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Dr. Akhil

Radiologist, Delhi

150 at clinic
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Dr. Akhil Radiologist, Delhi
150 at clinic
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Akhil
Dr. Akhil is a trusted Radiologist in Uttam Nagar, Delhi. You can consult Dr. Akhil at Pathak Medical Centre in Uttam Nagar, Delhi. Save your time and book an appointment online with Dr. Akhil on Lybrate.com.

Lybrate.com has an excellent community of Radiologists in India. You will find Radiologists with more than 31 years of experience on Lybrate.com. You can find Radiologists online in Delhi 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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Pathak Medical Centre

C1/29, Rajapuri Road, Uttam Nagar,Landmark: Gali No-6, DelhiDelhi Get Directions
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I am a cricket sports person I injured my lower back. As per MRI I have a mild bulge disc. I am suffering from 7 months. I feel discomfort in meralgia paresthetica in my left thigh. What should I do to cure it. And will I ever play cricket again. If yes then how much time it will take.

DNB - Anesthesiology, FIPM, CCPPM, MBBS
Pain Management Specialist, Delhi
In higher center and metropolitan city nerve block for meralgia is available gives long term treatment and without side effects. For more you can consult me.
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Is the endoscopic surgery of disc herniation successful? Whar are the harmful effects?

MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Hello dear Lybrate user, hi Warm welcome to Lybrate.com I have evaluated your query thoroughly. Endoscopic surgery is under vision so there are not much harmful effects, success rate is very high as compared to conventional open surgery. Hope this clears your query. Wishing you fine recovery. Possible side effects are infection bleeding nerve damage inadequate pain relief anesthesia related issues others Welcome for any further assistance at my private URL https://www.Lybrate.com/gandhinagar/doctor/dr-bhagyesh-patel-general-surgeon Regards take care.
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Giant Cell Arteritis!

MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
Giant Cell Arteritis!

What is Giant cell arteritis?

Giant cell arteritis causes inflammation of the lining of the body’s medium and large arteries that carry oxygen-rich blood from your heart to the rest of your body.

Symptoms of Giant cell arteritis-

  • Scalp tenderness
  • Jaw pain when you chew
  • Severe headache
  • Tenderness over one or both sides of the forehead
  • Permanent loss of vision in one eye
  • Fever
  • Weight loss

Causes of Giant cell arteritis-

What causes these arteries to become inflamed isn’t known. However, it is thought that a combination of genetic and environmental factors is responsible for the condition.

Risk factors of Giant cell arteritis-

  • Older adults
  • Being women
  • Polymyalgia rheumatica
  • People born in Northern European countries

Complications of Giant cell arteritis-

Diagnosis of Giant cell arteritis-

Diagnosis of Giant cell arteritis includes the following tests and procedures:

  • Physical exam
  • Blood tests
  • Biopsy
  • MRI/angiography
  • Duplex ultrasound
  • Positron emission tomography (PET)

Precautions & Prevention of Giant cell arteritis

  • Regular aerobic exercise, such as walking, can help prevent bone loss, high blood pressure and diabetes
  • Eat fresh fruits and vegetables, whole grains
  • Limit your intake of salt and sugar
  • Get adequate amounts of calcium and vitamin D
  • Avoid alcohol

Treatment of Giant cell arteritis-

  • Homeopathic Treatment of Giant cell arteritis
  • Acupuncture & Acupressure Treatment of Giant cell arteritis
  • Psychotherapy Treatment of Giant cell arteritis
  • Conventional / Allopathic Treatment of Giant cell arteritis
  • Surgical Treatment of Giant cell arteritis
  • Dietary & Herbal Treatment of Giant cell arteritis
  • Other Treatment of Giant cell arteritis


Treatment of Giant cell arteritis- 

Homeopathic Treatment of Giant Cell Arteritis-

Homeopathy heals the tissue and brings it back to normal. It treats the person as a whole. Treatment is constitutional. It means that homeopathic treatment focuses on the patient as a person, as well as his pathological condition. It balances the energy system, improves immunity and body functions. It naturally cures the root cause of disorder. Some of the homeopathic medicines for treatment of giant cell arteritis are:

  • Ars alb
  • Calc
  • Carb V
  • Kali iod
  • Echin
  • Lach

Acupuncture and Acupressure Treatment of Giant Cell Arteritis-

Acupuncture relieves by improving the physiological function of the organs and organ system. In acupuncture therapist will first diagnose the case on the basis of energy system or chi blockage as well as on the basis of status of five elements. On this basis certain disease specific acupoints are selected and stimulated.

Psychotherapy and Hypnotherapy Treatment of Giant Cell Arteritis-

Psychotherapy and hypnotherapy can help in stress relief. They can help in better coping and early relief.

Conventional / Allopathic Treatment of Giant cell arteritis-

In the allopathic treatment of giant cell arteritis, inflammatory drugs such as corticosteroids are used. These drugs can effectively relieve pain.

Dietary & Herbal Treatment of Giant cell arteritis-

  • Eat fresh fruits and vegetables, whole grains
  • Eat lean meats and fish
  • Limit your intake of salt and sugar

 

What is the features of slip disk in the body and tell me some yoga for that by the image?

Diploma In Gastroenterology, Diploma In Dermatology, BHMS
Homeopath, Hyderabad
Poor posture can easily become second nature, causing and aggravating episodes of back and neck pain and damaging spinal structures. Fortunately, the main factors affecting posture and ergonomics are completely within one's ability to control and are not difficult to change.
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Breast Cancer Dimpling - What Are The Reasons Behind It?

Training in IVF / ICSI, Fellowship in Minimal Access Surgery, MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Pune
Breast Cancer Dimpling - What Are The Reasons Behind It?

When the skin of a breast looks uneven, it is known as a dimpled skin. Sometimes the skin might appear to be red or inflamed. In this condition, the breast tissue gets affected and this can be a serious sign of concern for cancer. Moreover, this sign is hard to detect on your own. Usually when the sign occurs, it only occurs in one of the breasts. If a woman has it in both the breasts, then likely that it has not been caused by cancer.

Causes of breast cancer dimpling are as follows
1. Advanced breast cancer
2. Breast abscess: A hollow space in the breast that is filled with pus and is at times surrounded by an inflamed tissue.
3. Duct obstruction: The ducts that carry the milk from the nipple are obstructed causing rapid abnormal growth and functioning of the cells present in the breasts causing cancer.
4. Fat necrosis: In this condition, the neutral fats are split into glycerol and fatty acids because the adipose tissue tends to degenerate.
5. Inflammation: Inflammation in the fatty tissue of the breast
6. Mastitis: The breast tissue tends to swell up and get infected. This happens because of the bacteria that enter the breasts through the nipple and this may cause infection in the milk glands.
7. Genetic: Carrying the faulty gene is one of the main reasons why many women end up literally inheriting breast cancer. This can usually be tested with a mammography, especially if one has a history of breast cancer in the family. Yet, one must remember that it is not advisable to take this test too many times as it puts you at risk of contracting breast cancer even if you do not have it, when there is repeated exposure.


First, the doctor might perform certain tests to diagnose and determine the problem. Tests like an ultrasound, MRI or even a mammogram might be used. Depending on what the diagnoses is, the doctor might even want to perform a biopsy. In case breast cancer is diagnosed, there are certain treatments that are available. These include:

  1. Surgery: The cancerous tissue is removed from the breast or at times when the tissue is too big, the entire breast might have to be removed.
  2. Chemotherapy: Chemotherapy is a medication that uses a method to send fluids that tend to kill the cancerous cells or prevent them from growing. It is a three to four hour long session at times.
  3. Radiation: High beam x-rays are used in order to target and destroy the cancer cells present in the breasts.
  4. Hormonal therapy: In this treatment, the hormones that fuel the growth of cancerous cells are blocked either through medications or surgically. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
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Treatment of Fibroids Uterus!

MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi

Treatment of Fibroids Uterus

Homeopathic Treatment of Fibroids Uterus
Acupuncture Treatment of Fibroids Uterus
Conventional / Allopathic Treatment of Fibroids Uterus
Surgical Treatment of Fibroids Uterus
Dietary & Herbal Treatment of Fibroids Uterus
Other Treatment of Fibroids Uterus
What is Fibroids Uterus
Symptoms of Fibroids Uterus
Causes of Fibroids Uterus
Risk factors of Fibroids Uterus
Complications of Fibroids Uterus
Lab Investigations and Diagnosis of Fibroids Uterus
 Precautions & Prevention of Fibroids Uterus
Treatment of Fibroids Uterus

Homeopathic Treatment of Fibroids Uterus

The homeopathic remedies for uterine fibroids usually reduce symptoms and also they shrink the tumors. It helps to preserve the fertility of the female. Following are some homeopathic remedies for Fibroids Uterus.

Trillium pendulum
Medorrhinum
Thuja
Silicea
Myrristica Sebifera
Aurum Muriaticum

Acupuncture Treatment of Fibroids Uterus

Acupuncture treatments for fibroids effectively reduce the symptoms and decrease fibroid size. Acupuncture can helps you to conceive naturally. Acupuncture treatment can promote fast recovery and prevent future fibroids from forming. 

Conventional / Allopathic Treatment of Fibroids Uterus

The conventional treatment for women 40 years of age and older is hysterectomy and bilateral oophorectomy.

Surgical Treatment of Fibroids Uterus

Myomectomy: A surgical procedure done to remove only the tumors from the uterus.
Embolization: This is a surgical procedure that involves cutting off the blood supply to the fibroid.
Myolysis: A procedure which uses electric shock to shrink the fibroids. 

Dietary & Herbal Treatment of Fibroids Uterus

Eat more green vegetables & fruit

Avoid alcohol, sugar and saturated fats

Get plenty of B vitamins, calcium, magnesium and potassium 

Other Treatment of Fibroids Uterus

Yoga exercises may ease the feelings of heaviness and pressure. 

What is Fibroids Uterus?

Uterine fibroids are tumors which grow from cells forming the muscle of the uterus. Fibroids in the uterus are growths made up of smooth muscle tissue. Most women have them. They are usually so small that they do not cause any discomfort but when they grow too large they can cause bad symptoms. 

Symptoms of Fibroids Uterus

Abnormal bleeding
Intense pain
Pressure in the lower abdomen
Miscarriage
Uncomfortable urination
Difficult to conceive
Backache
Constipation

Causes of Fibroids Uterus

Genetic factor
Higher levels of Hormones like estrogen and progesterone

Risk factors of Fibroids Uterus

Heredity
Obesity
High blood pressure
Oral contraceptives
Age (women age 30 and 50)
Complications of Fibroids Uterus
Excessively heavy bleeding
Severe pain
Urinary tract infections
Cancer and Anemia
Infertility

Diagnosis of Fibroids Uterus

Diagnosis includes below:

Pelvic examination

Test includes: Either CT scan or an ultrasound. 

Precautions & Prevention of Fibroids Uterus

There is no known  Precautions & Prevention for uterine fibroids. But getting regular exercise may help in the  Precautions & Prevention of fibroids uterus.

This is my Mri report impression. Disc degeneration and disc bulge is seen at L5/S 1 level indenting the thecal Sac without any nerve root compression. Annulus tear is noted. 2 this r my x ray report impression. Pid L5. S 1.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
This is my Mri report impression. Disc degeneration and disc bulge is seen at L5/S 1 level indenting the thecal Sac w...
Do Take Physiotherapy treatment of IFT and vacuum Therapy Physiotherapy treatment for pain relief for 12 days followed by strengthening exercise from physiotherapist Best wishes.
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I am a 38 year old married lady with 2 kids. I have herniated disc of l5 s1 with mild detention as detected in mri. What is the treatment? I am really scared. Is it dangerous?

Diploma in Radio-Diagnosis
Radiologist, Shimla
-nothing to worry -no jerky movements -avoid long standing, sitting posture. -hard bed rest. -no pillow -take Ms. Relaxant, analgesic. -click on private questions for further treatment.
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Annular tear with right paracentral, foramina extrusion of L1-S1 intervertebral disc causing significant compression of the traversing right S1 nerve root Kindly suggest treatment and Medicines.

MS - Orthopaedics
Orthopedist, Surat
You must consult orthopaedic surgeon, get mri done than we can decide whether you can be treated conservatively treated or to get operated.
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Cervical Lordosis Straightening Treatment

MPT, BPT
Physiotherapist, Noida
Cervical Lordosis Straightening Treatment

Most commonly known as a military neck a straight or forward curve of the neck is abnormal and may cause an unkind progression of symptoms leading ultimately to cervical disk degeneration.

Reversal of cervical lordosis explained

The anatomy of the neck features a lordotic curvature in its typical and healthy state. This means that the cervical region has a gentle curvature with the open end of that curve facing the rear of the body. The base and top of the curve will be further posterior than the mid point, which will be further anterior.

When the lordosis is straightened, the neck becomes more upright and linear. This is more common than the next progression of atypical curvature, which is the subject of this article.

Actual reversal of curvature means that part or all of the cervical spine develops a kyphotic profile, with the open end of the curve facing anteriorly. Usually, this reversal is extremely mild, but is still very abnormal. What we now see is the middle of the curve being positioned posterior to the top and bottom.

In essence, picture the letter c and now turn it backwards: This is the shape of a reversed cervical lordosis.

Reversal of cervical lordosis causes

The spinal curvature in the neck is constantly in flux to some degree.

Congenital conditions and developmental conditions can have lasting effects on the natural degree of curvature typically demonstrated from patient to patient. These circumstances may be explainable due to injury or degeneration, or may be idiopathic:

Scoliosis can affect the normal lordotic curvature in the neck.

Cervical spondylolisthesis is a major source of reversed lordotic curvature.

Severe disc pathologies can facilitate a gradual loss or reversal of cervical lordosis.

Vertebral irregularities, such as wedging, can definitely contribute to lordotic alteration.

Traumatic injury, including vertebral fracture, can create the ideal circumstances for a reversal of lordosis to take place.

Severe neck muscle spasms can actually reshape the spinal curves, although these are usually temporary expressions and not actual structural conditions.

Effects of reversal of cervical lordosis
The neck is designed to curve in order to balance the spine, absorb stress, distribute force and provide proper movement of the head. When this curvature is diminished or reversed, symptoms may result, although this is not an inherent part of any altered lordotic condition.

Patients may experience stiffness and tension in the neck. Pain may be present and may even be severe in rare cases. Neurological dysfunction is possible in extreme cases, since the neuroforamen might not align properly, thereby causing a cervical pinched nerve.

In the worst circumstances, central spinal stenosis in the neck might affect the viability of the spinal cord, possible enacting the most dire of symptoms throughout the body.

Patients will also be more prone to injury, since the normal shock absorption qualities of the typical curvature have been lost.

While all these effects are certainly possible, they are not usual. In fact, a great majority of patients have minor symptoms or even no symptoms at all from mild reversed lordotic curvatures.

The pathology leading to a neck curve reversal (cervical kyphosis shown below right) may be inspired by a multitude of conditions as follows:
Post whiplash
Post head injury
Stomach sleeping
Poor sitting/working postures
Congenital spinal curvatures
Osteoporosis
Degenerative cervical discs (a form of osteoarthritis that can either be the cause of or the result of a cervical kyphosis)
Compression fracture of vertebral body

Infection of the cervical spine

Anatomy: straight vs. Curved

I've always heard that it was good to stand up straight.

stand upright, stick your chest out and hold your shoulders back! otherwise you're going get widows hump.

Are these expressions as familiar to you as they are to me? one might think that having a curved neck goes against what we heard from parents and teachers as we were growing up, but the reality is that there is a little bit a truth in both. Maintaining good posture throughout our lives is crucial to both the health of our spine and vital organs. On the contrary, a special type of curve called a lordosis is a good thing, both in the neck and lower back.

When we look at a person from the back their spine should be truly straight, so that the left and right sides of one's body is symmetrical. However, when we view a person from the side, the front and back of their body is different and this is reflected in a coinciding curvature of the spine. Both the lower back and neck are hollowed out (concave) and the mid or thoracic spine is protrudes (convex). Thus there is an alternation of curves functioning to provide stability, shock absorption and aid in propulsion. A straight spine would be very stiff and not flexible. Imagine the plight of a pole vaulter with an inflexible pole.

Nature's design of our spine and rib cage facilitates breathing and offers protective and supportive framework for vital organs. Spinal disks are shock absorbers and because they are in the front of the spine, lordotic curvatures keep them from having to bear weight. Kyphosis or loss of such curvatures bears weight upon the disks, leading to their ultimate degeneration. This process of deterioration is a form of osteoarthritis and in the spine is known as degenerative spondylosis.

Diagnosis
Although most physiotherapists or conservative orthopedists can recognize a cervical curve reversal upon viewing the patient's posture, a definitive diagnosis may be obtained via a standing lateral (side view) x-ray of the neck. Cause can often be determined by corroborating a comprehensive history, a thorough examination, x-rays and questions about sleep, work and lifestyle.

In my professional career I found that the majority of young adults presenting with cervical kyphosis either had a whiplash or were stomach sleepers from an early age. For desk jockeys 40-60 years of age, many hours of sitting with their head flexed forward almost dictates the fate of developing kyphosis. In prior years I considered cervical kyphosis a job hazard for the careers of accountants, attorneys and often teachers because of years spent with their head in a book or paperwork. However, the digital age offers some relief in that respect. A well-planned, ergonomically-friendly office can do wonders for protecting the spine in the sedentary worker.

Treatment for cervical curve reversal (kyphosis)
During my chiropractic practice I had the opportunity to note a good percentage of correction toward a more normal lordosis (noted on x-ray) for 70% of patients under my care. This was almost always consistent with those patients that followed all recommendations and were model participants in their own care. Here is the recommended treat plan:

Spinal manipulation of stiff and fixated spinal segments by a qualified physio
Flexibility exercises for flexion and extension of cervical spine
Resistance exercises for flexors and extensors of the neck
Learn the Alexander technique for maintaining good posture (hint: the basic philosophy is to sit and stand like you were hanging by a string from the vertex of your skull. Liken it to a puppet on a string).
Elimination of stomach sleeping
Avoid standing on your head, although some yoga postures may be beneficial
Use of orthopedic neck pillow while sleeping.

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