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Dr. Muthuraj

Neurosurgeon, Chennai

Dr. Muthuraj Neurosurgeon, Chennai
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Muthuraj
Dr. Muthuraj is a popular Neurosurgeon in Adambakkam, Chennai. Doctor is currently practising at Sarathy Nursing Home in Adambakkam, Chennai. You can book an instant appointment online with Dr. Muthuraj on Lybrate.com.

Lybrate.com has an excellent community of Neurosurgeons in India. You will find Neurosurgeons with more than 28 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 28, Vellalar East 2ND Street, Adambakkam. Landmark:Near ST Thomas Railway Station, ChennaiChennai Get Directions
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I'm a 24 year old who is suffering from AVM in brain.Please let me know what could be the cause of it.

PDDM, MHA, MBBS
General Physician, Nashik
The cause of brain avm is unknown, but researchers believe most brain avms emerge during fetal development. Anyone can be born with a brain avm, but these factors may be a risk: being male. Avms are more common in males. Having a family history. Cases of avms in families have been reported, but it's unclear if there's a certain genetic factor or if the cases are only coincidental. It's also possible to inherit other medical conditions that predispose you to having vascular malformations such as avms.
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What causes hearing loss? + How to ensure you can help it as you age

MS - ENT -, MBBS
ENT Specialist, Delhi
What causes hearing loss? + How to ensure you can help it as you age

The partial or total inability to hear is known as hearing impairment or hearing loss. It can be present at birth, or develop later in life.

There are a number of factors, which may cause hearing loss

1. Age - Age is the biggest factor when it comes to the loss of hearing, and you may lose the ability to hear as you age. This condition is known as presbycusis. It becomes difficult to understand high-frequency sounds like that of a child or a woman when you get old.

2. Noise - When you are exposed to loud noises for a prolonged period of time, it damages your ears. This leads to loss of hearing. 5% of the total population of the world is affected by noise (the degree of suffering varies). It may be a result of continuous exposure to loud music or a sudden exposure to a loud noise like an explosion.

3. Hereditary disorders - Hearing disorder may be inherited by the dominant or recessive genes of parents in the child. 70-80% of these cases inherit from the recessive genes, whereas 20-25% inherit hearing loss from the dominant genes.

4. Trauma - Serious injuries of the head/ears may cause loss of hearing, which may be either temporary or permanent. When damage is caused to the brain, the brain fails to process the message conveyed by the ears. So even if the ears are totally functional, a person may face the problem in hearing.

5. Perinatal problems - The ototoxic effects on the fetus due to excess intake of alcohol during pregnancy lead to hearing the loss in about 64% of the infants born to alcoholic mothers.

Also, premature birth can be associated with hearing loss due to high risk of being exposed to noise in neonatal units.

Knowing about the causes of hearing loss can lead you a step closer to preventing this disorder as you age.

Here are some useful tips that can help prevent hearing loss:

1. Be more aware - You should be diligent and aware of the situations, which may risk your hearing ability and should try to avoid such situations as much as possible. Limit your exposure to sources of hazardous noises like firearms, firecrackers, concerts and clubs.

2. Take precautionary measures - If your occupation calls for working at an environment of loud noises, use earplugs or earmuffs to block out the excessive noise. Also, make sure that you work in a place where employers take all the necessary measures of noise control under the federal or state regulations.

3. Monitor your use of gadgets - Monitor and control the use of hearing devices, and try to reduce the use of headphones/ earphones as much as possible.

'Consult'.

Related Tip: Why Do You Get an EAR Discharge?

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Getting mild tingling sensation for sometime on the left side of lips. Not going away. What could it be ?

MBBS,J.R. Neurology
General Physician,
This can be a simple nutritional deficiency. Start multvitamins. It will help. Consult a general physician though. Take care.
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There is numbness and pain in the middle finger of right hand and left foot below the ankle pls guide.

BHMS, MD HOM.
Homeopath, Mumbai
There is numbness and pain in the middle finger of right hand and left foot below the ankle pls guide.
Start with Homeopathic medicine:- Ruta graveolens 30 Actea racemosa 30 4 pills each medicine x 3 times daily x 30 days Take medicine as advised. Consult in private.
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I have been suffering from cold and mucous congestion from 3 year. It could not be cured. But when I stop drinking milks and sweats it has got less. But now I have problem of block nose even if I don't have cold. I can breathe through one nose only .it is very difficult to live with one nose breathing .and also pressure is created in head I can't hear properly due to ear blockage from cold .please tell me what to do now?

Fellowship in Neonatology, MRCPCH(UK), Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
I have been suffering from cold and mucous congestion from 3 year. It could not be cured. But when I stop drinking mi...
Take tab sinarest one tab three times a day for 7 days steam inhalation three times a day for 7 days nasivion nasal drops one drop in each nostril every 8 hourly for 3 days.
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MBBS, Diploma in Child Health
Pediatrician, Hyderabad
How to choose intervention for a autistic child.


The key to ‘good’ intervention  for any individual with autism may often be  understanding the condition, understanding the unique ways in which individuals with autism think and learn, accepting their autism as a vital, vibrant part of their being and then approaching the intervention, the teaching of skills, and / or changing of behaviours, from that paradigm of understanding and acceptance. What most people with autism need are intervention plans that spring from a rock solid understanding of autism, provide them with structure and predictability and incorporate good behavioural principles in the teaching.

 

On the basis of a functional assessment by a competent professional, intervention plans are tailored based upon the individual strengths and needs of each specific child.

 

The intervention plan may use one or a combination of some of the scientifically proven effective techniques such as:

Treatment and Education of Autistic and related Communication handicapped CHildren Method(TEACCH) emphasizes on using skills that children already possess to enable them to become independent. Organizing the physical environment, developing schedules and work systems, making expectations clear and explicit, and visual materials are effective in developing skills and allowing people with autism to be independent of direct adult prompting.

Applied Behaviour Analysis (ABA)emphasizes on one-to-one sessions in discrete trial (DTT) format to develop cognitive, social, behavioral, fine motor, play, social and self-help skills. The technique involves structured presentation of tasks from most simple to more complex, breaking them down into small sub-skills and teaching each sub-skill, intensely, one at a time. It involves repeated practices with prompting and fading of prompts to ensure success. It uses rewards or reinforcement to help shape and maintain desired behaviours and skills.

Verbal Behavior Analysis (VBA) is an addition to ABA and is also based on breaking down and teaching language in functional units unlike the teaching of language based on grammar. In addition to teaching at the table top, teaching in (and with) the natural environment (NET) is important.

Picture Exchange Communication Systems (PECS) is built on the fact that non-verbal children with autism may attempt to spontaneously use objects to communicate. People with autism tend to be visual learners, and a visual means of communication can help them to understand and use the process of communication. PECS aims to teach spontaneous social-communication skills by means of symbols or pictures and the teaching relies on behavioural principles, particularly reinforcement techniques. Behavioural strategies are employed to teach the person to use functional communicative behaviours to request desired objects. The requesting behaviour is reinforced by the receipt of the desired item.

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Whenever I feel hungry and do not get the food, I start shivering. Even after having the food my body shivers for quite some time. It takes half an hour to be normal. Why it happens & what precautions I need to take?

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
Whenever I feel hungry and do not get the food, I start shivering. Even after having the food my body shivers for qui...
Hye. Thank you for your query. It's possible you are keeping very long gaps in between meals or skipping meals. This causes a drop in energy levels leading to this kind of reaction. This then causes you to overeat in the next meal. Try to eat frequent regular meals. Avoid a gap of more than 3 hours in between two meals.
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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.

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I am suffering from Spinal stenosis on D11-D12-L1 since last 10 years. Due to this I have weakness in both legs. I have also numbness in feet. I have problem in dorsiflexion and aversion of feet due to nerve weakness. So I can not up my feet like foot drop. I am taking medicine regularly but no relief. Dr. told for surgery. Please tell me risk of surgery.

Fellowship in Interventional Pain management , Diploma in Anesthesia, DA, MBBS
Pain Management Specialist, Jaipur
I am suffering from Spinal stenosis on D11-D12-L1 since last 10 years. Due to this I have weakness in both legs. I ha...
Dear condition you mentioned must be specify. Grades mild a moderate severe. Up to certain extent Pt usually tolerant. Unless motor power-bowl-bladder dysfunction ensue. In your Case motor as well as sensory affected. Now other two I had mentioned are likely to be see in onwards progression. You're going to get Best results with minimal invasive surgery hopefully.
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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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Hi, I recently completed one year of treatment for Spinal TB with 100% Adherence to medicines. During the treatment, I never had any pain which initially existed and was able to lead a very normal life like others. Once I stopped medicine, I started feeling slight pain at the same place where it all started one year back. While the pain is not as bad as it was, I am just worried about why it still exists. I was advised to go for Physio and attended IFT sessions which considerably reduced paid but I still feel a pain like a pinch between my buttocks and lower spine. Any advice will be of great help. Let me know if I should see a Neuro to ensure my nerves are in good shape after being infected with TB bacteria.

DNB(Respiratory Diseases), MBBS
Pulmonologist, Jabalpur
Hi, I recently completed one year of treatment for Spinal TB with 100% Adherence to medicines. During the treatment, ...
The most common reason for persisting pain might be the residual damage that tb might have caused to the spine in the form of fibrosis or scars. If you develop again symptoms like severe pain, numbness. Weakness fever night sweats weight loss you should be worried about tb again other wise it might be sequalae. Its always better to take concerned specialist advice, so no harm in taking neuro consultation.
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I have a migraine problem. Could you please suggest any good medicine to reduce this problem?

PDDM, MHA, MBBS
General Physician, Nashik
Here are some tips to prevent a migraine attack: 1. Identify and avoid migraine triggers. You can keep track of your headache patterns and identify headache triggers by using a headache diary. 2. Recall what was eaten prior to an attack to help you identify chemical triggers. 3. Manage stress to prevent or reduce the severity of the migraine attacks. 4. Follow a regular daily routine and get adequate rest. 5. Exercise (in moderation) regularly.
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What are the alternative treatment for LUMBER STENOSIS to avoid surgery. Having numbness in lower limbs but not much back pain.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
What are the alternative treatment for LUMBER STENOSIS to avoid surgery.
Having numbness in lower limbs but not much ...
Apply prasarini oil or pranacharya restopain oil on affected part. Take maha yograj guggul 1-1 tab twice a day. Take maha rasnadi kwath 2-2 tsf twice a day. Avoid junk food. Spicy food. Fermented food. Tea. Coffee. Do pranayama early morning. Do exercises. Walk for atleast 30 minutes a day. Sleep minimum for 7 hours a day.
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How to prevent migraine? Bcoz now I can't tolerate the migraine pain, or else I'll commit suicide, I don't want to live with this migraine, n yesterday I had removed wisdom tooth, coz of this wisdom tooth removal, there is a rapid increase in my head, Firstly only my right side of the head n body was paining, but now both the sides are paining, pls help me, I want to live.

MBBS
General Physician, Mumbai
For pain take tablet paracetamol 650 mg and Take a flow of steam (of plain water only ) over the forehead through a crescent steam inhaler, eight hourly and Get your vital parameters of the body checked from a nearby doctor and revert back with findings
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Dear sir I am suffering from slightly hand and legs shivering in normal condition and when I am in tensed or in fear it will be out of control I was suffering from asthma in childhood and jaundice Is there any medicines or exercise for reducing this problem.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Dear sir I am suffering from slightly hand and legs shivering in normal condition and when I am in tensed or in fear ...
Do Take balanced diet and hyderated Avoid stress anxiety and anticipating the things Do regular physical activity and breathing exercises and Strengthening and postural exercises from physiotherapist for about 20 minutes regularly Best Wishes.
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I get Migrane Head ache once in a week. After taking one or two DART tablets, it slowly vanishes in 12 to 24 hours.This problem , I am having for more than 30years. I am 66 years old. Pl.suggest me a good treatment / medicine, without side effects.

MD - Alternate Medicine, BHMS
Homeopath, Surat
Homoeopathy shows marvellous results in cases of migraine. I have more than 100 cases of migraine cured totally. [Automatically added by Lybrate] Click "Consult Dr. Hetal Jariwala" below to consult privately with the doctor.
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I am 30years old, last 10years taking Veniz xr 75 for my depression n migraine pain. I was trying t stop the medicine but the withdrawal symptoms are too much. Can you please suggest me how to get rid off from it.

MBBS, MD - General Medicine, DM - Neurology
Neurologist, Hyderabad
Veniz SR should not be stopped suddenly. Gradual tapering and stopping this drug would prevent withdrawal symptoms.
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My husband is 32 year. Now facing mood swing problem in working time like dream, old memories, flash back. And we have done mri. Some minor thickness on rt. Brain side but dr, said that its not a big issue it is a migrane aura and give medicine. But what is the treatment of mood swing? I have already consult with neurologist and he give the medicine topaz-50mg and divaa 500 mg. Neurologist said its not a psychological problem.

Hypnotherapist, DCS, BSIC, Advanced Trainee of Transactional Analysis, Advanced Skills in Counselling
Psychologist,
Mood swings can be of genetical or psychological origin. You need to determine this. Has he gone through any stress that he couldn' t deal with? you can also try counselling for mood swings which is" talk therapy" where the counsellor will try to understand what' s happening in his life and what are his worries and stress. Ayurveda is another alternative that you can try out. What cannot be found in scans, can be diagnosed by pulse diagnosis. For counselling please click on private chat.
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I am having pain in the thighs and in the calf muscles. Numbness in feet since 1 year. Doing exercises. Still the is not completely gone.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I am having pain in the thighs and in the calf muscles. Numbness in feet since 1 year. Doing exercises. Still the is ...
Apply prasarini oil or pranacharya restopain oil on affected part then give hot fomentation. Take maha yograj guggul 1-1 twice a day after lunch and dinner. Take maharasnadi kwath 2-2 tsf twice a day. Avoid tea. Coffee. Junk food. Spicy food. Fermented food. Take green vegetables. Drink juice. Eat fruits. Drink 7-8 glass of water in a day. Take 7 hours sleep minimum. Do pranayama early morning. Walk for minimum 30 minutes in a day. For further detail contact me in private.
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What are medicines of migraine pain killer and its uses and disadvantages. How much amounts of it consumes in a day.

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, apply ice pack 2.Drink plenty of water and take rest. 3.. Avoid stress, anxiety, depression, agitation,exposure to loud noise, bright light,strong smell inadequate sleep since it precipitates migraine attack 4.Avoid salted /processed food, aged cheese, excess tea/coffee/alcoho(red wine)/caffeinated beveragesl.Don’t skip/postpone your meal,avoid hunger 5. Go for regular exercise,reduce weight if over weight 6. practice yoga, meditation, deep breathing exercise to calm your mind, control your emotion and relieve you from stress 7. If You have chronic migraine, you have to take migraine prophylaxis like propranolol after consulting physician
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