Find numerous Neurosurgeons in India from the comfort of your home on Lybrate.com. You will find Neurosurgeons with more than 40 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.
Book Clinic Appointment
Treatment of Neurological Problems
Treatment of Nerve And Muscle Disorders
Treatment of Paralysis
Joint Dislocation 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
Spine Surgery Treatment
Submit a review for Dr. Nagpal R DYour feedback matters!
Woke up two days ago feeling like a was walking on a cloud. All my movements feel like they are slow motion it's is like I have to really think about how I need to move my body
Several times there is a lot of pain in my head I get checked for migraine but reports are normal what should I do when my head starts aching there is a lot of pain in my veins any exercise or medicine which can help me I can not afford a doc not able to pay the fees help me please.
Dear sir, my brother suffering from parkinson's decease from past 7 years, we tried hard for treatment but no treatment in english medicine. His hand is continuously shaking. Is there any treatment. Please provide details. How and where it can be treated.
I have pain on the left side of my head vertically. Went through brain scan der it is mentioned as HYPODENSE SOFT TISSUE SEEN IN THE LEFT HALF OF SPHENOID SINUS -LIKELY sinusitis. Does I have migraine.
One of my friend met with an accident but not severe near side head he got hurt after that he is doing something all without knowing anything his memory will be fluctuating so pls help my friend from this.
Hello Readers I'm writing on behalf of my mother who has been suffering from Migraine since she was 16; she is 60 now. All these years have been intense especially the mornings that has numbered to 16000 now; we tried all the alternatives, namely Ayurveda, Acupressure, Homeopathy, myriad doctors such as Neurologists, Physicians, General Practitioners. Based upon the advices, my mother has been taking drugs, Vasograin, Suminat, Ambulex, Alprax for last 5 years and have seen a reduction in the frequency of the attacks ; I will try to be concise about the schedule/methodology as mentioned below: a.Migraine attacks come every morning (I believe after the sleep); vasograin and ambulex are taken which subside the pain before my mother could start her day. B.There are days when after upon eating several foods (such as milk product items, wheat products, spinach, tangy fruits), migraine does come back and the solution is a second dose of vasograin. However, introduction of Gasex (Himalaya product) after the food has reduced the intensity of the pain. C.Alprax is taken (once or twice a month) in case the headache is intense and a feeling of numbness is there. D.Every 15 days or so, my mother gets a severe attack that goes away only with the Suminat (25 mgs) that comes with the nausea. After all these years, I?m intensely worried about the GI Tract of my mother, poisoning of the organs because of drugs ingestion, overall general health and what not; your inputs would be greatly appreciated.
Hi, I am 17 years old I have a problem with my hands they start shaking unnecessarily sometimes please provide me a solution to this. Thanks.
I am suffering from nerves problem all doctors are telling no treatment for nerves problem so pls give me some suggestion doctor.
I have got multiple sclerosis. Could you help me by telling me about the diet requirements for an Ms. patient.
Am having chronic migraine from 15 years, is there any cure? if yes than how to approach? how much it may cost?
Hello! doctors, sirs. I had an accident and got survived on the road in unconscious stage by a poor lady leaving there and a very helpful doctor traveling through that road. Meanwhile I fell down through bike by hitting up a running dog in night about 8. 30 pm. I lost my memory for about 25 days due to serious injury on my for head. Sorry but my problem is i' m unable to write fluently by my left hand as i' m lefty. Suggest me exercise to get out of this situation. My accident was on 3rd sept, 14. I' m awaken on 24th conscious by mind. I was admitted in sanjay hospital, nadiad. Thanks
Hi, I'm a 21 years old male the problem is that I've pain in my body basically most of the joints sections like upper middle back, legs, shoulder, neck and feel numbness and indigestion. Please recommend me some solution so I can heel my body.
Hello My weight is low according to my height. I eat 3-4 times in a day. And take banana shake and some other fruit juice on daily basis. But there is no improvement on my weight. Will you suggest me what to eat so that I can maintain good health and perfect body.
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.
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
I am 16 years old. I am suffering from severe migraine. I have taken medicine which works for short periods. I would like you to suggest some best medicine.
I am 48 yrs male have peripheral nuretis taking gabentin and ayurvedeic medicne 93 kgs severe burning sensation starts in the evening difficulty in car driving due to numbness.
In modern days, migraine has become a common disease that affects the young and the old equally. Migraine as such cannot be cured, but improving lifestyle and Ayurvedic medication can help you keep this disease under control and improve your quality of life.
What is Migraine?
Migraine, commonly known as Sooryavarta in Ayurveda, is a medical condition in which the excessive stimulation of the blood vessels in the brain causes a throbbing pain on one side of the head and is associated with nausea, sensitivity and vomiting. This happens because the vomiting centre of the brain gets activated during an episode. These symptoms are the most common signs; however, it varies from person to person.
What Causes Migraines?
These headaches worsen upon sunrise and it is at its peak at noon, when the sun is at its highest intensity and slowly subsides on sunset. This is one of the major factors in setting in an episode; it is not true in every case.
The other triggers that cause migraine attacks according to Ayurveda are:
- Spicy and oily food
- Stress, anger, grief, jealousy
- Suppressed emotions or natural urges
- Consumption of too much of dry, salty and pungent food
- Consuming polluted food
General triggers may include:
- Smoking and drinking
- Physical stress and exercise
- Fluctuation in hormone levels during the menstrual cycle or the use of birth control pills
- Stopping intake of tea or coffee suddenly
- Stress to sensory organs in the form of bright noises, bright lights, strong perfumes or odours etc.
Certain foods or beverages may also trigger an episode of migraine. These include baked foods, chocolates, processed foods, spicy foods, onions, dairy products and peanuts. These kinds of foods are known to suddenly increase Kapha dosha or Pitta Dosha and as a result, trigger an attack.
Symptoms of Migraine-
It is usually characterised by a stinging, throbbing pain on one side of the head and is followed by nausea and vomiting. Some people may get visual aberrations called an aura- such as blind spots, blurred visions, distorted lines etc.
Ayurvedic medications that can help migraine are:
- Indian licorice – Glycyrrhiza glabra
- Sariva – Hemidesmus indicus
- Hareetaki – Chebulic myrobalan-Terminalia chebula
- Amalaki – amala – Emblica officinalis
- Mallika – Jasminum officinale
- Hareetaki – Chebulic myrobalan-Terminalia chebula
- Bala – Sida cordifolia
- Kumari – Aloe vera
- Sariva – Hemidesmus indicus
Simple home remedies useful in migraine:
- Tender leaves of jasmine or tender leaves of pomegranate are taken along with a pinch of salt and crushed well to obtain fresh juice. Early in the morning, preferably in empty stomach, 2-3 drops of this fresh juice is instilled to both the nostrils. Procedure is repeated once again evening hours (6-7 pm). This reduces the severity of headache in migraine.
- One fist full of Doorva grass (cynodan dactylon) is taken and its fresh juice is obtained. To this, 2 pinch of licorice powder is added and mixed well. This is consumed during the noon hours. Procedure is repeated for 20-30 days. This helps to reduce the severity of illness significantly.
- Take coriander seed powder – 1 teaspoon. add it to one cup of water, leave it as it is at night, next day morning, drink it on empty stomach.
- Soak 5 raisins and 5 almonds in water at night, next day morning, eat them. If you wish to discuss about any specific problem, you can consult an ayurveda and ask a free question.