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Overview

Ankylosing Spondylitis - Symptom, Treatment And Causes

What is Ankylosing spondylitis ?

Ankylosing spondylitis is a form of arthritis which affects the spine. It is characterized by stiffness and pain from the lower back to the neck. The vertebrae(spinal bone) fuse together resulting in a rigid bone. Early treatment and diagnoses helps to control stiffness and pain. It can also prevent or reduce significant deformity. Ankylosing spondylitis can have signs such as pain, stiffness, bony fusion and pain in the tendons & ligaments. Yet as such the symptoms of the condition is not limited to the joints.

Causes of Ankylosing Spondylitis

The cause of Ankylosing Spondylitis have not been determined yet. Despite such, some researchers say that there is a strong hereditary link. The HLA-B27 gene is said to be particularly responsible for this condition. But then again statistics found that 10 % people who have this condition also show no symptoms of the condition.

Diagnosing the condition

It is difficult to diagnose the condition with general diagnostic testing such as physical and symptomatic testing. Other diagnostic procedures such as X-rays of the pelvis and the back, measuring the chest while the patient breathes, lab tests infer comparably more confirmative results. A general physician should be initially approached if one experiences or entertains suspicions of the condition’s symptoms. He/she would direct you to a concerned specialist when required.

How is the condition treated?

Unfortunately there is yet no cure for Ankylosing Spondylitis, yet clinical research is in progress. Despite such symptomatic treatments have been observed to reduce discomfort and improve functional abilities. Such treatments aim to abate pain, rigidity, persisting stiffness, regain posture and stance and many cases prevent deformity. Many patients, after such treatments have reportedly been able to resume normal activities with relative ease. Generally a team of physicians comprising of doctors, physical and occupational therapist tend to the patients.

Physical and occupational therapy is found to be very helpful and important to maintain functional abilities of the body and minimize severe deformities. Therapists also suggest customized exercised regimes. Breathing techniques and swimming are the most advised form of exercises.

Treatable by medical professional Require medical diagnosis Lab test not required Chronic: can last for years or be lifelong Non communicable
Symptoms
Pain and stiffness on your lower back Pain in your pelvis Stiffness and pain on your spine Pain on your hips Pain on your shoulder joints

Popular Health Tips

Ankylosing Spondylitis - What Are The Causes?

MBBS, MD-Medicine, DM - Clinical Immunology
Rheumatologist, Jaipur
Ankylosing Spondylitis - What Are The Causes?

The human spine has 33 vertebrae. However, some conditions can fuse these vertebrae. Ankylosing Spondylitis is one such condition. This disease may also be known as AS or Bechterew's disease. It is an inflammatory disease that can make the spine less flexible by fusing the vertebrae of the lower back together. In some cases, it can also affect the rib cage and make it difficult to breathe. This disease typically affects more men as compared to women. Most patients begin showing symptoms in early adulthood.

Ankylosing Spondylitis affects the sacroiliac joints. These joints are located just above the tailbone. It causes inflammation of the spinal bones that in turn cause pain and stiffness. With time, this inflammation spreads to the entire spine and the vertebrae begin fusing together. This can make movement difficult and painful. In severe cases, it can also lead to the development of a hunchback. This disease also affects the other tissues of the body. For example, it can affect other joints and aggravate arthritis or affect organs such as the kidney, heart, lungs, and eyes.

A specific cause has not yet been identified for Ankylosing Spondylitis. However, studies show that genetic factors can be a trigger. In particular, the presence of the HLA-B27 gene increases a person’s risk of developing symptoms pertaining to this condition. However, it is important to note that merely the presence of this gene does not make Ankylosing Spondylitis inevitable. Other genes that are associated with this disease are ARTS1 and IL23R. These genes influence the functioning of the immune system. While it can affect people of all ages, adults are at a higher risk of suffering from this condition.

In many cases, the initial inflammation of the spine is due to a bacterial infection of microbial infection. Though the infection itself may be treated and cured, it may cause the immune system to react and trigger inflammation. Once activated, if the immune system cannot be turned off, this inflammation will continue and can trigger Ankylosing Spondylitis. In each case, the disease presents a unique pattern of progression.

There is presently no cure for this condition, but with an early diagnosis and treatment, the symptoms can be managed and progression can be slowed. This treatment usually takes the form of medication to relieve pain, inflammation and discomfort and physical therapy. Surgery cannot be used to treat Ankylosing Spondylitis but in cases where it has caused severe joint damage, surgery may be advised to replace the damaged joint. If you wish to discuss about any specific problem, you can consult a Rheumatologist.

3523 people found this helpful

Dislocated Kneecap Symptoms and Treatment

M. Ch. (Orthopedic), MS - Orthopaedics, Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Gurgaon
Dislocated Kneecap   Symptoms and Treatment

Whether you are an athlete or a ballet dancer, you will appreciate the importance of having a stable kneecap. Medically known as the patella, the kneecap is a triangular bone that connects the upper thigh to the lower half of the leg. It sits in a groove in the bottom of the femur (thigh bone). When the leg is bent, it stays within the groove. When the leg is extended, it provides support to the quadriceps muscles.

That being the case, a dislocation of the kneecap is a very common injury. Subluxation is a state where there is partial movement of the kneecap out of its position, thereby making the patient’s kneecap unstable. When it completely moves out of its place, it is known as dislocation. Whether you fall on your knees during a sport or have a fall from a bike or get injured during dance or aerobics, it is common to have a dislocated kneecap. Some people are prone to repeated dislocations.

Symptoms:

The initial injury is very painful and there might also be damage to the surrounding structures. Other symptoms include:

  1. Buckling of the knee, where your legs cannot support your body weight

  2. Sliding of the kneecap to a side

  3. Catching of the knee in the groove when trying to move it

  4. Pain in the front of the kneecap with any activity

  5. Painful while sitting

  6. Swelling and/or stiffness of the knee joint

  7. Crackling/creaking sound when trying to move the knee joint

  8. Inability to straighten the leg

Treatment:

Though these sound scary, the good news is that in 90% of the cases, the knee returns to its position spontaneously. However, putting it back into its place is a simple and safe procedure and can be done by almost any seasoned medical practitioner. The first step is to confirm that the kneecap is indeed dislocated. This can be done by a combination of physical exercise and x-ray. If required, MRI can be used, but it is not required in most cases. Initial treatment would include the following steps in sequence:

  1. Immobilizing the knee with splint by keeping the leg in a straightened position.

  2. Calling for medical assistance immediately. They can replace the knee back in its position carefully (reduction). An injured kneecap can cause what is known as foot drop by putting pressure on the peroneal nerve. The toes drag on the ground, making it difficult for you to walk.

  3. Use ice in the affected area for 15 to 20 minutes, and repeat after three to four hours throughout the day to reduce pain and swelling.

  4. Surgical correction may not be required, if there is a damage to the ligament.

  5. Flat femur and/or tissue laxity can cause repeated dislocations, where physiotherapy and strengthening exercises are useful. If you wish to discuss about any specific problem, you can consult a physiotherapist.
2722 people found this helpful

Know Everything About Hip Replacement Surgery

MNAMS (Orthopedic Surgery), Diploma In Orthopaedics (D. Ortho), DNB (Orthopedics), MBBS
Orthopedist, Pune
Know Everything About Hip Replacement Surgery

Hip replacement surgery is a method wherein a defective hip joint is removed and replaced with an artificial hip joint. This procedure is only opted for after all the other treatments have failed to yield the desired effects. Hip replacement surgery removes damaged or diseased parts of a hip joint and replaces them with new, man-made parts. The goals of this surgery are to:

  • Relieve pain

  • Help the hip joint work better

  • Improve walking and other movements.

Who Should Have Hip Replacement Surgery?

The most common reason for hip replacement is osteoarthritis in the hip joint. Your doctor might also suggest this surgery if you have:

  1. Rheumatoid arthritis (a disease that causes joint pain, stiffness, and swelling)

  2. Osteonecrosis (a disease that causes the bone in joints to die)

  3. Injury of the hip joint

  4. Bone tumors that break down the hip joint.

Your doctor will likely suggest other treatments first, including:

  1. Walking aids, such as a cane

  2. An exercise program

  3. Physical therapy

  4. Medications.

These treatments may decrease hip pain and improve function. Sometimes the pain remains and makes daily activities hard to do. In this case, your doctor may order an x-ray to look at the damage to the joint. If the x ray shows damage and your hip joint hurts, you may need a hip replacement.

The Procedure-

Hip replacement surgery is a procedure that can either be performed by traditional means or a minimally invasive procedure. The primary difference between the two procedures is the size of the incision. The procedure begins with the doctor administering local anesthesia, though in certain cases, general anesthesia is also administered.

  1. An incision is then made along the hip and the muscles that are connected to the thigh bone are shifted, so that the hip joint is exposed.

  2. An equipment is then used to remove the ball socket of the joint by cutting the thighbone.

  3. The artificial joint is then fixed to the thighbone and it is allowed to adhere properly.

  4. Once the joint is fixed, the ball of the thighbone is then put in the hip socket.

  5. The fluids from the incision area are then allowed to drain.

  6. The hip muscles are then put in place and the incision is closed.

Post -surgery-

After the surgery, the recovery stage begins. The period of hospital stay post-surgery usually lasts for 4-6 days. A drainage tube is attached to the bladder to get rid of waste products from the body. Physical therapy begins immediately after the surgery and you will be able to walk after a few days with walking aids. The physical therapy continues for a few months after the surgery.

After care-

It is advised to avoid activities that involve twisting your leg for at least half a year. You should also avoid crossing the leg along the mid portion of your body. Your physiotherapist will provide you with exercises that aid to help you recover. Avoid climbing stairs and sit on chairs that have strong back support. If you wish to discuss about any specific problem, you can consult a orthopedist.

4441 people found this helpful

Tips For Managing Joint Pain in Winter

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Tips For Managing Joint Pain in Winter

People who suffer from arthritis are more likely to experience osteoarthritis symptoms. The intensity of the feeling of knee pain in winter is often linked to barometric pressure. In winter, there is a reduction in the pressure exerted by the air around us. This drop in pressure can cause the tissues around the joints to swell resulting in increased pain. The other possible cause of knee pain in winter can be explained from the influence of heat. Fluid in tissues becomes more viscous during winter. As a result of this increased viscosity, the elasticity of the muscles decreases, resulting in winter aches and pains. 

Some scientists believe that the higher pain intensity in winter is to be more of a psychological thing. Seasonal affective disorder is more during winter, and people suffering from mental depression seem to sense more pain during winter as the weather restricts outdoor activities. Improper intake of food also causes knee pain in winter due to undigested material. Even though winter arthritis is uncomfortable, the following tips help to make the joints work better and make you withstand the season easier.

Tips to Manage Joint Pain in Winters

  1. Physical activity in winter can reduce winter aches and pains and enhance overall health benefits. Low impact activities like aerobics, swimming in a heated pool, weight training, and riding a stationary bicycle can reduce stiffness, increase the blood flow, and support the knees. Thus, winter arthritis can be well managed by doing exercises.
  2. Diet also plays a vital role. Eating a balanced diet that comprised of low saturated fat, lean proteins, more fiber, and refined carbs helps to improve body functions during the winter. Drinking water throughout the day helps to reduce winter aches and pains. It is essential to consume easily digestible foods like vegetables. Consuming vegetables like carrots and cucumbers that have diuretic properties can help to eliminate waste products from the body.
  3. Vitamin D deficiency may worsen osteoarthritis. It is necessary to take a supplement vitamin D or ensure to make your diet is vitamin-D rich. Fish oil is a potent source of omega 3 fatty acids. Increase your intake of milk, a rich source of protein and calcium that help to strengthen the bones. Exposing the body to sunlight help to obtain vitamin D.
  4. Non-steroidal anti-inflammatory drugs such as aspirin and ibuprofen can be used to reduce inflammation and pain. Injecting a viscous substance can decrease the friction of the bones and ease the condition.

Home Remedies for Knee Pain in Winters

  1. Wrap the inflamed knees with blanched cabbage leaves. This can cool down inflamed knees. Aloe vera also helps to reduce inflammation.
  2. Comfrey (symphytum officinale) can act as an anti-inflammatory agent. Create a compress using mashed root or comfrey tea soaked bandages can also be used to reduce inflammation.
  3. Applying an ice-pack can help to reduce swelling and alleviate winter aches and pains. While applying ice-pack, ensure to cover the entire knee. Applying a bag of frozen peas to the area also works well. While using ice or heat therapy, make sure to do them carefully as over agressive and over doing it, can cause problems. 
  4. Steam therapy also helps to reduce pain in your knees. Soak your knee in a steaming hot water for 15 minutes. Applying hot water bag also can relieve knee pain in winter effectively.
  5. Winter aches and pains all over the body can be relieved by administrating massage therapy by a professional.
  6. Avoid applying strain or pressure on your knees. Take adequate amount of rest to reduce pain and swelling.

These are basic guidelines to help you. Contact your doctor for further management.

2936 people found this helpful

Cartilage Damage - Causes And Treatment

M.Ch - Orthopaedics - , MS - Orthopaedics, MBBS
Orthopedist, Delhi
Cartilage Damage - Causes And Treatment

Cartilage is a fine, rubbery elastic tissue that acts as cushion between the bones in the joint spaces. It is a connective tissue and enables the joints to move freely and smoothly. It acts as a shock absorber and reduces the friction between the joints. This cartilage could either be damaged as a result of injury or degeneration as part of normal ageing process. Either of this causes friction during joint movement, causing painful, stiff movements and in some cases, even swelling of the joint spaces.

There is also a covering around the joints known as synovium. When there is a cartilage damage, this synovium is irritated, leading to increased secretion of synovial fluid, which can cause swelling in joints. There is also reduction in the range of motion of the affected joint.

Most commonly affected joints include knees, hips, shoulders, elbows and ankles. Other than degeneration that happens with ageing, cartilage damage is mainly caused by injury or trauma including fall/impact, joint dislocation, infection, ligament tear, meniscus tear, and inflammation (gout, arthritis, etc.)

Read on to know some of the most common causes for cartilage damage and ways to manage it.

Causes:

Age and trauma are the main reasons for cartilage damage.

  1. Direct blow: A heavy blow directly to any joint leads to damage (accident, sports injury, etc.).

  2. Ageing: With constant wear and tear, joints that are under constant stress are prone for damage.

  3. Obesity: This is also a common cause leading to chronic inflammation and breakdown of the joints.

  4. Limited mobility: For whatever reasons (including sedentary lifestyle), lack of movement can cause cartilage damage.

Diagnosis:

The presenting symptoms of a person with any affected joint would be pain, discomfort and stiffness with movement. In addition to history and physical examination, MRI and arthroscopy can be used to confirm the diagnosis.

Treatment:

Start with a conservative approach and gradually switch to more advanced treatments. Conservative approach includes a combination of pain killers, steroid injections, and exercise (at a clinic or at home). If these do not work, the following surgical options are available:

  1. Debridement: The affected cartilage is smoothened and the loose edges are removed to prevent rubbing and irritation. It is done using a shaver.

  2. Marrow Stimulation: Using the marrow cells, more cartilage production is stimulated. Using tiny drills, holes are drilled to form a blood clot, which triggers formation of new cartilage.

  3. Mosaicplasty: In areas of localized damage, healthy cartilage from an unaffected area is placed.

  4. Autologous Chondrocyte Implantation: Cartilage that is grown in a lab for one to three months are placed into the knee or affected joint to allow for healthy tissue growth. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

4385 people found this helpful

Popular Questions & Answers

I am taking adfrar 40 injection for AS and breastfeeding my 2 years old son at night. Can it be harmful to my son? What to do if it is?

MBBS, DNB (Obstetrics and Gynecology), (MRCOG)
Gynaecologist, Chennai
Hi Lybrate-user, The drug transfers into breast milk in small amounts but is not likely absorbed by the infant. Most experts state that adalimumab is likely compatible with breastfeeding. No adverse effects or developmental abnormalities have been reported in infants exposed to adalimumab monotherapy during breastfeeding. Although no infant side effects have been reported during mono therapy with immunosuppressive biologic, the mother can monitor the child for signs and symptoms of infection or gastrointestinal irritation. There are currently no recommendations or requirements for laboratory monitoring of the infant during exposure to these medications.
1 person found this helpful

I am suffering from fusion of torso lumber vertebral bodies with syndesmophytes Ankylosing Spondylitis. What treatment should I take.

M.S - Orthopaedics
Orthopedist, Mohali
If you are diagnosed with ankylosing spondylitis you need to understand that its inflammatory disesase and you need to take treatment for a long time to prevent its further problems and prevent relapses. Along with it you need to do light excercises to keep away with stiffness, swimming and cycling is a good option. Hope this sort your query for further assistance you can contact me anytime.

I am 29 years old. I have hlab27 positive and also asthma and I now I have pain in my chest from last 3 months I have done xray and vitamin b12 reports but in both are clear and does not show any diseases. Can you help.

MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Hyderabad
Nothing to worry. Weight any cough colour of the sputum. Consult with all the particulars. And medical reports.
1 person found this helpful

I am having ankylosing spondylosis and facing recent flares in one or other joints of my body. Currently having saaz 1gm DS twice daily, Tizam 2 once a day, with Aciloc RD twice a day, folitrax 15 once a week, folvite 5 days a week, Etoshine 90 twice a day, Shelcal 500 once a day and Lumia 60k once a month. The flares are painful and reducing my range of motion and facing jaw lock also.

ms orthopaedics, mbbs
Orthopedist, Noida
Try biologics if your problems are increasing. Also, keep a watch on AS markers. If they are elevated inspite of taking medicines, you may have to try biologics to control disease progression. Physiotherapy especially chest exercises are very important in AS.
1 person found this helpful

My son is suffering form ankylosing spondylitis since 10 years. He has taken embark for 4 years monthly once and exemptia 40 mg for 2 years. After using exemptia he got TB and now we stopped all medicine related to ankylosing spondylitis except painkillers. Now as TB medicine course is over, can I take exemptia. Why I'm asking is that I'm having slight pain in morning. As a preventive measure can I take the injection. And also please suggest can I take safe or exemptia. Thanks.

MBBS, MD TUBERCULOSIS AND CHEST DISEASES, Diploma in Tuberculosis & Chest Diseases, Diploma in Tropical Medicine and Hygiene
Pulmonologist, Kolkata
Right now it's not advisable to resume embark or exemptia due to risk of recurrence of tuberculosis relapse. Continue conservative management of ankylosing spondylitis with analgesics and exercise. Wish you good health.

Table of Content

What is Ankylosing spondylitis ?

Causes of Ankylosing Spondylitis

How is the condition treated?

Play video
Causes and Treatments of Cervical Spondylitis
Here are some treatments and causes of cervical spondylitisCauses and Treatments of Cervical Spondylitis

Hi friends! I m Dr. Sumit Dhawan, MD in Homeopathy. I m here to help you to get rid of all your problems with the goodness of Homeopathy and in the most natural and effective way of healing. The topic of today is cervical spondylitis. Cervical spondylitis, back pain and shoulder pain, is a very common problem today.Thousands of people are suffering from it today and, they are not getting a proper cure especially after the age of 30s and 40s. You generally develop a pain in your shoulder, in your back and you are helpless as you are not getting permanent relief from this problem. If this problem is acute, it can be managed within two three days but if it becomes chronic, then it can result into various problems like spondylosis.

Spondylosis is change in your spine, bone changes in your spine and when they occur we call it spondylosis and it can also lead to vertigo. If these muscles are stiff and 99% of the vertigo which is happening today, the cause, for that is, cervical spondylitis only. I would like to tell you homeopathy has a very good role in treating this problem and in a very simple way, in a most natural way. You ll be getting relief from this problem with a goodness of Homeopathy.

I would like to tell you the basic causes of cervical spondylitis. Stress in people which they are having today, i.e, stress at their workplace, the stress at the schools, the stress is everywhere the person is working. You are working at the laptops, at the computers, and without realizing that you are giving strain to your muscles of your neck and shoulder. You have been working continuously and you don t realize that you are injuring your muscles directly and as a result of continuous injury, repetitive injury, you develop a pain in your shoulder and neck.

If you want to get rid of this problem, there are basic ways on your part as well as on my part which I have got to help you. On your part, you must do some basic exercises like butterflies excercise, yoga, pranayama, and that is on your part which will just increase your circulation and help you get healing your injured muscles. The inflammation which is there but if the inflammation is more you need to a have medical intervention. In modern science, you get pain killers and the things which have got side effects but still you are not able to get relief permanently, they might help you temporarily but on a longer run, they will never help you on a longer run because they just help you temporarily. Till the time you are taking the painkiller , you are going to get relief and once you stop taking the pain killer, you ll get the pain back again and the role of homeopathy comes here when you are getting the pain repetitively and you are not getting cured of your problem, homeopathy helps you.

Homeopathy is there to help you always. And I m there to guide you how you can take homeopathy and this. When these muscles are fatigue, when these muscles are injured, homeopathy helps you to give your body enough strength to recover, basically. And when we use homeopathic medicines basically the pain also gets reduced. How? Because the inflammation which is there we give enough strength to our body to recover. If your body has enough strength to recover, it will definitely help to reduce down the pain, reduce down the inflammation. Once the inflammation is lesser, the pain automatically goes away.

There are various homeopathic medicines which are available, which you can take under the guidance of a Doctor and you can always ask me as well, how to take them and how to have a healthier lifestyle, and a problem free neck and shoulder. I m always there to help you. I do sign off for today. I would like to tell you we have been treating cervical spondylitis patients and spondylosis patients as well with vertigo and without vertigo and permanently getting relief from vertigo which is a very big thing in today s scenario with the help of Homeopathic medicines only . The patients recover within a week, within two three days if the pain is acute, patients with chronic problem also get relief within a week that s a very good thing for our health industry and people should take benefit out of this and I m always there to help you.

I m available at my clinic in Malviya Nagar and as well as online and we are working with Lybrate. Platform like this is a boon for the patients and they can take benefit from us. All the best guys! If you need any help, just let me know.


Play video
Lifestyle Diseases
Hi, I am DR Sowmya Nair, an ayurvedic physician with more than 13 years of experience in Ayurveda. I am specialised in Ayurvedic Panchakarma treatment. Today I am going to speak about cervical spondylitis.

Cervical spondylitis, Lumber spondylitis and Ankylosing spondylitis. So these are the lifestyle diseases and are very common these days. It is a lifestyle disease because we are sitting in front of the computers for long time and not maintaining our body postures, using mobiles, playing tabs.

How to prevent these lifestyle diseases?

First is diet, try to avoid too much junk and oily food in order to maintain the body weight.
Second is to maintain the correct posture. Sit straight while using computers. Sit in such a manner that the monitor or laptop should lie in eye level.
Third is to indulge in regular exercises. Doing yoga helps us to stay healthy.
In all the spondylitis changes, the major change is the dignity of the neck. So, the main symptoms like neck stiffness, neck pain, pain in arms, headache. Back pain is also a major problem, difficulty in walking in Lumber spondylitis . In Ankylosing spondylitis, the rigidy and stiffness will be more.

In Ayurveda, we are offering Panchkarma treatment for all these ailments.

The main Panchakarma treatment for;

For Cervical Spondylitis are greeva basti, greeva bicchu, abhyangam, potli massage and nasyam.
For Lumber spondylitis, we are providing kati basti, kati bicchu, basti.
Dhanyamla dhara for Ankylosing spondylitis.
All these are the treatments available with us. So, we treat these lifestyle diseases from the roots.

In case of more details about Panchakarma treatment or any other treatment for lifestyle disorders, you can contact me through Lybrate.
Play video
Ayurveda and Chronic Problems
How Ayurveda can treat chronic problems by balancing the Vata, Pitta and Kapha doshas in different parts of the body.

Hello, everyone, I am doctor P.K Srivastava. Especially I am talking about the problems that are chronic and many of them are located as no result. After so many investigations and ultimately the people come at last to me. I examine through the pulse and specialist in Pulse diagnosis. So I take the pulse of the patient and thought that I am going to the inside for their Vata, Pitta, Kapha balance or imbalance. So accordingly I find the problems with their Vata, Pitta, and Kapha and in which part of the body they are to be power having the pain. So I would like to say to everyone who is having such problems are not to remove from anywhere I invite those people who come to me. I am doing the service of mankind service to God.

As like that I went to the abroad so many countries through the mercy Ayurveda I found everywhere the people are welcome us and they have courage themselves and encourage ourselves also through the pulse diagnosis. And I try to my best to cure the disease. The symptoms by making their Vata, Pitta, Kapha balances. Mainly I am a specialist in Ayurveda and the gyne problems. Many of the people ladies they come of which so many problems which are not curable and I tried my best to cure them. This metabolic system is the main source of the energy if it is in the balanced state. If it is not balanced because of irregular diets and the behaviors. The people go to the shop and go to the streets and enjoy the food on the street where so many dirty things are around it.

Are there like their tests? Either it is decreasing their system of digestion or increasing them? So sometimes the Pitta is aggravated and after aggravation, it is vesicated creating the hyper acidity. Tympanitis, Constipation, Pain in the body or sometimes this gas goes up to the head having so much pain and people ask me I have pain the body I have severe pain in the head and I have taken so much pain relieving medicines But the effect is for three or two hours. I examined their pulse and found the pain is not the headache the pain is related to the gastric discomfort. So I am myself tried to balance these people and increase the digestion improvement and ultimately they felt ok. So I would like to invite everyone. I am sitting here in BF 125 Sector 27 Indira Market Noida. So the name of my clinic is Panacea Ayurveda health care. So please come and show your pulse. I will try my best to solve your problems. Doesn't matter it is the children case or ladies or gents. It is related to the mental or nervous system, digestive system or the lungs asthma, or joints pain Spondylitis, Migraine, sinusitis, the other problems are solved here.

One thing I would like to say that I am connected with the lybrate.com or you may check or call through Lybrate to me. So I will solve your problems. Anyhow, thank you.
Having issues? Consult a doctor for medical advice