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Dr. S Chitrambalam

Neurologist, Chennai

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Dr. S Chitrambalam Neurologist, Chennai
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Personal Statement

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. S Chitrambalam
Dr. S Chitrambalam is a trusted Neurologist in Rakshith Hospital, Chennai. You can consult Dr. S Chitrambalam at Metro Speciality Clinic in Rakshith Hospital, Chennai. Book an appointment online with Dr. S Chitrambalam on Lybrate.com.

Lybrate.com has an excellent community of Neurologists in India. You will find Neurologists with more than 29 years of experience on Lybrate.com. You can find Neurologists online in Chennai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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St.Isabel's Hospital

No: 49, Oliver Road, Mylapore. Landmark: Next To Luz Church, ChennaiChennai Get Directions
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St Thomas Hospital

No.5/105, Defence Colony Road, St Thomas Mount. Landmark: Near Cantonment Kalyana Mandapam & Mutt Road, ChennaiChennai Get Directions
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I'm 26 years old male, and I have migraine problem since last 8 years, could you please suggest the solution to get rid of this?

BHMS
Homeopath, Faridabad
Hello, Self-care measures can help ease the pain of a migraine headache. Try muscle relaxation exercises. Relaxation techniques may include progressive muscle relaxation, meditation or yoga. Get enough sleep, but don't oversleep. Get an adequate amount of sleep each night. It's best to go to bed and wake up at regular times, as well. If possible, rest in a dark, quiet room when you feel a headache coming on. Place an ice pack wrapped in a cloth on the back of your neck and apply gentle pressure to painful areas on your scalp. Medication: Take Bakson's Mig Aid tablet/ 1 tablet 3 times a day.
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I am suffering from left hemiplegia after a stroke on 10th september 2014. Acute infarct right basal ganglia and right radiata. Mild diffuse atorphy. Please suggest if it can be treated. Unable to move properly.

MBBS, MD - General Medicine
General Physician, Delhi
It will take time. Take the medications as prescribed by doctor. Also take dvt prophylaxis. Continue physiotherapy. For details you can have a word with me on private chat.
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I met with an accident in 2012 and in that accident the calcanious bone was fractured after operation one week later it got infected and gangarin developed in my feet so doctor removed the infected calcanious bone and all the infected tissues from my feet and after that they have done skin transplant in the feet by taking skin from the thigh to cover the open wound now it is completely covered and healed but my problem is there is no flesh in feet around the calcanious bone region only skin is there over the feet bone so I can't give any pressure on my right foot and cannot walk in bare foot, even don't have sensation in that area also. I walk now although I limp with the help of applying soft silicon gel in my sock and wearing shoe but always had a fear that my skin in lower feet will be damaged or get cut while walking and I won't be able to know as I dnt have sensation in that area as it happened 2-3 times earlier also and then the slight cut took weeks to heal also and by that time I couldn't wear anything on my feet so that it will dry up and heal. Now I want to know is there any permanent solution through any further surgery possible so that I will have sensation in my feet back and can walk without any fear.

MD - Psychiatry, MBBS
Psychiatrist, Patna
I met with an accident in 2012 and in that accident the calcanious bone was fractured after operation one week later ...
Unfortunately it happened, but there is remedy. There are braces available that may transmit the weight directly from leg (below knee) to the boot. It will protect your heal and also provide you confidence to walk. Please consult you orthopedician.
1 person found this helpful
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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.

2 people found this helpful

Respected Sir, I am feeling migration pain in my left side brain please suggest me best medicine for this problem.

BAMS
Ayurveda, Bangalore
Hi, Take tab. Shirashooladi vajra ras 1-1-1 with ginger juice. Apply ginger paste on the forehead. Instill cephagraine nasal drops 2 drops to each nostril 3 time a day. You can undergo panchakarma treatment like nasya or shirodhara after checking with an ayurvedic doctor.
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MD PULMONARY, DTCD
Pulmonologist, Faridabad
HEADACHE
Headache is one of the 10 most disabling conditions overall.Over all types of headache 47% are due to migraine and tention type of headache.The prevalence of migraine headaches ranges from 8.4% to 18%.In addition to individual morbidity ,it results in great cost to society.Migraine is more prevelent in female and tention type headache is evenly distributted among both male and female.
Migraine is initialy episodic ,occuring 2 or lesstime/weak.It usualy disturb daily activities of patient and may progress to chronic migraine. Tention type of headache does not disturb daily routine of patient.Poor socioeconomic status,education,female gender,less sleep,anxiety and depression may transform episodic migraine to chronic migraine.
Sudden onset bursting headache is bad and one should consult the doctor immediatly
Overuse of pain killels can also cause headache
2 people found this helpful

Hello doctor. Mere dadaji ke hath sunn rahte hain. Unhe kisi sparsh ya touch kam feel hota hai. What is the reason? And iska ilaaj kaise sambhav hai?

DPT
Physiotherapist, Gurgaon
Hello doctor. Mere dadaji ke hath sunn rahte hain. Unhe kisi sparsh ya touch kam feel hota hai. What is the reason? A...
He can have some physiotherapy TNS or IFT which will help him in getting back the sensation and to get the strength in the muscles.
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After brain tumor surgery and radiation therapy (30 classes) whats precaution and diet I should take for recovery.

BHMS
Homeopath,
After brain tumor surgery and radiation therapy (30 classes) whats precaution and diet I should take for recovery.
Diet should be nutritious.like fruits,,boiled chicken or soup,all sorts of veggies...oil should be very less...non-spicy food is preferable...for more details u should consult with ur doctor..
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Hi I'm 39 years old having continue numbness in both palms, any body may suggest any medications.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Hi I'm 39 years old having continue numbness in both palms, any body may suggest any medications.
Do Take An Cervical spine mri and do rule out any Cervical spine lesion do Take appropriate Therapy best wishes.
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Hello I am of age fifteen and suffering from migraine since three years can you please suggest me an advice for my severe headache.

DNB Neurology JHRC, MD Med, MBBS
Neurologist, Mumbai
Plenty of oral fluids, meals at right time, adequate sleep, avoid late nights. Dark glasses with uv protection when going out in bright sunlight. Exercise 45 min a day. If doesn't work see local neurologist.
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