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Aliostal

Ask a doctor about a prescription for Aliostal

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Doctor

Nuno Tavares Lopes

Family medicine17 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

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This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use Aliostal

Package Leaflet: Information for the User

ALYOSTAL,solution for skin prick tests, 100 IR/ml or 100 IC/ml
Extracts of allergens – diagnostic allergens for skin prick tests

Read the package leaflet carefully before using the medicine, as it contains important information for the patient.

  • Keep this package leaflet, you may need to read it again.
  • If you have any further questions, ask your doctor.
  • If you experience any side effects, including any not listed in this package leaflet, inform your doctor. See section 4.

Diagnostic product for use only by qualified medical personnel.

Table of Contents of the Package Leaflet

  • 1. What is ALYOSTAL and what is it used for
  • 2. Important information before using ALYOSTAL
  • 3. How to use ALYOSTAL
  • 4. Possible side effects
  • 5. How to store ALYOSTAL
  • 6. Contents of the package and other information

1. WHAT IS ALYOSTAL AND WHAT IS IT USED FOR

ALYOSTAL is intended exclusively for diagnostic purposes.
Skin prick tests with ALYOSTAL are performed to diagnose the causes of allergic diseases in children, adolescents, and adults.

2. IMPORTANT INFORMATION BEFORE USING ALYOSTAL

When not to use ALYOSTAL

  • if the patient is allergic to any of the other ingredients listed in section 6.

Warnings and precautions

Before starting treatment with ALYOSTAL, inform your doctor or nurse:

  • if the patient is taking beta-blockers (beta-adrenergic blockers) in any form (even eye drops) or certain antidepressants (tricyclic antidepressants or monoamine oxidase inhibitors - MAOIs). See section "ALYOSTAL and other medicines"
  • if the patient has had a fever or a clinically confirmed asthma attack and/or a peak expiratory flow rate measurement, the doctor will consider what actions to take
  • if the patient does not feel well, the doctor will decide on the timing of the tests
  • if the patient has had an acute phase of an allergic disease, the doctor will postpone the tests
  • if the patient has skin diseases. The doctor will postpone the tests to avoid obtaining unassessable test results or exacerbating existing skin diseases
  • if the patient has conditions such as dermographism, urticaria, atopic dermatitis, eczema, or psoriasis
  • if a lymph node has been removed from one armpit, as skin prick tests should be performed on the other forearm.

Page 1 of 5
Inform your doctor immediately if you experience any systemic allergic symptoms during the skin prick tests (e.g., intense itching of the hands and soles of the feet, urticaria, swelling of the lips or throat leading to difficulty swallowing, breathing, or voice changes, nausea, and vomiting). See section 4. Possible side effects.
ALYOSTAL should not be used in children under 4 years of age. Use in children from 1 year of age may be considered by a doctor with caution.

ALYOSTAL and other medicines

Tell your doctor about all medicines you are taking or have recently taken, as well as any medicines you plan to take.
Before performing skin prick tests, inform your doctor:

  • if you are taking antihistamines or corticosteroids. These medicines may significantly reduce the response to the skin prick test. Your doctor will inform you about the proper procedure
  • if you are taking beta-blockers. Your doctor will assess the risk associated with taking these medicines, as they may hinder the treatment of possible allergic reactions
  • if you are taking certain antidepressants (tricyclic antidepressants or monoamine oxidase inhibitors - MAOIs), as the risk of side effects may increase in case epinephrine needs to be used in the event of severe allergic reactions (with possible fatal consequences).

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, or think you may be pregnant, consult your doctor before undergoing an ALYOSTAL diagnostic test.
Pregnancy
There are no clinical data on the use of ALYOSTAL in pregnant women.
Skin allergy tests are generally not performed in pregnant women, as they may expose the pregnant woman to the risk of generalized allergic reactions.
Breastfeeding
Skin tests can be performed during breastfeeding.
There are no clinical data on the use of ALYOSTAL during breastfeeding.

Driving and using machines

ALYOSTAL does not affect driving or using machines.

3. HOW TO USE ALYOSTAL

ALYOSTAL can only be used by trained healthcare professionals who will inform the patient about the procedure and rules for performing skin prick tests.
Diagnostictests are performedon the medial surface of the forearm. The patient should place their relaxed arm on the table.
The skin where the tests will be performed should be cleaned and disinfected with alcohol and dried.
One drop of each skin test solution will be applied to the skin at a suitable distance from each other.
After applying the drop of solution, the skin will be pricked with a Stallerpoint needle.
A new sterile needle for single use must be used for each solution.
Page 2 of 5
A positive and negative control test should be performed under the same conditions to assess skin reactivity.
The skin reaction appears within 20 minutes of performing the prick. A positive result is the appearance of a blister (edema) with or without redness (erythema).
The doctor or nurse will read the results, outline each skin reaction, and optionally copy the boundaries of the reaction onto adhesive tape.
The patient should remain under medical supervision for at least 30 minutes after performing the skin prick tests.

4. POSSIBLE SIDE EFFECTS

Like all medicines, this medicine can cause side effects, although not everybody gets them.
During the performance of the test with ALYOSTAL, patients are exposed to allergens, which can cause allergic reactions at the prick site and/or systemic symptoms.
The patient should inform the doctor immediately if they experience intense itching or rash, difficulty breathing, abdominal pain, or symptoms related to a drop in blood pressure, such as dizziness, malaise, as these symptoms may herald severe allergic reactions.
The patient's tolerance to allergens may change over time, depending on the patient's health and environment.
The following side effects were observed in clinical trials:
Uncommon (affecting less than 1 in 100 patients)
Itching
After marketing, the following side effects have been spontaneously reported, and their frequency cannot be estimated (frequency not known):

  • local reactions: pain, swelling, redness, urticaria
  • generalized allergic reactions: anaphylactic reactions

Reporting side effects

If you experience any side effects, including any not listed in this package leaflet, inform your doctor or pharmacist.
Side effects can be reported directly to the Department of Post-Marketing Surveillance of Medicinal Products, Medical Devices, and Biocidal Products of the Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products:
Aleje Jerozolimskie 181C, 02-222 Warsaw
Phone: +48 22 49 21 301
Fax: +48 22 49 21 309
Website: https://smz.ezdrowie.gov.pl
Side effects can also be reported to the marketing authorization holder.
By reporting side effects, you can help provide more information on the safety of this medicine.
Page 3 of 5

5. HOW TO STORE ALYOSTAL

Keep out of sight and reach of children.
ALYOSTAL should be stored in a refrigerator (2°C - 8°C). Do not use ALYOSTAL after the expiry date (EXP) stated on the packaging (vial label).

6. CONTENTS OF THE PACKAGE AND OTHER INFORMATION

What ALYOSTAL contains

The active substance is allergen extracts at a concentration of 100 IR/ml or 100 IC/ml (according to Annex 1) in combination with mannitol. The amount of mannitol does not exceed 40 mg/ml.
Excipients: glycerol, sodium chloride, phenol, water for injections
The negative control solution contains: glycerol, sodium chloride, phenol, water for injections.
The positive control solution contains: histamine dihydrochloride, glycerol, sodium chloride, phenol, water for injections.

What ALYOSTAL looks like and what the package contains

ALYOSTAL is a clear, colorless solution in Type I glass vials with a plastic cap and dropper.
One vial (3 ml) of solution contains:

  • a single standardized allergen extract or a mixture of standardized allergen extracts
  • a single non-standardized allergen extract or a mixture of non-standardized allergen extracts

The list of allergens registered in Poland is in Annex 1.
The package contains:
vials with allergen extracts of 3 ml + one vial with positive control solution of 3 ml + one vial with negative control solution of 3 ml.

Marketing authorization holder and manufacturer

STALLERGENES
6 rue Alexis de Tocqueville, 92160 ANTONY, France
For more information, contact the representative of the marketing authorization holder:
STALLERGENES Sp. z o.o.
phone: 22 620 29 98
Date of last revision of the package leaflet: 12/2023
Page 4 of 5

ANNEX

NR 1

I. Plant-based allergen extracts

Weeds

605 Mugwort ( Artemisia vulgaris)
IR/ml
604 Ragweed ( Ambrosia elatior)
IR/ml

Trees

609 Black alder ( Alnus glutinosa)
IR/ml
615 White birch ( Betula alba)
IR/ml
649 Hazel ( Corylus avellana)
IR/ml
651 European olive ( Olea europea)
IR/ml

ALYOSTAL

II. Animal-based allergen extracts

Animals

507 Cat
IR/ml
509 Dog
IC/ml

III. House dust mite allergen extracts

314 Dermatophagoides farinae
IR/ml
315 Dermatophagoides pteronyssinus
IR/ml

VI. Mixtures of plant-based allergen extracts * grasses

688 5 grasses- (orchard grass, meadow fescue, perennial ryegrass, sweet vernal grass, timothy grass)
IR/ml
* molds
400 Alternaria( alternata, longipes)
IC/ml
Page 5 of 5

  • Country of registration
  • Prescription required
    No
  • Manufacturer
  • Importer
    Stallergenes
  • Alternatives to Aliostal
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Alternatives to Aliostal in other countries

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Online doctors for Aliostal

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for Aliostal – subject to medical assessment and local rules.

5.0(46)
Doctor

Nuno Tavares Lopes

Family medicine17 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

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Svetlana Kovalenko

Family medicine14 years of experience

Dr Svetlana Kovalenko is a family medicine doctor with over 14 years of experience and a medical degree from Kharkiv National Medical University. She offers online consultations for adults, supporting patients with both acute and chronic conditions, preventive care, and personalised medical advice.

What patients commonly consult her for:

  • High blood pressure, type 2 diabetes, cholesterol management
  • Cold and flu symptoms: fever, cough, sore throat
  • Fatigue, sleep problems, headaches, general discomfort
  • Ongoing care for chronic conditions and medication review
  • Help interpreting test results and lab reports
  • Preventive check-ups and advice on healthy lifestyle habits

Dr Kovalenko combines evidence-based practice with a respectful, patient-centred approach. She takes time to explain, listens attentively, and helps each person make confident, informed decisions about their health.

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Doctor

Tomasz Grzelewski

Dermatology20 years of experience

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques.

For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance.

Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults.

In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions.

Patients commonly seek his care for:

  • seasonal and perennial allergies
  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
  • food and medication allergies
  • urticaria, atopic dermatitis and skin reactions
  • recurrent infections in children
  • sports-related health questions
  • general family medicine concerns
Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.
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Tetiana Fedoryshyn

General medicine29 years of experience

Dr Tetiana Fedoryshyn is a senior general practitioner, certified nutritionist, and psychologist with over 29 years of clinical experience. She combines classical internal medicine with modern approaches in lifestyle medicine, functional nutrition, and emotional health support.

Her focus is on helping patients regain health through deep understanding of symptoms, personalised nutrition plans, and evidence-based correction of deficiencies, stress-related conditions, and metabolic imbalances. Dr Fedoryshyn works with adults experiencing chronic conditions, fatigue, hormonal disruption, and post-stress exhaustion.

She integrates medical analysis, psychological insight, and real-life behaviour change tools to offer treatment plans tailored to each patient’s biochemistry, mental state, and lifestyle.

Main areas of practice:

  • Chronic condition management and medical counselling
  • Weight loss programmes based on metabolic profiling
  • Diagnosis and treatment of micronutrient deficiencies
  • Recovery from stress, burnout, and hormonal imbalances
  • Emotional support and psychosomatic symptom care
Her approach is never one-size-fits-all – each consultation begins with a deep dive into your unique health history, test results, and emotional landscape. Consultations are available in Ukrainian, Polish, and Russian.
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Sergei Nalkin

Neurology11 years of experience

Dr. Sergei Nalkin, PhD, is a neurologist, specialising in sports medicine and rehabilitation. He provides expert care for patients with neurological, musculoskeletal, and post-traumatic conditions, focusing on functional recovery and long-term symptom relief.

Dr. Nalkin offers consultations and treatment for:

  • Neurological disorders including migraines, tension headaches, and peripheral neuropathies.
  • Rehabilitation after stroke, brain injury, and spinal cord trauma.
  • Chronic pain syndromes and musculoskeletal dysfunctions.
  • Sports-related injuries: prevention, treatment, and recovery planning.
  • Coordination and movement disorders affecting mobility and balance.
  • Custom rehabilitation programmes for neurological and orthopedic conditions.

With a personalised, evidence-based approach, Dr. Nalkin helps patients restore physical function, reduce pain, and improve quality of life through targeted therapy and long-term support.

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Liudmyla Boichuk

Family medicine10 years of experience

Dr Liudmyla Boichuk is a family medicine doctor providing diagnosis and treatment for a wide range of acute and chronic conditions in adults and children. She works with respiratory, cardiovascular and digestive system disorders and has extensive experience caring for patients with multiple coexisting conditions, where coordinated, whole-person management is essential.

She treats adults with respiratory illnesses such as pneumonia, COPD and bronchial asthma, as well as cardiovascular conditions including hypertension and ischaemic heart disease. Her practice also covers gastrointestinal complaints and chronic comorbidities that require careful, structured medical supervision.

Dr Boichuk provides care for children from birth, including acute respiratory viral infections, infectious diseases, pneumonia, bronchitis, bronchial obstruction syndromes and allergic reactions. She offers clear, evidence-based guidance to parents and ensures safe follow-up throughout the child’s recovery.

Her work also includes developing personalised immunisation plans and supporting families with long-term preventive care.

Known for her structured clinical approach and clear communication, Dr Liudmyla Boichuk offers patients of all ages comprehensive, reliable and evidence-based medical care.

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Anna Biriukova

General medicine5 years of experience

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
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Karim BenHarbi

General medicine8 years of experience

Dr. Karim Ben Harbi is a licensed general practitioner based in Italy. He provides online consultations for adults and children, combining international clinical experience with evidence-based medicine. His care approach is focused on accurate diagnosis, preventive care, and personalised health guidance.

Dr. Ben Harbi received his medical degree from Sapienza University in Rome. His training included hands-on experience in diverse settings — tropical medicine, rural healthcare, and urban outpatient practice. He also conducted clinical research in microbiology, exploring the role of the gut microbiome in chronic gastrointestinal issues.

You can consult Dr. Ben Harbi for:

  • General health concerns, prevention, and primary care.
  • Hypertension, type 1 and type 2 diabetes, metabolic issues.
  • Cold, cough, flu, respiratory infections, sore throat, fever.
  • Chronic digestive issues: bloating, gastritis, IBS, microbiome imbalance.
  • Skin rashes, mild allergic reactions, basic dermatological complaints.
  • Medication guidance, treatment adjustments, prescription review.
  • Paediatric concerns — fever, infections, general well-being.
  • Lifestyle optimisation: stress, sleep, weight, and diet counselling.

Dr. Ben Harbi offers reliable, accessible medical support through online consultations, helping patients make informed decisions about their health with a clear, structured, and compassionate approach.

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Eteri Tabeshadze

Cardiology32 years of experience

Dr. Eteri Tabeshadze is a cardiologist with the highest qualification category and over 32 years of clinical experience. She also practises functional diagnostics, offering a comprehensive approach to cardiovascular care. Dr. Tabeshadze provides online consultations for adults with a wide range of heart-related conditions, from preventive screenings to acute and chronic disease management.

Areas of expertise include:

  • Diagnosis and treatment of hypertension, coronary artery disease, and chronic heart failure
  • Management of arrhythmias and conduction disorders, including paroxysmal events
  • Emergency care: myocardial infarction, acute left ventricular failure, acute pulmonary heart disease
  • Post-thromboembolism care and evaluation of cardiomyopathies
  • Treatment of vegetative dysfunction and autonomic disorders
  • Interpretation of cardiovascular tests: ECG, Holter monitoring, ambulatory blood pressure monitoring (ABPM), echocardiography (including transesophageal echo), stress echocardiography, exercise testing (VEM, treadmill test)
Dr. Tabeshadze combines extensive diagnostic experience with personalised care. She helps patients understand their cardiovascular health, navigate symptoms and diagnoses, and create tailored treatment plans to improve quality of life and reduce long-term risks.
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Oleksandr Babushkin

Orthopedics and traumatology17 years of experience

Dr Oleksandr Babushkin is an orthopaedic and trauma specialist providing online consultations for adults with joint, muscle, and spine-related concerns. He helps patients accurately assess symptoms, manage chronic and acute musculoskeletal conditions, and build effective recovery strategies through evidence-based care.

Online consultations include:

  • Evaluation of musculoskeletal symptoms: acute or chronic pain, stiffness, and reduced mobility.
  • Diagnosis and treatment advice for joint pain (knees, hips, shoulders, elbows), back and neck pain.
  • Support for conditions such as osteoarthritis, bursitis, tendinitis, and nerve compression syndromes.
  • Guidance after injuries: strains, sprains, bruises, suspected fractures, and overuse injuries.
  • Recovery support following orthopaedic surgery or trauma.
  • Monitoring treatment progress and adjusting therapy based on your symptoms and test results.

You can book a consultation if you experience:

  • Joint pain, limited mobility, or cracking sounds during movement.
  • Back or neck pain, especially with prolonged sitting or physical activity.
  • Chronic discomfort that affects your daily life or sleep.
  • Need for post-surgical follow-up or rehabilitation planning.

Dr Babushkin combines his expertise in orthopaedics and trauma care with a personalised, structured approach — helping patients regain mobility, reduce pain, and improve quality of life.

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