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Treatment of Neurological Problems
Treatment of Nerve And Muscle Disorders
Treatment of Paralysis
Joint Dislocation Treatment
Management & Treatment of Spinal Disorders
Hepatitis B Treatment
Treatment of Spondylosis
Treatment Of Disk Slip
Treatment Of Herniated Disc
Treatment of Spine Injuries
Brain Tumor Surgery
Treatment of Disc Prolapse
Spinal Cord Injury Medicine
Accident Injuries Treatment
Treatment of Spina Bifida
Hepatitis C Treatment
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Patient Review Highlights
Savitr Sastri Sir is the Best surgeon you could find in Hyderabad. My dad was diagnosed with Brain Tumor and we contacted 5 doctors in different hospitals regarding the treatment. After checking reviews and consultation with all of them we came to a conclusion to go ahead with Dr. Savitr Sastri. This was first time any one from my family was going through a surgery, the way sir explained the issue and comforted my dad is inexplicable. He is always available on call or in office when ever necessary. He always answered the questions asked by us patiently before and after the surgery. His main aim always is to return the patient back to normal. He goes forward with the surgery only if its absolutely necessary.
Dr. Savitr Sastri provides answers that are very helpful, knowledgeable, well-reasoned, thorough and caring. Thank you doctor
I found the answers provided by the Dr. Savitr Sastri to be sensible and well-reasoned. Good answer
One of the best neuro surgeon
Most professions require you to work with computers these days, and thus people tend to sit at the workplace for long hours that often leads to posture related muscle tensions and nerve issues. By following a few easy ergonomic principles at your workplace, you can keep such sufferings at bay though.
The workplace is where you spend the majority of your time in day. So it is crucial that you focus on your posture while sitting when you are working. Maintaining your posture will not only help you feel more comfortable working in front of a computer, but will also prevent back pain, muscle stiffness, and other muscle related problems.
If you are wondering what these workplace ergonomics are, take a closer look at them here.
- Choose the right chair: Selecting the right chair is of great importance when it comes to workplace ergonomics. The chair on which you will spend most of your day working should be supportive of your spine. This will prevent you from working in a bending position, thus reducing the risks of backaches.
- Focus on your shoulders and head: While working in a sitting position, your shoulders should be kept straight and not rounded forward, otherwise, it may give you shoulder pain, back pain, and neck pain. You should also keep your head straight, setting it over your spine in a way that your ears line up over your shoulders.
- Place the mouse and keyboard within reach: Make sure that you keep all your key objects, that you use repeatedly near you. You should minimize the amount of stretching you need to do. Not only will this reduce the risk of falling, but also prevent muscle tension from building up. When using your mouse or typing on your keyboard, make sure that you keep your upper arms near your body and keep your wrist straight.
- Keep the screen right in front of you: Keep your screen at your eye level so that you don't have to work in a posture where you keep your neck bent over the screen for long hours. Even maintaining proper distance from the monitor screen can be helpful in preventing eye pain and neck pain.
- Opting for a footrest is important too: In case you face any difficulty in reaching the floor, or even if your office chair is too high, opt for a footrest to prevent poor posture. This will help reduce the pain or any ache you may get in your legs and feet.
Muscle tension and pain due to poor workplace posture is a common phenomenon today, and focus on improving your daily posture as well as improving the workplace ergonomics are sure to prevent muscle and nerve related problems. In case you're already suffering from muscle issues due to poor posture, opt for a consultation with a neurosurgeon right away to prevent the muscle condition from deteriorating further.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Pain causes a lot of discomfort in the body no matter whether the pain is in the back, legs or in the head. Almost all people experience lower-back pain at some point in their lives, which can be extremely painful and can cause considerable annoyance. The first medical specialty that comes to mind for relief of lower-back pain is Orthopedics. The other two specialists that play a vital role in treating lower-back pain are the neurosurgeons and the physiatrists.
Pain in the Back
It is very difficult for the body to source the pain when it is deep and this pain could be due to infection, disease or injuries in the back, stomach and heart. It is even possible that the pain radiates to different places in the body. Often back pain is accompanied by body changes like redness, fever, neurological problems, heat, and changes in body functions and for that diagnosis of the back pain may be very severe. Patients suffering from lower-back pain and with symptoms that comprise of weakness in the foot or other symptoms of a neurologic insufficiency must definitely see a neurosurgeon.
Back pain that occurs due to reversible problems is known to vanish in a few hours or in a day. However, if it continues longer and is accompanied by body changes, then there are chances that the condition can become worse. Visiting a doctor becomes a must for back pain if any of such characteristics are witnessed. It is always better to get evaluated by a physician.
When to Consult a Doctor Immediately
- Back pain that is followed by a shock like a car accident.
- The pain in the back worsens and is constant
- Back pain continues for more than 4-6 weeks
- The pain does not improve even after taking typical remedies such as taking pain relievers or after resting.
- Severe pain in the back in the night and that is alleviated by rest
- The back pain is accompanied by abdominal pain
- Numbness in the upper thighs, buttocks, groin or in the genital area
- Weakness or tingling sensation in the arm or legs
Role of a Neurosurgeon
The neurosurgeon provides non-surgical as well surgical care depending upon the nature of the illness or the injury, and he does not just operate. The neurosurgeons are experts and offer treatment to patients suffering from any injury or disease in the spine, brain or peripheral nerves that deal with arms, hands, feet and legs. But there are many other neurosurgeons that confine their practice to treating back pain.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Spine surgeries are complicated and have serious repercussions if the procedure doesn’t go as planned. Probing your doctor is therefore very critical to ensure a safe operation and early post-op recovery. Questions can range from the type of treatment chosen for speedy recovery to side effects. Here is a list of questions that you need to ask your spine surgeon:
1. Why is the surgery recommended?
Typically, there could be more than one treatment option for a particular problem. Your doctor should be able to tell you very precisely as to why the surgery is recommended and how it is going to address the problem.
2. Is there any non-surgical option?
Many spine related issues can be treated with medicines and physiotherapy. Ask your doctor if such options exist.
3. Explain the surgical procedure in detail
Your doctor should explain the whole surgical procedure, explaining the minute details and help will help you to understand the implications.
4. What is the duration of the surgery?
Spine surgeries do not take more than 2 hours. It, however, depends on the procedure that is being performed.
5. How will the surgery address the pain?
It is important to know the source of the pain. Exploratory surgeries are not performed on the spine. Ask your doctor how he intends to address the pain through the surgery.
6. What are the risks involved?
Risks and side effects vary from patient to patient. For instance, a person with obesity, spondylitis and smoking has greater chances of complications associated with the operation.
7. Will the doctor perform the whole procedure or he will use practicing surgeons and intern for the job?
Many senior surgeons use interns and junior surgeons to perform a minor procedure. Get a clear understanding of the role of the doctor and his assistants. It is a good idea to know the background if the surgical team who is going to perform the procedure.
8. What is the success rate of the doctor for the procedure he is going to perform?
A successful spine surgeon should be able to give you valid data on his/her success rate and the overall success rate of surgeons all across the country.
9. How many days do you need to spend in hospital?
Your hospital stay is directly related to your insurance. It is essential to get a clear picture on the same.
10. Whether a back brace is necessary after surgery?
Limiting the spine movement speed the process of healing. Most Doctors suggest braces after a spine surgery.
11. What is the time required for recovery?
The recovery greatly varies from patient to patient. What you should ask your Doctor is the expected time required for you to join your job/school.
12. Will there be any physical limitation after the operations?
Many spine surgeries require you to refrain from strenuous jobs for a while. For instance, certain surgeries require you to stay away from driving for a while. Address all these apprehensions from your doctor.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Brain surgery involves several medical procedures, which incorporate fixing issues with the brain, including changes in the tissues of the brain, cerebrospinal fluid and brain blood flow. Brain surgery is quite a complicated method of surgery and the type of surgery to be conducted depends on the underlying conditions.
Reasons for Brain Surgery:
Brain surgery is performed for the correction of physical brain abnormalities. These abnormalities could occur because of diseases, birth defects and injuries. A brain surgery is required when the following conditions arise in the brain:
- Abnormal blood vessels
- Blood clots in the brain
- When the protective tissue or dura is damaged
- Due to nerve damage
- Parkinson's disease
- Any kind of pressure after an injury
- Skull fractures
- In case of stroke and tumors
A surgery may not be required for all the above mentioned conditions, but in case of many, a brain surgery is very important as the conditions may worsen health problems.
Types of brain surgeries:
- Craniotomy: During this open brain surgery, an incision is made in the scalp, and a hole is created in the skull, near the area, which is being treated. After this process is complete, the hole or bone flap is secured in its place using plates or wires.
- Biopsy: This form of brain surgery helps in the removal of a small amount of brain tissues or tumors. After removal, the tissues or tumors are examined under a microscope. The creation of a small incision and a hole in the skull is indicated as a part of this process.
- Minimally invasive endonasal endoscopic surgery: This form of brain surgery enables the removal or lesions and tumors via the nose and sinuses. Private parts of the brain can be accessed without creating an incision. An endoscope is utilized in the process which is used to examine tumors all across the brain.
- Minimally Invasive neuroendoscopy: This process is similar to the minimally invasive endonasal endoscopic surgery. This method also involves the use of an endoscope for removal of brain tumors. Small, dime sized holes may be made in the skull to access some brain parts.
Brain surgeries may be associated with several risks. They may be:
- Allergic reactions to anesthesia
- Blood clot formations
- Swelling of the brain
- A state of coma
- Impairment in speech, coordination and vision.
- Problems in memory
- Strokes and seizures
- Infections in the brain
A brain surgery is a serious and very complex surgery. There are different kinds of brain surgeries, which are conducted depending on the condition and severity of the disease. In case you have a concern or query you can always consult an expert & get answers to your questions!
Undergoing Brain Surgery can be a very traumatic experience, and it is common for many patients recovering from brain surgery to face depression, spells of dizziness, confusion and weakness post the surgery. It can be very critical that family members and friends talk to the patient and be empathetic towards them.
It takes approximately 12-18 months for the brain to heal after a brain surgery and slowly and gradually the patient will regain all his normal functions and get back to his daily routine. However in that time they need the complete support and understanding of their families, as well may need help from therapists. This will help the patient in gaining back their independence as well as confidence in their abilities.
Here are some tips that will help you deal with a patient recovering from Brain Surgery:
After brain surgery, a person may feel disoriented and have some speech or understanding disability for a while. Family members and friends are advised to take pause when talking to the patient, so that he/she can easily understand the conversation. Speaking slowly is not recommended, as patients may recognize it and have an emotional outburst or feel hurt.
Caretakers and family members should also keep reminding the conversation topic at different points to the patient, so that it is easier for them to participate in the conversation.
Family members should also not react adversely in case of emotional outbursts, instead show love and patience to a person recovering from brain surgery.
Caregivers should make sure that the person recovering from brain surgery gets enough sleep and rest to recuperate.
People interacting with someone recovering from brain surgery should understand that the person's ability to learn and remember will improve daily, and any lapses in attention by the patient are not caused by any act of obstinacy. Your care and understanding will be essential for a person to recover.
Family members should also make sure just to give enough care and not smother the brain surgery survivor. It is essential for them to regain their confidence and a sense of competence.
Family members should take the patient for a neuropsychological examination--after treatment, 6 months later, and a year later to see if they are recovering properly. Caregivers should watch out for emotional outbursts, like rage, uncontrollable laughter, withdrawal and depression. In case of such symptoms it is advisable to take the patient for a check up with medical practitioner.
Brain cancer is a disease of the brain in which cancer cells (malignant cells) arise in the brain tissue. Cancer cells grow to form a mass of cancer tissue (tumor) that interferes with brain functions such as muscle control, sensation, memory, and other normal body functions. Tumors composed of cancer cells are called malignant tumors, and those composed of mainly non-cancerous cells are called benign tumors. Cancer cells that develop from brain tissue are called primary brain tumors while tumors that spread from other body sites to the brain are termed metastatic or secondary brain tumors.
Brain cancer is actually the abnormal growth and uncontrolled growth of the cancer cells in the brain,that forms a tumor in the brain.Tumours can be either benign or malignant.
Benign brain tumours are abnormal collections of cells that reproduce slowly and usually remain separate from the surrounding normal brain.
Malignant tumours reproduce and grow quickly. Their borders are hard to distinguish from the normal brain around them.
There are few early symptoms of brain cancer, but as the tumour grows within the confines of the skull, it causes increased intracranial pressure and exerts pressure on the brain, causing signs to develop.
Brain cancer symptoms and signs are varied and depend on the area of the brain involved, but can include:
Difficulty walking or clumsiness.
Changes in alertness.
Brain cancer occurs when there is an uncontrolled growth of cancer cells in the brain that form a malignant brain tumor. The underlying cause of primary brain cancer, cancer that begins in the brain, is not known. Secondary brain cancer is caused by a cancer of another organ in the body, such as the breast, prostate, kidney, skin, or bone, that has spread to the brain.
What are the risk factors for brain cancer?
Personal history of cancer or family history of brain cancer
Impaired immune system
Radiation therapy of the head
Surgery is the main form of treatment for brain tumors that lie within the membranes covering the brain or in parts of the brain that can be removed without damaging critical neurological functions. The goal is to remove the entire tumor, whenever possible, as a tumor may recur if any tumor cells are left behind. Radiation therapy and chemotherapy are generally used as secondary treatment for tumors that cannot be cured through surgery alone.
Stereotactic radiosurgery is a treatment option that delivers a high concentration of radiation directly to the tumor in order to stop its growth, while delivering only a minimal dose of radiation to the surrounding tissue. Unlike conventional surgery, stereotactic radiosurgery does not require making an incision to remove the tumor. It can be especially effective in patients with many small metastatic brain tumors.
The word epilepsy brings to mind visions of people frothing at the mouth and rolling on the ground. However, epilepsy affects each patient in a different way. This can make it hard to recognize at times. In the more serious cases of epilepsy, an epileptic attack can make a patient injure himself or develop other life threatening conditions. In rare cases, epilepsy can even cause death. Thus it becomes imperative to understand how to deal with epilepsy.
Treatment options for epilepsy can be categorized as medication, surgical procedures and dietary changes.
Medication for epilepsy is prescribed on the basis of the symptoms presented and the type of epilepsy the patient is suffering from. In most cases, seizures can be controlled with a single type of medication, but in others, the doctor may need to prescribe a combination of medicines to control epilepsy. These forms of medication do have side effects and hence any reactions to the medication must be immediately brought to the doctor's notice. The dosage for epilepsy medication may need to be varied with time. An epileptic patient should never discontinue medication on their own.
Depending on the type of seizures and the area of the brain affected, a doctor may advise surgery in cases of severe epilepsy. Surgery can help reduce the number of seizures experienced or completely stop them. Surgery to treat epilepsy is of many types. Some of the common procedures are:
1. Surgery to remove tumor of any such conditions that may be triggering the epileptic attacks
2. Surgery to remove a small section of the brain from where a seizure originates. This may also be referred to as a lobectomy.
3. Multiple subpial transaction or a surgery that involves making a series of cuts in the brain to prevent the seizures from spreading to other parts of the brain.
4. Surgery to sever the neural connections between the right and left hemispheres of the brain.
5. Surgery to remove half the brain's cortex or outer layer
A diet rich in fats and low in carbohydrates can help reduce seizures. This is known as a ketogenic diet and aims at making the body break down fats instead of carbohydrates. It can cause a buildup of uric acid in the body and thus should be practiced only under the guidance of a dietician. In cases where epileptic attacks are triggered by malnutrition and birth defects, taking vitamin supplements can help lower the frequency of seizures.
Though childhood brain tumor is a rare disease, still, many children of any age all over the world suffer from this condition. Unlike the brain tumors in adults, brain tumors in children is a bit different. Brain tumors are probably the most common form of solid tumors affecting children. However, having knowledge of the symptoms, probable treatment of the disease can help the parents in coping with the situation in a better way and taking the right decision at the right time.
What is a brain tumor?
A group of abnormal cell growth in the brain is referred to as a brain tumor. The types of brain tumor depend upon the structure of the tumor cells, their rate of growth, composition and several other characteristics. However, two most common types of brain tumor affecting children are primary and secondary. In primary brain tumor, the tumor cells develop in the brain, while in secondary, cancerous cells invade the brain from other parts of the body.
Symptoms that determine the presence of tumor may vary in every child. The variation is due to certain aspects including size of the tumor, the location of the tumor, how the tumor is affecting the brain, etc. Some of the most common symptoms of childhood brain tumor are severe headaches, occasional seizures, feeling of sickness and vomiting, eye problems such as blurred visions, feelings of drowsiness without any reason, etc. Some children suffering from brain tumour may also experience difficulty in maintaining balance when walking or behavioral changes in children.
While for some, surgical removal of the tumor may be the only treatment solution, for some sessions of radiotherapy and chemotherapy turn out to be really helpful. To control or reduce the effects of the brain tumor symptoms, taking regular medications may also be necessary for the affected children. Doctor may devise the best treatment plan despending on the condition of a child. As the treatment completely depends on the severity of the problem.
Depending on the grade, location, and type of tumor as well as the treatment, the overall health of children can be determined. While a significant number of children often successfully recover from the brain tumor, for some, the treatment needs to be continued for many years. As the nervous system of a child is in its developing stage, sometimes, children may develop some kind of learning or behavioral or physical disability as a result of the brain tumor treatment. If a child has any of these symptoms mentioned above, his or her parents should consult a medical professional right away. The sooner it is diagnosed, the better are the chances for the child to recover from a brain tumor. If you wish to discuss about any specific problem, you can consult a Neurosurgeon.
A spinal cord injury is a damage to the spinal cord. It’s an extremely serious type of physical trauma that’s likely to have a lasting and significant impact on most aspects of daily life.
The spinal cord is responsible for sending messages from the brain to all parts of the body. It also sends messages from the body to the brain. We are able to perceive pain and move our limbs because of messages sent through the spinal cord.
If the spinal cord sustains an injury, some or all of these impulses may not be able to ‘get through’. The result is a complete or total loss of sensation and mobility below the injury. A spinal cord injury closer to the neck will typically cause paralysis throughout a larger part of the body than one in the lower back area.
A spinal cord injury is often the result of an unpredictable accident or violent event. The following can all result in damage to the spinal cord:
- a violent attack such as a stabbing or a gunshot
- diving into water that’s too shallow and hitting the bottom
- 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
- severe twisting of the middle portion of the torso
Some symptoms of a spinal cord injury include:
- problems walking
- loss of control of the bladder or bowels
- inability to move the arms or legs
- feelings of spreading numbness or tingling in the extremities
- pain, pressure, stiffness in the back or neck area
- signs of shock
- unnatural positioning of the head
If you suspect that someone has a back or neck injury:
- Don’t move the injured person – permanent paralysis and other serious complications may result
- Call 911 or your local emergency medical assistance number
- Keep the person still
- 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
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. If you wish to discuss about any specific problem, you can consult a Neurosurgeon.