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Dr. D. R. Shankar  - Neurosurgeon, Chennai

Dr. D. R. Shankar

MBBS, MS - General Surgery, MCh - Neuro Surgery

Neurosurgeon, Chennai

17 Years Experience  ·  300 at clinic
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Dr. D. R. Shankar MBBS, MS - General Surgery, MCh - Neuro Surgery Neurosurgeon, Chennai
17 Years Experience  ·  300 at clinic
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Personal Statement

To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. D. R. Shankar
Dr. D. R. Shankar is a trusted Neurosurgeon in madurai, Chennai. Doctor has had many happy patients in his/her 17 years of journey as a Neurosurgeon. Doctor has done MBBS, MS - General Surgery, MCh - Neuro Surgery . Doctor is currently associated with Sivakarthick Clinic in madurai, Chennai. Book an appointment online with Dr. D. R. Shankar and consult privately on Lybrate.com.

Find numerous Neurosurgeons in India from the comfort of your home on Lybrate.com. You will find Neurosurgeons with more than 33 years of experience on Lybrate.com. Find the best Neurosurgeons online in Chennai. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
MBBS - Madras Medical College, Chennai - 2000
MS - General Surgery - Madras Medical College, Chennai - 2003
MCh - Neuro Surgery - Madras Medical College, Chennai - 2007
Professional Memberships
Indian Medical Association (IMA)

Location

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Sivakarthick Clinic

74/A, Melpatti Ponnappan Street, ChennaiChennai Get Directions
300 at clinic
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Neuro Care Centre

881, Poonamallee High Road, Landmark : Near Sangam Theatre & Opposite Nehru Park Metro Station, ChennaiChennai Get Directions
300 at clinic
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Kumaran Hospital

Kumaran Hospital, PH Road, Landmark : Near Sangam Theatre, ChennaiChennai Get Directions
300 at clinic
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Chennai Meenakshi Multispeciality Hospital (Devaki Hospital)

New No. 72, Old No. 148, Luz Church Rd, Kattukoil Garden, Mylapore, ChennaiChennai Get Directions
300 at clinic
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Sooriya Hospital

1, Arunachalam Road, Arcot Road, Kannika Puram, Saligramam Landmark : Opposite To AVM StudioChennai Get Directions
300 at clinic
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Bharathiraja Hospital

20, Gopathi Narayanaswami Chetty Road Landmark : Opposite AGS CinemasChennai Get Directions
300 at clinic
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My hands and my body keeps shivering or trembling when I apply some extra effort such as gyming and sometimes when there are things which need extra precision or care the same thing happens like pouring a cup of tea. I want to know what is this problem and how can it be solved?

MBBS
General Physician, Cuttack
My hands and my body keeps shivering or trembling when I apply some extra effort such as gyming and sometimes when th...
.1.It could be due to essential tremor. The cause of the tremor is unknown. In some cases it is hereditary and runs in families. There is no definite treatment unless it is severe 2 Other causes of tremor could be Stress, anxiety, panic, nervousness,inadequate sleep, physical exhaustion, strong emotion, hyperthyroidism, hypoglycemia, smoking/Tobacco/alcohol abuse/withdrawl, excess tea/coffee, drugs like steroid/amphetamine, neurological disorder, cerebellar dis order, brainstem disorde, r multiple sclerosis, stroke, head injury, mercury poisoning, liver failure, parkinsonism etc 3. Investigate yourself to exclude the above causes of tremor after consulting neurologist 4.Avoid stress/anxiety/nervousness/ panic etc 5. Avoid excess tea/Coffee/ smoking/alcohol if you have 6.take good nourishing diet 7.Have adequate sleep. 8. Do a thyroid function test to exclude thyroid problem 9.Consult neurologist for further advic.
2 people found this helpful
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Causes and Symptoms of Sleep Apnea

MS - ENT, MBBS
ENT Specialist, Delhi
Causes and Symptoms of Sleep Apnea

Sleep apnea is a sleeping disorder in which you experience frequent breathing pauses while sleeping. In case of some, the pauses may last for just a few seconds, while for others, it may continue for a few minutes. Sleep apnea is generally chronic in nature. There are three types of sleep apnea, namely Central, Obstructive and Complex sleep apnea. Central sleep apnea occurs if the brain fails to transmit signals to the muscles responsible for your breathing functions. Obstructive sleep apnea occurs due to relaxation of your throat muscles. Complex sleep apnea refers to a combined condition of both central and obstructive sleep apnea.

Some of the possible causes of sleep apnea are as follows: 

  1. Blockage of airway during sleep can cause sleep apnea
  2. Putting on weight can cause obstructive sleep apnea
  3. In some cases, large tonsil tissues can lead to obstructive sleep apnea in small children
  4. Intake of certain medicines like Oxycontin or MS Contin can cause central sleep apnea
  5. Male people are more prone to sleep apnea
  6. Smoking is also a potent trigger for sleep apnea
  7. At times, high blood pressure can induce sleep apnea
  8. Suffering from sinus can also lead to sleep apnea
  9. Large neck size (more than 16 inches) may cause sleep apnea

In case of some people, sleep apnea might be an inherited condition.

The most common symptoms of sleep apnea are mentioned below:

  • Sometimes, obstructive sleep apnea is accompanied by choking or snorting sounds.
  • You may encounter breathing trouble while sleeping, leading to a disruption of your sleep.
  • Maximum times, sleep apnea is accompanied by snoring.
  • Sleep apnea leads to a dry mouth, which can disturb your sleep.
  • You may feel dizzy during daytime. If you wish to discuss about any specific problem, you can consult an Ent specialist.
4292 people found this helpful

My wife is suffering from migraine headache. She is taking migranil Tab, Naprosin Tab 250. Rizact 5 for get rid of headache. Any alternative treatment please suggest. I want to get read of medicines.

MBBS, cc USG
General Physician, Gurgaon
My wife is suffering from migraine headache. She is taking migranil Tab, Naprosin Tab 250. Rizact 5 for get rid of he...
I am giving some health tips for Migraine headache •1.You can turn off light for some time •2.Apply hot or cold compresses to your head or neck. •Ice packs have a numbing effect, which may dull the sensation of pain. •Hot packs and heating pads can relax tense muscles. • •3.Warm showers or baths may have a similar effect. •4.You can take Tea or coffee( but not excess) 5.Sleep well Here are some tips to encourage sound sleep. Establish regular sleep hours. •Minimize distractions. •Your eating habits can influence your migraines. •Be consistent. Eat at about the same time every day. Don't skip meals. Fasting increases the risk of migraines Avoid foods that trigger migraines This problem can be solved by Meditation i can give you address of rajyoga meditation center near your house (this is free of cost) kindly consult Physician for further management
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Suffering from Myoclonic seizure with mental retardation since from her birth. Can I treatment of her as stem cell therapy (autologous bone marrow transplantation (

MD - General Medicine, DM - Neurology
Neurologist, Kochi
There is no evidence that this treatment is effective for the epilepsy of any type. May future studies will reveal.
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Learning Disabilities and Dementia

MBBS, DPM (Psychiatry)
Psychiatrist, Thrissur
Learning Disabilities and Dementia

Learning disabilities and dementia


Advances in medical and social care have led to a significant increase in the life expectancy of peoplewith learning disabilities. The effect of ageing on people with learning disabilities – including therisk of developing dementia – has, therefore, become increasingly important. This information sheetoutlines some of the issues concerning people with a learning disability who develop dementia.

The causes of learning disability are diverse. They include genetic disorders such as Down’s syndrome, pre- or post-natal infections, brain injury, and general individual differences.

What is dementia?

Dementia is a general term used to describe a group of diseases that affect the brain. Alzheimer’s disease is the most common form of dementia. The damage caused by all types of dementia leads to a progressive loss of brain tissue. As brain tissue cannot be replaced, symptoms become worse over time.

Symptoms may include:
Loss of memory
An inability to concentrate
Difficulty in finding the right words or understanding what other people are saying
A poor sense of time and place
Difficulty in completing self-care and domestic tasks and solving minor problems
Mood changes
Behavioural changes
There is no evidence that dementia has a different effect on people with learning disabilities than it does on other people. However, the early stages are more likely to be missed or misinterpreted, particularly if several professionals are involved in the person’s care. The person may find it hard to express how they feel that their abilities have deteriorated, and problems with communication may make it more difficult for others to assess change.

What are the risks?
Down’s syndrome and Alzheimer’s diseaseAbout 20 per cent of people with a learning disability have Down’s syndrome. People with Down’s syndrome are at particular risk of developing dementia.
Figures from one study (Prasher, 1995) suggest that the following percentages of people with Down’s syndrome have dementia:
30-39 years - 2 per cent40-49 years - 9.4 per cent50-59 years - 36.1 per cent60-69 years - 54.5 per cent
Studies have also shown that virtually all people with Down’s syndrome develop the plaques and tangles in the brain associated with Alzheimer’s disease, although not all will develop the symptoms of Alzheimer’s disease. The reason for this has not been fully explained. However, research has shown that amyloid protein found in these plaques and tangles is linked to a gene on chromosome 21. People with Down’s syndrome have an extra copy of chromosome 21, which may explain their increased risk of developing Alzheimer’s disease.
Other learning disabilities and dementiaThe prevalence of dementia in people with other forms of learning disability is also higher than in the general population. Some studies (Cooper, 1997; Lund, 1985; Moss and Patel, 1993) suggest that the following percentages of people with learning disabilities not due to Down’s syndrome have dementia:
50 years + - 13 per cent65 years + - 22 per cent
This is about four times higher than in the general population. At present, we do not know why this is the case. Further research is needed. People with learning disabilities are vulnerable to the same risk factors as anyone else. Genetic factors may be involved, or a particular type of brain damage associated with a learning disability may be implicated.
How can you tell if someone is developing dementia?Carers play an important part in helping to identify dementia by recognising changes in behaviour or personality. It is not possible to diagnose dementia definitely from a simple assessment. A diagnosis is made by excluding other possible causes and comparing a person’s performance over time. The process should include:
A detailed personal historyThis is vital to establish the nature of any changes that have taken place. It will almost certainly include a discussion with the main carer and any care service staff.
A full health assessmentIt is important to exclude any physical causes that could account for changes taking place. There are a number of other conditions that have similar symptoms to dementia but are treatable: for example, hypothyroidism and depression. It is important not to assume that a person has dementia simply because they fall into a high risk group. A review of medication, vision andhearing should also be included.
Psychological and mental state assessmentIt is equally important to exclude any other psychological or psychiatric causes of memory loss. Standard tests that measure cognitive ability are not generally applicable as people with learning disabilities already have cognitive impairment and the tests are not designed for people without verbal language skills. New tests are being developed for people with learning disabilities.
Special investigationsBrain scans are not essential in the diagnosis of dementia, although they can be useful in excluding other conditions or in aiding diagnosis when other ssessments have been inconclusive.
What can be done if it is dementia?Although dementia is a progressive condition, the person will be able to continue with many activities for some time. It is important that the person’s skills and abilities are maintained and supported for as long as possible, and that they are given the opportunity to fulfil their potential. However, the experience of failure can be frustrating and upsetting, so it is important to find a balance between encouraging independence and ensuring that the person’s self-esteem and dignity are not undermined.
At present there is no cure for dementia. People progress from mild to moderate to more severe dementia over a period of years. New drug treatments seek to slow down or delay the progression of the disease and it is hoped that treatments will become more effective in the future. See the Society’s information sheet Drug treatments for Alzheimer’s disease – Aricept, Exelon, Reminyl and Ebixa.
Strategies for supporting the person with dementia People who develop dementia are, first and foremost, human beings with individual personalities, life histories, likes and dislikes. Dementia affects a person’s ability to communicate, so they may develop alternative ways of expressing their feelings. By understanding something of a person’s past and personality we can begin to understand what they might be feeling and why they respond in the way they do.
Many practical strategies have been developed to support people with dementia and their carers. Here are some ideas:
Enable individuals to have as much control over their life as possible. Use prompts and reassurance during tasks they now find more difficult.
Help the person by using visual clues and planners to structure the day.
Use visual labels on doors to help people find their way around their home in the early stages.
Try to structure the day so that activities happen in the same order. Routines should be individual and allow for flexibility.
A ‘life story book’ comprising photos and mementos from the person’s past may be a useful way to help the person interact and reminisce.
If speech is a problem make use of body language. Simplify sentences and instructions, listen carefully and give plenty of time for the person to respond.
If someone is agitated, the environment might be too busy or noisy.
Relaxation techniques such as massage, aromatherapy and music can be effective and enjoyable.
If someone becomes aggressive, carers and professionals should work together to try to establish reasons for the person’s frustration and find ways of preventing the behaviour or coping with the situation should it arise.
Medication may be used if someone is experiencing high levels of agitation, psychotic symptoms or depression. It is important that any prescribed medicine is monitored closely and that other ways of dealing with the situation are thoroughly explored.

3 people found this helpful

I am 76 years old. I have high bp. The left part of my body is paralyzed for around 3 days. Now I am experiencing shocks in my whole body It have that energy which can't be controlled by men. It is really giving problem. please help me. What shall I do to get cure from this disease?

PGP In Diabetologist, Fellowship in non-invasive Cardiology, MD - Medicine, MBBS
Endocrinologist, Delhi
I am 76 years old. I have high bp.
The left part of my body is paralyzed for around 3 days. Now I am experiencing sho...
You could be suffering from a stroke (cva) which has resulted in paralysis on the left side .Please consult a good neurologist /Physician and get a ct scan of the brain urgently. you should not waste time .
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I am 38 yr. Old male married and two kids. I had seizure three years ago. I took medicine for three years religiously. Now my doc has stopped the medicine. What preventions to take from now onwards to prevent it further.

MBBS
General Physician, Mumbai
You are advised to lead a stress free life and there should be no triggering factor for seizure to recur.
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I have pain in my brain in vein are blinking and pain will be increase daily not but some time suddenly so what should I do.

MBBS, cc USG
General Physician, Gurgaon
Do you mean headache you can take (if no drug allergy): 1. Tablet crocin (paracetamol 500 mg) one tablet after food when required for headache after food for 2-3 days (maximum 2 tablets with gap of 12 hour can be taken in a day) you may be having headache because of stress/ refractory problems/ any ent problem or may be migraine headache follow advises given below: adequate sleep 6-8 hr in a day get check eyes for refractive error complete history of your headache for further management like duration, severity, aggravating factors/relieving/ triggering/ associated factor to reach diagnosis it may be due to stress this problem can be solved by meditation consult physician.
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I am 42 years old, had asd closure in 2010, presently suffering from backache, neck pain, migraine, joint pain, numbness. What should i do?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Kindly show me a photograph of the affected part. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful use no pillow under the head. Do hot fomantation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, contact me again. Do not ignore. It could be beginning of a serious problem.
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I am mastuburate daily thats why I affected my nerves weakness my hands always shivering. What is a medicine to stop hand shivering?

Bachelor of Unani Medicine and Surgery (B.U.M.S)
Ayurveda, Kanpur
I am mastuburate daily thats why I affected my nerves weakness my hands always shivering. What is a medicine to stop ...
vrihad vangeshwar ras 125 mg twice a day kamdev awleh 10 gm twice a day relief in 3-4 days and for complete cure take it for 60 days only
1 person found this helpful
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Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Mumbai
Ayurveda helps in cerebral palsy

Cerebral palsy refers to a group of neurological disorders that appear in infancy or childhood and permanently affect body movement and muscle co-ordination. 

Symptoms:
Lack of muscle co-ordination when performing voluntary movements (ataxia)
Stiff or tight muscles and exaggerated reflexes (spasticity)
Walking with one foot or leg dragging
Walking on the toes, a crouched gait, or a'scissored' gait
Muscle tone that is either too stiff or too floppy

Causes:
Cerebral palsy is usually due to brain damage in the first few months or years of life, brain infections such as bacterial meningitis or viral encephalitis, or head injury.

Ayurveda treatment for cerebral palsy:

Ayurveda has shown very good results in patients of cerebral palsy. Though cerebral palsy may not be fully cured, ayurvedic treatment can definitely help to reduce disability and improve the functioning of the affected individual to a great extent. The ayurvedic treatment of cerebral palsy focuses on treating the presenting symptoms and attempting to reverse the brain damage.

Medicines which help in improving the functional capacity of the brain and may also help in regeneration of damaged brain cells are:

Brahmi (bacopa monnieri)
Mandukaparni (centella asiatica)
Shankhpushpi (convolvulus pluricaulis)
Jyotishmati (celastrus paniculatus)
Kushmand (benincasa hispida)
Ustukhuddus (lavandula stoechas)
Yashtimadhu (glycyrrhiza glabra) ashwagandha (withania somnifera)
Shatavari (asparagus racemosus)
Guduchi (tinospora cordifolia)
Vacha (acorus calamus)
Haritaki (terminalia chebula)
Abhrak bhasma
Suvarna bhasma
Suvarna prashan

Some of these medicines are also useful in preventing or reducing convulsions.

Medicines which helps in the formation of the muscles and tissues are:

Guduchi (tinospora cordifolia)
Amalaki (emblica officinalis)
Musta (cyperus rotundus)
Panch tikta ghrita
Panch tikta ghrita guggul
Brahmi ghrita
Pancha gavya ghrita

Medicines are used to improve nerve conduction and muscular co-ordination are:

Kaishor guggul
Yograj guggul
Vata gajankush ras
Mahavatvidhwans ras
Tapyadi loh ras
Vishtinduk vati

Panchkarma therapy:-

Panchakarma therapies which are useful in this condition are:

Abhyangam: massage of the entire body with medicated oils like mahanarayan oil, maha-mash-oil and maha-saindhav-oil are very useful.
Pinda sweda
Shirobasti
Shirodhara
Basti

Yoga:

Yogic postures useful in cerebral palsy are as follows:

Dandasana
Trikonasana
Bharadvajasana
Tadasana
Uttanasana
Balasana
Supta padangusthasana
Adho mukha svanasana

All these therapies and medicines show miraculous effect on the patients suffering from cerebral palsy.

(p. S: as every human being is different according to ayurveda, all have different cures. So, kindly consult us or an ayurveda doctor before taking any herbal treatments.)

This post is written by Dr. Jaina patwa who is a chief ayurvedic practitioner based at vile parle, mumbai, india. She is available as an online ayurvedic consultant on skype. Skype id - vishwacare

Vishwacare offers ayurvedic treatment globally for all chronic and refractory health problems. Dr. Jaina patwa uses high quality organic herbal extracts which are easy to take, effective and completely safe for long-term use.
3 people found this helpful

I am suffering from leprosy I have taken treatment for 6 months but my right hand fingers crossed doctor told take physiotherapy am I cured from from leprosy r not.

Fellowship in Neurological Rehabilitation, BPTh/BPT
Physiotherapist, Gurgaon
Clawing of the hands is a common disability caused by leprosy. As leprosy starts damaging the small nerves in the skin's surface and if left untreated can result major nerve damage. The resulting damage can lead to loss of sensation in the hand and muscle parsis paralysis, which causes clawed fingers. Reconstructive surgery to correct the deformities of leprosy in the hands and feet. Movement can be restored by using a muscle transfer technique where, with the help of a physiotherapist, a muscle is identified for transfer and strengthened. After surgery and several weeks in plaster, the patient is taught how to use their old muscle to do a new job and then apply the technique subconsciously. In case of muscle paralysis. Reconstructive surgery and muscle tranfer technique is needed in severe cases and then physiotherapy for muscle strenghening and reducation is required. If claw hand is not severe and only muscle weekness is there then physiotherapy can help you with muscle strenthening and range if motion exercises. Thanks take care.
1 person found this helpful
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My father have in left leg with numbness and no feeling also no sensation in foot, some time severe burning in both leg. The problem is have more a month. What we do?

Hand Surgery, M.S. (Orthopaedics
Orthopedist, Ahmedabad
My father have in left leg with numbness and no feeling also no sensation in foot, some time severe burning in both l...
Dear your father probably have peripheral neuropathy and need detailed evaluation and ncv studies to confirm that diagnosis. You can try some drugs but they don't work.
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My husband is having a migraine problem. In the high pain he takes zolmist spray. He takes the same almost once a day. Please advise is this the right medicine for the same.

LCPS, BAM&S
General Physician, Pune
Zolomist is not a drug for permanent treatment of Migraine. It has many serious side effects. It is reserved for only occasional use when migraine can't be controlled with other drugs. Please stop the treatment. Migraine is mysterious disease arising out of poor lifestyle and stress. You need to see a good doctor who can correct your husband's lifestyle and diet. You need some holistic therapy also.
1 person found this helpful
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My hands shiver in normal conditions Sometimes. I also fumble Blood pressure is normal No thyroid disorders as well.

MBBS
General Physician, Mumbai
Increase your self confidence and take Tablet folvite 5mg once a day for six months and tablet vitamin D3 60000iu once a week for six months
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Cervical Lordosis Straightening Treatment

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Cervical Lordosis Straightening Treatment

Most commonly known as a military neck a straight or forward curve of the neck is abnormal and may cause an unkind progression of symptoms leading ultimately to cervical disk degeneration.

Reversal of cervical lordosis explained

The anatomy of the neck features a lordotic curvature in its typical and healthy state. This means that the cervical region has a gentle curvature with the open end of that curve facing the rear of the body. The base and top of the curve will be further posterior than the mid point, which will be further anterior.

When the lordosis is straightened, the neck becomes more upright and linear. This is more common than the next progression of atypical curvature, which is the subject of this article.

Actual reversal of curvature means that part or all of the cervical spine develops a kyphotic profile, with the open end of the curve facing anteriorly. Usually, this reversal is extremely mild, but is still very abnormal. What we now see is the middle of the curve being positioned posterior to the top and bottom.

In essence, picture the letter c and now turn it backwards: This is the shape of a reversed cervical lordosis.

Reversal of cervical lordosis causes

The spinal curvature in the neck is constantly in flux to some degree.

Congenital conditions and developmental conditions can have lasting effects on the natural degree of curvature typically demonstrated from patient to patient. These circumstances may be explainable due to injury or degeneration, or may be idiopathic:

Scoliosis can affect the normal lordotic curvature in the neck.

Cervical spondylolisthesis is a major source of reversed lordotic curvature.

Severe disc pathologies can facilitate a gradual loss or reversal of cervical lordosis.

Vertebral irregularities, such as wedging, can definitely contribute to lordotic alteration.

Traumatic injury, including vertebral fracture, can create the ideal circumstances for a reversal of lordosis to take place.

Severe neck muscle spasms can actually reshape the spinal curves, although these are usually temporary expressions and not actual structural conditions.

Effects of reversal of cervical lordosis
The neck is designed to curve in order to balance the spine, absorb stress, distribute force and provide proper movement of the head. When this curvature is diminished or reversed, symptoms may result, although this is not an inherent part of any altered lordotic condition.

Patients may experience stiffness and tension in the neck. Pain may be present and may even be severe in rare cases. Neurological dysfunction is possible in extreme cases, since the neuroforamen might not align properly, thereby causing a cervical pinched nerve.

In the worst circumstances, central spinal stenosis in the neck might affect the viability of the spinal cord, possible enacting the most dire of symptoms throughout the body.

Patients will also be more prone to injury, since the normal shock absorption qualities of the typical curvature have been lost.

While all these effects are certainly possible, they are not usual. In fact, a great majority of patients have minor symptoms or even no symptoms at all from mild reversed lordotic curvatures.

The pathology leading to a neck curve reversal (cervical kyphosis shown below right) may be inspired by a multitude of conditions as follows:
Post whiplash
Post head injury
Stomach sleeping
Poor sitting/working postures
Congenital spinal curvatures
Osteoporosis
Degenerative cervical discs (a form of osteoarthritis that can either be the cause of or the result of a cervical kyphosis)
Compression fracture of vertebral body
Infection of the cervical spine

Anatomy: straight vs. Curved

I've always heard that it was good to stand up straight.

stand upright, stick your chest out and hold your shoulders back! otherwise you're going get widows hump.

Are these expressions as familiar to you as they are to me? one might think that having a curved neck goes against what we heard from parents and teachers as we were growing up, but the reality is that there is a little bit a truth in both. Maintaining good posture throughout our lives is crucial to both the health of our spine and vital organs. On the contrary, a special type of curve called a lordosis is a good thing, both in the neck and lower back.

When we look at a person from the back their spine should be truly straight, so that the left and right sides of one's body is symmetrical. However, when we view a person from the side, the front and back of their body is different and this is reflected in a coinciding curvature of the spine. Both the lower back and neck are hollowed out (concave) and the mid or thoracic spine is protrudes (convex). Thus there is an alternation of curves functioning to provide stability, shock absorption and aid in propulsion. A straight spine would be very stiff and not flexible. Imagine the plight of a pole vaulter with an inflexible pole.

Nature's design of our spine and rib cage facilitates breathing and offers protective and supportive framework for vital organs. Spinal disks are shock absorbers and because they are in the front of the spine, lordotic curvatures keep them from having to bear weight. Kyphosis or loss of such curvatures bears weight upon the disks, leading to their ultimate degeneration. This process of deterioration is a form of osteoarthritis and in the spine is known as degenerative spondylosis.

Diagnosis
Although most physiotherapists or conservative orthopedists can recognize a cervical curve reversal upon viewing the patient's posture, a definitive diagnosis may be obtained via a standing lateral (side view) x-ray of the neck. Cause can often be determined by corroborating a comprehensive history, a thorough examination, x-rays and questions about sleep, work and lifestyle.

In my professional career I found that the majority of young adults presenting with cervical kyphosis either had a whiplash or were stomach sleepers from an early age. For desk jockeys 40-60 years of age, many hours of sitting with their head flexed forward almost dictates the fate of developing kyphosis. In prior years I considered cervical kyphosis a job hazard for the careers of accountants, attorneys and often teachers because of years spent with their head in a book or paperwork. However, the digital age offers some relief in that respect. A well-planned, ergonomically-friendly office can do wonders for protecting the spine in the sedentary worker.

Treatment for cervical curve reversal (kyphosis)
During my chiropractic practice I had the opportunity to note a good percentage of correction toward a more normal lordosis (noted on x-ray) for 70% of patients under my care. This was almost always consistent with those patients that followed all recommendations and were model participants in their own care. Here is the recommended treat plan:

Spinal manipulation of stiff and fixated spinal segments by a qualified physio
Flexibility exercises for flexion and extension of cervical spine
Resistance exercises for flexors and extensors of the neck
Learn the Alexander technique for maintaining good posture (hint: the basic philosophy is to sit and stand like you were hanging by a string from the vertex of your skull. Liken it to a puppet on a string).
Elimination of stomach sleeping
Avoid standing on your head, although some yoga postures may be beneficial
Use of orthopedic neck pillow while sleeping.

4 people found this helpful

Sir I feel every time a burning sensation on my hand. So what is the advise for me about this matter?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Sir I feel every time a burning sensation on my hand. So what is the advise for me about this matter?
Hi Thanks for your query and Welcome to Lybrate. I am Dr Akshay from Fortis Hospital, New Delhi. There can be many causes of such sensations, so it could be a radiating kind of pain from spine, localized nerve entrapement, systemic disease , vitamin and other metabolic deficiencies etc. If you can actually point out to me the exact site of symptoms, i should be able to understand and advise you accordingly. Also can you kindly tell me the duration of symptoms, its onset and any other associated symptoms as well. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation. Thanks & Regards Dr Akshay Kumar Saxena Consultant Orthopaedics Fortis Hospital, New Delhi
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My head feels a lot of pain when I study for more than 2 hrs.in a single sitting . I had checked my eyes to physicians but they told they are normal. migraine is also not hurting me . Sir what should I do?

MBBS, Diploma In Dermatology And Venerology And Leprosy (DDVL)
Dermatologist, Raigarh
My head feels a lot of pain when I study for more than 2 hrs.in a single sitting . I had checked my eyes to physician...
2 factor are most commonly invole if more headach 1. Eye problem 2. Viral fever so take some tablet like tab calpolo 650 mg for 2 days.
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I am a 63 years old male suffering from chronic nasal congestion, also rhinitis, which aggravates during the current season every year. I also suffer from sleep apnea and i am using c-pap machine during night. Nasal blockage (dry nose) is only relieved by using Otrivin nasal spray once in a day. What should I do?

MBBS, cc USG
General Physician, Gurgaon
Steam inhalation carefully by steam inhaler twice a day for 2-3 days Lot of fluids to be taken Breathing exercises will help Medication Consult Chest Physician for further management
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