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Dr. Murugappan

Neurologist, Chennai

100 at clinic
Dr. Murugappan Neurologist, Chennai
100 at clinic
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
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Dr. Murugappan is a popular Neurologist in Thirumullaivoyal, Chennai. You can consult Dr. Murugappan at Sri Sai Speciality Hospital in Thirumullaivoyal, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Murugappan on Lybrate.com.

Lybrate.com has an excellent community of Neurologists in India. You will find Neurologists with more than 43 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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Sri Sai Speciality Hospital

No 35 & 36, Masilamaneeswarar Nagar, Thirumullaivoyal. Landmark: Back Side Shivan Koil, ChennaiChennai Get Directions
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Now a days I am getting severe headache if I sit in front of computer. I am getting sleep late night and feeling insomnia.

MBBS
General Physician, Cuttack
1. Take a break-use 20-20 rule, take a break for 20 second after working in computer for 20 minutes and look at some thing 20 feet away. 2. Blink frequently to prevent dryness of eyes 3. Use of computer glass- it optimises your eye sight when you are looking at digital screen and helps to decrease glare 4. Keep your monitor bright- this decreases flicker 5. Use proper lighting like incandescent light 6. Check position of monitor- monitor should be placed 4-5 inches below eye level and 20-28 inches from eyes 7. Adjust, screen resolution 8. Minimise glare- clean monitor regularly to remove dust and place an anti glare screen 9. Try massage or eye cupping- massaging the area around the eye will relax eye muscle. Rub your hands together to create friction and warmth, then gently cup your palm over the closed eye and rest them 10. Take multivitamin tablet containing vitamin a, c, e, b complex, zinc and antioxidant (one capsule of revital daily after breakfast) 11. Go for yearly eye examination.
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Hi sir, my mother is suffering from headache for past years. We thought its migraine, she also have sinusitis. Previously she used homeopathy medicines. Recently we had consulted an ENT. Specialist in Multi specialty hospital, there they said for CT scan after on report they suggested for a surgery. Is surgery is compulsory for this? Is there any solution by using only medicines? . Will wait for your answers, Thank you.

Diploma - Diploma - OLO - Rhino-Laryngology
Ear-Nose-Throat (ENT) Specialist, Chennai
Hi, if the sinus infection is the only cause of her headache then disease clearance is the only choice. Generally a mother misses her food in time, take care of her breakfast. If all medical supportive management fails, then surgery is the treatment of choice for chronic obstructive sinusitis. Hope it helps you.
1 person found this helpful

Physiotherapy Treatment for Head Injury

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Physiotherapy Treatment for Head Injury

PHYSIOTHERAPY TREATMENT OF HEAD INJURY

The treatment may comprise of the following measures:

IMPROVES ALERTNESS OR AROUSAL THROUGH SENSORY STIMULATION:

The patient who is drowsy or confused need to be stimulated by makes them more alert and awake. The therapist should encourage the patient’s cooperation during the treatment. The main aim is to stimulate the reticular activating system by making the patient sit or even stand in the tilt table.

The therapist should provide tactile, visual, auditory and Proprioceptive stimulation to the patient that will send facilitatory signals to the brain and will enable the alert response to be provoked. Auditory stimulation can be given by speaking to the patient during the course of treatment. Visual stimulation is given by showing familiar faces, objects or movement in the visual field of the patient. 

Proprioceptive stimulation by giving traction and approximation at joint structures is very helpful in stimulating the arousal response in the patient.

PREVENTION OF SPASTICITY:

As hyper tonicity generally sets in almost all head injury cases various measures need to be taken to keep them under control. Gentle passive movement, gradual rhythmic sustained stretch, prolonged icing for 20 minutes over the muscles, biofeedback, proper positioning are certain measures that needs to be employed for controlling spasticity.

MAXIMISE THE PATIENT’S FUNCTIONAL CAPACITY:

The main aim of this management is to improve the ROM, improve the control of voluntary movement, strengthening paretic muscles, improve the coordination, balance and teach various safety measures.

The treatment should be wide spread over the periods of time as the patient’s attention span and endurance is very less.

NEUROMUSCULAR TRAINING can be given through the development sequence by inhibiting abnormal movement pattern and by facilitating normal movement pattern.

The patient may give activities like bridging, prone on elbow, on all fours, side lying to sitting, sitting, kneeling, half kneeling, standing and walking.

PROPER DOCUMENTATION is necessary of the entire event through- out the day. Infact the routine of the patient should be maintained in the register and the patient need to be reminded of various activities especially if the patient has memory problems. The patient may be given register with photo and names of various health professional visiting him so that each day’s program can be entered. This will benefit both the patient and his acquaintance to know regarding the activities given to the patient.

USE OF VESTIBULAR BALL while training the patient for crawling, bridging, sitting, balance helps in building the Proprioceptive stimulation and teaches proper control to the patient.

Each task has various subtasks which need to be mastered by the patient so that he learns the actual activity using normal movement combination and performs it with precision. Like for training the patient to get up from bed, he may be taught to do asymmetrical push up with the trunk in partial rotation, then lower leg patterns are incorporated and finally the whole task of get up from sidelying is practiced.

REPETITION ACTIVITIES is key like any other neurological disorders. Ambulation training should always be done in upright position training the patient in each and every phase of the gait cycle. If the patient’s balance is poor then assistance may be used.

FUNCTIONAL ELECTRICAL STIMULATION has been shown more effective than kinetic joint training in certain types of cases. The upper extremity also appeared to use specific synergies for hand use in different positions. Clients often can opens hand in out stretched arm position but will be unable to perform the same action when the elbow is flexed. Some patient with minimal functional deficit in th upeer limb may be given some assistive devices or support for the hand so that they can perform some basic activity like eating, combing, writing, etc. this technique helps the shoulder and other proximal structures to produce appropriate movement sequences for hand use but does not facilitate hand function. The treatment however does provide whole task practice even though some basic component of the function is substituted by other means.

REVERSING TASKS in some patients helps in developing increased control by modifying a task or synergy as well as making the muscle work both eccentrically and concentrically. For instance lowering a glass of water on the table may help the patient in getting th glass close to the mouth by improving motor control of biceps during eccentric contraction.

2 people found this helpful

I am suffering from insomnia. And it is giving me lot of problems. Can you please suggest as how I can get rid of it.

M.D. (Ayurveda )
Ayurveda, Patiala
Tarke ashpi tabs, 2 tabs, twice a day after meals, with warm milk. Take praval pishti tabs, 2 tabs, twice a day, before meals, with half a glass of water. do massage on scalp with brahmi thailam, at night. Avoid tea, caffeinated drinks after 6 pm. Avoid spicy food, fried food in your diet. Avoid cold water and other cold eatables in your routine. Good luck.

Is there a way to recover from brain hamrage? How one can gain prevention against it?

MCh, MS , MBBS
Neurosurgeon, Mumbai
Patient with brain hemorrhage recover spontaneously in due course of time. For prevention of brain hemorrhage: 1. Control the blood pressure. 2. Control of blood sugar if diabetic 3. Avoid smiking. 4. Avoid alcohol intake. 5. Do regular exercises.
8 people found this helpful
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Hi m 20 year old, I have migraine since 1 year, regularly m not taking medicines Is there any other options instead of having medicines.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ahmedabad
You should take ayurveda medicine because ayurveda cures. If you don't want to take any medicine then you should put 2 drop of pure cow ghee (indian) 2 times a day. After 1 month your complain will cure about 70-80%
2 people found this helpful
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I have headache continuously after studying or doing any external activities, is it migraine?

MBBS
General Physician, Cuttack
If you have recurrent attack of headache 1. It could be a tension headache due to anxiety/stress, depression inadequate sleep, low bp/high bp, migraine, prolonged use of cell phone/computer, chronic anaemia, refractive error, chronic sinusitis, organic brain lesion 2. Avoid stress, physical and mental exertion, have adequate sound sleep for 7-8 hours daily in the night 3. Go for regular exercise 4. Practice yoga, meditation and deep breathing exercise to calm your mind, control your emotion and relieve stress 5. Check for refractive error, sinusitis hemoglobin, bp 6. Avoid prolonged use of cell phone/computer 7. Consult neurologist to rule out other causes of headache, if required take a ct scan of head to exclude any brain lesion 8. If it is migraine you have to take migraine prophylactic drug after consulting neurologist.
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Please help me, mere pati gadi se gir gaye ab wo kisiko nhi pehchante right pair bhi kam nhi kar raha.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I think you should go for an immediate MRI BRAIN,only then we can come to a diagnosis.In the mean time start giving below given homoeopathic medicine ARNICA MONTANA 30 ( Dr Reckeweg) Drink 1 drops every 1 hrly direct on tongue.
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Sleep Apnea and Its Link to Heart Failure

DM - Cardiology, MD-Internal Medicine , MBBS
Cardiologist, Delhi
Sleep Apnea and Its Link to Heart Failure

We're all guilty of making fun of snorers, but sometimes this snoring can be a symptom of sleep apnea. Sleep apnea is a condition where breathing is not continuous and may start and stop many times while asleep. This affects the quality of your sleep and in turn can affect many aspects of your health including your cardiovascular health. Here's how:

High Blood Pressure: When a sleep apnea patient's breathing stops, the oxygen levels in the blood also suddenly fall. This can increase your blood pressure. High blood pressure means that the heart muscles need to work harder to pump blood through the body.

Cardiomyopathy: As a result of high blood pressure, the heart walls may become thicker and the heart muscles become stiffer. This is known as Cardiomyopathy. As this condition worsens, the heart becomes weaker and is unable to maintain a regular rhythm. This can eventually lead to heart failure.

Arrhythmia: An irregular heartbeat is also known as Arrhythmia. This may also be related to the changes in the heart's structure that follow the drop in blood oxygen levels. In many cases, Arrhythmia has no visible symptoms and can often go undiagnosed. This can result in the formation of blood clots in the atria which can lead to a stroke.

Sleep apnea is easy to diagnose. If the doctor feels that you show symptoms of sleep apnea, you may be asked to stay on the hospital overnight and undergo a sleep evaluation. This tests a variety of body functions including brain activity, eye movements, heart rate, breathing patterns and blood oxygen levels.

Treatment for sleep apnea depends on the causes for this condition. If you are overweight, regular exercise and a change in diet can help you lose the excess weight and cure sleep apnea. Similarly, if your sleep apnea is triggered by an allergy, treating the allergy can help cure the sleep apnea. Other forms of treatment for sleep apnea may include:

Continuous Positive Airway Pressure (CPAP): This is a machine which pumps air into the body through a nasal mask. By keeping the pressure in the machine higher than normal air pressure the upper airway passages are kept open and hence the quality of your sleep is improved. An auto CPAP machine can modulate the air pressure such that it is higher when you inhale and lower when you exhale.;

Oral devices: Your doctor may suggest oral devices that allow you to keep your mouth open while you sleep. This is easier to use than CPAP machine but less effective. Surgery is the last resort when it comes to treatment for sleep apnea.

4729 people found this helpful

When I yawning, I felt sudden numbness at right of my neck. And it's pains for 10sec. Why this is happened. Even I feel sudden. Numbness when I suppose to sit on bike / when I lift my leg to stretch. What is the reasons and solution for this.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
May be some nerve compression was there. Take tryodasang guggul 2 tab, mahavatvidhvansan ras 2 tab regular for 30 days with honey you will be fine soon.
2 people found this helpful
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Hello, I'm suffering from migraine. Is it dangerous or not? What type of treatment is best for this?

MD - Homeopathy
Homeopath, Aurangabad
Yes migraine headache can be cured by homeopathy take natrum mur 30 30 ml liquid sbl 1 drop daily on tongue for x 7 days and revert me back you may contact me on this site. And check my package and get customized medicines.
1 person found this helpful
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I am 20 and I am suffering backache and high migraine problem. This problem has caused many problems to me. I had cured alot but it was not helpful. I jst want some good and healthy cure.

M.D. (Ayurveda )
Ayurveda, Patiala
kindly take pathyakshdhatraydi kshayam and and adreesahacharadi kshayam, 2 tsf each in half a glass of warm water twice a day before meals. Take panchamruta loha guggal, 2 tabs (chew the tabs for best results) with dashmoolajeerakadyarishta, 2 tsf in half a glass of warm water after meals, twice a day. Avoid cold water or cold eatables in your routine. Take liquid diet like daliya, khichdi, moong daal and veggie soup in your diet regularly. Avoid AC and direct exposure to cooler air. Do massage with prabhanjanavimardan oil over the whole body. Continue the regime for 1 month. stay in touch. Good luck.
1 person found this helpful

I am 18 male and weigh 53 KGs only. I want to increase my weight. I'm eating 2 eggs , banana shake with nuts in it and having protein x every night apart from breakfast, Lunch and dinner from last 1 month, but I do not see any change in my weight. I'm a college student and during job interviews personality plays a very important role in ones selection. I'm really worried . Please help.

Net Qualified In Community Health And Social Medicine, M.Sc - Dietetics and Community Nutrition
Dietitian/Nutritionist, Durgapur
You need to consume high calorie nutrient dense foods. Include mango milk shake and banana yogurt in your diet. Include soyabean oil in your diet. Include an jeer in your diet.
2 people found this helpful
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My wife frequently suffers from migraine whenever she goes to public crowded places or if she haves some work to be done. please help.

BHMS
Homeopath, Faridabad
Hello, Self-care measures can help ease the pain of a migraine headache. Ask her to: Try muscle relaxation exercises. Relaxation techniques may include progressive muscle relaxation, meditation or yoga. Get enough sleep, but don't oversleep. Get an adequate amount of sleep each night. It's best to go to bed and wake up at regular times, as well. If possible, rest in a dark, quiet room when you feel a headache coming on. Place an ice pack wrapped in a cloth on the back of your neck and apply gentle pressure to painful areas on your scalp. Medication: Givee her Bakson's Mig Aid tablet/ 1 tablet 3 times a day.
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As per consult doctor my wife has migraine problem so please give me suggestion and permanent treatment.

MBBS
General Physician, Cuttack
Take Paracetamol 500mg one Tablet sos after food, drink plenty of water and take rest.. Check your BP, avoid stress and anxiety since it precipitates migraine attack If You have chronic migraine, you have to take migraine prophylaxis after consulting neurologist
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A neurologist suggest me for thyroid test. For benign essential tremor. And report shows. TSH 3-UL 5.060 FT3 3.52 FT4 1.36 CAN IT DANGER. Please. Suggest. Any causes or harm shows in report please suggest.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, Thanks for the query. Your thyroid test results are ok. T3 & T4 are within normal limit. But TSH is slightly higher. But there is no need for any treatment with regard to thyroid.
1 person found this helpful
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What was the symptoms of brain tumor? How it identify? What is the treatment? How it danger?

MCH NEURO SURGERY
Neurosurgeon, Trivandrum
Brain tumor can present in several ways. Some remain asymptomatic. Some may have headache, blurring of vision, hearing problem, epilepsy etc. It can be identified on brain imaging - ct or mri. Some tumours remain harmless whereas others can cause rapid progression of symptoms leading to coma and death. Treatment is mainly surgery, although some may respond to radiation.
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Acoustic Neuroma - Everything You Need to Know

MS - ENT, MBBS
ENT Specialist, Bangalore
Acoustic Neuroma - Everything You Need to Know

Acoustic neuroma is a benign tumor that occurs in the primary nerve between the brain and the ear. The tumor progresses very slowly and can influence your balance and hearing. In certain cases, if the tumor becomes very large, then it may also impair vital functions of the body.

Symptoms

The symptoms of acoustic neuroma tend to develop when the tumor starts to press on the nerve and its adjoining branches. The symptoms of this disorder are –

  1. You may experience hearing loss on one side which might worsen gradually.

  2. You may have problems in balancing yourself.

  3. A continuous ringing sound in the ears.

  4. Persistent dizziness.

  5. If the tumor is large and presses on the nearby nerves, then you may experience numbness of the facial muscles.

  6. In some cases, it may impair the vital functions of the body.

This disorder is caused by a malfunctioning gene. There is no documented reason as to why the gene malfunctions.

The treatment options for this disorder are

  1. Constant Monitoring: These tumors tend to grow very slowly but might spurt in some cases. In order to prevent damage to your body, they need to be monitored on a regular basis. Imaging tests are recommended on a periodic basis to determine the growth of the tumor.

  2. Radiosurgery: Stereotactic radiosurgery is done to treat acoustic neuroma that is small in size. In this surgery, radiation is directed at the tumor without creating any incision. It is done to limit the growth of the tumor and preserve your hearing.

Surgery: The tumor can be removed by using surgical procedures. It involves administering general anesthesia, followed by removing the tumor through an incision on the skull or the inner ear. Surgery is used to remove the tumor and preserve your hearing abilities. If you wish to discuss about any specific problem, you can consult a oncologist and ask a free question.

2414 people found this helpful

Hi doctor, my mother is suffering with nerve weekeness.. i wanted to know about that

DM - Neurology, MD - General Medicine, MBBS
Neurologist, Chennai
Sorry for delayed answer. Please specify what do you mean by nerve weakness. Give me detailed history of your mother's problem. Let me try to clarify your doubts.
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