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Dr. Chandra Sekhar Naidu  - Neurosurgeon, Hyderabad

Dr. Chandra Sekhar Naidu

MBBS, MS - General Surgery, M.Ch - Neuro Surgery

Neurosurgeon, Hyderabad

25 Years Experience  ·  500 at clinic
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Dr. Chandra Sekhar Naidu MBBS, MS - General Surgery, M.Ch - Neuro Surgery Neurosurgeon, Hyderabad
25 Years Experience  ·  500 at clinic
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Personal Statement

I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Chandra Sekhar Naidu
Dr. Chandra Sekhar Naidu is an experienced Neurosurgeon in Secunderabad, Hyderabad. He has been a successful Neurosurgeon for the last 25 years. He is a MBBS, MS - General Surgery, M.Ch - Neuro Surgery . He is currently associated with Dr. Chandra Sekhar Naidu@KIMS Hospital in Secunderabad, Hyderabad. You can book an instant appointment online with Dr. Chandra Sekhar Naidu on Lybrate.com.

Lybrate.com has a nexus of the most experienced Neurosurgeons in India. You will find Neurosurgeons with more than 29 years of experience on Lybrate.com. Find the best Neurosurgeons online in Hyderabad. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Education
MBBS - Sri ramachandra medical college and research institute - 1993
MS - General Surgery - Kasturba Medical College, Manipal, India - 1996
M.Ch - Neuro Surgery - Kasturba Medical College, Manipal - 2000
Languages spoken
English

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KIMS Hospital

#1-8-31/1, Minister Road, Begumpet. Landmark: Opposite to Sai Baba Temple, HyderabadHyderabad Get Directions
500 at clinic
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Best Physiotherapy/Rehab Exercises for Cerebral Palsy/Delayed Milestones

MPT, BPT
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.

4 people found this helpful

Right Hands going numb very frequent in a day. Please suggest any method to prevent this.

MBBS, MD - Internal Medicine, Post Graduate Program in Diabetology
General Physician, Delhi
Right Hands going numb very frequent in a day. Please suggest any method to prevent this.
Carpal tunnel syndrome is a common cause Get yourself examined by a physician. In the meantime may use gapbapin.
1 person found this helpful
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I am 16 years old female I have suffer from epilepsy last 1.6 years I take zenretard 300 mg & propranolol 20 mg but not relif what I can do?

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
The cause of your seizures need to be corrected if they are correctible or you need to take the medication for lifelong.
1 person found this helpful
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Hi, I Fell down while playing yesterday and I can not remember everything happened yesterday. And I vomited once. Will there be any problem.

BHMS
Homeopath, Navi Mumbai
No any problem but if there is any swelling or anything else then get the CT scan done CT brain plain.
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Dear sir /mam my brother have epilepsy disease he has been suffering from this since last 2 years. What should we do. Please tell us. We beg you sir/mam. We have already taken him to chennai apollo hospital shilong migraine hospital. Doctors gave us a medicine sodium valporate oral solution but nothing improvement arise. Sir/mam what should we do plse tell us. My brother is only 10 years old student. Plse.we beg you sir/mam plse. Help us.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
You don't need to be so helpless. Sodium valproate is a good medication for epilepsy control, though it takes some tome to start action. The dose of sodium valproate may need supervised changes and may need add on medications at times for control of seizures. Consult a neurophysician for the same. Also a brain imaging like MRI scan might be useful to rule out possible causes of uncontrolled seizures at his age.
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I am 18 years old and I have been suffering from migraine since last 9 years. I had taken number of medical treatments for this but doesn't get relief. Please suggest me something that would help me to get rid of this severe pain.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Gurgaon
A. Causes-: Improper metabolism, Suppression of natural urges, anger, jealousy, grief, poor elimination, intake of dry, pungent and salty food, intake of polluted food, mental and physical stress, viewing of TV for long periods, reading with insufficient light, sleeplessness etc. B. Origin of migraine headache-: Due to the causative factors, Pitta Dosha obstructs the flow of Vata dosha in brain, causing throbbing pain. C. Pain Management-: 1. Avoiding the cause and trigger factors. 2. Keeping a diary record of specific foods eaten, environmental exposure, sleep patterns may help to identify personal trigger factors. 3. Sneha nasya therapy at home-: Sneha nasya, instillation of medicated oils to the nostrils by Shadbindu tailam or Anu tailam yield significant benefits. 4. Apply a paste of freshly ground clay or freshly ground sandalwood to the forehead, let dry, rub off by hand and wash. 5. Mix ¼ teaspoon of clove powder with 1 teaspoon of cinnamon oil. Apply this paste on the affected area for 20-30 minutes. 6. Add chamomile powder to 1 cup of boiling water. Transfer the liquid to a cup. Drink when hot. It gives fast relief from migraine. 7. Take ½ glass of carrot juice. Add ½ glass of spinach juice. Mix well. Drink this juice twice daily. 8. Grind 10-12 grains of black pepper and 10-12 grains of rice with water to make it a paste. Apply this paste on affected area of the head for 15-20 minutes. 9. Sugar powder 16 parts, Vamshalochana 8 parts, Pippali (long pepper) 4 parts, Ela (Cardamom) 2 parts, Cinnamon – 1 part. Make fine powder and mix it, keep in tight moisture free container. Take half teaspoon thrice daily with honey. 10. Aromatherapy- Pitta calming aromas typically flower fragnances like Lily, Cloves, Lotus, Lavender, Peppermint, Rose, Sandalwood are beneficial. 11. According to ayurveda Virechan (Laxative therapy) is an effective way to reduce excess pitta. Castor oil or warm milk with ghee or triphla at bedtime is helpful. 12. Practicing meditation is highly recommended. 13. Morning and Evening walk followed by brisk exercise is recommended. 14. Avoid hard physical exertional exercises and aggresive sports competitions. 15. Avoid working for long hours continuously; take short breaks. Have a good night’s sleep (8hrs) in a dark room. D. Diet: ~~Apple, mango, papaya, cheeku, guava. ~~Salad 1hr before lunch, 1hr before dinner. ~~Buttermilk, boiled rice sauted with cinnamon, cumin seeds and garlic or asfoetida are good in the daytime. ~~Have warm and easily digestible foods, boiled and steamed vegetables, soups, vegetable juices, porridge, brown rice and whole-wheat flour. ~~Avoid yogurt, especially at night. ~~Avoid refined, oily, spicy, cold, sour foods (fermented, pickled) and stale food, aerated drinks. ~~Avoid coffee, tea, alcohol, smoking. ~~Avoid cheese, chocolate and wine. E. Yogasanas and Pranayama: Hastapadasana, Setu Bandhasana, Marjariasana, Paschimottanasana, Bhastrika and Anulom-Vilom Pranayama. NOTE: When suffering from a migraine attack: ~Lie down in a dark, quiet place & get some sleep. ~~Avoid eating. ~~Drink only water. ~~Apply hot or cold compresses. ~~ Consult doctor.
1 person found this helpful
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I am 32 years and having migraine headache from last 8 years. I have tried all sort of medicine but no relief. Please advise some.

BHMS
Homeopath, Faridabad
Hello, Self-care measures can help ease the pain of a migraine headache. Try muscle relaxation exercises. Relaxation techniques may include progressive muscle relaxation, meditation or yoga. Get enough sleep, but don't oversleep. Get an adequate amount of sleep each night. It's best to go to bed and wake up at regular times, as well. If possible, rest in a dark, quiet room when you feel a headache coming on. Place an ice pack wrapped in a cloth on the back of your neck and apply gentle pressure to painful areas on your scalp. Medication: Take Bakson's Mig Aid tablet/ 1 tablet 3 times a day.
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.I have d habit of over thinking and stress myself a lot. Am also suffering with migraine since 2 years. From the past few months, there's a lot of hair fall n white hair started growing. Am using medication for migraine. Sibelium 5 mg and tryptometer 10 mg. Could you help me in prevention of hair loss immediately. thanks.And because of migraine I do Head bath twice a month.

DHMS (Hons.)
Homeopath, Patna
Hello, You need to opt certain natural norms to overcome your depression apart from medication. Go for a walk in the morning to regulate your blood circulation to clam your nerve to check your depression. Go for meditation to reduce your stress to inculcate a strong person from within  to fight your depression. Be possitive,  think possitive and act possitively. Your diet be easily digestible on time to avoid gastric diosrder that triggers mental fag, often. Tk,  homoeopathic medicine:@ Ignatia 200-5 drops,  thrice. Avoid, junkfood,  alcohol, nicotine. Tk, care.
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