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Dr. Amit Kulkarni

Neurologist, Mysore

Dr. Amit Kulkarni Neurologist, Mysore
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Amit Kulkarni
Dr. Amit Kulkarni is an experienced Neurologist in Kuvempu Nagar, Mysore. He is currently associated with APOLLO BGS HOSPITALS in Kuvempu Nagar, Mysore. You can book an instant appointment online with Dr. Amit Kulkarni on Lybrate.com.

Lybrate.com has a number of highly qualified Neurologists in India. You will find Neurologists with more than 42 years of experience on Lybrate.com. You can find Neurologists online in Mysore 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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I am suffering from severe nerves pain and muscles pain. Please suggest any suitable medicine.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Kindly show me digital x rays of cervical spine. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful use no pillow under the head. Do hot fomantation. Ibuprofen 200mg od & sos x 5days bio d3 max 1tab od x10 do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. Do reply back for detailed treatment plan. Do not ignore. It could be beginning of a serious problem.
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Which medicine use to migraine and how to check migraine test what are the symptoms of that.

M.Ch - Neuro Surgery
Neurosurgeon, Gandhidham
Symptoms of migraine are. Severe one sided headache May b associated neck throat pain Gradually increases over 1-2 hours Lasts for 6 hrs to 3 days Intolerance to light and sound Increases or precipitated by tea, coffee, chocolate, sunlight exposure Associated nausea and /or vomiting This is classical. Migraine but there are still more different variants for which you need to see a neurologist. Many diff medicines are there but I should know how frequently do you get headaches a week. For how many days. First it needs to be confirmed that it is migraine only Ofcourse. U can decide depending on the symptoms I have told somehow.
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I gave up alcohol 9 years back and after that I suffered from insomnia. My visit to an ayurvedic physician did not help and so I consulted a psychiatrist. He put me on 0.5 mg alprazolam b.i.d which helped but I used to get up in the morning with a jittery feeling and a month later I developed depression. When I went back to him he prescribes clonazepam 0.5 mg. To be taken along with alprazolam. I was fine after this but now after 9 years I have started with depression and restless sleep. My present psychiatrist suggests alternate medicine but is not sure. Can a psychiatrist help me with a solution.

BHMS
Homeopath, Faridabad
Hello, Practicing yoga with homoeopathic medication helps you in releasing the stress from your body. Brisk walk in a park will help you inhale more fresh air and oxygen for good functioning of the cells and tissues of the body. Medication: Take Schwabe’s Bacopa Monierri 1x/ thrice daily and Kali Phos. 6x/ once at night. Yogasana: Practice the following poses if you don’t have any medical condition or pregnancy or else take an advice from your concern doctor and then only perform these. 1.Balasana: Sit on your heels with your big toes touching and hands resting on your thighs. Lower your belly and chest to rest between your knees, bringing your forehead to the floor. Relax your arms back beside your shins, palms facing up. Soften your breath by taking 5 to 10 long, deep inhalations and exhalations. 2.Savasana: lie back, letting your body sink into and open around the support. End in a supported pose on your back with a folded blanket under the length of the spine to help arch the upper and middle back, and lengthen the lower back. Move your arms a comfortable distance away from your body and anything else around you. Turn your palms to face up. Separate your legs a natural distance apart. Relax your feet and let them roll open. Finally, do a mental scan from head to toe: Where are you holding tension. Release it from every part of your body—including your heart and head. 3.Bhujanasana: Slowly slide forward from Child's Pose to lie facedown. Press your toes and forehead gently into the floor. Rest your palms lightly on the floor on either side of your chest with fingertips pointing forward and elbows bent and hugging in toward your ribcage. Inhale and lift your chest from the heart, pressing only very lightly into your palms and mostly using your back strength to hold your shoulders and chest up. Soften your shoulders. Then lift your hands off the floor completely, broadening across your collarbones and reaching your heart up. Take a couple of deep, slow breaths here. Then as you exhale, place your palms back down and gently lower your chest to floor.
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I am suffering from migraine from last few years. I could not find any solutions to that. I haven't got any treatment but it comes and goes suddenly. Won't let me eat frozen food. please help.

MBBS, MD - Anaesthesiology, FIPM
Pain Management Specialist, Pune
You seem to have migraine triggered by frozen foods. You should definitely avoid them. Migraine headache is characterised by unilateral pulsating headache associated with nause/vomiting and photophobia / phonophobia. There are triggers for migraine like sun exposure, certain foods or smell, lack of sleep, excess caffeine etc. The triggers are variable for different patients. Migraine attacks can be managed by simple painkillers like paracetamol but in resistant cases drugs like Sumatriptan may be needed. For frequent episodes of migraine preventive medications are to be taken by prescription. There are various medicines available for this and if control is not achieved with one medicine another drug is to be added. Don't take painkillers daily for migraine headaches, it's better to take the preventive medicines. Painkillers on long term basis can further aggravate the migraine headache into Medication Overuse Headace (Read my health tip on Medication Overuse Headache) Follow these lifestyle changes to avoid migraine headache 1. Maintain regular sleep wake cycle, even on holiday's. 2. Don't skip meals. Take regular healthy diet with adequate fluids 3. Do not consume excess caffeine / carbohydrates / alcohol or smoke. 4. Exercise daily (aerobics and cardiovascular) 5. Identify your headache trigger and try to avoid it. 6. Do pranayam daily. 7. Acupuncture treatment has shown some benefits in migraine. You can consult a pain specialist for therapies like dry needling or botulinum injections for your problem. Consult again for further queries.
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My husband is suffering from post polio residual paralysis in right lower limb and left upper limb since the age of 2 years. Now he is suffering from post polio syndrome and severe waisting in right upper limb. He is 46 years old. What should he do now?

MD - General Medicine, DM - Neurology
Neurologist, Kochi
Miantain the muscle mass by mild exercises, high protein diet. Some people will respond. B1B6 B12 also should be given.
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Hello. I have acute pain in Neck, numbness ,huge Tingling symptoms of cervical .Though I am doing hte permanent typical exercise for this but unable to get ride it. I wanted to really get rid of it. Please guide me best.

M.Ch - Neuro Surgery
Neurosurgeon, Gandhidham
Hello. lybrate-user. If the pain is rradiating from neck to arm for last 6 months despite taking medications. I would advise you to undergo cervical spine MRI. Although proper and through clinical examination would help me better diagnose the issue, based on your symptoms MRI is recommended. If there is compression of nerve roots or cord exercise would not help, in fact it may worsen the problem.
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I am 30 years old guy. I am suffering from migraine from last 2 years. I take many pain killer tablets but no relief from pain. What should I do now?

BAMS, MD Ayurveda
Sexologist, Lonavala
The best remedy i can recommend you is as follows Natural home remedy using lemon rind: 1. Separate the rind (outer covering) of 2-3 lemons 2. Chop and crush the lemon rind to make a paste 3. Apply on the forehead for quick relief Surely you will get results.
1 person found this helpful
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I read that researchers believe certain foods might cure Alzheimer's disease. Is this true? If so which food do this and how much would I have to consume to get the benefits.

MBBS
General Physician, Mumbai
Once an irreversible damage is done to the axons of the nerves it becomes very difficult for it to come back with foods
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I am suffering with migraine for last 8 years. I am 20 years old. How can I permanently cure migraine?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
1-1 drop of cow ghee in both nostrils at night time before sleep.....massage your hair with good ayurvedic oil like bhring ranj oil.....sprinkle water in eyes...take sootshekhar ras...kaparda bhasm and godanti bhasm with honey two times a day.....pranacharya no tens capsule twice a day with warm water.....avoid tea...coffee....junk food...oily food....fermented food....stress...eat green vegetables....drink fruits juices...and 7-8 glass of water.....do pranayama early in the morning....walk for minimum 30 minutes in a day....
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I am suffering from facial paralysis from yesterday. I am taking medicines. What I should avoid thing to recover from this problem quickly?

M.Ch - Neuro Surgery
Neurosurgeon, Gandhidham
U need to consult a neurologist tfor clinical examination. As facial nerve involvement can cause it which is known as Bell's palsy. And problem. In brain can also cause it. But both can b differentiated by involvement of part of face. If eye And forehead is not involved then it's due to problem in brain. If whole face on one side is affected then its Bell's palsy For Bell's palsy Physiotherapy is required. Other one needs investigations like MRI.
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I want to know the name of sleeping pills .which is easily available and work fine in the case of insomnia.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bundi
It's not the right way to get the prescription. However Henbane herb and indian snakeroot herbs induce natural sleep, though work slow. It's safe. Pl do not take chemical hypnotics.
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I am 42 years old, had asd closure in 2010, presently suffering from backache, neck pain, migraine, joint pain, numbness. What should i do?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Kindly show me a photograph of the affected part. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful use no pillow under the head. Do hot fomantation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, contact me again. Do not ignore. It could be beginning of a serious problem.
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Hello doctors My mother in law is suffering from Parkinson's advanced disease. Is there any treatment whom we have to consult? Till now we have visited almost all hospitals located in my place (hyderabad) .Is there're any hope that we can get her to normal position?

MSPT (Master of Physical Therapy), BPTh/BPT
Physiotherapist, Bangalore
Sadly, no. Its a progressive degenerative conditions, but can definitely be delayed. Timely medicine and plenty of Neuro Physiotherapy can help. Have a check with Neurologist for any implants that could be used.
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Hi, What is the cure of migraine I am suffering from 2 years. Please suggest the medicine. Will be thankful to you.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
1-1 drop of cow ghee in both nostrils at night time before sleep.....massage your hair with good ayurvedic oil like bhring ranj oil.....sprinkle water in eyes...take sootshekhar ras...kaparda bhasm and godanti bhasm with honey two times a day.....pranacharya no tens capsule twice a day with warm water.....avoid tea...coffee....junk food...oily food....fermented food....stress...eat green vegetables....drink fruits juices...and 7-8 glass of water.....do pranayama early in the morning....walk for minimum 30 minutes in a day....
2 people found this helpful
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Sir, my age is 28 years. I had been diagnosed with Gilbert's syndrome in 2004. Earlier, I used to be sharper & attentive. But since 2009, I have started forgetting things. I don't find myself focused on a particular thing. I can't perform multiple tasks at a time (that much effectively). I searched the net and found out that GS patients may develop forgetfulness. Is GS the primary cause of these things? In that case, what should I do to rectify my GS? Some examples of problems faced by me (not always) : 1. I want to copy files from x folder to y. I go to x, select files (takes some time) and moves to paste it but where ? I forgot. Then after 2-3 seconds, I remember and paste it to y folder. 2. I had given the room key to x person while working on something (sitting with z person). After finishing work, we (myself & Z) returned to room to see room is locked. I started searching key (which I usually keep in my left pocket). Didn?t find it. Started searching other pockets. Not getting it. Panicked. Went back to the place I was sitting. Z person waited there itself. Didn?t find there too. On the way back to room, y person handed over me the key (in front of Z). I wonder how come it reached to him. He explained the key has been given to him by x person. I am still clueless how did it reach to x person. Z person (who was till then enjoying my fiasco) reminded me of giving the key to x. Then only I remembered. Quite embarrassing it was! 3. Locked the door. Came downstairs. Started thinking I haven?t. Needed to go back to check it again. (Had I been attentive enough while locking itself, I wouldn't have required to go back & check).

MPTh/MPT
Physiotherapist,
It is because your brain does not receive proper inputs.Do meditation in the early morning.Of Course it take some time to get into normal.But when you start continuing mediation regularly,it will be helpful.For time inspite of your work kindly note down in your notebook.What to do,where to keep things,whom to give certainly ok.
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What are the symptoms of migraine, I hv headache from last 2 months. So kindly sent the symptoms.

MBBS, PGT(Anesthesia)
General Physician, Delhi
Generally its headache on one side. Severe kind. Person may also feel sensitivity to light or sounds too. Some also feel nausea and vomiting also. Usually investigations are normal.
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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.

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