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Treatment of Neurological Problems
Treatment of Nerve And Muscle Disorders
Treatment of Paralysis
Cerebral Palsy Treatment
Brain Tumor Surgery
Electroconvulsive Therapy (Ect) Treatment
Surgery Of The Facial Nerve
Radiofrequency Neurotomy Procedure
Spine Surgery Treatment
Traumatic Brain Injury (Tbi) Treatment
Treatment of Traumatic Brain Injury (Tbi)
Assistive Walking Device Training
Vagus Nerve Stimulation ( Epilepsy )
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Very Good Doctor.. well Checked every Reports.. Given Proper Treatment for Every Problem.. Fully Satisfaction in we got in his Treatment..thnx to Dr. MANOJ KHANAL
I am 47 years old male. I have intermittent explosive disorder from last 3 months. What should i do? please advise.
All parents expect their child to start going to school, learn writing and learning and do well in academics. However, children with dyslexia may not be able to progress at school at the same pace as others. The good news is that there are early pointers that can help a parent to identify dyslexia in the early stages. This can be helpful in training and support the child socially to learn and socialise normally. Dyslexia is a disability that affects both spoken and written language. They have a different learning style and when supported and encouraged, instead of mocked and insulted, they can become avid readers. The following are common 10 indicators of developing dyslexia in children, in general, and at school.
10 Behavioural signs to watch for in general:
- The child usually has difficulty concentrating and following instructions
- The child is easily distracted, seems to daydream, and tends to forget words.
- Poor personal organisation skills and is not very good at time keeping.
- May get confused between today, tomorrow, yesterday; east and west; right and left; up and down.
- Has difficulty remembering seasons, months and days.
- Tends to be doing something to avoid work.
- Seems distracted, and ‘daydream,’ does not seem to listen
- Requires a lot of effort focusing on things at hand and is constantly tired.
- Slow pace of processing in terms of spoken or written language
- Often appears withdrawn or lost in his own world.
10 Behaviours to watch for at school:
- Poor standard of writing and written work in comparison with oratory skills.
- Poor handwriting with badly formed letters.
- Confused easily between similar looking letters like m/w, n/u, b/d.
- Usually, messes up work by using close but wrong spellings and rewriting the same
- Mixes up words by using similar-looking words – quiet and quite, tired and tried.
- Same word is spelt differently at different times
- Poor motor skills and pencil grip leading to slow, inaccurate writing
- Produces a lot of phonetic spelling which does not change with repeated corrections
- There is difficulty in blending words together, and struggles a lot when asked to read out loud, can miss out or add words that are familiar in between
- Has difficulty connecting the story that is being written or read
As noted, these children have very inconsistent behaviour with very limited understanding of nonverbal communication. If these symptoms go on increasing as they grow, it is advisable to seek professional help so that support can be provided and the condition can be arrested at the early stages. If you wish to discuss about any specific problem, you can consult a Psychiatrist.
I am 77 years old having diagnosed with parkinsons. It is two years since hand tremor started. Neurologist prescribed ropark (ropinirole) 2 mg, rasalect (rasagiline) 0.5 mg (both after breakfast) and betacap (proponolol) 0.5 mg (morning and after supper) further tests show hypothyroidism and two months after having medication tests show normal. No investigation was done to ascertain as to why thyroid is under performing. I have lost a lot of weight too. I would appreciate your reply to all my points
Sir. My hands, my body, my legs used to vibrate every time, whether I am holding anything or not. I am just 20, please help me out.
I have seizure last month one back one three time after four hours its came I am admitted 5 days in the hospital. I do mir and eeg the neurologist suggests me tablets for three years eptoin 300 -er -1 levipil 500 mg at morning after break fast pan d vitcofol -2 times and cynical after dinner. I want to now that this tablet is compulsory for three years. And what things I have to eat. And can I travel any where And before this I have typhoid and I am admitted for 3 days is this sezuire is reaction of this typhoid treatment.
- Traumatic Brain Injury - Happens due to trauma
- Anoxic/Hypoxic brain injury - Happens due to decreased blood or oxygen supply to the brain.
- Ischemic or hemorrhagic cerebrovascular accident (commonly referred to as stroke) - Happens due to clots occluding the blood vessels in the brain or due to bleeding of blood vessels in the brain
- Brain tumors and metastasis (spreading of cancer) to the brain
- Vascular malformations of the brain such as Arteriovenous malformation, aneurysm etc -
- Brain infections
- Autoimmune conditions such as Multiple Sclerosis and auto-immune encephalitis -
- Toxic/metabolic causes such as post transplantation, sepsis, liver failure and kidney failure
- Basically any injury or illness that affects your brain function for a prolonged period of time causing temporary or permanant damage
Usually individuals affected by these conditions can have a number of symptoms directly related to the brain injury such as
- One-sided or both sided weakness and numbness of the arms and legs
- Pain and tightness of the arms and legs
- Difficulty with speech
- Impaired consciousness (i.e. impaired arousal)
- Cognitive impairment such as memory problems, slow thinking skills, problems with attention
- Changes in their behavior such as aggression
- Changes in their mood such as depression and anxiety
- Difficulty in swallowing
- Bladder and bowel incontinence
- Visual problem
- Hearing problem
There are medical complications that can be noted a few weeks or months after a brain injury. Some common ones include
- Urinary tract infection
- Deep vein thrombosis – blood clot in the veins of your arms and legs
- Pulmonary embolus – blood clot in your lungs
- Pressure ulcers
- Heterotopic ossification – a condition which causes stiffness of your joints
- Post-stroke shoulder pain – shoulder pain in the weak arm
- Spasticity – tightness of the muscles of the affected arm and leg
- Paroxysmal sympathetic hyperactivity – a condition which causes fluctuations in your blood pressure, heart rate, and also causes abnormal stiffness of the arms and legs
- Hydrocephalus – a condition where fluid builds up in your brain
HOW REHABILITATION CAN HELP?
A comprehensive, interdisciplinary team approach (i.e. care being provided by various disciplines in a coordinated fashion) with Physician (Physiatrist), Physiotherapist, Occupational Therapist, Speech and Language Therapist, Neuropsychologist, Nutritionist and a Nurse can help reduce your symptoms directly related to the injury as well as prevent and treat common medical complications post brain injury. Not all patients will require all services and usually, a combination of these services is required for an individual patient.
Patients can be evaluated by the Physician first to determine the nature and severity of the medical condition then come up with a treatment plan that best suits them. Depending on the patient’s symptoms and medical complications (listed above), the treatment plan will include recommending therapy services, prescribing medications and performing injections. Medications are commonly prescribed for medical complications as well as to reduce symptoms directly related to brain injury such as arm and leg weakness, muscle tightness, speech impairment, mood and behavior issues, cognitive impairment and impaired arousal. The physician performs injections such as tendon injections, joint injections for joint or muscle pain as well as Botulinum toxin (commonly referred as Botox injections) and nerve block injections to help relieve muscle and tendon tightness.
A Physiotherapist will focus on various physical exercises to improve weakness in the arms and legs, improve their walking and balance and to reduce muscle tightness. They might use physical modalities to reduce pain and inflammation, muscle and tendon tightness and prevent muscle atrophy. They can also fit you with an orthosis to reduce muscle tightness as well as improve your walking and arm function.
An Occupational Therapist will focus on various physical activities required for daily living for patients with severe physical and/or cognitive impairment and also teach cognitive exercises thereby compensating the cognitive deficits. Visual Training exercises are provided to individuals with visual impairment due to the neurological problem. The final phase of treatment involves patient training for successful community integration (education, employment etc).
A Speech Language Pathologist (commonly referred to as a Speech and Language Therapist), will evaluate the patient’s speech, communication and swallowing skills. The treatment plan is broken down after an initial evaluation. The program will vary depending on the extent of the injury, the stage of recovery, and the individual’s particular areas of difficulty. Specific retraining and compensatory exercises are taught to improve the above skills. However, the major focus is on helping the individual gain back his/her quality of life.
A Neuropsychologist evaluates patients with depression and anxiety, that is commonly seen after any major life-changing illness or injury and guides them through the process of rehabilitation thereby improving their quality of life through motivation and counseling. Performing an in-depth cognitive assessment and planning cognitive re-training exercises and compensatory strategies is also a major treatment aspect of a Neuropsychologist.
Malnutrition or undernourishment is a common problem in this population. For optimal recovery, a Nutritionist recommends an appropriate intake of nutrition.
A Rehabilitation Nurse trains patients with central nervous system injury to manage their bowel and bladder independently. Performing and training wound care management for patients with pressure ulcers are also handled by a Rehabilitation Nurse.
EXPECTATIONS OF RECOVERY
Depending on the severity and chronicity (time duration since injury/illness) of the injury/illness, your recovery time may differ. Complete neurological recovery is often possible if the injury is mild to moderate. In the case of a moderate to severe injury, a complete neurological recovery may not be possible and therefore the goal will be to help you be as independent as possible and integrate you into the community despite your physical and/or cognitive limitation. If the injury is too severe, then the goal would be to improve your quality of life by helping you be as independent as possible with your day to day living, decrease pain and prevent complications.