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Dr. Haresh Sampathkumar  - PMR (Physical Medicine & Rehabilitation) Specialist, Chennai

Dr. Haresh Sampathkumar

89 (25 ratings)
MD - Brain Injury Medicine, MD - Physical Medicine and Rehabilitation, MD - I...

PMR (Physical Medicine & Rehabilitation) Specialist, Chennai

5 Years Experience ₹100 online
Consult Online
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Dr. Haresh Sampathkumar 89% (25 ratings) MD - Brain Injury Medicine, MD - Physical Medicine and Re... PMR (Physical Medicine & Rehabilitation) Specialist, Chennai
5 Years Experience ₹100 online
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Personal Statement

Empower our patients with the ability to live their life independently and to the fullest...more
Empower our patients with the ability to live their life independently and to the fullest
More about Dr. Haresh Sampathkumar
I can treat a wide range of neurological, orthopedic, cancer, amputation, burns, cardiac, pulmonary, geriatric, and pediatric conditions primarily through exercises using an interdisciplinary team approach and reduce pain and disability to help you lead an independent life.

Info

Education
MD - Brain Injury Medicine - University of Texas Health Science Center at Houston - 2017
MD - Physical Medicine and Rehabilitation - New York Medical College - 2014
MD - Internal Medicine - Unity Health System - 2013
Awards and Recognitions
Excellence in research and scholarly pursuits
Excellence in research and scholarly pursuits
Professional Memberships
Association of Academic Physiatrists
American Academy of Physical Medicine and Rehabilitation
American Congress Rehabilitation Medicine

Location

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Patient Review Highlights

"knowledgeable" 2 reviews

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Hello sir. I am an intern. From last one wk I had vague pain in lower back which occurs on on bending forward. 3-4 days back I had viral infection and I had vomiting also. And while doing so I suffered a jerk in my back after that I am not able to sit. I can sleep or walk but its very painful when I sit. Even if I try to sit straight my back pains a lot.

MD - Brain Injury Medicine, MD - Physical Medicine and Rehabilitation, MD - Internal Medicine
PMR (Physical Medicine & Rehabilitation) Specialist, Chennai
Hello sir. I am an intern. From last one wk I had vague pain in lower back which occurs on on bending forward. 3-4 da...
Dear lybrate-user, It looks like you may have suffered a muscle strain considering the onset of pain while doing a particular activity (i.e. Vomiting in your case) and variation in pain with certain movements. If the pain is in the spinal column itself then it's likely a disc problem which would also explain your onset of pain and variation with movements. Since you have not mentioned the exact location I'm not able to give you specific diagnosis. However, it does seem musculoskeletal related issue. Hope this helps. If you wish discuss further you can set up an appointment to contact me.
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Hi, I had taken a lot of medicine for my tennis elbow. I don't play tennis What ar d simple exercises I can do. I'm 59 years of age and also have knee pain.

MD - Brain Injury Medicine, MD - Physical Medicine and Rehabilitation, MD - Internal Medicine
PMR (Physical Medicine & Rehabilitation) Specialist, Chennai
Hi, I had taken a lot of medicine for my tennis elbow. I don't play tennis What ar d simple exercises I can do. I'm 5...
Lateral epicondylitis (tennis elbow) doesn't occur only among tennis players. It just happens more among tennis players because of certain movements they frequently perform. It can be cured with exercises but it is important that these exercises are being taught properly by a professional. Showing pictures of exercises could help you but it also increases the chance of injury (because it's being done without supervision). It is advisable to see a Physiotherapist in person who can confirm the diagnosis (if not already made by a medical professional), and can teach and supervise exercises. Once you are doing it properly you can continue these exercises at home.
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My father got attacked by paralysis. what tablets to be used. Right now we are using only divlux od.

MD - Brain Injury Medicine, MD - Physical Medicine and Rehabilitation, MD - Internal Medicine
PMR (Physical Medicine & Rehabilitation) Specialist, Chennai
Dear lybrate-user, I'm sorry to hear about your father. Medications to improve paralysis depends on the cause of the paralysis. There is some evidence for usage of medication in brain injury population particularly stroke. Since your father is on Divlux I suspect he had some sort of brain injury such as stroke, trauma, brain tumor, bleeding etc. Also, these medications need to used along with therapies such as physiotherapy, occupational therapy, speech-language therapy etc for optimal outcome. Hope this helps. If you require more information feel free to contact me.
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My father attacked from paralysis. Paralysis attached right hand only. And he lift hand movements but finger moment not. Treatment and physio therapy is allowed. How many days it can cure. please answer this question.

MD - Brain Injury Medicine, MD - Physical Medicine and Rehabilitation, MD - Internal Medicine
PMR (Physical Medicine & Rehabilitation) Specialist, Chennai
Dear lybrate-user, I suspect your father had some sort of brain injury such as stroke, TBI, brain tumors etc considering his one sided weakness. Duration of recovery depends on lots of factors such as type of brain injury, severity, duration and how much recovery has already happened, age of patient, co-morbid medical condition etc. I'm unable to accurately prognosticate in your father's case due to limited information given. You can contact me directly should you have further questions.
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What You Need To Know About Brain Injury?

MD - Brain Injury Medicine, MD - Physical Medicine and Rehabilitation, MD - Internal Medicine
PMR (Physical Medicine & Rehabilitation) Specialist, Chennai

TYPES

  • 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 

SYMPTOMS

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

MEDICAL COMPLICATIONS

There are medical complications that can be noted a few weeks or months after a brain injury. Some common ones include

  • Pneumonia
  • 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
  • Seizures
  • 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
  • Headache
  • 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. 

PHYSICIAN (PHYSIATRIST)

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.

PHYSIOTHERAPIST

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.

OCCUPATIONAL THERAPIST

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).

SPEECH-LANGUAGE PATHOLOGIST

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.

NEUROPSYCHOLOGIST

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.

NUTRITIONIST

Malnutrition or undernourishment is a common problem in this population. For optimal recovery,  a Nutritionist recommends an appropriate intake of nutrition.

REHABILITATION NURSE

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.

Sir my father was suffer from chikungunya 01 years before after that he is suffering from Pain in knee joint. How it can be treated.

MD - Brain Injury Medicine, MD - Physical Medicine and Rehabilitation, MD - Internal Medicine
PMR (Physical Medicine & Rehabilitation) Specialist, Chennai
Sir my father was suffer from chikungunya 01 years before after that he is suffering from Pain in knee joint. How it ...
He most likely has reactive arthritis considering that the pain occurred after chikungunya and continues to persist. I would advise seeing a physiotherapist for his joint pain. They can use some of their machines to help reduce the pain. They can also teach exercises that can alleviate the pain as well as well as teach your father things to do and not to do. Going to a good physiotherapist is extremely important so please do your research on that. Let me know if you have other questions.
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I AM 56 YEARS OLD MAN AND MY WEIGHT IS AROUND 90 KG AND MY HEIGHT IS 5 FT10 INCH. FROM LAST 10 DAYS I HAVE PAIN IN MY LEFT LEG JOINT i.e IN THE KNEE JOINT AND IN THE AREA OF LOWER LEFT LEG. SOME ARE SAYING IT IS A CASE OF OSTEOARTHRITIS. PLEASE SUGGEST SOME MEASURES. ASAP.ALL THE SUGAR AND URINE AND BLOOD TEST HAVE COME POSITIVE.

MD - Brain Injury Medicine, MD - Physical Medicine and Rehabilitation, MD - Internal Medicine
PMR (Physical Medicine & Rehabilitation) Specialist, Chennai
I AM 56 YEARS OLD MAN AND MY WEIGHT IS AROUND 90 KG AND MY HEIGHT IS 5 FT10 INCH.
FROM LAST 10 DAYS I HAVE PAIN IN MY...
It is possible that it is osteoarthritis considering your age and body mass index. However, the onset of pain in osteoarthritis is gradual and it progressively gets worse. You will also notice some stiffness in the morning or when resting for a long period of time which subsequently improves once you start walking. The pain in osteoarthritis is usually worse with walking for a long time and climbing stairs. That being said, it is better to confirm your diagnosis by seeing an orthopedician who can get a full history and perform an examination and other tests necessary. Appropriate treatment can be initiated afterwards.
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What is Physical Medicine and Rehabilitation?

MD - Brain Injury Medicine, MD - Physical Medicine and Rehabilitation, MD - Internal Medicine
PMR (Physical Medicine & Rehabilitation) Specialist, Chennai
What is Physical Medicine and Rehabilitation?

The word ‘Physical Medicine’ can be defined as the branch of medicine dealing with the treatment of disease and injury by means of physical agents such as exercise, massage, manipulation, heat, or cold. The word ‘Rehabilitation’ can be defined as the process of restoring to a condition of good health or former capacity after an illness or injury. It is not just the restoration of physical health but also cognitive and psychological health.

Hence, Physical Medicine and Rehabilitation (PM&R) is a specialty that focuses on restoring physical and/or cognitive and psychological health primarily through physical agents. Medications and Injections are used when necessary. A PM&R physician is called a Physiatrist. 

A physiatrist treats musculoskeletal, neurological, cardiac, and pulmonary problems across a wide range of conditions (please see “conditions we treat” on our website for these wide range of conditions). Due to the nature of this specialty, a Physiatrist works closely with a team of professionals such as Physiotherapist, Occupational therapist, Speech-Language pathologist, Psychologist/Neuropsychologist, Rehabilitation nurse and Social worker and acts as a team leader to provide an interdisciplinary care.

Interdisciplinary care is the process of providing care by involving two or more disciplines and integrates beyond discipline-specific approach. Such an approach is necessary because the problems of the patients a physiatrist treats are often multifaceted. A physiatrist acts a liaison between other Physicians and therapists because of knowledge about medicine as well as therapies.

A physiatrist has to undergo a basic medical training (MBBS) followed by post-graduation training (MD or DNB) in PM&R. Further specialization can be done in various areas such as Brain Injury, Spinal cord injury, Pain, Pediatrics, Sports to name a few. 

In summary, the phrase PM&R is a well-integrated concept. A Physiatrist bridges the gap between other physicians and therapists. Interdisciplinary care is the process through which a Physiatrist primarily provides care. 

A patient who admitted in hospital with a GBS disease and igv is prescribed what is the function of igv in body.

MD - Brain Injury Medicine, MD - Physical Medicine and Rehabilitation, MD - Internal Medicine
PMR (Physical Medicine & Rehabilitation) Specialist, Chennai
GBS is an inflammatory/autoimmune condition (i.e. Your body cells are being attacked by your own immune system). Immunoglobulins reduces inflammation by reversing this action.
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I have very weak core muscle my doctor told me to do core strengthen exercise I want to ask that I always have to do that or once it become strengthen enough I can stop that.

MD - Brain Injury Medicine, MD - Physical Medicine and Rehabilitation, MD - Internal Medicine
PMR (Physical Medicine & Rehabilitation) Specialist, Chennai
If core muscle strengthening exercises were prescribed by a doctor for a particular reason such as low back pain etc. Then initially it is advisable to do those exercises daily. In the long run (i.e. After the original problem was resolved) it is still advisable to do core strengthening exercises for general fitness but you may not have to do that daily.
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