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Dr. R.Srinivas

Neurosurgeon, Chennai

150 at clinic
Dr. R.Srinivas Neurosurgeon, Chennai
150 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. R.Srinivas
Dr. R.Srinivas is a renowned Neurosurgeon in Tambaram West, Chennai. You can consult Dr. R.Srinivas at Hindu Mission Hospital - Tambaram in Tambaram West, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. R.Srinivas on Lybrate.com.

Lybrate.com has an excellent community of Neurosurgeons in India. You will find Neurosurgeons with more than 38 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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Hindu Mission Hospital - Tambaram

No 103, Gst Road, Tambaram West. Landmark: Near Railway Level Crossing, ChennaiChennai Get Directions
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

I am suffering under sensory neural hearing loss for more than thirty years due to well path and diving in the village decibel loss 60 both sides many vitamins minerals tablets homeopathy Ayurvedic tablets taken but no improvement as far as clarity of words spoken by persons and over phone tv etc hearing aids tried no use it only increases the sound but not helping for clarity of words as far as sound enough for me life time my age is 65 Is there any medicine essential oils etc in the world to restore my clarity hearing of words.

Master of Hospital Administration, Bachelor of Audiology & Speech Language Pathology (B.A.S.L.P)
Speech Therapist, Gurgaon
I am suffering under sensory neural hearing loss for more than thirty years due to well path and diving in the villag...
Dear lybrate user if you r having sensorineural type of hearing loss no medicines will help to restore the hearing loss. Only in sudden hearing loss steroids help to some extent. So in your case the option left for you is digital programmable hearing aids. Most probably you have used analog one, go for digital programmable hearing aids. It will help for sure. Consult with me for further details.
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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
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How brain tumor meningioma Grade 2 recurrence be delayed? Please suggest any vegetable remedy.

MBBS, DNB ( Radiation Oncology)
Oncologist, Mumbai
How brain tumor meningioma Grade 2 recurrence be delayed? Please suggest any vegetable remedy.
There is NO "VEGETABLE REMEDY" for brain tumors like meningioma. Please do not get misled into such beliefs !! Just keep going for your regular follow ups with doctor. Have a healthy diet and healthy lifestyle.
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Hello doctor, my grandfather's age is above 80 years and they had undergone brain surgery due to clotting. Its been more than 7 days he has not opened his eyes and is still on ventilator so whats the time will it take him to get up.

MD - Internal Medicine
General Physician, Bangalore
By now he should have woken up. Something has gone wrong with the surgery or with his overall health condition. But make sure that he is not given any sedation.
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Give me an information about the migraine, why it's happened, give me a remedy for this.

PDDM, MHA, MBBS
General Physician, Nashik
The cause of migraines is still largely unknown. Avoid triggers. If certain foods or odors seem to have triggered your migraines in the past, avoid them. Reduce your caffeine and alcohol intake and avoid tobacco. In general, establish a daily routine with regular sleep patterns and regular meals. In addition, try to control stress. Exercise regularly. Regular aerobic exercise reduces tension and can help prevent migraines. If your doctor agrees, choose any aerobic exercise you enjoy, including walking, swimming and cycling. Warm up slowly, however, because sudden, intense exercise can cause headaches. Obesity is also thought to be a factor in migraine headaches, and regular exercise can help you maintain a healthy weight or lose weight.
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My mother both hands figures are senseless she caught everything but which she caught did not know. What is the problem and what is the solution.

MPTh/MPT
Physiotherapist,
Its might be dysaesthesia(loss of sensation). Kindly dip the hands in full mug of lukeworm water for 15 min regularly. This will be help full
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My head is paining from last three days. Doc says I have problem ogmf migraine. He told me to take combo flame tablet. Will it work. Or should I consult another doctor.

MBBS
General Physician, Cuttack
1.Take paracetamol 500mg,1 tablet sos after food up to a maximum of 3 tablets daily, 2.Drink plenty of water 3.Take rest If you have recurrent attack of headache 1.It could be a tension headache due to stress, strain,depression,agitation, Hypertension or migraine. 2.Avoid stress, physical and mental exertion, take adequate sleep for 7-8 hours daily 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. Consult Neurologist to rule out other causes of headache 7.consult me for further advice
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Dear sir / madam some times I feel numbness in my hand and leg during my sleep and my head feel ache besides tiredness in my whole body. Two months before I had tested my sugar level it was normal. Please suggest

MPTh/MPT
Physiotherapist,
Kindly do meditation and yoga. In early morning regularly. Due to lack of oxygen supply you feel headache and tiredness frequently. Dip your hands and legs inside lukeworm water for 15 min regularly for a week and do some free exercises inside lukeworm water. This will be helpful.
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I have a friend who is 22 yrs age but has brain developed of 10 years age. He is physically sound but has no social understanding and doesn't have quest for study. The patient has been taken to AIIMS and other special hospital as well but with no good. Please suggest where the should the patient be taken considering age. Thanks for the help.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Do consult neuro physician and neuro psychiatrist and do give him vocational counselling classes if deemed to be best wishes.
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Does high blood pressure cause migraine. And is using perfume/attar is not good for migraine head ache and blood pressure. Can one take sobritate tablet if blood pressure is high.

MBBS, MD - General Medicine, DM - Neurology
Neurologist, Hyderabad
Does high blood pressure cause migraine. And is using perfume/attar is not good for migraine head ache and blood pres...
High blood pressure does not cause migraine. Yes, in some people, perfumes can aggravate migraines. Sorbitrate is to prevent heart attack and is not a bp lowering drug.
1 person found this helpful
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I am a 15 year old diabetic; from the past two/three months, I have a lot of burning sensation on the bottom side of my feet; sometimes I also feel numb; I am afraid that is it due to improper blood circulation? Please suggest me suitable remedies.

MD - Alternate Medicine, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Mohali
I am a 15 year old diabetic; from the past two/three months, I have a lot of burning sensation on the bottom side of ...
There are two reasons for burning sensation in feet. One is zinc defeciency and the other reason is diabetic neuropathy. Please go fbs, ppbs and hba1c and then get back to me. It is treatable don't worry. Take care.
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I am facing nystagmus problem, I know it is not treated but it can be less to less, that is why, I need medicines, please give name of medicines, which helps me to less nystagmus.

MBBS
General Physician, Jalgaon
Please consult near by neurologist in person meanwhile take sarswatarishta 15 ml twice a day with water do meditation daily do pranayam and yoga daily.
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I have migraine from age of 17 and now im 27 years old I take many medicine and check up from many doctors but no effects.

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
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Best Physiotherapy/Rehab Exercises for Cerebral Palsy/Delayed Milestones

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Best Physiotherapy/Rehab Exercises for Cerebral Palsy/Delayed Milestones

CEREBRAL PALSY

Cerebral palsy is a term used to describe a broad spectrum of motor disability which is non-progressive and is caused by damage to brain at or around birth. It is a disorder which develops due to damage to CNS and this damage can take place before, during, or immediately after the birth of the child. The damage won't worsen but remains constant. However the child may appera to worsen if not given proper intervention not because of an increase in lesion in the brain but just beacuse the damaged brain is not able to cope up with the physical demand of the growing body and the increasing demand of the environment surrounding the child.

CAUSES:

ANTENATAL CAUSES:

  • Genetic causes: First or second degree consanguineous marriage.
  • Intrauterine virus infection: Rubella and cytomegalovirus infections which lead to severe brain damage along with associated visual and hearing problem with cataract.
  • Hypoglycemia: Low blood sugar for long period lead to brain damage and epilepsy. Cerebellum is more vulnerable leading to ataxia and visual problems. Infant of diabetic mothers are more prone to hypoglycemia.

Trauma to the mother:

  • Infection to the mother can make the baby prone to develop it.
  • Malnourishment of the fetus especially in case of twins.
  • Exposure to the mother’s abdominal area to repeated X-ray radiation, prolonged use of medications like steroids by mother.

NEONATAL CAUSES:

  • Prematurity: Premature babies are prone to brain damage either due to trauma during delivery and later on due to immature respiratory and cardiovascular system. Therefore, they are likely to develop hypoxia and low blood pressure also, they are more likely to develop low blood sugar, jaundice and hemorrhage because of liver immaturity.
  • Vascular causes: Occlusion of the internal carotid or midcerebral artery during birth can on many occasions lead to hemiplegia.
  • Trauma: trauma can occur either due to disproportion, breech delivery, and forceps delivery, distortion of head and tearing of tentorium.
  • Asphyxia: It can occur by accidents and burns which could be as a result of knotted umbilical cord, cord around the neck or prolapsed cord. Multiple deliveries can cause asphyxia of the second or third infant.
  • Neonatal meningitis: Usually associated with severe residual brain damage.

POSTNATAL CAUSES:

  • Delayed cry: Causes asphyxia to the brain causing CP.
  • Severe jaundice: Presence of high levels of bilirubin cause basal ganglia damage leading to athetoid cerebral palsy and high tone deafness.
  • Trauma: Fall of the body after birth.
  • Infection: Like meningitis, or encephalitis can cause brain damage.

TYPES OF CEREBRAL PALSY:

  1. Basically cerebral palsy children manifest in three common ways spastic, athetoid, and ataxic.
  2. Spasticity seen in cerebral palsy is usually knife that may change with change in position, which means that spasticity may vary from supine to prone.
  3. Athetoid cerebral palsy children exhibits slow, purposeless, wormlike, involuntary movements which flow into each other. It occurs due to basal ganglia damage commonly seen in children who suffers from an attack of jaundice following birth.
  4. Ataxia in cerebral palsy occurs due to cerebellar damage. Both balance and coordination is affected.

 

PHYSIOTHERAPY TREATMENT OF CEREBRAL PALSY

  1. Physiotherapy is one of the most important treatments for CP that usually begins soon after being diagnosed and often continues throughout life. Special devices and equipment are needed for some people with CP to help them with specific problems like,
  2. A child who develops uneven leg length may need to wear special shoes with a higher sole and heel on the shorter leg.
  3. Some people who are not able to walk alone may need to use canes, crutches, walkers, or wheelchairs.

 

EXERCISES IN SUPINE POSITION

Normalizing tone of the muscles: For cases with hypo tonicity slow passive movements, sustained stretch, cryotherapy over the muscle for 15 to 20 minutes, stimulation of antagonist movement and vibrations are used. On the contrary, for cases with hypotinicity weight bearing, joint compression, rhythmic stabilization, vibrations, cryotherapy in brisk manner and taping can be used.

Weight bearing exercises: Weight bearing exercises are necessary to promote development of tone in muscles and also to maintain the absorption of calcium into the bones. Thus the patient should be given activities like bridging, supine on elbows, sitting with weight bearing on the affected arm, and standing should be given as soon as possible within the limitation of the patient’s general medical status..

Skillful TAPING gives a tactile feedback which helps in faster development of tone in the muscles. Weight bearing exercises for the involved upper limb has also been found to be beneficial in preventing this.

Bridging Exercises: The child lies on supine position. Therapist flexed his both the knees n then helps him to lift his back from the mid area so that weight bear on his legs. This should be done in 10 -15 repetitions. Then do bridging on 1 leg and then another.

Stretching and Mobility: The muscles should be maintained at the appropriate physiological length for normal muscle control and normal postural adjustment. In CP because of delay or absence of normal movement muscles are usually in a shortened position hence stretching of the muscles is essential to increase the neuromuscular control. Length of the muscles should be maintained not only through stretching but also through various functional activities.

In supine position, the therapist holds an object so that the child grasp that object by moving his body, in this rolling activity plays an important role. The child rolls right and left to grasp the object sometimes lifting his back and limbs too.

The therapist do some exercises in vestibular ball so that child balance and coordination improves and this is the best spine stretching activity.

Good neck control and developing trunk control by using vestibular ball, he lied down in ball and doing movements that extend his spine and head is looking in upward direction.

EXERCISES IN SITTING

The therapist should hold and support the child in sitting position. Time should be noted daily.

Exercises in vestibular ball to correct the balance. Sit on the vestibular ball and then shift the weight from right side to left side by rolling the ball.

Reaching far objects: As the child sitting in the ball then the therapist should stand in front of him and tell him to reach the object that the therapist holds.

Sit to stand activities and kneeling activities, sit on the toes, sitting by cross leg by maximize wide base of support

EXERCISES IN STANDING

STANDING IN BOTH THE LEGS: The therapist should hold his knees while standing as the child flex his knees and forward trunk to avoid standing.

SQUATTING: The therapist should try and help the child to do some squats about 5 to 10 daily to increase the muscle power and strength.

WALKING with the help of therapist or a cane and use a tilt board for balancing exercises.

Standing on the side of vestibular ball and do reaching objects so that the child lifts his head in upward position for increasing the extension of neck i.e. neck control.

Developing postural reaction: Postural adjustments are essential if the child is move to move freely and to adjust to various environmental demands rapidly. Motor milestones can be best achieved by good postural reactions. Postural reactions consists of righting reactions, protective extension and equilibrium reactions. Initially children first develop righting reactions. Righting reactions allow the child to orient his head in space so that the eyes and mouth are horizontal regardless of the position of the body. It also helps in maintaining the proper alignment of the head with respect to the body.

Oromotor control training: Oromotor function depends on good head control. Common Oromotor problems are: drooling, problems in sucking, swallowing, body movements associated with speech, jaw, hyper or hyposensitivity and inadequate tongue movements. Hence the therapy should consist of good neck control, developing good trunk control, use of brush to decrease drooling.

Speech therapy helps to control the mouth muscles. This therapy can be of great benefit to children with speech or eating problems. Speech therapy often starts before the child begins school and continues throughout the school years.

Both massage therapy and physiotherapy benefit some people with CP by helping them relax tense muscles, strengthen muscles and keep joint flexible.

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Hi i am 64 years running, when press my left leg thumb on floor I feel something'jhanjhanahat' since last 01 yr. I am regularly having routine check up (at least twice or thrice in a year) of blood sugar-fasting & pp, serum electrolytes, creatinine, lipid profile, uric acid, serum psa, urine routine exam, u/s whole abdomen but all the test are negative and good, except sometime uric acid is just cross the average limit. Pl. Let me know what is the symptom of feeling'jhanjhanahat' in my left leg thumb only. Please help

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. There could be many reasons for this, actually this sensation is what we call as paraesthesia and signifies nerve irritation/compression somewhere along the course right from lower back to compartments around ankle. My advise will be for 2-3 weeks try with physical therapy (tens as a modality), you can initiate with small dose of gabapentin or pregabalin and vitamin b 12 and see whether there is any improvement in symptoms in 10-15 days time or not? do not hesitate to contact me if you need any further assistance.
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I have migraine headache ache from past one month and I can't bear this pain what should I do?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lucknow
Stress free your life. Eat healthy food. Take sleep properly. There are few medicine in ayurveda which completely cures migraine. Consult a ayurveda doctor.
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