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Overview

Physiotherapy - Treatment, Procedure And Side Effects

What is the treatment?

Physiotherapy helps to restore mobility and normalcy in a patient's life after he/she is affected by any injury, disease or disability, in general.

Components of a physiotherapy session include manual therapy, advising and educating the patient. Physiotherapy can help a patient of any age to manage further pain and prevent subsequent injuries or diseases. In a nutshell, physiotherapy helps a patient improve and maximize his/her physical strength, functioning and general well-being while taking care of the underlying issues.

It adopts a more holistic approach to a patient's treatment process by taking into consideration his/her lifestyle and other dimensions of their lives.

Physiotherapy helps prevent disability and injury, manages chronic as well as acute health conditions, manages and betters physical performance of the patient, provides rehabilitation from the injury and educates patients on how to prevent any further recurrence.

How is the treatment done?

A physiotherapist may employ a variety of techniques, determined by the nature of the injury sustained and the particular problem that is being treated. The commonest of them are:

  • Manual manipulation: Moving the soft tissues and the joints betters circulation, flushes excess fluids from the body and relaxes overtly tight muscles and spasms.
  • Electrical stimulation of the nerves: Delivering electric currents in controlled intensity to the affected part helps to contain the pain signals, thus preventing them from reaching the brain.
  • Acupuncture: This is a great way of stimulating the CNS while dulling the pain and relaxing tight muscles.
  • Demonstration: Teaching and demonstrating proper movement patterns to the patient help them to recuperate on their own.
  • Functional testing: This involves examining the patient with regards to their physical movements to better assess his/her condition.

Who is eligible for the treatment? (When is the treatment done?)

Few conditions that can benefit from physical therapy are:

Who is not eligible for the treatment?

There is nothing as a non-eligibility criterion for physiotherapy. Anybody who has sustained an injury, disease or has been rendered disabled from a trauma can go for physiotherapy for improved functioning and mobility, obviously after due consultation with the doctor in charge.

Are there any side effects?

Yes, there are a few side effects associated with physiotherapy. It is absolutely essential to address these by talking it out with the physiotherapist. Some of the common side effects are:

  • Pain: It may happen that your pain increases while you recuperate and recover. To address such pain, oral pain medicines might be administered prior to a session of physical therapy. Heat/cold therapy or other topical methods can work as well.
  • Swelling: This is very common; it's because of the fact that the tissues, muscles and ligaments are stretched in order to strengthen them. This can result in swelling and further pain because of it. What are the post-treatment guidelines? The basic guideline here is to stick to the course and complete it. While there might not be fool-proof guarantee of outcome or resolution of the pain post physiotherapy, getting demotivated because of this and discontinuing the course prematurely can have adverse effects on the body. This can result in further pain and absolute non-resolution of the condition whatsoever. It is best to talk to the concerned physiotherapist and tell him/her precisely about your own personal objectives. The physio can then tailor the treatment plan according to your objectives and recommend you to make certain lifestyle modifications for quicker recovery. How long does it take to recover? It is important to keep in mind that every problem is different and the rate at which individuals recover will always vary. Physiotherapy may take longer to bring results in case the problem being dealt with is severe and on the other hand, may require a much shorter downtime if the patient had only sustained a minor injury. Typically, the body's softer tissues take about 6-7 weeks to heal completely; hence, physiotherapy will last for that time period. What is the price of the treatment in India? The cost of physiotherapy in India ranges from Rs.250- Rs.1500 per session. Are the results of the treatment permanent? While there is no fool-proof guarantee of results, physiotherapy is very important for holistic recovery of the patient post injury or disability of any kind. If stuck to the entire treatment course and done with diligence, physiotherapy usually helps the patient in ways more than one. To put it simply, the effects of physiotherapy are permanent, given the patient is clear about his/her personal goals and expectations and lets the physiotherapist know about the same as well. What are the alternatives to the treatment? The alternatives to physiotherapy are:
    • The intake of carbs should be kept in check as increased consumption of carbs results in inflammation because of spiked blood sugar levels.
    • Oils that are rich in LDL should be avoided. Also, foods rich in trans-fats and saturated fats should be cut out from the diet.
    • Eat more of plant-based foods and items rich in anti-inflammatory properties such as green tea, onion, garlic, lemon, mustard, horseradish, parsley, celery, etc.
    • Acupuncture
    • Acupressure
Safety: Very High Effectiveness: High Timeliness: High Relative Risk: Low Side Effects: Low Recovery Time: Medium Price Range: Rs.250 - Rs.1500 per session.

Popular Health Tips

5 Important Things You Should Know About Orthopaedic Stem Cell Treatment

M S Ortho, D - Ortho, MBBS Bachelor of Medicine and Bachelor of Surgery
Orthopedist, Mumbai
5 Important Things You Should Know About Orthopaedic Stem Cell Treatment

Orthopaedic stem cell treatment is an advanced branch of medicine, which can only be performed by a handful of physicians across the planet. If you are considering the surgery and the treatment, you should first know the important factors that can have an impact on the same. 

Outlined below are 5 things you should know about the treatment before you schedule the surgery. 

 

 

  1. Source of the stem cell: The source from which the stem cells have been extracted play a huge part in determining how successful the surgery would be. In case of orthopaedic stem cell treatment, the best place to extract the cells from is the bone marrow. However, in some cases, these cells may be taken from fatty regions of the body and not the bone marrow. This will eventually have an impact on the outcome of the surgery. Bone marrow cells are much more proficient at repairing damages of the bones than stem cells from any other source. 
  2. The technique for extracting stem cells: A procedure called the bone marrow aspiration or BMA is used to harvest the stem cells from the bone marrow. However, there is a correct way of doing it and a not so correct way of doing it. For instance, the stem cells need to be harvested using special needles and from several high density spots inside the bone. 
  3. Placing the stem cells in the right spot: Just extracting the stem cell properly is not enough. It also needs to be injected at the right place through the correct procedure. The surgeon will use advanced machineries to conduct the surgery, which are essential for the success of the treatment. These could include the use of c-arm fluoroscope, other one is called the ultrasound or may be even an arthroscope. 
  4. The correct dosage: This is a gray area, as knowledge needs to be further refined about the precise dosage required for the treatment. Specialised instruments and digital centrifugation systems help in  acquiring and concentrating the necessary amounts of stem cells for the procedure. 
  5. Understanding that the treatment works: Since stem cell treatment of any kind is a fairly new concept, most people feel that it may not work as advertised. However, if you go to a reliable facility where such surgeries are performed, you will get to know that not only does the treatment work but there have been several patients whose quality of life has improved greatly. Joint preservation surgery is the field which specialises in management of various conditions by these procedures.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4399 people found this helpful

Knee Replacement - Is Second Surgery Actually Required?

Fellowship in Joint Replacement, M S Ortho, DNB (Orthopaedics)
Orthopedist, Chandigarh
Knee Replacement - Is Second Surgery Actually Required?

Of all the joints in the body, the knees probably see the maximum wear and tear. In cases of severe osteoarthritis, or injuries which destroy the knee joint, a total knee replacement surgery may be advised. This procedure involves the replacement of diseased cartilage and bone in the knees with artificial materials.

In cases of osteoarthritis and other such degenerative conditions, this procedure is performed only when the adjacent joints such as the hips are strong and healthy. Before the procedure, you may be advised to discontinue any blood thinning and anti-inflammatory medication. Your doctor will also conduct blood and urine tests to check for signs of anaemia, abnormal metabolism and infections. You may also be asked to lose weight if you are on the heavier side to reduce the pressure on your knees.

A total knee replacement surgery is usually performed under general anaesthesia. The lower end of the femur bone or thigh bone and the upper end of the tibia or calf bone are removed and replaced with a metal shell and plastic piece respectively. In some cases, a plastic ‘button’ may also be placed on the surface of the knee cap. If the posterior cruciate ligament in intact it is left as is or it is replaced by a polyethene post to stabilise the joint and prevent the calf from slipping backwards.

In most cases, a patient is discharged after 3-5 days of hospitalisation following the surgery. Post-surgery, it takes about a month for the patient to experience notable improvements. For optimal results, total knee surgery must be followed by physiotherapy and regular exercise. This helps prevent scarring and keeps the muscles strong enough to maintain joint stability. Exercising can also reduce recovery time. However, not all exercises are advisable. Avoid running, jumping, climbing stairs and contact sports which have a high risk of knee injury. Swimming is highly encouraged as it boosts endurance and muscle strength without putting any pressure on the joint.

In some cases, a second surgery may be required in cases of total knee replacement to fix fractures, loosening or complications of the artificial joint. As with any other surgical procedure, a total knee replacement surgery also has risks. Some of these are:

  1. Formation of blood clots that can cause shortness of breath, chest pain and shock
  2. Urinary tract infection
  3. Nausea and vomiting
  4. Knee pain and stiffness
  5. Nerve damage
  6. Internal bleeding in the knee
  7. Increased risk of infections

In case you have a concern or query you can always consult an expert & get answers to your questions!

2686 people found this helpful

Cervical Disc Replacement Surgery - Know Everything About It!!

MBBS, MS - General Surgery, MCh - Neurosurgery
Neurosurgeon, Guwahati
Cervical Disc Replacement Surgery - Know Everything About It!!

The cervical discs are protective cushions that allow the free movement of the neck. The intervertebral disks located between the cervical vertebrae (7 bones, C1-C7, that constitute the cervical spine) function as shock absorbers.

However, any damage and injury to the cervical disc, or an ailment can narrow the spinal canal. As a result, the intervertebral cervical discs exert pressure on the spinal nerves (responsible for movement and sensation in the upper body). There may be weakness and loss of sensation, causing pain (moderate to chronic) and discomfort in the neck. The free movement of the neck also gets affected (restricted).

In many cases, physiotherapy and other nonsurgical medications can help improve the condition. Cervical Disc Surgery comes as a blessing in extreme cases, where the non-surgical medications fail to provide any relief.

For long, the cervical disc surgery involved the surgical removal of the affected disc, followed by the fusion of the vertebrae located above and below the affected cervical disc (Traditional Fusion Surgery).

The advancement of technology has increased the effectiveness (higher success rate) of the cervical disc surgery. These days, the surgery is simple and involves replacing the affected cervical disk with an artificial one (Artificial Cervical Disc Replacement).

Triggers for a cervical disc replacement surgery:
Any damage to the cervical disc can affect the spinal cord and the neck adversely. A person may need to undergo a disc replacement surgery in case;

  1. There are pain and stiffness in the neck.
  2. Pain that gradually spreads into the arms and shoulder.
  3. One experiences extreme weakness in the arms, legs, hands or shoulders.
  4. There is a loss of sensation (numbness) or "needle prick" like sensations in the arms.
  5. There is a headache (moderate to severe).

Advantages of cervical disc replacement:

People have benefitted immensely from cervical disc replacement.

  1. In comparison to the fusion surgery, disc replacement has a faster recovery time.
  2. Disc replacement has a higher success rate (remarkable improvement in the shoulder and neck movement).
  3. It retains the cervical motion.
  4. It reduces the stress on the spinal cord and spine nerves greatly.

Risks involved in the cervical disc replacement:
With merits come the demerits. Though effective, there are some risks involved in the surgery.

  1. A person may experience some difficulty in breathing and swallowing of food.
  2. There may be some reactions to the anesthesia.
  3. The disc replacement may result in an infection, nerve injury, bleeding or leakage of the spinal fluid.
  4. Post replacement, there may be a stroke, voice modulation.
  5. In some unfortunate cases, there may be no improvement in the condition.
  6. The artificial disc may be affected (fractured or broken).

Recovery and Precaution:
A little alertness and precaution can speed up the recovery process.

  1. The first three weeks post-surgery, avoid strenuous work.
  2. For a better recovery, start walking after the surgery. However, do not overdo yourself.
  3. It is not advisable to start driving immediately after the surgery.
  4. Avoid rigorous exercise for as long as recommended by the doctor.
  5. Rest as much as possible.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1908 people found this helpful

Knee Joint Replacement Surgery!

MBBS, Diploma In Orthopaedics (D. Ortho), DNB (Orthopedics)
Orthopedist, Bangalore
Knee Joint Replacement Surgery!

Knee is a hinge joint where the lower leg bone tibia meets the thigh bone femur. During osteoarthritis, cartilage or ligament defects and degenerative arthritis, knee replacement surgery is recommended worldwide to get relief from extreme pain. Knee replacement surgery, also known as knee arthroscopy, is a surgical procedure, in which the affected knee joint is replaced with synthetic material. The most likely candidates for total knee replacement are the patients with severe destruction of the knee joint coupled with progressive pain and impaired function.

Modern technological advances have made computer assisted knee replacement surgery extremely popular around the globe. In this surgery, the surgeon is assisted by a computer to remove the optimum amount and angle of the bone, which otherwise is done by inspecting manually. This is an excellent example of surgery through a small incision and it eliminates the chances of human error. A perfect alignment and balance is achieved and hence longevity is also increased to 20 - 30 years. Knee replacement surgery is also specific to gender as the anatomy of male and female patients is different.

There are many types of knee replacements, most common being the Total Knee Replacement or Total Knee Arthroplasty. In addition, there is a partial knee replacement, bilateral knee replacement, revision knee replacement and knee arthroscopy.

In knee replacement surgery, the worn out surfaces of joints of knee are replaced with artificial implant of plastic and metal. The lower end of the femur bone is removed and replaced with a metal shell. The upper end of the lower leg bone (tibia) is also removed and replaced with a channeled plastic implant with a metal stem. A plastic ball is also added under the kneecap depending on its condition. These artificial components are commonly referred as prosthesis. The design of these highly flexible implants replicate knee, with the rotating knee replacement implants assist in backward and forward swing of the legs.


Patients whose knee joints have been damaged by either trauma or progressive arthritis should consider total knee replacement surgery. Post-surgical hospital stay after knee joint replacement is usually three to five days. The surgery has a very high success rate and shows dramatic improvement after a month. This improvement is most notable one month or more after surgery. The pain caused by the damaged joint is reduced significantly when the new gliding surface is constructed during surgery. Initially, patient will walk with the help of a walking aid until the knee is able to support full body weight. After six weeks, patient can walk comfortably with minimal assistance. Patients with artificial joints are prescribed to take antibiotics during the course of any elective invasive procedures including dental work. Physiotherapy is an essential part of rehabilitation and it will increase the muscle strength and patient can enjoy most activities, except running and jumping. If you wish to discuss any specific problem, you can consult an orthopedist.

2809 people found this helpful

Torn Cartilage - Best Way You Can Deal With It!

MBBS, MS - Orthopaedics, Fellowship in Arthroscopy & Arthroplasty Shoulder & Knee
Orthopedist, Gurgaon
Torn Cartilage - Best Way You Can Deal With It!

Torn or damage cartilage is not just a problem for the sportsmen. It can occur to anyone. It is generally caused due to a direct hit on the body parts. Its treatment is far more complicated than a simple bone injury. The best sign to know whether or not you have injured your cartilage is to check out your activities. If you have hurt your joint and don’t notice major symptoms, like if you are still capable of putting weight on and move the joint, you might have had a cartilage injury. It doesn’t hurt you a lot in the beginning, but might get worse later. 

Here are the initial care and self-treatment procedure: 

  1. Protection: It is the first thing that has to be kept in mind. You must protect the affected area from any further injury. Thus, providing an external support, for example, use a knee brace. 
  2. Rest: Provide complete rest to the affected joint. The rest is must during the first two or three days. Crutches may help the situation if you’ve got an injury around your knee or ankle. It is then advisable to return back to light activity over the next few days or weeks, as prescribed by the doctor. 
  3. Ice: It is best to apply an ice pack to the injured area for about 15 to 20 minutes in every two to three hours. This must be repeated in the first two to three days. 
  4. Compression: Use a bandage to provide the needed compression to the injured area to avoid any swelling and movement. This will not let things go beyond control. 
  5. Elevation: You must keep the injured area raised. Keep it supported on a pillow to reduce swelling. 

If there is an unbearable pain, take painkillers such as paracetamol or non-steroidal anti-inflammatory drugs (NSAIDs). If your condition doesn’t improve after the initial therapy, you must consult a doctor immediately. 

  1. Physiotherapy: It can be helpful in treating the affected joint. If there is any difficulty in moving the affected joint, you must opt for physiotherapy. A professional will be able to teach you exercises that will strengthen your muscles and provide support to the joint. This will help you in getting rid of the pain. It can be also beneficial at a time when you are recovering from any surgical procedure. 
  2. Surgery: If physiotherapy doesn’t work, it means you have severe cartilage damage. In that case, you might be advised to take up surgical procedures to set things in proper shape. Surgery is done either by opening the joint or by Arthroscopy. There are various types of surgery which can be done. 1st the old and successful surgery wherein damaged part of the cartilage is debrided and filled with normal cartilage from the non-weight bearing part of the joint. 2nd is ACI (Autologous Chondrocyte Implantation) is a 2 stage procedure wherein chondrocyte is grown using stem cell and implanted in defect part in 2nd stage. 3rd is multiple drilling of the area usually done in children. If you wish to discuss about any specific problem, you can consult an Orthopedist.
4805 people found this helpful

Popular Questions & Answers

How to recover a acl tore ligament injury. I am using knee cap. Being a medical student I am afraid of surgery. As doctor told that the surgery will take place. Does physiotherapy can recover it?

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Knee Ligament laxity if you have problem in your legs then it might be due to ligament laxity where your legs would become very weak due to the old ligament injury and that should be treated immediately. Wear knee cap so that you will feel firm while walking or climbing stairs. This is a general strain and for this you can follow these measures: one keep a pillow right under the knee while sleeping, next is you can keep ice in the painful area for about 5--10 minutes, if pain still persists you can stretch your body by twisting the waist on both sides how we used to do in the school drill similarly you can try! One time you can do hot water fermentation that would help to reduce the muscle strain. You have to do knee strengthening exercises, ie. Knee rehabilitation exercises which will strengthen your knee. Exercises will give you permanent cure than the surgery. Physiotherapy Management: You can take Ultrasonic therapy in one of the nearby physiotherapy clinics which would help to heal the damaged cartilages along with shortwave diathermy which would help to improve the blood circulation. Simple Knee ExerciesSpecific knee exercises will also help ie. Keeping ball underneath the knee and keep pressing it. That's the simple exercise which will help you to strengthen the knees.

I have pectus Excavatus. I would like to know the remedy to get it rectified without a surgery. It would be helpful if you could suggest me any home remedy for this. Pls?

MBBS
General Physician, Mumbai
I will suggest you to do pranayam kapalbharti daily as per your capacity and also plan for Physiotherapy treatment and remember surgery is only done if the person is symptomatic
1 person found this helpful

I am 30 Year old women having spine (disc) issue. According to my MRI report “Posterior and left paracentral disc extrusion at L5-S1 level superior migration causing compression on left existing nerve”. Due to this the toes of my left foot has lost power restricting dorsiflexion. There is no back pain and I am able to move and walk freely without any issue. The numbness and sensation have shown recovery after 15 days of physiotherapy. My doctor has advised for surgery but I am reluctant to go for it. My two questions are 1) Whether it is possible to get recovery without surgery? If yes what precautions should be taken? 2) I fear further damage due to this nerve compression. Whether there are chances of further damage due to this if I don’t go for surgery?

MS - Orthopaedics
Orthopedist, Chennai
Hello madam, The symptoms described by you and the MRI report corelate. It means that you have significant disc problem. It is considered as a strong indicator of surgery if you have weakness of muscle. Generally for disc related problems conservative treatment by medication and physiotherapy will work, but when muscle weakness is present, then there is high risk of progression and chances of recovery of muscle power cannot be predicted. If you recover from this problem without surgery it will be great, but have to be lucky. But if it gets worse then you may have to be only sorry. Unfortunately no test or no Surgeon can predict if someone in your position will recover or not. Ifeel the doctor who has seen you in person has more information about you than me, so my advice would be to get your self treated as per his decision. If you have any questions contact me on this platform.
4 people found this helpful

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
Play video
Know The Different Types Of Therapy
Some types of therapy have been in use for decades and others are relatively new. Many are evidence-based and grounded in research, others are based in theory or rely on anecdotal evidence.
Play video
Pulmonary Physiotherapy
Hello everybody!

I am Dr. Ankita Grover, Cardio-Pulmonary Physiotherapist at Xcell Physiocare Pvt. Ltd. These days as you all know that the pollution levels are rising in India and especially when we talk about Delhi NCR, the situation is even worse. There are many respiratory problems that are associated with pollution and which is causing problems to the patients such as COPD, asthma, emphysema, pneumonia etc. All these are the problem very common that you will be able to find around your surroundings. This is not only creating diseases but it is also causing patients to frequently go to the hospital. And hospital admission rates have gone up, their medication usage has gone up which is creating internal side effects for them.

So, what we at Xcell have come up with is state of the art physio or pulmonary-physio specialised labs that we have set up here and it is properly dedicated to lung rehabilitation in India. It is first of its kind in Delhi NCR and it is properly dedicated to all the lung issues that you are facing. Now coming over to what we do at Xcell Physiocare. Our first start of the treatment before the treatment is the patient screening part and the assessment part that whenever the patient comes to us we access him thoroughly through the screening test and through our specialised scales that we use. We focus on proper assessment of the patient then after the assessment is done we chart some goals for the patient.

We frame some targets for him to achieve so that symptoms are reduced and his problems related to lung issues instead of getting worse, they lower down. After framing the goals for the patient, we start a customised treatment plan and that plan is according to the patients situation. It's like ABC, A part is your assessment, B is your goal formation and C is your customised treatment plan. Now coming to our treatment plan we are having certain specialised part of pulmonary and lung rehabilitation at our setup. Firstly we focus on airway clearance techniques. Now airways clearance techniques is something which is something very important for any patient who is having a lung issue. Their airways are blocked may be due to any kind of situation, be it asthama, maybe it is Bronchitis. So our motto is to clear their airways and for that we are having specialised devices in our setup and through them, we help in getting clearance techniques.

Secondly we have focus on breathing exercises of the patient which is very important because many of the patient that come up to a centre are either complaining of shortness of breath which we call Dyspnea in medical terms and they are not able to breathe properly or even if they are breathing the breath is very shallow. We focus on training their breathing and make them do breathing exercises. Now breathing exercises and not just the exercises that we do teaching them manually but we also have devices here which specially train the respiratory muscles of the patients. You all have heard about muscle training through equipments, the body muscle training through various equipments for exercises but when it comes to respiratory muscle training I think India is far behind compared to the western countries.

We have dedicatedly planned an inspiratory muscle training program also for the patients so that we can increase their inspiratory and expiratory muscle strength which is very important for their lung rehabilitation program. Coming over the third aspect that we deal is their overall increased energy levels and that will come through their increased strength, their increase stamina or endurance and this is done through our gym section which we have at our set up at Xcell Physiocare. We also train the patients through specialised equipment that we have had for strength and conditioning as well as for endurance. This is all how our Xcell Physiocare pulmonary setup is. I have just given you an introduction about it and I would like you all to come and visit us and also I would like to you to know that on your first visit we have a special free consultation offer going for you for this month. So please do make a visit and let us know about your experience.

Thank You!
Play video
Know More About Injuries
How Physiotherapy helps manage Injuries?
Play video
How Physiotherapy Is Beneficial For You?
How Physiotherapy helps manage different types of pain?
Play video
Spinal Cord Injuries
Hello, I am Dr Gaurav. I am senior Physiotherapist and HOD in Anaath Clinic. I have worked in different multi speciality Hospitals and and clinic before. I have around 10 years of experience. I this time, I have seen many kinds of cases. Today, I will discuss Spinal cord injury.

In Spinal cord Injury, patients generally do not go to Physiotherapist for a longer duration or they just go for few days in the starting injury phase. At that time they are not able to walk or depending upon their level of injury and everything. They might not able to take care of themselves also. But here we try to make them independent as much as they can to help them move their body accordingly. We try to make them stand. We try to focus on their sitting and their walking also. So, it will be more of the confidence increasing for those kinds of patients.

We generally prescribe patients to do movements and increase their strength and motivations. In this condition, if they do not move, there might be different kinds of serious problems like bed su, the stiffness of the joints which will again lead to major issues which will hinder their improvement and progress. So, we prescribe our patients to move as much as they can to help them and gain their mobility soon.

In our clinic, we are just not focusing to maintain the range of motion in their body. We focus to make them motivated, to help gain them the confidence so that they will be able to do their own work.

For any query or treatment, you can contact me through Lybrate.
Having issues? Consult a doctor for medical advice