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Je Nesam Hospital

Neurologist Clinic

No.1, 40th Street, Ashok Nagar. Landmark: Opp To Jayabaratham Furniture Mart, Chennai Chennai
1 Doctor · ₹300
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Je Nesam Hospital Neurologist Clinic No.1, 40th Street, Ashok Nagar. Landmark: Opp To Jayabaratham Furniture Mart, Chennai Chennai
1 Doctor · ₹300
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Our entire team is dedicated to providing you with the personalized, gentle care that you deserve. All our staff is dedicated to your comfort and prompt attention as well....more
Our entire team is dedicated to providing you with the personalized, gentle care that you deserve. All our staff is dedicated to your comfort and prompt attention as well.
More about Je Nesam Hospital
Je Nesam Hospital is known for housing experienced Neurologists. Dr. Subramanium, a well-reputed Neurologist, practices in Chennai. Visit this medical health centre for Neurologists recommended by 90 patients.

Timings

MON-SAT
09:00 AM - 10:00 PM

Location

No.1, 40th Street, Ashok Nagar. Landmark: Opp To Jayabaratham Furniture Mart, Chennai
Ashok Nagar Chennai, Tamil Nadu
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Sports Injuries - 5 Tips To Prevent It!

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Orthopaedics, Diploma in Spine & Reconstruction, Fellowship In Primary Joint Replacement, Fellowship in Arthroplasty and Reconstructive Orthopaedic Surgery, Fellowship in Revision Hip Surgery & Adult Reconstruction
Orthopedist, Nagpur
Sports Injuries - 5 Tips To Prevent It!

Do you remember the last time you had a searing knee pain in the middle of your morning run? It was probably because you did not warm up properly. The incidence of injuries in various sports has gone up in the recent times, and it is mostly due to the lack of proper warm up exercises. However, other factors come into play as well, such as the pressure of increased workload on the current batch of athletes, missing a trick or two with the proper technique to be followed, etc.

In order to reduce the risk of an injury, it is advised to follow these simple tips:

  1. Set realistic goals for yourself: Don’t go overboard with anything that includes repetitively stressing and straining your body over a certain degree. If you are planning to go for a run or hit to the gym, make sure you set goals that you can sustain and find feasible. One example of this would be to not increase the amount of weight drastically while lifting weights as it can lead to serious injuries.

  2. Follow the right technique: Proper technique is very important in sports, a lack of which can lead to injuries. Ask your trainer to observe your form when you perform any activity. Focus on your breathing and posture when you are exercising.

  3. Warm up before you begin exercising: Warming up before you exercise or play a sport is important as it helps loosen your muscles and boost blood circulation. It drastically reduces the risks of sustaining injuries, and also prepares your body for the subsequent exercise.

  4. Cool down: Similar to an essential warm up is the need to cool down; it is another aspect that should not be ignored. Cooling down usually consists of stretches and postures that promote flexibility. The muscles become sore after working out. Stretching can help reduce post workout pain and make the joints flexible. Cooling down also helps in eliminating lactic acid from the muscles, which means less pain after exercise.

  5. Listen to your body: During an activity, if you feel that you can no longer carry on, terminate the activity. The chances of injury rise if you continue to push your body over your threshold limit. If you think that you can no longer carry on doing something without risking an injury, avoid doing it altogether. Listen to your body, and it shall never fail you.

11 Tips To Deal With Dementia!

MBBS Bachelor of Medicine and Bachelor of Surgery, DPM - Psychiatry
Psychiatrist, Gurgaon
11 Tips To Deal With Dementia!

A lot of things can be done to cope with the initial stages of dementia. A person goes through a wide range of emotions such as fear, denial, frustration, and anger, post the diagnosis. Here is a list of tips that will help a patient with dementia to cope better:

  1. Physical health: For a dementia patient, it is very important to take care of one’s health. A good diet along with regular exercise and adequate rest is a prerequisite to manage this disorder.
  2. Regular check-ups: Regular medical check-ups with the doctor are necessary in this condition. Depression and other mental health problems should be discussed with a professional.
  3. Quit alcohol: Alcohol might give momentary pleasure from the misery, but it has long-standing implications. It reacts with the medicine and creates additional health and memory-related complications.
  4. Allocate time for difficult tasks: With time, it can become difficult to perform even the simplest of tasks. The patient should accordingly schedule the time to perform the tasks which may be difficult to carry out. Adequate breaks should be taken while performing a task to avoid getting fatigued.
  5. Redefine work: If a patient is suffering from dementia is still working, it should be ensured that the work is more manageable from a desk. Planning an early retirement may be a good idea in order to cope with dementia.
  6. Be organised: Keeping track of things can get difficult with time. It, therefore, makes sense to organise all belongings systematically. Putting labels on doors and drawers also help.
  7. Continue pursuing your hobbies: Amidst the difficulty and the depression, it is a good idea to continue doing things that are fun. While such activities might require some assistance from the doctor and family members, this helps the patient to be cheerful and healthy.
  8. Maintain notes: Since dementia is involved with forgetfulness, it makes sense to maintain a diary and keep records of phone numbers, people, appointments, etc.
  9. Communication channel: Maintaining a direct communication channel with family, friends, and relatives is a good idea. Sharing feelings will go a long way in maintaining relations with loved ones.
  10. Support group: Joining a dementia support group can be highly beneficial for the patient. It will not only give the patient company but also make sure that the patient gets a lot of useful information about the disorder. It also helps in keeping the morale up.
  11. Getting ready for the future: Things need to be meticulously planned well in advance to ensure that when the disease progresses, the patient has enough people to look after him. Things such as medical arrangements, financial assets, and property details should be carefully handed over as per the patient's wish. This will ensure a smooth run of the patients’ life when they can no longer take care of themselves.
     

8 Ways To Prevent Alzheimer's Disease!

MBBS, MD - General Medicine, DM - Neurology
Neurologist, Mumbai
8 Ways To Prevent Alzheimer's Disease!

Alzheimer’s disease is a neurological, irreversible, progressive brain disorder. It is a chronic neurodegenerative dementia that causes the death of brain cells, causing memory loss and cognitive decline. It affects a person’s thinking and behavior. The symptoms develop slowly and get worse as time passes.

Causes:
As it is a kind of dementia, Alzheimer’s is caused by the death of brain cells. Over a course of time, brain cells die progressively and at the end, the tissue is left with fewer nerve cells and connections. As a result, the total brain size shrinks. Tiny inclusions called plaques and tangles can be seen in the postmortem. These cannot be seen or tested in a living Alzheimer’s affected brain. These plaques are given the name “amyloid plaques” because they are found among the dying cells of the brain when a protein called beta-amyloid builds. The tangles stay in the neurons; they are formed from a protein called tau.

There are several reasons behind all this, some of which are listed below-

  1. Anti-anxiety medications
  2. Hitting on the head too many times
  3. Regularly sleep-deprived
  4. Loneliness
  5. Diabetes in the brain
  6. Old age
  7. Genetic line
  8. Down’s syndrome
  9. Cardiovascular diseases

Symptoms:
Alzheimer’s disease damages the brain, so the clinical signs and symptoms begin to show very early. The symptoms are-

  1. Memory loss
  2. Agitation and mood swings
  3. Poor judgment
  4. The trouble with money calculations
  5. Difficulty doing familiar tasks
  6. Trouble in planning or solving a problem
  7. Confusion with time and place
  8. Difficulty in communicating
  9. Loss of motivation
  10. Inappropriate behavior
  11. Aggressive personality
  12. Childlike behavior

Preventing Alzheimer’s disease:
Alzheimer’s disease ultimately results in death. Even if there are treatments, they cannot fully cure it. So it’s better to try to prevent it before it happens. Ways to prevent Alzheimer’s disease are-

  1. Eating more fruits and vegetables.
  2. Eating berries every day.
  3. Increasing omega-3 fatty acids.
  4. Taking folic acid supplements.
  5. Drinking grape juice or red wine with evening meal.
  6. Doing the Mediterranean style diet.
  7. Controlling the blood pressure.
  8. Having strong social support.

Treatment of Alzheimer’s disease:

  1. Treatment of Alzheimer’s disease is a long time process.
  2. First of all, doctors perform a physical exam to check the overall neurological health. By this, they check muscle strength, reflexes, walking ability, sense of sight and hearing, coordination and balance.
  3. Then comes the blood test to find the cause of confusion and memory loss by checking the thyroid disorder and vitamin deficiency.
  4. Then they perform the neuropsychological test and check the mental status.
  5. Then there are other tests, like MRI, CT, and PET.
  6. After all this, drugs are given and a safe and supportive environment is created with proper exercise and nutrition.

Alzheimer’s disease is undoubtedly the worst kind of disease. Hence, it is highly recommended to contact a doctor as soon as any symptom is noticed.

Parkinson's Disease - How To Track It Early?

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - General Medicine, DM - Neurology
Neurologist, Delhi
Parkinson's Disease - How To Track It Early?

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 balance: Having 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. Constipation: Having Parkinson’s disease can lead to patients experiencing irritable bowel syndrome.
  11. Have Trouble Sleeping: It 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.

Menstrual Migraine - Ways It Can Be Treated!

MBBS, MD - Obstetrics & Gynaecology, FICS, FICOG
Gynaecologist, Mumbai
Menstrual Migraine - Ways It Can Be Treated!

Menstrual Migraine can be termed as an extremely persistent headache that can happen just before, during or right after menstruation. Often, the feeling of nausea also keeps on lingering. The cause which triggers this type of migraine can be the fluctuating levels of oestrogen that a woman’s body experiences when she is on her periods.

What can be the possible treatment?

  1. Application of ice pack or simply rubbing ice on your forehead can help lessen the pain a bit.

  2. Relaxation exercises can be practiced to reduce the tension of the muscles.

  3. Acupuncture therapy can also be done to improve the headache and it can further aid in relaxation of the muscles.

  4. Over the counter painkillers such as ibuprofen or paracetamol can be taken for immediate relief.

  5. Your doctor can also administer TRIPTAN (specific drugs used to treat the symptoms of migraine which work on the chemical receptors within the brain) if the pain is unbearable.

  6. Do not experiment much with hormonal contraception methods after unsafe sexual intercourse. It just might worsen the pain.

  7. NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) can also be administered, only if they have been prescribed by the doctor, as the harmful effects of those drugs are aplenty.

  8. Magnesium deficiency in the body is one of the most important causes for menstrual migraines. Thus, eating foods rich in magnesium such as dark leafy greens, nuts, whole grains, avocados, bananas, etc. and taking magnesium supplements or vitamins are advisable.

  9. There are certain foods which can even trigger such attacks. They include foods packed with monosodium glutamate (MSG), aged cheese and caffeine. Such foods should be strictly avoided. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

Migraine - Know Types Of It!

MBBS Bachelor of Medicine and Bachelor of Surgery, MD Medicine, DNB Neurology
Neurologist, Delhi
Migraine - Know Types Of It!

Headaches and migraines can vary drastically depending on their duration, specific symptoms and the person they are affecting. The more you know about your specific type of headache or migraine, the better prepared you will be to treat them—and possibly even prevent them. The two types of migraine are- 

  1. Migraine without aura: The majority of migraine sufferers have Migraine without Aura. 
  2. Migraine with aura: Migraine with Aura refers to a range of neurological disturbances that occur before the headache begins, usually lasting about 20-60 minutes.

Symptoms of migraine vary and also depend on the type of migraine. A migraine has four stages: prodrome, aura, headache and postdrome. But it is not necessary that all the migraine sufferers experience all the four stages.

Prodrome: The signs of this begin to appear a day or two days before the headache starts. The signs include depression, constipation, food cravings, irritability, uncontrollable yawning, neck stiffness and hyperactivity.
Migraine Aura: Auras are a range of symptoms of the central nervous system. These might occur much before or during the migraine, but most people get a migraine without an aura. Auras usually begin gradually and increase in intensity. They last for an hour or even longer and are 

  • Visual: Seeing bright spots, various shapes, experiencing vision loss, and flashes of light
  • Sensory: Present in the form of touch sensations like feeling of pins and needles in the arms and legs
  • Motor: Usually related with the movement problems like the limb weakness
  • Verbal: It is related with the speech problems

Headache: In case of a migraine attack one might experience:

  • Pain on both sides or one side of the head
  • Pain is throbbing in nature
  • Vomiting and nausea
  • Sensitivity to smells, sound and light
  • Vision is blurred
  • Fainting and lightheadedness

Postdrome: This is the final phase of the migraine. During this phase one might feel fatigued, though some people feel euphoric.

Red flags that the patient may be having underlying serious disorder not migraine

  1. Onset of headaches >50 years 
  2. Thunderclap headache - subarachnoid haemorrhage 
  3. Neurological symptoms or signs 
  4. Meningism 
  5. Immunosuppression or malignancy 
  6. Red eye and haloes around lights - acute angle closure glaucoma 
  7. Worsening symptoms 
  8. Symptoms of temporal arteritis

These patients require CT scan / MRI or CSF examination. Most Migraine patients do not need these tests. 

Diagnosis of Migraine: Usually migraines go undiagnosed and thus are untreated. In case you experience the symptoms regularly then talk to the doctor, who evaluates the symptoms and can start a treatment. You can also be referred to a neurologist who is trained to treat the migraines and other conditions. During the appointment the neurologist usually asks about the family history of headaches and migraines along with your symptoms and medical history.

The doctor might advise for some tests like:

  1. Blood Tests: These reveal problems with the blood vessel like an infection in the spinal cord and brain.
  2. CT scan: Used to diagnose the infections, tumors, brain damage, and bleeding that cause the migraines.
  3. MRI: This helps to diagnose the tumors bleeding infections, neurological conditions, and strokes.
  4. Lumbar Puncture: For analyzing infections and neurological damages. In lumbar puncture a thin needle is inserted between the two vertebrae to remove a sample of the cerebrospinal fluid for analysis.

Treatments

Migraine treatments can help stop symptoms and prevent future attacks.

Many medications have been designed to treat migraines. Some drugs often used to treat other conditions also may help relieve or prevent migraines. Medications used to combat migraines fall into two broad categories:

  • Pain-relieving medications. Also known as acute or abortive treatment, these types of drugs are taken during migraine attacks and are designed to stop symptoms.
  • Preventive medications. These types of drugs are taken regularly, often on a daily basis, to reduce the severity or frequency of migraines.

Your treatment strategy depends on the frequency and severity of your headaches, the degree of disability your headaches cause, and your other medical conditions.

Some medications aren't recommended if you're pregnant or breast-feeding. Some medications aren't given to children. Your doctor can help find the right medication for you.

I have numbness in hand fingers and also feet. Also body stiffness in the mornings. What could be the reason? I am 76 years old man.

MD - Ayurveda, BAMS, DYA, PGDEMS
Ayurveda, Nashik
I have numbness in hand fingers and also feet. Also body stiffness in the mornings. What could be the reason? I am 76...
Hi Lybrate user, tingling & numbness of hands & feets is usually due to diabetic neuropathy or neuropathy due to vitamin deficiency & other causes. You can consult expert for better evaluation & medicines.
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My legs and hands are getting numb and its getting worse. Can it be after effect of electric shock 4 years back, can I be paralyse.

BHMS
Homeopath, Chennai
My legs and hands are getting numb and its getting worse. Can it be after effect of electric shock 4 years back, can ...
Hi, there are numerous reason for nubmness. Need more information to diagnose. Consult a Homoeopathy doctor nearby for better results. Its nothing to worry or to panic.
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I am (59 yrs) have been in turmoil and grief due to passing away of my wife (52 yrs) about 4 months months back which led to sleeplessness. As per doctors advice I am on zolsoma 1 mg. Is it ok to take these continuously? As Currently am in US, could I look for any alternative?

BHMS
Homeopath, Noida
I am (59 yrs) have been in turmoil and grief due to passing away of my wife (52 yrs) about 4 months months back which...
Try to relax yourself -- Exercise. Exercise is one of the most important things you can do to combat stress. Take a few minutes to breathe in and out in slow, deep breaths. Reduce Your Caffeine Intake. Write It Down. Chew Gum. Spend Time With Friends and Family. Laugh. Massage. Eat a healthy diet. Pursue one hobbyWalk in nature Meditation. Yoga For details you can consult me.
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HI, I have tendency of having severe migraines every month. Grateful if you could kindly suggest how to get rid of it?

MBBS
General Physician, Udaipur
It can not be cured fully with guarantee that it it will not come back. But it can be avoided to a great extent and even if it comes it can be fought with no pain. For its treatment, consult me online on Lybrate directly.
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