyhole surgery, microscopic surgery, minimally invasive spine surgery or open surgery. Contrary to public perception, spinal surgeries achieve the desired goals in 80-90% of the cases when correctly indicated and there is hardly any risk of paralysis nowadays.

3037 people found this helpful

Hi I am 24 years old & I am suffering from back pain from last 4 months. Please advise what should I do ?

Doctor Of Physical Therapy (DPT), Bachelor of Physical Therapy
Physiotherapist, Bangalore
Back ache can be due to several reasons. It can be muscular, related to disc degeneration or prolapse, joint irritation or nerve pinching. Most common is muscle pain due to tight and weak back and abdominal muscles. Keep a positive attitude, focus more on keeping good posture especially when sitting for long hours, use lumbar support. Take frequent breaks and stretch in between. Try changing sleeping habits. Try hot or cold therapy as tolerated. Wish you speedy recovery.
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I'm 23 year old and I'm suffering from stomach ache since 12 year a mild pain is continuously happened please tell me what to do.

General Physician, Faridabad
go for stool exam.take three-4 lt of water daily meantime take tab meftalspas sos. send report to me.
1 person found this helpful
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I am a male, 32, blood group b+ve, weight 61 kg, height 5 feet, working in BPO mostly night shifts. I have high uric acid in my blood and have joint pain mostly in shoulder and knee joints. I smoke and drink regularly. Please suggest me a proper diet for weigh loss. I do not take any medicine. Can I take non veg regularly? Please also suggest how much water can I drink in a day as many people have told me to drink up to 2.5 litres of water a day, but, I feel more thirsty than that and consume more water. Is wheat made chopstick suitable for me or not as a friend told me not to eat chapati due to my blood group. I am concerned about the intake of water, chapati, rice and my diet. Please suggest.

PG Dip (Dietetics n Applied nutrition), Nutrition n dietetics, Post graduate Certificate (Diabetes Education)
Dietitian/Nutritionist, Jamnagar
Hello! to be fit take small n frequent healthy meal (5-6 meal a day). Stay away from preserved food, ready to eat foods, deep fried food, sugar n sweet items n do exercise for at least 30 min a day. You need to take care of is good quality protein. Try to take milk n products, egg whites, fish, lean chicken, dal n products etc. With complex carbohydrate n good quality fat (almond, walnut, peanut, flex seed, chia seed etc.) stay away from preserved food, ready to eat foods, deep fried food, excess sugar n sweet items.
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At times don't get Complete sleep. Next day at office heavy head and pain. What can we do. Any remedy?

General Physician, Nashik
1. Avoid caffeine found in coffee, tea, chocolate, cola, and some pain relievers.[four to six hours before bedtime.] 2. Quiet, dark, and cool environment can help promote sound sleep. [use heavy curtains, or an eye mask to block light, and also keeping computers, tvs, and other work materials out of the room will help promote mental bonding between your bedroom and sleep] 3. Avoid stressful, stimulating activities like doing work, discussing emotional issues. Physically and psychologically stressful activities can cause the body to secrete the stress hormone cortisol, which is associated with increasing alertness. 4. Take dinner 2-3 hours before bedtime and avoid foods that cause indigestion. [spicy-heavy- junk food]
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I am 20 years old and if have backpain and neck pain for last 2 years. Its not like continuos but yes happens most of the time. Sometimes its lighte while sometimes its very severe. And generally it happens when I sit on a same place for like about more than 2-3 hrs. Help me what to do ?

Physiotherapist, Bangalore
Go to an ortho and physio for complete assessment of your back then correct your posture I mean how you sit how you sleep and and bending. Dr. Avanthiprabhakar
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I have a pain in my back from last many days. Tried few medical aids but of no use. Suggest?

Ayurveda, Ambala
Dear you can follow these methods for relief from Backache(back pain): * First correct your sitting posture. Do not bend your lower back.You can use lumber belt for support. * Do regular back strength exercises.Move your clockwise and anticlock wise. * Do not sleep on very soft bed ,sleep on slight hard cotton mattress. * Do Tadasana and Bhjangasana for back strengthening.If you can not understand these asans you can consult me. * Take calcium rich diet and calcium and vitamin D supplements regularly. *Do not Take any heavy weight or heavy work. * If you are over weight then follow a good and effective diet plan to loose some kilos of weight. You can consult me to get a diet chart. * You can take Guggalu tablets of Himalaya for fast relief. You can consult me privately for detailed and complete treatment.
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My wife has got continuous foot pain for past three days. Last time when she visited a doctor with similar symptoms, she was diagnosed as vitamin d deficient. After medications for a week, her conditions improved and we never visited the doctor again. Suggest a way out.

Bachelors of physiotheraphy
Physiotherapist, Chennai
Good exercises, vitamin d rich food and exposure to sun for atleast 15 minutes a day will improve the vitamin d level will help you in recovering from your present complains.
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I have back pain and foot pain also Back pain from 3 4 month. Foot pain kuch time se ho rha hai foot pain jayada nahin ho rha hai kyun pr back paine jada ho raha hai.

Physiotherapist, Noida
Postural Correction- Sit Tall, Walk Tall. Extension Exercises x 15 times x twice daily. Apply Hot Fomentation twice daily. Avoid bending in front.
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I am suffering from stomachache. Feeling mainly when I have completion of meals. So how to solve this problem.

General Physician, Cuttack
1.If you have chronic stomach pain after taking meal, it could be due to peptic ulcer. 2.Do an upper GI endoscopy after consulting gastro enterologist and follow the advice and treatment accordingly
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I am 25years old. I have a back pain since last two days. I have also taken medicine but there is no relief. Kindly suggest me something. Thank you.

Physiotherapist, Noida
Postural correction- sit tall, walk tall. Extension exercises x 15 times x twice daily. Apply hot fomentation twice daily. Avoid bending in front.
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Hi I had a tailbone injury 7 months back, I recovered after a long period of rest, but now the pain is back in lower back, hips. Dont actually understand the specific pain area.

Hand Surgery, M.S. (Orthopaedics
Orthopedist, Ahmedabad
Dear you have a resistant coccygodynia. It normally does not respond to routine treatment and so we do treat such patients with eswt with good result.
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