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Dr. Shankar Narayanan

MBBS , MD - General Medicine, DM - Neurology

Neurologist, Chennai

14 Years Experience  ·  400 at clinic
Dr. Shankar Narayanan MBBS , MD - General Medicine, DM - Neurology Neurologist, Chennai
14 Years Experience  ·  400 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. Shankar Narayanan
Dr. Shankar Narayanan is an experienced Neurologist in Tambaram, Chennai. He has had many happy patients in his 14 years of journey as a Neurologist. He has done MBBS , MD - General Medicine, DM - Neurology . He is currently associated with Doctors Plaza in Tambaram, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Shankar Narayanan on Lybrate.com.

Lybrate.com has an excellent community of Neurologists in India. You will find Neurologists with more than 32 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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Education
MBBS - Calcutta - 2003
MD - General Medicine - Calcutta - 2005
DM - Neurology - Calcutta - 2007
Languages spoken
English

Location

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No 5, Doctors Plaza, Voc Street, shanmugam road, Tambaram. Landmark: Near United Bank, Opp to SBI & Thillai Building, ChennaiChennai Get Directions
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I am suffering from migraine so can suggest me any kind of precautions that I have to take?

MBBS
General Physician, Delhi
In acute pain take tablet brufen sos. Tell me other symptoms like photophobia, vomiting, dyspepsia associated with migraine so that we can help you
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My dad is paralysed Right side since 1 year Provide me some natural treatment and daily food chart Please sir. He even took acupuncture treatment.

MBBS
General Physician, Mumbai
Few diet tips - not to eat fried food items and can eat all green vegetables, moong, chana, dal, rice etc and to apply ghee over chappati and don't apply oil over chappati and to drink milk mixed with turmeric powder twice a day and if possible eat eggs on alternate days and if possible in breakfast eat atleast one bajra ka rotla and eat seasonal fruit and it's better to do physiotherapy treatment on alternate days till recovery.
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My father age 74, had right side head injury in road accident 3 months back. Presently left hand is partially not working. Ct scan report shows slight bleeding. Can this be cured by medication or surgery is required. Please guide me.

MBBS, MD - General Medicine
General Physician, Delhi
All depends on size of bleed. Mostly surgery is not required and bleed gets absorbed over a period of time. Power may improve with time continue physiotherapy.
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How to control migraine . Is there any tablet . Before it comes visual blur den slowly it come ls to left side headache (one side) once vomit ll be done den only it goes .and I appears twice in a year .pls suggest permanent solution.

MD - Homeopathy
Homeopath, Aurangabad
How to control migraine . Is there any tablet . Before it comes visual blur den slowly it come ls to left side headac...
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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I am a female, age 40 yrs. After I wake up in the morning my hands and part of legs get numb and there is tremendous pain in the hands and legs. But as soon as I start my daily routine in the morning, the pain tends to reduce and finally goes off. This started from a finger moving to the whole hands and now to legs. Please Advise.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. It appears that this is not an orthopaedic case because it is only after inactivity of night time. I will advise you to get in touch of a vascular or a general surgeon and get a vascular cause ruled out. I will be more than happy to assist you if everything is normal from their side. Do not hesitate to contact me if you need any further assistance. Thanks & regards Dr Akshay Kumar Saxena
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Hi iam suffering from migraine since last 10days please give me some suggestion to my problem.

BHMS
Homeopath,
Dear lybrate user. Take homoeopathic natrum mur 200, 5 drops in a cup of water, thrice daily in empty stomach for 15 days. Report after 15 days.
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Hello. Since 2 year i'm facing numbness in my both hands an weakness in my entire veins. I tried all types of medicine but it's doesn't healing an in tired to take medicine. It will cure or not.

DHMS (Hons.)
Homeopath, Patna
Hello.
Since 2 year i'm facing numbness in my both hands an weakness in my entire veins. I tried all types of medicin...
Hello, Lybrate user, You might be suffering from spondylitis resulting in numbness of hands & finger tips. You should consult a good physiotherapist in this connection, please. Tk homoeopathic medicine:@ Lachenethes 200, 6 pills, thrice. Tk care.
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I am suffering with insomnia from 4 years I do not know wat to do often I am getting angry headache give me some valuable advice I don't have any tension fears problem but no sleep.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I am suffering with insomnia from 4 years I do not know wat to do often I am getting angry headache give me some valu...
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 am a college student. For a quite sometime say for the last two month or so, he feels that the veins of his brain be blast and he will die. This feeling disturb him mostly at night. He goes to college regularly, do all the works normally, but this feeling disturb him badly. Please help.

MBBS
General Physician, Jalgaon
Please be relaxed Do meditation regularly Do pranayam and yoga daily Take Tab prothiaden 15 1 at nt Tab naxdom 10 1 sos for headache.
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My son faces some learning difficulties, lack of concentration & minute dyslexia as per our observation since last 2-3 yrs. He is 6 yrs old & will be going to class 1 in dwarka, Delhi, Need guidance & suggestions for ensuring that my son get over this issue as earliest as possible.

Masters in counseling psychology, Counseling psychologist, Rational Emotive Behavioral Therapist
Psychologist, Mumbai
Firstly i would like to request you to not diagnose your son on your own observations, as it needs to be done only by a professional. There is no form of minute dyslexia. Either he has it or not. He can be a slow learner or just have difficulty with learning and concentration, not necessarily a learning disorder. So do not have assumptions as it can be anything else. Kindly take him to a professional psychologist and a pediatrician who will do a complete physiological and psychological evaluation. If he has any learning disorder it will be diagnosed. After that there are many training centers for children with learning difficulties or disorders. He can be trained properly and taught different learning techniques. Please take proper guidance from professionals as proper diagnoses will save you and your son from a lot of trouble.
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Hello sir/mam mere dost ka 1 din pehle accident hua hai uske dono pair mai fecture and ek haath mai fecture hai so usko aaj subha hosh aaya uske na toh sir par chot hai na face par helmet laga hua tha and wo kisi ko pehchan nhi raha thoda medicine ka nasha sa bhi hai use wo hospital mai admit hai apne papa ko uncle bol raha hai kya uski yaddast toh nhi gayi doctor acche se behaive kar raha dar kr bhi nhi bol raha normally bol raha mai uske saamne gaya mujhe bolta hai bhaiya aap kon maine kaha mai tera dost fir bolne laga mujhe paani de do peena hai uske bottle chad rahi hai and plaster ho raha hai toh kya problem hai use?

MD - General Medicine
General Physician, Gandhinagar
Hello lybrate-user, do not worry. It is post traumatic amnesia. He should be fine within few days. If he is not able to recognize anyone from family after 1 week also, then we have to think for other possibilities. I hope reports have been done to check any injury in head. If you have any doubt or querry you can contact me. Thank you.
1 person found this helpful
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I have got migraine from two years is there any remedy for it that can be made at home.

MBBS, cc USG
General Physician, Gurgaon
I am giving some health tips for Migraine headache •1.You can turn off light for some time •2.Apply hot or cold compresses to your head or neck. •Ice packs have a numbing effect, which may dull the sensation of pain. •Hot packs and heating pads can relax tense muscles. •3.Warm showers or baths may have a similar effect. •4.You can take Tea or coffee( but not excess) 5.Sleep well Here are some tips to encourage sound sleep. Establish regular sleep hours. •Minimize distractions. •Your eating habits can influence your migraines. •Be consistent. Eat at about the same time every day. Don't skip meals. Fasting increases the risk of migraines Avoid foods that trigger migraines Meditation This problem can be solved by Meditation, i can give you address of rajyoga meditation center near your house Consult Physician/me for further management
2 people found this helpful
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My Father in law aged 65 years has recently diagnosed for parkinson's disease. He is suffering from shaking of hands and legs, poor speech, slow response. What should I do for fast recovery apart from medication.

MRCP (UK), MD - Psychiatry, MBBS
Psychiatrist, Ghaziabad
My Father in law aged 65 years has recently diagnosed for parkinson's disease. He is suffering from shaking of hands ...
Hi Am sorry for your family. Parkinson's is a long term condition .the cloud in the silver lining is medications r effective. BEING PATIENT is the best thing you can do as many a times it takes a while to figure out the right meds/doses/combination. See to it that he is productively engaged as depression hits many with Parkinson's. Hope this helps Rgds.
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I am 26yrs old male. Suffering with one side head pain (magerin) what should I do?

MBBS
General Physician, Delhi
If your confirmed that your having migraine. Then you should tell the frequency of attacks in amonth. Wheather your totaly incapacitated during attack. When headache start you should take tab brufen sos and if it is associated wd vomiting then tab domperidone sos if its still persisiting then please consult a physician.
1 person found this helpful
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I have a migraine problem and some times my eyes is going red after headache how should I do?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I have a migraine problem and some times my eyes is going red after headache how should I do?
Do Take proper balanced diet and avoid stress anxiety and anticipating the things Do regular physical activity and breathing exercises for about 15 minutes duration each time regularly Best Wishes
4 people found this helpful
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I am 62 years old having diabetes for the last 15years. I am controlling diabetes by taking insulin and thru balanced diet. Recently I developed numbness in my right hand thumb abd index finger. Kindly advise cure.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
It could be due to cervical spondylosis this is quite a common condition diabetes must be controlled beyond any shadow of doubt. Rule out vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Use no pillow under the head. Any way take bio d3 max 1tab odx10days ibuprofen 200mg od & sos x 5days do neck & back (spine) exercises contact me again if need be. Use of cervical collar will give you relief. It may have to be further investigated. Make sure you are not allergic to any of the medicines you are going to take.
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I am 34 years old male, diabetic, high cholesterol, some times my left am find numbness and small pain, what can it be? any home care I can follow.

MBBS, MBA (Healthcare)
General Physician, Delhi
I am 34 years old male, diabetic, high cholesterol, some times my left am find numbness and small pain, what can it b...
It may be due to cervical spondylosis, but do ECG, Consult physician / cardiologist for check up. consult again with report.
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For my seizure I take medication Twice a day which are following 1.Zenoxa 300 (oxcarbazepine tablets IP 300 mg) 2.Lacotide 150 (Lacosamide Tablets 150 mg) taking twice aday after taking it from 3 days after taking this medicine i feel like i was just drunk 4 bottle of wine what i should have to do just suggest me Doctor.

MD - Psychiatry
Psychiatrist, Udaipur
Because of side effect of Zenoxa u are feeling more sedative. You tell me about ur seizure pattern. I think u should readjust dose and medicine both.
1 person found this helpful
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I have problem of headaches in even. G from last 5 years. I have consulted some doctors they said its migraine. What should I do?

MBBS
General Physician, Cuttack
Check your Bp. You may need CT scan of brain since you are having since Five years.If it is due to migraine you have to take migraine prophylaxis. Consult neurologist
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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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