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Dr. S.Ramesh Kannan

Neurologist, Chennai

150 at clinic
Dr. S.Ramesh Kannan Neurologist, Chennai
150 at clinic
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. S.Ramesh Kannan
Dr. S.Ramesh Kannan is a trusted Neurologist in Tambaram West, Chennai. You can meet Dr. S.Ramesh Kannan personally at Hindu Mission Hospital - Tambaram in Tambaram West, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. S.Ramesh Kannan on Lybrate.com.

Lybrate.com has an excellent community of Neurologists in India. You will find Neurologists with more than 31 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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No 103, Gst Road, Tambaram West. Landmark: Near Railway Level Crossing, ChennaiChennai Get Directions
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Physiotherapy Treatment for Head Injury

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Physiotherapy Treatment for Head Injury

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.

2 people found this helpful

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.

DNB (Neurosurgery)
Neurosurgeon, Visakhapatnam
Sir my question is about brain tumor. Can you tell me about how stage r there in the Brain tumor
And which treatment ...
There are 4 stages usually. Depending on the type if brain tumour. In initial stage complete surgical excision is good enough. No added treatment may he required.
1 person found this helpful
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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.

BHMS
Homeopath,
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 da...
There are certain things which you can try. Like walk for 10-15 mins before you going to sleep, take banana before sleep, try to read a magazine or try to listen soft music. Sit firstly on bed take some deep breath in with nose expel with mouth. If you dnt feel sleepy do not just lie down on bed. Rather walk in the room. Take dinner atlst 1 hour before your schedule bed time. Don't watch tv or mobiles. Switch off them. There are sooo mny tips that I can give u.if you follow regularly and continued with homoeopathic treatment I think you will be benefited. Soo you can contact me through Lybrate.
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I m 41 years old and suffering frm migraine frm last 2 months. Help me wht to do.

MD - Internal Medicine
Internal Medicine Specialist, Mumbai
Hi, to prevent migraine attacks following measures must be used. 1) avoid triggers. If certain foods or odors seem to have triggered your migraines in the past, avoid them. 2) establish a daily routine with regular sleep patterns and regular meals. In addition, try to control stress. 3) regular aerobic exercise reduces tension and can help prevent migraines. 4) obesity is also thought to be a factor in migraine headaches, and regular exercise can help you maintain a healthy weight or lose weight. 5) migraines and estrogen seems to trigger or make your headaches worse, you may want to avoid or reduce the medications you take that contain estrogen which include birth control pills and hormone replacement therapy. You will also benefit for medical therapy if having recurrent migraine attacks. Follow these prevention regimen tips
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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.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
As you say" she is not responding" I assume that her fits are still not under control then, and she continues to have psychiatric problems. In that case she may need a change of present medications according to her complaints. I would advise you to consult a psychiatrist for the same. If you feel so, you may contact me online for any further queries or assistance in treatment thereof.
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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.

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 20 minutes regularly Best Wishes
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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.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
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...
Hi apply pranacharya restopain oil or prasarini oil on your affected part then give hot fomentation. Take maha rasnadi kwath 2-2 tsf twice a day. And agni tundi vati and maha yograj guggul 1-1 tab twice a day.
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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.

MD - Psychiatry
Psychiatrist, Indore
You have a serious problem. This illness ms is generally relapsing and remitting. Symptoms comes and go away. Unpredictable. Cause is not exactly known. But autoimmunity is at fault. Allergy of nerve covering of nerves of brain. I strongly advise you to only take treatment from a neurologist, better he be the same doctor. Don't change doctors. If he know your case from beginning he will be better efficiently manage, and will be able to help you better. Trust him, your illness is such that you have to be very patient and cool.
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I am having migraine constantly. I am using medicines but can not get rid of them. 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
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Do You Think You are Suffering from Brain Tumor? 10 Signs You Must Take Seriously

FRCS - Neurosurgery(UK), M.Ch - Neuro Surgery, MS - General Surgery, MBBS
Neurosurgeon, Ahmedabad
Do You Think You are Suffering from Brain Tumor? 10 Signs You Must Take Seriously

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:

  1. 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.
  2. 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.
  3. 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.
  4. 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.
  5. Memory problems: Lack of concentration, poor memory and short term memory loss are few of the possible symptoms that indicate the presence of tumour.
  6. 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.
  7. 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.
  8. Change in vision: A person suffering from brain tumour might also experience changes in the vision, dizziness, blurry vision, among other sight related issues.
  9. 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.
  10. 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.

4309 people found this helpful

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.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My mother having numbness both on her hands and toes. Her vitamin B12 range is good. Sugar under control. She is taki...
Sulochanaeswaranji, In a person with long standing diabetes mellitus,peripheral neuropathy invariably develops. In spite of good sugar control it can still occur causing symptoms like numbness, tingling and altered sensation or burning sensation. Primary requirement is excellent sugar control to be achieved. Then there are drugs including combination of bcomplex vitamins are used to treat.
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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.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
My course for seizure disorder treatment is about 3 years, and medicins are VALCOT CR-300 & Neuroforte. Doctors told ...
No. The medication that your are taking is good enough for control of seizure disorder. No matter what medications you take you are required to take them for at least 3 years, after the last seizure you had. Only when you do not have seizures for 3 years while on treatment, you can consider decreasing or stopping treatment on advise of your treating doctor.
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Brain Tumor Surgery

IFAANS, DNB (Neurosurgery), MBBS
Neurosurgeon, Ghaziabad
Brain Tumor Surgery

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
4261 people found this helpful

I'm epilepsy patient patient ,or ye sleep disk hai, some people say k is disorder se Mari Jan ja Sakti hai, wt is truth explain me pls, nd m I normal people or not.

MS - General Surgery, M.Ch - Neuro Surgery
Neurosurgeon, Siliguri
People with epilepsy are normal people. It's just that an uncontrolled seizure episode may risk you to injuries from a accident.
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Hi I am Arvind. Which medicine to take care in migraine. I have migraine from last 5 years. So kindly suggest me. Thanks.

BAMS
Ayurveda, Bangalore
Hi, take cap. Palsinuron 1-0-1. 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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I m facing the problem of migraine since the last 2 years. Often it comes with a major head ache and vomiting later. Please suggest the medicine and permanent cure. No medical treatment taken yet.

DM - Pediatric Neurology, MD-Pediatrics
Neurologist, Ludhiana
Better see a neurologist in your area. You need good painkiller (like naxdom) which ever suits you. Some prophylactic medicines also required.
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Sir I am 36 years old. My wife who is detected now as an epilepsy patient. First incident of seizure took place on 10th march when she became unconscious for 5to 6 seconds. On 30th april again she became unconscious. At the very time she made a groaning sound, starred and urine came out. On 10th may she was first detected as epilepsy by a neurologist. The doctor prescribed valprolcr500 and folvite. After 5 month on 6th october again she became unconscious. I also visited a neuropsychriatist who prescribed nexito10 and lonazep0. 25 along with the above medicine. Now I am very tensed have a 14 months baby. I am very introvert and sometimes suffer from depression because of being unemployed in spite of being getting a job. Sir is there any restriction to eat chicken ,mutton or fast foods? My weight has decreased from 59 to 53. Is it a result of side effect of the medicine? Will my seizure be under control or not? I am very tensed. I have a baby of 14 months. After delivery still my period does not begin. Has it a connection with epilepsy? Does my epilepsy connect with any gyno problem? Please advice me sir.

MD - Psychiatry
Psychiatrist, Udaipur
Amenorrhoea after 14 month of delivery is a common phenomena. Its not related with your current epileptic episode or medicine related to it. Because of stress in your life related to your job and wife medical condition its might be possible you become depressed and it is only reason you lost your weight. I advise you to consult neuropsychiatriat who will guide you how you could balance between your personal and professional life.
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