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Dr. Sandhya

MBBS

Neurologist, Hyderabad

350 at clinic
Dr. Sandhya MBBS Neurologist, Hyderabad
350 at clinic
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Personal Statement

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Sandhya
Dr. Sandhya is a renowned Neurologist in Madhapur, Hyderabad. Doctor is a qualified MBBS . You can consult Dr. Sandhya at Vikram Hospital in Madhapur, Hyderabad. You can book an instant appointment online with Dr. Sandhya on Lybrate.com.

Lybrate.com has a nexus of the most experienced Neurologists in India. You will find Neurologists with more than 43 years of experience on Lybrate.com. Find the best Neurologists online in Hyderabad. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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MBBS - - -

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Hi Tech City Main Road, Madhapur,Landmark:Near Petrol Bunk, HyderabadHyderabad Get Directions
350 at clinic
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Hi Tech City Main Road, Madhapur,Landmark:Near Petrol Bunk.Hyderabad Get Directions
350 at clinic
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I am subbareddy I am using nexito 10 mg tablets on 2nd day severe migraine headache should I continue or not.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
U can gradually stop it it and do 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 for med contact on private chat.
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I have wrist pain almost from 3 months. I consult a Ortho doctor and I took exray for wrist and he said there no damage in my wrist area bone. And I am biker I almost did not drive for three months. Recently, I started driving now again I am feeling same pain in wrist. Please which doctor I should consult, I was thinking for neurology. Please advise.

MPTh/MPT, BPTh/BPT
Physiotherapist, Pune
I have wrist pain almost from 3 months. I consult a Ortho doctor and I took exray for wrist and he said there no dama...
Hello you can consult a physiotherapist personally. They will teach you few wrist strengthening exercises and perform mobilisation if needed. Meanwhile you can do cold and hot water immersion for your wrist like 3 mins in hot n one min in cold with sponge ball squeezing it in water. Make sure you start with hot water and end with hot water till temprature of both water is equal. Do use wrist band. It could be because of overuse.
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Woke up two days ago feeling like a was walking on a cloud. All my movements feel like they are slow motion it's is like I have to really think about how I need to move my body

MPTh/MPT
Physiotherapist,
Kindly go for yoga and entire body stretches regularly. Adequate exercises will help you to keep fit and avoid doing vigorous activities.
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My mom is taking trika medicine to sleep. Is it good She is suffering from migraine. She is not able to sleep at night.

B.H.M.S
Homeopath, Patna
My mom is taking trika medicine to sleep. Is it good She is suffering from migraine. She is not able to sleep at night.
Stop all medecine 2. If pain is I left than sangunaria c cm one drop once in a week or pain is in left than spigelia cm one drop only in a week.
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I used propranolol hydrochloride tablets for 2 months to cure migraine pains. Will it have an serious side effects on heart? Does this medicine is the cause of my palpitations? Thank you.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Propranolol does have side effects but it certainly does not cause a rise in heart beats/ palpitations. Side effects depend upon the dose of propranolol taken rather than the duration for which it is taken. Usually the dose taken for migraine prophylaxis does not cause side effects unless you have an underlying heart disease before starting it.
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I am 32 years old female. I am suffering from severe migraine attack. Please suggest medicine for migraine.

MBBS
General Physician, Delhi
Take tablet brufen twice a day for 3 days in acute pain. To reduce the frequency and duration there are medicine but before taking consult your family physician or a nearby physician
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I have median nerve injury in my right hand and my finger, thumb not able to compress.

MD - Microbiology
General Physician, Bangalore
Hi. You have diagnosed the problem. The cause is the nerve injury. You can improve your grip by doing physiotherapy. Also exercising with the soft ball improves the strength of the muscles.
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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.

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My simple question is im really confuse bcoz im having pain in my head from 5 years and pain is continually 24 hours is this migraine headache. Is migraine pain 24 hours.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
My simple question is im really confuse bcoz im having pain in my head from 5 years and pain is continually 24 hours ...
Migraine can never be 24x7 for last 5 years. Migraine is classically an episodic type of headache which may continue for 24-72 hours if untreated in some cases. Migraine is a relapsing headache which may get precipitated by stress, lack of sleep, depression, allergies etc. You seem to have chronic daily headache which may occurs due to unresolved stress, work anxiety, improper sleep schedules etc. Consult me online or a headache specialist for a detailed evaluation and appropriate management.
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I am 22 years old female and I am married woman. Meri shadi ko abhi 4 months hue hai or Maine apne husband mai kuch problem notice kiya hai ki sote time unkye per hilte hai kabhi kabhi aise bhi hilate hai and unke kabhi hath bhi kapte hai ye koi problem tho nai hai n.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bijapur
I am 22 years old female and I am married woman. Meri shadi ko abhi 4 months hue hai or Maine apne husband mai kuch p...
Hello lybrate user improper nourishment or lack of nutrition may be the problem. -massage with warm maha masha taila early morning. - take cap ksheera bala tail 1-1-1 a/m. -dashamularistam 10 ml 2 tms after meals till symptoms reduce. -keep away from stress n strain. - practice meditation and pranayam.
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I am 67 years old and have under control levels diabetic, cholesterol and b. P. Some months back I had mild giddiness when I tilted my head downwards. Doctor prescribed medicine like stemmatil mild dose and dvised it due to old age when enough blood may not be going to brain and advised caution as the best cure to avoid downward jerks to head. Please give me second opinion and would you suggest a brain scan to know more.

MD, MBBS
General Physician, Delhi
Hello sir your doctor has advised you correctly and your query is also valid rather than a brain scan, I ll advise a test called carotid doppler first it's like an ultrasound of neck to see flow of blood to your brain with age and previously high cholesterol levels and diabetes we get atherosclerosis of blood vessels (narrowing of vessels) can review with reports for further management
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I have been suffering from nerve weakness and sever headache problem so please give me suitable suggestions.

BHMS
Homeopath, Delhi
I have been suffering from nerve weakness and sever headache problem so please give me suitable suggestions.
Hello, you can take homoeopathic medicines 1. Belladonna 30 (4 drops in little amount of water) two times in a day for a week. 2. Kali phos 6x (3 tabs) two times in a day for a week and update. Keep a gap of 15 - 20 minutes in both the medicines.
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I have both depression and insomnia. This makes sleeping at least 200% harder. What is some advice I can use while I wait for some medicine that doesn't affect my mental health? The fear of being alone comes from my depression and the insomnia forces me to be alone with my dangerous thoughts. Please help.

MBBS
General Physician, Mumbai
I have both depression and insomnia. This makes sleeping at least 200% harder. What is some advice I can use while I ...
Tips - Take a shower at bedtime for a peaceful sleep and Apart from taking symptomatic treatment take Tablet folvite 5mg once a day for six months and tablet vitamin D3 60000iu once a week for six months
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Is neurofibroma curable? By which medicine, allopathy or homeopathy or ayurvedic?

PDDM, MHA, MBBS
General Physician, Nashik
Is neurofibroma curable? By which medicine, allopathy or homeopathy or ayurvedic?
Neurofibromatosis (NF) is nervous system disease that causes skin defects and tumors on nerve tissues. It can also lead to other problems. The condition usually worsens over time. Although there is no known cure, treatment can help control symptoms.
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I have a very bad head ache from last 3 years I've consulted to a neurologist. And after all the tests I came to know that I have migraine. I'm having topamax medicine.

PDDM, MHA, MBBS
General Physician, Nashik
I have a very bad head ache from last 3 years I've consulted to a neurologist. And after all the tests I came to know...
Migraine cannot be cured. Avoid triggers. If certain foods or odors seem to have triggered your migraines in the past, avoid them. Reduce your caffeine and alcohol intake and avoid tobacco. In general, establish a daily routine with regular sleep patterns and regular meals. In addition, try to control stress. Exercise regularly. Regular aerobic exercise reduces tension and can help prevent migraines. If your doctor agrees, choose any aerobic exercise you enjoy, including walking, swimming and cycling. Warm up slowly, however, because sudden, intense exercise can cause headaches. Obesity is also thought to be a factor in migraine headaches, and regular exercise can help you maintain a healthy weight or lose weight.
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I have migraine pain over a 3 years I can't unable to overcome from this problem. I reach many doctors. Kindly help me.

MBBS
General Physician, Cuttack
1.Take Paracetamol 500mg one Tablet sos after food up to a maximum of three tablets daily at the time of attack 2.Drink plenty of water and take rest. 3.Check your BP 4. Avoid stress, anxiety, depression, agitation,exposure to loud noise, bright light since it precipitates migraine attack 5. Go for regular exercise 6. practice yoga, meditation, deep breathing exercise to calm your mind, control your emotion and relieve you from stress 7. If You have chronic migraine, you have to take migraine prophylaxis after consulting neurologist
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While writing my hand shakes, the situation becomes worse when somebody ask me to write and see what I am writing, the heartbeat also increases and I starts feeling nervousness. Pl advice treatment.

MBBS
General Physician, Trivandrum
While writing my hand shakes, the situation becomes worse when somebody ask me to write and see what I am writing, th...
1. Sleep well and regular. Irregular sleep can have some serious consequences. It affects both our physical health and also contributes to anxiety and stress. Anxiety as such also leads to disruptions in sleep. When feeling anxious, always try to get a full 7 to 9 hours of uninterrupted sleep and it can work wonders to improve your condition. 2. Always keep smiling. Take a quick break in between your hectic work to get some laughs with your friends. Laughter can reduce depression and anxiety and has proven benefits. 3. Tidy up your living space or workspace. Keep your things clean and clutter-free. That helps us think clear and thus reducing levels of anxiety. 4. Say thank you often. Expressing your thanks for something helps reduce anxiety. 5. Eat smart. Eating more of foods which are rich in vitamin B and omega-3 fatty acids and also healthy whole grain carbs. Vitamin B contributes to good mental health. While omega 3 fatty acids help with both depression and anxiety. Whole grain foods boost serotonin and helps us remain poised. Eating high-sugar content food and processed foods can increase levels of anxiety. 6. Learn to breathe well and relax. Short, shallow breaths arise when you are tensed. So consciously breathing deeply, plus increasing the duration and depth of breathing helps relax the body and mind to a great extent. 7. Meditate. Meditation has so many positive effects on stress, mood, and anxiety. Club meditation with positive thinking to improve your general well-being and overall health. Yoga is also very effective to take off stress from the body and mind by deep relaxation and breathing techniques. 8. Chill and be silent. Reduce the noise and clutter talk that contributes to anxiety. Find time for yourself and be alone to muse upon your own matters without anyone disturbing you. 9. Worry. Yes, we can cause ourselves to freak out, but only for a certain amount of time. When something weighs heavily on your mind, or you believe something terrible is most definitely going to occur, commit to only creating that worry for 20 minutes. Think of all the possible outcomes of the scenario, figure out some game plans, and then quit thinking about it after 20 minutes go by. Have a friend call after the allotted time has passed to avoid the temptation of going over the time limit. Or schedule some of that playtime right afterward. 10. Plan for the future but do not worry about it. Make time tables and to-do lists so that you will not be worried about finishing stuff and so that you can increase your productivity. 11. Be positive. When you feel anxious, train your mind to think and feel positive and give reinforcement to yourself that you can handle any situation. This will significantly reduce your stress and anxiety symptoms. 12. Smell relaxing stuff. Go out to your garden. Smell a fresh rose. Take a deep breathe and allow the relaxation to course through your whole body. You can also use relaxing aroma therapy and use it indoors. 13. Go out and spend time with your friends and family. Spend time with your pets Social support reduces anxiety and stress to such a great extent that it is almost always bearable. So next time you get on your nerves, go out with your friends, chat with them, watch a movie, spend some time watching the waves in the beach with your partner, talk to your siblings. If you have tried all these and still have problems, please consult me for prescription medication.
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I am 28, female. I have headache or migraine every second day. For time being I take headache tabs. Wuts is the solution.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
I am 28, female. I have headache or migraine every second day. For time being I take headache tabs. Wuts is the solut...
1) massage with stress relief oil or warm coconut oil to head, neck, and ears. 2) apply chandan powder +2-4 saffron threads+ pinch of cinnamon (dalchini) lep with rose water to forehead. 3) take 8 hrs sleep in the night. 4) avoid oily & spicy food. 5) pour 3-4 drops of warm pure cow ghee in both nostrils in head low position 6) do eye check up if headache persist
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I am 26 years old. Why I get migraine before or after menstrual cycle? Please advice.

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
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