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Dr. Janaki Hariharan

General Physician, Mumbai

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Dr. Janaki Hariharan General Physician, Mumbai
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Personal Statement

To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Janaki Hariharan
Dr. Janaki Hariharan is a renowned General Physician in Mumbai, Mumbai. You can visit her at Dr Janaki Hariharan's Clinic in Mumbai, Mumbai. Book an appointment online with Dr. Janaki Hariharan and consult privately on Lybrate.com.

Lybrate.com has a nexus of the most experienced General Physicians in India. You will find General Physicians with more than 34 years of experience on Lybrate.com. Find the best General Physicians online in Mumbai. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Specialty
Languages spoken
English
Hindi
Professional Memberships
Indian Medical Association (IMA)
Goregaon Medical College

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Dr Janaki Hariharan's Clinic

#4, Shiv Sadan, Shreenagar Estate. Landmark: M.G. Road, MumbaiMumbai Get Directions
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

Hi I am 25 years some time I feel weakness due to snowphilia. What precautions I should take. Many time my haemoglobin count also get low.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
Hi I am  25 years some time I feel weakness due to snowphilia. What precautions I should take. Many time my haemoglob...
Take following remedies 1. Triphala kadha 4 tsp before lunch and dinner 2. Amala juice 4 tsp + 2tsp sugar + 2tsp honey in the morning empty stomach.
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Causes and Diagnosis of Neck Pain

D.P.T
Physiotherapist, Hyderabad

A sudden-onset (acute) bout of neck pain is common. Two out of three of us will have neck pain at some time in our lives. In most cases it is not due to a serious disease or neck problem and often the exact cause for the pain is not clear. This is called 'nonspecific neck pain'. Most are probably due to minor sprains or bad posture. Full recovery occurs in most cases. The usual advice is to keep the neck active. Painkillers are helpful until the pain eases. Persistent (chronic) pain develops in some cases, and further treatment may then be needed.

Understanding the neck

The back of the neck includes the cervical spine and the muscles and ligaments that surround and support it. The cervical spine is made up of seven bones called vertebrae.

  • The first two are slightly different to the rest, as they attach the spine to the skull and allow the head to turn from side to side.
  • The lower five cervical vertebrae are roughly cylindrical in shape - a bit like small tin cans - with bony projections.

The sides of the vertebrae are linked by small facet joints.

Between each of the vertebrae is a 'disc'. The discs are made of a tough fibrous outer layer and a softer gel-like inner part. The discs act as 'shock absorbers' and allow the spine to be flexible.

Strong ligaments attach to adjacent vertebrae to give extra support and strength. Various muscles attached to the spine enable the spine to bend and move in various ways. (The muscles and most ligaments are not shown in the diagram, for clarity.)

The spinal cord, which contains nervous tissue carrying messages to and from the brain, is protected by the spine. Nerves from the spinal cord come out from between the vertebrae in the neck to take and receive messages to the neck and arms. A major blood vessel called the vertebral artery also runs alongside the vertebrae to carry blood to the rear (posterior) part of the brain.

What are the types and causes of neck pain?

Neck pain is common. About 2 in 3 people develop a bout of neck pain at some time in their lives. One survey done in the UK found that, of adults aged 45-75 years, about 1 in 4 women and about 1 in 5 men had current neck pain. Types and causes of neck pain include:

Nonspecific neck pain

This is the most common type. This is sometimes called 'simple' or 'mechanical' neck pain. Often the exact cause or origin of the pain is not known. It may include minor strains and sprains to muscles or ligaments in the neck. Bad posture may also be a contributing factor in some cases. For example, neck pain is more common in people who spend much of their working day at a desk, with a 'bent-forward' posture.

A 'whiplash' jolt to the neck

This is most commonly due to an accident involving a vehicle, such as a car crash. It can cause neck pain. See separate leaflet called Whiplash Neck Sprain for details.

Sudden-onset (acute) torticollis

This is sometimes called 'wry neck'. A torticollis is when the head becomes twisted to one side and it is very painful to move the head back straight. The cause of acute primary torticollis is often not known.

However, it may be due to a minor strain or sprain to a muscle or ligament in the neck. Some cases may be due to certain muscles of the neck being exposed to cold ('sleeping in a draught'). It is common for people to go to bed feeling fine and to wake up the next morning with an acute torticollis. The pain usually eases and clears away over a few days without any treatment.

How can I tell if the pain is due to a more serious cause?

A doctor's assessment and examination can usually determine that a bout of neck pain is nonspecific and not due to a more serious cause. The following are the sort of symptoms that may indicate a more serious problem:

  • If neck pain develops when you are ill with other problems such as rheumatoid arthritis, AIDS, or cancer.
  • If the pain becomes progressively worse.
  • If some function of an arm is affected. For example, weakness or clumsiness of a hand or arm, or persistent loss of feeling (numbness). (As mentioned, some pins and needles may occur with nonspecific neck pain. However, this is mild and usually goes within four weeks.)
  • If you feel generally unwell and have 'general' symptoms such as weight loss or a high temperature (fever).
  • If the neck bones (vertebrae) are very tender (which may indicate a bone problem).
  • If you develop any problems with walking or with passing urine.This may indicate problems with pressure on the spinal cord

Some other treatments which may be advised include:

 

  • A good posture may help. Check that your sitting position at work or at the computer is not poor. (That is, not with your head flexed forward with a stooped back.) Sit upright. Yoga, pilates, and the Alexander Technique all improve neck posture, but their value in treating neck pain is uncertain.
  • A firm supporting pillow seems to help some people when sleeping. Try not to use more than one pillow.
  • Physiotherapy:
  1. Various treatments may be advised by a physiotherapist. These include traction, heat, cold, manipulation, etc. The value of each of these treatments is uncertain, as the results of research studies looking at which treatments work best can be conflicting.
  2. However, what is often most helpful is the advice a physiotherapist can give on neck exercises to do at home.
  3. A common situation is for a doctor to advise on painkillers and gentle neck exercises. If symptoms do not improve over a week or so, you may then be referred to a physiotherapist to help with pain relief and for advice on specific neck exercises.

Treatment may vary and you should go back to see a doctor:

  • If the pain becomes worse.
  • If the pain persists beyond 4-6 weeks.
  • If other symptoms develop such as loss of feeling (numbness), weakness, or persistent pins and needles in part of an arm or hand, as described previously.

Other pain-relieving techniques may be tried if the pain becomes persistent (chronic). A pain management programme may be offered to help you control and live with your pain. Chronic neck pain is also sometimes associated with anxiety and depression which may also need to be treated.

1 person found this helpful

Hi, I am 30 years old male. My penis has a downward curve which really bothers me. Is it possible to straighten it.

BHMS
Homeopath, Sindhudurg
Hi, I am 30 years old male.
My penis has a downward curve which really bothers me.
Is it possible to straighten it.
Hi. Mostly masturbation is the main cause of curvature in penis. Downward bending is generally associated with erection weakness. Homoeopathy has many medicines which are being used to treat the curvature in penis, erection problems and also to increase the size of penis and are very effective.
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I'm having a swelling around my left testicle. It remains swelled up all the time. Only when I lie down on a bed or flat surface with my stomach upwards, then the swell decreases. It does no pain generally, but looks odd, looks like left testicle has grown bigger. But I noticed that both testicles are same in size. I want to know about what this condition and will it what is the remedy to decrease the swell? Does it come because of frequent masturbation? Will it be a serious problem if not treated?

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
I'm having a swelling around my left testicle. It remains swelled up all the time. Only when I lie down on a bed or f...
Dear Lybrate user. I can understand. The only remedy to this is to "stop observing your testicles" Everything in your mind. When you say when you measure, the sizes of both the testicles are same. Then what is your actual problem? Please do not be anxious about such things and this is going to ruin your life. Masturbation is never cause for any health problems. I suggest you sex therapy. Take care.
1 person found this helpful
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When I go to bed I will get sleep within 3 to 5 minutes. I. E. Instantly get sleep when I am lying in bed. Once the IAS officer Dr. Iraianbu said in chennai Door Dharsan, getting instant sleep in bed is a disease is it so? I was sofa in the opinion that it is gods gift. Dr. please explain whether getting instant sleep in bed is a disease?

MBBS, cc USG
General Physician, Gurgaon
When I go to bed I will get sleep within 3 to 5 minutes. I. E. Instantly get sleep when I am lying in bed. Once the I...
Hello Instant sleep is not a disease Excess sleep may be associated with disease Kindly let me know for how many hour you are taking sleep 7-8 hour in a day is okay
1 person found this helpful
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I am having small bumps on penis head from the last few days, can you please suggest I some good medicine. I think the bumps are gradually spreading.

BAMS, MD Ayurveda
Sexologist, Lonavala
I am having small bumps on penis head from the last few days, can you please suggest I some good medicine. I think th...
As per your concern I would suggest you to do following remedy 1. De-thorn and remove the outer skin of an aloe vera leaf 2. Extract aloe vera gel from inside 3. Apply aloe vera gel on the affected area 4. Leave it for 30 min 5. Repeat twice a day it will surely help you.
4 people found this helpful

Does sensory nerve problem in ear can be cleared with out operation or using a hearing aid.

Bachelor of Audiology & Speech Language Pathology (B.A.S.L.P)
Audiologist, Delhi
Does sensory nerve problem in ear can be cleared with out operation or using a hearing aid.
No, sensory nerve related issue is not corrected by medicine or surgery, or even hearing aid also. But the progression can be prevented or slowed down by wearing a proper digital hearing aid. All anatomical and physiological changes takes place with aging, no one can preclude it, as it is a natural process.
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My father is 76 years old. He is taking Geriflo-D 4 mg once a day. I wanted to know is it safe to take this medicine daily for him?

MBBS
General Physician, Mumbai
My father is 76 years old. He is taking Geriflo-D 4 mg once a day. I wanted to know is it safe to take this medicine ...
If he doesn’t take it than he will face problems while urinating and medication needs to be given after knowing the benefits outweigh the risks
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Migraine causes symptoms effect remedy. How it can be cure permanently without being under medication.

Fellowship in Endoscopic Neurosurgery , M.Ch - Neuro Surgery, MS - General Surgery, MBBS
Neurosurgeon, Lucknow
The best way is to avoid factors that cause them like strong smell, wmpty stomach and exposure to sun. Otherwise you need to be on medications off and on.
1 person found this helpful
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