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Dr. Pramaod

MBBS

Neurologist, Bangalore

350 at clinic
Dr. Pramaod MBBS Neurologist, Bangalore
350 at clinic
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Pramaod
Dr. Pramaod is a trusted Neurologist in Nagarbhavi, Bangalore. He is a qualified MBBS . You can meet Dr. Pramaod personally at Panacea Hospital - Nagarabhavi in Nagarbhavi, Bangalore. Book an appointment online with Dr. Pramaod on Lybrate.com.

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Panacea Hospital - Nagarabhavi

# 611 /612, Nagarabhavi Main Road 2nd Stage Vinayaka Layout, Nagarabhavi. Landmark: Near Bharath Petrol PumpBangalore Get Directions
350 at clinic
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Panacea Hospital - Nagarabhavi

# 611 /612, Nagarabhavi Main Road 2nd Stage Vinayaka Layout, Nagarabhavi. Landmark: Near Bharath Petrol Pump.Bangalore Get Directions
350 at clinic
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BPT, BPTh/BPT
Physiotherapist, Lucknow
What is Rett syndrome?

Rett syndrome is a neurodevelopmenal disorder that affects girls almost exclusively. It is characterized by normal early growth and development followed by a slowing of development, loss of purposeful use of the hands, distinctive hand movements, slowed brain and head growth, problems with walking, seizures, and intellectual disability.
The disorder was identified by Dr. Andreas Rett, an Austrian physician who first described it in a journal article in 1966. It was not until after a second article about the disorder, published in 1983 by Swedish researcher Dr. Bengt Hagberg, that the disorder was generally recognized.
The course of Rett syndrome, including the age of onset and the severity of symptoms, varies from child to child. Before the symptoms begin, however, the child generally appears to grow and develop normally, although there are often subtle abnormalities even in early infancy, such as loss of muscle tone (hypotonia), difficulty feeding, and jerkiness in limb movements. Then, gradually, mental and physical symptoms appear. As the syndrome progresses, the child loses purposeful use of her hands and the ability to speak. Other early symptoms may include problems crawling or walking and diminished eye contact. The loss of functional use of the hands is followed by compulsive hand movements such as wringing and washing. The onset of this period of regression is sometimes sudden.
Apraxia — the inability to perform motor functions — is perhaps the most severely disabling feature of Rett syndrome, interfering with every body movement, including eye gaze and speech.
Children with Rett syndrome often exhibit autistic-like behaviors in the early stages. Other symptoms may include walking on the toes, sleep problems, a wide-based gait, teeth grinding and difficulty chewing, slowed growth, seizures, cognitive disabilities, and breathing difficulties while awake such as hyperventilation, apnea (breath holding), and air swallowing
14 people found this helpful

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

My daughter is 16 year old. She had been feeling headache and occasional bouts of drowsiness for quite some time. We consulted a neuro physician who diagnosed this as Migraine. Her mother also has migraine. However, my daughter has started to feel even more drowsiness and reeling of head after taking medicines prescribed by doctor. These medicines are sarotena, Practin and Sibelium. Please advise.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
My daughter is 16 year old. She had been feeling headache and occasional bouts of drowsiness for quite some time. We ...
Some of the medications that your daughter is taking tend to have side effects of sedation. So it is advisable to either titrate doses according to her needs or use alternative formulas to suit her needs. Consult a headache specialist or your treating physician for the same. If you so wish you may consult me online for any further queries or assistance in further treatmnet. Take care.
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I am nt able to sleep facing insomnia . Should I try sum medications or wat should I do I am facing anxiety also. Kindly help.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
I am nt able to sleep facing insomnia . Should I try sum medications or wat should I do I am facing anxiety also. Kin...
I don’t know if you are fully aware: you have mentioned that you are suffering from anxiety, which in itself can disturb your sleep. Instead of worrying too much about causes, why don’t you implement some of my suggestions, because they work effectively. The lack of sleep, i.e. Sleep for less than 6 hours per night, is directly linked to about 86 diseases! So let us first focus on that. In your case particularly, do not sleep during the day; don’t even lie down. Go for regular exercise (breathing through your nostrils only) at a fixed time (at about 6 am) every day, whether you sleep or not. You must develop this habit of sleeping by 10 pm latest every night and wake up at a uniform time by 6 am every morning, even if you do not get sleep. If you do not get sleep, just lie down and if you have a bed lamp (or you could get one) lie down and read something light but not exciting. Your eyes will tire and you will fall asleep. If you like you may also put on light and soft music with the sleep function on. Depending on whether you are a visual or auditory person, you may watch TV in a lying down position until you feel sleepy. Have a warm bath before going to bed (for some people a cold bath at night seems to induce sleep! If you are one of them, please do so). Place the head side of your bed in a North-South position. The room must be as dark as possible and there should be no electronic items that give off even a light LED glow. There must be ample ventilation in the room. Avoid strong odors, except lavender, on your body or in the room, or on your sheets and clothes. There should not be any live plants in your bedroom. Sleep with the lightest of clothes or without any clothing. When lying down to sleep, lie down on your left ear as much as possible. Do not sleep directly under an overhead fan. You must eat a good breakfast, a fairly light lunch, and an early dinner, which should be a very light meal. Whatever you eat in the other meals, have only a pure carbohydrate meal at night with any vegetables, and preferably before 8 pm. Do not drink much liquids after or near about dinner time. When lying down to sleep you may use the 4-7-8 breathing pattern of sleep inducement i.e. Breathe in for four counts through your nostril only, hold for 7 counts, and exhale with a whoosh sound, through your mouth only, for 8 counts. Repeat this four times in the morning and just before you sleep at night. If you know Emotional Freedom Technique or EFT (check this out either on YouTube or Google), then please practice this too for sleep induction. Self-hypnosis and slow relaxation techniques, at night will be tremendously useful. Acupuncture or acupressure will both be very useful too. Pray last thing at night before you sleep.
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I am having a voice problem the words spoke by me could not be understandable to the another man to whom I answered it is because I have paralysis 3 years back which I recovered but the voice is not proper.

PDDM, MHA, MBBS
General Physician, Nashik
Breathe deeply and exhale on a hisssssssing sound. Repeat 10 times. Proper breathing is the foundation for a healthy voice AND control over nervous energy that can make the voice quiver. Say “Mm-mmm (as in yummy) Mmm-hmm (like yes) ” Repeat 5 times. This develops mask resonance, which creates a clean and vibrant sound by creating a clean approximation of the cords and a resonance that will sound great and project easily. Say “Mm-mmm. Mmm-hmm.” up and down your vocal range, from low to middle to high and back again, 10 times.
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Brain Stroke: 8 Lifestyle Changes For Its Prevention!

FRCS (Ed) Neurosugery, M.Ch - Neuro Surgery
Neurosurgeon, Indore
Brain Stroke: 8 Lifestyle Changes For Its Prevention!

As the famous quote says, 'prevention is better than cure', let us take you through some preventive measures to keep you and your loved ones away from the dreadful brain stroke. Brain stroke occurs due to an interruption in the regular blood flow to the brain or bursting of a blood vessel or due to the bursting of blocked artery, which reduces the supply of oxygen and nutrients, leading the brain cells to die.

Top 8 things that will reduce the likelihood of having a brain stroke:

  1. Eat well: Having good eating habits are not just good for a healthy outlook of the body, but also benefits the body in many other ways. Eating a plenty of fresh fruits and vegetables, fibre rich diet, reducing salt and fat content can prevent stroke.
  2. Stay Active: Regular exercising not just makes you feel and look good, but also reduces the odds of developing a brain stroke. Exercising regularly or keeping the physical activities regularly will keep you away from suffering a stroke. Pick any physical activity, but do work out to stay away from the brain stroke.
  3. Say no to Smoking and drugs: Yes! The more you smoke, the more are the chances of you of suffering the deadly brain stroke.
  4. Control your blood pressure: Normal range varies with age of patient. Regular check-up of blood pressure is advisable to control the chances of suffering a stroke as high blood pressure can result into damage of arteries, which causes brain stroke.
  5. Drink in limits: Limit the amount of alcohol you consume, as alcohol increases the blood pressure, which is one of the main reasons behind the stroke. The high amount of alcohol can increase the blood pressure to a higher level very quickly. Consulting a doctor is the best option in case you are not able to control your alcohol intake.
  6. Cholesterol: People suffering from high cholesterol are at higher risk of strokes as the cholesterol can travel to the arteries in the body making the arteries narrow and the body more prone to suffer a stroke. Choosing healthy lifestyle helps in reducing the cholesterol level.
  7. Diabetes: High level of diabetes is one of the most prominent reasons behind stroke. One should get his diabetes level checked and keep it under control since the arteries might get blocked because of fatty deposits because of higher sugar levels.
  8. Depression/Stress: Any kind of depression or stress, generally leads to avoidance of all or some of the points discussed above and hence becomes a reason for an unhealthy body, which is more prone to strokes. Consultation with a doctor and/or psychiatrist is advisable in case a person if suffering from depression.

Improving your health and taking charge of your life should be the top most priority and should never be ignored. Regular health checkups can pick these diseases early and are encouraged. If you wish to discuss about any specific problem, you can consult a Neurosurgeon.

1950 people found this helpful

I often have head pain. 3-4 times a week. But mostly its minor. Does it show the possibility of migraine ?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
1-1 drop of cow ghee in both nostrils at night time before sleep. Take sootshekhar. Kaparda and godanti bhasm with honey two times a day. Eat green vegetables. Healthy food. Fruits. Drink plenty of water. Do pranayama early in the morning. Walk minimum for 30 minutes per day.
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I am epilepsy patient. I am taking valparin chrono 300 mg in morning and 500 mg in evening. Since 2 and a half years. thankfully I didnt get any seizure since then. Till when should I continue my medications.

MD, MBBS
Neurologist, Gurgaon
It depends upon type of epilepsy. If it is primary generalized epilepsy then u may have to take for a very long time.
2 people found this helpful
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Foot drop tendon transfer to my leg due to left side hemiplegia. To which doctor I need to consultant what is cost of this surgery.

International Academy of Classical Homeopathy, BHMS
Homeopath,
hi op 30 3tims aday for wk phos 30 4tims a day for 12 days hyos 30 4tims days cupr 200 one dose gels mother tincture
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Can ayurveda help me cure insomnia which I have been experiencing for past 4 months regularly and infrequently for many years?

B.Sc., B.A.M.S., C.C.Y.P., M.D. (Ayurveda)
Ayurveda, Aligarh
Can ayurveda help me cure insomnia which I have been experiencing for past 4 months regularly and infrequently for ma...
Hell Yes Ayurveda can. The common causes of insomnia is stress of work, family or improper sleep due to work load or other causes. Immediately go for meditation and use saraswatarista 10 ml bd. In starting stage we can manage otherwise it causes other serious disorders. You must revert your feedback. good luck.
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I had headache and vomiting, 3 month back. I consulted my family doctor and now I am fine but the company in which I am working are giving me night shift duty. I consulted my doc, he told me better to refuse as you had symptoms of migraine pain 3 months back. I need a reply from neurologist, what shall I do?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
There are many causes of headache. i.e. fever, acidity, gastritis, stress, injury , eye sight weakness, apply any good pain balm on head. Try to take good sleep at night. Use pain balm on head thrice a day. It can give relief instant . or also can take tab. Dolo 650 mg thrice a day after meal, tab. Pan 40 mg once a day for 3 days . if not ok then checkup b.p. , cbc, blood sugar, eye sights, and consult again. Thanks.
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Hi i am 64 years running, when press my left leg thumb on floor I feel something'jhanjhanahat' since last 01 yr. I am regularly having routine check up (at least twice or thrice in a year) of blood sugar-fasting & pp, serum electrolytes, creatinine, lipid profile, uric acid, serum psa, urine routine exam, u/s whole abdomen but all the test are negative and good, except sometime uric acid is just cross the average limit. Pl. Let me know what is the symptom of feeling'jhanjhanahat' in my left leg thumb only. Please help

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. There could be many reasons for this, actually this sensation is what we call as paraesthesia and signifies nerve irritation/compression somewhere along the course right from lower back to compartments around ankle. My advise will be for 2-3 weeks try with physical therapy (tens as a modality), you can initiate with small dose of gabapentin or pregabalin and vitamin b 12 and see whether there is any improvement in symptoms in 10-15 days time or not? do not hesitate to contact me if you need any further assistance.
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I am a male, aged 66 years. For the last two-three days I am having a strange feeling in the left part of my left foot. When I touch my foot, a portion of it feels numbness or a lack of touch feeling. It was more severe in the beginning but now slowly this feeling has decreased to some extent. Can you throw some light on this phenomena why it has happened or possible reason thereof.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
I am a male, aged 66 years. For the last two-three days I am having a strange feeling in the left part of my left foo...
Hello- This is due to the deformity of Sciatic nerve which causes numbness,tingling or pain in the foot. Try this treatment to get relief- 1)Ashwagandharistha 2 tsp twice daily. 2)Tab panchamrit loha guggulu 1 tab twice daily.
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I am 23 years old male and my hands have been shivering without my intention when I am in tension since many years. What should I do?

Doctor of Medicine
General Physician, Surat
It is the functional condition you must be having, this is mostly happening when person lost the confidence, so first bring back your confidence control your thought, be positive, try some yoga and mediation have enough of sleep stop worrying.
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I am suffering from acute migraines disease which is about to be cured. But due to certain situation I consumed a strip of tablets. My doctor has given me some anti depressants and I was diagnosed recently to which I found that I was at a risk of suffering either from coma or paralysis or even death. I have been asked to pay medical attention till brain-lung harmony. Can you suggest me what should I eat so that my brain gets healed quickly? Suggest me dos and donts. As for now I have been prescribed a tablet for my right lung which is damaged due to smoking. Please help me doctor. Its urgent.

MA - Clinical Psychology, P.G. Diploma in Guidance and Counseling, BA In Psychology
Psychologist, Mumbai
I am suffering from acute migraines disease which is about to be cured. But due to certain situation I consumed a str...
Lybrate user any medication taken out of limit is going to harm your body. When you say I don't hv much time left. Is means that you hv lost hope. Start with some light physical activity. Do deep breathing excersise as it will b helpful for both your lungs and brain. Be positive in life. Choose healthy food.
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There is numbness in my both feet. Used injections and tabs methley cobala predominantly. Little effect for some days but again complete numbness. Please. Solve.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Normally numbness occurs if there is any nerve deficit or impingement etc, so kindly rule out the cause by clinical examination by neuro musculoskelotal physiotherapist or orthopaedician or neuro physcian asap tens physiothearpy treatment may help to solve this issue of course of 14 days regularly with neuro specialised physiotherapist guidance regards
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I am suffering from polio from 6 years and please tell me how I can control this and what is its prevention?

DM - Neurology
Neurologist, Rajkot
Prevention of polio is vaccination according to govt program right from birth. Once established there is no cure, though it can be managed with physiotherapy. Also contractures of muscles can be treated with surgeries.
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Sir, I am 18 years old boy. Mere haath kabhi kabhi kaapte hai, jab me kisi me saamne kuch likhta hu, sign krt hu, air jyadatr jab mobl PR typing krta hu. Akele me kabhi nahi kaapte hei. Pls tell me answer.

M.D. (Ayurveda )
Ayurveda, Patiala
Sir, I am 18 years old boy. Mere haath kabhi kabhi kaapte hai, jab me kisi me saamne kuch likhta hu, sign krt hu, air...
kindly take ashwagandha powder, 1 tsf in a glass of warm milk, twice a day. Take bhruhat vatachintamani of dhutpapeshwara premium gold, 1 tab, after meal, twice a day. Do massage with mahamasha oil over whole body, every alternate day. Avoid excess tea, spicy food, fast food, late night meals in your routine. Continue the regime for 45 days. good luck

My brother is 22 years old. He is facing hand shaking issue both left and right hand many times even he sit comfortably at home or in no anxiety position, no tension position. He does take any durg. He drink very occasionally once in 1.5 month around. He has not bad habit using hand or. Kindly suggest the solution.

MD - Psychiatry, MBBS
Psychiatrist, Patna
It may be due to hyperthyroidism or some neurological illness. Get t3, t4, tsh done and consult a neurologist for detailed evaluation.
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