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Dr. Manoj Khanal  - Neurologist, Delhi

Dr. Manoj Khanal

DM - Neurology, MD, MBBS

Neurologist, Delhi

14 Years Experience  ·  600 at clinic
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Dr. Manoj Khanal DM - Neurology, MD, MBBS Neurologist, Delhi
14 Years Experience  ·  600 at clinic
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Personal Statement

I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Manoj Khanal
Dr. Manoj Khanal is a popular Neurologist in Shalimar Bagh, Delhi. He has helped numerous patients in his 14 years of experience as a Neurologist. He has done DM - Neurology, MD, MBBS . You can meet Dr. Manoj Khanal personally at Biomec Physiotherapy & Neuro Centre in Shalimar Bagh, Delhi. Don’t wait in a queue, book an instant appointment online with Dr. Manoj Khanal on Lybrate.com.

Lybrate.com has an excellent community of Neurologists in India. You will find Neurologists with more than 42 years of experience on Lybrate.com. You can find Neurologists online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
DM - Neurology - PGIMER,Chandigarh, - 2012
MD - Gauhati Medical College, Guwahati, - 2007
MBBS - Central University Of Assam, - 2004
Languages spoken
English
Hindi
Awards and Recognitions
Staff Clinical Meet Presentation ? A Curious Case of Pituitary Sol (Wegener?s Granulomatosis) in PGIMER, Chandigarh
A Publication on Neurogenic Bladder in Indian Journal of Nephrology
Case Report: Pantothenate Kinase-Associated Neurodegeneration (PKAN) Presenting as a Seizure Disorder
...more
Lancon Journal, Pune: Original Article - Comparison of The Efficacy of Oral Valproate, Lamotrigine and Levetiracetam Among Subjects with Juvenile Myoclonic Epilepsy (JME)
A Book Chapter on Headache in Medicine Update
Numerous Presentations in National Conferences Including Lancon, Pune - Best Platform Paper Presentation - NSI
Professional Memberships
Neurology Association
Neurological Society of India

Location

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Biomec Physiotherapy & Neuro Centre

No. AB-13. Landmark: Opp. MTNL Office,below 24/7 shop, DelhiDelhi Get Directions
600 at clinic
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I am 47 years old male. I have intermittent explosive disorder from last 3 months. What should i do? please advise.

M.B.B.S., F.I.C.A. (USA), P.G.D.I.H, F.C.G.P., D.C.A.H
Psychiatrist, Vadodara
This is all stress and worries of life. May be issues of sex/love/future/marriage, you may be having insecurities and fear. Just relax. Ask yourself what bothers you ? have a positive self-talk, and learn what are those things you don't like. You need to accept your self and move on. You need to take care of your lifestyle and learn to be happy. If you can't do it yourself, meet a life coach/ stress management super-specialist like me. Once you open your heart out, you will feel free and begin to fly in life. I assure you that I can manage this and help you.
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Dyslexia - 10 Signs Your Child Maybe Suffering From It!

MD - Psychiatry, MBBS
Psychiatrist, Solapur
Dyslexia - 10 Signs Your Child Maybe Suffering From It!

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:

  1. The child usually has difficulty concentrating and following instructions
  2. The child is easily distracted, seems to daydream, and tends to forget words.
  3. Poor personal organisation skills and is not very good at time keeping.
  4. May get confused between today, tomorrow, yesterday; east and west; right and left; up and down.
  5. Has difficulty remembering seasons, months and days.
  6. Tends to be doing something to avoid work.
  7. Seems distracted, and ‘daydream,’ does not seem to listen
  8. Requires a lot of effort focusing on things at hand and is constantly tired.
  9. Slow pace of processing in terms of spoken or written language
  10. Often appears withdrawn or lost in his own world.

10 Behaviours to watch for at school:

  1. Poor standard of writing and written work in comparison with oratory skills.
  2. Poor handwriting with badly formed letters.
  3. Confused easily between similar looking letters like m/w, n/u, b/d.
  4. Usually, messes up work by using close but wrong spellings and rewriting the same
  5. Mixes up words by using similar-looking words – quiet and quite, tired and tried.
  6. Same word is spelt differently at different times
  7. Poor motor skills and pencil grip leading to slow, inaccurate writing
  8. Produces a lot of phonetic spelling which does not change with repeated corrections
  9. 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
  10. 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.

2965 people found this helpful

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.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Sir. My hands, my body, my legs used to vibrate every time, whether I am holding anything or not. I am just 20, pleas...
It might be of muscle strain or of nerve deficit or of pathological reasons do take tens therapy for 12 days followed by strengthening exercise from neuro physiotherapist best wishes.
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What You Need To Know About Brain Injury?

MD - Brain Injury Medicine, MD - Physical Medicine and Rehabilitation, MD - Internal Medicine
PMR (Physical Medicine & Rehabilitation) Specialist, Chennai

TYPES

  • 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 

SYMPTOMS

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

MEDICAL COMPLICATIONS

There are medical complications that can be noted a few weeks or months after a brain injury. Some common ones include

  • Pneumonia
  • 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
  • Seizures
  • 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
  • Headache
  • 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. 

PHYSICIAN (PHYSIATRIST)

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.

PHYSIOTHERAPIST

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.

OCCUPATIONAL THERAPIST

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).

SPEECH-LANGUAGE PATHOLOGIST

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.

NEUROPSYCHOLOGIST

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.

NUTRITIONIST

Malnutrition or undernourishment is a common problem in this population. For optimal recovery,  a Nutritionist recommends an appropriate intake of nutrition.

REHABILITATION NURSE

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.

I have a seizures I am taking daily eption 100 mg tab twice a day but I have to Wake up early morning for my job.

M.B.B.S.; MD(MEDICINE)
General Physician, Lucknow
Eptoin doesn, t cause much sedation, you can continue taking medicines and do your routine chores which have been prescribed by your doctor.
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I am suffering from muscle weakness in my left leg to walk, from last 4 years. I consulted a neuro physician but the disease is not under control. So, also suggest me a perfect treatment sir. I am 35 years old.

MBBS
General Physician, Chandigarh
I am suffering from muscle weakness in my left leg to walk, from last 4 years. I consulted a neuro physician but the ...
You can take vitamins supplements like cap supradyn once daily for three months and see the difference.
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What medication should I take if I find myself suffering from pudendal nerve entrapment.

MD - Homeopathy, BHMS
Homeopath, Vadodara
What medication should I take if I find myself suffering from pudendal nerve entrapment.
you may take homoeopathic medicne Lachesis 30 tds for one day.. see if it helps... Or else you can consult for proper treatment for assured results..
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