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Dr. J.V. Mahendran

Neurosurgeon, Chennai

Dr. J.V. Mahendran Neurosurgeon, Chennai
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. J.V. Mahendran
Dr. J.V. Mahendran is an experienced Neurosurgeon in Saligramam, Chennai. You can consult Dr. J.V. Mahendran at VHM Hospital Pvt. Ltd. in Saligramam, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. J.V. Mahendran on Lybrate.com.

Lybrate.com has an excellent community of Neurosurgeons in India. You will find Neurosurgeons with more than 33 years of experience on Lybrate.com. You can find Neurosurgeons online in Chennai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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No.4, Lal Bahadhur Sasthry Street, Sathya Garden, Saligramam. Landmark: Opp To Avichi School, ChennaiChennai Get Directions
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I am 36 year male suffering from regular leg pain above ankle and also numbness in feet while walking. The condition goes away when I stop for few minutes and again resurfaces when I start walking again. What should I do?

M S Orthopaedics, MBBS
Orthopedist, Mumbai
I am 36 year male suffering from regular leg pain above ankle and also numbness in feet while walking. The condition ...
Hello lybrate user, the symptoms you are describing are similar to what we call claudication. In common language, it is development of symptoms of pain etc in the lower limbs after one does some previously accustomed activity ie one was able to do those activities easily but are causing symptoms now. It occurs due two causes. Firstly, vascular problem causing decreased blood supply to the muscles of the lower limb which is now inadequate to maintain the demands of the muscle while doing activity. Secondly, neurological problem in which there is stenosis in the spinal canal which transmit the nerves from brain to the lower limbs. This stenosis causes decreased space for the nerves and their vessels causing pain in the lower limbs. With the details you have provided, and your profile, it looks more like a spinal canal stenosis. I would suggest you to see a spine surgeon or an orthopaedician for a detailed assessment. I would also suggest you forward bending exercises and exercises to strengthen your abdominal muscles. Hope this helps.
1 person found this helpful
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If a mother has seizures is there any possibly that even child could have the same after birth? And what difficulties or problem will the fetus have during pregnancy when the mother have epilepsy during her pregnancy? mainly in the first trimester?

MD - Psychiatry, MBBS
Psychiatrist, Patna
Epilepsy is a neurological disease and children of person suffering from epilepsy are more vulnerable to have seizure disorder. This means children may have or may not have the disease. If a pregnant lady suffers from epileptic fits it may cause abortion or some birth defects. Secondly few anti epileptic drugs may also harm the fetus. So before planning pregnancy the lady should be put on some safer anti epileptic drug. Folic acid prevents the harmful effects of anti epileptic drugs and reduces the chances of birth defects in child.
1 person found this helpful
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When I was doing any work. My bones are very week. My hand shake. When I am doing anything.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bijapur
When I was doing any work. My bones are very week. My hand shake. When I am doing anything.
Dear lybrate user you may be suffering from nutritional deficiency. Protiens, carbohydrates, vitamins, fat are basic factors to constitute our body. Take a balanced diet and fresh fruits every day, drink a cup of milk everynight before bed, fresh fruits are rich with vitamins and protiens. Do not forget to drink 3-4ltr of water everyday. Tak proper sleep. Avoid mental and physical stress. Take all the necessary precautions which enhance quality of your life. Massage with little warm ksheerabala taila everyday before bath will help you.
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I am 20 years old and i have constant sensation in my thumb. What to do? Please help me.

MBBS
General Physician, Mumbai
I will suggest you to 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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I am suffering from brain tumor back side of my left eye can you treat me with removing my eye.

M.S (surgery), M.Ch - Neuro Surgery
Neurosurgeon, Gurgaon
Consult a neurosurgeon who is trained to handle brain tumors. These days multiple treatment options are available for brain tumors but primary treatment still is surgical removal.

Hello doctor My hand always shaking. Doctor suggested to visit neurologist for root cause. What is root cause?

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
Hands shaking is just an external manifestation of some problem in your brain that problem which causes the hands to shake is called as the" root cause"
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I am 35 years old female. I have migraine for last 22 years. It's affecting my day to day life. Earlier it used be only headache. Now I get headache, eye pain, numbness in arms n legs, also I see sm image in front of my eye like a thin horizontal line. Headache happens after every 5 or 6 days. Donot get relief with pain killers also. No vomiting but spinning of head is there. Can't bear loud music, sunlight and also travelling has become difficult. Its a throbbing pounding pain on one side n sometimes near the ear. Please suggest medicine.

MBBS
General Physician, Cuttack
1.Take Paracetamol 500mg one Tablet sos after food up to a maximum of three tablets daily at the time of attack 2.Drink plenty of water and take rest. 3.. Avoid stress, anxiety, depression, agitation,exposure to loud noise, bright light since it precipitates migraine attack 4.. Go for regular exercise 5. practice yoga, meditation, deep breathing exercise to calm your mind, control your emotion and relieve you from stress 6. If You have chronic migraine, you have to take migraine prophylaxis after consulting physician
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My body is very week. My hands always keep shivering while doing any job like drawing and holding something. Even will doing namaze my legs shivers. Please help me out. I am very much worrying about my future.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Pl. Avoid stress. Checkup vit. D3, vit. B12, thyroid profile and consult again. Eat protein diets. Juice.
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I am 26 year old male having medicines for the past 3 years as I am suffering from motor neuropathy. When it will get cure.

MD - Psychiatry, MBBS
Psychiatrist, Patna
Any type of neuropathy is a chronic disabiling condition. It may take many years to normalize the nerve. Keep going, take vit b1, b6, b12 & passive exercise.
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Brain Stroke - Factors That Can Lead To It!

DM - Neurology
Neurologist, Rajkot
Brain Stroke - Factors That Can Lead To It!

A stroke, also called cerebrovascular accident (CVA), cerebrovascular insult(CVI), or brain attack, occurs when a part of the brain is deprived of blood flow. When the brain cells are deprived of oxygen they begin to die. When brain cells die, the functions controlled by that part of the brain also stops, which results in different types of disabilities among stroke survivors.

There are two types of strokes

  • Hemorrhagic
  • Ischemic stroke

The first is caused when a brain aneurysm or a weak blood vessel bursts. Most of the time, this type of stroke leads to death. The second one happens when a clot blocks the flow of blood to the brain. Patients suffering from stroke suffer from various side-effects, the most common ones being paralysis or loss of feeling in a certain part of the body, problem in understanding or talking and loss of vision in one side. The side-effects start showing up regularly after a person has had a stroke.

In certain conditions, blood flow to a certain part of the brain stops for only some time and hence the body suffers stroke like symptoms which only last a couple of hours before disappearing. This is known as a transient ischemic attack (TIA). Unfortunately, the effects of a stroke can be debilitating and also permanent. Hence its important to know the symptoms of a stroke and rush the patient to a doctor as soon as possible. Sometimes early treatment can save a lot of damage.

The primary symptoms of stroke are as follows:

  1. Confusion and problems with talking and comprehension
  2. Headache along with alteration of consciousness or vomiting
  3. Numbness of the face, arms or legs, especially on one side of the body
  4. Issue with seeing, in one or both eyes
  5. Inability to walk with stability, including disrupted coordination
  6. Problems with the bladder and bowel control
  7. Acute depression
  8. Body temperature fluctuates, and pain worsens with movement
  9. Paralysis on one side of the body along with fatigue
  10. Problem in expressing or controlling emotions

Risk Factors:

Diagnosis of stroke

Several tests are carried out to determine the type of stroke acquired. They are:

  1. Physical examination, which involves observing the patient's overall condition.
  2. Blood tests
  3. CT scans
  4. MRI scans
  5. Cerebral angiogram
  6. Echocardiograms

Stroke is a fatal brain disease and can cause permanent damage to your system so its best to check with your doctor to know how you can prevent it.

My mother is a CVA patient since 2013 June & since then she can't perform day to day activities on her own. She has got paralysis on her left side. Since then physiotherapy was regularly done with her but with no result. So I am asking if there is any medicine to treat her at this stage?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Do consult expert in neuro physiotherapist and continue good rehabilitation to her functional abilities
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Since I was baby. I have prblm of shivering. My hands shiver continues even when I write. My father have same prblm. What should I do?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
it may be tremor . pl. checkup MRI brain and consult again on lybrate.om. avoid stress, avoid oily , fatty , spicy foods.
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Meri mom Ko migraine ki prob. H, week me 2/3 baar headache ho jaataa h, homeopathy ki medicine bhi chal rahi h but usse kuch ni hotaa, face PR swalling bhi ho jaati h.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Do Take balanced diet and hyderated Avoid stress anxiety and anticipating the things Do regular physical activity and breathing exercises for about 20 minutes regularly Best Wishes
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Im 25 year old female. Im facing sleeping disorders from past 10 months. Eg.whem im in deep sleep I feel im awake n I try to get up but I couldn't. I researched about this on internet n got to know that it's a condition of sleep paralysis. Not only this I get scary dreams n hallucinations when im more tired. Cn I please know what happened to me actually n what can I do to get rid of my problems?

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
Im 25 year old female. Im facing sleeping disorders from past 10 months. Eg.whem im in deep sleep I feel im awake n I...
Consult psychiatrist and the mean time do follwing you will feel good 1. Do not sleep in supine ie on your back position, sleep on side 2. Sleep and wake up at at fixed time daily and keep surrounding clean and without much cluttering. 3. Have 2/ 3 good hobbies- photography, painting, playing games, swimming etc 4. Do regular meditation for at least 10 mts 5. Do deep breathing exercise daily for 10 mts 6. No alcohol 7. No smoking 8. Go for morning walk for 30 mts give feed back after 15 days for more advise and medicine good luck.
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Continuously little headache from more then two week. Looking like something moving in my head. Sometime I feel like my body is not in my control. What is this.

MBBS, cc USG
General Physician, Gurgaon
Continuously little headache from more then two week. Looking like something moving in my head. Sometime I feel like ...
It is due to stress This problem can be solved by Meditation you can go for regular Physical exercise Get checked your eyes for refractive errors I can give you address of Rajyoga meditation center near your house (this is free of cost) consult me for further management
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I am from Mumbai .I'm suffering from migraine since last 2 or 3 months .Dr. Please Can you make me sure that what is the treatment for this?

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Migraine is a kind of relapsing headache. Its symptoms include - episodic unilateral or bilateral, severe and pulsating headaches, associated at times with nausea and vomiting, relieved momentarily on rest or taking medications and aggravated by precipitating factors. The treatment of migraine is mainly done for relief from acute headache attacks and later treatments to prevent future relapses. Also treatment of factors which tend to cause relapses is also important. Consult a headache specialist for a composite and complete treatment. You may contact me online for further queries and assistance in treatment in this regard.
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My son is 26 years old. His brain was declined and was operated at Hospital before 4 years. After operation he is unable to walk without support. He is doing physiotherapy everyday. Still he has not recovered. What should I do? Is second operation required? As per doctors consulted, not to go for second operation as it is not assured that he will start walking.

MD - Psychiatry, MBBS
Psychiatrist, Patna
I understand your concern. I can imagine how painful it is to see somebody so close suffering with such condition. Neurological illness like brain pathology even after brain surgery is very slow to recover. Although the current situation appears to be not good. It will improve gradually. Brain has a very slow recovery and regeneration rate. It may take many months to years to get the desired function of limbs. I wish your son a better health.
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BPTh/BPT
Physiotherapist, Delhi
What is Spinal stenosis?

Spinal stenosis is a narrowing of the spinal canal and foramen, which results in increase pressure on spinal cord and nerves which emerge out from spinal cord.

Causes of stenosis
degenerative ageing process of your spine.

the ligaments of your spine may hardened and calcify, and start to compromise the adjacent structures .

Increased bone stress causes bone spurs, which encroach in the spine?s space.

spinal discs, become dehydrated with age and lose their height. This disc narrowing can deteriorate quicker with injury eg disc bulges or degenerative disc disease.

Osteoarthritis of your spine is the most common form of arthritis and is more likely to occur in middle-aged and older people. It is a chronic, degenerative process. It is the result of everyday wear and tear of the spine joints, and is often accompanied by overgrowth of bone, formation of bone spurs, which can cause spinal stenosis.

Spinal stenosis is most common in men and women over 50 years of age and is related to degenerative changes in the spine. However, it may occur in younger people who are born with a narrowing of the spinal canal or who suffer an injury to the spine.

Symptoms of Spinal Stenosis?
numbness, muscle weakness, diminished reflexes , cramping or general pain in the arms or legs.
The most common stenosis regions of your spine are your lumbar spine (low back) and your cervical spine (neck), but any spinal region can suffer stenosis.

In lumbar spinal stenosis, the spinal nerve roots in the lower back are compressed and this can produce symptoms of pain, tingling, weakness or numbness that radiates from the low back and into the buttocks and legs, especially with activity.

Cervical stenosis may cause similar symptoms affecting your arms and potentially your legs too!

If the narrowed space within the spine is pushing on a nerve root, you may feel pain radiating down the nerve eg sciatica. However, unlike patients who have sciatica due to slipped disc, this sciatica is relieved by sitting down in stenotic patients.

Classically, in stenosis patients, sitting or bending forward to flex the spine should relieve your symptoms. The flexed position ?opens up? the spinal column and therefore enlarges the spaces between the vertebrae. Because keeping the lower back ?flexed' (bent forward) relieves their symptoms, patients will often walk with a slight stoop forward or look downwards.

sciatica
With this adaptive posture, the lower back is often stiff and tightness develops in the hip flexor muscles at the front of the hips.Standing, walking or bending backwards often makes stenosis-related symptoms worse because this position causes narrowing of the space surrounding the nerves.

Walking up a hill may be fine because leaning forwards opens up the space around the nerves.

The space in the spine may narrow without actually producing any symptoms of stenosis. It is only when the narrowing causes the compression of the spinal cord, nerves and nerve roots, that there may be an onset of stenosis symptoms.

Your neck or back may not even be painful. In severe spinal stenosis, you may experience with constant or worsening back pain; numbness or pins and needles in the genital region; weakness in both legs; and or disturbances in bladder or bowel function. If this is the case, you require urgent medical attention!

How is Spinal Stenosis Diagnosed?
Your physiotherapist or doctor may diagnose you with spinal stenosis based on your symptom behaviour alone. However, the extent of your stenosis is best determined via a CT-scan, MRI or myelography.

lower back pain

MRI Spinal Stenosis

Spinal Stenosis Treatment
PHASE I - Pain Relief & Protection

Managing your pain is usually the main reason that you seek treatment for stenosis. In truth, it was actually the final symptom that you developed and should be the first symptom to improve.

Managing your inflammation. Inflammation is the main short-term reason for why you have suddenly developed stenosis symptoms. It best reduced via ice therapy and techniques or exercises that de-load the inflammed structures.

Your physiotherapist will use an array of treatment tools to reduce your pain and inflammation. These include: ice, electrotherapy, acupuncture, deloading taping techniques, soft tissue massage and temporary use of a back brace.

Your doctor may recommend a course of non-steroidal anti-inflammatory drugs such as ibuprofen.

PHASE II - Restoring Normal ROM, Strength

As your pain and inflammation settles, your physiotherapist will turn their attention to restoring your normal joint alignment and range of motion, muscle length and resting tension, muscle strength and endurance.

Your physiotherapist will commence you on a lower abdominal and core stability program to facilitate your important muscles that dynamically control and stabilise your spine.

Researchers have discovered the importance of your back and abdominal core muscle recruitment patterns. A normal order of: deep, then intermediate and finally superficial muscle firing patterns is normally required for pain-free backs. Your physiotherapist will assess your muscle recruitment pattern and prescribe the best exercises for you specific to your needs.

Your physiotherapist may recommend a stretching program or a remedial massage to address your tight or shortened muscles.

Please ask your physio for their advice.

PHASE III - Restoring Full Function

As your back?s dynamic control improves, your physiotherapist will turn their attention to restoring your normal pelvic and spine alignment and its range of motion during more stressful body positions and postures. They?ll also work on your outer core and leg muscle power.

Depending on your chosen work, sport or activities of daily living, your physiotherapist will aim to restore your function to safely allow you to return to your desired activities.

Everyone has different demands for their body that will determine what specific treatment goals you need to achieve. For some it be simply to walk around the block. Others may wish to run a marathon.

Your physiotherapist will make your back rehabilitation to help you achieve your own functional goals.

PHASE IV - Preventing a Recurrence

Back pain does have a tendency to return. The main reason it is thought to recur is due to insufficient rehabilitation. In particular, poor compliance with deep abdominal and core muscle exercises. You should continue a version of these exercises routinely a few times

In addition to your muscle control, your physiotherapist will assess your spine and pelvis biomechanics and correct any defects. It may be as simple as providing you with adjacent muscle exercises or some foot orthotics to address any biomechanical faults in the legs or feet.

General exercise is an important component to successfully preventing a recurrence. Your physiotherapist may recommend pilates, yoga, swimming, walking, hydrotherapy or a gym program to assist you in the long-term.

Fine tuning and maintenance of your back stability and function is best achieved by addressing any deficits and learning self-management techniques. Your physiotherapist will guide you.

What is Your Prognosis for Spinal Stenosis?
The success of treatment for stenosis is reasonably good in the short-term due to the symptom onset mainly being related to recent inflammation.

With each repeat episode, it is more difficult to control your symptoms because your pathology has deteriorated
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Numbness in left hand & then left face numbness, ghabrahat hoti hai, dhadakan badhti hai

MPTh/MPT, MSC CVR, MANUAL THERAPIST
Physiotherapist,
Get your cardiac profile checked, may also be a case of cervical spondylitis. Please get assessment done by a cardiologist or a Physiotherapist.
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