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Dr. Mahesh

MD(Paed.).,DM(Neuro)

Neurologist, Chennai

15 Years Experience  ·  400 at clinic
Dr. Mahesh MD(Paed.).,DM(Neuro) Neurologist, Chennai
15 Years Experience  ·  400 at clinic
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Personal Statement

Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one. Doctor is an active member of IAN
More about Dr. Mahesh
Dr. Mahesh is a trusted Neurologist in Mambalam, Chennai. He has had many happy patients in his 15 years of journey as a Neurologist. He has done MD(Paed.).,DM(Neuro) . You can meet Dr. Mahesh personally at Mahesh Neuro Centre in Mambalam, Chennai. Book an appointment online with Dr. Mahesh on Lybrate.com.

Lybrate.com has a nexus of the most experienced Neurologists in India. You will find Neurologists with more than 44 years of experience on Lybrate.com. You can find Neurologists 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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Education
MD(Paed.).,DM(Neuro) - madras medical college - 2002
Languages spoken
English
Professional Memberships
IAN

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40, South Usman Road, T Nagar,Chennai Get Directions
400 at clinic
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I have been feeling my body shaking/unsteady while I am sitting on chair or standing or walking constantly. But feel relaxed if I sit on floor leaning against something or lying in a cool place. It increases in heat atmospher and in empty stomach or any stress.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. These may be some kind of tremors or dystonia, the best way is to consult a neurophysician, maybe get some relevant investigations done and then management can proceed from there on. Do not hesitate to contact me if you need any further assistance.
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I am suffering from insomnia. What can I do to sleep well during night? And work actively during day time.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
I am suffering from insomnia. What can I do to sleep well during night? And work actively during day time.
Massaging to your head with suitable oil it clears the block in the energy channels that cause a build -up negative energy. It increases energy level, alertness and concentration. Wonderful relaxing therapy. It gives relief from pain, stress, insomnia, tension and tiredness. Helps to reduce the stiffness of muscle reduces physical and mental fatigue. Improve the circulation to head, neck, scalp, face shoulder area. Relieves a headache and migraines. Stimulate healthy hair growth. Prevent hair fall and graying of hair. Anti ageing -relax facial and eye muscles to make you look younger and healthy. Key to increasing eyesight.
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How To Treat And Manage Cranial Nerve Palsy?

MD in Ophthalmology, MBBS
Ophthalmologist, Delhi
How To Treat And Manage Cranial Nerve Palsy?

Cranial nerve palsy is one of the common culprits of causing double vision. This is all the more true for people above the age of 60. A person is more prone to cranial nerve palsy if he is suffering from high blood pressure and diabetes. This is the reason why this disease is more commonly known as diabetes palsy. Eventually, though they get better and the problem of double vision disappears.

Symptoms:

One weak cranial nerve leads to the weakness of other cranial nerves as well. In case the eyes fail to move together, chances are that the patient will have double or blurred vision. In case the sixth nerve gets affected, side to side double vision is encountered. For the 3rd and 4th nerve disturbance, there could be a vertical double vision. The lack of blood flow causes pain to the eye.

Possible Causes of Cranial Nerve Palsy?

Cranial nerve palsy can result from traumatic or congenital factors. They can also result from vascular diseases such as strokes, hypertension, diabetes, and aneurysms. It can also arise out of infections, increased intracranial pressure, migraines, and tumours. A patient's age and clinical findings help a doctor decide the right course of treatment.

Treatment:

There are no particular treatments which can speed up the recovery of cranial nerve palsy. In a case of pupil pain, doctors may prescribe anti-inflammatory drugs such as Motrin and Advil. They key to natural recovery is to ensure that the blood sugar and the blood pressure is diligently controlled. By patching the eyes, the problem of double vision can be resolved. They are typically worn over both the eyes. They are however known to slow down the process of recovery and strain the eye. There is no known exercise to fix this condition. Botulinum injections are sometimes used by doctors to straighten the eyes but the result of such a treatment greatly varies from person to person. Doctors mostly rely on watchful waiting until the phase passes within 6-8 weeks. Pain medications are recommended on a case to case basis.

Lifestyle Changes:

Managing cranial nerve palsy can be difficult for a working person. It involves many lifestyle changes till the condition fully cares. Some of the suggestions given by an ophthalmologist include resting the eye as long as one can. Reading or working on a computer should be eschewed since it puts great pressure on the eyes. The eye should not be contacted with forehands in case there is too much pain. Other basic hygiene issues include taking the medicine time to time, cleaning the eye with fresh water two to three times a day, putting the eye drops on time as prescribed by the doctor. If you wish to discuss about any specific problem, you can consult a ophthalmologist and ask a free question.

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My breasts are numb. Can not feel dem Im breast feeding my infant Who z 3.5 months old. What may b the reason,

MS - Obstetrics and Gynaecology
Gynaecologist, Agra
My breasts are numb. Can not feel dem
Im breast feeding my infant
Who z 3.5 months old. What may b the reason,
Firstly try to reduce your weight. With your age and height maintain your wt between 46 to 50 kg. Start taking calcuum and multivitamins regularly. Your problem will be taken care of.
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Dear Dr. Knowingly & unknowingly I had destroyed my body with all the habits now I'm facing some issue like, 1. Shaking of hands. 2. No resistance power. 3. Depression 4. Weakness I wanna change my life and wanna fix it can you please suggest me on this. Thanks

MD - Psychiatry, MBBS
Psychiatrist, Tirunelveli
Dear Dr. Knowingly & unknowingly I had destroyed my body with all the habits now I'm facing some issue like, 1. Shaki...
You must think, that your fine and concentrating on good ideas. Destroy anything is easy but not creating it. So you must wait for your recovery. Take healthy food and positive thoughts is a first tips to be followed. And we must do some new habits like spending time in gardening or reading books or jacking or exercise etc.
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Her right Breast started pain since 3-5 days and gradually increase so I examine and find some memory lobes are swelling and fill hard mass which painful when it press so suggest what I do for her.

MBBS, MD (Medicine), DM (Neurology)
Neurologist, Delhi
See a lady doctor to get your breast examination done properly for further advice (it lis not'memory lobes' but mammary)
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Hello, I do not why I am feeling little bit numbness in my right side body like right leg and right hand .its not heavy but little bit .i am feeling very dis comfort and please suggest.

Neurologist,
Hello,
I do not why I am feeling little bit numbness in my right side body like right leg and right hand .its not hea...
Hello lybrate-user, Thank you for your question. Right side sensory symptoms could be due to stroke (vascular), migraines, multiple sclerosis or somatization (due to stress). If you are relatively healthy and 22 years old then stroke is less likely. If your symptoms are present all the time then I would get MRI brain to rule out any structural cause such as tumor or infection causing the symptoms. MRI brain will also help to rule out stroke, and multiple sclerosis. If you are having headaches during the numbness then it is likely migraine with aura. Please feel free to ask any questions. Take care.
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My mother 64 years is suffering from hereditary parkinson having unbalanced body, hand shaking, absent mindedness, loss of memory, difficulty in speech, excessive urination during night, lost control over urine and stool, no feeling of pain in lower legs and mostly winters are the most difficult times. So kindly suggest the remedy for parkinson

(MRCPSYCH-UK), MD - Psychiatry, MBBS
Psychiatrist, Hyderabad
She can benefit from some anti-parkinson medication for most of her symptoms. It appears her disease is progressing. Consult a Neurologist for more options. He may suggest other options like Deep Brain Stimulation for better quality of life. It may cost Rs. 6lakhs to 8lakhs for this procedure in Private Hospitals. Its like a pacemaker in the Brain. He may liaise with a Neurosurgeon for this procedure.
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I am 73 years old female, me suffering from insomnia from the last 30 years what should I do?

BHMS
Homeopath, Faridabad
Hi, At your age, the hours of sleep reduces normally. Sleep plays a vital role in good health and well-being throughout your life. Getting enough quality sleep at the right times can help protect your mental health, physical health, quality of life, and safety. In children and teens, sleep also helps support growth and development. The damage from sleep deficiency can occur in an instant (such as a car crash), or it can harm you over time. For example, ongoing sleep deficiency can raise your risk for some chronic health problems. It also can affect how well you think, react, work, learn, and get along with others. Management: Here are five tips everyone can use to help improve the quality of their sleep: Keep your bedroom cool and dark Put away/turn off all electronic devices while preparing for bedtime Stick to a regular bedtime and wake time every day, even on weekends Stop drinking caffeine by the early afternoon and avoid large late-night meals Skip the late-afternoon nap, as it can make it harder to sleep at bedtime Avoid taking unnecessary stress/ tension. Do regular exercise. Go for a brisk walk in the morning. Medication: Take Schwabe's Bacopa Monierri 1x/ thrice daily and Kali Phos./ once daily at night for 1month.
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Sir I haven't slept from two days I do have problem of migraine what to do sir please help me.

BAMS
Ayurveda, Bangalore
Hi, take tab. Meftal forte 1-1-1 till the pain reduces. Take adequate rest and sleep well in a dark room.
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What are the symptoms of migraine? My son will have severe head ache twice in a month (2-5days)

MBBS, cc USG
General Physician, Noida
Headache eye pain. (most commonly one-sided pain; less frequently both sides of the head are affected) pain located near the eye on affected side. pain that worsens with exertion or physical activity. Nausea/ Vomiting sensitivity to light and/or sound.
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Hi whenever my friend eat breakfast in the morning he gets headache? From last three years he has a migraine problem doctor prescribed him headset medicine but these days he is daily suffering from headache and have to take medicine. What can be the problem? How this can be cured? He is 25 years old weight is 69 kg.

DNB Neurology JHRC, MD Med, MBBS
Neurologist, Mumbai
Hi whenever my friend eat breakfast in the morning he gets headache? From last three years he has a migraine problem ...
He will need Preventive medicines for migraine. Plenty of oral fluids, meals at right time, adequate sleep, avoid late nights. Dark glasses with uv protection when going out in bright sunlight. Exercise 45 min a day. May see local neurologist again.
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I had epilepsy problem some twenty five year ago. I gradually reduced the dosage and I was alright. Bud suddenly had an attack yesterday. What should I do.

MD - Psychiatry, MBBS
Psychiatrist, Panchkula
Hello mam. You must contact your doctor without a delay as your condition needs re-evaluation and maybe, your medicines need to be continued. If you want to reduce or stop your medication, it must be done under guidance of your doctor only, as unsupervised change of medication is always harmful. Please take care.
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I'm 19 years old, and even though I don't feel nervous or fear or any other emotions, than why do my hands tremble?

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
I'm 19 years old, and even though I don't feel nervous or fear or any other emotions, than why do my hands tremble?
Dear lybrate-user. For social anxiety disorder, hand shaking is enough. There may not be any other symptoms like nervousness or fear. Social anxiety disorder treatment consists of cognitive behavioral therapy, life style changes, relaxation therapy and meditation. Once you learn how to manage your anxiety yourself with the help of the above treatment methods, you will be cured. The process could take some time according to the depth of the problem and the circumstances at which the patient lives. Take care.
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I have pain bw left shoulder and neck when I down my neck When I drive motorcycle then also neck and left hand experience pain and a little bit vibrations Please help.

Physiotherapist, Hyderabad
I have pain bw left shoulder and neck when I down my neck When I drive motorcycle then also neck and left hand experi...
Hi. The symptoms which you are describing may be because of improper handle position of your bike. Try to check that. And pain is more now. Try hot water formentation and few physio sessions. Good luck.
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I am 50 years old left hand fingers are feeling numb from 6 to 7 hours what should I do?

BHMS
Homeopath, Madhubani
I am 50 years old left hand fingers are feeling numb from 6 to 7 hours what should I do?
Pressure upon the arm nerves or vessels causing numbness, tingling or temporary paralysis of the arm may result from: Sleeping with the hand under the head Sitting with the arm hanging over the back of a chair Wearing straps or carrying a bag or rucksack Inflated cuff during measuring blood pressure Raising the Arms Above the Level of the Heart Keeping the hand (s) above the level of the heart during work or sleep can prevent appropriate blood perfusion of the hands, and cause numbness, tingling or partial paralysis of the hand (s) within few minutes. Cold In cold weather, narrowing of the arteries in the hands and fingers can prevent appropriate blood supply and thus numbness, tingling, pain or temporary paralysis of the hands and fingers. DISORDERS OF THE NECK (CERVICAL) SPINE Cervical Disk Syndrome Degenerative disc disease (DDD) or injury, like hyper-extension injury in car accidents (head moves rapidly toward the back), can result in bulging or herniated disc (s) pressing upon the cervical (neck) spinal nerves, thus causing symptoms of cervical disc syndrome: Position/movement dependent pain, tingling or numbness in the neck, shoulders, upper back, arm, hand or fingers (when the roots of cervical spinal nerves are compressed) Stumbling gait, difficulty with fine hand moves, tingling in the body or legs (when the cervical spinal cord is compressed) Symptoms can appear immediately after the injury, or develop slowly over the weeks or months. Diagnosis is made by a CT or MRI of the neck spine. Therapy includes immobilization, cold therapy followed by heat therapy, cervical traction, analgesics, muscle relaxants, physical therapy or surgical decompression of the nerve roots or spinal cord. Cervical Spondylosis Cervical spondylosis is an age-related deformation of the cervical spine; deformed vertebra or discs can press upon the spinal cord or nerve roots in the neck and cause chronic symptoms, like in the cervical disc syndrome (see above). INJURIES Disorders of the Brachial Plexus The brachial plexus is formed by the cervical nerves C5-C8 and thoracic nerve Th1. The plexus extends from the lower part of the neck to the armpit. From brachial plexus all main nerves to the arm (axillary, musculocutaneus, ulnar, radial, and median nerve) arise. Brachial Plexus Injuries Most of brachial plexus injuries usually occur in car, motorcycle and sport accidents, during birth, or in bullet or knife injuries. Symptoms and prognosis depend on the nerves involved and extent of an injury: nerve stretching, scar tissue (neuroma), partial or complete nerve rupture or tearing of the nerve from the spinal cord. A limp or paralyzed arm, severe pain and numbness, especially in the neck and shoulders, and weak arterial pulses in the arm are main symptoms. Some brachial plexus injuries may heal without treatment. Many children who are injured during birth improve or recover by 3 to 4 months of age. Treatment of brachial plexus injuries includes physical therapy and, if necessary, surgery. Thoracic Outlet Syndrome Thoracic outlet is the space between the collar bone (clavicle), first rib and corresponding ligaments through which nerves and vessels travel from the base of the neck toward the armpit. Thoracic outlet syndrome (TOS) results from a compression or extension of the subclavian artery or vein, or brachial plexus (nerves), commonly occurring in motorbike accidents, athletes, swimmers, weight lifters, etc. Symptoms include: Muscle wasting at the base of the thumb, numbness, feeling of pins and needles, or pain in the shoulder, armpit, arm or hand (when nerves are compressed) Pale, cool arm with weakened arterial pulse in the arm, numbness and pain (when vessels are compressed) Radiation-Induced Brachial Plexopathy Radiation-induced damage of the brachial plexus can follow radiotherapy of the chest, axillary region, thoracic outlet or neck. Symptoms may appear months to years after radiation therapy and include numbness, swelling, weakness or pain in the arm. Broken Shoulder Blade Shoulder blade (scapula) is the bone in the upper back that connects the collar bone (clavicle) and arm bone (humerus). Broken shoulder blade, usually from a car or motorbike accident, can result in pain, swelling, bruising or deformation of the shoulder blade area, and weakness, numbness or tingling in the shoulder or arm. Broken Arm, Wrist, Hand or Finger Symptoms of broken arm (the arm bone – humerus, elbow, and bones of the forearm – radius and ulna) include: Severe pain increasing with arm movement Obvious deformity, swelling, tenderness and bruising over the site of bone fracture Stiffness or inability to move your arm, hand or finger Weakness, numbness or tingling in the arm, hand or fingers Cubital Tunnel Syndrome or Ulnar Neuropathy The ulnar nerve arises from the brachial plexus in the neck and travels under the collar bone, downside along the inner side of the upper arm, behind the inner part of the elbow (Latin cubitus), where it can be felt as a “funny bone” and then down to the wrist, hand and little and ring finger. Ulnar nerve entrapment usually results from an elbow injury or constant pressure upon the elbow, like in cyclists or typists. Symptoms, known as cubital tunnel syndrome, include: Pain on the inner side of the elbow or electric shock sensation after touching the elbow The hand, ring and little finger are numb and falling asleep, especially after bending the elbow Limited movements of the ring and little finger (“handlebar palsy” in cyclists) Hand (on the little finger side) sensitivity to cold Prevention of ulnar nerve entrapment is by avoiding excessive elbow use. Treatment includes special arm exercises, anti-inflammatory drugs, like ibuprofen, and wearing an elbow splint. DISORDERS OF THE SPINAL CORD AND BRAIN Multiple Sclerosis Multiple sclerosis is a disease of an uncertain cause affecting the nerve tissue of the spinal cord, brainstem or brain. Symptoms can appear suddenly or gradually, “travel” among various body parts and include: numbness or tingling in one or both arms (or any other body part), blurred or double vision or blindness, weak or paralysed limbs, problems with urinating or defecating, difficulty maintaining balance, tiredness, etc. Symptoms can last from few weeks to several months, disappear completely and appear again, and, in general, worsen with time. Diagnosis is with MRI of the brain and spinal cord, and examination of cerebrospinal fluid obtained by lumbar punction. Apart from treating symptoms, there is no treatment for multiple sclerosis at the time. ACUTE BRACHIAL NEURITIS Acute brachial neuritis is a rare, supposedly autoimmune inflammation of brachial plexus, occurring at any age, but primarily in young men. Symptoms include severe pain in the upper arms and shoulders, followed by numbness and weak reflexes; the disorder resolves in few months on its own. WRIST DISORDERS Carpal Tunnel Syndrome (CTS) Carpal tunnel syndrome (Latin carpus = wrist) is a painful condition of the wrist, hand and fingers, caused by repetitive use of the wrist, or swelling of the tissues in the wrist, resulting in a pressure upon the median nerve. CTS is a common problem in assembly line workers, computer workers, musicians, mechanics, tennis players, etc. Bone spurs in rheumatoid arthritis, or fluid in hypothyroidism, kidney disease or menopause may also press on the median nerve. Symptoms usually start gradually and include: Tingling or numbness in the thumb, index, middle and ring finger and related part of the hand Pain in the wrist, palm or forearm Difficulty grasping small objects or gripping Hand pain at night Ganglion Cyst Ganglion cyst (Greek ganglion = tumor, cyst = fluid filled sac) is a soft lump, usually appearing on the back of the hand in some people between 20-40 years of age. It is a noncancerous fluid filled sack arising from the tendon sheets or capsule of the joint from an unknown reason. Ganglion cysts may not be always seen from the outside. Gymnasts often have them. Symptoms include: A soft lump or lumps of various size (may exceed an inch), on the back of the hand, inner side of the wrist, base of the finger, or on the last finger joint. Pain or numbness in the wrist, hand or finger (s) DISORDERS OF FINGER ARTERIES Raynaud’s Disease Raynaud’s disease is a painful finger condition due to spasms in the finger arteries. Disease may also affect toes or, rarely, nose, ears, lips and nipples. The cause is not known. Symptoms are triggered by cold (even short term cold like taking something from a freezer) or strong emotions, and appear in the following sequence: Fingers (one, more or all in one or both hands) become pale, numb or cold due to lack of blood flow, then bluish due to a lack of oxygen, then red, with throbbing pain and tingling as blood returns to the affected area. Attacks can occur daily, weekly or occasionally and can last from less than a minute to several hours, usually about 15 minutes. Different areas can be affected at different times. Severe, although rare, attacks can result in finger sores or tissue death (gangrene). Raynaud’s Phenomenon Raynaud’s phenomenon is a term used for the same finger symptoms as in Raynaud’s disease, when the cause is known. Causes include: connective tissue diseases, like scleroderma, systemic lupus erythematosus (SLE), Sjögren’s syndrome, dermatomyositis, and polymyositis, carpal tunnel syndrome, obstructive arterial disease, anti-hypertensive drugs, ergotamine (used for treating migraine), chemotherapeutic medications, etc. In workers exposed to vinyl chloride, using vibrating tools, typists and pianists, Raynaud’s phenomenon also commonly occurs. DIAGNOSIS OF ARM NUMBNESS OR TINGLING History of arm numbness. Knowing an exact time course of tingling or numbness, and eventual arm weakness, head or legs involvement, history of arm or neck injuries, repetitive elbow or wrist use, reactions to cold, hypothyroidism, diabetes, menopause may give a strong evidence about the cause. Neurological examination. Testing of sensitivity of a particular arm dermatome can reveal which nerves are involved. Imaging. X-ray may reveal arthritis in the neck spine, or a broken arm bone. Myelography can reveal herniated disc or narrowed spinal canal. MRI and CT show soft tissues like tumors. Electromiography (EMG) and nerve conduction studies can show the nature of the nerve damage. Together with imaging they are important to evaluate the extent of brachial plexus injury. Blood tests can reveal diabetes, abnormalities in serum levels of sugar (diabetes), calcium, potassium, sodium, magnesium, vitamins B6 or B12, thyroxine (hypothyroidism), sex hormones (menopause). Cold simulation test can reveal Raynaud’s disease or phenomenon. TREATMENT OF ARM NUMBNESS OR TINGLING Firstly, the cause of numbness should be treated if possible. Non-steroid anti-rheumatic drugs like ibuprofen, or antidepressants, may relieve pain and numbness.
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I'm getting too much headache when I get this at that time i'm getting too irritation and also my hands are shivering.

MBBS
General Physician, Mumbai
I'm getting too much headache when I get this at that time i'm getting too irritation and also my hands are shivering.
Check your vital parameters of the body and also would like to rule out sinusitis, migrane as the cause for headache and till than take tablet folvite once a day for six months.
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In normal action , nerve impulses travel through neurons with myelin sheath but what happens in reflex action where spinal cord is involved which has unmyelinated neurons ?

MPTh/MPT
Physiotherapist,
There will be termination of axons and dendrites which get difficult to pass information to myelin sheath in case of unmyelinated neurons.
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