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Electroconvulsive Therapy (Ect) Treatment
Assistive Walking Device Training
Radiofrequency Neurotomy Procedure
Surgery Of The Facial Nerve
Brain Suite Treatment
Brain Tumor Surgery
Cerebral Palsy Treatment
Cerebral Vascular Surgery
Csf Rhinorrhoea Repair Procedure
Decompression Microvascular Surgery
Deep Brain Stimulation Procedure
Treatment of Nerve And Muscle Disorders
Treatment of Neurological Problems
Treatment of Paralysis
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PHYSIOTHERAPY TREATMENT OF HEAD INJURY
The treatment may comprise of the following measures:
IMPROVES ALERTNESS OR AROUSAL THROUGH SENSORY STIMULATION:
The patient who is drowsy or confused need to be stimulated by makes them more alert and awake. The therapist should encourage the patient’s cooperation during the treatment. The main aim is to stimulate the reticular activating system by making the patient sit or even stand in the tilt table.
The therapist should provide tactile, visual, auditory and Proprioceptive stimulation to the patient that will send facilitatory signals to the brain and will enable the alert response to be provoked. Auditory stimulation can be given by speaking to the patient during the course of treatment. Visual stimulation is given by showing familiar faces, objects or movement in the visual field of the patient.
Proprioceptive stimulation by giving traction and approximation at joint structures is very helpful in stimulating the arousal response in the patient.
PREVENTION OF SPASTICITY:
As hyper tonicity generally sets in almost all head injury cases various measures need to be taken to keep them under control. Gentle passive movement, gradual rhythmic sustained stretch, prolonged icing for 20 minutes over the muscles, biofeedback, proper positioning are certain measures that needs to be employed for controlling spasticity.
MAXIMISE THE PATIENT’S FUNCTIONAL CAPACITY:
The main aim of this management is to improve the ROM, improve the control of voluntary movement, strengthening paretic muscles, improve the coordination, balance and teach various safety measures.
The treatment should be wide spread over the periods of time as the patient’s attention span and endurance is very less.
NEUROMUSCULAR TRAINING can be given through the development sequence by inhibiting abnormal movement pattern and by facilitating normal movement pattern.
The patient may give activities like bridging, prone on elbow, on all fours, side lying to sitting, sitting, kneeling, half kneeling, standing and walking.
PROPER DOCUMENTATION is necessary of the entire event through- out the day. Infact the routine of the patient should be maintained in the register and the patient need to be reminded of various activities especially if the patient has memory problems. The patient may be given register with photo and names of various health professional visiting him so that each day’s program can be entered. This will benefit both the patient and his acquaintance to know regarding the activities given to the patient.
USE OF VESTIBULAR BALL while training the patient for crawling, bridging, sitting, balance helps in building the Proprioceptive stimulation and teaches proper control to the patient.
Each task has various subtasks which need to be mastered by the patient so that he learns the actual activity using normal movement combination and performs it with precision. Like for training the patient to get up from bed, he may be taught to do asymmetrical push up with the trunk in partial rotation, then lower leg patterns are incorporated and finally the whole task of get up from sidelying is practiced.
REPETITION ACTIVITIES is key like any other neurological disorders. Ambulation training should always be done in upright position training the patient in each and every phase of the gait cycle. If the patient’s balance is poor then assistance may be used.
FUNCTIONAL ELECTRICAL STIMULATION has been shown more effective than kinetic joint training in certain types of cases. The upper extremity also appeared to use specific synergies for hand use in different positions. Clients often can opens hand in out stretched arm position but will be unable to perform the same action when the elbow is flexed. Some patient with minimal functional deficit in th upeer limb may be given some assistive devices or support for the hand so that they can perform some basic activity like eating, combing, writing, etc. this technique helps the shoulder and other proximal structures to produce appropriate movement sequences for hand use but does not facilitate hand function. The treatment however does provide whole task practice even though some basic component of the function is substituted by other means.
REVERSING TASKS in some patients helps in developing increased control by modifying a task or synergy as well as making the muscle work both eccentrically and concentrically. For instance lowering a glass of water on the table may help the patient in getting th glass close to the mouth by improving motor control of biceps during eccentric contraction.
Sir my question is about brain tumor. Can you tell me about how stage r there in the Brain tumor And which treatment we take in initial stage.
I have a problem on insomnia. I get a very weak sleep. A pin drop noise wakens me up. I sleep for hardly 2 hours a day. I tried counting backwards. But I could count from 10000 and reach 0 but didn't sleep. I tried many suggestions from peers to tire my mind but thoughts don't stop. And I am always conscious, anxious about getting things done in time and incidences don't leave my memory. Please suggest me a way to overcome this. Its getting over my mind. And I am growing less capable intellectually day by day.
My Dad got hospitalized on 2nd Jan due to not getting urine. Doctors performed dialysis and he is getting urine good. He is diabetic patient. He got discharged on 11th Jan 16. After discharge they have written antibiotics injections and tablets. After few days he is getting unexpected fever and shivering. All reports such as urine cultures, bone marrow aspiration, serum creation etc were observed as normal. Later again he got admitted due to less blood. Two packets cell transfers are given. They also given antibiotics. After discharge on next day he is active. Next day again he is again getting sudden shivering followed by fever. We are giving dolo 650 during shivering followed by fever. Please help me out why fever with shivering is getting continuously. If any medication and tablets are required. Please let me know.
Hello sir, my sister is a patient of epilepsy with psychiatric problems, since 4 years every test is being normal and she is not responding to any medicine right now she is on OXETOL 450 and FRISIUM 10 twice a day . Please help. She is 20 years of age .all the information is of patients.
Meri mom Ko migraine ki prob. H, week me 2/3 baar headache ho jaataa h, homeopathy ki medicine bhi chal rahi h but usse kuch ni hotaa, face PR swalling bhi ho jaati h.
I have pain in my legs and when I am in office I get it in my back. Pain starts increasing when I stand for more than half an hour. I feel numbness very quickly. I think my blood circulation is poor in lower parts.
I am 31 years female. I just visited neurologist because I have been facing problem with my left foot. There is no pain even not muscle pain neither bone pain. Problem with my leg is it is just not able to take a load on it. So while wailking, my walk goes left right. I am not able to walk striaght. Neurologist asked me to do mri. Result showed this is due to multiple sclerosis (m. S.) doctor said there is no cure for it. Just we can avoid it to spread it further. Apart from this I am facing weakness at times. Once after I have my meals I feel better. Also not able to stand for a longer period. I had also gone for a blood check which showed vitamin d3 is less than 8 where it has to me more than 30. Please revert thank you.
I am having migraine constantly. I am using medicines but can not get rid of them. What should I do?
A Brain Tumour can be defined as an abnormal growth of the tissues in the brain, which can disrupt the proper brain functions. Generally, the cells in the human body die and are replaced by new cells, while in the case of a tumour, the old cells do not die and form an accumulation and continues to grow to form a mass as more and more cells are added to it.
Symptoms of Brain Tumour:
- Headache: Having headache on regular basis, without any history of having such frequent headaches in past, which becomes worse because of other pressure related activities, such as sneezing, coughing, exercising might be a possible symptom of brain tumour and issues related to such sudden and frequent headaches should be taken up with the doctor without any further delay.
- Seizures: Seizures (fits) are amongst the most common symptoms of brain tumour, which might be limited to a particular body part or the whole body. Seizures might even continue after the treatment of brain tumour because of the left scar tissues in the brain.
- Numbness in arms/legs: Numbness in any body part, especially arms and legs should also be get evaluated timely, so that, if the possible reason behind them is a brain tumour, then the same could be treated well on time.
- Balancing problems: Poor coordination and balancing problems also arise as the most prominent symptom for the brain tumour and hence such small changes must be evaluated and the person suffering should be taken to a doctor immediately to get treated without any delay.
- Memory problems: Lack of concentration, poor memory and short term memory loss are few of the possible symptoms that indicate the presence of tumour.
- Nausea or vomiting: Nausea or vomiting might be the symptoms of many other possible health issues, but a headache supported by nausea and/or vomiting is one of the many symptoms of a brain tumour and hence should not be ignored.
- Facial paralysis: The inability to keep the facial activities under control also indicates the presence of a possible brain tumour and the same should also be diagnosed as soon as one experiences it.
- Change in vision: A person suffering from brain tumour might also experience changes in the vision, dizziness, blurry vision, among other sight related issues.
- Change in speech: The inability to speak properly and changes in the speech of a person may also indicate a possible presence of a tumour.
- Hearing problems: Sudden occurrence of hearing problems and other hearing related disorders might have the brain tumour as a possible reason.
Diagnosing a brain tumour may include one or more of many tests, including CT scan, Magnetic Resonance Imaging (MRI), Angiogram and biopsy. One should never ignore the symptoms of the brain tumour and should get himself/herself checked since the brain tumours might result into permanent damages to the brain; hence such issues should never be ignored. If you wish to discuss about any specific problem, you can consult a neurologist.
My mother having numbness both on her hands and toes. Her vitamin B12 range is good. Sugar under control. She is taking neurobion forte daily. What is this symptom? She is 77 years old.
My course for seizure disorder treatment is about 3 years, and medicins are VALCOT CR-300 & Neuroforte. Doctors told me take these meds for 3 years, 2 times a day. I want to ask you Doctor is there any other meds that comes in Market for same disease that will shorten my Period of medication/ treatment? Please can you tell me the names of that medicins? Thanks a lot.
Is it true a picks patient will die within 6 years please do not ignore I need final answer sir/madam. This is my history of disease. I have pick's disease. It started when my age is 17 that time I take treatment from a neurologist EEG check up and I take tablets for 1 month. After that I stop to take tablets. Because on that time I don't know about this type did disease Before 4 months again it comes for 2nd time. Now I get treatment from a another neuro specialist. Now I regularly continue my tablets 2 times per day morning and nit after food. Now I want to know what are the causes and remedies for this type of problem. Is it curable r not.
Although surgery is considered to be the first step of treatment in any form of tumor, but its feasibility depends upon the type, size and location of the tumor. It is not necessary that every kind of brain tumor might require surgery.
Indications of Brain Tumor Surgery
- Diagnosis of the type of tumor by taking a sample of the tumor for laboratory examination
- Complete resection of tumor
- Removal of the tumor as much as possible to slow down its growth and improve the symptoms
- Remove the tumor in order to help other treatment
- Provide direct access for other forms of treatment like chemotherapy, radiotherapy etc.
- To relieve pressure caused by tumor on surrounding structures
Types of Brain Tumor Surgery: The different types of surgery that are performed in cases of brain tumor include the following:
Craniotomy: Craniotomy is the most commonly performed procedure to remove brain tumor along with a piece of bone. The removed bone is replaced and the tumor is sent for histopathology (biopsy). The surgery is performed using a high end microscope by any of the following techniques:
- Extended bifrontal craniotomy
- "Eyebrow" craniotomy (supraorbital craniotomy)
- "Keyhole" craniotomy (retro-sigmoid craniotomy)
- Orbitozygomatic craniotomy
- Translabyrinthine craniotomy
Shunt: A narrow piece of flexible tube with a pressure regulated valve in between is called a shunt. This is used to relieve the intracranial pressure caused by obstruction of the natural brain fluid, Cerebrospinal fluid (CSF) pathway by tumor mass. The procedure involves insertion of a drainage system into the brain to remove or drain excess of blocked fluid into the peritoneal cavity.
Stereotactic surgery: This surgery is done by creating a three dimensional image called stereotaxy using computers. It aims to find out the location and position of the tumor. In fact it can also be done to aid tumor removal, implant radiation pellets or for other treatments.
Embolization: It is a procedure used to reduce the amount of blood supply to a tumor by blocking the blood flow in the selected arteries. It is generally performed before the main surgery.
Endoscopy and endoscope assisted surgery: Endoscope is a tool, which helps to closely visualize the tissue through small openings in difficult to reach areas. This tool can be used in various brain surgeries to precisely reach the target location without damaging the adjacent structures.
Adjuvant modalities to improve outcome: In addition to above mentioned surgeries, following surgeries may also be performed in relation to brain tumor treatment:
- Laser surgery
- Photodynamic laser surgery
- Ultrasonic aspiration
- Fluorescence guided surgery (FGS)
- Electrophysiological monitoring