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Jiwan Dharaa Polyclinic

Neurosurgeon Clinic

3B Civil Lines, Near More Chowk Gurgaon
1 Doctor · ₹400
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Jiwan Dharaa Polyclinic Neurosurgeon Clinic 3B Civil Lines, Near More Chowk Gurgaon
1 Doctor · ₹400
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We are dedicated to providing you with the personalized, quality health care that you deserve....more
We are dedicated to providing you with the personalized, quality health care that you deserve.
More about Jiwan Dharaa Polyclinic
Jiwan Dharaa Polyclinic is known for housing experienced Neurosurgeons. Dr. Rahul Jain, a well-reputed Neurosurgeon, practices in Gurgaon. Visit this medical health centre for Neurosurgeons recommended by 48 patients.

Timings

MON-SAT
06:00 PM - 08:00 PM

Location

3B Civil Lines, Near More Chowk
Civil Lines Gurgaon, Haryana - 122001
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Doctor

Dr. Rahul Jain

Neurosurgeon
Available today
400 at clinic
₹200 online
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Sleep Wake Disorder - Irregular Sleeping Patterns

Masters of Philosphy, Master of Science, Bachelor of Sciences
Psychologist, Kolkata
Sleep Wake Disorder - Irregular Sleeping Patterns

Sleep-Wake Disorder is a very uncommon syndrome which causes irregular sleeping patterns without any real schedule.

Causes
Persons with brain malfunctioning and those who do not have a regular routine during the day experience such disorders. People with changing work shifts often experience such disorder. Also, travellers who often move from one country to another with different time zones may also have these symptoms.
There's no cure for this disorder, but treatments, including hormones, medicine, and light therapy, can help get you closer to a normal sleeping pattern.

Symptoms

Symptoms may include any of the following:

  1. Sleeping or napping more than usual during the day
  2. Trouble falling asleep and staying asleep at night
  3. Waking up often during the night

Exams and Tests
A person must have at least three abnormal sleep-wake episodes during a 24-hour period to be diagnosed with this problem. The time between each such episode varies from 1 to 4 hours. The doctor may advise you to go ahead with a device called actigraph in case the diagnosis is unclear. The device looks like a wristwatch, and it can tell when a person is sleeping or awake.

Treatment
Though there is no simple cure for irregular sleep-wake syndrome, however, several therapies and lifestyle changes may help a person return to a normal sleep-wake cycle. These include:

  1. A regular daytime schedule of activities and mealtimes need to be fixed.
  2. You should not stay in bed during the day for long.
  3. Use bright light therapy in the morning like those from computer screens and television. The period of exposure should also be increased. Exposure to blue light should be minimized at night.
  4. You should take melatonin at bedtime. This is a hormone that controls the sleep-wake cycle. By taking doses at the right times, you might be able to shift your body clock earlier or later.
  5. Make sure to make the room dark, quiet, and as comfortable as possible at night.
  6. Also one should try to minimize the amount of noise in the sleep environment.
  7. Add more structure to the patient’s day by scheduling social interaction, exercise, and other activities.
  8. Your doctor may prescribe drug to control the timing of the sleep-wake cycle.

Finally, you should take proper care of yourself. Make positive changes in your lifestyle. You can even ask your boss to make your work schedule a bit flexible.

The ultimate goal of these lifestyle changes is to help the person sleep longer at night and make him feel active and awake during the day. Most people have sleep disturbances on occasion. But you need to see your doctor if such sleep disorders occur regularly.
 

1 person found this helpful

Causes of Migraine And its Homeopathic Remedies!

BHMS
Homeopath, Mumbai
Causes of Migraine And its Homeopathic Remedies!

A migraine is a headache that causes a distinct pulsating pain, usually in one side of the head. It is different from normal headaches in the sense that the pain is much more intense and it may be accompanied by nausea or vomiting as well. Some patients have also complained about light sensitivity while others have also complained about pain in all areas of the head.

Some of the factors that separate a migraine from a normal headache are as follows:

While a headache may last at best a day, migraines may last longer, sometimes even up to 3 days.

- Feelings of nausea or actual vomiting
- Sensitivity to light
- Extreme sensitivity to changes in sound

Causes Behind Migraines

Some of the common and known causes, which may trigger migraines in people are:

- Hormonal changes in the body that may have adverse effects
- Dehydration is also known to trigger migraines
- Patients with hypoglycemia may also face migraines if the blood sugar level drops within their body
- Change in air pressure due to change in altitude may also cause migraines to appear
- Lack of sleep
- Stress
- Lifestyle issues such as smoking and excessive alcohol consumption.

Remedies for Migraine in Homeopathy

Migraine is treated in homeopathy by attacking the root causes that may trigger them. Rather than temporarily alleviating pain, homeopathic treatments aim at curing the problem completely.

Some of the medicines that are known to be effective are:

  • Natrum mur: This provides great relief from migraines, which may have been caused by stress. Also, if a proper dosage is taken, it can help cure it as well.
  • Belladonna: This had been known to be a great provider of relief for people who regularly face throbbing headaches.
  • Glonoine: For people who frequently have migraines due to congestion of the sinuses, this medicine has been known to be very effective.
  • Spigelia: To treat migraines in the left side of the head.
  • Sanguinaria: Is highly effective for situations where the migraine is on the right side of the head.
1 person found this helpful

Hello, My mother is suffering from Bell's palsy since 20th nov16, as she is diabetic Dr. did not have her prednisone steroid within 72 hours after the attack. Now it been 3moths over Dr. asked us to stop physiotherapy now but it's not cured. We have consulted couple of neurologist but they are saying nothing can be done now after 3 months. My mother become too upset and me too. Should I go anywhere outside of Kolkata for further treatment, can it be cured, can she smile again. Please help me with your valuable suggestion .Thanks.

Dentist, Thane
Hello, My mother is suffering from Bell's palsy since 20th nov16, as she is diabetic Dr. did not have her prednisone ...
Best is she has been though physiotherapy how about she continuing her on daily basis, then blowing the baloon exercise ,blowing the same side of the face without baloon it will significantly improve over a period of time. It may not be 100 percent nrmal but will be close. Age is also one of the factors thats what I understand and experience. 2 warnings keep her away from TV, Stress, cold weather cover uself well these might aggrevate it.
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Neurological Disorder - How Panchkarma Therapies Can Help?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Karnal
Neurological Disorder - How Panchkarma Therapies Can Help?

Neurological disorders may creep in due to many reasons. It may be due to degenerative diseases, accidents, other health conditions, birth defects or genetics. The most common form of disorder occurs due to non-functional brain cells in some parts, and loss of myelin sheath in neurons, which protects the nerve signals in their complete transfer from origin to destination. These losses are irreparable, but further degeneration can be avoided with Ayurveda. Panchakarma, the branch of Ayurveda, which deals with detoxification of the body and mind, specially helps. Over a period of time, it can bring back the lost sensation in nerves. Yoga, pranayama and Ayurvedic treatments lead to recovery and relief to a huge extent.

Important facts about Panchakarma
There are 3 important steps in Panchakarma, which are followed one after another to get the result. The main objective of Panchakarma is to detoxify the body. Virechanam, vamanam, sneha vasti, nasyam and kashaya vasti are the 5 folds in Panchakarma.

  • Poorvakarma or preparing the body, followed by Abhyangam or massage, followed by Elakizhi or herbal paste massage, and finally podikizhi, or steam bathing makes the body ready for receiving further treatments.
  • Njavara Kizhi is the special treatment done in Panchakarma where the body is given a rice bolus massage to improve the joint and neuro functions.

What is Njavara Kizhi?
Njavara is a variety of rice, which is specially used for Ayurvedic treatment and massages. In this treatment the rice is made into a pudding by boiling it with milk. This pudding is then made into boluses. The boluses are filled in muslin cloth, and then using these muslin bolus dabs, the whole body of the patient is massaged. This full-body massage has excellent effects on neurological and joint functions. The deep tissues within the body are rejuvenated. The treatment is carried on for 45 minutes to 60 minutes by therapists or experts. Another form of the treatment requires the rice to be made into a paste, and then the paste is applied all over the body. But this is more preferred for beautification.

Other effective therapies
Siro Vasti, Kati Vasti, Ela Kizhi and Nasyam are all different forms of Panchakarma treatment, which detoxify the body and mind and rejuvenate the body and nerve functions. But these treatments cannot be conducted on the body on your own. You need a masseur who must be a specialist in Ayurveda to do this for you. Hence contacting Ayurvedic doctors or experts would be the best to start the treatment.

1175 people found this helpful

I get burning sensation in both legs and palm when I go to bed nite or noon whenever I lie down on bed I get burning sensation why?

BHMS
Homeopath, Raebareli
I get burning sensation in both legs and palm when I go to bed nite or noon whenever I lie down on bed I get burning ...
Dear lybrate-user, buring of palms and legs is due to vit b deficiency and or nerve compression in lumbosacral region. Nothing to worry about use a medicine Rhus Tox 30 thrice a day for 5 days and consult back thereafter.
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Obstructive Sleep Apnea

MBBS, MD, MEDICINE
Cardiologist, Chandigarh
Obstructive Sleep Apnea

Do you have any symptoms like snoring, interrupted sleep, unrefreshened sleep, morning headaches, daytime sleepiness etc, if yes it further supports the diagnosis.
It is a condition characterised by obstruction of upper airway especially during sleep due to lax airway and narrowing of airway due to obesity.
Basically, obstruction of upper airway leads to temporary stoppage of respiration, increased sympathetic drive and increased pulse rate. Also, other reason for pulse rate rise is deconditioning as you are not accustomed to activities.
Investigation
ENT examination if you have any symptoms of nasal stuffiness, recurrent tonsillitis to rule nasal causes of obstruction.
Thyroid function test
Lipid profile and sugar, hba1c
Vitamin D
Polysomnography which is sleep study to confirm the diagnosis and extent of disease, pressure of cpap needed.
In treatment, first thing weight loss. You need to have low fat, calorie diet in order to loose weight. Cure for this is weight loss.
Secondly, cpap which is mask and device, and pressure during inspiration and expiration during sleep in order keep your airways patent and avoid this from happening.
Also, regular exercises is very important. Chest physiotherapy and yoga will be helpful.

1 person found this helpful

I have problem of fits .I take treatment and my EEG and MRI also normal .so what is the cause behind it?

DM - Neurology
Neurologist, Rajkot
Epilepsy has multiple causes. Most cases with normal MRI And EEG are of genetic origin .and not all genetic epilesies have family history.
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I am facing a problem of finger shivering. My hands shake a lot. My fingers do shiver while holding a cup of tea or while doing some task. This problem of mine is also making me in depression. My hands shake a lot. I do smoke and I have also been taking canabbies before but have stopped them permanently. I want to know that why do my finger shiver and what is the solution for it. Pl give me a response for my this disease as earliest as possible for you. Thank you.

MSc, PGDGC
Psychologist, Chennai
I am facing a problem of finger shivering. My hands shake a lot. My fingers do shiver while holding a cup of tea or w...
Hi Mr. lybrate-user, This may be because of drug abuse side effects. Better take an master health check up and treat accordingly. If it's normal, then it may be anxiety disorder features. Get treated for that. Eat protein rich food.
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Physiotherapy Treatment for Head Injury

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Physiotherapy Treatment for Head Injury

PHYSIOTHERAPY TREATMENT OF HEAD INJURY

The treatment may comprise of the following measures:

IMPROVES ALERTNESS OR AROUSAL THROUGH SENSORY STIMULATION:

The patient who is drowsy or confused need to be stimulated by makes them more alert and awake. The therapist should encourage the patient’s cooperation during the treatment. The main aim is to stimulate the reticular activating system by making the patient sit or even stand in the tilt table.

The therapist should provide tactile, visual, auditory and Proprioceptive stimulation to the patient that will send facilitatory signals to the brain and will enable the alert response to be provoked. Auditory stimulation can be given by speaking to the patient during the course of treatment. Visual stimulation is given by showing familiar faces, objects or movement in the visual field of the patient. 

Proprioceptive stimulation by giving traction and approximation at joint structures is very helpful in stimulating the arousal response in the patient.

PREVENTION OF SPASTICITY:

As hyper tonicity generally sets in almost all head injury cases various measures need to be taken to keep them under control. Gentle passive movement, gradual rhythmic sustained stretch, prolonged icing for 20 minutes over the muscles, biofeedback, proper positioning are certain measures that needs to be employed for controlling spasticity.

MAXIMISE THE PATIENT’S FUNCTIONAL CAPACITY:

The main aim of this management is to improve the ROM, improve the control of voluntary movement, strengthening paretic muscles, improve the coordination, balance and teach various safety measures.

The treatment should be wide spread over the periods of time as the patient’s attention span and endurance is very less.

NEUROMUSCULAR TRAINING can be given through the development sequence by inhibiting abnormal movement pattern and by facilitating normal movement pattern.

The patient may give activities like bridging, prone on elbow, on all fours, side lying to sitting, sitting, kneeling, half kneeling, standing and walking.

PROPER DOCUMENTATION is necessary of the entire event through- out the day. Infact the routine of the patient should be maintained in the register and the patient need to be reminded of various activities especially if the patient has memory problems. The patient may be given register with photo and names of various health professional visiting him so that each day’s program can be entered. This will benefit both the patient and his acquaintance to know regarding the activities given to the patient.

USE OF VESTIBULAR BALL while training the patient for crawling, bridging, sitting, balance helps in building the Proprioceptive stimulation and teaches proper control to the patient.

Each task has various subtasks which need to be mastered by the patient so that he learns the actual activity using normal movement combination and performs it with precision. Like for training the patient to get up from bed, he may be taught to do asymmetrical push up with the trunk in partial rotation, then lower leg patterns are incorporated and finally the whole task of get up from sidelying is practiced.

REPETITION ACTIVITIES is key like any other neurological disorders. Ambulation training should always be done in upright position training the patient in each and every phase of the gait cycle. If the patient’s balance is poor then assistance may be used.

FUNCTIONAL ELECTRICAL STIMULATION has been shown more effective than kinetic joint training in certain types of cases. The upper extremity also appeared to use specific synergies for hand use in different positions. Clients often can opens hand in out stretched arm position but will be unable to perform the same action when the elbow is flexed. Some patient with minimal functional deficit in th upeer limb may be given some assistive devices or support for the hand so that they can perform some basic activity like eating, combing, writing, etc. this technique helps the shoulder and other proximal structures to produce appropriate movement sequences for hand use but does not facilitate hand function. The treatment however does provide whole task practice even though some basic component of the function is substituted by other means.

REVERSING TASKS in some patients helps in developing increased control by modifying a task or synergy as well as making the muscle work both eccentrically and concentrically. For instance lowering a glass of water on the table may help the patient in getting th glass close to the mouth by improving motor control of biceps during eccentric contraction.

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Sir one of my neighbor is affected by brain infection. So what medication should be given to him/her to cure this infection as well as it curable or not please reply sir. Urgent reply.

MS - General Surgery, M.Ch - Neuro Surgery
Neurosurgeon, Siliguri
Brain infection should not be treated at home. Consult doctor immediately. Yes some infections are viewable.
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At about age of 55 years her left arm suffers shivering, tingling etc. Her two of the nerves c6 and one another are blocked. Please suggest any treatment, exercise etc.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
At about age of 55 years her left arm suffers shivering, tingling etc. Her two of the nerves c6 and one another are b...
physiotherapy laser treatment. stretching exercises . posture correction must. avoid toward bending
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I was suffering from severe numbness when I sit on floor for minutes and hours. For me numbness causes at feet and hand area. sometimes right side area of body including head part. Numbness is caused due low flow of blood level in body in those areas is it y/n.How to control those problem. Which kind of treatment have to take for this problem.

BHMS
Homeopath, Raebareli
I was suffering from severe numbness when I sit on floor for minutes and hours. For me numbness causes at feet and ha...
Dear Mahipal, numbness is usually caused due to nerve compression and vit b deficiency. you need to add vit b complex in your diet either as supplementary or via natural food stuffs . Apart from this use a medicine Hypericum 200 once daily for 3 days and consult back for proper treatment.
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My father have migraine pain with very speed nd we all a such thing can uhh plzz help me with this.

BHMS, MD - Alternate Medicine
Homeopath, Nagpur
Migraine headache is the main cause due to stress. At least you identify what exactly the trigger factor for your migraine and the first step is that to avoid that trigger factor. So avoid that and homoeopathy can cure migraine for complete cure.
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Under my both feet When I run or jump a step I feel like current Is it nerve problem? Its like burning feeling for a second.

BHMS
Homeopath, Raebareli
Under my both feet
When I run or jump a step
I feel like current Is it nerve problem?
Its like burning feeling for a ...
Please change you shoes. Check for blood sugar and or any sprain you got. DO not stand bare foot on cold floor in home/office. Take Hypericum 30 - thrice daily 4 pills for next 7 days Continue treatment.
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Hello, Just have a small query. When I sit in cross leg position, after sometime my legs get numb from hip to toe. Any specific reason? I have vitamin d3 and b12 deficiency and for that I am taking weekly shots from 1 month. What's the exact cause and possible advise? Thanks so much.

DHMS (Hons.)
Homeopath, Patna
Hello, Just have a small query. When I sit in cross leg position, after sometime my legs get numb from hip to toe. An...
Hello, Lybrate user, sitting crossed legs cause blocked of blood and nerve supplies from upper body to lower extramities due to pressure on arteries & nerves ,sitting with cross legs for a long time. It's advisd to rest on back while sitting rather than with cross legs, please. Tk, care.
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How To Control Nerve Pain?

MBBS, Diploma in Anesthesia, FIPM, Clinical Fellowship Training in Chronic Pain Management
Pain Management Specialist, Mumbai
How To Control Nerve Pain?

Nerve pain or peripheral neuropathy, as it is medically known, is characterized by pain, numbness and weakness that arise out of nerve damage. This pain is usually restricted to the feet and the hands.

What are the common causes?

Diabetes is the most common cause for this condition. However, other causes, such as injuries, infections and prolonged exposure to certain toxins can also trigger nerve pain.

How can you control nerve pain?

Nerve pain can be managed and taken care of at home taking into consideration the points that have been mentioned below:

  1. Topical Painkillers: Certain over the counter ointments and creams can help relieve nerve pain. These medications act as local anesthetics; that is they numb the area of the pain. Capsaicin, a derivative of chili peppers, is one of the major ingredients used in these medicines. Others use botanical oils as the major ingredients.

  2. Painkillers: There are painkillers available OTC which can curb nerve pain. However, painkillers such as ibuprofen, aspirin and acetaminophen do not really work well for severe pain of the nerves.

  3. Supplements: The lack of Vitamin B12 is considered to be a very important cause, and at times, a catalyst for nerve pain. In a case such as this, Vitamin B12 supplements or injections might be administered. Although more research needs to go into this, but certain supplements, especially gamma-linolenic and alpha-lipoic acid can help soothe nerve pain caused by diabetes.

  4. Acupuncture: This time-honored Chinese approach is a proven alleviator of nerve pain. Acupuncture releases chemicals which numb the pain, or prevent the pain signals from travelling to the brain.

  5. Physical Therapy and Massages: Physical Therapy can especially heal and strengthen weak muscles that can stem from acute nerve damage and pain. Though more evidence is needed, according to a few sufferers of this condition, massages can be helpful with the tremendously painful muscle spasms that can so often result from nerve pain.

  6. Relaxation Techniques: In combination with the abovementioned approaches, relaxation techniques can go a long way in relieving debilitating neural pain. Besides being helpful with dealing and reducing a few stress phases of life which can cause nerve pain, these techniques might actually root out the actual pain itself.

  7. Lifestyle Modifications: This one’s always a winner! Eating a well-balanced diet that guarantees all nutrients in uniform amounts can never go wrong. Regular exercises for about 30-45 minutes can remedy different types of pain; nerve pain being one of them. Try and limit alcohol intake (a peg once a week won’t harm one, but binge drinking can play the ultimate spoilsport and make all health plans go topsy-turvy!). Abstain from smoking or chewing tobacco as this is usually the primary contributor towards any medical condition or disorder. If you wish to discuss about any specific problem, you can consult a neurologist.

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What are symptoms of the dengue or which medicine to take to migraine. Please help me.

DHMS (Hons.)
Homeopath, Patna
Hello, Lybrate user Dengue is caused by infected bite of aedis agey mosquito. Symptoms:  nausea/vomiting/body ache, fever, irritation/dizziness/cough/poor appetite rashes/reduced count of platelets.  Precaution: full covered clothes be worn. Mosquito net b used, hygiene around the residential area b maintained.  Diet:  energy providing & urine increasing diet such as papaya, orange, garlic, ors, red rise, amla juice and plenty of water b taken. All the best. Homoeo Medication Since, Homoeopathy is a symptomatology, Symptoms of individual is essential to begin medication,  please. However, tk Homoeo medicine:@ Arsenic alb 200-6 pills,  thrice @ Eupetorium 200-6 pills, thrice. Report, within 3 days to follow-up your case, further. Tk, care.
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I am 35 years women having a migraine. It's started as a day goes up n my muscles near eyes getting Street n it's hurt. My eyes also get hurt. N my full head getting pain badly m having a treatment of homoeopathic BT it doesn't work suggest me something.

MD PULMONARY, DTCD
Pulmonologist, Faridabad
Good sleep. No constipation. Avoid sunexposure. destress and do yoga and meditation. paracetamol sos for pain
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