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Dr. Dhanashri Chonkar

Neurologist, Mumbai

Dr. Dhanashri Chonkar Neurologist, Mumbai
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Dhanashri Chonkar
Dr. Dhanashri Chonkar is one of the best Neurologists in Mumbai, Mumbai. She is currently associated with Dr.Chonkar's ADITI Hospital in Mumbai, Mumbai. Book an appointment online with Dr. Dhanashri Chonkar on Lybrate.com.

Lybrate.com has an excellent community of Neurologists in India. You will find Neurologists with more than 31 years of experience on Lybrate.com. You can find Neurologists online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Dr.Chonkar's ADITI Hospital

185-Alhad,Above Corporation Bank, Opp.Kalidas Natya Ghruh, P.K.Road, Mulund(W.), Mumbai-400080, MumbaiMumbai Get Directions
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Lok Upavan Phase 2, Pokharan Road Landmark : Near Blue Star Company.Thane Get Directions
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I an 38 years old. I am suffering with left side headache due to weak nerves. What should I do?

MBBS, cc USG
General Physician, Gurgaon
Hello, you may be having headache because of stress/ refractory problems/ any ENT problem or may be migraine headache kindly follow advises given below: you can take: 1. Tablet Crocin (Paracetamol 500 mg) one tablet after food when required for headache after food for 2-3 days (maximum 2 tablets with gap of 12 hour can be taken in a day) 2. Adequate sleep 6-8 hr in a day 3. Get check eyes for refractive error 4. We need to go for ENT evaluation to rule out sinusitis 5. Get BP checked 6. Regular physical exercise and meditation and yoga complete history of your headache for further management like duration, severity, aggravating factors/relieving/ triggering/ associated factor to reach diagnosis consult physician for further management
2 people found this helpful
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I am feeling uneasy in my left hand finger. I am not getting pain but its like its getting numb. Finger is working but still feel like numb on it.

Neurologist,
If your symptoms had been in the The first three digits of a hand, it could be carpal tunnel syndrome- a pinched nerve in your wrist. If the symptoms are in last 2 digits of the hand, it could a different type of pinched nerve. If numbness and tingling is in whole hand- it could be neuropathy. If numbness in fingers is associated with neck pain and radiating pain in arm- it could be a pinched nerve in your cervical spine. So based on the information you share, it is hard to draw any conclusions about what you have.
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My mother of age 59 is suffering from optic nerve swelling and doctors said that this disease is called papilledema. I want to know what it is and is this a serious problem?

MBBS, MD - General Medicine, DM - Neurology
Neurologist, Hyderabad
We need to find the cause of papilldema. Mri of brain should be done. Lumbar puncture with csf opening pressure should be done if mri is normal. Treatment is possible, depending on the cause.
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Hello doctor im suffering from migraine. I consult my doc ND he prescribed me to take medicines daily ND Im getting good results. But I don't want to consume medicines daily. please advice me something?

PGDHHM, MBBS
General Physician, Delhi
Some medications are given for relief of acute attack of migraine. Some preventive medicines r given on regular basis. Hope this answer helps u. If required, consult with details of treatment.
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He has badly pain in his brain every day. We try so but all are Worth less please help us to over come this.

MBBS
General Physician, Cuttack
1. It could be a tension headache due to anxiety/stress, depression inadequate sleep, low bp/high bp, migraine, prolonged use of cell phone/computer, chronic anaemia, refractive error, chronic sinusitis, organic brain lesion 2. Avoid stress, physical and mental exertion, have adequate sound sleep for 7-8 hours daily in the night 3. Go for regular exercise 4. Practice yoga, meditation and deep breathing exercise to calm your mind, control your emotion and relieve stress 5. Check for refractive error, sinusitis hemoglobin, bp 6. Avoid prolonged use of cell phone/computer 7. Consult neurologist to rule out other causes of headache, if required take a ct scan of head to exclude any brain lesion 8. If it is migraine you have to take migraine prophylactic drug after consulting neurologist 9. Consult me for further advice.
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I am 23 years old and I am suffering from paralysis, I am taking medicine for this, but not working properly, so what can I do? please tell me.

MBBS, cc USG
General Physician, Gurgaon
Tell me which side of body you are having this problem? for how long you are having this problem? Name of medicine you are taking? You need medical management along with Physiotherapy I can guide you further
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I have suffering with migraine problem please tell me how I can solve my problem.

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 and we can start with beta blocker drug after examination
2 people found this helpful
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She is suffering from migraine headache since 5 months please suggest which treatment should I prefer. Is it ayurvedic or allopathy or homeopathy for quick relief.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Do Take balanced diet and hyderated Avoid stress anxiety and anticipating the things Do regular physical activity and breathing exercises for about 15 minutes duration each time regularly Best Wishes
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I Am suffering from Migraine for the last 6 months. What should I do now? I have been taking regular doses of Prodep 20mg.

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
1 person found this helpful
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I am 23 years old. I am felling nerves pain like I am felling I am not fit. I want to build my body muscle as well.

BHMS
Homeopath, Faridabad
Hello, Want to help you, but tell me more symptoms and details of yourproblem for proper diagnosis and thus, proper treatment for nerve pain. For building body muscle: The food what and how you eat, makes the difference! For increasing your weight, concentrate on these points which helps in right way without harming your body if you don’t have any medical condition. - Consume more healthy fats. Foods containing healthy fats are full of nutrients and also high in calories, making them a great option for weight gain. Foods containing plant fats should be your first option - this includes items such as nuts, seeds, peanut butter, avocados and olive oil. Foods containing healthy animals fats include lean meats and full fat dairy products - although if you have high cholesterol, you should probably stick to low-fat options. -Eat more protein. Good sources of protein include lean meat, fish and poultry, in addition to eggs, whole grains, dairy products and legumes. -Drink more calories. Try drinking a large glass of orange juice in the mornings (along with your normal breakfast). Drink a glass or two of full-cream milk throughout the day.Protein shakes will help you to gain muscle mass, particularly if you're working out. -Have 6 small and frequent meals in a day. -Gain muscle mass. It's a good idea to continue to exercise while you attempt to gain weight the healthy way. Strength training includes working with weights and performing exercises such as squats, deadlifts, bench presses, bicep curls, crunches, chin-ups and leg curls. Just keep in mind that the more you exercise, the more calories you will need to consume to replace those you lost while working out. This is where protein shakes and bars really come in handy. -Quit smoking. As it suppresses the appetite. -Stay healthy. The most important thing through the entire weight gain process is to stay healthy - eating a balanced diet and continuing to exercise throughout. -Take enough of rest and sleep for rejuvenation of the cells and tissues. -Think Positive which will help you in achieving your target of gaining weight. -Avoid taking unnecessary stress/ tension. Medication: Take Schwabe’s Alfaalfa Tonic and Five Phos., both thrice daily ½ an hour before meals for 1month.
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Sir my father has suffered with paralysis and he is not recovering easily can you tell me valuable suggestion.

MBBS
General Physician, Mumbai
Apart from taking symptomatic and ongoing treatment we have to give him physiotherapy daily till recovery
1 person found this helpful
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I am suffering from migraine from last 1 year and day by day it's getting worse. I have tried medicine but it is just a temporary solution. What should I do to improve it.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Migraine is a relapsing type of headache. It is usually seen in females but may occur in males too. Management of migraine includes treatment for acute headaches and then treatment for prevention of future attacks of migraine. This is decided according to the onset, type, duration, severity of headaches and also the associated symptoms like sleep problems, stress, anxiety etc. Visit a psychiatrist or headache specialist for treatment.
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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.

2 people found this helpful

I am suffering from insomnia I feel severe headache whole night, moreover I got disturbance from from the sound surrounding me even a minor sound blast my mind. Would you mind to explain what should I have to do.

MBBS
General Physician, Jalgaon
Please Do meditation regularly before going to sleep Avoid excess tea coffee Take Cap tagara by Himalaya 2 per day for 3 months Tab macfresh 15 1 at nt for few days.
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I have problem of migraine. From last 7 years. I don't know what to do. Please suggest some medicines.

BHMS
Homeopath, Delhi
Migraine is due to deficient routine stress, sleep disturbances, high altitudes, glaring or fluorescent lights, certain foods, changes in weather conditions, and hormonal fluctuations. Avoid regular coffee, regular tea, regular cola beverages. Other carbonated beverages containing caffeine. Breads, buttermilk, yogurt, and sour cream. Chocolate milk, chocolate ice cream, chocolate. For medicine share your complete history.
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I feel weakness when lifting something from my left hand i. e shivering. Please help me.

MBBS
General Physician, Mumbai
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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Should I always stay on bed? I feel aches and numbness on my feet at times. Also can you advice me which is the best sleeping position can I lay straight? I hav already been taking glycomet sr 500 despite which my sugars r high though I am on strict low carb high fibre diet.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Sleep according to your comfortability with correct posture on abdomen or back With Firm hard and even mattress for sleep with regular spinal extension exercises from physiotherapist Best wishes.
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C.S.C, D.C.H, M.B.B.S
General Physician,
4 Simple Ways To Manage Diabetic Peripheral Neuropathy (DPN)

If you?re one of the 26 million Americans living with diabetes, then you?re probably familiar with diabetic peripheral neuropathy (DPN), which is nerve damage that?s caused by chronic high blood sugar. DPN tends to be the most common complication of diabetes. Some of its symptoms include a tingling or burning sensation, difficulty walking, and numbness, especially in your feet and toes. If left untreated, DPN can eventually lead to amputation.
While DPN seems to be a growing problem within the African-American community, here are four ways to keep your DPN under control.

1. Don?t smoke.
Ever notice how ?don?t smoke? is always somewhere on these types of lists? Well, there?s a good reason for it. When you smoke, your arteries narrow and harden, reducing the amount of blood flow to your legs and feet, which makes it more difficult for wounds to heal.
2. Keep your blood sugar levels in check.
If you?re a diabetic, then you already know how important it is to monitor your blood sugar levels. When you have DPN, inconsistent blood sugar levels put you at risk for nerve damage, which can ultimately lead to amputation.
3. Take good care of your feet.
When you have DPN, it?s a definite must that you thoroughly wash and dry your feet on a daily basis. Also, always make sure that your shoes are well-fitted and that your socks are clean and dry. Be sure to trim your toenails straight across ? or have them trimmed by a professional. Lastly, stay away from any antiseptic products and sharp tools, including nail files, as they may cause injury and further damage
4. Communicate with your doctor.
Inspect your feet regularly. If you notice anything unusual, such as a foot injury that?s taking longer to heal than normal, inform your doctor right away! ASK PRIVATLEY
9 people found this helpful

I am 21 yrs old and sometimes I get a sudden migraine. Is it danger? What should I do?

MBBS, cc USG
General Physician, Gurgaon
I am giving some health tips for Migraine headache •1.You can turn off light for some time •2.Apply hot or cold compresses to your head or neck. •Ice packs have a numbing effect, which may dull the sensation of pain. •Hot packs and heating pads can relax tense muscles. •3.Warm showers or baths may have a similar effect. •4.You can take Tea or coffee( but not excess) 5.Sleep well Here are some tips to encourage sound sleep. Establish regular sleep hours. •Minimize distractions. •Your eating habits can influence your migraines. •Be consistent. Eat at about the same time every day. Don't skip meals. Fasting increases the risk of migraines Avoid foods that trigger migraines Meditation This problem can be solved by Meditation, i can give you address of rajyoga meditation center near your house Consult Physician/me for further management
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