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Treatment of Neurological Problems
Treatment of Nerve And Muscle Disorders
Treatment of Paralysis
Cerebral Palsy Treatment
Brain Tumor Surgery
Electroconvulsive Therapy (Ect) Treatment
Surgery Of The Facial Nerve
Radiofrequency Neurotomy Procedure
Spine Surgery Treatment
Traumatic Brain Injury (Tbi) Treatment
Treatment of Traumatic Brain Injury (Tbi)
Assistive Walking Device Training
Vagus Nerve Stimulation ( Epilepsy )
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tegretol tablet total 500 mg potency is taken to contain fits, on reduction of potency fits occur, should it be continued or any alternative advice.
Hi, I was experiencing numbness in my extremities (only when sitting in awkward position or if I put pressure on them) since the last two years when I started gaining weight. I have gained almost 30 kg in the last 2 years from 62 to 92 kg. I had my blood sugar, thyroid and Nerve Conduction Velocity tested. All came out to be OK except vitamin b12 deficiency which was severe. I have some fatigue and short term memory problems. Please advice me on the best method to tackle this problem.
My husband is 39 years old male. He had epilepsy problem after head accident (3 times operation of head) from 3 years. Now he take the medicine eptoin 100 3nos. Please advise.
My son aged fall down from bed reversely just now he is 16 month old, there is a small injury on head will it be issue?
Hi. I am a 28 year old male. I was driving a bike when the car in front of me suddenly stopped. I could not stop in time and hit it and fell on the ground. I was wearing a helmet. I did not get any head injury. But is it possible that I may have got a concussion? I have read that when the brain is stopped suddenly, it may bounce back and forth and hit the skull. Could it have happened in my case too? I have no symptoms of a concussion as such. Kindly help.
I am having numbness and tingling sensation under the feet, no sugar but have BP and also went through angioplasty 3 years back, took blood test found vitamin b12 deficiency, How do we cure vitamin b12.
I always shake my legs when I am thinking, now even when I am typing this question I am losing my concentration and my shaking legs indicates me about that. Please help me to overcome this habit. I am tired of lack of concentration and restless legs, whenever I think or I am in stress I daydream or my mind wanders and my leg starts shaking, I even can't sleep due to my mind or restless legs. I am most of time in dreams or in other world.
My mother is 60 years old now. She had a very stressful life. In last 10 years, she had few major health issues. First just after my grandmother passed away she suffered badly from fever (mostly paratyphoid), then she suffered from stone after which was operated and her gall bladder was removed. Then she had a mild stroke, which led to left body paralysis. Then doing physiotherapy she recovered. But her left hand is still bit crippled. Moreover due to family problems (property issues, responsibility issues) she remains very stressed. She also overthinks a lot. Biggest problem is that she has irregular bowel movement which restricts her normal life to only home. Now she is bit having a bit of fear psychosis like. Again problem issues" She has diabetics & high pressure. We keep very concerned about her. She remains very concerned about everyone in the family and takes up every ones responsibility which she can no more bear on her own. Show some remedies to overcome so that she can live a peaceful life.
Hello Doctor, My father had suffered from bells palsy in the month of feb 2016. He was admitted then and had been treated for the same. He had his right side of the face affected which made his mouth slag down and eyes not able to close and open. After the treatment he has recovered and has his face in correct posture but he is still facing problem in closing his right eye which is very irritating for him. It has already been 10 months but it has not been recovered completely. Recently he has been diagnosed with diabetes. Please help as he is getting old and is having these issues which makes him demoralize. Please suggest cure and remedies for the same. Thank you.
I recently read that researchers believe certain foods might cure alzheimer disease. Is this true? If so, which foods do this and how much would you have to consume to get the benefits.
Hi doc, I am a medical student. I have minute tremors which mostly get aroused during conditions like handling an object, or when I get scared or when I don't eat. My thyroid pro. Done b4 6-8 months were normal. I have this prob since last 4-5 years. What to do?
Is there an increased risk of migraine for women who choose to take estrogen for menopausal symptoms?
Today morning I did some squat exercises bit after doing it I couldn't even walk properly today while walking today I fell down many times when I sat down I couldn't stand up on my foot for a long time I got two people to lift me up what may be the problem?
I am suffering from migraine from 25 years. Every attack I take pain killers and vasograin also. Pl.suggest a medicine.
Hello. I am having problem with head. I have some times severe headache. Sometimes I feel very unconscious. Also I have low eye sight. Some symptoms like migraine. What can I do.
I have been suffering from Bell's Palsy since september 2015 (approx 8 months). After prolonged treatment I feel like the left portion of my face is still little unconscious. I want my face just like it was before. Please help me!
PHYSIOTHERAPY TREATMENT OF HEAD INJURY
The treatment may comprise of the following measures:
IMPROVES ALERTNESS OR AROUSAL THROUGH SENSORY STIMULATION:
The patient who is drowsy or confused need to be stimulated by makes them more alert and awake. The therapist should encourage the patient’s cooperation during the treatment. The main aim is to stimulate the reticular activating system by making the patient sit or even stand in the tilt table.
The therapist should provide tactile, visual, auditory and Proprioceptive stimulation to the patient that will send facilitatory signals to the brain and will enable the alert response to be provoked. Auditory stimulation can be given by speaking to the patient during the course of treatment. Visual stimulation is given by showing familiar faces, objects or movement in the visual field of the patient.
Proprioceptive stimulation by giving traction and approximation at joint structures is very helpful in stimulating the arousal response in the patient.
PREVENTION OF SPASTICITY:
As hyper tonicity generally sets in almost all head injury cases various measures need to be taken to keep them under control. Gentle passive movement, gradual rhythmic sustained stretch, prolonged icing for 20 minutes over the muscles, biofeedback, proper positioning are certain measures that needs to be employed for controlling spasticity.
MAXIMISE THE PATIENT’S FUNCTIONAL CAPACITY:
The main aim of this management is to improve the ROM, improve the control of voluntary movement, strengthening paretic muscles, improve the coordination, balance and teach various safety measures.
The treatment should be wide spread over the periods of time as the patient’s attention span and endurance is very less.
NEUROMUSCULAR TRAINING can be given through the development sequence by inhibiting abnormal movement pattern and by facilitating normal movement pattern.
The patient may give activities like bridging, prone on elbow, on all fours, side lying to sitting, sitting, kneeling, half kneeling, standing and walking.
PROPER DOCUMENTATION is necessary of the entire event through- out the day. Infact the routine of the patient should be maintained in the register and the patient need to be reminded of various activities especially if the patient has memory problems. The patient may be given register with photo and names of various health professional visiting him so that each day’s program can be entered. This will benefit both the patient and his acquaintance to know regarding the activities given to the patient.
USE OF VESTIBULAR BALL while training the patient for crawling, bridging, sitting, balance helps in building the Proprioceptive stimulation and teaches proper control to the patient.
Each task has various subtasks which need to be mastered by the patient so that he learns the actual activity using normal movement combination and performs it with precision. Like for training the patient to get up from bed, he may be taught to do asymmetrical push up with the trunk in partial rotation, then lower leg patterns are incorporated and finally the whole task of get up from sidelying is practiced.
REPETITION ACTIVITIES is key like any other neurological disorders. Ambulation training should always be done in upright position training the patient in each and every phase of the gait cycle. If the patient’s balance is poor then assistance may be used.
FUNCTIONAL ELECTRICAL STIMULATION has been shown more effective than kinetic joint training in certain types of cases. The upper extremity also appeared to use specific synergies for hand use in different positions. Clients often can opens hand in out stretched arm position but will be unable to perform the same action when the elbow is flexed. Some patient with minimal functional deficit in th upeer limb may be given some assistive devices or support for the hand so that they can perform some basic activity like eating, combing, writing, etc. this technique helps the shoulder and other proximal structures to produce appropriate movement sequences for hand use but does not facilitate hand function. The treatment however does provide whole task practice even though some basic component of the function is substituted by other means.
REVERSING TASKS in some patients helps in developing increased control by modifying a task or synergy as well as making the muscle work both eccentrically and concentrically. For instance lowering a glass of water on the table may help the patient in getting th glass close to the mouth by improving motor control of biceps during eccentric contraction.