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Dr. Nidhi Agarwal

Radiologist, Ghaziabad

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Dr. Nidhi Agarwal Radiologist, Ghaziabad
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Nidhi Agarwal
Dr. Nidhi Agarwal is a renowned Radiologist in Kaushambi, Ghaziabad. You can meet Dr. Nidhi Agarwal personally at Dr Gaurav Diagnostic Center in Kaushambi, Ghaziabad. Book an appointment online with Dr. Nidhi Agarwal and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Radiologists in India. You will find Radiologists with more than 43 years of experience on Lybrate.com. Find the best Radiologists online in Ghaziabad. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Dr Gaurav Diagnostic Center

A-50, Ist Floor, Kaushambi. Landmark: Opp. Anand Vihar ISBT u0026 Near Dabur Office, GhaziabadGhaziabad Get Directions
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I have got pain in my leg from two years. The MRI shows this diffuse posture lateral iv disc at L4-L5 level causing anterior epidural space and lateral recess narrowing with mild thecal sac indentation and abutting transversing nerve fibres and existing neural foramen stenosis.(2) subtle L3 -L4 diffuse posture lateral iv disc bulge causing anterior epidural space and lateral recess effacement. What is the treatment of it .is surgery necessary for it.

MPT, BPT
Physiotherapist, Noida
I have got pain in my leg from two years. The MRI shows this diffuse posture lateral iv disc at L4-L5 level causing a...
: keep your leg raised while sitting or lying quadriceps strengthening exercises- quad clenches: lie flat on your back or sit upright on a chair with leg kept horizontally on another surface. Now, tighten the muscle on the front of the thigh by pushing your knee down. You should feel your thigh muscles clench, hold for 3 secs. Repeat 10 times twice a day. Short arcs: lie flat on your back or sit upright with your leg placed horizontally on a flat surface like a chair or bed. Place a rolled up towel under the knee. Pull your toes towards you and clench you thigh muscles. Slowly lift your foot up off the bed until your knee is straight (keep your knee resting on the towel). Hold for 3 secs and slowly lower them on the chair. Repeat 10 times twice a day. Straight leg raise: lie flat on your back. One leg and knee will be straight and other leg should be bent. Pull your toes towards you and tighten/clench the muscle on the front of the thigh, locking your knee straight. Lift your foot up in the air, about 6 inches off the bed. Hold for 3 secs and slowly lower the leg. The knee must remain straight the whole time you are doing this exercise.
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Breast Cancer - Causes, Symptoms And Ayurvedic Treatment

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MS - Shalya Tantra
Ayurveda, Gurgaon
Breast Cancer - Causes, Symptoms And Ayurvedic Treatment

Breast cancer, is a type of cancer, which is common to women, where cancer cells grow on the breasts or the female mammary gland. It starts out with the formation of a small lump in your breast and can spread out to your other organs very rapidly. It generally affects women above forty years of age. Breast cancer can be classified into two types. They can either start forming on the inner linings of your milk ducts ( known as Ductal carcinoma) or in the lobules which supply milk (known as Lobular carcinoma).

There are many causes responsible for breast cancer they are mentioned below

  • Obesity or post-menopausal obesity (Learn more about Heart Diseases Post Menopause)
  • Exposure to frequent radiation (X-ray)
  • Consumption of alcohol
  • Being taller than average
  • Start of periods at an early age
  • Late menopause
  • Hormone replacement therapy
  • Consumption of birth control pills

The most common symptoms of breast cancer are as follows

  1. Formation of a lump in your breast
  2. Swelling or shrinking of your breast
  3. Change of size, shape and color of your nipple
  4. Blood or milk discharge from the nipple
  5. Breast pain
  6. Itching sensation
  7. Appearance of rashes (Learn more about to maintain the skin health)

Breast cancer if not diagnosed and treated at an early stage may turn out to be fatal. Ayurveda offers promising cures for breast cancer.

A few of the Ayurvedic remedies are mentioned below

  1. Include foods, which are well supplied with vitamin D in your diet. Researches show that women with less amount of vitamin D in their bodies are more likely to develop breast cancer. Consider including foods like eggs, orange juice, dairy products and fish like salmon in your diet.
  2. Drink more of green tea as it has anti cancer properties.
  3. Exercises like walking, yoga, meditation and certain breast exercises can help you to relax the pain sensation, reduce stress and also get cured.
  4. Incorporate bitter gourd in your diet. Researches show that bitter gourd can kill those cancer cells, which cause breast cancer.
  5. Ayurvedic herbs like Ashwagandha, tulsi, curcumin have certain properties that can destroy cancer cells.

If you wish to discuss about any specific problem, you can consult an Ayurveda.

5048 people found this helpful

MPT
Physiotherapist, Mumbai
Herniated disks or bone spurts in the vertebrae of the neck might take too much space and compress the nerves branching out from the spinal cord which may cause severe back pain.

Spinal Cord Injury: Know How To Prevent It!

DNB NEUROSURGERY, M.B.B.S.
Neurosurgeon, Durgapur
Spinal Cord Injury: Know How To Prevent It!

The spinal cord is like a cable consisting of millions of nerves that transmit messages in the form of electrochemical signals from the brain to the rest of the body, and also sensations from the body back to the brain. We are able to perceive pain and move our limbs because of messages sent through the spinal cord. 

The spinal cord is soft and vulnerable to injury. It is protected by the bony structure of the vertebral column. A spinal cord injury can happen if there is a fracture of the spine. Sometimes, even if the vertebral column is intact, violent shaking can cause cord contusions. It’s an extremely serious type of injury that is likely to have a lasting and significant impact on most aspects of daily life. 

If the spinal cord sustains an injury, some or all of these impulses may get blocked. The result is a loss of sensation and mobility below the level of injury. A spinal cord injury closer to the neck will typically cause paralysis throughout the body, while one in the lower back may affect the legs but spare the hands. 

Causes: 

A spinal cord injury is often the result of violent trauma. Events like spontaneous hemorrhage, infection, tumors or autoimmune diseases can also cause spinal cord damage. Some causes of traumatic injury to the spinal cord are : 

  • trauma during a car accident (specifically, trauma to the face, head and neck region, back, or chest area) 
  • falling from a significant height 
  • head or spinal injuries during sporting events 
  • electrical accidents 
  • a violent attack such as a stabbing or a gunshot 
  • Diving head first into water that’s too shallow and hitting the bottom

Symptoms-

Some symptoms of a spinal cord injury include: 

  • Neck or back pain 
  • Pain radiating along limbs, or numbness/ pins and needles sensation along the arms or legs. 
  • Weakness of particular muscle groups in focal injury, to complete paralysis in severe injury. 
  • Clumsiness during finer actions using the hands. 
  • Unsteadiness or loss of balance while walking. 
  • Loss of control of the bladder or bowels You must take immediate precautions 

If there is the slightest suspicion that someone has a back or neck injury: 

  • Call 911 or your local emergency medical assistance number 
  • Do not move the injured person – permanent paralysis and other serious complications may result. 
  • Place heavy towels on both sides of the neck or hold the head and neck to prevent them from moving until emergency care arrives •    Provide basic first aid, such as stopping any bleeding and making the person comfortable, without moving the head or neck 
  • If movement is absolutely necessary, arrange a cervical collar, then log-roll onto a stiff spine board or flat surface, taking care that all parts of the body move together and that any relative movement between one part of the spine to the next is avoided. 

Prevention- 
Because spinal cord injuries are often due to unpredictable events, the best you can do is reduce your risk. Some risk-reducing measures include: 

  • always wearing a seatbelt while in a car 
  • wearing proper protective gear while playing sports 
  • never diving into water unless you’ve examined it first to make sure it’s deep enough and free of rocks 
  • increase protective measures to avoid falls from height 

Treatment: 
Seek the opinion of a Neurosurgeon or an Orthopedic spine surgeon as soon as possible. X-rays, CT scan or MRI scans may be advised for assessing bony or soft tissue injuries of spine. Minor injuries require only immobilization and rest. Severe injuries, however, may require steroid injections and surgical intervention. Time is of essence, and an early surgery in certain situations may save a limb that would otherwise be paralyzed for life.

3186 people found this helpful

I am a 25 years old male, I have been suffering from bulging disk at l5-s1. I have been resting for 2 months, now my neck has started paining too and left pelvic joint is making popping sound everytime it is bend. So I got my blood acid checked. And its been 8 for last two months, I have been drinking like 6 lts water everyday. Is uric acid main reason of pain? And how can I get it down as I don't want to start the medicine so early in life and drinking water is not working. Please suggest, my career is suffering a lot.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Requires detailed examination and investigation. Preliminary investigations suggested: hb, tlc, dlc, esr, blood sugar fasting & pp, uric acid vit d urine r/e x-ray of the affected part. Anyway it may be tried sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick mattress are harmful use no pillow under the head. Do hot fomantation paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back, knee & general exercises. It may have to be further investigated. Do not ignore it. Let it not become beginning of a bigger problem. Make sure that patient is not allergic to any of the medicines that he/she is going to take. If it does not give relief in 4-5days, inform.
5 people found this helpful
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Breast Cancer - Commonly Asked Questions You Must Be Aware Of!

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery
Oncologist, Pune
Breast Cancer - Commonly Asked Questions You Must Be Aware Of!

Breast Cancer is one of the most common types of cancer among women. In US, it is the second most common cancer to affect women, the first one being skin cancer. The disease has been such a dreadful one that the first thing which crops up on the minds of those diagnosed with the same, is whether they would survive. Nowadays, medical science has made such rapid progress in diagnosing the disease and then coming up with various treatment options, that ones who are diagnosed with cancer have high chances of survival as compared to those, who had to bear the brunt of the dreaded disease and lose their battles due to lack of advanced medical treatment.

Now, we take a look at some of the most frequently asked questions on breast cancer:
1. Which age group of women is most likely to get breast cancer?
Breast Cancer most often occurs in women who are above 40 years and risk tends to increase with age. There are certain risk factors, some of which can be controlled, which are related to lifestyle, environment, diet, while some factors cannot be controlled, top of which is age.

2. What are the signs and symptoms?
Outward signs of breast cancer are very rare. In case any outward sign does occur, the most probable ones include a lump, area around the nipple having a thickened feeling or skin around the nipple having rashes. Still, even if you come across these signs, they don’t always necessarily mean you have breast cancer, so it is always advisable to consult a doctor as and when you come across these signs.

3. Can breast cancer be prevented?
Unfortunately there is no sure way to prevent breast cancer but precautions on the part of women can definitely reduce the risk of getting engulfed by the disease. Lifestyle and environmental factors play huge role in influencing cancerous cells within a person’s body. So, maintaining healthy lifestyle and staying away from alcohol and fatty, spicy foods would go a long way in ensuring that you do not invite the risk of cancer.

4. How often should I do a breast self exam?
Breast Self Exam should be done at least once a month. You can look for any changes in the tissue, changes related to size, shape or a feeling of lump, inversion of nipple, reddish tinge on the breast skin.

5. Is breast cancer inherited?
All kinds of cancers involved changes in a person’s genes. If a woman’s mother, sister or daughter had suffered from cancer, then there is always a chance that the woman would also suffer from the same.

6. Is there a link between oral contraceptives and breast cancer?
Use of birth control pills for more than five years lead to an increased risk of breast cancer, though due to the low amount of hormones in pills nowadays, the risk is comparatively small.

7. What is preventive mastectomy?
Preventive Mastectomy refers to the removal of one or both breasts so that risk of getting breast cancer is reduced. Women who are at a high risk of breast cancer go for this option.

6 people found this helpful

Breast Cancer - What Possibly Can Trigger It?

MD - Obstetrics & Gynaecology, DGO, MBBS, MCPS
Gynaecologist, Mumbai
Breast Cancer - What Possibly Can Trigger It?

Breast cancer is a type of cancer which occurs due to the development of cancerous cells in a person's breasts. Women are usually affected by breast cancer and breast cancer is one of the most common forms of cancer after skin cancer. Usually fatal if not diagnosed in its early stage, breast cancer is a very serious medical ailment. Read on more to find all about the different symptoms, causes, preventive measures and treatment of breast cancer.

1. Symptoms

Breast cancer has a few distinct characteristics and if you have a few or all the following symptoms you could be more likely to suffer from breast cancer. 

a) The formation of a lump in your breast which is different from the surrounding tissue and usually more thickened.

b) The discharge of bloody fluid  material from the nipples.

c)  Sudden change of the size, shape and appearance of the breast.

d) Certain distinct changes to the skin over the breast for example an indentation in the skin similar to that of a dimple.

e) Appearance of an extra nipple which is inverted.

f)  If the darkened area around the nipples known as the areola is flaking or peeling off.

 

2. Causes

Studies and researches remain inconclusive on what causes breast cancer. Breast cancer occurs due to abnormal division of the cells located in the breast which over time accumulate and form lumps. They
might spread to other parts of the body. Breast cancer is caused mainly due to a complex interaction of personal genetics, environment and lifestyle choices. Breast cancer can also be caused due to genetics as about 5% to 10% of cases are due to gene mutations which pass onto generations.

3. Risk factors

There are certain factors which increase the probability of contracting breast cancer. Increasing age, personal and family history of breast cancer, obesity, radiation exposure, pregnancy at an older age, post-menopausal hormone therapy are some of the factors that increase the chances of breast cancer.

4.  Treatment

Several forms of surgical methods exist to treat breast cancer. Depending on the condition and spread of the disease a suitable surgery is performed. These include mastectomy, lumpectomy, axillary lymph node dissection and removal of both breasts. Other forms of treatment include chemotherapy or the use of high doses of drugs to destroy cancerous cells. Radiation therapy where X-rays are used to destroy the cancer cells is also effective.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2821 people found this helpful

ECMO New Era of Medicicne

Homeopath,
ECMO New Era of Medicicne

What is ECMO?
Like dialysis for unfunctional kidney, Ecmo for unfunctional lung.

Ecmo stands for extracorporeal membrane oxygenation. It is a method of giving oxygen for the body when icu pateint lungs and/or heart are not able to supply oxygen on their own. 

Why ICU pateint put on ECMO?

Doctors place ICU patients on ECMO when patients are not able to supply oxygen to the body.

ICU patients’ lungs fail for a number of reasons including pneumonia, lung cancer, pulmonary edema, pulmonary embolism and COPD.

 When a patient’s lungs fail, he/she first is intubated (breathing tube) and hooked up to a ventilator (breathing machine).
 However, sometimes lungs are so damaged that providing oxygen through intubation is not enough.

This is when doctors turn to v-v ecmo.
A heart can fail for many reasons including heart attack, pulmonary embolism, bad valve disease, or worsening heart failure. When a heart fails, doctors try to fix the underlying problem. They may also start medications (called ionotropes) to help improve the pump function of the heart. If medications are not enough, doctors will turn to v-a ecmo.

How long can someone stay on ecmo?

That is a complicated question. Due to the risks of ecmo discussed above, doctors try to keep patients on ecmo for as short a time as possible. Often patient will be on ecmo for several days up to 1-2 weeks. Every day, several blood and imaging tests are done to determine if a patient is ready to come off ecmo. As the technology of ecmo improves, hopefully side effects will decrease and patients can remain on ecmo for longer periods of time.

What is the difference between ecmo and a ventilator (breathing machine)?

Both ecmo and a ventilator aim to provide oxygen to the body when the patient’s own lungs and breathing are failing. The ventilator assists the patient’s own lungs by pushing oxygen with pressure into the lungs. Ecmo instead provides oxygen directly via a catheter placed in a patient’s vein or artery. We almost always try oxygenating a patient with a ventilator first. However, when a patient’s lungs are too sick for this, we turn to ecmo to assist in providing oxygen to the body. V-v ecmo provides oxygen through a vein. This blood then has to travel to the heart and be pumped around the rest of the body through arteries. Therefore, with v-v ecmo or with a ventilator, a patient must have a well-functioning heart to get the oxygen pumped throughout the body. V-a ecmo has the additional advantage of pumping blood directly to arteries. This “by-passes” the heart and is therefore the method of ecmo we use when a patient’s heart is failing.

1 person found this helpful

Physiotherapy - 5 Ways It Can Help Post Fracture!

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Physiotherapy - 5 Ways It Can Help Post Fracture!

A fracture requires quick and careful medical attention to ensure proper healing and alignment of the bone. Most fractures usually recover within six weeks but that is only half the problem. A lot of other tissues get damaged in the process when there is enough stress placed in the body to fracture a bone. Additionally, when you are unable to move that bone, you will have joint stiffness and significant muscle weakness.

After a fracture, physiotherapy might be recommended to guarantee that you come back to your ideal capacity. You might have to go for regular appointments to your physiotherapist in order to achieve full recovery. Usually, your physiotherapist will try to prevent your post-fracture stiffness in the nearby joints and muscles after the initial six weeks while you are recovering from your fracture. After six weeks or later, if x-rays show that the bone has not been fully healed, your physiotherapist can take a shot at recovering full movement of the joints and muscles near the affected area.

Here are five ways in which physiotherapy helps heal post-fracture:

  1. Physiotherapy after a fracture can help you enhance your muscle movement. In case you have fractured your leg, your physiotherapist can help you improve your walk and help you decide whether you need to take the support of a walking stick, crutches or a cane. In case you have broken an arm or shoulder, exercises focused on reaching and grasping are included.
  2. Modalities might be used to help with the pain and swelling. Your physiotherapist may choose to use ice, heat or whirlpool baths.
  3. Electrical stimulation can also be used to improve your muscle movement. You need to keep in mind that while inactive treatments like electrical stimulation or ultrasound might be used, you also need to keep your muscles physically active to better your movement and strengthen your bones.
  4. If you have had surgery to join the fractured bone, you may have surgical scar tissue. Scar massage can decrease scar attachments and increase movement around the scar.
  5. Exercise to improve the scope of movement and strength can also be started. Particular focus points need to be treated in the joints around the fractured area. If you have fractured a bone close to your elbow, exercises need to be included for your elbow, wrist, and shoulder. Moreover, a fracture in the shin needs to include exercises for the knee, lower leg, and hip. Exercise can guarantee that your bone can endure the load during daily routine work. Make sure to consult with your physiotherapist to learn the correct exercises for your condition.

A fracture can be very painful and might lead to a disability or problem in movement. Depending on the seriousness of the damage, the loss may be temporary or permanent. Physiotherapy can help you come back to your optimum function as quickly as possible. In case you have a concern or query you can always consult an expert & get answers to your questions!

3666 people found this helpful

L5 slip over s1 grade 1.is surgery necessary or not. Could it be cured by exercise.

MBBS
General Physician, Mumbai
Treatment depends on the symptoms and if there is numbness or loss of sensation than the last option is surgery
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