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Dr. J V Bhushan

Neurosurgeon, Bangalore

250 at clinic
Dr. J V Bhushan Neurosurgeon, Bangalore
250 at clinic
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. J V Bhushan
Dr. J V Bhushan is one of the best Neurosurgeons in Frazer Town, Bangalore. You can meet Dr. J V Bhushan personally at Santhosh Hospital in Frazer Town, Bangalore. Book an appointment online with Dr. J V Bhushan on Lybrate.com.

Find numerous Neurosurgeons in India from the comfort of your home on Lybrate.com. You will find Neurosurgeons with more than 26 years of experience on Lybrate.com. You can find Neurosurgeons online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Santhosh Hospital

#48, Park view, Ground Floor, No.40 Kings road, Frazer town. Landmark: Opposite Colds ParkBangalore Get Directions
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Best Physiotherapy/Rehab Exercises for Cerebral Palsy/Delayed Milestones

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Best Physiotherapy/Rehab Exercises for Cerebral Palsy/Delayed Milestones

CEREBRAL PALSY

Cerebral palsy is a term used to describe a broad spectrum of motor disability which is non-progressive and is caused by damage to brain at or around birth. It is a disorder which develops due to damage to CNS and this damage can take place before, during, or immediately after the birth of the child. The damage won't worsen but remains constant. However the child may appera to worsen if not given proper intervention not because of an increase in lesion in the brain but just beacuse the damaged brain is not able to cope up with the physical demand of the growing body and the increasing demand of the environment surrounding the child.

CAUSES:

ANTENATAL CAUSES:

  • Genetic causes: First or second degree consanguineous marriage.
  • Intrauterine virus infection: Rubella and cytomegalovirus infections which lead to severe brain damage along with associated visual and hearing problem with cataract.
  • Hypoglycemia: Low blood sugar for long period lead to brain damage and epilepsy. Cerebellum is more vulnerable leading to ataxia and visual problems. Infant of diabetic mothers are more prone to hypoglycemia.

Trauma to the mother:

  • Infection to the mother can make the baby prone to develop it.
  • Malnourishment of the fetus especially in case of twins.
  • Exposure to the mother’s abdominal area to repeated X-ray radiation, prolonged use of medications like steroids by mother.

NEONATAL CAUSES:

  • Prematurity: Premature babies are prone to brain damage either due to trauma during delivery and later on due to immature respiratory and cardiovascular system. Therefore, they are likely to develop hypoxia and low blood pressure also, they are more likely to develop low blood sugar, jaundice and hemorrhage because of liver immaturity.
  • Vascular causes: Occlusion of the internal carotid or midcerebral artery during birth can on many occasions lead to hemiplegia.
  • Trauma: trauma can occur either due to disproportion, breech delivery, and forceps delivery, distortion of head and tearing of tentorium.
  • Asphyxia: It can occur by accidents and burns which could be as a result of knotted umbilical cord, cord around the neck or prolapsed cord. Multiple deliveries can cause asphyxia of the second or third infant.
  • Neonatal meningitis: Usually associated with severe residual brain damage.

POSTNATAL CAUSES:

  • Delayed cry: Causes asphyxia to the brain causing CP.
  • Severe jaundice: Presence of high levels of bilirubin cause basal ganglia damage leading to athetoid cerebral palsy and high tone deafness.
  • Trauma: Fall of the body after birth.
  • Infection: Like meningitis, or encephalitis can cause brain damage.

TYPES OF CEREBRAL PALSY:

  1. Basically cerebral palsy children manifest in three common ways spastic, athetoid, and ataxic.
  2. Spasticity seen in cerebral palsy is usually knife that may change with change in position, which means that spasticity may vary from supine to prone.
  3. Athetoid cerebral palsy children exhibits slow, purposeless, wormlike, involuntary movements which flow into each other. It occurs due to basal ganglia damage commonly seen in children who suffers from an attack of jaundice following birth.
  4. Ataxia in cerebral palsy occurs due to cerebellar damage. Both balance and coordination is affected.

 

PHYSIOTHERAPY TREATMENT OF CEREBRAL PALSY

  1. Physiotherapy is one of the most important treatments for CP that usually begins soon after being diagnosed and often continues throughout life. Special devices and equipment are needed for some people with CP to help them with specific problems like,
  2. A child who develops uneven leg length may need to wear special shoes with a higher sole and heel on the shorter leg.
  3. Some people who are not able to walk alone may need to use canes, crutches, walkers, or wheelchairs.

 

EXERCISES IN SUPINE POSITION

Normalizing tone of the muscles: For cases with hypo tonicity slow passive movements, sustained stretch, cryotherapy over the muscle for 15 to 20 minutes, stimulation of antagonist movement and vibrations are used. On the contrary, for cases with hypotinicity weight bearing, joint compression, rhythmic stabilization, vibrations, cryotherapy in brisk manner and taping can be used.

Weight bearing exercises: Weight bearing exercises are necessary to promote development of tone in muscles and also to maintain the absorption of calcium into the bones. Thus the patient should be given activities like bridging, supine on elbows, sitting with weight bearing on the affected arm, and standing should be given as soon as possible within the limitation of the patient’s general medical status..

Skillful TAPING gives a tactile feedback which helps in faster development of tone in the muscles. Weight bearing exercises for the involved upper limb has also been found to be beneficial in preventing this.

Bridging Exercises: The child lies on supine position. Therapist flexed his both the knees n then helps him to lift his back from the mid area so that weight bear on his legs. This should be done in 10 -15 repetitions. Then do bridging on 1 leg and then another.

Stretching and Mobility: The muscles should be maintained at the appropriate physiological length for normal muscle control and normal postural adjustment. In CP because of delay or absence of normal movement muscles are usually in a shortened position hence stretching of the muscles is essential to increase the neuromuscular control. Length of the muscles should be maintained not only through stretching but also through various functional activities.

In supine position, the therapist holds an object so that the child grasp that object by moving his body, in this rolling activity plays an important role. The child rolls right and left to grasp the object sometimes lifting his back and limbs too.

The therapist do some exercises in vestibular ball so that child balance and coordination improves and this is the best spine stretching activity.

Good neck control and developing trunk control by using vestibular ball, he lied down in ball and doing movements that extend his spine and head is looking in upward direction.

EXERCISES IN SITTING

The therapist should hold and support the child in sitting position. Time should be noted daily.

Exercises in vestibular ball to correct the balance. Sit on the vestibular ball and then shift the weight from right side to left side by rolling the ball.

Reaching far objects: As the child sitting in the ball then the therapist should stand in front of him and tell him to reach the object that the therapist holds.

Sit to stand activities and kneeling activities, sit on the toes, sitting by cross leg by maximize wide base of support

EXERCISES IN STANDING

STANDING IN BOTH THE LEGS: The therapist should hold his knees while standing as the child flex his knees and forward trunk to avoid standing.

SQUATTING: The therapist should try and help the child to do some squats about 5 to 10 daily to increase the muscle power and strength.

WALKING with the help of therapist or a cane and use a tilt board for balancing exercises.

Standing on the side of vestibular ball and do reaching objects so that the child lifts his head in upward position for increasing the extension of neck i.e. neck control.

Developing postural reaction: Postural adjustments are essential if the child is move to move freely and to adjust to various environmental demands rapidly. Motor milestones can be best achieved by good postural reactions. Postural reactions consists of righting reactions, protective extension and equilibrium reactions. Initially children first develop righting reactions. Righting reactions allow the child to orient his head in space so that the eyes and mouth are horizontal regardless of the position of the body. It also helps in maintaining the proper alignment of the head with respect to the body.

Oromotor control training: Oromotor function depends on good head control. Common Oromotor problems are: drooling, problems in sucking, swallowing, body movements associated with speech, jaw, hyper or hyposensitivity and inadequate tongue movements. Hence the therapy should consist of good neck control, developing good trunk control, use of brush to decrease drooling.

Speech therapy helps to control the mouth muscles. This therapy can be of great benefit to children with speech or eating problems. Speech therapy often starts before the child begins school and continues throughout the school years.

Both massage therapy and physiotherapy benefit some people with CP by helping them relax tense muscles, strengthen muscles and keep joint flexible.

2 people found this helpful

MD
General Physician, Delhi
Follow these instructions which will help in reducing migraine pain.
1. Avoid excessive glare, work on systems, watching tv for longer time, irritable smoke or smell. As these can be trigger points for your headache.
2. Whenever you sense you are going to have headache, go to a silent dark place where you can sit silently till the headache wanes off or if possible you can go to bed.
3. You can take a cup of coffee during headache, as its found to help in reducing headaches.
4. Follow meditation regularly.
27 people found this helpful

My mom is taking trika medicine to sleep. Is it good She is suffering from migraine. She is not able to sleep at night.

B.H.M.S
Homeopath, Patna
My mom is taking trika medicine to sleep. Is it good She is suffering from migraine. She is not able to sleep at night.
Stop all medecine 2. If pain is I left than sangunaria c cm one drop once in a week or pain is in left than spigelia cm one drop only in a week.
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Sleeping Naked ! Can Boost Your Post Marital Sexual Life

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Sleeping Naked ! Can Boost Your Post Marital Sexual Life

Sometimes it is the simplest things that can really amp up your marriage, sleeping naked is one of those simple things you can do to improve your marriage.

First off sleeping naked is quite freeing both physically and psychologically. Baring yourself while you sleep with your spouse builds trust both physically (oxytocin is thanked for this) and psychologically.


 

The act of sleeping naked is simply sexy and appealing to your partner.

That skin to skin feeling also makes you feel sexy. Skin on skin contact releases the hormone oxytocin which increases the feelings of comfort.

This may put you in the mood for sex. 


 

Oxytocin has other benefits as well like making you feel more aroused, increasing feelings of trust, lowers heart rate, reduces blood pressure and simply makes you more ready for sexual interaction. 


 

Of course healthy spouses are happy spouses. Sleeping naked has been scientifically proven to improve health.

Being close to your spouse and cuddling while you sleep is actually beneficial your health.


 

Your skin can absorb more nutrients.

Your metabolism will also improve because your body will have to work while you sleep to maintain that healthy body temperature of 98.6. 

For both men and women sleeping naked allows their genitals to “air out”. Your genitals are covered up all day, everyday which makes it an ideal environment for the overgrowth of yeast and bacteria which can lead to infection and discomfort. 


 

Sleep Benefits

More sound sleep equals less overall stress.

Feeling less stressed means less arguing and nit picking in marriages.

You may not believe it, but having a lower body temperature while you sleep actually helps you to rest better.

This is also an ideal environment for the anti-aging hormones to do their job. 


 

Sexual Benefits

Sleeping naked is also fun. What better way to end the day than to be skin to skin with your spouse.

It is an intimate way to sleep and will make you feel closer to your spouse.

The skin to skin contact is a great way to get that intimate alone time that you cannot get anywhere else.

There have been nights when we go to bed exhausted and yet we are naked. Through out the night we are touching a feeling each other.

As a new day arrives and the house is quiet we find the perfect time to enjoy one another sexual and start our day off on the right track.


 

Free yourself from wearing clothes at night! Sleeping naked is a empowering situation for both of you!

27 people found this helpful

I am 19 year old student. I have a feeling of dying and my brain is not fully active. I consult a psychiatrist who has given me medicine Pari CR 12.5 mg, I have consumed at night and in the morning I have one big bowel on my forehead. Is this the side effect of the medicine. Please help.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
I am 19 year old student. I have a feeling of dying and my brain is not fully active. I consult a psychiatrist who ha...
This does not seem to be of much serious nature. Try one more dose and if you get sweating and rash you can consult your doctor. Take the medicine regularly and in case of any type of problem, have confidence in your doctor and consult him and follow his advise specially during the initial phase of treatment. Good luck.
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My father recently suffered a minor attack. He had suffered a paralytic attack around 5 months back. What is the recommended future course of action.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
DO have proper follow up with Neuro Physician and Neuro Physiotherapist and take appropriate Therapy Best Wishes
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my son I having problems of convulsions from this year may month he's taking regular medicines given by doctors, can you pls answer me how much time will he take to recover from this problem.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
convulsions should not occur if he is taking medicines regularly...get him examined by nearest physician first to rule out any intracranial abnormality
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I have migraine specially in daytime and when sm out under scorching heat of sun the migraine is tremendous.

BHMS
Homeopath, Sindhudurg
homoepathic treatment Nat mur 30x 4pills 3times relax head 4pills 3times for 8days and revert back for further treatment for complete cure.
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Hi, my friend has very violent convulsions in which his head shakes back and forth violently and his saliva comes out of his mouth. He was just tested for epilepsy, and they found no brain activity to support this diagnosis in the E.E.G. What else could it possibly be? Thanks.

MS - General Surgery, M.Ch - Neuro Surgery
Neurosurgeon, Siliguri
Epilepsy can not always be diagnosed by investigations. Record a vedio during the episode and show to your doctor it helps a lot in clinical diagnosis.
3 people found this helpful
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I have sleep paralysis. Is it ok to have it or should I start to take cure of it.

PDDM, MHA, MBBS
General Physician, Nashik
Sleep paralysis is more common in people who are sleep deprived, so getting enough sleep may help to reduce the number of episodes of sleep paralysis you have. Most adults need six to eight hours of good quality sleep each night. Keeping to a regular sleeping schedule, where you go to bed at roughly the same time each night and get up at the same time each morning, can also help. Tips for improving your sleeping habits include: creating a restful sleeping environment that's quiet, dark and not too hot or cold ensuring your bed is comfortable exercising regularly (but not too close to bedtime) cutting down on caffeine not eating or drinking alcohol before bedtime giving up smoking (if you smoke) because nicotine is a stimulant.
1 person found this helpful
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From today morning my hand are shivering little bit and heart is beating faster than normal and also I am feeling weak. Can you help me with this?

DHB
Homeopath, Sagar
From today morning my hand are shivering little bit and heart is beating faster than normal and also I am feeling wea...
Dear lybrate user there is a homoeopathic medicine which you can take without any side effects that is cardicare drops take 20 drops three times daily.
3 people found this helpful
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I'm 22 years old and I have migraine. Earlier it wasn't that frequent, but since few months it occurs frequently (almost every alternate day) & sometimes it lasts for 1-2 days. I mostly get it on the left side of the forehead.

MSc Applied Biology, Diploma in Naturopathy
Ayurveda, Delhi
Stress, lack of water, D H A, unsaturated fats, oxygen, undesired medicines, sleep affect brain so many different head aches .see how you are starving your 100 billion brain neuron cells.
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I am suffering from nerves problem all doctors are telling no treatment for nerves problem so pls give me some suggestion doctor.

PDDM, MHA, MBBS
General Physician, Nashik
Please elaborate your problem that is. Is it painful, numb or loss of sensation and revert back to me for further assistance. Dr. Surbhi agrawal consultant physician and diabetologist
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Hi m 20 year old, I have migraine since 1 year, regularly m not taking medicines Is there any other options instead of having medicines.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ahmedabad
You should take ayurveda medicine because ayurveda cures. If you don't want to take any medicine then you should put 2 drop of pure cow ghee (indian) 2 times a day. After 1 month your complain will cure about 70-80%
2 people found this helpful
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I am suffering under sensory neural hearing loss for more than thirty years due to well path and diving in the village decibel loss 60 both sides many vitamins minerals tablets homeopathy Ayurvedic tablets taken but no improvement as far as clarity of words spoken by persons and over phone tv etc hearing aids tried no use it only increases the sound but not helping for clarity of words as far as sound enough for me life time my age is 65 Is there any medicine essential oils etc in the world to restore my clarity hearing of words.

Master of Hospital Administration, Bachelor of Audiology & Speech Language Pathology (B.A.S.L.P)
Speech Therapist, Gurgaon
I am suffering under sensory neural hearing loss for more than thirty years due to well path and diving in the villag...
Dear lybrate user if you r having sensorineural type of hearing loss no medicines will help to restore the hearing loss. Only in sudden hearing loss steroids help to some extent. So in your case the option left for you is digital programmable hearing aids. Most probably you have used analog one, go for digital programmable hearing aids. It will help for sure. Consult with me for further details.
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I am 52 year male had operated for spine l3, l4 & l5 in year 2004 for steonsis. Have been stabilized with 2 plates 6 screws and cages between vertebrates (all are made of titanium) as now I have problem in c5, c6 & c7 is it advisable for operating. I am not int. In operation as it is in sensitive area. Kindly advise.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hello, thanks for your query and welcome to lybrate. I am dr akshay from fortis hospital, new delhi. You will have to elaborate your problem as to a detailed discussion of your neck pain which means duration of pain and mode of onset. I would also like to ask you if it is associated with any radiating upper limb pain or any other neurological symptoms like numbness, paraesthesias ( electrical shock like abnormal sensations) or any weakness in limbs. Please also tell me about any associated symptoms like fever, weight loss etc. What medications you generally take and what has been your treatment history till now for existing problem. Kindly send me x rays and mri scans of neck so that I can see and advise accordingly. Do not hesitate to contact me if you need any further assistance. Thanks & regards Dr Akshay Kumar Saxena
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I have migraine since last 6 months please can you suggest me some medicine or home remedies?

MBBS
General Physician, Cuttack
Take Paracetamol 500mg one Tablet sos after food, drink plenty of water and take rest.. Check your BP, avoid stres sand anxiety since it precipitates migraine attack If You have chronic migraine, you have to take migraine prophylaxis after consulting neurologist
2 people found this helpful
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My mother has Alzheimer's disease, and I've noticed she is getting more confused. How can I help her?

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Alzheimer's dementia is a progressive disease. There are practically no medications for cure of alzheimer's or reversing the damages caused by alzheimer's dementia. However there are certain medications which can definitely slower the rate at which memory loss and behavior problems surface. Also to treat and keep behavior and sleep problems under control certain medicines are helpful. In all, you may consult a psychiatrist with all her details and get a personalised treatment plan for her. Take care.
1 person found this helpful
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Strain Injury

Master of Physical Therapy MPT CARDIO, BPTh/BPT
Physiotherapist, Rajkot
Strain Injury

Don't ignore the early signs of strain injury like the weakness of the grip, numbness, and pain or discomfort in the arms, hands, wrists or shoulders.

14 people found this helpful

I have migrane headache and it severely pains on the right eyebrow part. Can I get some suggestions what do I need to do about this?

MBBS
General Physician, Delhi
Take tablet beta cap plus once daily night time for 3 months. In case of acute pain take tablet brufen sos.
1 person found this helpful
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