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Dr. Pallavi

Physiotherapist, Thane

350 at clinic
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Dr. Pallavi Physiotherapist, Thane
350 at clinic
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Pallavi
Dr. Pallavi is a renowned Physiotherapist in Kaushalya Medical Foundation Trust Hospital, Thane. You can visit him/her at Healing Touch-Thane in Kaushalya Medical Foundation Trust Hospital, Thane. Book an appointment online with Dr. Pallavi on Lybrate.com.

Lybrate.com has a number of highly qualified Physiotherapists in India. You will find Physiotherapists with more than 28 years of experience on Lybrate.com. Find the best Physiotherapists online in Thane. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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English
Hindi

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Healing Touch-Thane

Building No 1, Shop No 4, Padmavati Commercial Complex, Opposite East West Flyover, Ambernath, ThaneThane Get Directions
350 at clinic
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Im having cervical spondylosis. I am having medicine since last 1 mont the pain in neck is relif but I hav lot of swelling on my hands and lot of pain too. I am taking Ultracet semi. Pantop 40. Nucoxia Mr. Fepanil. please let me know the reason for swelling and pain on my back shoulder and hands.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Im having cervical spondylosis. I am having medicine since last 1 mont the pain in neck is relif but I hav lot of swe...
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.
2 people found this helpful
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My right leg is not bending. It is paining from the knee joints. What should I do?

Hand Surgery, M.S. (Orthopaedics
Orthopedist, Ahmedabad
Dear, you should see orthopedic surgeon asap as this needs evaluation. Pl don't ignore pain and before it gets worse see a doc.
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Joint pain problems in knees, back pain, am suffering from diabetes from last three months, also from hypertension.what to do

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Joint pain problems in knees, back pain, am suffering from diabetes from last three months, also from hypertension.wh...
Hi Apply pranacharya restopain oil or prasarini oil on your affected part then give hot fomentation. Take maha rasnadi kwath 2-2 tsf twice a day. And agni tundi vati and maha yograj guggul 1-1 tab twice a day..
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I am 45 year old female and problem of backache from last year? What should I do.

COMT, MPTh/MPT
Physiotherapist, Surat
I am 45 year old female and problem of backache from last year? What should I do.
Pain in back is becoming very common days it is because of normal day to day activity and lifestyle. Especially found lot of females complaining of back pain because of there day to day working and pressure. There could be many reasons for back pain. Many of the problems occur for which we are not aware. I understand your pain. Let me recommend you the treatment as well as the precautions you can take at home to get away your backache. Precautions: 1. Avoid forward bending, if required then bend your knees first and then bend forward. 2. Avoid weight lifting. 3. Sit in chairs or car seats with proper back support. 4. Try to sleep in a position that helps you maintain the curve in your back like sidelying. 5. Get enough vit d from sun as vit d keep bones strong including spine, 6. Drink plenty of water to enhance the inter vertebral disks 7. Avoid standing in the one position for a long time. 8. Try to sleep in a position that helps you maintain the curve in your back. Treatment- 1. Apply ice or heat which ever suits you directly to the area of low back pain will decrease swelling and inflammation, and ease your discomfort. Apply it for 10 to 15 minutes only. 2. Relaxing for 5 minutes after ice or heat treatment. Massage - ask someone to massage your painful area using fingers or thumb. Massage using kneading technique. Slightly press the thumb and start rotating as it helps to induce relaxation, relieve pain, and reduce levels of stress chemicals, such as cortisol and noradrenaline. It will give you pain relief for time being. 3. After massage again relax for 5 min and apply any pain relieving ointment eg - volini or oraflame gel etc. Make sure not to do massage with the gel, it should not penetrate the body. Just a topical application of gel should be done. 4. Again relax your body for 5 minutes and perform some normal back extension and hamstring stretching exercises to get relief from your pain. While performing exercises if pain occurs then would recommend you to stop doing exercise. Massage or slightly rub the painful area and consult your near by physio to diagnose the actual cause of the pain as he/she can guide you proper exercise plan which will be beneficial for you after checking grade of your back pain. For any doubt please inform. Best regards.
1 person found this helpful

Hi doctor, I am suffering from severe cervical spondylosis. But when I touch my neck I feel a lot of burning sensation which is unbearable. Please suggest some good medicine for that burning sensation?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Hot fomentation x twice daily. Neck exercises. Neck stretching. Postural correction. Shoulder shrugs. Core strengthening exercises. Take frequent breaks at work use cervical pillow. Use back support. Self massage the back of neck.
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Dengue Vaxia

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

Dengvaxia - first vaccine against dengue

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

Read more:

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

Full prescribing info - dengvaxia

Contents

Dengue tetravalent vaccine (live, attenuated).

Indications / uses

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

Dosage / direction for use

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

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

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

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

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

Contraindications

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

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

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

Special precautions

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

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

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

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

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

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

Side effects

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

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

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

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

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

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

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

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

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

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

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

Click to view adr monitoring form

Interactions

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

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

Caution for usage

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

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

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

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

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

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

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

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

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

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

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

Storage

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

Description

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

* ccid50: 50% cell culture infectious dose.

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

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

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

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

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

Mechanism of action

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

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

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

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

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

More information about dengvaxia - first vaccine against dengue

Sanofi awaits govt approval to launch dengue vaccine in india

Sanofi pasteur - dengue vaccine frequently asked questions

14 people found this helpful

I am suffering from Knee pain without injury. I've gained 6 kg weight in a year. Also I can't control urine pressure. Am I suffering from higher Uric Acid? Please suggest!

MBBS
General Physician, Cuttack
I am suffering from Knee pain without injury. I've gained 6 kg weight in a year. Also I can't control urine pressure....
Normal level of blood uric acid is 2.4-6 mg/dl in male and in female and 3.4-7 mg/dl. High uric acid can cause gout, arthritis, kidney stone 1. Avoid protein rich diets like mutton, egg, fish, sea food (sardines)/prawn 2. Avoid pulses, lentill, mushrooms, green leafy vegetablles like broccoli, cauli flower, cabbage, spinach, beans, peas 3. Take fruits like apple, banana, orange, black cherry, lime etc 4. Drink plenty of water (8-10 glass) daily 5. Avoid alcohol and caffeinated drinks, excess sweets cakes/cookies 6. Reduce weight if overweight 7. Take medicine after consulting physician.
1 person found this helpful
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I am madhusudan I have a problem with legs pain I have used ointment and tablets for it but its not working properly.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am madhusudan I have a problem with legs pain I have used ointment and tablets for it but its not working properly.
For leg pain, please follow the below advise: keep your leg raised while sitting or lying quadriceps strengthening exercises- quad clenches: lie flat on your back or sit upright on a chair with leg kept horizontally on another surface. Now, tighten the muscle on the front of the thigh by pushing your knee down. You should feel your thigh muscles clench, hold for 3 secs. Repeat 10 times twice a day. Short arcs: lie flat on your back or sit upright with your leg placed horizontally on a flat surface like a chair or bed. Place a rolled up towel under the knee. Pull your toes towards you and clench you thigh muscles. Slowly lift your foot up off the bed until your knee is straight (keep your knee resting on the towel). Hold for 3 secs and slowly lower them on the chair. Repeat 10 times twice a day. Straight leg raise: lie flat on your back. One leg and knee will be straight and other leg should be bent. Pull your toes towards you and tighten/clench the muscle on the front of the thigh, locking your knee straight. Lift your foot up in the air, about 6 inches off the bed. Hold for 3 secs and slowly lower the leg. The knee must remain straight the whole time you are doing this exercise.
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My wife suffers from pain originating from her shoulders to the whole of right hand. She had it checked and also went for physiotherapy and heat massages. She also takes Vitamin D as directed. But the pain is ever increasing and also the area effected is increasing. What could be the cause??

fellowship in Arthroplasty, MS - Orthopaedics
Orthopedist, Ahmedabad
Cause could be the compression of the nerve traversing the arm from the neck. I would suggest you get an MRI done to know the exact cause and also to direct the therapy accordingly..
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Hi I am a 49 year old man. I have pain in both the since last 4-5 years. I am a civil engineer and my job concern with teamendous movement here & there. I was take somany treatment in last 2-3 years but no result. What I should do now?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
This could be due to oa knee & obesity. Physiotherapy along with medicines will help. Any way take caldikind plus (mankind)1tab odx10days paracetamol 250mg od & sos x 5days contact me again if need be. Make sure you are not allergic to any of the medicines you are going to take.
4 people found this helpful
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Hello hi I am sundar rao I am suffering from backache I have used many ointments from last 2 weeks but no result now what should I do ow.

B.P.T
Physiotherapist, Bangalore
Hello hi I am sundar rao I am suffering from backache I have used many ointments from last 2 weeks but no result now ...
Abnormal postures tend to cause back pain. It is most common in your age. However proper diagnosis is needed to set a treatment plan. Try back strengthening exercises and correct your posture if you have acquired a bad posture. Feel free to contact me to get better treatment advices.
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I have great pain in my legs and toes. When I run it sounds like tik tik and some time it relief. I want to know this was a serious problem or not. And please tell me pain relief for that.

MD(EH)/AM/Accupressure
Acupressurist, Chandigarh
I have great pain in my legs and toes. When I run it sounds like tik tik and some time it relief. I want to know this...
Take rhus tox 30 thrice a day for two days three drops in water. Also you may take cal. Flour 12 x four times in a day four tablets at a time.
2 people found this helpful
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My mother is 48 years old. She is facing the problem of legs and back pain like many women of her age faces. What she can do to cute from this problem.

M.P.T-Ortho, Bachelor of physiotherapy
Physiotherapist,
My mother is 48 years old. She is facing the problem of legs and back pain like many women of her age faces. What she...
Take rest properly. Avoid forward bending and heavy lifting. Avoid prolonged sitting and standing. Take hot fermentation. Do walk daily. Back muscles strengthening exercises are very helpful. Can take physiotherapy treatment.
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I am a 48 year old female. I have right lag pain due to mri report l5si disc desiceation and diffuse bulge with focal posterocentral herniation causing compression on si nerve roots. L4-l5 disc desiccation with decreased disc hight and diffuse posterior bulge causing thecal sac indentation and mild bilateral neural foraminal stenosis. L3-l4 disc desiceation and mild bulge. What should I do?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Not all patients of backache & pain joints need surgery. Most of them can be managed without operation spring beds, folding beds or thick matress are harmful morning stiffness in back & other joints is quite a common condition. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Use no pillow under the head. Any way take bio d3 max 1tab odx10days ibuprofen 200mg od & sos x 5days do back (spine) exercises contact me again if need be. Make sure you are not allergic to any of the medicines you are going to take.
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Hi sir, My child age is 9 months and he has cerebral palsy. Please suggest me it can cure completely or not. MRI REPORT OPINION:- Diffuse abnormal signal in bilateral cerebral white matter involving mainly subcortical white matter with frontal and temporal predominance with cystic changes in bilateral temporal and frontal subcortical white matter is suggestive of megalencephalic leukoencephalopathy with subcortical cysts.(van der knaap disease) Sir what is steam cell therapy and his clear for my baby Please tell me.

MPT(Neurology), BPTh/BPT
Physiotherapist, Delhi
Hi sir,
My child age is 9 months and he has cerebral palsy. Please suggest me it can cure completely or not. MRI REPO...
Cerebral palsy is a non progressive disease which causes motor delays along with other symptoms which like low iq, disorder with sensory system etc. Till now there is no cure for the disease but with physiotherapy and occupational therapy a child can learn normal movement patterns which his brain might not know on its own and be able to perform it with practice. Its a gradual process and therapy would continue for a long time. Please start with the therapy as soon as possible.
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My knee joints pain esp. The right one. When I fold my knees to sit down on the floor and get up, both knee sound. It is the same sound when you knuckle the joints of your hand.

Bachelor of Ayurveda Medicine and Surgery (BAMS), M.D (Ayu)
Ayurveda,
My knee joints pain esp. The right one. When I fold my knees to sit down on the floor and get up, both knee sound. It...
This condition is called as Sandhi Vata in Ayurveda. It may be due to many reasons like your work, Obesity, your food habits etc. The synovial fluid which is present in between joints when reduce then this type of condition is occurs. Ayurveda can very effectivly helo you by Massage therapy and other panchkarma related therapies along with some medicines.
1 person found this helpful
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My husband is 26 years old, nowadays he had a back ache, he used meftal forte ointment but temporary relief only, he is working in IT firm, almost 8 hrs in sitting position. Pls provide good remedy.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
My husband is 26 years old, nowadays he had a back ache, he used meftal forte ointment but temporary relief only, he ...
Advice…. Hot Fomentation x twice daily. Avoid bending in front. Postural Correction. Sit Tall, Walk Tall. Extension Exercises x 15 times x twice daily Bhujang Asana x 15 timesx twice daily Core Strengthening Exercises. Back Stretching.
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I am having an ankle pain from a long period. Well I play cricket and while playing my ankle twisted. It seems my nerves twisted. I was in deep pain initially but now I don't have any major pain but when I move or twist I feel some pain. What is the remedy.

BHMS
Homeopath, Faridabad
I am having an ankle pain from a long period. Well I play cricket and while playing my ankle twisted. It seems my ner...
Hello, take Calcarea carb 200 ch, 3 drops single dose. Arnica 30 ch , 3 drops twice daily. Rhus tox 30 ch ,3 drops twice daily. Revert me after 7 days.
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My both knee are paining very much, as per xray between both bone it is much gap so knee replacement is required. Pl advice me.

MPT, BPT
Physiotherapist, Noida
My both knee are paining very much, as per xray between both bone it is much gap so knee replacement is required. Pl ...
• 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). • Contrast bath---It is a form of treatment knee is applied warm water followed by the immediate application of the knee with ice water. This procedure is repeated several times, alternating hot and cold. Note that the treatment should always end in the ice water, as heat will induce the body's inflammatory response, while cold helps to decrease inflammation.
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I have pain in my full body from last three days. I am also having pain in my joints and in Veins. And also in stomach. I am taking paracetamol once in day, after that I feel good for some hours then again I have same pain and Fever type body. And also I am not even able to ejaculate my sperms after masturbation. What is this problem? Please help.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have pain in my full body from last three days. I am also having pain in my joints and in Veins. And also in stomac...
A good way to diffuse general body pains: 1.take a long hot bath in water in which a few cups of Epsom salts have been added. 2.If you suspect your body and pains are due to stress-get plenty of sleep and try to reduce or eliminate the cause of your stress. 3.Meditation, deep breathing and yoga.
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