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Nightingales Home Health Services

Multi-speciality Hospital (Physiotherapist & Psychiatrist)

#2989/1A, 12th Main Road, HAL 2nd Stage. Bangalore
4 Doctors · ₹0 - 350
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Nightingales Home Health Services Multi-speciality Hospital (Physiotherapist & Psychiatrist) #2989/1A, 12th Main Road, HAL 2nd Stage. Bangalore
4 Doctors · ₹0 - 350
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About

We will always attempt to answer your questions thoroughly, so that you never have to worry needlessly, and we will explain complicated things clearly and simply....more
We will always attempt to answer your questions thoroughly, so that you never have to worry needlessly, and we will explain complicated things clearly and simply.
More about Nightingales Home Health Services
Nightingales Home Health Services is known for housing experienced Physiotherapists. Dr. Raghunandan Balasubramanian, a well-reputed Physiotherapist, practices in Bangalore. Visit this medical health centre for Physiotherapists recommended by 58 patients.

Timings

MON-SAT
09:00 AM - 06:00 PM

Location

#2989/1A, 12th Main Road, HAL 2nd Stage.
Indira Nagar Bangalore, Karnataka - 560038
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Doctors in Nightingales Home Health Services

Dr. Raghunandan Balasubramanian

BPTh/BPT, MPTh/MPT
Physiotherapist
8 Years experience
250 at clinic
Available today
09:00 AM - 05:00 PM

Dr. Sunny Kichloo

BPTh/BPT, MPTh/MPT
Physiotherapist
12 Years experience
Available today
10:00 AM - 01:00 PM

Dr. Rachel

BASLP
Psychiatrist
8 Years experience
350 at clinic
Available today
09:00 AM - 06:00 PM

Dr. Divya

BASLP
Psychiatrist
13 Years experience
350 at clinic
Available today
09:00 AM - 06:00 PM
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Parkinson's Disease - Are You Aware Of These Signs?

DNB (Neurology), MD/MBBS - General Medicine
Neurologist, Delhi
Parkinson's Disease - Are You Aware Of These Signs?

Neurology is the branch of science and medicine dealing with the central and peripheral nervous system. The nervous system is made of the brain and spinal cord. The disorders, illness or injuries of the nervous system can become problematic for people suffering from them. One of the worst diseases of the nervous system is Parkinson’s disease.

It is a progressive disorder affecting the central nervous system that leads to slowing down of movement and slurring of speech over a period of time. It is a condition where the nerve cells in the brain producing dopamine (a neurotransmitter) are affected.

Some of the early signs of Parkinson’s include:

  1. Tremor: If you have noticed a slight shaking of your hands or limbs, then Parkinson’s might be the cause. The trembling can range from mild to severe as the disease progresses. The back-and-forth rubbing of your thumb and forefinger is known as pill-rolling tremor. One of the most prominent signs is your hand shaking even when it is rested.
  2. Bradykinesia (slow movement): As the disease progresses, you may find it difficult to move your hands or legs or going from one place to another. Even making the smallest movement will require an increased effort on your part.
  3. Rigid Muscles: The muscles in your body can become stiff causing you pain and making it difficult to perform physical activities.
  4. Masked Face: Your face may experience spasms or become stiff periodically. It can also lead to complete paralysis on one side of the face.
  5. Stooping or improper balanceHaving Parkinson’s disease can make your body posture imbalanced resulting in stooping or hunching over.
  6. Decreased Automatic Movements: You may experience difficulty in smiling, blinking or swinging your arms while walking.
  7. Alteration in voice or speaking: Your voice can become soft or you may slur while talking. You can also experience a monotonous voice.
  8. Writing may become small: You can experience changes in your handwriting as it becomes small and crowded.
  9. Loss of Smell: The smell of food sitting right in front of you may not register in your olfactory resulting in loss of appetite.
  10. ConstipationHaving Parkinson’s disease can lead to patients experiencing irritable bowel syndrome.
  11. Have Trouble SleepingIt might be difficult to fall asleep for people suffering from Parkinson’s. Also, there are sudden movements during the sleeping process.
  12. DizzinessPeople suffering from Parkinson’s may faint from time to time.

These were some of the symptoms and signs by which you can tell whether a person has Parkinson’s or not. However, as of now it is not curable and can only be treated with medicines. But, early detection can definitely help in preventing it from affecting the whole body.

Cracks VS Fractures - How To Differentiate Between The Two?

Fellowship in Joint Replacement , M.Ch , MS - Orthopaedics, MBBS
Orthopedist, Delhi
Cracks VS Fractures - How To Differentiate Between The Two?

A fracture separates a single solid object into two or more pieces due to pressure. In medical terms, a fracture refers to a broken bone due to some kind of external trauma. A crack in the bone, on the other hand, does not cause a clean break in the bone - there is only a separation or discontinuity in the bone material. A crack in the bone caused due to repeated stress is often called a 'hairline fracture'.

Here are the basic differences between a crack and a fracture in the bone and how to treat them:

  1. A crack or hairline fracture is rarely caused by a single injury. It is usually the result of bone fatigue which may be caused due to repeated concentrated stress over a long period of time and thus it is also called a stress fracture. Other bone fractures are almost always the result of sudden and severe force on the bones.
  2. The skeletal system constantly remodels itself. The cells called osteoblasts absorb calcium and secrete bone connective tissue. If a particular site is exposed to recurrent bouts of force (which are individually not impactful enough to cause a crack), over time the osteoblasts in that region malfunction and the crack appears. Muscular exhaustion can also cause cracks in the bones. Fractures are caused due to sudden external single force trauma to the bone. Nutritional problems like deficiencies of calcium, phosphorus and vitamin D and excessive smoking decrease the bone mineral density and increase the chances of both cracks and fractures.
  3. The symptoms of a crack are swelling, tenderness and sharp pain in the injured region. The symptoms worsen over time. A fracture has similar symptoms and might also exhibit an external physical distortion and makes it impossible to move the part of the body that where the broken bone is.
  4. An MRI is better for the detection of cracks or crack-prone areas because an X-ray can only detect the crack after it widens somewhat or the bone starts paining because the rays cannot pass through the tiny gap in bone material. A fracture is easily detectable by an X-ray because the rays pass right through the break.
  5. Complete rest for six to eight weeks is the most effective way of healing a crack. Using a walking boot in case of cracks in the leg bones in also helpful. Healing fractures requires extensive medical intervention. Surgical techniques like bone grafting and insertion of metal plates are used to reposition the broken bone.
     

Overcoming Guilt in Depression!

M.A. Psychology, PHD
Psychologist, Pune
Overcoming Guilt in Depression!

In order to answer this question, it is important that we first discuss what depression is. Feeling sad, lonely or low is very common. So how can we point out which is depression and which is sadness? Well, sadness is a fleeting feeling and is the most normal reaction to loss or life’s struggle. Depression, on the other hand, is pretty permanent (may be not permanent, but it may last really really long or may occur very frequently, if not consulted with a professional). It is so overwhelming and inexplicable that these mental feelings start involving physical symptoms as well. Depression can keep an individual from leading a normal and an active life.

Depression, if not treated, may take an even worse form and might possibly end at suicide. Clinically, certain symptoms that occur persistently might point towards depression.

  1. Inability to concentrate
  2. Fatigue
  3. Guilt and shame
  4. Insomnia
  5. Irritability
  6. Hopelessness
  7. Eating disorders
  8. Loss of interest in previously enjoyable activities
  9. Persistent headaches, pains, aches, digestive problems
  10. Empty feeling
  11. Suicidal thoughts

Here comes the part about guilt and shame. One of the very common symptoms of depression is feeling of unnecessary guilt or shame. Guilt is a feeling of remorse or regret for violating an internal value. Shame is an overall feeling of self contempt. While both these are pretty normal feelings for a normal individual, for depressed individuals, these feelings get magnified to unimaginable extents.

How are these manifested?

  1. Constantly apologising for things one hasn’t done
  2. Blaming themselves for everything
  3. Thinking they don’t deserve happiness
  4. Feeling inferior or unworthy
  5. Feeling of being a burden

The next plausible question is why does this happen?

These feelings generally tend to go back to childhood. People who have faced childhood traumas or have been physically, emotionally or sexually abused are more prone to feelings of depressive guilt or shame. In the young age, they do not really have proper understanding of the situation and hence they end up blaming themselves. During adulthood, they keep believing the same, thus causing intense feelings of guilt and shame. A lot of counselling can bring such individuals to the understanding that whatever happened to them as children was never their fault.

Also, it has been researched that the region in the human brain associated with shame and guilt is unusually active in depressed individuals.

Frustration - 4 Simple Ways To Overcome it!

Masters In Psychology , CBT - Cognitive Behavioral Therapy , REBT Rational Emotive Behavioral Therapy, BArch
Psychologist, Thane
Frustration - 4 Simple Ways To Overcome it!

In some cases, frustration can tend to be positive and can give you another perspective or view on things. It can also give you the ability to continue going further until you achieve your objective. However, there are times when you are going in circles and the dissatisfaction makes you frustrated and this frustration can cloud your mind and judgment. To avoid that from happening, there are certain approaches that will help you overcome your frustration:

  1. Be present in the momentWhen you are frustrated, you tend to think about a lot of things. This keeps the individual completely occupied with different kinds of thoughts. Even if you try to avoid it or distract yourself, you again start to remember a disappointment from your past. You need to snap out of those thoughts and calm yourself down by centring your brain and thoughts on what is presently going on around you. You can do so in the following ways:
  2. Concentrate on relaxing: Take a seat, close your eyes and simply concentrate on the live events and concentrate on them for one to two minutes. Take quiet and marginally deeper breaths than regular and inhale with your stomach and not the chest. Concentrate on what is around you as of now. The sun sparkling in through your window, the children playing out on the road, the vehicles or the individuals passing by. Take in the details.
  3. Try to be happy with what you have right now: After you have pulled your concentration and thoughts back to where they can be most useful, focus on what is still positive in your life. The easiest and least demanding approach to do so is to centre it on acknowledging what you do have in your life right now. The most unimportant of things at this point can prove to be the most beneficial. For example:
    • A warm home and a rooftop over your head.
    • Water to drink.
    • Getting to eat great food.
    • Access to the internet and other forms of technology that make life easy.
    • Your loved ones.
  4. Focus on what you can do at this moment: With the amount of frustration and anger you might be feeling, it is important for you to concentrate on what you can do at the moment i.e. at present. It might involve figuring out what has been the cause for your frustration and how it can be dealt with right now or what the alternatives for it are.

Then again, you could also take your time to understand that you may have taken a lot of pressure or things have been extreme. Hence, you have to take some time or a couple of days to simply unwind, deal with yourself and maybe calm down a bit.

Does Alcohol Really Help in Losing Weight?

B.Sc.(Hons), P.G.Dietetics
Dietitian/Nutritionist, Gurgaon
Does Alcohol Really Help in Losing Weight?

While it is common news that alcohol consumption leads to weight gain, recent studies have made a startling discovery, wherein long term moderate drinkers have shown symptoms of maintaining an optimal weight, even losing excess fat more than those who abstain from drinking at all. While harder alcoholic drinks are more likely to affect the liver and hence the level of fat in the body, weight gain because of alcohol is also dependent on a number of other factors like how often you drink or how much you drink in one session. This is compounded by each individual's capability to metabolize the alcohol, or work it off.

It is important to know how many calories your drink accounts for:

  1. Tequila, whiskey, rum and their other variations have more or less the same amount of calories.
  2. Beer constitutes a little more calorific value than those mentioned above, while wine and champagne have the least amount of calories among proper alcoholic drinks. This is why wine should be the preferred drink for those more susceptible to weight gain.
  3. Cocktails like margaritas or pina coladas have at least four times the number of calories than unmixed drinks. So, one must proceed with caution while ordering endless free cocktails at a party.
  4. If cocktails are your thing, opt for a Bloody Mary, it has lesser calories. People more prone to consume a high calorie diet on a regular basis, or are already overweight, tend to put on more weight even after moderate alcohol consumption.]
  5. Also remember that drinking small amounts frequently leads to weight loss rather than the misconception of drinking copious amounts at long intervals.
  6. Doctors even prescribe a daily glass of wine with and after dinner nowadays. Studies stipulated the optimal number of drinks per week to four, maximum five.
  7. One drink per day in case of women, and two for men is a good regimen to get you started with losing weight through alcohol consumption.
  8. You must also be careful about the food you accompany your drinks with; make sure their high calorie value does not unsettle the entire process.

Autism- Diagnosis, Diet And Homeopathic Treatment!

BHMS
Homeopath, Bangalore
Autism- Diagnosis, Diet And Homeopathic Treatment!

Nobody knows the exact cause of autism. All medical science knows is that it’s a complex neurological disorder which is detected within the first three years of life and is caused due to structural changes in the brain. Autism causes a number of symptoms which grade from mild to moderate to severe, like-

  • Difficulty in communication and social interaction
  • Language impairment
  • Preoccupation with fantasies
  • Repetitive acts (echolalia)
  • Excessive possessiveness to certain objects
  • Intellectual impairment
  • Over-sensitivity or under-sensitivity to pain
  • Developmental problems

Causes
Genetic predisposition is the most common cause of autism. Exposure to environmental toxins is the other. Other causes are use of certain drugs during pregnancy, vaccinations etc.

Diagnosis
Diagnosis of autism can only be done by clinical evaluation as there are no laboratory tests for it. The psychiatrist prepares a detailed developmental case history of the child before arriving at a diagnosis.
There are a number of Autism screening tests to diagnose autism as well. One thing to always follow is to go to a psychologist who has a history of treatment of autistic disorders.

Diet
Theories are emerging that autism may be caused by a super sensitive child’s response to foods like gluten found in grains and casein, a protein found in milk. These transform into substances that act like opiates in the child’s body.

These drug-like substances alter the child’s behaviour, his perceptions, and his responses to his environment. Recent research has found chemicals with opiate activity in the urine of a significant number of children with autism.

Autistic children have shown mild to dramatic improvements in speech, behaviour after going on a gluten-free, casein-free (GFCF) diet.

Some of the foods that can be eaten on GFCF diet include rice, quinoa, potato, buckwheat flour, soy, amaranth, corn, fruits, vegetables, beans, tapioca, meat, poultry, fish, shellfish, nuts, eggs, and sorghum, among others.

Homoeopathic treatment of Autism:

  1. The homoeopath carries out a detailed study of the family history of serious diseases which are linked to the development of autism in his patient.
  2. The genetic evaluation of the patient is followed by case analysis which takes into account impaired functions in the patient like repetitive behaviour, lack of social skills, speech issues etc.
  3. The homoeopathic medicines indicated for autism are twenty and are usually given in combinations. A homoeopath takes the decision about the exact medicine to be given, its combination with other support medicines, the dose and its repetition based on the case history of the child.

By no means should one try to cure autism by self-medicating on homoeopathic medicines as this can cause deleterious effects.
It usually takes a minimum of six months for some perceptible changes in autistic children. Homoeopathic treatment may have to be continued for over a year if the symptoms of autism are very severe.

1 person found this helpful

Did You Know Physiotherapy Can Help With Back Pain?

BPTh/BPT, Mullligans Manual Therapy
Physiotherapist, Chandigarh
Did You Know Physiotherapy Can Help With Back Pain?

Every action we do as a part of our daily lives is bound to have an impact on our body. For example, our nature of work, posture or physical activity can result in back pain, which can become chronic and frustrating. But, with physiotherapy, such issues can be managed efficiently.

Physiotherapy for back pain
Lower back pain can severely reduce an individual’s ability to work and affects his quality of life. If you are experiencing dull or sharp pain, the cause of this can range from a sudden injury or slowly build over time as a result of obesity among other reasons.

Physiotherapy is one of the most effective ways to treat back pain and has proven very useful over time. The practice includes specific exercises, stretching, dry needling and most importantly massages that are performed by highly skilled physiotherapists. Such methods are beneficial to relieve discomfort and treat back pain. It is essential to receive physiotherapy after an acute episode of back pain since it helps avoid further complications while also reducing your need to visit your doctor frequently. Just like with any form of treatment, chances of prevention and recovery are higher when physiotherapy is received early on.

Physiotherapists shall also show their clients certain stretching and strengthen exercises that help strengthen the back muscles and shall offer expert manual therapy in the form of massages with essential oils to ease back pain and improve blood circulation in the targeted area. The increased blood circulation also helps repair tissue and nerve damage, thus setting the patient on the road to recovery. For some patients, massage is more than enough and is all they need to feel better and get healed. The special techniques used by physiotherapists during massage sessions help relieve tension and relax the aching muscles. There are various techniques of offering massage in physiotherapy and vary in terms of the type of hand movements.

What kind of treatment do you need?
Physiotherapy treatment occurs in its various forms such as deep tissue massage, Swedish massage, manipulation therapy, trigger point massage and mobilization. Each of these types of massage tackles the various causes of back pain, and your therapist shall recommend the type of massage that shall suit the cause of your back pain after diagnosis. The physiotherapist shall also refer you to a specialized massage therapist who shall be highly skilled in the forms above of massage.

The proven effectiveness of physiotherapy is what has made it so popular even among athletes who are prone to pain and injury. Since physiotherapy can treat back pain in ways more than one, its effectiveness depends on using the right form of treatment which depends on your causes and symptoms of back pain.

1 person found this helpful

OCD - 6 Ways Treatment Can Be Conducted!

Diploma In Psychological Medicine, MBBS
Psychiatrist, Thane
OCD - 6 Ways Treatment Can Be Conducted!

Obsessive Compulsive Disorder is also known as OCD. It is a mental ailment that causes specific changes in the brain as well as the behaviour of the patient. It can also cause severe anxiety and lead the patient to consume a lot of time for completing even the most normal tasks. These obsessions are like thoughts, images and even videos playing where the cause of a certain action becomes more profound with the number of imagined risks if it is not done in a specific way, as per the mind of the patient. These turn into repetitive actions undertaken by the patient, where these actions are known as compulsions.

Hence the term: obsessive compulsive disorder. Washing, cleaning, losing control, contamination fears and more are only a few of the thoughts that plague patients suffering from this disorder. While this disorder may not have a specific cure, there are various ways in which it can be managed. Let us look at some of these methods.

Causes of OCD-

The exact cause of OCD is unknown. It is generally considered unlikely that OCD develops purely psychologically as a consequence of the way we are brought up.

  1. Genetics and Physiology: It is generally accepted that OCD arises from differences in the physiology of the brain in people with the condition.
  2. Serotonin: Lack of serotonin activity appears to be involved in causing OCD. Serotonin is a calming and inhibitory neurotransmitter, one of its main actions is to control and put the brakes on painful, worrying or anxious thoughts.
  3. Traumatic Life Events: Traumatic emotional events such as bereavement may trigger or worsen OCD in people who already have a tendency to have the condition.

Treatment of OCD-

For best results in treating this troublesome anxiety disorder combine brain-chemistry balancing approaches with psychotherapy techniques.

  1. Nutritional Therapy: Try tryptophan and St John's Wort to increase serotonin. Rhodiola has been shown to help generalised anxiety disorder however Rhodiola has the ability to raise 'brain energy' and therefore hypothetically may exa-sperate OCD symptoms. 
  2. The Inositol Treatment of OCD: Inositol, one of the B vitamins, has been found effective in treating OCD. Inositol is used in biochemical processes that affect serotonin receptors.
  3. Psychotherapy: This is also known as discussion or talk therapy where the patient is allowed to engage with a therapist who is usually a psychiatrist or a clinical psychologist. The doctor will help the patient in first of all, becoming aware of the problem by helping the patient carry out various tasks in a controlled environment. These tasks will be timed and then relayed to the patient before the exposure therapy begins, where the patient will be taught to build a better quality of life. This a long term and time taking process which can also involve group sessions and sessions with the family members. Also, this method takes a lot of practice so that the patient learns how to regulate the obsessions and stop the compulsive behaviour gradually.
  4. Exercise: Numerous studies have shown the benefits of exercise upon mental health. So, a minimum of 20mins of daily exercise can help you a lot.
  5. Relaxation Training & Meditation: Learning meditation and relaxation techniques may enhance one's ability to control anxiety and one's thoughts in general.
  6. Medication: There are various kinds of medicines that can be prescribed for these patients. Anti-depressants can help the patient in overcoming the fears and anxiety that a person feels when the wheels of one's imagination begin to turn towards obsessive thoughts. This will also help in tackling the hopelessness that the person feels when faced with the so called depressing outcome of not bowing to the compulsive habits.

Putting It All Together-

  • Follow the diet for serotonin deficient depression, and GABA deficient anxiety.
  • Consult with a qualified therapist using behavioural rather than analytical techniques.
  • Do some repetitive mind-occupying/filling as opposed to mind-emptying meditations everyday.
1 person found this helpful

Can Stretching Improperly Lead To Strains?

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Orthopaedics
Orthopedist, Agra
Can Stretching Improperly Lead To Strains?

Muscle strain or muscle pull is a condition, which is characterized by damage to the muscles or its adjoining tendons. Undue pressure can be exerted on the muscle when you are carrying out routine activities such as sudden lifting of heavy things or playing contact sports. The damage to the muscle is usually in the form of partial or complete tearing of the tendons and fibres attached to the muscles. The small blood vessels in the muscles can also be damaged by the tearing of the muscles, leading to local bleeding and bruising.

The symptoms of muscle pain are:
1. You will experience pain even while resting
2. There will be bruising, swelling and redness around the affected area
3. You will experience weakness of the muscles and tendons
4. The movement and mobility of the muscle will be impaired
5. You will experience pain when you use the affected muscles

The causes of a muscle strain are:
1. Playing contact sports can lead to injuries
2. Lifting heavy things
3. Exercising without a proper warm up routine
4. Lifting extremely heavy weights during exercise without proper acclimatization
5. Sleeping on one side only for a long period of time
6. Not stretching properly
7. Falling from a height

The treatments for muscle strains are:
1. Pain medications: You can opt for pain relieving medications such as non-steroidal anti-inflammatory medications to help combat the associated pain of a muscle strain.
2. Rice: Rice stands for rest, ice, compression and elevation. This treatment is usually the first step after suffering a strain, before opting for medications. This treatment prevents further aggravation of the problem.
3. Compress: You can alternate between hot and cold compress to reduce the swelling and pain.
4. Stretches: Once the affected area has healed, it is important for you stretch the muscles to improve their mobility and strength.

1 person found this helpful

Sir, Imy age is 70 years and I am Suffering from knee pain and lower back spine disorders, and I want to consult in patanjali arogydham, to which department I should consult can you please guide me. Regards Himanshu sharma.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Sir,
Imy age is 70 years and I am Suffering from knee pain and lower back spine disorders, and I want to consult in p...
As arthritis is very common that you get generally bilaterally. Ice therapy would definitely help to reduce the inflammation. We also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. You can take Ultrasonic therapy in one of the nearby physiotherapy clinics which would help to heal the damaged cartilages along with shortwave diathermy which would help to improve the blood circulation. You can take Ultrasonic therapy in one of the nearby physiotherapy clinics which would help to heal the damaged cartilages along with shortwave diathermy which would help to improve the blood circulation. It looks like you are anaemic. That's the reason the knee goes for genu recurvatum which is nothing but backward bowing of legs. This can be prevented by wearing knee brace to support the knee from going backwards while you walk or climb stairs. Check with your haemoglobin levels and also with your calcium & vitamin levels in your body by consulting a general physician. Physiotherapy Management:You can take Ultrasonic therapy in one of the nearby physiotherapy clinics which would help to heal the damaged cartilages along with shortwave diathermy which would help to improve the blood circulation. Simple Knee ExerciesSpecific knee exercises will also help ie. Keeping ball underneath the knee and keep pressing it. That's the simple exercise which will help you to strengthen the knee Ice therapy would definitely help to reduce the inflammation. We also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. I also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone.
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