Lybrate.com has top trusted Neurologists from across India. You will find Neurologists with more than 27 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.
Book Clinic Appointment
Electroconvulsive Therapy (Ect) Treatment
Assistive Walking Device Training
Radiofrequency Neurotomy Procedure
Surgery Of The Facial Nerve
Brain Suite Treatment
Brain Tumor Surgery
Cerebral Palsy Treatment
Cerebral Vascular Surgery
Csf Rhinorrhoea Repair Procedure
Decompression Microvascular Surgery
Deep Brain Stimulation Procedure
Treatment of Nerve And Muscle Disorders
Treatment of Neurological Problems
Treatment of Paralysis
Submit a review for Dr. Sushil GargYour feedback matters!
I am 50 years male, have neck pain for the last few months, of late I feeling numbness in my toes, is it cervical? how to get well?
Cerebral palsy is a term used to describe a broad spectrum of motor disability which is non-progressive and is caused by damage to brain at or around birth. It is a disorder which develops due to damage to CNS and this damage can take place before, during, or immediately after the birth of the child. The damage won't worsen but remains constant. However the child may appera to worsen if not given proper intervention not because of an increase in lesion in the brain but just beacuse the damaged brain is not able to cope up with the physical demand of the growing body and the increasing demand of the environment surrounding the child.
- Genetic causes: First or second degree consanguineous marriage.
- Intrauterine virus infection: Rubella and cytomegalovirus infections which lead to severe brain damage along with associated visual and hearing problem with cataract.
- Hypoglycemia: Low blood sugar for long period lead to brain damage and epilepsy. Cerebellum is more vulnerable leading to ataxia and visual problems. Infant of diabetic mothers are more prone to hypoglycemia.
Trauma to the mother:
- Infection to the mother can make the baby prone to develop it.
- Malnourishment of the fetus especially in case of twins.
- Exposure to the mother’s abdominal area to repeated X-ray radiation, prolonged use of medications like steroids by mother.
- Prematurity: Premature babies are prone to brain damage either due to trauma during delivery and later on due to immature respiratory and cardiovascular system. Therefore, they are likely to develop hypoxia and low blood pressure also, they are more likely to develop low blood sugar, jaundice and hemorrhage because of liver immaturity.
- Vascular causes: Occlusion of the internal carotid or midcerebral artery during birth can on many occasions lead to hemiplegia.
- Trauma: trauma can occur either due to disproportion, breech delivery, and forceps delivery, distortion of head and tearing of tentorium.
- Asphyxia: It can occur by accidents and burns which could be as a result of knotted umbilical cord, cord around the neck or prolapsed cord. Multiple deliveries can cause asphyxia of the second or third infant.
- Neonatal meningitis: Usually associated with severe residual brain damage.
- Delayed cry: Causes asphyxia to the brain causing CP.
- Severe jaundice: Presence of high levels of bilirubin cause basal ganglia damage leading to athetoid cerebral palsy and high tone deafness.
- Trauma: Fall of the body after birth.
- Infection: Like meningitis, or encephalitis can cause brain damage.
TYPES OF CEREBRAL PALSY:
- Basically cerebral palsy children manifest in three common ways spastic, athetoid, and ataxic.
- Spasticity seen in cerebral palsy is usually knife that may change with change in position, which means that spasticity may vary from supine to prone.
- Athetoid cerebral palsy children exhibits slow, purposeless, wormlike, involuntary movements which flow into each other. It occurs due to basal ganglia damage commonly seen in children who suffers from an attack of jaundice following birth.
- Ataxia in cerebral palsy occurs due to cerebellar damage. Both balance and coordination is affected.
PHYSIOTHERAPY TREATMENT OF CEREBRAL PALSY
- Physiotherapy is one of the most important treatments for CP that usually begins soon after being diagnosed and often continues throughout life. Special devices and equipment are needed for some people with CP to help them with specific problems like,
- A child who develops uneven leg length may need to wear special shoes with a higher sole and heel on the shorter leg.
- Some people who are not able to walk alone may need to use canes, crutches, walkers, or wheelchairs.
EXERCISES IN SUPINE POSITION
Normalizing tone of the muscles: For cases with hypo tonicity slow passive movements, sustained stretch, cryotherapy over the muscle for 15 to 20 minutes, stimulation of antagonist movement and vibrations are used. On the contrary, for cases with hypotinicity weight bearing, joint compression, rhythmic stabilization, vibrations, cryotherapy in brisk manner and taping can be used.
Weight bearing exercises: Weight bearing exercises are necessary to promote development of tone in muscles and also to maintain the absorption of calcium into the bones. Thus the patient should be given activities like bridging, supine on elbows, sitting with weight bearing on the affected arm, and standing should be given as soon as possible within the limitation of the patient’s general medical status..
Skillful TAPING gives a tactile feedback which helps in faster development of tone in the muscles. Weight bearing exercises for the involved upper limb has also been found to be beneficial in preventing this.
Bridging Exercises: The child lies on supine position. Therapist flexed his both the knees n then helps him to lift his back from the mid area so that weight bear on his legs. This should be done in 10 -15 repetitions. Then do bridging on 1 leg and then another.
Stretching and Mobility: The muscles should be maintained at the appropriate physiological length for normal muscle control and normal postural adjustment. In CP because of delay or absence of normal movement muscles are usually in a shortened position hence stretching of the muscles is essential to increase the neuromuscular control. Length of the muscles should be maintained not only through stretching but also through various functional activities.
In supine position, the therapist holds an object so that the child grasp that object by moving his body, in this rolling activity plays an important role. The child rolls right and left to grasp the object sometimes lifting his back and limbs too.
The therapist do some exercises in vestibular ball so that child balance and coordination improves and this is the best spine stretching activity.
Good neck control and developing trunk control by using vestibular ball, he lied down in ball and doing movements that extend his spine and head is looking in upward direction.
EXERCISES IN SITTING
The therapist should hold and support the child in sitting position. Time should be noted daily.
Exercises in vestibular ball to correct the balance. Sit on the vestibular ball and then shift the weight from right side to left side by rolling the ball.
Reaching far objects: As the child sitting in the ball then the therapist should stand in front of him and tell him to reach the object that the therapist holds.
Sit to stand activities and kneeling activities, sit on the toes, sitting by cross leg by maximize wide base of support
EXERCISES IN STANDING
STANDING IN BOTH THE LEGS: The therapist should hold his knees while standing as the child flex his knees and forward trunk to avoid standing.
SQUATTING: The therapist should try and help the child to do some squats about 5 to 10 daily to increase the muscle power and strength.
WALKING with the help of therapist or a cane and use a tilt board for balancing exercises.
Standing on the side of vestibular ball and do reaching objects so that the child lifts his head in upward position for increasing the extension of neck i.e. neck control.
Developing postural reaction: Postural adjustments are essential if the child is move to move freely and to adjust to various environmental demands rapidly. Motor milestones can be best achieved by good postural reactions. Postural reactions consists of righting reactions, protective extension and equilibrium reactions. Initially children first develop righting reactions. Righting reactions allow the child to orient his head in space so that the eyes and mouth are horizontal regardless of the position of the body. It also helps in maintaining the proper alignment of the head with respect to the body.
Oromotor control training: Oromotor function depends on good head control. Common Oromotor problems are: drooling, problems in sucking, swallowing, body movements associated with speech, jaw, hyper or hyposensitivity and inadequate tongue movements. Hence the therapy should consist of good neck control, developing good trunk control, use of brush to decrease drooling.
Speech therapy helps to control the mouth muscles. This therapy can be of great benefit to children with speech or eating problems. Speech therapy often starts before the child begins school and continues throughout the school years.
Both massage therapy and physiotherapy benefit some people with CP by helping them relax tense muscles, strengthen muscles and keep joint flexible.
What are medicines of migraine pain killer and its uses and disadvantages. How much amounts of it consumes in a day.
Is there any permanent solution for insomnia as I am suffering from sleeplessness for the last 2 years.
Hello doctor, my father is having diabetes, hypertension and insomnia. He is taking pregeb m, clonazepam,impramine, glinam M and amlip AT regularly. BT we r worried about the complications of these conditions and side effects of these drugs. He also feel so much loneliness. What precautions we should take to protect him from complications. That can occur in future. please suggest something to maintain his health on primary stage only. And he also have fungal infection on his lips.
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.
A week before I fell down from an auto. After that I'm suffering from immense back pain. It is felt between lower back and bums. Once I've felt numbness around my lower body. The pain is worse. And my unable to do any work because of the immense pain. Please help me out.
I am a tailor and when I put my legs on sewing machine, my right leg nearly becomes numb and I can not work the machine with it and after that there is a lot of pain in my calf although I have no problems in walking and there is no pain generally but when I do that work it suddenly starts at that area of my right leg. This problem is only in right leg not in left one. Pls tell me wht it is and how it can b cured by home remedies.
Hello Dr. my baby boy is 2 and half month old jab wo sota hai to aksar uske hands or legs kanpte hai aisa kyu hota hai please tell the reason urgently.
My wife, aged 44 years is regularly consumes carbomazepine tablets (200mg x 3 times) from the age of 14. Is there any permanent solution. If no any generic tablets available?
I am suffering with insomnia from 4 years I do not know wat to do often I am getting angry headache give me some valuable advice I don't have any tension fears problem but no sleep.
I have a son of 4 years and he is showing with a strange symptom when he is awake in the morning his hands are shiver a little bit but after some time he is fine can any one tell me why this happens.
Don't ignore the early signs of strain injury like the weakness of the grip, numbness, and pain or discomfort in the arms, hands, wrists or shoulders.
Dear Doctor, My father-in-law (76 years) who is already suffering from Parkinsons and Osteoarthritis is now having this problem. While passing stools there is no solid stool; it is only like a foam (soapy foam), something like that. Since we are not able to take him to a doc we asked a local doc and they prescribed some medicines and after which he was ok. But now again after some weeks the same has started. It goes off and on. Could u please let me know if there is any major issue on this.Kindly help?
Epilepsy is a disease that affects the brain's nerve cells and triggers the release of abnormal electrical signals. This can cause temporary malfunctioning of the other brain cells and result in sudden loss of consciousness. Epilepsy can affect both children and adults.
Epilepsy can be treated in a number of ways. One of the most preferred forms of treatment is homeopathy. Homeopathy addresses both the physical symptoms of the disease and the underlying factors triggering it. Another big advantage of homeopathic treatment is that it has negligible side effects.
A few homeopathic remedies that can be used to treat epilepsy are:
- Cicuta: Cicuta is very effective when used to treat cases of epilepsy where convulsions are marked by violent, body distortions. This can include the horrific backward bending of the spine (learn about the exercises for spine). These convulsions also make the person's face turn blue and trigger a locked jaw. This can also be used to effectively treat epilepsy cases triggered by head injuries and worms.
- Artemisia Vulgaris: This is used to often treat cases of Petit Mal Epilepsy which are characterized by staring into space, leaning forwards or backwards and stopping a sentence abruptly. It also addresses fear that triggers epileptic attacks.
- Stramonium: Convulsions triggered by exposure to bright lights or shiny objects can be treated with this homeopathic remedy. In such cases, the patient may not lose consciousness but experiences jerks in the muscles of the upper body.
- Cuprum Met: This homeopathic remedy is used to treat seizures that are preceded by experiencing an aura in the knees (know more about the Causes and Symptoms of Knee Pain). Other symptoms that characterize this sort of an epileptic attack are spasms that begin in the fingers and toes and gradually spread to the rest of the body and jerking of muscles. This can also be used to treat convulsions that accompany menstruation and follow the delivery of a baby.
- Bufo Rana: Not all epileptic attacks occur you are awake. Attacks that occur in your sleep can be treated with bufo rana. Such epileptic attacks are accompanied by experiencing an aura in the genital regions. This is especially helpful for women who experience seizures during menstruation.
- Hyoscyamus: Some epileptic fits are followed by a deep sleep. This type of epileptic attacks can be treated with Hyoscyamus. Other symptoms addresses by this homeopathic medicine are fidgeting with bed clothes, fidgeting with fingers and muscular twitching.
These homeopathic remedies can be taken on their own or in combination with other medicines.