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Dr. R Narayanan

Neurosurgeon, Chennai

400 at clinic
Dr. R Narayanan Neurosurgeon, Chennai
400 at clinic
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
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Dr. R Narayanan is one of the best Neurosurgeons in Kilpauk, Chennai. You can visit him at Lifeline Rigid Hospital - Kilpauk in Kilpauk, Chennai. You can book an instant appointment online with Dr. R Narayanan on Lybrate.com.

Lybrate.com has an excellent community of Neurosurgeons in India. You will find Neurosurgeons with more than 32 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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Lifeline Rigid Hospital - Kilpauk

No 47/3, New Avadi Road,Kilpauk. Landmark: Opp To Pachaiyappas College, ChennaiChennai Get Directions
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Always getting headache she is getting migrane tablets then also she is getting pain what to do.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
migrane can be managed with lifestyle changes and medications, try muscle relaxation exercises. Relaxation may help ease the pain of a migraine headache. 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. Rest and relax. 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. It is very important keep a headache diary. Continue keeping your headache diary even after you see doctor. It will help you learn more about what triggers your migraines and what treatment is most effective. A dose of riboflavin in appropriate dose as prescribed by me, also may prevent migraines or reduce the frequency of headaches. Coenzyme q10 supplements may decrease the frequency of migraines, magnesium supplements may also be used to treat migraines do reply back for medication prescriptions. Being also a general physician and registered dietitian, I prescribe both evidence based herbal as well as allopathic medicines complementing with dietary guidelines and home remedies carefully personalized for each individual patient.
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Brain Damage: 5 Most Common Causes!

MBBS, Cerebrovascular and Micro neurosurgery fellowship, MS - General Surgery, MCh Neurosurgery
Neurosurgeon, Jaipur
Brain Damage: 5 Most Common Causes!

Regardless of whether the cause is a tumor, trauma, stroke or any other illness, any injury which inflicts damage on your brain cells is considered to be a brain damage. 

There are two types of brain damage, both of which interfere with the standard functioning of the brain. 
They are:

  1. Acquired brain injury (ABI): Either resulting from a tumor or a neurological illness, for instance a stroke, this type of brain injury originates from the cellular level and is commonly linked with brain pressure.
  2. Traumatic brain injury (TBI): It results from any damage imparted to the skull usually from an external and physical force like a blow to the head or a head accident, which in turn damages the brain.

How severe the brain damage is depends largely on the type of brain injury. Mild brain injuries are temporary, causing headaches, memory lapses, nausea and confusion. On the other hand, severe brain injuries cause cognitive, physical and behavioral impairments which are often life-changing and permanent.

Causes:
Acquired brain injuries may be caused by:

  1. Poisoning
  2. Being exposed to toxic substances
  3. Choking, strangulation or drowning
  4. Heart attacks
  5. Infections
  6. Stroke
  7. Tumors
  8. Neurological illnesses
  9. Aneurysms
  10. Illegal drug abuse

Traumatic brain injuries are usually caused by:

  1. Car accidents
  2. Sports injuries
  3. Physical violence
  4. Head blows
  5. Falls and other mishaps

Symptoms:
Whether acquired or traumatic, symptoms of brain damage can be classified under four major groups:

1.  Cognitive symptoms generally include

  • Having a hard time processing information or expressing thoughts
  • Difficulty in understanding others or abstract concepts
  • Indecisiveness
  • Memory loss
  • Short attention spans

2.  Physical symptoms generally include

3.  Perceptual symptoms generally include

  • Spatial disorientation
  • Smell and taste disorders
  • Heightened pain sensitivity
  • Changes in hearing, seeing, or touch sensations
  • Unable to perceive time
  • Balance problems

4.  Emotional or behavioral symptoms generally include

  • Decreased stress tolerance
  • Heightened or flattened reactions or emotions
  • Aggressiveness
  • Sluggishness
  • Impatience and irritability
  • Self-denial. If you wish to discuss about any specific problem, you can consult a Neurosurgeon.
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I am suffering from migraine headache from past few years. I got used to pain killers but it dis not work .please suggest me.

PGDHHM, MBBS
General Physician, Delhi
If painkillers don't help,acute treatment thrapy and preventive treatment therapies can be used to prevent and control the migraine attacks. Avoid triggers of ur migraine. Exercise daily. Avoid stress. Consult with more details
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My father is around 73 years he has difficulty in walking and now has some problem in voice clarity. He is diagnosed with parkinson. Can you suggest what should I do so that I can improve his ability to walk and improve his health. Sincerely looking forward to u'r help and advice.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Neurologist,
Parkinson's disease-kampavata (a neurological disorder) parkinson's disease is a neurological disease, or brain disorder, that leads to progressive difficulty with balance and coordination. In people who have parkinson's disease, nerve cells in a region of the brain known as the substantia nigra become damaged or die. These cells are important because they produce the chemical dopamine, which helps to coordinate body movement-basal ganglia. When dopamine-producing cells degenerate/die, the areas in the brain that control movement can no longer function properly, and symptoms of parkinson's disease eventually develop. Parkinson? s disease prevalence:- parkinson's disease can affect anyone, but it most often occurs in people who are over the age of 50. Only 15 percent of parkinson's disease patients are diagnosed before they are 50 years old. The prevalence of parkinson's disease is nearly the same in both men and women, and recovery rate is more in men. People with a family history of parkinson's may have a higher risk of developing the disease, but parkinson's disease is rarely attributed to genetics alone. Parkinson's disease symptoms symptoms of parkinson's disease usually develop after about 80 percent of the brain's dopamine-producing cells are lost. The main symptoms of parkinson's disease include? tremors (kampam)- tremulousness (uncontrolled shaking or trembling) of the hands, arms, legs, face, body is often one of the first indicators of parkinson's disease? rigidity. Profound stiffness or an inability to easily move the arms, legs, and trunk, pain and stiffness on neck muscles is another hallmark of parkinson's? bradykinesia:- describes the unnaturally slow movements that are characteristic of people with parkinson's disease? poor balance- parkinson's disease affects balance, leading to difficulty walking and impaired coordination. The symptoms of parkinson's are generally mild at first, but become more severe over time, until they eventually interfere with your daily routine. This is usually the point when treatment is recommended. The outlook for people with parkinson's disease parkinson's disease is a chronic, progressive condition, which means it is a lifelong disease that worsens over time when it is not treated properly. Each individual's situation is different, but in general, the first symptoms of parkinson's disease usually don't require treatment and may be restricted to one area or one side of the body. Movement of symptoms to the other side of the body? tremors that become more pronounced and interfere with activities? bradykinesia, or slow movement, that becomes disabling? difficulty with hand writing? impaired swallowing and chewing? speech that becomes monotone? poor balance and repeated falls? slow, shuffling gait (manner of walking)? stooped posture? facial expressions that become stiff and blank? chronic constipation? poor bladder control? sleep disturbances this progression is gradual in most people, but it may happen faster in some than others. Understandably, stress caused by the progression of the disease can lead to anxiety and depression. Ayurveda treatment: there is cure for parkinson's disease with ayurveda treatment, with ayurveda medicines and treatments we can relieve symptoms, slow down the progression and then we can completely arrest further degeneration of the of the cells, thereby we can completely control and cure the disease. If you are diagnosed with parkinson's disease, it is important to work closely with your medical team, so your medications can be regularly adjusted to help you remain as functional as possible for as long as possible. As far as parkinson's disease is concerned this is a brain related issue, so will surely effect the mind; so I recommend 49% treatment to patients and 51% treatment to family members.
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I am 24 year old male. I have a problem regarding migraine from last 6 month what should I do.

MBBS
General Physician, Delhi
U can take a tab brufen for pain on sos basis and if associated wd dyspepsia and vomiting can take tab rantac and emset sos. But get screened for cbc and ct scan. And there are drugs if taken continuously can subside frequency also. For that consult a nearby physician.
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Hello 43 years old, suffering for migraine and symptoms are one side sharp headache, vomiting and loss of appetite. I have been taking some medicine like vasograin, alprax and nimesulide but these pills are good for sudden relief not permanently. Is there any complete treatment for migraine in Homeopathy or Ayurveda.

MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lucknow
Hello  43 years old, suffering for migraine and symptoms are one side sharp headache, vomiting and loss of appetite.
...
Migraine is completely curable through ayurveda treatment and panchkarma therapy. We can prescribe after complete history of patient. Till that you can take. Tab cephagrain 2-2 twice daily. Nasal drops cephagrail. 3-3 drops in both nostrils at early morning. Good luck.
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I'm suffering from too much of headache (migraine) pain always comes @ centre of head & Back side of head. It is giving too much problem for my studies I can't able study please help me someone.

M.Ch - Neuro Surgery
Neurosurgeon, Gandhidham
I'm suffering from too much of headache (migraine) pain always comes @ centre of head & Back side of head. It is givi...
It doesn't look like migraine. Might b Tension type headache. Do you worry too. Much about studies or any tension or anxiety. Should take adequate sleep. No Tension and when required you can take OTC painkiller.
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I'm suffering from migraine since three years taking medicine but not fully treated. If there is any permanent treatment.

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 15 minutes duration each time regularly Best Wishes
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Does nerve damaging stops after taking medicine for resting of mind like ibruphen or any SRRI Or it continues without letting know to brain.

MD - Homeopathy, BHMS
Homeopath, Vadodara
Ibuprofen is just a pain killer it will stop the sensation of pain for time being. But no action on nerves... Homoeopathic medicines can do both like improving nerve function and structure plus relieving of pain without any side effects...
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My dad is paralysed Right side since 1 year Provide me some natural treatment and daily food chart Please sir. He even took acupuncture treatment.

MBBS
General Physician, Mumbai
Few diet tips - not to eat fried food items and can eat all green vegetables, moong, chana, dal, rice etc and to apply ghee over chappati and don't apply oil over chappati and to drink milk mixed with turmeric powder twice a day and if possible eat eggs on alternate days and if possible in breakfast eat atleast one bajra ka rotla and eat seasonal fruit and it's better to do physiotherapy treatment on alternate days till recovery.
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I am 31 years old I have a migraine problem, in year 2012 I had consulted a Neurologist he suggested me 1. Betacap 2. migraine 3. Napra-d on severe pain. Till 2 years there was no issues now again I have frequent headache. My question is can homeopathy cure migraine fully Or again I have to visit Neurologist.

C.S.C, D.C.H, M.B.B.S
General Physician,
No homeo cannot cure migraine and this is not necessarily treated by neurologist ad think. You may need specific migraine medicine and avoid trigger factors. If you need prescription and discuss more personally you can consult me on this site.
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I'm suffering from migraine and anemia inspire of taking good diet and healthy amount of iron. My haemoglobin level I just 5 inspite of good iron intake. Can you help me with this.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Kolkata
I'm suffering from migraine and anemia inspire of taking good diet and healthy amount of iron.
My haemoglobin level I...
U r a chronic anemic patient. I think you r also insomnia patient. You have neuro problem. You will be cure surly. Nat. Mur- 200/ 3-4 drops bdac x 5 days. And ferrum phos - 3x / 4 tabs 4 times daily with warm water for 3 months. If you want to contact with me. You can do.
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I am taking medicine for Epilepsy for almost 18 Years. Fitz occur once in 8-12 months subject to my lapse of medicine. I am 24 Years aged now. Doctors say as per EEG that there is very minor problem. I want to know is there any way out that i do not have to take medicine further. Is there any permanent cure of Epilepsy ??

MD - Psychiatry, MBBS
Psychiatrist, Patna
Do not stop medicine, as it is the mainstay of treatment. epileptic attack is potentially fatal, suppose you get epilepsy while standing at the gate of moving train, or in a swimming pool or in front of gas burner while cooking.
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How do you defect from migraine? Please suggest me to the corresponding answer. Please.

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.Check your BP 4. Avoid stress, anxiety, depression, agitation,exposure to noise, bright light since it precipitates migraine attack 5. Go for regular exercise 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 after consulting neurologist
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Due to certain incident in may 2015 though it was protected sex, I had done my hiv test on 7th day, 135th day and 174th day from that incident. All report was negative. Do I need further test as I am scared and for last 6 month I am facing many health issues like hip pain, fissure, mouth sores, itching in lower part of legs or below knee.

MS - General Surgery
General Surgeon, Kanpur
Due to certain incident in may 2015 though it was protected sex, I had done my hiv test on 7th day, 135th day and 174...
Your symptoms probably have nothing to do with hiv. It doesn't develop so quickly. Also since your tests have been negative I think there is nothing much to worry about. But it would be better to know the hiv status of your partner.
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I live in Delhi & I am 34 year old male person. I have a tremor problem for last 4 months. What should I do ?

DNB (ENT), MBBS
ENT Specialist, Bangalore
Hi . Tremor problem is very common after stopping alcohol intake suddenly or after excessive intake of alcohol. If that is the case then see a physician. If alcohol is not the cause then other causes are thyroid problems and anxiety. You must then get t3, t4, tsh tests done.
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My son is having eplyees fits since 10 years long he is now 18 years old he is taking medicine i. E zeptol cr 300, zeptol cr 400 and lamez 50 daily fit symptoms only while sleeping now fit is coming rarely how much time he will take medicine.

DNB (Neurosurgery) , DNB (General Surgery)
Neurosurgeon,
If your son still has seizures during sleep, the medication needs to be changed, so that he is seizure-free. Once the patient is seizure-free on adequate medications for more than 3-5 years, consideration as to the reduction and stoppage of medicines can be contemplated.
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I am 21 year old man.In daily basis I am doing one or two time hand shake. And I want to leave my this habits. I can't control it mor than 3 days. What should I do doctor. Is it harmful for future or not.

PDDM, MHA, MBBS
General Physician, Nashik
I am 21 year old man.In daily basis I am doing one or two time hand shake. And I want to leave my this habits. I can'...
Masturbation is regarded as a normal, healthy sexual activity. In general, the medical community considers masturbation to be a natural and harmless expression of sexuality for both men and women. It does not cause any physical injury or harm to the body, and can be performed in moderation throughout a person's lifetime as a part of normal sexual behavior. It will not affect you or your ability to have children in the future. If you wish to reduce the frequency of masturbation: It originates from brain, due to thinking about sex. Hence: ·     Do not watch adult material. ·     Concentrate more on your studies or work. ·     Exercise regularly.
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I am 63 years old man. and suffering from parkinson I am very much disturb with cramping in the legs. Can it be cure?

BHARAT JYOTI, MRACGP, INCEPTOR, MD-PhD, MD - Psychiatry, FIPS, Fellow of Academy of General Education (FAGE), DPM, MBBS
Psychiatrist, Bangalore
Pain is the most common reason people in the United States visit their doctors each year. Although pain is highly subjective and difficult to describe, a working definition is ?an unpleasant sensory and emotional experience associated with actual or potential physical damage.? Its components are physical, cognitive, behavioral, emotional and perceptual. Among people who have Parkinson?s disease (PD), pain is a major complaint. In fact, up to 85 percent of people with Parkinson?s report pain as a troubling symptom. Some of these people experience pain as an early symptom of Parkinson?s, before their disease has even been diagnosed. Yet, pain in Parkinson?s disease often remains undiagnosed and untreated. Thus, it is important to understand that pain can be part of the Parkinson?s experience and to learn ways to manage it. Causes of Pain in Parkinson?s Pain researchers use a classification system that is based on the separation of tissue pain receptors from the nerves that transmit pain signals. Pain can be classified as nociceptive, which relates to tissue damage, implicating the pain receptors in the skin, bones or surrounding tissues; as neuropathic, indicating pain arising in nerves; or as a mixed pain syndrome involving both nociceptive and neuropathic pain. In Parkinson?s, most pain experiences seem to result from tissue that is injured or has the potential to be damaged: causes include persistent tremor, muscle rigidity, dystonia, musculoskeletal injury (i.e., sprains, bruises, bone fractures resulting from a fall etc.), burns and inflammation. The pain is typically well-localized to the affected body part; it may fluctuate with the medication dosing. Pain caused by dystonia can be diagnosed when there is visible twisting, cramping or posturing of the painful body part. The most common areas of the body where people with Parkinson?s experience pain are the neck, upper back and extremities. In Parkinson?s, neuropathic pain is less common than nociceptive pain, and includes a number of conditions not directly related to PD, such as shingles, cancer pain, carpal tunnel syndrome, diabetic neuropathy, and peripheral neuropathy. The pain may present as burning, numbness and tingling, sharp sensations, or electric shock qualities. Pain due to nerve or root disease is most commonly caused by akathisia, an extreme inner restlessness. Parkinson?s specialists gain insight from the perspective of the pain specialist, and often select treatments based on the nociceptive versus neuropathic classification. In practical terms, it often proves helpful to conceptualize the experience of pain in Parkinson?s as relating to one or more of the following five categories: pain from the muscles or skeleton, pain from nerves or spinal roots, pain related to sustained twisting or writhing, discomfort from akathisia and pain caused directly by changes in chemicals in the brain due to Parkinson?s. The Impact of Pain It is important to address pain because it may interfere with day-to-day activities, mood, sleep and overall enjoyment of life. Specific problems resulting from chronic pain may include sleep disturbance, malnutrition, social withdrawal, physical and functional decline, depression, anxiety and impaired cognition. Pain also accounts for increased overall health care costs. A person?s perception of pain can be affected by emotional factors. Scientists have shown that depression, which affects approximately 40 percent of individuals diagnosed with Parkinson?s, plays an important role in the way people perceive pain. Similarly, tension and muscle stress caused by anxiety can compound pain. Cognitive processes ? how a person views pain and how he or she pays attention to it ? also influence the level of pain a person feels. A person who pays more attention to his or her pain and reacts to pain with a high level of stress will likely experience more pain than someone who tries to ignore the pain and considers it irrelevant to his or her daily life. Feeling helpless to control pain ? that is, believing that pain is uncontrollable or that there are no treatment options or health professionals available to assist in managing pain ? can also make pain seem worse. Fortunately, many options exist for treating pain. How can you find which are right for you? The first step is to talk to your doctor who can assess your pain and then help to build a pain management plan. Assessing and Managing Pain Your doctor can assess pain through a clinical interview and neurological examination, sometimes performed in both the unmedicated state and when the Parkinson?s medications are working fully. Your doctor may also ask you to describe the characteristics of your pain. For example, when do you feel pain? Where in the body is your pain? Does the pain feel hot or cold, stabbing or burning? You also may be asked to report how pain impacts your daily activities ? for example, walking or sleeping. The more information you can provide about your pain, the better your doctor will be able to diagnose and treat it. Management options for pain in Parkinson?s include both the pharmacological (i.e., medications) and the non-pharmacological. A combination of both may offer the best pain control, and an interdisciplinary model of care can lead to optimal results for pain management. Some treatment options include: medications physical therapy massage botulin toxin injections nutrition management exercise acupuncture/acupressure psychotherapy (emphasis on pain management) stretching Because of the relationship between dopamine and pain, dopaminergic medications such as levodopa can affect a person?s perception of pain. People with Parkinson?s who are in the ?on? levodopa state, when the medication is at peak effectiveness, report less pain than those in the ?off? state. Pain due to rigidity or dystonia can be relieved by dopamine drugs, but on the other hand, may cause dyskinesias. Therefore, effective management of levodopa medication for people with Parkinson?s may help to reduce pain. Because certain thought processes and behaviors can alleviate or worsen pain, some people find psychotherapy helpful for managing their pain. Techniques such as cognitive-behavioral therapy (helping to control the psychological response to pain; teaching diaphragmatic breathing, visual imagery exercises, relaxation techniques, etc.), and biofeedback may help ease pain, but are unlikely to eliminate it completely. A physical therapist can help you select and modify appropriate exercise routines. Of course, you should avoid activities or exercises that make your pain worse.
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