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Dr. Swatantra Mishra  - Neurosurgeon, Delhi

Dr. Swatantra Mishra

MS - Neuro Surgery, MBBS, MCh - Neuro Surgery

Neurosurgeon, Delhi

21 Years Experience  ·  1000 at clinic
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Dr. Swatantra Mishra MS - Neuro Surgery, MBBS, MCh - Neuro Surgery Neurosurgeon, Delhi
21 Years Experience  ·  1000 at clinic
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Personal Statement

My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Swatantra Mishra
Dr. Swatantra Mishra is a trusted Neurosurgeon in Okhla, Delhi. She has had many happy patients in her 21 years of journey as a Neurosurgeon. She has done MS - Neuro Surgery, MBBS, MCh - Neuro Surgery . You can consult Dr. Swatantra Mishra at Holy Family Hospital in Okhla, Delhi. Save your time and book an appointment online with Dr. Swatantra Mishra on Lybrate.com.

Lybrate.com has an excellent community of Neurosurgeons in India. You will find Neurosurgeons with more than 37 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.

Info

Education
MS - Neuro Surgery - PGIMER, Chandigarh - 1998
MBBS - Rajasthan University - 1996
MCh - Neuro Surgery - PGIMER, Chandigarh - 1998
Professional Memberships
Delhi Medical Association (DMA)
NSI
ASSI

Location

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Holy Family Hospital

Maulana Mohammad Ali Road, Okhala. Landmark: Opp Sccot Hospital and Near Surya Hotal, DelhiDelhi Get Directions
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IBS Hospital

#73, Ring Road, Lajpat Nagar 3, Landmark: Near Metro Station. Landmark : Near Delhi State Industrial And InfrastrustureDelhi Get Directions
1000 at clinic
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I am having a light numbness in my right leg from last two days. It is not severe at all but when I go for my workout session it creates a bit problem as I have joined boxing for 6 months ago. Now 1 month ago I suffered from lower back muscle sprain. Will it recover it on its own?

MS - General Surgery, M.Ch - Neuro Surgery
Neurosurgeon, Siliguri
I am having a light numbness in my right leg from last two days. It is not severe at all but when I go for my workout...
Lower back pain with numbness in legs can be due to neural problems. Consult doctor. Avoid forward bending and squatting.
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I am 57 years woman recently having signs of parkinson disease, how to tackle the same?

BHARAT JYOTI, MRACGP, INCEPTOR, MD-PhD, MD - Psychiatry, FIPS, Fellow of Academy of General Education (FAGE), DPM, MBBS
Psychiatrist, Bangalore
Get checked fully blood tests, mri, Meanwhile rule out bp and diabetes and cholesterol you take citicolin, contact with results.
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Best Physiotherapy/Rehab Exercises for Cerebral Palsy/Delayed Milestones

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Best Physiotherapy/Rehab Exercises for Cerebral Palsy/Delayed Milestones

CEREBRAL PALSY

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.

CAUSES:

ANTENATAL CAUSES:

  • 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.

NEONATAL CAUSES:

  • 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.

POSTNATAL CAUSES:

  • 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:

  1. Basically cerebral palsy children manifest in three common ways spastic, athetoid, and ataxic.
  2. 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.
  3. 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.
  4. Ataxia in cerebral palsy occurs due to cerebellar damage. Both balance and coordination is affected.

 

PHYSIOTHERAPY TREATMENT OF CEREBRAL PALSY

  1. 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,
  2. A child who develops uneven leg length may need to wear special shoes with a higher sole and heel on the shorter leg.
  3. 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.

2 people found this helpful

Hi, one insect has gone in to my ear 3 days before. I concerned with doctor n said nothing is there, but I felt it was there. Can you help me out with following issues. 1) whether, any insect from ear can go to any part of the body like stomach or brain. 2) can it be die and still in the ear or it will just come out.

BHMS
Homeopath, Vadodara
Relax, dont be overconcious. Consult good ent surgeon if you haven't. 1) insect can not go to other part from ear. 2) alive or dead both possibilities are possible if insect is really inside. If it is still alive, it may cause pain and irritation.
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Ways to Treat Insomnia

MBBS, MD - Psychiatry
Sexologist, Mumbai
Ways to Treat Insomnia

Insomnia is a disorder where a person has difficulty sleeping. One can have problem falling asleep or staying asleep for long. Some people also have disturbed sleep. This can be a major problem as due to lack of sleep one feels tired and fatigued all day.

Recurring cases of insomnia hamper your daily activities and interfere with the smooth functioning of your life. Therefore, this condition should not be ignored and treated immediately.

Here are the various ways to treat insomnia:

Non-Medical (Cognitive and Behavioral treatment)
Several psychological and behavioral techniques can be used for the treatment of insomnia. Many of these methods can be easily self-taught and others require a therapist to be carried out properly. 

  1. Relaxation training, which is also called progressive muscle relaxation involves the patient to tense and relax his muscles systematically in various parts or regions of the body. Relaxation techniques, such as breathing exercises, various forms of meditation, mindfulness and guided imagery are used for treating insomnia people. The use of audio recordings for guidance in these techniques is quite popular.
  2. Stimulus control enables building an association between the bedroom and sleep. This is done by limiting several kinds of activities done in a bedroom. This may include going to bed only when very sleepy and leaving bed if you cannot sleep within twenty minutes. A strict bedtime and wake up time schedule has to be maintained.
  3. Cognitive behavioral therapy or CBT involves changes in behavior like maintaining a strict sleep time schedule, elimination of afternoon naps and other habits related to sleep. A cognitive component is also added to this method. Unhealthy beliefs and fear regarding sleep are challenged and positive, rational thinking is encouraged. CBT is a very effective procedure for treating insomnia and the track record regarding success is high.
  4. Changes in lifestyle are required to treat insomnia and prevent recurrence of insomnia, you should change certain habits and start some new practices. You should limit your intake of caffeine, alcohol and nicotine. Do not consume coffee or tea before going to sleep and avoid smoking. The habits may be stimulating and will keep you awake. Your diet should be balanced. You should avoid having rich and spicy food before going to bed. Avoid late meals and maintain a proper schedule for meals. Regular exercise can improve the symptoms of insomnia and you should try to work out every day.

Medical Treatment: There are many forms of medicines, which can treat insomnia. This includes over-the-counter medicines, as well as prescribed medicines. The type of medicine required completely depends on the severity and symptoms of your insomnia and other factors related to health. Therefore, you must consult a doctor before having any kind of medicine for treating insomnia.

The most common medicines for insomnia, which are usually prescribed by doctors are benzodiazepine hypnotics, non-benzodiazepine hypnotics and melatonin receptor agonists. However, medicines should only be taken after consulting with a specialist. Insomnia not only affects your health but also interferes with all your daily activities. Proper treatment should be taken to treat the same. If you wish to discuss about any specific problem, you can consult a psychiatrist.

5165 people found this helpful

My son who is 3 years old suffering from seizures, I wanted to know any first aid given to him immediately to stop the seizure. First aid taken at home.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My son who is 3 years old suffering from seizures, I wanted to know any first aid given to him immediately to stop th...
If it's due to fever needs intermittent prophylaxis at the time of fever. If seizures are due to some cause, it has to be rectified. If cause is not known needs longterm anti epileptic therapy.
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He is 8 years old. As for as features known of dyslexia. Those features he has. Difficulty in writing, does not have the patience in reading, writing, not respects elders. Though his behavior was tolerated by us. He will continue his rude behaviour until we beat him. Is it necessary to get him counselling by a psychiatrist. If at all, please refer one fine psychiatrist in bangalore.

DNB (Pediatrics), MBBS, Fellowship in Pediatric Neurology, Fellowship in Electrophysiology,Cleveland,U.S.A.
Pediatrician, Gurgaon
He is 8 years old. As for as features known of dyslexia. Those features he has. Difficulty in writing, does not have ...
The features described also suggest component of adhd. Get the detailed evaluation by a psychologist as the treatment modalities are different for adhd and dyslexia. Also decrease sugar content of the food. Get him to some swimming class or dance class to dissipate his energy.
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Mere sir me jyada drd rehta h. Dr. Ne muje migrane btaya h. Or ab to left aankh b twitch hoti rehti h. To muje puchna tha kya muje tej dhup me rehna chahiye mtlb kitni der tk tej dhup me reh skti hu. Ya koi prblm ho jaayegi. Tell me doctor.

MD - Homeopathy
Homeopath, Aurangabad
Yes migraine headache can be cured by homeopathy take natrum mur 30 30 ml liquid sbl 1 drop daily on tongue for x 7 days and revert me back
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My mother is surrounded by the disease of clotting in brain, now she feels heavy ness in head what should we do?

MD - Anaesthesiology
Neurologist, Shimla
My mother is surrounded by the disease of clotting in brain, now she feels heavy ness in head what should we do?
Physiotherapy is the solution. Because once clotting occurs it takes time to heal up. Area supplied by the vessel will become necrose and leads to anxiety symptom. Kindly consult neurologist and and give good psychotherapy to mother through the doctor.
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I am 26 years old, can you suggest me how to treat migraine and I also have hormone disbalance, what shall I do, suggest some Ayurvedic medicine, or homemade remedies.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Chennai
Hi, Migraine can be triggered by a variety of causes, most common causes are certain food items, lack of sleep or any lifestyle issues. First step towards management of Migraine would be avoiding such triggers. Home remedies would not be a cure for issues like migraine. If the correct type of Migraine is identified, most of the issues can be usually in 3-4 months. Wish you the best Take care.
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I am 34 years old. i am suffering from neck pain, backache, and right leg paining and numbness, burning. Please help me.

MBBS
General Physician, Faridabad
I am 34 years old. i am suffering from neck pain, backache, and right leg paining and numbness, burning. Please help me.
do neck muscle exercise, hot water fomentation and apply volini locally, can take tab dolo sos. take tab neurobion forte 1tab bd it will help. welcome
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Smashed finger in door yesterday evening slightly swollen, numbness and blood clot below the nail.

Mch Orthopaedic, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Dehradun
Smashed finger in door yesterday evening slightly swollen, numbness and blood clot below the nail.
Hi Thanks for the query Could be soft tissue injury. Do icing, elevate the hand. Take anti-inflammatory to reduce pain and swelling. Regards.
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I am suffering from migraine for last 12 years, Is there any permanent treatment for it. Please reply.

DM - Neurology
Neurologist, Rajkot
Many patients of epilepsy undergo complete remission if seizures are controlled with medicines. It depends on how well your seizures are managed.
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I have spinal cord problem since 2 years and present time numbness in my left & right both the legs and sometime when I walking then I have pain in my right ankle.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I have spinal cord problem since 2 years 
and present time numbness in my left & right both the legs and sometime whe...
Sleep on a hard bed with soft bedding on it. Use no pillow under the head. Kindly take biod3 max 1 tab dailyx10 paracetamol 250mg od & sos x5days do back (spine)/shoulder/knee exercises make sure you are not allergic to any of the medicines you are going to take do not ignore it. It may have to be further investigated. It could be beginning of a serious problem. If no relief in 4_5 days, then inform again.
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I am 38 year old male and I am having problem with migraine and sinus. I also have problem with Acidity and most of the time I am having problem with upset stomach and tiredness. My fasting Blood sugar was 105 one month back and also having problem with high uric acid level in blood. Please suggest me a good diet.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
I am 38 year old male and I am having problem with migraine and sinus. I also have problem with Acidity and most of t...
U have to improve your food habits do 1. Take 2/ 3 glass of warm water in the morning 2. Take more water in day 3. Take meals at fixed hrs 4. Take small amount of food at a time, take more frequent meals - may be five times a day. 5. No spicy/ fried/ fast/ junk/processed food. 6. No milk for few days, can take curd, no uncooked salad 7. Avoid constipation 8. Use nibu pani (lemon water) 2/ 3 times a day 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 1. Take more fruits and vegetables. No baked items, no alcohol . U need some medicines also contacy on private chat for mrdicine good luck.
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The treatment is bringing me a migraine please tell me, I in bringing Dr. But my pain was not told yet.

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 before starting medication we need to examine you
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I am 26 years old male and I am suffering from migraine. What should I do? Pls give me some suggestions.

BAMS, MD Ayurveda
Sexologist, Lonavala
1. Take ½ glass of carrot juice 2. Add ½ glass of spinach juice 3. Mix well 4. Drink this juice to cure migraine.
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Twitching of face hands and legs and sometimes above eyebrows. Is this a sign of paalytic stroke? please help me. Its happening from last one week.

MD - Psychiatry, MBBS
Psychiatrist, Patna
Most commonly twitching of muscle may be because of electrolyte imbalance. Take regular diet. If you sweat more then take ors frequently. It is not paralysis. You will be fine.
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I am 28 yr old male and I am suffering from epilepsy for last 4 year. And I am taking only one medicine that is Dicorate ER 750 whether I should continue or not, till now I don't had any symptom of epilepsy. Please help me.

PGDHHM, MBBS
General Physician, Delhi
I would suggest you to get your ct scan brain and eeg done to further decide the treatment and whether 5he treatment has completed or not. Hope this helps you.
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