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Dr. Nagpal R D

Neurosurgeon, Mumbai

Dr. Nagpal R D Neurosurgeon, Mumbai
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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. Nagpal R D
Dr. Nagpal R D is a popular Neurosurgeon in Mumbai, Mumbai. He is currently practising at Jaslok Hospital in Mumbai, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Nagpal R D on Lybrate.com.

Find numerous Neurosurgeons in India from the comfort of your home on Lybrate.com. You will find Neurosurgeons with more than 42 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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15, Dr. Deshmukh Marg, Pedder Road, MumbaiMumbai Get Directions
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I am 22 years old. In past I had a migraine problem now I overcome that problem. Now I started a problem of cervical. From last month have a regular pain in my head. Behind the ears, neck everything pain is very bad please suggest me what to do and to whom I should concern.

MBBS
General Physician, Cuttack
I am 22 years old. In past I had a migraine problem now I overcome that problem.
Now I started a problem of cervical....
1. Take one tablet of crocin pain relief sos after food upto a maximum of 3 tablets daily 2. Apply volini gel twice daily 3. Give warm compress locally 4. Take rest if you have recurrent attack of neck pain a) take x ray/mri cervical spine to exclude spondylitis and consult orthopedic specialist b) sometimes it could be due to bad sitting posture while reading or working on computer. Adopt proper sitting posture, put neck rest, use soft pillow while sleeping c) do physio therapy and neck exercise after consulting physiotherapist.
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I am 34 years old and suffering from severe headache for the last 5 yrs. I feel numbness in my head. Also I am facing hearing problems. So please give me your valuable advice ?

MBBS
General Physician, Cuttack
I am 34 years old and suffering from severe headache for the last 5 yrs. I feel numbness in my head. Also I am facing...
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.
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My dad is suffering from high blood pressure from past 12years. After his fast attack of bell's palsy. Ever since, he is dealing with high blood pressure. And from past few days, his pulse rate is going over 100. Can you tell us what could be the problem? His last ECG report was OK, which was done a month ago.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
My dad is suffering from high blood pressure from past 12years. After his fast attack of bell's palsy. Ever since, he...
Why suffer when u can easily control it with medication s..there are plenty of medicines available.. Get ur bp checked by doctor first
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I am 28 years old and I am suffering from migraine .every year I checked from doctor and take medicine then I feel better but after 6-7 months it start again every year. What I do?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Udupi
diet: good dietary habits would help an individual maintain good health and offer immunity from recurring bouts of headaches. Consuming cooked vegetables without oil should be encouraged. Have a diet rich in fruits and vegetables. Vegetable juices and soup, fruits and fruit juices including apple, mango, should be taken in ample quantities. Highly-fruit based diet for a day or two can relieve pain. Grapes, lemons, cabbage juice are especially important. Rice, salad and buttermilk can always be consumed.
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How To Treat And Manage Cranial Nerve Palsy?

MD in Ophthalmology, MBBS
Ophthalmologist, Delhi
How To Treat And Manage Cranial Nerve Palsy?

Cranial nerve palsy is one of the common culprits of causing double vision. This is all the more true for people above the age of 60. A person is more prone to cranial nerve palsy if he is suffering from high blood pressure and diabetes. This is the reason why this disease is more commonly known as diabetes palsy. Eventually, though they get better and the problem of double vision disappears.

Symptoms:

One weak cranial nerve leads to the weakness of other cranial nerves as well. In case the eyes fail to move together, chances are that the patient will have double or blurred vision. In case the sixth nerve gets affected, side to side double vision is encountered. For the 3rd and 4th nerve disturbance, there could be a vertical double vision. The lack of blood flow causes pain to the eye.

Possible Causes of Cranial Nerve Palsy?

Cranial nerve palsy can result from traumatic or congenital factors. They can also result from vascular diseases such as strokes, hypertension, diabetes, and aneurysms. It can also arise out of infections, increased intracranial pressure, migraines, and tumours. A patient's age and clinical findings help a doctor decide the right course of treatment.

Treatment:

There are no particular treatments which can speed up the recovery of cranial nerve palsy. In a case of pupil pain, doctors may prescribe anti-inflammatory drugs such as Motrin and Advil. They key to natural recovery is to ensure that the blood sugar and the blood pressure is diligently controlled. By patching the eyes, the problem of double vision can be resolved. They are typically worn over both the eyes. They are however known to slow down the process of recovery and strain the eye. There is no known exercise to fix this condition. Botulinum injections are sometimes used by doctors to straighten the eyes but the result of such a treatment greatly varies from person to person. Doctors mostly rely on watchful waiting until the phase passes within 6-8 weeks. Pain medications are recommended on a case to case basis.

Lifestyle Changes:

Managing cranial nerve palsy can be difficult for a working person. It involves many lifestyle changes till the condition fully cares. Some of the suggestions given by an ophthalmologist include resting the eye as long as one can. Reading or working on a computer should be eschewed since it puts great pressure on the eyes. The eye should not be contacted with forehands in case there is too much pain. Other basic hygiene issues include taking the medicine time to time, cleaning the eye with fresh water two to three times a day, putting the eye drops on time as prescribed by the doctor. If you wish to discuss about any specific problem, you can consult a ophthalmologist and ask a free question.

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I am 43 year old I am working as clerk in jnv. Doctor, my right leg feeling senseless. Feeling like no leg and always some inside feeling with I am unable to express. Kindly help me.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I am 43 year old I am working as clerk in jnv. Doctor, my right leg feeling senseless. Feeling like no leg and always...
Do keep mobilising the limbs by simple stretching and Strengthening exercises from physiotherapist Best wishes.
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BPTh/BPT
Physiotherapist, Delhi
What is Spinal stenosis?

Spinal stenosis is a narrowing of the spinal canal and foramen, which results in increase pressure on spinal cord and nerves which emerge out from spinal cord.

Causes of stenosis
degenerative ageing process of your spine.

the ligaments of your spine may hardened and calcify, and start to compromise the adjacent structures .

Increased bone stress causes bone spurs, which encroach in the spine?s space.

spinal discs, become dehydrated with age and lose their height. This disc narrowing can deteriorate quicker with injury eg disc bulges or degenerative disc disease.

Osteoarthritis of your spine is the most common form of arthritis and is more likely to occur in middle-aged and older people. It is a chronic, degenerative process. It is the result of everyday wear and tear of the spine joints, and is often accompanied by overgrowth of bone, formation of bone spurs, which can cause spinal stenosis.

Spinal stenosis is most common in men and women over 50 years of age and is related to degenerative changes in the spine. However, it may occur in younger people who are born with a narrowing of the spinal canal or who suffer an injury to the spine.

Symptoms of Spinal Stenosis?
numbness, muscle weakness, diminished reflexes , cramping or general pain in the arms or legs.
The most common stenosis regions of your spine are your lumbar spine (low back) and your cervical spine (neck), but any spinal region can suffer stenosis.

In lumbar spinal stenosis, the spinal nerve roots in the lower back are compressed and this can produce symptoms of pain, tingling, weakness or numbness that radiates from the low back and into the buttocks and legs, especially with activity.

Cervical stenosis may cause similar symptoms affecting your arms and potentially your legs too!

If the narrowed space within the spine is pushing on a nerve root, you may feel pain radiating down the nerve eg sciatica. However, unlike patients who have sciatica due to slipped disc, this sciatica is relieved by sitting down in stenotic patients.

Classically, in stenosis patients, sitting or bending forward to flex the spine should relieve your symptoms. The flexed position ?opens up? the spinal column and therefore enlarges the spaces between the vertebrae. Because keeping the lower back ?flexed' (bent forward) relieves their symptoms, patients will often walk with a slight stoop forward or look downwards.

sciatica
With this adaptive posture, the lower back is often stiff and tightness develops in the hip flexor muscles at the front of the hips.Standing, walking or bending backwards often makes stenosis-related symptoms worse because this position causes narrowing of the space surrounding the nerves.

Walking up a hill may be fine because leaning forwards opens up the space around the nerves.

The space in the spine may narrow without actually producing any symptoms of stenosis. It is only when the narrowing causes the compression of the spinal cord, nerves and nerve roots, that there may be an onset of stenosis symptoms.

Your neck or back may not even be painful. In severe spinal stenosis, you may experience with constant or worsening back pain; numbness or pins and needles in the genital region; weakness in both legs; and or disturbances in bladder or bowel function. If this is the case, you require urgent medical attention!

How is Spinal Stenosis Diagnosed?
Your physiotherapist or doctor may diagnose you with spinal stenosis based on your symptom behaviour alone. However, the extent of your stenosis is best determined via a CT-scan, MRI or myelography.

lower back pain

MRI Spinal Stenosis

Spinal Stenosis Treatment
PHASE I - Pain Relief & Protection

Managing your pain is usually the main reason that you seek treatment for stenosis. In truth, it was actually the final symptom that you developed and should be the first symptom to improve.

Managing your inflammation. Inflammation is the main short-term reason for why you have suddenly developed stenosis symptoms. It best reduced via ice therapy and techniques or exercises that de-load the inflammed structures.

Your physiotherapist will use an array of treatment tools to reduce your pain and inflammation. These include: ice, electrotherapy, acupuncture, deloading taping techniques, soft tissue massage and temporary use of a back brace.

Your doctor may recommend a course of non-steroidal anti-inflammatory drugs such as ibuprofen.

PHASE II - Restoring Normal ROM, Strength

As your pain and inflammation settles, your physiotherapist will turn their attention to restoring your normal joint alignment and range of motion, muscle length and resting tension, muscle strength and endurance.

Your physiotherapist will commence you on a lower abdominal and core stability program to facilitate your important muscles that dynamically control and stabilise your spine.

Researchers have discovered the importance of your back and abdominal core muscle recruitment patterns. A normal order of: deep, then intermediate and finally superficial muscle firing patterns is normally required for pain-free backs. Your physiotherapist will assess your muscle recruitment pattern and prescribe the best exercises for you specific to your needs.

Your physiotherapist may recommend a stretching program or a remedial massage to address your tight or shortened muscles.

Please ask your physio for their advice.

PHASE III - Restoring Full Function

As your back?s dynamic control improves, your physiotherapist will turn their attention to restoring your normal pelvic and spine alignment and its range of motion during more stressful body positions and postures. They?ll also work on your outer core and leg muscle power.

Depending on your chosen work, sport or activities of daily living, your physiotherapist will aim to restore your function to safely allow you to return to your desired activities.

Everyone has different demands for their body that will determine what specific treatment goals you need to achieve. For some it be simply to walk around the block. Others may wish to run a marathon.

Your physiotherapist will make your back rehabilitation to help you achieve your own functional goals.

PHASE IV - Preventing a Recurrence

Back pain does have a tendency to return. The main reason it is thought to recur is due to insufficient rehabilitation. In particular, poor compliance with deep abdominal and core muscle exercises. You should continue a version of these exercises routinely a few times

In addition to your muscle control, your physiotherapist will assess your spine and pelvis biomechanics and correct any defects. It may be as simple as providing you with adjacent muscle exercises or some foot orthotics to address any biomechanical faults in the legs or feet.

General exercise is an important component to successfully preventing a recurrence. Your physiotherapist may recommend pilates, yoga, swimming, walking, hydrotherapy or a gym program to assist you in the long-term.

Fine tuning and maintenance of your back stability and function is best achieved by addressing any deficits and learning self-management techniques. Your physiotherapist will guide you.

What is Your Prognosis for Spinal Stenosis?
The success of treatment for stenosis is reasonably good in the short-term due to the symptom onset mainly being related to recent inflammation.

With each repeat episode, it is more difficult to control your symptoms because your pathology has deteriorated
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Hi, recently my father met with an accident and got severe head injury. He was admitted in aiims trauma centre for 10 days. At the time of admission his stage was m5 and at the time of discharge it was m6. Now he recognizing many things and goo din memory but still he behaves impatiently and his voice is more like a child. His age is 53 and he is a diabetic patient too. Also his sugar his high 163 fasting and 285 pp. It's just one month passed away. Could you please tell me when he'll become completely fit and ready to go office and all.

C.S.C, D.C.H, M.B.B.S
General Physician,
It will take a few months and he may need physiotherapy. Regarding online consultation there are certain points which all should know and follow. 1) the description of the diseases should be complete in all respects, including any tests done and any medicines already taking. Just saying I have diabetes since 10 years and taking metformin cannot help a discerning doctor a scientific advice. 2) your place and name and mail id and phone number should be in the question. It is necessary at times to know where you stay to give a good advice. (for example if there the climate is warm or cold and many other factors) 3) it is necessary to keep in regular touch for some diseases like diabetes and hypertension. So make it a point to be in touch by asking private questions. And repeat the essential point of the previous question to give a continuing answer. All these are said with intention to give a scientifically correct answer and talk as if in a regular consultation about which I am very keen to. 4) for personalised attention and follow up ask privately and it is better to make online payment if you are asked to by the doctor. It involves his time and dedication to give you expert advice after studying your problem. Ask personally in case of doubts about any medical matter. it is not as easy task to control blood sugar in the desired normal range. Whatever we eat is metabolised to sugar in the body to provide energy for our daily activities. For the absolute control, one has to monitor his / her blood sugar at regular intervals (self-monitoring of blood glucose? smbg). Though difficult, this can be done by a glucometer and keep a record. Get an idea of fasting sugar (fbs) and 2 hours after food (ppbs) and check before dinner and after every major food. The basic idea is to reduce the food intake to 1/3 of what you take now. The dictum of sugar control is diet, exercise, diet + medicine and at later stage medicine+ insulin will be needed. For sugar control there is the need for regular advice and follow up. Just one time consultation or advice is not enough to guide a diabetic in scientifically & medically correct manner. For giving you regular follow up you ask me privately with all details like your daily eating pattern and medicines you take. I assure you a proper guidance. If you keep in touch.
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Im feeding my baby she is 11 month now. My legs become numb when ever I sit down or take my baby on my lab. I can not walk fr seconds. It happen every time I take my baby on my lap.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist,
Im feeding my baby she is 11 month now. My legs become numb when ever I sit down or take my baby on my lab. I can not...
When you sit crosslegged and taking your child on your lap, there could be atemporary reduction in blood flow to the legs and this could be due to weight gain or nerve compression or blood vessel compression. For your height, of 5.3 feet, your weight is ok, so may be the problems could be due to cramps in muscles and this can be best helped by sitting with legs straight if you sit crosslegged, you must change position everyf ew minutes to allow good blood flow. If tingling numbness if there, it signifies vitamin or calcium deficiency and its better to meet a doctor before popping a pill generally many pregnant women take calcium off and on in pregnancy but do not take calcium in postd elivery period. If you are still feeding your child or if you have not taken calcium in the post delivery period, perhaps you must visit the gynecologist who will evaluate you and provide the necessary treatments.
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What is burning feet why attacked in young boy so its normal for old person but why attacked young person?

MBBS, MD - General Medicine, DM - Neurology, Fellowship in Stroke
Neurologist, Kolkata
Some disease condition may cause burning feet even in young, like some vitamin deficiency disease, alcohol addiction etc.
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I am patient of brain tumor opted on 2003 now I am married. I gave my semen for test. Report was" azoospermia" What to do?

MBBS, MD - General Medicine, DM - Neurology
Neurologist, Hyderabad
I am patient of brain tumor opted on 2003 now I am married.
I gave my semen for test.
Report was" azoospermia"
What t...
Azzospermia means your semen has very few or no sperms. This would lead to infertility. You should consult an urologist/andrologist for opinion.
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My wife has a Neuro logical ghant near nervous system What is the solution Medicine or surgical.

Diploma in Anesthesia, MBBS
General Physician, Hyderabad
If there is problem like pain, discomfort, no increase in size, change of color of skin over it, then you need not worry. leave it and it wont harm her. No medicines. If at all, it can be removed by surgery only.
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I m 41 years old and suffering frm migraine frm last 2 months. Help me wht to do.

MD - Internal Medicine
Internal Medicine Specialist, Mumbai
Hi, to prevent migraine attacks following measures must be used. 1) avoid triggers. If certain foods or odors seem to have triggered your migraines in the past, avoid them. 2) establish a daily routine with regular sleep patterns and regular meals. In addition, try to control stress. 3) regular aerobic exercise reduces tension and can help prevent migraines. 4) obesity is also thought to be a factor in migraine headaches, and regular exercise can help you maintain a healthy weight or lose weight. 5) migraines and estrogen seems to trigger or make your headaches worse, you may want to avoid or reduce the medications you take that contain estrogen which include birth control pills and hormone replacement therapy. You will also benefit for medical therapy if having recurrent migraine attacks. Follow these prevention regimen tips
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Hi I am 26 yrs old married woman. Mu pulse are above 130 since mid of june. I feel like I am shivering all the time. I got all the tests done but everything seems normal. I get panic attacks after a loud sudden sounds or noise. My left side if the body gets numb and I count move it for hours sometimes. What is the problem with me. Whom do I need to consult?

MBBS,J.R. Neurology
General Physician,
Hi I am 26 yrs old married woman. Mu pulse are above 130 since mid of june. I feel like I am shivering all the time. ...
It seems you are suffering from a depressive disorder. Solopose or escitalopram is an antidepressant and chills and shivering are two of its less common side effects. I would advise you to consult a psychiatrist as soon as possible and change the drug. Take care.
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Meri naani 92 yrs ki hai unhe paralysis hua hai body ke left side me jisse haath aur leg dono jaam ho gye hai. aisa kya karna chahiye jisse paralysis thik ho jaye aur khane me kya khilana chahiye please tell me answer my question.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
paralysis will take its own time to resolve..till then just do physiotherapy of the lims .i .e. keep moving the limbs and do massage with oil daily
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Hello sir. I am suffering from migraine. Can you please suggest me some tips. Which make me reduce pain.

BHMS
Homeopath, Gurgaon
Migraine can be triggered by various factors like exposure to sun for long hours, delayed meals, indigestion, stress, loss of sleep etc. Identify those trigger points for yourself and avoid them. Heat is a prominent causative factor in this weather. Drink lots of water, take your meals on time and include fruits with lot of water content like water melon and musk melon in your diet. For specific medicinal treatment, you need to give a detailed case history. Hope this helps. Regards, Dr. Anupama mehta.
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Recently I lifted a heavy thing. From that day I am having vibration like feeling with pain at times on my left hand. Including palm and finger. My x ray was normal. Should I go for any other tests.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
Recently I lifted a heavy thing. From that day I am having vibration like feeling with pain at times on my left hand....
YOU TAKE ACUPRESSURE TREATMENT. TAKE BIOCHEMIC MAG PHOS 3X+ CALC PHOS3X 4 TAB EACH THRICE A DAY WITH WARM WATER.
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Difficulty walking, blurred vision, slurred speech, slowed reaction times, impaired memory: Clearly, alcohol affects the brain. Some of these impairments are detectable after only one or two drinks and quickly resolve when drinking stops.

MPT
Physiotherapist, Cuttack
The toxic substances in alcohol affects a part of our brain called cerebellum. This area deals with balance, smoothness of movement. This area may be the main culprit of your friends condition.
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What is the symptoms for epilepsy, will it come only during specific time. How to come across from this?

MBBS, cc USG
General Physician, Noida
Symptom of epilepsy are Fits( abnormal movement of body) No it does not come on specific time We need to detect cause of seizure by investigation like CT scan brain I want to tell you that medicine as advised by your Doctor need to be taken regularly and must not missed dose even for single day Consult me for further management
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I' am diabetic I have numbness in my both feet and burning sensation also kindly advice.

BHMS
Homeopath, Secunderabad
Hi, we have number of best medicines in homoeopathy for your problem. May I know howlong are you suffering from this problem? tell me your recent fbs and plbs?
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