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Dr. Rajesh Kumar

Neurologist, Delhi

750 at clinic
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Dr. Rajesh Kumar Neurologist, Delhi
750 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. Rajesh Kumar
Dr. Rajesh Kumar is a popular Neurologist in Katwaria Sarai, Delhi. He is currently practising at Rockland Hospital in Katwaria Sarai, Delhi. Book an appointment online with Dr. Rajesh Kumar on Lybrate.com.

Lybrate.com has top trusted Neurologists from across India. You will find Neurologists with more than 28 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.

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Rockland Hospital

B-33/34, Qutab Institutional Area,Katwaria Sarai.Landmark: Near IMI, DelhiDelhi Get Directions
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I am subbareddy I am using nexito 10 mg tablets on 2nd day severe migraine headache should I continue or not.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
U can gradually stop it it and do get BP and eye sight checked, x ray PNS, thyroid hormones T3 T4 Tsh 1.Sleep.Go to bed and get up about the same times every day, 3. Eat regular meals. 4. Drink plenty of water to avoid dehydration 5. Relax – listen soothing music. Walk for 5 mts 6.avoid .stress, 7. .avoid strong stimuli like loud noises, and smell of food 8. Keep your routine fixed and regular for med contact on private chat.
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My friend male age 27ys been diagnosed with cervical and pinched nerve problem. Also in his MRI disc buldges are also seen. He feel hell pain during exercises. This is the reason he is unable to perform exercises. Kindly help with solution.

Fellow of Endoscopic spine surgery (FENDS) , Fellow of Interventional spine & pain (FISP) , MD-Anaesthesiology & Pain Medicine, Fellow of Pain Management (FPM) , DA( Gold medal-Anaesthesiology & Pain Medicine) , MBBS
Pain Management Specialist, Delhi
My friend male age 27ys been diagnosed with cervical and pinched nerve problem. Also in his MRI disc buldges are also...
Dear lybrate user, pinched nerve also called disc herniation, if in neck then also called cervical radiculopathy. The treatment depends on current pain, extent of compression and grade of herniation. If it is mild protrusion without neuropathy then conservative management should be sufficient. Many times it is not, then image guided epidural advised for immediate relief, modulation of nerves and disc. If there is bigger protrusion or protrusion with neuropathy, you might be advised nucleoplasty or endoscopic discectomy and in advanced stage of herniation open spine surgery advised. What you can do is consult interventional pain specialist trained with advancement or orthopedician trained in spine for evaluation and further treatment. Regards.
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I am 60 +. Experience pain and numbness in both hands. Any medicine with no side effects.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. You can take vitamin b 12 supplementation which comes by name of tab rejunuron and also there are some medications like tab pregabalin or tab gabapentin which can be taken in small doses although they may cause some drowsiness, nausea etc. Do not hesitate to contact me if you need any further assistance.
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What is meant by mild changes of cerebral atrophy in MRI Brain scan .My dad age is 56 yr.PLease tell.

PDDM, MHA, MBBS
General Physician, Nashik
What is meant by mild changes of cerebral atrophy in MRI Brain scan .My dad age is 56 yr.PLease tell.
Cerebral atrophy is a common feature of many of the diseases that affect the brain. Atrophy of any tissue means a decrement in the size of the cell, which can be due to progressive loss of cytoplasmic proteins. In brain tissue, atrophy describes a loss of neurons and the connections between them.
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I am suffering from migraine. Many a times I have to face severe attacks of headache. Many a times I require allopathic injections for the headache to subside. Please prescribe a medicine that will help me get rid of headache.

MBBS
General Physician, Delhi
I am suffering from migraine. Many a times I have to face severe attacks of headache. Many a times I require allopath...
Migraine can b prevented now by a number of drugs but you have to take medicine for at least two years and you will b free of headaches I need more details regarding the headache pattern and your triggers which induce headaches in you.
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I have insomnia and I am not able to sleep from past two days I tried many home remedies but still can't work out to get good sleep please tell me what to do?

PGFCP, PGDEMS, Bachelor Of Ayurvedic Medicine And Surgery
Ayurveda, Satara
I have insomnia and I am not able to sleep from past two days I tried many home remedies but still can't work out to ...
Hi lybrate-user. This problem is due to irritation and inadequate nutrition of the brain. So follow few basic things …. 1) drink only 100-150 ml of water during meals …. 2) don’t drink water one hour before meals and one hour after meal… 3) avoid oily, spicy, salty, junk, fast, fermented and stale foods… 4) avoid coffee and tea… 5) try to sleep upto 10.30 pm … 6) do anuloma viloma pranayam regularly early in the morning… A) eat 30-40 black currants and 1 tsf of jaggery during meals… B) take 250 ml of fresh butter milk during meals. C) instill 3-4 drops of CHANDANADI TAILA in each nostril at the time of sleeping…… Do all these things for 15 days. It gives you good result. Consult to me for further suggestions. THANKS.
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I am having numbness and tingling sensation under the feet, no sugar but have BP and also went through angioplasty 3 years back, took blood test found vitamin b12 deficiency, How do we cure vitamin b12.

MBBS
General Physician, Cuttack
I am having numbness and tingling sensation under the feet, no sugar but have BP and also went through angioplasty 3 ...
Normal levei of Vitamin B12 is 200-900 picogram/ml. Less than 200pg/ml is considered deficient. Deficiency occurs due to strict vegetarian diet, Source- mostly obtained from animal food sources. 1.Take meat/egg/ fish, poultry, Diary product like milk & milk product, 2.Vegetarian sources of B12 are milk, butter milk, yogurt. Vegetarians have to take B12 supplement like Inj B 12 twice weekly (total 10 injection) after consulting doctor.
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I have migraine for last 4 years bt it is continuously increasing as the days are passing. Please tell me what should I do.

B.A.M.S
Ayurveda, Noida
Improve your diet, exercise and sleep habits. Shirahshuladi vajra ras and rashadi guggul 2 tab each after meal with water twice a day will help you.
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I am 25 years old. I have Parkinson's disease my both hands have been shivering since last 10 years and also there is no energy on my whole body because I have done masturbation due to masturbation I have excess orgasm. Please help me.

BHMS
Homeopath, Sindhudurg
I am 25 years old. I have Parkinson's disease my both hands have been shivering since last 10 years and also there is...
I advise you to take homoepathic treatment for parkinson's disease. Since when do you masturbate? homoepathic treatment takes away habits of masturbation as well as remove side effects of masturbation.
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My friend has migration. She is suffering from 2 years. She used many medicines but no improvement. Please give a solution.

BHMS
Homeopath, Faridabad
Hello , Migraine is a form of headache. The pain is usually throbbing, pulsating and bursting in character. At times, the pain is one sided or may involve the whole head. Such pain may last for hours or even days. It is often accompanied by other symptoms like nausea or vomiting. At the same time, there is increased sensitivity to light and sound. The causes of the problem may vary from one patient to another and so will the final choice of the homoeopathic remedy. please share more of your symptoms. Meanwhile you can take MIGAID, 2 tabs twice daily with warm water.
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My sisters son has shivering in the time of eating. Also he don't like to talk, even to his father, also he is crying very fast, even when an biscuit lost. Also all the time he is biting his nail. He has asthma also. Please send a good solution for it.

MBBS
General Physician,
at this age the kid become very possessive in nature thatsvwhy the child behave like this because he hasv s strong liking and disliking so have to observe the child from thatbangle also so be very patients treat the child like a friend you gave to bring wpdown yourself to the child level of understanding.things will be alright.they need always attention.

Hello Dr. My concern is that lack of Vitamin D is causes for weight gain and thyroid is it true cause I have epilepsy since two years and I continuously gaining weight.

MSc Applied Biology, Diploma in Naturopathy
Ayurveda, Delhi
Hello Dr. My concern is that lack of Vitamin D is causes for weight gain and thyroid is it true cause I have epilepsy...
Sure both problems are known to increase weight .but right treatment life style right nutrition yoga etc have been seen to cure epileptic fits even .if controlled for more than 6 months they are seen not to be repeated.
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Facts Of Human Brain

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
Facts Of Human Brain

The human brain is the most complex and least understood part of the human anatomy. There may be a lot we don’t know, but here are a few interesting facts that we’ve got covered.

Nerve impulses to and from the brain travel as fast as 170 miles per hour. Ever wonder how you can react so fast to things around you or why that stubbed toe hurts right away? it’s due to the super-speedy movement of nerve impulses from your brain to the rest of your body and vice versa, bringing reactions at the speed of a high powered luxury sports car.

The brain operates on the same amount of power as 10-watt light bulb. The cartoon image of a light bulb over your head when a great thought occurs isn’t too far off the mark. Your brain generates as much energy as a small light bulb even when you’re sleeping.

The human brain cell can hold 5 times as much information as the encyclopedia britannica. Or any other encyclopedia for that matter. Scientists have yet to settle on a definitive amount, but the storage capacity of the brain in electronic terms is thought to be between 3 or even 1, 000 terabytes. The national archives of britain, containing over 900 years of history, only takes up 70 terabytes, making your brain’s memory power pretty darn impressive.

Your brain uses 20% of the oxygen that enters your bloodstream. The brain only makes up about 2% of our body mass, yet consumes more oxygen than any other organ in the body, making it extremely susceptible to damage related to oxygen deprivation. So breathe deep to keep your brain happy and swimming in oxygenated cells.

The brain is much more active at night than during the day. Logically, you would think that all the moving around, complicated calculations and tasks and general interaction we do on a daily basis during our working hours would take a lot more brain power than, say, lying in bed. Turns out, the opposite is true. When you turn off your brain turns on. Scientists don’t yet know why this is but you can thank the hard work of your brain while you sleep for all those pleasant dreams.

Scientists say the higher your i. q. The more you dream. While this may be true, don’t take it as a sign you’re mentally lacking if you can’t recall your dreams. Most of us don’t remember many of our dreams and the average length of most dreams is only 2-3 seconds–barely long enough to register.

Neurons continue to grow throughout human life. For years scientists and doctors thought that brain and neural tissue couldn’t grow or regenerate. While it doesn’t act in the same manner as tissues in many other parts of the body, neurons can and do grow throughout your life, adding a whole new dimension to the study of the brain and the illnesses that affect it.

Information travels at different speeds within different types of neurons. Not all neurons are the same. There are a few different types within the body and transmission along these different kinds can be as slow as 0.5 meters/sec or as fast as 120 meters/sec.

The brain itself cannot feel pain. While the brain might be the pain center when you cut your finger or burn yourself, the brain itself does not have pain receptors and cannot feel pain. That doesn’t mean your head can’t hurt. The brain is surrounded by loads of tissues, nerves and blood vessels that are plenty receptive to pain and can give you a pounding headache.

80% of the brain is water. Your brain isn’t the firm, gray mass you’ve seen on tv. Living brain tissue is a squishy, pink and jelly-like organ thanks to the loads of blood and high water content of the tissue. So the next time you’re feeling dehydrated get a drink to keep your brain hydrated.

I. have red eyes and often tears will come from eyes what to. Do? I am having migraine also give me any suggestion. i am allergic to brufen. Please help me.

MBBS, cc USG
General Physician, Gurgaon
Get checked your eyes for refractive errors 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 Meditation This problem can be solved by Meditation, i can give you address of rajyoga meditation center near your house Consult Physician/me for further management
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My mom have been suffering from migraine from her childhood. How could it be cured?

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 tablet propranolol after personal examination
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Sir, from the past 1 week I am suffering from insomnia! And I feel exhausted when I wake up! Please help me.

BHMS
Homeopath, Chennai
Sir, from the past 1 week I am suffering from insomnia! And I feel exhausted when I wake up! Please help me.
Insomnia is a sleep disorder in which a person finds it difficult to fall asleep or to stay asleep. Insomnia also includes poor sleep quality, restless sleep, waking up several times during sleep, and feeling un-refreshed or tired after waking up.  Homeopathy provides a very safe, effective and non-habit forming treatment of both types of insomnia — acute and chronic. Since the Homeopathic medicines are sourced from natural substances, there are no side-effects. While Insomnia lasting less than a month is considered acute, if the condition continues for more than a month, it is referred to as chronic Insomnia. There are various causes of Insomnia. The prominent ones are stress, grief, depression, emotional disturbance, intake of stimulants like coffee and alcohol, and a huge number of medical reasons (like heart diseases, breathing disorders, thyroid problems, and rheumatoid arthritis). Insomnia is also one of the major concerns in elderly people.
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Sir, I am a ret med. Spe. My wife is suffering from parkinsonism since last 6-7 yrs but since last one yrs her condition is deteriorating pertaing to muscle loss. Loss of memory, unable to talk & respond properly. Shedevloped hypoprotenaemia due to bedsore etc & I gave her uman albumin 20%. Kindly advice any thing to be done at this stage to boost up her muscle power. Thanks.

MPTh/MPT
Physiotherapist,
Dear friend. Kindly find out brain auditary evoked potentials. This will help to report the performance of memory power, muscles power, speech etc. Consult neuro physiotherapist nearest your location also. This will be helpful
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Hi My grandfather had Parkinson's at the age of 73. Unki buddhi kharab ho gayi thisWoh maid ko ched dete hai. Unka dimaag kharab ho gaya tha. Unka character thoda loose ho gaya tha. Now my father has also got Parkinson's I hope this character kharab hona is not caused by the medicines of Parkinson's n it is not symptomatology of Parkinson's. N the above symptoms r common in old agePlease give me positive responses.

MD - Alternate Medicine, BHMS
Homeopath, Surat
Hi My grandfather had Parkinson's at the age of 73. Unki buddhi kharab ho gayi thisWoh maid ko ched dete hai. Unka di...
During Parkinson's disease, there is tremor, walking problems and all. But this won't happen. From my side, I would suggest you to go for Homeopathic treatment. As it will help both, your father as well as grandfather. But for that atleast you need to give me few details. It can be reduced within 6 months itself and the allopathic medicines for that can be reduced too. If possible, just give me his details. Take care. :)
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Can't Sleep? Here are natural home remedies for Insomnia

M.Sc - Dietitics / Nutrition, DNHE, P.G. Diploma in Panchkarma, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Hapur
Can't Sleep? Here are natural home remedies for Insomnia
Can't Sleep??? Here are natural home remedies for Insomnia


Insomnia can become a real nightmare as the clock ticks on into the night and you ’re awake to notice. Try these natural approaches to help you get some rest

Before- bed bites

• Have a slice of turkey or chicken , or a banana before heading to bed . These foods contain tryptophan , an amino acid that ’s used to make serotonin . And serotonin is a brain chemical that helps you sleep .
• Carbohydrates help trytophan enter the brain. Try a glass of warm milk (milk contains tryptophan ) and a cookie , or warm milk with a spoonful of honey .
• Avoid big meals late in the evening. You need three to four hours to digest a big meal.
• Spicy or sugary food, even at suppertime , is usually a bad idea. Spices can irritate your stomach , and when it tosses and turns, so will you . Having a lot of sugary food—especially chocolate, which contains caffeine— can make you feel jumpy .

Call on herbs for help

• Valerian helps people fall asleep faster without the “ hangover ” affect of some sleeping pills. It binds to the same receptors in the brain that tranquilizers such as diazepam bind to . Take two capsules of valerian root an hour before bed .
• Take 4 , 000 to 8, 000 milligrams of dried passionflower capsules . Passionflower is widely used as a mild herbal sedative .

Smell your way to sleep

• Lavender has a reputation as a mild tranquilizer . Simply dab a bit of the oil onto your temples and forehead before you hit the pillow . The aroma should help send you off to sleep .
• Put a drop of jasmine essential oil on each wrist just before you go to bed . In studies conducted at Wheeling Jesuit University in West Virginia, researchers discovered that
people who spent the night in jasmine -scented rooms slept more peacefully than people who stayed in unscented—or even lavender-scented— rooms .
• Try a soothing aromatic bath before bedtime. Add 5 drops lavender oil and 3 drops ylang- ylang oil to warm bathwater and enjoy a nice soak .

Be a slave to schedule

• Wake up at the same time each day, no matter how little sleep you got the night before. On weekends, follow the same schedule, so your body adheres to the same pattern all week long . You ’ll fall asleep faster.
• Every morning , go for a walk . It doesn ’t have to be a long walk, but it should definitely be outdoors. The presence of natural light (even if the day is overcast ) tells your groggy body it’ s time to wake up for the day. With your body clock set by the great outdoors, you ’ll sleep better at night .
• Try not to nap during the day, no matter how tired you feel. People who don’ t have insomnia often benefit from a short afternoon nap. However , if you ’ re napping in daytime only to turn into a wide -eyed zombie at night , there’ s a good chance that that afternoon snooze is disrupting your body clock.

Pillow tricks

• Once you get into bed , imagine your feet becoming heavy and numb . Feel them sinking into the mattress . Then do the same with your calves, and slowly work your way up your body, letting it all grow heavy and relaxed . The idea is to let yourself go, in gradual phases .
• If you’ re still awake after this progressive relaxation exercise, count sheep . The point is to occupy your mind with boring repetition , and , not to cast aspersions on sheep , there’ s nothing more boring or repetitive than counting a herd of them . Any repetitive counting activity will lull you .
• If you just can’t sleep , don’ t lie in bed worrying about it. That will only make sleep harder to attain. Get up, leave the bedroom , and grab a book or watch TV .

Prep your bedroom

• Turn your alarm clock so that you can’t see it from bed . If you ’ re glancing at the clock when you wake up— and it’s almost impossible not to —you ’ ll soon start wondering how you can function tomorrow on so little sleep tonight .
• Turn your thermostat down a few degrees before heading to bed . Most people sleep better when their surroundings are cool.
• If you share your bed , consider buying a queen - or king- size mattress so you don ’t keep one another up. Or consider sleeping in separate beds . ( Be sure to emphasize that your wish for separate beds is based on pragmatism rather than preference . )

Check the label

• Be cautious about taking an over - the -counter painkiller before bed . Some of them, like Excedrin , contain caffeine . Read the label first.
• Check labels of decongestants and cold remedies too. In addition to caffeine, they may contain ingredients , such as pseudoephedrine, that rev up your nervous system and leave you unable to fall asleep.

More " don ’ ts" for better dozing

• Avoid exercising within four hours of bedtime— it’s too stimulating. Instead , exercise in the morning or after work . An exception is yoga . A number of yoga postures are designed to calm your body and prepare you for sleep.
• Avoid caffeinated beverages, particularly within four hours of bedtime. Though people have varying ranges of sensitivity to caffeine, the stimulating effects can be long - lasting .
• Also avoid alcohol in the evenings. While a glass of sherry might help you fall asleep a bit faster than usual, the effects soon wear off , and you’ re more likely to wake up during the night.
• If you smoke within four hours of your bedtime, look no further for the cause of your insomnia . Nicotine stimulates the central nervous system, interfering with your body fall asleep and stay that way .
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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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