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Dr. R Narayanan

Neurosurgeon, Chennai

400 at clinic
Dr. R Narayanan Neurosurgeon, Chennai
400 at clinic
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Personal Statement

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.
More about Dr. R Narayanan
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 44 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 47/3, New Avadi Road,Kilpauk. Landmark: Opp To Pachaiyappas College, ChennaiChennai Get Directions
400 at clinic
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C.S.C, D.C.H, M.B.B.S
General Physician,
Managing wounds at home

A wound is a disruption of the normal structure and function of the skin.
Antibiotic therapy is not indicated in all wounds and is reserved only for infected wounds.
It is important to keep blood sugar under control while managing a wound.
All wounds, which are contaminated or have foreign bodies, need debridement.
Irrigation of the wound reduces bacterial load and also removes loose material.
Wound irrigation can be done with warm saline.
Principles of wound management are: scrub, clean and dress.
Scrubbing means that dressing should be done with clean hands, which requires proper scrubbing of the hands.
Would cleaning means that the wound should first be cleaned.
After cleaning, the wound requires a proper dressing.
Some wounds may require suturing, especially if the wound is of less than six hours duration.
In an accident if a finger is cut or a tooth is removed, one should preserve the finger or the tooth and take it to the nearest hospital along with the patient for reimplantation.
The best way to carry the amputated finger or uprooted tooth is to put them in a plastic bag and put that bag in a box containing ice.
Skin burns should be treated firstly by putting the area under the running water till the burning disappears.
In a patient with burns, the blister that forms should not be punctured.
Presence of pain is also a good sign and indicates that the burns are superficial.
3 people found this helpful

Am suffering from migraine almost 5 years onwards .I can't eat anything n am not able stand at least 5 mins under sunlight.

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.
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Early intervention to avoid long term Disabilities

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
The early intervention is must and prevent much of deformites of the children born with cerebral palsy and birth defects where if identified early help them to on par with other children and achieve their goals in the life and may be independent

Mai ek 28 saal ka student hoo, mera hath 8 saal se likhne me problem kar raha hai. Likhte time hath kapta hai.

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
Shaking that gets worse when you try to maintain one position? a family history of tremor? as many as one in four people develop essential tremor as they age. You are more likely to develop essential tremor if you have a parent or sibling with the condition. Requires detailed questioning so as to ascertain your personality and to treat you symptomatically. Treatment is available, safe and without side effects in biochemic system of medication. Consult me in private.
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When ever I hold any thing with my fingers they starts to just fumbling there is no balance in then, they does not stay still. Help me plz.

BAMS
Ayurveda, Ambala
To get relief from fingers trembling * give a balanced diet with vegetables, cereals, milk, fruits. Sit in the sun rays for atleast 8-10 minutes daily. * do bhramari pranayam twice a day. Practice sarwangasan and sit with the gyan mudra in hands. These asans & mudra calm down your brain & relieve from nervousness & restlessness. * take rogan badam (almond oil) and put it 1/2 tea spoon in a glass of milk and drink it in the morning. * take 2 teaspoon of ashvagandharistha added in a glass of water once a day
1 person found this helpful
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I am suffering from migraine and neck pain and I used 7 months course of tablets but no satisfaction with it. How I can reduce migraine and neck pain. Give any suggestion to reduce it.

BHMS
Homeopath, Thane
I am suffering from migraine and neck pain and I used 7 months course of tablets but no satisfaction with it. How I c...
Hi migraine headaches are caused due to sinusitis which may not be noticed as you must not be knowing its symptoms. Take following medicines nat suph 30 4pills to be sucked thrice a day for 15 days kali bich 200 4pills to be sucked thrice a day for 15 days take plain water steam once a day avoid eating curd, icecreams, pickles, papad, citrus fruits, watermelon, green skin bananas, pineapple, strawberries, custard apple, guavas. Stop using mosquito repellants. As these are the causes which worsen the headche.
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The patient is suffering from migraine. Will taking chocolates have good or bad impact on her health?

BHMS
Homeopath, Thane
Hi, Chocolates are the triggering factors for migraines.So please avoid the intake of chocolates till the treatment is going on.
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I'm suffering with seizures which I rarely get I.E once in 100 days. I was not having this from birth it started just an year ago and I drink regularly.

BAMS
Ayurveda, Ambala
Sezuire is a neurological problem that occurs due to disbalance in chemical in brain. To get relief from sezuires- * give a balanced diet with vegetables, cereals, milk, fruits. Sit in the sun rays for atleast 8-10 minutes daily. * do bhramari pranayam twice a day. * practice sarwangasan and shirshasan * sit with the gyan mudra in hands. * take rogan badam (almond oil) and put it 1/2 tea spoon in a glass of milk and drink it in the morning.
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MD PULMONARY, DTCD
Pulmonologist, Faridabad
Sleep deprivation and sleep apnea ,can cause increase in blood cholesterol,tryglyceride and high blood pressure and incraese in heart problem.
1 person found this helpful

One month ago my grandmother had a mild stroke. She was taken to Apollo hospital (outside) and there doctors given her acitrom. But now blood is coming through the gums and is not stopping. Then a local doctor given her injection to stop bleeding. It is to be noted that she was regularly monitoring INR. But even after this it happened. Is it necessary to take acitrom further, or she may stop it forever?

MBBS, DNB, Fellowship in Neurosurgery
Neurosurgeon, Kolkata
Dear mild stroke does not require acitrom. What was the mri report and echocardiography report? if she is bleeding. Urgently contact your concerned doctor. Acitrom needs to be stopped. But depending on the stroke, she needs other medication.
1 person found this helpful
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I am diagnosed with Epilepsy and its been 3 years that I am on medication. I am taking Epilex Chrono (600 mg) in morning and same at night with 100 mg of Lamictal. Though my EEG report is normal now so just wanted to know how long treatment will take and I have to take medicines.

DM - Neurology
Neurologist, Rajkot
I am diagnosed with Epilepsy and its been 3 years that I am on medication. I am taking Epilex Chrono (600 mg) in morn...
In case of epilepsy since you are on meds for 3 years, if the seizures are completely controlled and eeg is normal, a trial of gradual taper of medicines can be given. But always taper medicines after consulting your neurologist. And there is always a chance of recurrence so that risk has to be borne in mind.
2 people found this helpful
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Hi I'm a 17 years old Female from Mumbai - I have constant migraine and irregular periods after and during my homeopathy treatment for sines (sines is now cured )i also have upper and lower back pain along with with my tailbone. And whenever I masturbate I feel lightheadeD and restless for throughout the week ar month. I had my blood test and it showed I had no thyroid but my level of VITAMIN B12 was low so i've been having dairy products and a B12 syrup. and I suddenly feel very hot and after few min I feel very cold, and my face swells during a very bad migraine I feel drowsy and whenever I wake up after sleeping my feet and back aches (my weight is 73 kg) please help me.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
At your age migraine is common especially in young females with stress of studies to add. Migraine is a relapsing kind of headache. The treatment of migraine is mainly done for relief from acute headache attacks and later treatments to prevent future relapses. Treatment of factors like anxiety, strata, depression, vitamin deficiencies etc which tend to cause relapses is also important. There is no drug of choice or as such a best medicine for migraine. Treatment has to be individualised after taking into consideration patient factors and the history of migraine in the patient. For long term relief and prevention of relapses, consult a headache specialist an psychiatrist for a complete evaluation and treatment.
1 person found this helpful
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My cousin is suffering with partial paralysis from last 4 yrs, is it possible of get cure.

MBBS
General Physician, Mumbai
Apart from taking symptomatic and ongoing treatment tell him to take physiotherapy treatment till recovery
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My mom 53 years old she has stroke and left sight is damage for last 8 month now what should I do. Please please help me.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Do consult neuro physiotherapist to have active physical therapy and gait training and do consult ophthalmologist for eye lesions and do have follow up with neuro physician too best wishes
1 person found this helpful
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I'am suffering from migraine from last years, but this problem is increasing only. What should I do?

MBBS
General Physician, Mumbai
Migrane- It is characterised by one sided headache which is pulsatile in nature and with a throbbing pain usually with an aura and we can start with tablet propranolol after personal examination
1 person found this helpful
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BPTh/BPT
Physiotherapist, Delhi
What is Spinal stenosis?

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

Causes of stenosis
degenerative ageing process of your spine.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

lower back pain

MRI Spinal Stenosis

Spinal Stenosis Treatment
PHASE I - Pain Relief & Protection

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

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

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

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

PHASE II - Restoring Normal ROM, Strength

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

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

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

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

Please ask your physio for their advice.

PHASE III - Restoring Full Function

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

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

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

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

PHASE IV - Preventing a Recurrence

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

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

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

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

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

With each repeat episode, it is more difficult to control your symptoms because your pathology has deteriorated
2 people found this helpful

Hello sir . Mujhe pichle kuch mahino se hatho me hand tramors ki problem ho rahi hai. Sir please koi solution bataiye.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Hello sir . Mujhe pichle kuch mahino se hatho me hand tramors ki problem ho rahi hai. Sir please koi solution bataiye.
Hot fomentation. Gentle stretching of hand muscles. Ball exercises. Wrist exerciser. Grip exercises.
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Patient age is 76 male. Have a heart problem and blood clot in brain taking medicines .can you suggest what type of food and fruits can he eat please.

PDDM, MHA, MBBS
General Physician, Nashik
Patient age is 76 male. Have a heart problem and blood clot in brain taking medicines .can you suggest what type of f...
Eat a high-fiber diet. Get insoluble and soluble fiber. Limit foods that are high in fat. Choose lean meats. Incorporate probiotics into your diet. Eat on schedule. Stay hydrated.
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I am suffering from neurofibromatodis and affected area is my back portion and one or two on face. I want to know whether it can be cured or stopped further growth.

DM - Neurology
Neurologist, Hyderabad
Till now no specific treatment for neurofibromatosis except surgical excision of lesion if it is producing pain or any nerve compression. Some experimental medicines are there to reduce the growth, but these can not be prescribed you at this point unless their efficacy become well proven.
3 people found this helpful
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I am suffering from seizure or epilepsy what precautions should I take to prevent my self from this?

MBBS
General Physician, Chandigarh
Epileptic fit is a symptom to some thing wrong in the brain you will have to get thoroughly checked and investigated from of neurologist to find out its cause and once the cause is identified then we see how we take steps and medication to prevent it in general you should be careful not to put yourself in any situation where if you have an attack by chance and your lif gets into danger like don't drive swim don't take up any jobs near the heavy machinery where you can get caught in them accidentally etc.
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