Doctor in Cosh Multispeciality Clinic
Treatment of Neurological Problems
Treatment of Nerve And Muscle Disorders
Treatment of Paralysis
Joint Dislocation Treatment
Treatment of Spondylosis
Treatment Of Disk Slip
Treatment Of Herniated Disc
Treatment of Spine Injuries
Brain Tumor Surgery
Treatment of Disc Prolapse
Spinal Cord Injury Medicine
Accident Injuries Treatment
Spine Surgery Treatment
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- Traumatic Brain Injury - Happens due to trauma
- Anoxic/Hypoxic brain injury - Happens due to decreased blood or oxygen supply to the brain.
- Ischemic or hemorrhagic cerebrovascular accident (commonly referred to as stroke) - Happens due to clots occluding the blood vessels in the brain or due to bleeding of blood vessels in the brain
- Brain tumors and metastasis (spreading of cancer) to the brain
- Vascular malformations of the brain such as Arteriovenous malformation, aneurysm etc -
- Brain infections
- Autoimmune conditions such as Multiple Sclerosis and auto-immune encephalitis -
- Toxic/metabolic causes such as post transplantation, sepsis, liver failure and kidney failure
- Basically any injury or illness that affects your brain function for a prolonged period of time causing temporary or permanant damage
Usually individuals affected by these conditions can have a number of symptoms directly related to the brain injury such as
- One-sided or both sided weakness and numbness of the arms and legs
- Pain and tightness of the arms and legs
- Difficulty with speech
- Impaired consciousness (i.e. impaired arousal)
- Cognitive impairment such as memory problems, slow thinking skills, problems with attention
- Changes in their behavior such as aggression
- Changes in their mood such as depression and anxiety
- Difficulty in swallowing
- Bladder and bowel incontinence
- Visual problem
- Hearing problem
There are medical complications that can be noted a few weeks or months after a brain injury. Some common ones include
- Urinary tract infection
- Deep vein thrombosis – blood clot in the veins of your arms and legs
- Pulmonary embolus – blood clot in your lungs
- Pressure ulcers
- Heterotopic ossification – a condition which causes stiffness of your joints
- Post-stroke shoulder pain – shoulder pain in the weak arm
- Spasticity – tightness of the muscles of the affected arm and leg
- Paroxysmal sympathetic hyperactivity – a condition which causes fluctuations in your blood pressure, heart rate, and also causes abnormal stiffness of the arms and legs
- Hydrocephalus – a condition where fluid builds up in your brain
HOW REHABILITATION CAN HELP?
A comprehensive, interdisciplinary team approach (i.e. care being provided by various disciplines in a coordinated fashion) with Physician (Physiatrist), Physiotherapist, Occupational Therapist, Speech and Language Therapist, Neuropsychologist, Nutritionist and a Nurse can help reduce your symptoms directly related to the injury as well as prevent and treat common medical complications post brain injury. Not all patients will require all services and usually, a combination of these services is required for an individual patient.
Patients can be evaluated by the Physician first to determine the nature and severity of the medical condition then come up with a treatment plan that best suits them. Depending on the patient’s symptoms and medical complications (listed above), the treatment plan will include recommending therapy services, prescribing medications and performing injections. Medications are commonly prescribed for medical complications as well as to reduce symptoms directly related to brain injury such as arm and leg weakness, muscle tightness, speech impairment, mood and behavior issues, cognitive impairment and impaired arousal. The physician performs injections such as tendon injections, joint injections for joint or muscle pain as well as Botulinum toxin (commonly referred as Botox injections) and nerve block injections to help relieve muscle and tendon tightness.
A Physiotherapist will focus on various physical exercises to improve weakness in the arms and legs, improve their walking and balance and to reduce muscle tightness. They might use physical modalities to reduce pain and inflammation, muscle and tendon tightness and prevent muscle atrophy. They can also fit you with an orthosis to reduce muscle tightness as well as improve your walking and arm function.
An Occupational Therapist will focus on various physical activities required for daily living for patients with severe physical and/or cognitive impairment and also teach cognitive exercises thereby compensating the cognitive deficits. Visual Training exercises are provided to individuals with visual impairment due to the neurological problem. The final phase of treatment involves patient training for successful community integration (education, employment etc).
A Speech Language Pathologist (commonly referred to as a Speech and Language Therapist), will evaluate the patient’s speech, communication and swallowing skills. The treatment plan is broken down after an initial evaluation. The program will vary depending on the extent of the injury, the stage of recovery, and the individual’s particular areas of difficulty. Specific retraining and compensatory exercises are taught to improve the above skills. However, the major focus is on helping the individual gain back his/her quality of life.
A Neuropsychologist evaluates patients with depression and anxiety, that is commonly seen after any major life-changing illness or injury and guides them through the process of rehabilitation thereby improving their quality of life through motivation and counseling. Performing an in-depth cognitive assessment and planning cognitive re-training exercises and compensatory strategies is also a major treatment aspect of a Neuropsychologist.
Malnutrition or undernourishment is a common problem in this population. For optimal recovery, a Nutritionist recommends an appropriate intake of nutrition.
A Rehabilitation Nurse trains patients with central nervous system injury to manage their bowel and bladder independently. Performing and training wound care management for patients with pressure ulcers are also handled by a Rehabilitation Nurse.
EXPECTATIONS OF RECOVERY
Depending on the severity and chronicity (time duration since injury/illness) of the injury/illness, your recovery time may differ. Complete neurological recovery is often possible if the injury is mild to moderate. In the case of a moderate to severe injury, a complete neurological recovery may not be possible and therefore the goal will be to help you be as independent as possible and integrate you into the community despite your physical and/or cognitive limitation. If the injury is too severe, then the goal would be to improve your quality of life by helping you be as independent as possible with your day to day living, decrease pain and prevent complications.
I HAVE chronic migraine problem last 10 years. I took many types of medicines but no result. How will be cure? Please reply.
Hello Dr. Mera L4-L5 nas dab rahi h main physiotherapy kra rahi hu but koi fayda ni h. Dr. Dry needling karne ko bol rhe kya ye krana sahi hoga? Isse aaram milega? Please suggest me. Thanks.
I am 37 years old, patient of epilepsy and taking eptoin 100 mg & phenobarbitone 60 mg since 1998 and now I am facing some problems in concentration, hearing, IQ is to much weak, problem in remembering, sometimes when I am asking a question from my friends, I forget what was the Question please Help me.
I recently read that researchers believe certain foods might cure Alzheimer's disease. Is this true?
I am 45 years female and from the last 3 days I am feeling electric shock like feeling in my body for 1 sec. Actually I am taking the treatment for bacterial infection from 3 days. Is this because of this treatment or any neurological problem. please advice.
Hi, My father has alzheimer's for the last 5 yrs. And it is getting worse with time. He hardly sleeps at night, nor does he let others at home sleep. It has become a huge problem for us to handle him and has started to affect my work due to sleep depravity. Are there any generic medicines that we can give him so he sleeps more? Also any other vital input regarding handling people with Alzheimer's would be greatly appreciated.
Hi, I am a diabetic patient. I am suffering with heavy burning on my two legs since last 5 months. Colour Doppler test was also done. Poor circulation of blood is found. What is the treatment of my problem and relief from heavy burning of legs? Please help me by giving solution.
Brain tumours vary in shape and size and the same is the case with their symptoms. The location of the tumour affects the symptoms greatly. Just like in any other type of a malignant tumour, brain tumour has a rapid growth and proliferation of abnormal cells that may have its origin in affected site or areas adjacent to it. As per studies, every 2 in 1,00,000 people are said to be affected by brain tumour in India. However, it may come as a relief to some as not all brain tumors are cancerous or life threatening. Some are benign tumors and seldom pose any threat to the affected individual.
Types of Brain Tumor
Brain tumors may be primary or secondary.
- Primary brain tumor: Here the abnormal mass of cells that originated in the brain do not metastasize to the other organs. Based on their location in the brain, the primary brain tumors may be of the following types.
- Gliomas: One of the most common types of primary brain tumors, gliomas can have their origin in the spinal cord or the brain. Some of the common types of gliomas include Astrocytomas (originates in the cerebrum of the brain), Glioblastomas (these tumors form from the Astrocytes which form the supportive tissues of the brain), Ependymoma (these develop from the ependymal cells which are present within the CNS), Oligodendrogliomas (these tumors are found to arise from the oligodendrocytes).
- Schwannomas: Also called as Acoustic neuromas, these primary brain tumors form on the nerves that play an important role in regulating the balance and hearing from the inner ear to the brain.
- Meningiomas: These type of tumors are usually benign and have their origin in the meninges (membranes surrounding the spinal cord and the brain).
- Primitive neuroectodermal tumors (PNETs): Primitive neuroectodermal tumors (PNETs) are rare malignant tumors that originate from the fetal (embryonic) cells in the brain.
- Pituitary adenomas: As the name suggests, these tumors arise from the pituitary gland located at the base of the brain.
- Medulloblastomas: Common among the children, these malignant primary tumors develop in the brain (lower back) and gradually spread via the spinal fluid.
- Other types of primary brain tumors include Craniopharyngiomas and the Germ cell tumors.
- Secondary brain tumors: Unlike the primary brain tumors, these tumors have their origin in the other body parts and organs (mostly in the lungs, skin, colon, breast, and kidney) and then gradually metastasize to the brain. The secondary brain tumors are found to be more common.
- People with brain tumors often get seizures (due to the irritation caused by the tumors in the brain).
- A headache (mild to severe depending on the part of the brain affected by the tumor).
- A person experiences numbness or a tingling sensation in the legs and arms.
- There may be difficulties in walking or balancing.
- A person finds it difficult to concentrate.
- There may be some problems with hearing, speech or even vision.
- A person may experience weakness restricted to only one part of the body.
The symptoms may not necessarily indicate a brain tumor but it is always wise not to neglect the symptoms either.