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Dr. Harish Chandra Pathak

Neurosurgeon, Delhi

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Dr. Harish Chandra Pathak 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. Harish Chandra Pathak
Dr. Harish Chandra Pathak is a renowned Neurosurgeon in Saket, Delhi. He is currently associated with Saket City Hospital in Saket, Delhi. Book an appointment online with Dr. Harish Chandra Pathak and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Neurosurgeons in India. You will find Neurosurgeons with more than 28 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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Saket City Hospital

Mandir Marg, Press Enclave Road,Saket. Landmark: Near Maxx Hospital, DelhiDelhi Get Directions
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I am 63 years old man. and suffering from parkinson I am very much disturb with cramping in the legs. Can it be cure?

BHARAT JYOTI, MRACGP, INCEPTOR, MD-PhD, MD - Psychiatry, FIPS, Fellow of Academy of General Education (FAGE), DPM, MBBS
Psychiatrist, Bangalore
Pain is the most common reason people in the United States visit their doctors each year. Although pain is highly subjective and difficult to describe, a working definition is ?an unpleasant sensory and emotional experience associated with actual or potential physical damage.? Its components are physical, cognitive, behavioral, emotional and perceptual. Among people who have Parkinson?s disease (PD), pain is a major complaint. In fact, up to 85 percent of people with Parkinson?s report pain as a troubling symptom. Some of these people experience pain as an early symptom of Parkinson?s, before their disease has even been diagnosed. Yet, pain in Parkinson?s disease often remains undiagnosed and untreated. Thus, it is important to understand that pain can be part of the Parkinson?s experience and to learn ways to manage it. Causes of Pain in Parkinson?s Pain researchers use a classification system that is based on the separation of tissue pain receptors from the nerves that transmit pain signals. Pain can be classified as nociceptive, which relates to tissue damage, implicating the pain receptors in the skin, bones or surrounding tissues; as neuropathic, indicating pain arising in nerves; or as a mixed pain syndrome involving both nociceptive and neuropathic pain. In Parkinson?s, most pain experiences seem to result from tissue that is injured or has the potential to be damaged: causes include persistent tremor, muscle rigidity, dystonia, musculoskeletal injury (i.e., sprains, bruises, bone fractures resulting from a fall etc.), burns and inflammation. The pain is typically well-localized to the affected body part; it may fluctuate with the medication dosing. Pain caused by dystonia can be diagnosed when there is visible twisting, cramping or posturing of the painful body part. The most common areas of the body where people with Parkinson?s experience pain are the neck, upper back and extremities. In Parkinson?s, neuropathic pain is less common than nociceptive pain, and includes a number of conditions not directly related to PD, such as shingles, cancer pain, carpal tunnel syndrome, diabetic neuropathy, and peripheral neuropathy. The pain may present as burning, numbness and tingling, sharp sensations, or electric shock qualities. Pain due to nerve or root disease is most commonly caused by akathisia, an extreme inner restlessness. Parkinson?s specialists gain insight from the perspective of the pain specialist, and often select treatments based on the nociceptive versus neuropathic classification. In practical terms, it often proves helpful to conceptualize the experience of pain in Parkinson?s as relating to one or more of the following five categories: pain from the muscles or skeleton, pain from nerves or spinal roots, pain related to sustained twisting or writhing, discomfort from akathisia and pain caused directly by changes in chemicals in the brain due to Parkinson?s. The Impact of Pain It is important to address pain because it may interfere with day-to-day activities, mood, sleep and overall enjoyment of life. Specific problems resulting from chronic pain may include sleep disturbance, malnutrition, social withdrawal, physical and functional decline, depression, anxiety and impaired cognition. Pain also accounts for increased overall health care costs. A person?s perception of pain can be affected by emotional factors. Scientists have shown that depression, which affects approximately 40 percent of individuals diagnosed with Parkinson?s, plays an important role in the way people perceive pain. Similarly, tension and muscle stress caused by anxiety can compound pain. Cognitive processes ? how a person views pain and how he or she pays attention to it ? also influence the level of pain a person feels. A person who pays more attention to his or her pain and reacts to pain with a high level of stress will likely experience more pain than someone who tries to ignore the pain and considers it irrelevant to his or her daily life. Feeling helpless to control pain ? that is, believing that pain is uncontrollable or that there are no treatment options or health professionals available to assist in managing pain ? can also make pain seem worse. Fortunately, many options exist for treating pain. How can you find which are right for you? The first step is to talk to your doctor who can assess your pain and then help to build a pain management plan. Assessing and Managing Pain Your doctor can assess pain through a clinical interview and neurological examination, sometimes performed in both the unmedicated state and when the Parkinson?s medications are working fully. Your doctor may also ask you to describe the characteristics of your pain. For example, when do you feel pain? Where in the body is your pain? Does the pain feel hot or cold, stabbing or burning? You also may be asked to report how pain impacts your daily activities ? for example, walking or sleeping. The more information you can provide about your pain, the better your doctor will be able to diagnose and treat it. Management options for pain in Parkinson?s include both the pharmacological (i.e., medications) and the non-pharmacological. A combination of both may offer the best pain control, and an interdisciplinary model of care can lead to optimal results for pain management. Some treatment options include: medications physical therapy massage botulin toxin injections nutrition management exercise acupuncture/acupressure psychotherapy (emphasis on pain management) stretching Because of the relationship between dopamine and pain, dopaminergic medications such as levodopa can affect a person?s perception of pain. People with Parkinson?s who are in the ?on? levodopa state, when the medication is at peak effectiveness, report less pain than those in the ?off? state. Pain due to rigidity or dystonia can be relieved by dopamine drugs, but on the other hand, may cause dyskinesias. Therefore, effective management of levodopa medication for people with Parkinson?s may help to reduce pain. Because certain thought processes and behaviors can alleviate or worsen pain, some people find psychotherapy helpful for managing their pain. Techniques such as cognitive-behavioral therapy (helping to control the psychological response to pain; teaching diaphragmatic breathing, visual imagery exercises, relaxation techniques, etc.), and biofeedback may help ease pain, but are unlikely to eliminate it completely. A physical therapist can help you select and modify appropriate exercise routines. Of course, you should avoid activities or exercises that make your pain worse.
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I am 41 and going through perimenopause. I got most of my blood tests done and they were almost normal other than the hormonal imbalance. I got mammography test done and it shows heterogeneous dense breast tissue and bilateral axillary lymph nodes with fatty helum. No mammography evidence of malignancy is seen. What does it mean?

Diploma in Psychological Medicine, MBBS
Psychiatrist, Ludhiana
I am 41 and going through perimenopause. I got most of my blood tests done and they were almost normal other than the...
It means currently mammography report suggests your breast are absolutely normal. No signs of cancer/ malignancy. Just follow hormonal imbalance with your doctor. Take care of your mood and sleep.
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I have some problem in my leg it shivers whenever I do running how this problem can be solved.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
Take following remedies 1. Triphala kadha 4 tsp before lunch and dinner 2. Amala juice 4 tsp + 2tsp sugar + 2tsp honey in the morning empty stomach.
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What is the home remedies of schizophrenia and Alzheimer's disease? This question is for my father, who is 70 years old.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
There are no home remedies for both these disorders dear...plz consult a neurologist/psychiatrist as soon as possible
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I get too much of headache. I have migraine how do I get rid of it I need some tablets. Suggest me the best basic precautions for migraine.

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 Consult Physician/me for further management
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Hand Surgery SR Ship, MS - Orthopaedics, Thesis Work, M.B;B.S
Orthopedist, Jaipur
long term use of computer key board can lead to a condition of numbness and weakness in hand called Carpal Tunnel Syndrome. If your hand gets numb in the morning after waking up consult your doctor.
5 people found this helpful

Nerve and Brachial Plexus Injury

DNB, MCh - Plastic and Reconstructive Surgery, MS - Plastic Surgery, MBBS
Cosmetic/Plastic Surgeon, Delhi
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Hello, everyone. I am Dr Anubhav Gupta. I am a consultant cosmetic surgeon at Sir Gangaram Hospital, New Delhi.

Today I am going to discuss the nerve and brachial plexus injury.

What is nerve Injury?

In our body, from the brain to all other parts there is a network of nerves which sends the signal and tell us what to do. So if there is any injury in the network of filaments called nerves, then it is called as nerve injury.

What is Brachial Plexus?

A brachial plexus is a group of nerves which helps our hands to function. It starts from the spinal cord through the shoulder to the arm and to the hand. If there is any particular part which damages the neck that is called as Brachial plexus injury.

How long should I wait before being evaluated by my physician after the injury?

Whenever this nerve injury happens, these are the closed injuries. You will not see anything on the surface but you may have paralysed or weakness of a particular part. So as soon as the weakness, there is some numbness or there is paralysis of any part of the body. You should immediately contact your plastic surgeon.

Can a Brachial plexus injury be treated?

If you would have asked this question 20 years ago, then I would have said NO. But now, it is possible to treat them and with very good results.

What will happen if I do not take any treatment?

See what happens is, all the muscles in the body are innervated. If there is any injury in the nerves then it will cause weakness and ultimately paralysis of these muscles. Now, these muscles become paralyse then all these joints become stiff. S it is like a machinery if the current is not going then ultimately you will end up with that particular part of body useless.

How long does it take to after the nerve surgery for the function to return?

This is a very good question. Most patients do not realize. Basically, it is a scientific fact that whenever we have an injury to a nerve. Let us say suppose there is an injury to this level, then the part which is distilled to this becomes degenerated. When we repair, when we do the surgery, it gradually moves. It moves with the speed of 1mm per day after a latent period of 1 month. So approximately 2.5 cm (1 inch) per month. So it takes few months to function. Immediately after the surgery, you cannot expect the movement of the hand. It takes some time and it is scientifically calculated that how it comes.

 

If you have any queries related to nerve issues, you can contact me through Lybrate.

3414 people found this helpful

I got hurt today from the steel shutter on head. A little swelling is there on the upper skull. Is this a normal swelling? How much time it will take to recover?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Do have ice fomentation for thrice a day for 15 min duration each time for 3 days If it is mild contusion one it may take 5 to 7 days for healing best wishes
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What can I do for my migraine problems by and because of which I am not able to breathe some times?

Diploma in Child Health (DCH), MBBS
General Physician, Bangalore
Sir migraine and breathing problem are different. Avoid chocolate groundnut cashewnuts deodorants smelly flowers. Take tab vasograin 1 tab. At the onset of migraine. For breathing problem consult doctor.
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I am a 56 yrs old, male. I have diabetes (hereditary) and high blood pressure. Diabetes is around two old. Pressure is under control. Presently my feet (both), at the toe end, the under sloe below the toes get swelled up and numb, also the toes get numb. This has happened when my diabetes reading had gone upto 230. It later came down to 150. But the swelling and numbness still persist. Presently, I am taking, glycomet? 500 sr, diabetone pn, euglim 1. What is your view.

M.D. Internal Medicine
Endocrinologist, Mumbai
I am a 56 yrs old, male. I have diabetes (hereditary) and high blood pressure. Diabetes is around two old. Pressure i...
Be specific whether your diabetes is too old or two years old. Because you can get numbness because of uncontrolled diabetes of longer duration resulting in diabetic neuropathy. Some times nutritional def can also can give you similar trouble. Get your hba1c, s, proteins, s creat, tsh, cbc, s. B12 levels done.
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I having a problem of migraine for last to days. I took disprin but it's not so effective! Help please.

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 medication after clinical examination and For pain take tablet paracetamol 650 mg
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I am 37 years old male after 9 years of long struggle I got married 9 months before with my lover I cried and I got more problems in this period, after marriage my grandma died within 3 months she is very affectionate to me I always caring grandma and frequent visiting to hospital for grandma and after death of grandma within a week I got panic attack and then I take medicine from General Physician for a week and stopped and after 1 month again I got panic attack I take same medicine and stop after a week and after 1 month again I got panic attack I went MD neurologist he suggest me to take medicine for at least 4 to 6 months now I am on 4th month but till now im feeling sometimes anxious, dizziness, always thinking about my health like I would die and I can not travel alone in a bus and lack of interest and feeling uncomfortable in chest can not take spicy food. But panic attacks is not shown from past 4 months thank god. Please suggest me what to do further im just 9 months married im trying for baby I got varicocele problem also for that im. Taking medicine along with anxiety medicines in my wife get more worried about me.

Masters in Clinical Psychology
Psychologist, Lucknow
I am 37 years old male after 9 years of long struggle I got married 9 months before with my lover I cried and I got m...
Hi lybrate-user, if you really want to cure your anxiety forever, you need to have a long term treatment plan that takes into consideration your anxiety symptoms, what you're suffering from, how badly you're suffering, and your specific anxiety disorder. First and foremost, don't let your anxiety cause you to make poor decisions about anxiety treatments. The reality is that most" rapid" treatments don't work. You'll find many people that claim that they have an extract or a medicine that can cure your anxiety immediately, and unfortunately it's never the case - it's people taking advantage of you in your time of need, and hoping the placebo effect will be enough to cure your anxiety. Even prescription medications have a" false" component. Prescription medicines can give you some help with anxiety, but that help is only temporary, and your mind and body can actually become dependent on these medications. As soon as you stop taking them, your anxiety may not only come back - it could even be worse than before. Curing your anxiety is a process - it's a process that can happen, for everyone, but those that hope they can get instant anxiety help are going to be disappointed, and possibly taken advantage of. Your symptoms define your anxiety if you really want to cure your anxiety forever, you need to have a long term treatment plan that takes into consideration your anxiety symptoms, what you're suffering from, how badly you're suffering, and your specific anxiety disorder. Imately effective treatment. Setting up a long term plan - making realistic goalsi possible to reduce your anxiety every day. There are countless tips to learn to manage it. But you need to do two things: you need to make sure that you're giving yourself realistic goals. You need to make it a long term plan. You can get anxiety help now - help that will genuinely reduce your experience with anxiety. But it will only reduce it so much. You'll still need to keep at it, and commit to it in a way that will guarantee short and long term results. Realistic goals will ensure that you don't give up. You're bound to have setbacks, because life isn't stress free. A long term plan will also make sure that you keep at it - you'll not only have something to do next, you'll also know what to do next. For example, let's look at several strategies you can do right now that will reduce your anxiety: start jogging jogging isn't just for your health. Jogging releases endorphins, which are neurotransmitters that improve mood. It also tires muscles, and there is evidence that extra energy in muscles becomes converted to a feeling of anxiety. Sleep better getting more sleep will fight anxiety right away. Far too many people are allowing themselves to be sleep deprived, but sleep is one of the most important and easy tools your mind has for coping with stress. Breathing training many anxiety symptoms, particularly for those with anxiety attacks, are a result of inadequate breathing techniques. Anxiety can actually train your body to breathe poorly, leading to hyperventilation and a variety of related symptoms. Exposure therapy exposure is a cognitive behavioral technique that trains you to get used to things that used to cause you anxiety. For example, if you often get anxiety when you feel dizzy, you spin around in a chair and use a variety of techniques to calm your mind. Lifestyle changes many lifestyle changes that you will need to make in order to live with anxiety also require long term changes. For example, who you spend time with may need to change, as will how you react at your workplace. These strategies take longer, and require more effort and planning on your part. They're also not immediately successful, and there are often setbacks. Realistic goals and an effective and healthy plan can reduce the effects of these setbacks. You'll also need to be okay with admitting to yourself that you have an anxiety problem that needs to be solved. If you continue to try to fight the truth about your anxiety, you'll struggle to overcome it. Anxiety and stress are very real problems that affect people every day, and there's nothing wrong with you if you suffer from them. As soon as you can come to terms with your anxiety, you'll be on the right path towards treating it. Consult for psychotherapy for anxiety.
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I have a problem of migrane. How can I get recover & how much time get to recover it. Please ans me?

BAMS
Ayurveda, Ambala
To get relief from migraine- * give a balanced diet with vegetables, cereals, milk, fruits. Sit in the sun rays for atleast 8-10 minutes daily. * do bhramari pranayam twice a day. * practice sarwangasan and shirshasan under the guidance of yoga expert. * sit with the gyan mudra in hands. * take rogan badam (almond oil) and put it 1/2 tea spoon in a glass of milk and drink it in the morning. * if the headache is very severe & untolerable then you can take a tablet of paracetamol or ibuprofen. * you can take 2 teaspoon of shankhpushpi syrup in the morning.
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I have a serious problem of forgetting the things I think this is the weakness in brain capacity, What should I do?

MBBS, MD - Community Medicine
General Physician, Jaipur
No dear. There is no such thing if you are an usual healthy guy. Take home made healthy diet including milk, egg, dal, vegetable, seasonal fruits, fish/ meat etc. Revision is sword for forgetfulness, for usual things use Dairy to remember things
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Namaskar sir I am 38 year old I have pain in lower waist and buttocks and occasionly numbness in left legs like thigh and toe I was take treatment from Dr. Rvindra choudhary but invain x ray report of waist is normal then what should be rhe problem (numbness of leg occures more after having genetal errection)

MD - Internal Medicine, MBBS
Internal Medicine Specialist, Mumbai
Namaskar sir I am 38 year old I have pain in lower waist and buttocks and occasionly numbness in left legs like thigh...
Please share the xray images in private chat. Also get the following tests: fbs, plbs, vit b 12 and vit d 3 levels, calcium levels in blood.
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I underwent a blood test. After the needle was inserted I fainted and the blood also did not come out. On the other hand nerve was not visible so did not try out. I have a swelling kind of a knot at that location. Also it pains. I generally feel very tired, have problems in concentrating and suffer with tingling in legs and slight memory problems. Please help.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I underwent a blood test. After the needle was inserted I fainted and the blood also did not come out. On the other h...
You possibly had vasovagal attack due to needle prick. It is well known to occur. These symptoms should normally pass off gradually. You may check with a physician for further help
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73 years male. Severe sleep apnea and unable to fall asleep with cpap. Able to sleep some with some sleeping tab e. G. Stillnoct 6.25 mg or restyl 0.5 mg.- apprehensive as to long term efficacy. Any other options? long term view if any?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
A sleep disorder can affect your overall health, safety and quality of life. With accurate diagnosis, I can treat most sleep disorders effectively. I am a doctor and registered dietitian who will prescribe a customized diet plan and medications to help in sleep disorders. Do reply back for private consultation for a detailed treatment plan including dietary therapy.
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What is the medicine of migraine and how to make my pennis in correct direction it is turn to right.

BHMS
Homeopath, Sindhudurg
What is the medicine of migraine and how to make my pennis in correct direction it is turn to right.
Migraine is a disorder characterised by headache, specifically affecting one side of the head (i.e. unilateral side). Migraine headaches are mostly throbbing or pulsating in nature. Common accompanying symptoms are nausea, vomiting and sensitivity to light and noise. The intensity of a migraine headache may vary from moderate to severe. Homeopathy offers excellent scope for treating migraine. Homeopathic medicines for migraine are reliable and safe. They offer effective treatment for migraine. In fact, they work wonders for acute migraine attacks or even chronic migraine. Homeopathic medicines for migraine are selected as per individual case. Individual symptoms are studied in detail and the appropriated medicine prescribed. Homeopathic medicines identify and attack migraine at the root. Migraines with or without aura respond wonderfully well to Homeopathic medicines. Top ranked Homeopathic medicines for migraine are Belladonna, Glonoinum, Iris Versicolor, Epiphegus and Nux Vomica.you can consult me for homoepathic treatment without side effects.
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I am 25 years old my problem is migraine so please tell us what can I do and what type of medicine take mi please tell me.

MD (U), Bachelor of Unani Medicine and Surgery (B.U.M.S)
Unani Specialist, Delhi
Mostly patients have been successfully treated over the years with cupping therapy for headaches and migraines. The treatment has proven to significantly reduce both the severity of pain and the frequency of the headaches. The types of headaches have ranged from unexplained chronic daily headaches to migraines, cluster headaches, tension headaches, sinus type headaches and headaches caused by muscular-skeletal or neck tension.
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