Neurological disorders may creep in due to many reasons. It may be due to degenerative diseases, accidents, other health conditions, birth defects or genetics. The most common form of disorder occurs due to non-functional brain cells in some parts, and loss of myelin sheath in neurons, which protects the nerve signals in their complete transfer from origin to destination. These losses are irreparable, but further degeneration can be avoided with Ayurveda. Panchakarma, the branch of Ayurveda, which deals with detoxification of the body and mind, specially helps. Over a period of time, it can bring back the lost sensation in nerves. Yoga, pranayama and Ayurvedic treatments lead to recovery and relief to a huge extent.

Important facts about Panchakarma
There are 3 important steps in Panchakarma, which are followed one after another to get the result. The main objective of Panchakarma is to detoxify the body. Virechanam, vamanam, sneha vasti, nasyam and kashaya vasti are the 5 folds in Panchakarma.

Poorvakarma or preparing the body, followed by Abhyangam or massage, followed by Elakizhi or herbal paste massage, and finally podikizhi, or steam bathing makes the body ready for receiving further treatments.
Njavara Kizhi is the special treatment done in Panchakarma where the body is given a rice bolus massage to improve the joint and neuro functions.
What is Njavara Kizhi?
Njavara is a variety of rice, which is specially used for Ayurvedic treatment and massages. In this treatment the rice is made into a pudding by boiling it with milk. This pudding is then made into boluses. The boluses are filled in muslin cloth, and then using these muslin bolus dabs, the whole body of the patient is massaged. This full-body massage has excellent effects on neurological and joint functions. The deep tissues within the body are rejuvenated. The treatment is carried on for 45 minutes to 60 minutes by therapists or experts. Another form of the treatment requires the rice to be made into a paste, and then the paste is applied all over the body. But this is more preferred for beautification.

Other effective therapies
Siro Vasti, Kati Vasti, Ela Kizhi and Nasyam are all different forms of Panchakarma treatment, which detoxify the body and mind and rejuvenate the body and nerve functions. But these treatments cannot be conducted on the body on your own. You need a masseur who must be a specialist in Ayurveda to do this for you. Hence contacting Ayurvedic clinics, doctors or experts would be the best to start the treatment.

Neurological Disorder - How Panchkarma Therapies Can Help?

Nerve pain or peripheral neuropathy, as it is medically known, is characterized by pain, numbness and weakness that arise out of nerve damage. This pain is usually restricted to the feet and the hands.

What are the common causes?

Diabetes is the most common cause for this condition. However, other causes, such as injuries, infections and prolonged exposure to certain toxins can also trigger nerve pain.

How can you control nerve pain?

Nerve pain can be managed and taken care of at home taking into consideration the points that have been mentioned below:

Topical Painkillers: Certain over the counter ointments and creams can help relieve nerve pain. These medications act as local anesthetics; that is they numb the area of the pain. Capsaicin, a derivative of chili peppers, is one of the major ingredients used in these medicines. Others use botanical oils as the major ingredients.

Painkillers: There are painkillers available OTC which can curb nerve pain. However, painkillers such as ibuprofen, aspirin and acetaminophen do not really work well for severe pain of the nerves.

Supplements: The lack of Vitamin B12 is considered to be a very important cause, and at times, a catalyst for nerve pain. In a case such as this, Vitamin B12 supplements or injections might be administered. Although more research needs to go into this, but certain supplements, especially gamma-linolenic and alpha-lipoic acid can help soothe nerve pain caused by diabetes.

Acupuncture: This time-honored Chinese approach is a proven alleviator of nerve pain. Acupuncture releases chemicals which numb the pain, or prevent the pain signals from travelling to the brain.

Physical Therapy and Massages: Physical Therapy can especially heal and strengthen weak muscles that can stem from acute nerve damage and pain. Though more evidence is needed, according to a few sufferers of this condition, massages can be helpful with the tremendously painful muscle spasms that can so often result from nerve pain.

Relaxation Techniques: In combination with the abovementioned approaches, relaxation techniques can go a long way in relieving debilitating neural pain. Besides being helpful with dealing and reducing a few stress phases of life which can cause nerve pain, these techniques might actually root out the actual pain itself.

Lifestyle Modifications: This one s always a winner! Eating a well-balanced diet that guarantees all nutrients in uniform amounts can never go wrong. Regular exercises for about 30-45 minutes can remedy different types of pain; nerve pain being one of them. Try and limit alcohol intake (a peg once a week won t harm one, but binge drinking can play the ultimate spoilsport and make all health plans go topsy-turvy!). Abstain from smoking or chewing tobacco as this is usually the primary contributor towards any medical condition or disorder.

How To Control Nerve Pain?

Epilepsy is one of the most common neurological disorders. This condition can affect men and women of all ages. However, it is associated with a number of myths. As a result of these myths, epileptic patients are often discriminated against. Let s bust a few of these myths.

Myth 1: Epilepsy is contagious
Coming in contact with an epileptic patient will not increase your risk of suffering from this condition. Epilepsy can be caused by a number of factors but is not transferable from one person to another. Factors triggering epilepsy include genetic defects, oxygen deprivation at birth, trauma to the head and strokes.

Myth 2: Epilepsy cannot be treated
There is no known cure for epilepsy but this condition can be managed with treatment. Treatment for epilepsy can take many forms. The most common amongst these is medication to reduce and stop seizures. In some cases, brain surgery may also be advised. A special diet can also help control epileptic attacks. Lastly, nerve stimulation may also be used to treat epilepsy.

Myth 3: Epileptic patients cannot lead a normal life
There is nothing stopping an epileptic patient from living a normal life like everyone else. Epilepsy does not affect a person s intelligence or any other ability. It is also a misconception that epileptic women cannot have children or that their children will also have epilepsy. With treatment and a healthy prenatal plan, they can have a healthy pregnancy and give birth to a healthy child. However, certain activities like driving should be avoided by epileptic patients.

Myth 4: A person having an epileptic fit should be restrained
An epileptic seizure will run its course and restraining the person may do more harm than good. Instead, the person should be made to lie down on their side. This will keep saliva from collecting in their mouth. Clear the area around the person and loosen their clothing. If the person wears spectacles, these should be removed. Do not try and put anything into the person s mouth. An epileptic fit usually lasts for up to 5 minutes. If the person does not recover within that time, call a doctor immediately.

Myth 5: Anyone who has a seizure is epileptic
Seizures are not synonymous with epilepsy. They can be triggered by a number of factors including excessive drinking, heat, injury to the head etc. To be diagnosed with epilepsy, a person should have had two or more seizures with unrelated triggers. 

Myths About Seizures - Debunked!

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

Brain Tumor Surgery

Migraine is a severe form of headache wherein, the excruciating pain is accompanied by an extreme sensitivity to sound and light; you also experience nausea. The headaches usually affect either side of the head and are throbbing in nature. Hot flashes, numbness of limbs and blind spots in the eye; these are often considered as warnings. In certain cases, migraines can cause blackouts that can range from a few seconds to a few minutes.

Migraine occurs in four stages:

Pro-drome (symptom indicative of an onset of an illness)
Aura (visual auras including blurred vision)
Headache
Post-drome (the residual effects of migraine characterized by fatigue and lethargy)
But the occurrence of these stages varies across individuals. The causes of migraines aren t specifically understood. It may be due to the interaction of the brain stem with the trigeminal nerve, which is an important pain pathway of the brain. Imbalances in hormonal levels or in the levels of neurotransmitters such as serotonin may also prove to be a causal factor.

Symptoms

Migraine may be triggered due to stress, physical exertion, and excess intake of alcohol or food additives such as MSG (Monosodium Glutamate). Changes in the environment and sleeping patterns may also be probable culprits.

Migraine can be easily distinguished from regular headaches, given the fact that migraines last longer and are rather severe in nature with pain felt in one part of the head. Most people experience the  Aura stage where they have visual flashes right before headache. Nausea, eye pain or sensitivity to light and sound are other factors helpful in distinguishing migraine from other headaches.

Symptoms can occur a while before headache, immediately before headache, during headache and after headache. Although not all migraines are the same.

Typical symptoms include:

Moderate to severe pain, usually confined to one side of the head during an attack, but can occur on either side of the head
The pain is usually a severe, throbbing, pulsing pain
Increasing pain during physical activity
Inability to perform regular activities due to pain
Feeling sick and physically being sick
Increased sensitivity to light and sound, relieved by lying quietly in a darkened room
Some people experience other symptoms such as sweating, temperature changes, tummy ache and diarrhea.
Complications in migraine may include:

Chronic migraine which last up to 15 days or more
Status Migrainosus where the attacks last for over 3 days
Migrainous infarction where the aura lasts longer than it should, cutting blood supply to the brain. 
If you wish to discuss about any specific problem, you can consult a neurologist.

Migraine - Know The Causes and Symptoms!

One of the common ailments in the elderly people is the Parkinson s. A progressive disorder, when left untreated, results in worsening of the symptoms. Hence, it is essential to understand the treatment options available to manage the condition effectively. You may be suggested surgical therapies if medication is not effective enough to treat the symptoms.

Surgical treatment options can be beneficial for patients who are suffering from symptoms, but they do not help with treating the disease. In the past, surgical methods like Thalamotomy and Pallidotomy were used to destroy brain cells that contributed to the symptoms. While these methods are still used, they are very rare and situational.

Deep Brain Stimulation (DBS), an FDA-approved procedure, has become much more popular as it is much safer and does not involve invasive surgery. Instead of destroying brain cells like traditional methods, DBS involves sending electric pulses to the affected brain cells to reduce the symptoms. It is not a treatment procedure, but a means of bringing down the severity of Parkinson s to allow better and more comfortable treatment.

Deep Brain Simulation   Who are the right candidates?
Deep Brain Simulation is commonly used for Parkinson  s disease, but it is not recommended for everyone. It is a preferred method of treatment for people who have had Parkinson s for at least four years but have complications which include long periods of time where medications do not work, or symptoms return, uncontrolled and involuntary movements or the freezing/stiffness in the body.

Deep Brain Simulation is not recommended for those who have Dementia as it can lead to memory problems. The general rule of thumb that neurosurgeons follow is that Deep Brain Simulation can help with symptoms that do not get better with medication. DBS can help reduce medication requirements for patients as well as reduce the side effects that may occur due to medication.

Disorder specialists and neurosurgeons can conduct tests to determine if DBS is going to be effective for a patient before going ahead with such a procedure. An extensive assessment is necessary to understand the symptoms, the effect of Parkinson's drugs and also brain imaging is done. All of the expected benefits are then evaluated for the patients, and if the procedure can help alleviate the symptoms, DBS is given a green signal by neurosurgeons and patients can undergo the procedure.

How Does Deep Brain Simulation Work?
Deep Brain Simulation is a very complex procedure. Brain cells communicate with the rest of the body through electric signal, and these become irregular and do not work properly when affected by Parkinson's. DBS smoothens the functioning of these brain cells and reduces symptoms through electric pulses through the implantation of a medical device known as neurostimulator which is also referred as brain pacemaker.

But, as with any treatment procedure, DBS has potential risks and side effects, hence discuss with neurosurgeon thoroughly to access the suitability.

Adopting Deep Brain Stimulation For Parkinson's disease

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