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Dr. Milind Sankhe

Neurosurgeon, Mumbai

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Dr. Milind Sankhe Neurosurgeon, Mumbai
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Milind Sankhe
Dr. Milind Sankhe is a renowned Neurosurgeon in Khar West, Mumbai. He is currently practising at Hinduja Healthcare Surgical Hospital in Khar West, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Milind Sankhe on Lybrate.com.

Find numerous Neurosurgeons in India from the comfort of your home on Lybrate.com. You will find Neurosurgeons with more than 39 years of experience on Lybrate.com. You can find Neurosurgeons 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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Hinduja Healthcare Surgical Hospital

#724, 11th Road, marvalla buliding, Khar West. Landmark: Near Khar Telephone Exchange, MumbaiMumbai Get Directions
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Hinduja Hospital

Veer Savarkar Marg, Mahim West, Mahim. Landmark:Near Bombay Scotish SchoolMumbai Get Directions
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Sir I m taking stalopam plus from 4 months. I feel positive. Now I have been switch to stalopam 10. I am now suffering from sleeplessness. And some tensions and depressed some time in day. Tell me what to do for my sleep. I want to get rid of these medicines.

MPTh/MPT
Physiotherapist,
Dear Friend, Go for yoga,be busy with your work,and feel relax from anxiety or depression.Avoid taking medications you will get peaceful sleep.Initially it will be difficult to get sleep,but don't take sleeping pills.
3 people found this helpful
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I am 59 yrs pro musician recently I am suffering from nerve problem, as I cant work properly with my left hand. Please suggest some remedy for this.

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
Requires detailed questioning so as to ascertain your personality and to treat you symptomatically. Consult me in private.
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Treating Spinal Stenosis the Right Way

MS - Orthopaedics, MBBS
Orthopedist, Hyderabad
Treating Spinal Stenosis the Right Way

What is spinal stenosis: The narrowing of the gaps in the spine or the backbone is called as spinal stenosis. This leads to pressure on the nerves and the spinal cord. 5% of cases of spinal stenosis are seen in the low back of the lumbar spine. In some cases the narrowing of the spine leads to the compressing of the nerve root, which leads to pain in the leg.

Causes of spinal stenosis: It can be caused by aging, arthritis, trauma to the spine, spondylolisthesis and tumor of the spine

Symptoms of spinal stenosis: There is constant pain in the back and legs as stenosis pinches the nerve responsible for sensation and muscle power. Other symptoms are numbness and tingling in the legs, frequent falling and pain while walking.

Treatment of spinal stenosis:

  1. A routine program with exercises and physical therapy are the best treatment for spinal stenosis. The exercises are not a complete cure but they are beneficial in keeping the patient active. A physical therapy can be supervised and once the period of the same is over people easily transition to the exercise program. The key for exercise is starting slowly in order to build strength.
  2. Generally, the patients are counseled not to perform strenuous activities as that might worsen the symptoms of spinal stenosis. In case of lumbar stenosis, patients find it comfortable when they are flexed forward. The doctor might recommend walking while being bent over and leaning when using a walker if not walking upright; sitting in recliners is also recommended instead of straight back chairs.
  3. Injections of cortisone are usually given in the epidural space. This is believed to relieve the symptoms of spinal stenosis temporarily. Though there have been studies which question the use of these injections as they lead to the risk of osteoporosis related fractures. This is still being pondered over by the doctors as a suitable treatment option as it has its own benefits and risks.
  4. Medications such as the anti inflammatory medicines like ibuprofen or aspirin are helpful in controlling the symptoms of spinal stenosis. Narcotic drugs might also prove to be helpful if used with care and for a short while. This is helpful for severe pain related to the nerves. Muscle relaxants like gabapentins might also be recommended. In some case antidepressants might also be given to provide relief from pain. 

Though side effects are a concern when using these medications and the patient should let the doctor knows about their allergies.

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Physiotherapy Treatment for Head Injury

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Physiotherapy Treatment for Head Injury

PHYSIOTHERAPY TREATMENT OF HEAD INJURY

The treatment may comprise of the following measures:

IMPROVES ALERTNESS OR AROUSAL THROUGH SENSORY STIMULATION:

The patient who is drowsy or confused need to be stimulated by makes them more alert and awake. The therapist should encourage the patient’s cooperation during the treatment. The main aim is to stimulate the reticular activating system by making the patient sit or even stand in the tilt table.

The therapist should provide tactile, visual, auditory and Proprioceptive stimulation to the patient that will send facilitatory signals to the brain and will enable the alert response to be provoked. Auditory stimulation can be given by speaking to the patient during the course of treatment. Visual stimulation is given by showing familiar faces, objects or movement in the visual field of the patient. 

Proprioceptive stimulation by giving traction and approximation at joint structures is very helpful in stimulating the arousal response in the patient.

PREVENTION OF SPASTICITY:

As hyper tonicity generally sets in almost all head injury cases various measures need to be taken to keep them under control. Gentle passive movement, gradual rhythmic sustained stretch, prolonged icing for 20 minutes over the muscles, biofeedback, proper positioning are certain measures that needs to be employed for controlling spasticity.

MAXIMISE THE PATIENT’S FUNCTIONAL CAPACITY:

The main aim of this management is to improve the ROM, improve the control of voluntary movement, strengthening paretic muscles, improve the coordination, balance and teach various safety measures.

The treatment should be wide spread over the periods of time as the patient’s attention span and endurance is very less.

NEUROMUSCULAR TRAINING can be given through the development sequence by inhibiting abnormal movement pattern and by facilitating normal movement pattern.

The patient may give activities like bridging, prone on elbow, on all fours, side lying to sitting, sitting, kneeling, half kneeling, standing and walking.

PROPER DOCUMENTATION is necessary of the entire event through- out the day. Infact the routine of the patient should be maintained in the register and the patient need to be reminded of various activities especially if the patient has memory problems. The patient may be given register with photo and names of various health professional visiting him so that each day’s program can be entered. This will benefit both the patient and his acquaintance to know regarding the activities given to the patient.

USE OF VESTIBULAR BALL while training the patient for crawling, bridging, sitting, balance helps in building the Proprioceptive stimulation and teaches proper control to the patient.

Each task has various subtasks which need to be mastered by the patient so that he learns the actual activity using normal movement combination and performs it with precision. Like for training the patient to get up from bed, he may be taught to do asymmetrical push up with the trunk in partial rotation, then lower leg patterns are incorporated and finally the whole task of get up from sidelying is practiced.

REPETITION ACTIVITIES is key like any other neurological disorders. Ambulation training should always be done in upright position training the patient in each and every phase of the gait cycle. If the patient’s balance is poor then assistance may be used.

FUNCTIONAL ELECTRICAL STIMULATION has been shown more effective than kinetic joint training in certain types of cases. The upper extremity also appeared to use specific synergies for hand use in different positions. Clients often can opens hand in out stretched arm position but will be unable to perform the same action when the elbow is flexed. Some patient with minimal functional deficit in th upeer limb may be given some assistive devices or support for the hand so that they can perform some basic activity like eating, combing, writing, etc. this technique helps the shoulder and other proximal structures to produce appropriate movement sequences for hand use but does not facilitate hand function. The treatment however does provide whole task practice even though some basic component of the function is substituted by other means.

REVERSING TASKS in some patients helps in developing increased control by modifying a task or synergy as well as making the muscle work both eccentrically and concentrically. For instance lowering a glass of water on the table may help the patient in getting th glass close to the mouth by improving motor control of biceps during eccentric contraction.

2 people found this helpful

Sir I have migrain problem. What is the precautions of that and give some advice to solve this problem. Thanks.

MD Medicine, DM Neurologist
Neurologist, Dehradun
Take good sleep 11 to 7 good amount of fluid or liquid daily 30 min jogging or walking avoid late meal late sleep prolong fasting stress and heavy protien in your diet.
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How to migraine relief? Some time too much headache get me angry. Can you advice me that how to relief from this for whole life?

B.H.M.S
Homeopath, Patna
How to migraine relief? Some time too much headache get me angry. Can you advice me that how to relief from this for ...
IF IT IS RIGHT THAN SANGUNARIA C CM ONE DROP ONLY IF IT IS IN LEFT SPIGELIA CM ONE DROP ONLY
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What Is osteoma? My mother had pain in left side of brain for quite a few months. Doctors took few scans and after examining reports they said its osteoma a kind of tumour. I want your suggestions. Please guide us.

MCH - Neuro Surgery, MBBS
Neurosurgeon, Secunderabad
An osteoma is a benign (safer) tumor of bone. If it occurs on the skull, with symptoms, then removal would relieve her of the problem.
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What is symptoms of Brain tumor. Please tell me about that. I am suffering with mose headache.

MBBS, cc USG
General Physician, Gurgaon
What is symptoms of Brain tumor. Please tell me about that. I am suffering with mose headache.
Common symptom of Brain tumor are Seizure/ Projectile vomiting/ Headache/ Visual problem/ Paralysis you may be having headache because of stress/ refractory problems/ any ENT problem or may be Migraine Headache follow advises given below: You can take(If No drug allergy) : 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 consult me for further management
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I have a 18 months old son. He have brain infections during birth time. Now he has no devlopment. Can you help me.

MD - Paediatrics
Pediatrician, Ranchi
Give proper nutrition with adequate calories, protein, carbohydrates and minerals to allow proper growth. These children are prone to poor growth. Look for any feeding problem like vomiting if any.
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When I am walking I can't be in balance due to injury on my nervous system (head). Please help me.

MBBS
General Physician, Mumbai
As of now take tablet vertin 8 mg 1-1 for five days and also consult a neurologist for further guidance
1 person found this helpful
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hello doctors! I'm 25 years old. Unmarried and working lady. I've been suffering from a number of problems, some from my adolescence which are still there and have become chronic and some have developed recently. I have many health issues at the same time, below is the list:- 1- i'm exhausted all the time, I feel lethargic and slouchy. 2- few years back I used to have extreme pelvic pain; I couldn't stand the pain and my Dr. Gave me injections of voveran. Now from the last year my periods are not regular, I just menstruate for one day. 3- i'm constantly putting on weight, especially around my belly. I exercise but it doesn't help. 4- when I was 13 years old my knees used to knuckle/crack a lot. This condition remained for 8-9 years. Now it doesn't happen but i've severe pain in my knees and ankles; i'm not able to climb stairs, I can't do cycling I can't walk fast, cannot jump/jog, in short I feel like a 60 years old lady. 5- also I pent when I climb stairs or walk fast. My folks say that i'm a lazy girl and not at all attentive. 6- i'm absent minded, so much forgetful. I misplace things most of the time. One doctor said i've dementia or alzheimer's. I'm shocked. 7- I look pale and have many skin problems, like breakouts, scars, black head white heads, patchy skin. Did consult doctors. But nothing did really help. Blood test already done, there's no blood infection. 8- i've consulted a gynaecologist too for my periods and skin issues, conducted some tests which were normal. I feared of pcos but luckily it was not that but there was some watery discharge from my left breast. 9- i'm short sighted too and my number is -8. Severe headache is common. 10 - in 2013 I was down with typhoid. My haemoglobin was 7.8 at that time and I took iron tabs (dexorange) for three months. 11- four five years back I had a bone marrow test which indicated my bones were weak. In later years I consulted an specialist he said I hv arthritis, I didn't continue the medicines. 12- my tongue has unusual black spots. My metabolism isn't good. Constipation is not a regular problem. 13- recently i'm realising that my body's tiny hair including my face is growing dark. I fear of hormonal problem. 14- from last one month i've chronic bony pain especially in my hands, feet and legs. My finger joints are paining like anything, I can't keep my feet on the floor, it hurts badly. I'm not able to sleep due to unbearable pain. In fact I can't explain my condition. Every part of my body pains, I feel sick, very very sick. Please help, what should I do, i'm stressed out, not even able to work properly in my office. Where to start? who's the right doctor? please help out.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. It appears that you have multiple problems, from an orthopaedic point of view I will require certain tests to be done empty stomach, once we have the results I can let you know certain things: cbc, esr, crp, serum electrolytes, kft, lft, thyroid profile, serum vitamin d levels, ra factor, anti ccp antibodies, ana, hla b 27 these tests should guide us to why you have bone pains, maybe fatigue and tiredness. Also you should consult a general physician and a gynaecologist as well and if required get your hormonal workup done as well. Do not hesitate to contact me if you need any further assistance.
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I feel my head ache since more than 5 days, so can I consider it as a symptoms of migraine or it is just normal ache. Sometime I am unable to take my full sleep night.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
I feel my head ache since more than 5 days, so can I consider it as a symptoms of migraine or it is just normal ache....
Migraine is usually an episodic headache lasting from 30-45 minutes to all day long, pulsatile in nature, severe, one sided usually, common in females, associated with nausea and vomiting and resolved at times with rest and medications. It can start due to decreased or inadequate sleep, overexposure to sun etc. Since you have headaches since 5 days and if it has started due to decreased sleep, it could be due to migraine.
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Last year I went through MTP. Since then my weight has been increasing. In between I had an accident in which I had brain hemorrhage so I was on medicine for 3-4 continuously. I also had irregular mensuration. So I want to ask that my weight is due to hormonal changes after MTP or is it medication effect after accident? Kindly help.

MBBS
General Physician, Cuttack
Weight gain is not due to hormonal changes after mtp and after taking medicine for brain hemorrhage. It could be due to other reasons. Investigate yourself after consulting gynecologist to find out the cause. Take usg abdomen to rule out polycystic ovary disease which can be a major reason for weight gain.
1 person found this helpful
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my sone is surfing from Autism , he is now 5 years old but could not speek properly, is ther any medicine help him

MD - Psychiatry, MBBS
Psychiatrist, Patna
Homeopathy is not a remedy of autism. Autism a developmental disorder which can be well tackled with regular training and behavioural therapy under the guidance of a psychiatrist. Dont waste your time as parents can be the best therapist and trainer with little professional guidance.
2 people found this helpful
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I have sensation feeling like vibration on lateral part of left thigh only while standing not walking or running. My thigh got sleep if I keep on standing for long duration. In starting I felt itching at that part but now I feel sensation. I am having this from last two months. It is on a part of thigh not whole thigh or leg. Please suggest what can be the issue and what should I do.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I have sensation feeling like vibration on lateral part of left thigh only while standing not walking or running. My ...
Do have balanced diet and avoid stress anxiety and anticipating the things do regular physical activities along with breathing and strengthening exercises from neuro physiotherapist best wishes.
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There is a mild numbness in my right arm since two days and when I closely observe in the mirror my right arm is hanging a bit lower than my left arm. What to do?

MCh Neurosurgery, MS - General Surgery, MBBS
Neurosurgeon, Guwahati
There is a mild numbness in my right arm since two days and when I closely observe in the mirror my right arm is hang...
You need a neurological assessment along with a mri study of cervical spine with screen of shoulder joint.
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Sir I am suffering from regular headache and sir I am getting faint at most of time, is this is a symptoms of migraine ao I have the last stage of migraine, what to do?

BHMS
Homeopath, Faridabad
Sir I am suffering from regular headache and sir I am getting faint at most of time, is this is a symptoms of migrain...
Hello, migraine - some symptoms may include: feeling dizzy or faint. Increased sensitivity to light and sound. Nausea. Pain on one side of the head. Pulsing and/or throbbing pain. Vomiting. Migraine is a form of headache. The pain is usually throbbing, pulsating and bursting in character. At times, the pain is one sided or may involve the whole head. Such pain may last for hours or even days. It is often accompanied by other symptoms like nausea or vomiting. At the same time, there is increased sensitivity to light and sound. The causes of the problem may vary from one patient to another and so will the final choice of the homoeopathic remedy. In the mean time take bc no. 12, 5 tabs twice daily and kali phos 6x, 5 tabs at bed time. Alpha ha, 15 drops with warm water twice daily. Revert me after 15 days.
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My wife 23 year old having migraine problem and after consultation to a neurologist that treatment was not tolerable so what should we do now?

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 tablet propranolol after personal examination
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My brother fell from the stairs and hit his head and blood started coming out. Then later when he went to the hospital, they gave him a stitch. Should he scan his head to see if everything is okay?

BHMS
Homeopath, Secunderabad
It may be required if there are symptoms like vertigo, headache, nausea and vomiting etc. Keep observing for any signs and symptoms and report to the doctor if any problem.
1 person found this helpful
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Sir my name is sumit sahgal. My mother has been migraine for two year. I checkup very doctor. But no good result. What am I?

BHMS, PGD PPHC, BMCP, TRAINING IN USG
Homeopath, Kolkata
give her kalibichrome 200; 12 dose in sacharrum lactis. one dose daily in morning in empty stomach. and tell her to take deep breathing excercise daily for 5 minute in one sitting, thrice daily and consult after taking medicine, thanks
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