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May20
LASIK Technology Use For Lasik Surgery In Delhi - Lasikdelhi
LASIK Technology - Lasik Surgery In Delhi
Any LASIK procedure consists of two steps:

CREATING A CORNEAL FLAP

TREATING THE UNDERLYING CORNEA WITH A LASER

now we shall discuss the above two points in detail…
creating a corneal flap.

Corneal flap can be created either using a blade or using a laser called femtosecond laser. We at BAJAJ EYE CARE CENTRE use the best of technologies for both of the techniques. In BLADE LASIK we create a flap using not a surgical blade but an instrument called automated computerized microkeratome. For flap creation with microkeratome we use the world’s best and trusted MORIA ONE USE PLUS SBK microkeratome which has a capability of producing very thin flaps measuring equivalent to 90 microns. This technique is called SBK LASIK (sub bowmans keratomileusis ). The thinner flap in the range of 90 microns ( 1 mm is equivalent to 1000 microns ) has obvious advantages.

More residual cornea is left behind thus leaving a thicker residual cornea for a lifelong normal functioning.

Since the flap is cut at a superficial level it results in a lesser dry eyes postoperatively allowing the patient to resume all his activities no sonnertha the next day onwards.

Moria one use plus microkeratome produces very smooth flaps almost equivalent to a femto second laser, thus the post operative vision is very good.

Thinner flaps settle down very quickly with no corneal folds and swelling thus the patient recovers vision almost immediately that is within 15 to 20 minutes postoperatively… a wow factor for SBK lasik. In BLADELESS or BLADEFREE LASIK we are using the most advanced ZEISS VISUMAX FEMTOSECOND laser machine and we take pride in having the first installation in whole of north Delhi for this.

Advantages of FEMTO FLAP on ZEISS machine… hundred percent blade free lasik. Painfree. Very precise and accurate flaps. Fast… IT takes only a few seconds to make a flap. Least expected complications which may occur on other technologies besides Zeiss platform. Flap related complications associated with microkeratomes are minimized or absent with the femtolasik, as it is more precise and more accurate. Femto flaps are more stronger in nature and fit more snugly to the base cornea comparatively.

THE SECOND STEP: TREATING THE CORNEA BENEATH THE FLAP WITH EXCIMER LASER

Here the cornea is reshaped according to the refractive status of the patient. various profiles currently in use are…

Planolasik it is the basic correction which corrects the spherical and cylindrical components of the refractive errors. The disadvantages include post operative glares and haloes especially in higher numbers, the advantage being it is cheaper.

Customised lasik ( clasik ) here a customization is attempted to be done according to patients corneal and total irregularities called abberations ( higher order abberations …HOA’S). however the drawback in most of the systems is that they are unable to pick up the abberations accurately and after treating them may land up in further abberations and problems caused by them.

Wavefront optimized aspheric lasik….this is supposedly the best technology, here the normal prolate shape of the cornea is maintained even postoperatively which mimics the preoperative shape. Advantages include absence or minimal postoperative glare and haloes which are a part of standard lasik. At BAJAJ EYE CARE CENTRE we use an advanced profile of aspheric wavefront optimized lasik at ZEISS MEL 80 platform, a GERMAN technology which are the world leaders in opto electronics.

Contoura lasik: this is just a form of topography guided correction lasik and not much different from conventional lasik.


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May20
Hair Treatment in Vasundhara by Dr. Megha Modi at Twachaaclinic
Hair Treatment in Vasundhara

Alopecia (Baldness/ Hairfall)
This problem is becoming more and more common and at early ages. Our suggestion is to treat it at the earliest for better results. Treatment options range from medicines to most advance Laser, PRP, hair transplant.

Unwanted Hairs
Premature Graying
Dandruff
Along with laser hair reduction we address to the underlying hormonal disturbances if any.

Dr. Megha Modi - Dermatologist
Dr. Megha Modi is a practicing Dermatologist in Delhi and received her medical degree from Baroda Medical College. She went on to specialize in dermatology and attained her MD in Skin–VD from the same college. She has to her credit the enviable distinction of being a gold medalist at both the undergraduate as well as post graduate levels.

Professionally Dr. Megha Modi has been a consultant at the Dermatech Clinic in North Delhi and brings to the table a rich experience in the field of Cosmetology and Dermatology. On an academic front, she has won numerous accolades and citations for her stellar contributions for her paper presentations at State and National Level conferences. Concurrently Dr. Modi has numerous publications in indexed journals which are standing evidence of her prowess in the specialty.

Some of her most significant contributions are to textbooks on topics like ‘Clinical Approach to Homosexuals with STDs’ in Sexually Transmitted Diseases and HIV/AIDS’. Dr. Modi has even done some extensive editorial work for IJSTD in the recent past and is unarguably an authority when it comes to Cosmetology and Dermatology.


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May19
Cochlear and Hearing Implants in India by Dr. Ameet Kishore
Cochlear And Hearing Implants In India

How does a cochlear implant function?
In instances of sensorineural deafness, the hair cells are absent / damaged even though the hearing nerve might be in place. These nerve do not conduct sound as a result of hair cell damage. However, these nerves can convey electrical impulses to the brain on electrical stimulation. Cochlear implants bypass the damaged hair cells and convert natural sounds into electrical signals and send these signs through the hearing nerve to the brain. Easy availability of latest Cochlear and Hearing implants In India has now made it possible to have them. We have the Best Cochlear Implant Surgeon and Audiologist team in the region to help you get expert care .

Cochlear Implants (CI)
An electronic device surgically implanted in the cochlea (inner ear) that is used to provide sensation of sound in individuals who have a severe to profound hearing loss and do not benefit from hearing aids. Cochlear has conveyed the endowment of sound to more than quarter of a million people over the world. The world's best cochlear innovation is presently accessible in India. Accessible in a scope of item offerings, you can now easily have latest Cochlear and Hearing implants In India.

Bone Anchored Hearing Devices (BAHA and Bonebridge)
These are surgically implanted hearing devices that are designed to help persons with certain types of hearing losses. They work through the principle of bone conduction where sound is transferred to the inner ear by vibration of the skull bone. Preclinical outcomes suggest that the BB has practical execution like the BAHA and could be productive to patients enduring with conductive and hearing losses and additionally for those with one-sided hearing loss.

Vibrant Soundbridge middle ear implant (VSB)
This is an electronic device implanted in the middle ear in those individauls with certain types of hearing loss, who are dissatisfied with hearing aids or cannot wear conventional hearing aids. Rather than a hearing aid - which can just make sounds entering the ear louder - the Vibrant Soundbridge changes over the signals into mechanical vibrations. This mechanical vitality specifically animates the structures of the middle ear and permits even sharp tones to be heard extraordinarily well.

Auditory Brainstem Implant (ABI)
This is a surgically implanted electronic device that delivers sound directly to the hearing centre in the brainstem. It is an opton for individuals with severe to profound hearing loss where a cochlear implant cannot be used due to damage or absence of the cochlea or the hearing nerve

Cochlear Implant Surgery with Cochlear and Hearing implants In India
The Implant Surgery is performed under general anesthesia and takes only an hour. A cut is made behind the ear to open the mastoid bone and access the middle ear. After that the internal ear (cochlea) is opened and electrodes are inserted. The method requires a stay in the doctor's facility for 1 to 2 days.


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May18
Corneal Arcus or Arcus Senilis : Causes, Symptoms, Diagnosis, and Treatment - Mumbaieyecare
Corneal Arcus
Corneal Arcus or Arcus senilis appears as a white, gray, or blue ring or arc around the cornea of the eye. The condition is usually seen in older adults but can affect people of all ages, even appearing at birth. Arcus senilis is generally harmless, and an involutional change modified by genetic factors. However, arcus is sometimes indicative of hyperlipidoproteinemia (involving low-density lipoproteins) with elevated serum cholesterol, especially in patients under 40 years of the age.

Causes of corneal arcus
Arcus is a deposition of lipid in the peripheral corneal stroma. Cholesterol and triglycerides are two types of fats in your blood. Some of the lipids in your blood come from foods you eat, such as meat and dairy products. Your liver produces the rest. Lipid deposition starts at the inferior and superior poles of the cornea and in the late stages encircle the entire circumstances. Arcus senilis is more common in men than in women. In people under age 40, arcus senilis is often due to an inherited condition and in rare cases, children are born with arcus senilis ( arcus juvenilis).

Arcus senilis can also appear in people with Schnyder central crystalline dystrophy. This rare, inherited condition causes cholesterol crystals to deposit on the cornea.

Symptoms
A person with arcus senilis may develop:

A white, gray, or blue circle around the cornea of the eye.
The circle or arc will have a sharp outer border but a blurred inner border.
If someone has an arc, the lines could grow to form a complete circle in front of the iris.
The presence of corneal arcus in patients younger than 40 year-old warrants evaluation for systemic lipid abnormalities.
Unilateral arcus is a rare condition associated with contra lateral artery disease or ocular hypotony. Usually it is an asymptomatic condition and does not affect your vision.

Diagnosis
Eye examination performed by eye doctor can diagnose arcus senilis. A slit lamp microscope is a very helpful tool to evaluate eye thoroughly. A special eye drop is used to widen the pupil of the patient. Once the eye drops works, ophthalmologist can inspect all parts of the eye with back of the eye as well for any disease. In arcus, thickness of the vessels increases due to fat deposition. Surgeon has to look for signs of atherosclerosis also, which is a condition where arteries become clogged with fatty substances.

A blood test will determine whether someone has high cholesterol. If they do, they may be prescribed medicine or advised on a suitable diet and exercise program to lower the cholesterol in their blood.

How corneal arcus is managed?
The good news is, you don’t need to treat arcus senilis. It typically affects both eyes, but in some cases only one eye has a grayish arc around the cornea, which may be a sign of poor blood circulation.

Eating healthy foods and exercising regularly are some good ways to keep your eyes healthy. We recommend wearing sunglasses with 100% UV protection when outdoors and safety goggles when doing hazardous tasks as well.

If arcus senilis is a sign of high cholesterol, a doctor may recommend a diet that is low in saturated fats and high in fruit, vegetables, and fiber.

If lipid levels are not controlled by diet and exercise are not enough, several medications can help lower your lipid levels:

Statin drugs block a substance your liver uses to make cholesterol. These drugs include atorvastatin, fluvastatin, pravastatin and rosuvastatin.
Bile acid binding resins force your liver to use more cholesterol to produce digestive substances called bile acids. This leaves less cholesterol in your blood. These drugs include cholestyramine, colesevelam and colestipol.
Cholesterol absorption inhibitors like ezetimibe reduce your body’s absorption of cholesterol.
Drugs may be used to lower triglyceride levels:
Fibrates reduce production of lipids in your liver and increase the removal of triglycerides from your blood.
Niacin reduces the production of lipids by your liver.
Increased exercise and quitting smoking can also help.
Possible complications
Arcus senilis alone is not known to have any complications unless it is a sign of high cholesterol. High levels of cholesterol in a person’s blood can cause significant problems, such as coronary artery disease or cardiovascular disease.

Follow-Up
Arcus senilis may sometimes appear as a white ring around the iris due to calcium deposits on the circumference of the cornea, where the white section of your eye (the sclera) and the colored part (the iris) meet (called the limbus). When the deposits consist of calcium, the limbus appears milky and may indicate tissue damage that needs correction.

The blue (or sometimes gray) ring around the iris often is associated with high cholesterol and triglycerides. In turn, this may be an indicator of heart condition that yor are more prone to heart attacks and strokes. When this condition appears in people younger than 60 years old, regular blood tests are normally recommended to monitor elevated lipid levels.

In few other cases, when corneas become opaque, due to genetic mutation it could be from a lowered high-density lipoprotein (HDL) cholesterol level. This condition can result in other eye problems. Principally, this opacification may be related to deficient levels of lecithin cholesterol acyl transferase (LCAT). LCAT is an enzymatic protein responsible for converting free cholesterol into cholesteryl ester.

Cholesterol ester, is then separated into the nucleus of the lipoproteins to produce a synthetic high-density lipoprotein (HDL) chain. This reaction is forced one way, since the deposits are removed from the exterior. So the enzyme is attached to both HDLs and low-density lipoproteins (LDLs) in blood plasma.

This process can result in the manifestation of fish eyes, and it is actually called “fish eye disease.” Corneal opacification can also result from mutations in another HDL protein, the adenosine triphosphate-binding protein ABCA1.

Just because you are younger than 40 and have arcus does not mean you absolutely have elevated lipid levels, but at a very minimum, it is recommended that you have them checked.

Unilateral corneal arcus may be associated with vascular or inflammatory etiologies.

Important Reminder: This information is only intended to provide guidance, not a definitive medical advice. Please consult eye doctor about your specific condition. Only a trained, experienced board certified eye doctor can determine an accurate diagnosis and proper treatment.


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May17
PRK and EPI - LASIK Surgery In Delhi
What is PRK?

PRK ( photorefractive keratectomy ) is a type of laser vision correction procedure to correct the refractive errors that is… myopia, hypermetropia and astigmatism. PRK was one of the earliest laser eye surgery vision correction procedures and has been performed longer than LASIK which has become more popular than PRK now. Similar to LASIK and other types of LVC procedures corneal reshaping is done using an EXCIMER LASER thus allowing the light rays to properly focus on the retina and achieving a clear vision without spectacles.

WHAT IS THE DIFFERENCE BETWEEN LASIK AND PRK
In both the techniques the laser used is same and corneal reshaping is also the same but the difference lies in the FIRST step. In LASIK in the first step a flap is made either using a microkeratome or a laser , the thickness of the flap varies between 90 to 130 microns and after the procedure is over this flap is repositioned back. In PRK the flap is not made, instead most superficial layer of the cornea called epithelium ( only 45 to 50 microns thick ) is scrapped /removed to expose the deeper corneal layers which is then treated with excimer laser to reshape the cornea. The epithelium regrows and repairs itself within a span of 3 to 4 days 1after the surgery. So PRK is a flapless technique and since the flap is not made, the tissue saved adds to the residual corneal stromal bed thickness thus making PRK a very safe procedure in terms of long term corneal biomechanical stability.

Who are the best candidates for PRK?…in other words what are the indications for PRK
Patients having relatively thin corneas where lasikcan not be done. In patients with thinner corneas making a flap ( in the first step of lasik ) may weaken the cornea later on thus it is better to avoid lasik in these patients and PRK is a preferred procedure.
All those patients who are into contact sports etc , here a possible later trauma to the flap is theoretically avoided.

ADVANTAGES OF PRK
Because there is no flap made here in this technique unlike lasik ( flap consists of both epithelium and the deeper corneal tissues ) more corneal thickness is available for treatment and also more corneal tissue is left behind, benefitting thin corneas, resulting in safety.
Since there is no flap there are no flap complications which may occur in blade lasik

DISADVANTAGES OF PRK
PRK recovery is slower than lasik. Though one is able to see clearly within a week’s time it takes at least 4 to 6 weeks before the final visual recovery takes place. It is because it takes a few days for the new epithelial cells to grow and fully cover the surface of the eye.
Postoperative recovery period is more painfulas compared to lasik
Slightly more risk of eye infection in postoperative period, however it is minimised with the usage of proper antibiotic eye drops.
There is a minimal risk of postoperative corneal haze postoperatively, however it is minimised with the concurrent use of an intraoperative drug called mitomycin-c.

How is PRK performed?
During PRK, a central approx. 8 to 9 mm area of the uppermost layer of cornea called the epithelium is removed either mechanically or using an alcoholic solution. This is followed by usage of excimer laser rays which very precisely reshape the corneal curvature. This is done by removing corneal tissue in microns the amount of which is proportional to number of glasses in diopters. A drug called mitomycin-c may be applied for few seconds to some patients if indicated to prevent postoperative haze. A soft contact lens called bandage lens is applied for about 3 to 4 days to promote healing and minimize pain and later on removed.

What is the recovery process with PRK?
IN THE IMMEDIATE POST OPERATIVE PERIOD
Patients are advised to rest for a short while after which one can go home. some body must accompany to drive you back home. Post operative antibiotics and anti- inflammatory drugs are applied and prescribed to minimize post operative pain and discomfort and to accelerate healing process.

Patients are followed up the very next day, then on the 4th day to remove the bandage contact lens. Frequent follow ups are required to monitor the progress and to avoid any post op complications.

THE FINAL RECOVERY IN PRK
It takes a bit longer in PRK to recover fully, sometimes to the tune of 10 to 12 weeks. Till then one is very comfortable in carrying out the routine activities. One is able to drive within a week or two. It is important to protect the eyes from direct sunlight ( u v rays ) and one should wear a good UV protecting sunglasses.

LONG TERM SUCCESS IN PRK
The results obtained after PRK are quite similar to LASIK with most of the patients achieving 6/6 vision unaided postoperatively. Glasses are required to read when one crosses the 45 years age barrier due to a natural process called presbyopia.


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May17
Diabetic Retinopathy Treatment From Retina Specialist in Mumbai - Dr. Jatin Ashar
Diabetic Retinopathy Treatment In Ghatkopar
Diabetic retinopathy is a form of eye disease caused by chronically high or variable blood sugar that is associated with diabetes. If left untreated, diabetic retinopathy can lead to vision loss and blindness. The condition develops slowly throughout many years; therefore, it is essential to undergo regular eye tests when you have Diabetes. Retinopathy is basically impaired blood vessels in the retina which is the thin inner light-sensitive layer situated in the back of the eyes. In some cases, these vessels will swell up (macular oedema) and leak fluid into the rear of the eye. In other cases, abnormal blood vessels will grow on the surface of the retina.

Diabetic retinopathy occurs in three stages:
Background retinopathy - Background retinopathy is said to occur if you have developed microaneurysms on your retina. Microaneurysms are when there is a swelling of the capillaries (very small blood vessels) that feed the retina. It is an early warning sign that your diabetes has lead to some damage of the small blood vessels of your retina.
Diabetic maculopathy - The macula is the part of the eye that helps to provide us with our central vision. Diabetic maculopathy is when the macula sustains some form of damage. One such cause of macular damage is from diabetic macular oedema whereby blood vessels near to the macula leak fluid or protein onto the macula.
Proliferative retinopathy - If a significant number of blood vessels on the retina become damaged, your body will respond by releasing a growth hormone known as Vascular Endothelial Cell Growth Factor (VEGF). The growth hormone stimulates the growth of new blood vessels. However, these new blood vessels are particularly weak and prone to leaking. Proliferative retinopathy is the body’s attempt to save its retina but it can often lead scarring of the retina and can cause the retina to detach, leading to blindness.
Symptoms
You might not have any signs of diabetic retinopathy until it becomes serious. When you do have symptoms, you might notice:

Loss of central vision, which is used when you read or drive
Not being able to see colors
Blurry vision
Holes or black spots in your vision
Floaters, or small spots in your vision caused by bleeding
Poor night vision
Risk factors
Anyone who has diabetes can develop diabetic retinopathy. Risk of developing the eye condition can increase as a result of:

Duration of diabetes — the longer you have diabetes, the greater your risk of developing diabetic retinopathy
Poor control of your blood sugar level
High blood pressure
High cholesterol
Pregnancy
Tobacco use
Being African-American, Hispanic or Native American
Treatment
Treatment of diabetic retinopathy depends on the extent of the disease.

Eye Injections - Eye Medications called vascular endothelial growth factor (VEGF) inhibitors can be used to help stop the growth of new blood vessels and improve vision. Most people who receive these injections will need to get them for at least three months. Over time, some people may need to get them less often or may no longer need them at all, but others will need to continue in order to protect their vision.
Focal laser surgery - This surgery attempts to stop or reduce the leaking of blood or fluid into the eye by burning and sealing the damaged blood vessels.
Photocoagulation - This is usually done in your doctor’s office as an outpatient procedure during a single session. The procedure may or may not restore your vision to normal, but it should prevent your condition from worsening.
Scatter laser surgery - This surgery uses lasers to burn the damaged blood vessels so that they shrink. This procedure may require more than one application, and your vision may be blurry for a day or more after each session. You may also experience loss of peripheral vision or night vision after the procedure.
Vitrectomy - This surgery is done under general anesthesia and involves making a tiny incision in the eye to remove blood from the vitreous fluid, as well as any scar tissue that may cause retinal detachment.
Complications
Diabetic retinopathy involves the abnormal growth of blood vessels in the retina. Complications can lead to serious vision problems:

Vitreous hemorrhage - The new blood vessels may bleed into the clear, jelly-like substance that fills the center of your eye. If the amount of bleeding is small, you might see only a few dark spots (floaters). In more-severe cases, blood can fill the vitreous cavity and completely block your vision. Vitreous hemorrhage by itself usually doesn't cause permanent vision loss. The blood often clears from the eye within a few weeks or months. Unless your retina is damaged, your vision may return to its previous clarity.
Retinal detachment - The abnormal blood vessels associated with diabetic retinopathy stimulate the growth of scar tissue, which can pull the retina away from the back of the eye. This may cause spots floating in your vision, flashes of light or severe vision loss.
Glaucoma - New blood vessels may grow in the front part of your eye and interfere with the normal flow of fluid out of the eye, causing pressure in the eye to build up (glaucoma). This pressure can damage the nerve that carries images from your eye to your brain (optic nerve).
Blindness - Eventually, diabetic retinopathy, glaucoma or both can lead to complete vision loss.
To schedule an appointment with our experts for Diabetic Retinopathy Treatment In Ghatkopar, please call us at +91 8451045935, +91-8451045934 or visit our clinic at Address.

For more information = https://www.mumbaieyecare.com/


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May16
Sport Injury Treatment in Delhi by Pain Specialist Doctor in Delhi - Dr. Amod Manocha
Sports Injuries Prevention

Overuse and trauma are two common factors responsible for sports injuries. Both intrinsic (such as age, fitness level, muscle strength etc) and extrinsic factors (such as equipment, environment, type of activity etc) play a role in injuries.

Prevention of injuries may involve changing of training schedule, gear, training, practicing environment and style and many other factors. Primary prevention deals with prevention of an injury whereas secondary prevention is about prevention of re occurrence of injury. As "Prevention is better than cure," here are some tips that can help you prevent sports injuries. Whilst most of these may seem like common knowledge, you would be surprised by how many injuries can be avoided by following these tips.

Tip 1: Understand the importance of physical conditioning and know your limits
This factor is often overlooked by amateurs who easily succumb to temptation and overindulge. It is easy to get carried away when you return to sports after a long time. Knowing ones limits, gradually increasing the intensity and duration of training can help in injury prevention. Regular exercise is an effective way to energize your body and keep fit. On the other hand aggressive training beyond ones capabilities and the resulting overuse, fatigue, poor judgment makes injuries more likely.

Be mindful of old injuries and listen to your body. Warning signs such as joint pain, tenderness, and swelling are reasons to re-evaluate your technique and routine.

Tip 2: Invest in the right sporting gear
This includes every essential bit of equipment required for playing a particular sport, starting from the right shoes to the protective equipment such as helmets, gloves, protective pads etc. Right gear not only protects you from injuries but can also enhance your performance.

Tip 3: Warm and stretch your muscles
Warmed up muscles are less prone to injuries and overlooking warm-up sessions can cost one dearly. Warm up raises the core body temperature and gears up the body for the intended exercise. It helps by increasing the blood flow to muscles improving the muscle efficiency, range of motion and stretching the muscles being used in particular sports. Stretching to the point of tension (not pain) helps to reduce stiffness and improve flexibility, thereby reducing the chances of injury.

Warm up may be general or specific to the intended sport. The right exercises would vary depending on the sports. Starting the sport at a slow pace can be helpful. If you closely observe your sporting idols, you will always see them warm up prior to any game.

Tip 4: Use the right technique and follow the rules of the game
Correct techniques to play a sport are defined to minimize the chances of injuries and maximize your performance. The same can be said about the rules of the game. Incorrect overzealous manoeuvre can predispose one to injuries and hence the importance of concentrating on the precise technique. One example which I can quote as I commonly see this in my clinic is back injuries due to incorrect dead lift technique. Often that temptation to add the extra 5kgs compromises the technique predisposing one to injuries.

Selecting the appropriate surface for sports is equally important especially for repetitive activities such as running, jumping where the impact force on the body is magnified by 3- 12 times. Impact force on hard surfaces is much higher increasing the injury chances.

Tip 5: Cool down
Cooling down is another injury prevention technique that helps to return the heart rate, breathing, and blood pressure to the pre-training levels. It can also help to limit the post exercise muscle soreness and flush out toxins produced during the training.

Tip 6: Adequate recovery
Adequate recovery is essential no only for avoiding injuries but also for the full training effect. Inadequate recovery can lead to tiredness, lethargy, mental fatigue and impaired performance. Adequate recovery includes warm down sessions, re stand sleep, psychological and nutritional advices.


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May16
Our team published a very important review on Multisystem Inflammatory Syndrome in Children | Dr. Sidharth Kumar Sethi
Our Team Published A Very Important Review On ‘Multisystem Inflammatory Syndrome In Children
Our team published a very important review on ‘Multisystem Inflammatory Syndrome in Children with COVID- A Pediatric Nephrologist’s Perspective’ in journal ‘Clinical Kidney Journal’. This review is very important for all physicians, Pediatricians and Nephrologists taking care of children with COVID and AKI.

About Dr.
Dr. Sidharth Kumar Sethi
Kidney & Urology Institute
He was trained as a Fellow (International Pediatric Nephrology Association Fellowship) and Senior Resident in Pediatric Nephrology at All India Institute of Medical Sciences and Division of Pediatric Nephrology and Transplant Immunology, Cedars Sinai Medical Centre, Los Angeles, California. He has been actively involved in the care of children with all kinds of complex renal disorders, including nephrotic syndrome, tubular disorders, urinary tract infections, hypertension, chronic kidney disease, and renal transplantation. He has been a part of 8-member writing committee for the guidelines of Steroid Sensitive Nephrotic Syndrome and Expert committee involved in the formulation of guidelines of Pediatric Renal Disorders including Steroid Resistant Nephrotic Syndrome and urinary tract infections. He has more than 30 indexed publications in Pediatric Nephrology and chapters in reputed textbooks including Essential Pediatrics (Editors O.P. Ghai) and “Pediatric Nephrology” (Editors A Bagga, RN Srivastava). He is a part of Editorial Board of “World Journal of Nephrology” and “eAJKD- Web version of American Journal of Kidney Diseases”. He is a reviewer for Pediatric Nephrology related content for various Pediatric and Nephrology journals.

For more information = http://www.pediatricnephrologyindia.com/


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May13
Skin Treatment in Vasundhara, Skin Care Treatment in Vasundhara at Twachaaclinic
Skin Treatment in Vasundhara
Acne (Pimples)/ Rosacea
Acne is one of the most common skin conditions worldwide today. The myths surrounding the subject make it hard to separate the facts from the fiction. We understand the huge impact that acne can have on your life, causing embarrassment, affecting self-esteem and personal relationships – in short, it really gets you down.

Pigmentory Disorders (Blemishes, Freckles Etc.)
Hyper pigmentation indicate an increased amount of melanin, leading to darker color of the skin. This includes melasma, freckles, lentigenes, post inflammatory pigmentation and many others. We can guide you to reduce these unsightly blemishes through continuous skin care and a range of treatment options available with us.

Wrinkles/ Sagging Skin
In this era of cosmetic dermatology you can easily get years off your face by losing those ugly wrinkles. We provide you with the most advance treatment options to smoothen your skin and look young again.

Stretch Marks
Stretch marks are often the result from rapid weight gain or loss, rapid growth or can be caused by hormonal changes due to puberty, pregnancy, muscle building or hormone replacement therapy. We can reduce your stretch marks with the help of Microdermabrasion, Peels, Fractional Laser and Dermaroller.

Eczema/Skin Allergy/ Urticaria
Rashes, hives, itching – the suffering is always underestimated. We at Twachaa Clinic understand you and your allergies can help you live symptom free. Over and above medications we provide facility for allergy testing and immunotherapy.

Psoriasis
This disease, characterised by thick red scaly lesions over body and scalp, has a lot of psychological impact. A range of treatment options are available depending on multiple factors like age, severity, distribution, medical illness etc.

Vitiligo
Vitiligo commonly known as leukoderma is one of the most dreaded skin disease though it is really harmless. There are many myths about this disease like it is contagious and it cannot be corrected. With so much advancement in medical science, it is possible to get your pigment back either by medical or surgical treatment in most of the cases.

Tinea (Fungal Infection)
Tinea, once easily treatable, has now becoming resistant due to self medications and incomplete treatment. It now demands treatment in expert hands.

Warts / Tags/ Moles/ Cyst
These can be removed using radio frequency surgery.

Pediatric Skin Conditions
All pediatric skin diseases will be addressed at Twachaa skin clinic like diaper rash, cradle cap, eczema, skin infections, birth marks etc.


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May12
Best Otology Doctor in Delhi, India | Dr.(Prof.) Ameet Kishore
Ear (Otology) Doctor In Delhi, India
Your ear problems need advice from an expert. You can now consult to the Best Otology Doctor In India for any issue related to Otology. A right advice after a complete diagnosisfrom an experienced professional can help you to achieve the necessary relief with the hearing issues. An experienced and qualified specialist is now available in your city.

Tympanoplasty
A tympanoplasty is an operation that is aimed to remove infection from your ear and close a hole in your eardrum. The aim of thisoperation is to prevent repeated ear infections and if repair certain types of hearing losses. With the perfect diagnosis from Best Octology Doctor in India you can gain your hearing back. With the availability of modern equipment and state-of-the-art facilities, our staff will extend you the best service.

Stapedotomy
A stapedotomy (or stapedectomy) is an operation to help improve hearing in those patients who suffer from a condition called otosclerosis. In this delicate operation a part of the fixed stapes bone is removed and replaced with an artificial piston. Performed by Best Otology Doctor In India to enhance the transmission of sound to the internal ear, stapedectomy treats dynamic hearing loss brought on by otosclerosis, a condition in which bone solidifies around the base of the stapes.

Ossiculoplasty
An ossiculoplasty is an operation to help improve hearing in those patients where hearing loss is due to damage to the ossicles (tiny hearing bones) following chronic ear infection. In this operation we may either use your own residual ossicle or an artificial ossicle to achieve the desired result. In a few sorts of ear surgery that incorporates an ossicular chain repair, the surgical approach is through the ear canal (outside sound-related channel) and this is called an endaural approach.

Mastoidectomy
A mastoidectomy is an operation that is aimed to remove any pocket of dead skin and infection in your ear and mastoid bone (ear bone) and thus stop ear discharge. The infection in the ear can spread to the temporal / mastoid bone. Your ENT specialist may need to evacuate parts of the temporal bone if this happens. This can cause hearing loss. You can expect some hearing distress from a radical and modified radical mastoidectomy. This operation isn't as common as it used to be. These days the expert Ear Surgeon can reconstruct the defects caused by the disease or the surgery at the same time as the primary operation. Antibiotics ordinarily treat infections, yet surgery is an alternative if antibiotics are not effective.

We provide to all aspects of ENT surgeries and ENT treatments, from the very elementary to the most exceptional, with the association of our ENT Specialist, Consultants, Onco-Surgeons, Plastic Surgeons, therapists, practitioners, rehabilitators, and assistance staff. Guided by the extensive knowledge, excellent expertise, and clear vision, we are providingthe best ENT health care in the Capital city.


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