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Dr. Amitabh Gupta

Neurosurgeon, Delhi

Dr. Amitabh Gupta Neurosurgeon, Delhi
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Amitabh Gupta
Dr. Amitabh Gupta is a renowned Neurosurgeon in Vasant Kunj, Delhi. He is currently associated with Indian Spinal Injuries Center in Vasant Kunj, Delhi. Book an appointment online with Dr. Amitabh Gupta and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Neurosurgeons in India. You will find Neurosurgeons with more than 31 years of experience on Lybrate.com. You can find Neurosurgeons 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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Indian Spinal Injuries Center

Sector C, Vasant Kunj. Landmark: Near Vasant Valley School & Opposite Vasant Kunj Police Station, DelhiDelhi Get Directions
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I am 67 years old I am diabetic for last 10 years. I take one glucored forte daily. Sugar is under control. I get numbness and pain in feets and palms what should I do?

MD - Internal Medicine
General Physician, Bangalore
I am 67 years old I am diabetic for last 10 years. I take one glucored forte daily. Sugar is under control. I get num...
Hi it is due to nerve damage which is a complication of diabetes. I advise you to take pregabalin every night for 2 months.
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Is stem cell transplantation for multiple sclerosis treatment available in India and whats the cost of this treatment?

MPTh/MPT
Physiotherapist, Indore
Hello lybrate-user, stem cell treatment is now available in india it is a bit expensive as the major cost include formation of injection from bone marrow. It could cost you about 3 lacs in india and it is quite cheap as compare to foreign countires who are offering this treatment. Please let me know if you want to arrange an appointment with specialist. Regards.
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I have headache almost 10 years I'm also consulted my doctor my doctor told me have migraine problem doctor suggest me a lemolate tab I'm taking this medicine after that my headache is not relief pls sir I have no idea about this headache problem. If any medicine and suggestions for me. Thank you.

MD(EH)/AM/Accupressure
Acupressurist, Chandigarh
I have headache almost 10 years I'm also consulted my doctor my doctor told me have migraine problem doctor suggest m...
Dear lybrate-user For homeo treatment you should send me the details as there are so many reasons of migrane. Nonetheless, there are therapies you can try at home to relieve your migraine pain, 1. Drink water 2. Drink caffeine as Caffeine can restrict blood vessels, it can lessen pain, it’s a constituent of some pain over-the-counter pain medicines, but it can also trigger headaches for some people,” Grosberg said. “If someone uses caffeine excessively, it can cause a rebound headache, making existing headaches worse.” 3. Tying a headband around the head 4. Fish oil Enthusiasts claim that fish oil reduces inflammation and works by restricting the blood vessels in your temples. Grosberg said there's no sound evidence, but he recommends trying it. 5. Peppermint oil Rub it on the part of your head that hurts. 6. Eat ginger or take ginger capsules.
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I am 45 years old and suffering from Parkinson disease since last 2 years. I have taken treatment from neurologist doctor but no relief. Please guide me.

DM - Neurology
Neurologist,
Kindly provide details of your symptoms. Also explain what you mean by no relief with medicines. If the diagnosis is correct, then there cannot be a'no response to medicines' - that is one of the criteria for diagnosis. Hence this information is crucial.
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If all medical test is good what I need if I still have problems. I did crp test ckrm test CBC blood / kidney /liver / thyroid/sugar test / control test/ urine test. Chest xray/ ct scan on brain /sinus/ echo cardiogram. All my test came back normal. But I still get symptoms mostly in head. Do I need to worry. Or maybe Its anxiety.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
If all medical test is good what I need if I still have problems. I did crp test ckrm test CBC blood / kidney /liver ...
Treatment depends upon what kind of symptoms you have, their severity, duration and any impairment due to them, whether at work or home or personal relations. Yes, perceived somatic complaints like pain could be due to untreated anxiety. In such a case the physical evaluation even with lab investigations may turn out to be normal.
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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.

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My bro suffering from parkinson treatment ie going on doctor gave celemetrol injection ,what more treatment can give him.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
My bro suffering from parkinson treatment ie going on doctor gave celemetrol injection ,what more treatment can give ...
Do have proper follow proper follow up with neuro physican and neuro physiotherapist and take appropriate therapy and management best wishes.
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My age is 56 (female). I had an injury in my head 5 months ago, we have taken a ct scan at the time of injury they notice a little swelling on the top layer not so serious complication was seen at that time of injury but a periodic headache & head reeling is going on till now and have taken ct scan twice but nothing appear in the result yet the problem is prevailing. What should we do to overcome this problem.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Better do take mri or pet scan for further evaluation and consult a neuro surgeon asap with specific laboratory investigations.
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In normal action , nerve impulses travel through neurons with myelin sheath but what happens in reflex action where spinal cord is involved which has unmyelinated neurons ?

MPTh/MPT
Physiotherapist,
There will be termination of axons and dendrites which get difficult to pass information to myelin sheath in case of unmyelinated neurons.
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My daughter of 2 years and eight months is suffering from mild autism and ADHD where can we get the help for her ?

(MRCPSYCH-UK), MD - Psychiatry, MBBS
Psychiatrist, Hyderabad
She cannot have both illnesses. Kindly consult a Child psychiatrist. Once such qualified, American Board certified Child Psychiatrist is available at Columbus Hospital, Chikoti Gardens, Begumpet, Hyderabad
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My father suffering from brain stroke paralysis of left side (dt. 27.12. 2014). Leg some how working and he can walk but hand remain non- functional. He is complaining of pain when any movement of hand. He also can't put more pressure in the hand. He also develop a fear psychosis and got irritated and lose temper. What to do please anybody help me.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear , your father is irritated abd behaving like a psychoses patient mainly because of depression and worry which came forth due to the stroke and other ailments. You could talk to your neurologist about this. Please post a private question to me with all the details. I think he needs counseling. I am happy to help you. Take care.
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BPTh/BPT
Physiotherapist, Delhi
What is Spinal stenosis?

Spinal stenosis is a narrowing of the spinal canal and foramen, which results in increase pressure on spinal cord and nerves which emerge out from spinal cord.

Causes of stenosis
degenerative ageing process of your spine.

the ligaments of your spine may hardened and calcify, and start to compromise the adjacent structures .

Increased bone stress causes bone spurs, which encroach in the spine?s space.

spinal discs, become dehydrated with age and lose their height. This disc narrowing can deteriorate quicker with injury eg disc bulges or degenerative disc disease.

Osteoarthritis of your spine is the most common form of arthritis and is more likely to occur in middle-aged and older people. It is a chronic, degenerative process. It is the result of everyday wear and tear of the spine joints, and is often accompanied by overgrowth of bone, formation of bone spurs, which can cause spinal stenosis.

Spinal stenosis is most common in men and women over 50 years of age and is related to degenerative changes in the spine. However, it may occur in younger people who are born with a narrowing of the spinal canal or who suffer an injury to the spine.

Symptoms of Spinal Stenosis?
numbness, muscle weakness, diminished reflexes , cramping or general pain in the arms or legs.
The most common stenosis regions of your spine are your lumbar spine (low back) and your cervical spine (neck), but any spinal region can suffer stenosis.

In lumbar spinal stenosis, the spinal nerve roots in the lower back are compressed and this can produce symptoms of pain, tingling, weakness or numbness that radiates from the low back and into the buttocks and legs, especially with activity.

Cervical stenosis may cause similar symptoms affecting your arms and potentially your legs too!

If the narrowed space within the spine is pushing on a nerve root, you may feel pain radiating down the nerve eg sciatica. However, unlike patients who have sciatica due to slipped disc, this sciatica is relieved by sitting down in stenotic patients.

Classically, in stenosis patients, sitting or bending forward to flex the spine should relieve your symptoms. The flexed position ?opens up? the spinal column and therefore enlarges the spaces between the vertebrae. Because keeping the lower back ?flexed' (bent forward) relieves their symptoms, patients will often walk with a slight stoop forward or look downwards.

sciatica
With this adaptive posture, the lower back is often stiff and tightness develops in the hip flexor muscles at the front of the hips.Standing, walking or bending backwards often makes stenosis-related symptoms worse because this position causes narrowing of the space surrounding the nerves.

Walking up a hill may be fine because leaning forwards opens up the space around the nerves.

The space in the spine may narrow without actually producing any symptoms of stenosis. It is only when the narrowing causes the compression of the spinal cord, nerves and nerve roots, that there may be an onset of stenosis symptoms.

Your neck or back may not even be painful. In severe spinal stenosis, you may experience with constant or worsening back pain; numbness or pins and needles in the genital region; weakness in both legs; and or disturbances in bladder or bowel function. If this is the case, you require urgent medical attention!

How is Spinal Stenosis Diagnosed?
Your physiotherapist or doctor may diagnose you with spinal stenosis based on your symptom behaviour alone. However, the extent of your stenosis is best determined via a CT-scan, MRI or myelography.

lower back pain

MRI Spinal Stenosis

Spinal Stenosis Treatment
PHASE I - Pain Relief & Protection

Managing your pain is usually the main reason that you seek treatment for stenosis. In truth, it was actually the final symptom that you developed and should be the first symptom to improve.

Managing your inflammation. Inflammation is the main short-term reason for why you have suddenly developed stenosis symptoms. It best reduced via ice therapy and techniques or exercises that de-load the inflammed structures.

Your physiotherapist will use an array of treatment tools to reduce your pain and inflammation. These include: ice, electrotherapy, acupuncture, deloading taping techniques, soft tissue massage and temporary use of a back brace.

Your doctor may recommend a course of non-steroidal anti-inflammatory drugs such as ibuprofen.

PHASE II - Restoring Normal ROM, Strength

As your pain and inflammation settles, your physiotherapist will turn their attention to restoring your normal joint alignment and range of motion, muscle length and resting tension, muscle strength and endurance.

Your physiotherapist will commence you on a lower abdominal and core stability program to facilitate your important muscles that dynamically control and stabilise your spine.

Researchers have discovered the importance of your back and abdominal core muscle recruitment patterns. A normal order of: deep, then intermediate and finally superficial muscle firing patterns is normally required for pain-free backs. Your physiotherapist will assess your muscle recruitment pattern and prescribe the best exercises for you specific to your needs.

Your physiotherapist may recommend a stretching program or a remedial massage to address your tight or shortened muscles.

Please ask your physio for their advice.

PHASE III - Restoring Full Function

As your back?s dynamic control improves, your physiotherapist will turn their attention to restoring your normal pelvic and spine alignment and its range of motion during more stressful body positions and postures. They?ll also work on your outer core and leg muscle power.

Depending on your chosen work, sport or activities of daily living, your physiotherapist will aim to restore your function to safely allow you to return to your desired activities.

Everyone has different demands for their body that will determine what specific treatment goals you need to achieve. For some it be simply to walk around the block. Others may wish to run a marathon.

Your physiotherapist will make your back rehabilitation to help you achieve your own functional goals.

PHASE IV - Preventing a Recurrence

Back pain does have a tendency to return. The main reason it is thought to recur is due to insufficient rehabilitation. In particular, poor compliance with deep abdominal and core muscle exercises. You should continue a version of these exercises routinely a few times

In addition to your muscle control, your physiotherapist will assess your spine and pelvis biomechanics and correct any defects. It may be as simple as providing you with adjacent muscle exercises or some foot orthotics to address any biomechanical faults in the legs or feet.

General exercise is an important component to successfully preventing a recurrence. Your physiotherapist may recommend pilates, yoga, swimming, walking, hydrotherapy or a gym program to assist you in the long-term.

Fine tuning and maintenance of your back stability and function is best achieved by addressing any deficits and learning self-management techniques. Your physiotherapist will guide you.

What is Your Prognosis for Spinal Stenosis?
The success of treatment for stenosis is reasonably good in the short-term due to the symptom onset mainly being related to recent inflammation.

With each repeat episode, it is more difficult to control your symptoms because your pathology has deteriorated
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Right parietal cortical atrophy is noted with prominent sulci and CSF spaces There is paucity of white matter showing T2/FLAIR hyper intensity in bilateral parietal lobes, Small neuroglial/encephalomalacic cyst noted in parietal cortex.

C.S.C, D.C.H, M.B.B.S
General Physician,
Based on age and cause the treatment can be decided. a general answer cannot be given with limited information you have given
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How the speech , memories, IQ level & concentrations of 26 years old autistic can be increased ? My son 26 yrs. old is having Autism. I am not giving him any medicines. Which supplements are required to be given for improving his speech & memory.

(MRCPSYCH-UK), MD - Psychiatry, MBBS
Psychiatrist, Hyderabad
There are no medications as per the latest medical research. Probably in the near future they could be developed. Keep fingers crossed till then. Medicines have been developed for cancers, AIDS, Tb etc after lot of research as well. I will be hopeful in the near future.
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My wife age 68 years undergone neurosurgery in 2007 for brain tumor. Slowly slowly she loosing physical existence and even can not grip pen for her signature. She is diabetic also. She is suffering from urine incontinence since last one year. She is using catheter since last six months as she can not control urination. Please advise continuation use of catheter may be harmful and may create some other problem in bladder or otherwise. Alsoplease/suggest/any/treatment/for/her/to/control/urine/incontinuation/at/this/stageoo.

MSc
Dietitian/Nutritionist, Chandigarh
My wife age 68 years undergone neurosurgery in 2007 for brain tumor. Slowly slowly she loosing physical existence and...
There are several means to gain control over your diabetes. Few of them as below: 1. Eating at regular intervals 2. Avoiding foods high in processed and invisible sugar 3. Good sleep hygiene 4. Consistent workouts to be able to give you specific guidelines, we would need to gain a deeper insight into your lifestyle and work with you in greater proximity. Do let me know if you're keen and we could take this prospect forward. Meanwhile, feel free to consult me privately.
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Hi is duloxetine used to treat Parkinson disease ?Is it evident that using duloxetine confirms one has Parkinson? Please suggest.

BPTh/BPT
Physiotherapist, Delhi
Hi is duloxetine used to treat Parkinson disease ?Is it evident that using duloxetine confirms one has Parkinson? Ple...
Hello. No it's not a fact. Diagnosis of Parkinson's is not that tough. It's symptoms almost declare it. And you can opt. For MRI. Regards!
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How much time it takes to treat Parkinson. My mom is suffering from it, her hands shakes a lil. She is under treatment by a neurosurgeon.

MBBS, MD Psychiatry
Psychiatrist, Kolkata
Sadly parkinson's disease can not be treated. The symptoms surely can be controlled. There is a vast difference between full treatment and getting rid of the disease, as compared to being functional and being able to take control of life. I suppose if you have just started medications, it may take some time to titrate the dosages, but surely the medicines help.
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I am suffering from parkinson. Anxity, depression etc. I have almost spent a lot. No pease of mind. Almost I welcome death. At present I am unable to walk without fear of falling. Legs are strengthless. Unable to stand, sit. Practically I became useless. Fit for nothing. Cerivical spine problem also I have. I take syndopha, pacitan etc. Liquor during night, get little relief while drinking. What is my fault.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Neurologist,
Parkinson's disease-kampavata (a neurological disorder) parkinson's disease is a neurological disease, or brain disorder, that leads to progressive difficulty with balance and coordination. In people who have parkinson's disease, nerve cells in a region of the brain known as the substantia nigra become damaged or die. These cells are important because they produce the chemical dopamine, which helps to coordinate body movement-basal ganglia. When dopamine-producing cells degenerate/die, the areas in the brain that control movement can no longer function properly, and symptoms of parkinson's disease eventually develop. Parkinson? s disease prevalence:- parkinson's disease can affect anyone, but it most often occurs in people who are over the age of 50. Only 15 percent of parkinson's disease patients are diagnosed before they are 50 years old. The prevalence of parkinson's disease is nearly the same in both men and women, and recovery rate is more in men. People with a family history of parkinson's may have a higher risk of developing the disease, but parkinson's disease is rarely attributed to genetics alone. Parkinson's disease symptoms symptoms of parkinson's disease usually develop after about 80 percent of the brain's dopamine-producing cells are lost. The main symptoms of parkinson's disease include? tremors (kampam)- tremulousness (uncontrolled shaking or trembling) of the hands, arms, legs, face, body is often one of the first indicators of parkinson's disease? rigidity. Profound stiffness or an inability to easily move the arms, legs, and trunk, pain and stiffness on neck muscles is another hallmark of parkinson's? bradykinesia:- describes the unnaturally slow movements that are characteristic of people with parkinson's disease? poor balance- parkinson's disease affects balance, leading to difficulty walking and impaired coordination. The symptoms of parkinson's are generally mild at first, but become more severe over time, until they eventually interfere with your daily routine. This is usually the point when treatment is recommended. The outlook for people with parkinson's disease parkinson's disease is a chronic, progressive condition, which means it is a lifelong disease that worsens over time when it is not treated properly. Each individual's situation is different, but in general, the first symptoms of parkinson's disease usually don't require treatment and may be restricted to one area or one side of the body. Movement of symptoms to the other side of the body? tremors that become more pronounced and interfere with activities? bradykinesia, or slow movement, that becomes disabling? difficulty with hand writing? impaired swallowing and chewing? speech that becomes monotone? poor balance and repeated falls? slow, shuffling gait (manner of walking)? stooped posture? facial expressions that become stiff and blank? chronic constipation? poor bladder control? sleep disturbances this progression is gradual in most people, but it may happen faster in some than others. Understandably, stress caused by the progression of the disease can lead to anxiety and depression. Ayurveda treatment: there is cure for parkinson's disease with ayurveda treatment, with ayurveda medicines and treatments we can relieve symptoms, slow down the progression and then we can completely arrest further degeneration of the of the cells, thereby we can completely control and cure the disease. If you are diagnosed with parkinson's disease, it is important to work closely with your medical team, so your medications can be regularly adjusted to help you remain as functional as possible for as long as possible. As far as parkinson's disease is concerned this is a brain related issue, so will surely effect the mind; so I recommend 49% treatment to patients and 51% treatment to family members.
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