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Dr. Pravin Nafade

Neurosurgeon, Pune

Dr. Pravin Nafade Neurosurgeon, Pune
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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.
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Dr. Pravin Nafade is a trusted Neurosurgeon in central Panchgani, Pune. He is currently practising at Sai Shree Hospital in central Panchgani, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Pravin Nafade on Lybrate.com.

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Cervical Lordosis Straightening Treatment

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Cervical Lordosis Straightening Treatment

Most commonly known as a military neck a straight or forward curve of the neck is abnormal and may cause an unkind progression of symptoms leading ultimately to cervical disk degeneration.

Reversal of cervical lordosis explained

The anatomy of the neck features a lordotic curvature in its typical and healthy state. This means that the cervical region has a gentle curvature with the open end of that curve facing the rear of the body. The base and top of the curve will be further posterior than the mid point, which will be further anterior.

When the lordosis is straightened, the neck becomes more upright and linear. This is more common than the next progression of atypical curvature, which is the subject of this article.

Actual reversal of curvature means that part or all of the cervical spine develops a kyphotic profile, with the open end of the curve facing anteriorly. Usually, this reversal is extremely mild, but is still very abnormal. What we now see is the middle of the curve being positioned posterior to the top and bottom.

In essence, picture the letter c and now turn it backwards: This is the shape of a reversed cervical lordosis.

Reversal of cervical lordosis causes

The spinal curvature in the neck is constantly in flux to some degree.

Congenital conditions and developmental conditions can have lasting effects on the natural degree of curvature typically demonstrated from patient to patient. These circumstances may be explainable due to injury or degeneration, or may be idiopathic:

Scoliosis can affect the normal lordotic curvature in the neck.

Cervical spondylolisthesis is a major source of reversed lordotic curvature.

Severe disc pathologies can facilitate a gradual loss or reversal of cervical lordosis.

Vertebral irregularities, such as wedging, can definitely contribute to lordotic alteration.

Traumatic injury, including vertebral fracture, can create the ideal circumstances for a reversal of lordosis to take place.

Severe neck muscle spasms can actually reshape the spinal curves, although these are usually temporary expressions and not actual structural conditions.

Effects of reversal of cervical lordosis
The neck is designed to curve in order to balance the spine, absorb stress, distribute force and provide proper movement of the head. When this curvature is diminished or reversed, symptoms may result, although this is not an inherent part of any altered lordotic condition.

Patients may experience stiffness and tension in the neck. Pain may be present and may even be severe in rare cases. Neurological dysfunction is possible in extreme cases, since the neuroforamen might not align properly, thereby causing a cervical pinched nerve.

In the worst circumstances, central spinal stenosis in the neck might affect the viability of the spinal cord, possible enacting the most dire of symptoms throughout the body.

Patients will also be more prone to injury, since the normal shock absorption qualities of the typical curvature have been lost.

While all these effects are certainly possible, they are not usual. In fact, a great majority of patients have minor symptoms or even no symptoms at all from mild reversed lordotic curvatures.

The pathology leading to a neck curve reversal (cervical kyphosis shown below right) may be inspired by a multitude of conditions as follows:
Post whiplash
Post head injury
Stomach sleeping
Poor sitting/working postures
Congenital spinal curvatures
Osteoporosis
Degenerative cervical discs (a form of osteoarthritis that can either be the cause of or the result of a cervical kyphosis)
Compression fracture of vertebral body
Infection of the cervical spine

Anatomy: straight vs. Curved

I've always heard that it was good to stand up straight.

stand upright, stick your chest out and hold your shoulders back! otherwise you're going get widows hump.

Are these expressions as familiar to you as they are to me? one might think that having a curved neck goes against what we heard from parents and teachers as we were growing up, but the reality is that there is a little bit a truth in both. Maintaining good posture throughout our lives is crucial to both the health of our spine and vital organs. On the contrary, a special type of curve called a lordosis is a good thing, both in the neck and lower back.

When we look at a person from the back their spine should be truly straight, so that the left and right sides of one's body is symmetrical. However, when we view a person from the side, the front and back of their body is different and this is reflected in a coinciding curvature of the spine. Both the lower back and neck are hollowed out (concave) and the mid or thoracic spine is protrudes (convex). Thus there is an alternation of curves functioning to provide stability, shock absorption and aid in propulsion. A straight spine would be very stiff and not flexible. Imagine the plight of a pole vaulter with an inflexible pole.

Nature's design of our spine and rib cage facilitates breathing and offers protective and supportive framework for vital organs. Spinal disks are shock absorbers and because they are in the front of the spine, lordotic curvatures keep them from having to bear weight. Kyphosis or loss of such curvatures bears weight upon the disks, leading to their ultimate degeneration. This process of deterioration is a form of osteoarthritis and in the spine is known as degenerative spondylosis.

Diagnosis
Although most physiotherapists or conservative orthopedists can recognize a cervical curve reversal upon viewing the patient's posture, a definitive diagnosis may be obtained via a standing lateral (side view) x-ray of the neck. Cause can often be determined by corroborating a comprehensive history, a thorough examination, x-rays and questions about sleep, work and lifestyle.

In my professional career I found that the majority of young adults presenting with cervical kyphosis either had a whiplash or were stomach sleepers from an early age. For desk jockeys 40-60 years of age, many hours of sitting with their head flexed forward almost dictates the fate of developing kyphosis. In prior years I considered cervical kyphosis a job hazard for the careers of accountants, attorneys and often teachers because of years spent with their head in a book or paperwork. However, the digital age offers some relief in that respect. A well-planned, ergonomically-friendly office can do wonders for protecting the spine in the sedentary worker.

Treatment for cervical curve reversal (kyphosis)
During my chiropractic practice I had the opportunity to note a good percentage of correction toward a more normal lordosis (noted on x-ray) for 70% of patients under my care. This was almost always consistent with those patients that followed all recommendations and were model participants in their own care. Here is the recommended treat plan:

Spinal manipulation of stiff and fixated spinal segments by a qualified physio
Flexibility exercises for flexion and extension of cervical spine
Resistance exercises for flexors and extensors of the neck
Learn the Alexander technique for maintaining good posture (hint: the basic philosophy is to sit and stand like you were hanging by a string from the vertex of your skull. Liken it to a puppet on a string).
Elimination of stomach sleeping
Avoid standing on your head, although some yoga postures may be beneficial
Use of orthopedic neck pillow while sleeping.

2 people found this helpful

My palm and finger shrinks quickly after a few second when come to contact with water. What cold be the reason. Please reply.

MBBS
General Physician,
The skin might get contracted suddenly not the finger or palm that means you may be allergic to the particular ingredient of the source of water otherwise there is no other cause forbtgisvtype of reaction. It i'd cold water only or any water if you keep the hand in cold water for longer duration then the skin gets shrinkage temporarily. Nothing to worry about it.

His body is shivering a lot even he raised his hand and he is a the to teller what is the reason of it.

MBBS, cc USG
General Physician, Gurgaon
This may be due to 1. Severe anxiety 2. Medical problem like Thyroid disorder get your following test done and review with reports 1. CBC 2. Thyroid function test(fasting)
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Some peoples disturb in a fits problems why are coming this problem. May be genes problem and please tell me about this problem.

C.S.C, D.C.H, M.B.B.S
General Physician,
Epilepsy is a brain disorder in which clusters of nerve cells, or neurons, in the brain sometimes signal abnormally causing strange sensations, emotions, and behavior, or sometimes convulsions, muscle spasms, and loss of consciousness. Genes do play a role
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Which one is the best pain killer tablet for migraine or adhasishi headache pain?

MBBS
General Physician,
It is very difficult to say which one is the best because different pain killer acts differently in each individual normally it can be paracetamol calpol, brofen ibubrufen or combiflam main reason of aggravating factor is stress and strain anxiety neurosis, one has to avoid that even one has to change his or her lifestyle.

Hi, I am 20 years old girl and I am having migraine since last 8 months and I had 2 severe migraine attacks in these 8 months. I also have deviated nasal septum my ent has suggested sub mucus resection surgery. Right now I am taking homeopathic treatment for both migraine and blockage in right nostril. Please suggest me what I should do because my homeopathic doctor has suggested me not to do surgery as it can be cured without surgery.

MS - ENT(Gold Medalist), MBBS
Ear-Nose-Throat (ENT) Specialist, Delhi
Dear, dns i. E deviated nasal septum can' t be corrected without surgery (septoplasty: removal of only deviated portion of septum) but not smr submucosal resection (removal of whole of the septum) which is outdated these days.
4 people found this helpful
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I am 26 years old. I am suffering in migraine headache from last 3 year. Please suggest.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
Migraine can be managed with lifestyle changes and medications, try muscle relaxation exercises. Relaxation may help ease the pain of a migraine headache. Get enough sleep, but don't oversleep. Get an adequate amount of sleep each night. It's best to go to bed and wake up at regular times, as well. Rest and relax. If possible, rest in a dark, quiet room when you feel a headache coming on. Place an ice pack wrapped in a cloth on the back of your neck and apply gentle pressure to painful areas on your scalp. It is very important keep a headache diary. Continue keeping your headache diary even after you see doctor. It will help you learn more about what triggers your migraines and what treatment is most effective. A dose of riboflavin in appropriate dose as prescribed under supervision, also may prevent migraines or reduce the frequency of headaches. Coenzyme q10 supplements may decrease the frequency of migraines, magnesium supplements may also be used to treat migraines.
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Sir my muscles are shaking without my permission and vibrating slowly also my fingers are shaking at certain times. This is happening since 2 years what's the problem. Also when I walk through 3 floors top by stairs my heart is beating very heavily, also I am getting tired all time.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
In your age, the symptoms you mentioned are may be due to weakness. Eat selective healthy food well. Avoid junk food. Drink approx. 2.5 litres of liquid per day. Other possibilities to rule out are diabetes (blood sugar) or any other pathogenesis. Observe if any muscle mass reducing in the body. Exposure to sun light in the morning is good to maintain Vitamine D in the body.
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My mother has right side paralysis. She lost he voice since May'16. Please suggest how her voice can be recovered.

D.H.L.S, B.A.S.L.P, M.A, B.Ed .SE . ( H.I )
Speech Therapist, Delhi
advice;- nuro expert speech and language therapist properly speech therapy Properly Regular speech therapy
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I am suffering from parkinson. Anxity, depression etc. I have almost spent a lot. No pease of mind. Almost I welcome death. At present I am unable to walk without fear of falling. Legs are strengthless. Unable to stand, sit. Practically I became useless. Fit for nothing. Cerivical spine problem also I have. I take syndopha, pacitan etc. Liquor during night, get little relief while drinking. What is my fault.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Neurologist,
Parkinson's disease-kampavata (a neurological disorder) parkinson's disease is a neurological disease, or brain disorder, that leads to progressive difficulty with balance and coordination. In people who have parkinson's disease, nerve cells in a region of the brain known as the substantia nigra become damaged or die. These cells are important because they produce the chemical dopamine, which helps to coordinate body movement-basal ganglia. When dopamine-producing cells degenerate/die, the areas in the brain that control movement can no longer function properly, and symptoms of parkinson's disease eventually develop. Parkinson? s disease prevalence:- parkinson's disease can affect anyone, but it most often occurs in people who are over the age of 50. Only 15 percent of parkinson's disease patients are diagnosed before they are 50 years old. The prevalence of parkinson's disease is nearly the same in both men and women, and recovery rate is more in men. People with a family history of parkinson's may have a higher risk of developing the disease, but parkinson's disease is rarely attributed to genetics alone. Parkinson's disease symptoms symptoms of parkinson's disease usually develop after about 80 percent of the brain's dopamine-producing cells are lost. The main symptoms of parkinson's disease include? tremors (kampam)- tremulousness (uncontrolled shaking or trembling) of the hands, arms, legs, face, body is often one of the first indicators of parkinson's disease? rigidity. Profound stiffness or an inability to easily move the arms, legs, and trunk, pain and stiffness on neck muscles is another hallmark of parkinson's? bradykinesia:- describes the unnaturally slow movements that are characteristic of people with parkinson's disease? poor balance- parkinson's disease affects balance, leading to difficulty walking and impaired coordination. The symptoms of parkinson's are generally mild at first, but become more severe over time, until they eventually interfere with your daily routine. This is usually the point when treatment is recommended. The outlook for people with parkinson's disease parkinson's disease is a chronic, progressive condition, which means it is a lifelong disease that worsens over time when it is not treated properly. Each individual's situation is different, but in general, the first symptoms of parkinson's disease usually don't require treatment and may be restricted to one area or one side of the body. Movement of symptoms to the other side of the body? tremors that become more pronounced and interfere with activities? bradykinesia, or slow movement, that becomes disabling? difficulty with hand writing? impaired swallowing and chewing? speech that becomes monotone? poor balance and repeated falls? slow, shuffling gait (manner of walking)? stooped posture? facial expressions that become stiff and blank? chronic constipation? poor bladder control? sleep disturbances this progression is gradual in most people, but it may happen faster in some than others. Understandably, stress caused by the progression of the disease can lead to anxiety and depression. Ayurveda treatment: there is cure for parkinson's disease with ayurveda treatment, with ayurveda medicines and treatments we can relieve symptoms, slow down the progression and then we can completely arrest further degeneration of the of the cells, thereby we can completely control and cure the disease. If you are diagnosed with parkinson's disease, it is important to work closely with your medical team, so your medications can be regularly adjusted to help you remain as functional as possible for as long as possible. As far as parkinson's disease is concerned this is a brain related issue, so will surely effect the mind; so I recommend 49% treatment to patients and 51% treatment to family members.
3 people found this helpful
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Hlw Dr. I was diagnosed for epilepsy for 3 years and last year my course get completed but from then my hairs are falling out. I was on epsolin 300 er. I didn't use hair oil daily too. So now I'm confused either my hairs are falling because of drug I took or due to what? please help me. And please tell me different types of hair fall patterns. Hairs from sides are more falling out and hairs density on the whole head is becoming less and lesser. Some hairs are grey too. Please help me.

BHMS
Homeopath, Faridabad
Hi. Let me you about hairfall. In layman's language, hairfall can be divided into 2 types - temporary hairfall and permanent which is called 'Hairloss' rather and leads to bald areas of smooth and shiny surface. In temporary hairfall, hair grows back again from the same hair root, but in case of permanent hairloss, because of formation of DHT (Di- Hydro -Testosterone) around hair root it gets choked up which subsequently affects the blood supply to the hair and thus hair root is lost forever. Many factors are responsible formation of this DHT or hairloss- hereditary, post-illness/ ailment, post-delivery, post- chemotherapy, nutritional deficiencies, hormaonal imbalance, insufficient sleep, sudden loss of weight, stress/ tensions/ excessive anger any other underlying diseases, etc. Take diet rich in protein like non-veg., eggs, pulses, legumes, sprouts, nuts (sp. walnut and almonds), iron-rich food like green vegetables, also take flaxseeds, green tea, soyabean, fruits, salads, etc. Take proper 6-9hrs of sound sleep. Give up the habit of smooking and excessive alcohol intake. Avoid junk food and any kind of beverages (tea, coffee, aerated drinks, cold drinks, etc.) Avoid canned/ tinned food or food that contains preservatives (eat fresh ones). Avoid vigorous exercises or any supplements provided by the gym! Regular exercising is also one of the important point, but should be done under some good, qualified yoga teacher or instructor for proper guidance; it also releases the stress/ tension in the mind and the body and keeps you FIT and YOUNG!! Can't comment on Allopathic medicine you had, can be it's side-effect or can be due to deficiency! Take homoeopathic Rx - Schwabe's Wiesbaden 200/ twice a day for 1 month and revert me back. Along with that, take any one of the multivitamin - Centrum or Supradyn/ 1 tab. daily for 3mths.
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I have a daughter with cerebral palsy and the Dr. said he will treat with drug please need opinion because right noe daughter can not walk, stand on her feet or weight, talk, can not grab anything with her hands or used her hand to feed her self. She is 5 years old.

MBBS, MCH Neurosurgery
Neurosurgeon, Hisar
Hi, cerebral palsy is a sequlae of hypoxic injury to brain .It can not be cured .Generally children with CP need extra care and dependent on their parents .You are advised to go to pediatric rehabilitation centre. Stem cell transplant may have some role in treatment. Thanks.
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A person get brain hemorrhage and paralysis attack on the right side. Before 4 month. We are not satisfied with improvement. Can you suggest the better treatment..

BHMS
Homeopath, Sindhudurg
Ofcourse yes sir. Homoeopathy will definitely make remarkable progress, when there is no progress by any medicine, homoeopathy do miracle. You can consult me for homoeopathic treatment without side effects.
2 people found this helpful
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Have been having one sided severe headaches with vomiting. What could it be? is it due to gas or is it migraine.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
basically you have stone in gall bladder also..it causes for severe gastirtis.pain in abdomen.headache,vomiting. you can go for surgery for stone in gall bladder. you can use syp. ulgel-A 15 ml before meal thrice a day. tab. udiliv 600 mg twice a day. tab. levazeo - sr 75 mg once a day. tab. dolo 500 mg sos.
1 person found this helpful
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During pregnancy the size of vagina is increase or not? And which conditions is responsible for seizure?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
The size of the vagina does not increase in pregnancy. However it may become lax due to increased blood supply. Seizures or epilepsy in pregnancy can be of different types. Mostly no obvious pathology is found. Hence treatment is with antiepileptic drugs to control and prevent fits. Occasionally they can be due to tumor, infection etc;
12 people found this helpful
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Hi Doctors, I have L5-S1 pinched nerve in spine since 6 month's. I understand pinched nerve is causing back ache, sometimes leg pain, numbness and all. But since 6 months my testicles are also paining, to examine I gone under abdominal and scrotum (testis) scanning, report showed neither kidney stones nor hydrocele. Could you please suggest me what causes my testicles pain. Its severe most of the times, I can't sit on the floor for long time. Age: 28 Weight: 72 Height: 5" 8 Your reply can help me so much. Thank you in advance.

Orthopedist, Mumbai
Hii lybrate-user. The testicular pain might also be related to disc compressing l1 root, the scrotal skin has dermatome l1, but also consult a surgeon for a detailed testicular examination and abdominal examination. Mri lumbosacral spine with screening of whole spine will reveal a disc compressing l1 root.
3 people found this helpful
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What is the best medicine for the migraine problem while I have severe head pain? Please help me.

MBBS, MD - Community Medicine
General Physician, Jaipur
It is a type of headache which is initially unilateral (right/ left side of head) and localized in the front side and eye area of head, but pain can be felt anywhere around the head or neck. There may be associated nausea, vomiting, intolerance to light, and many others. If you have this type of symptoms, follow the advice: 1. Take tablet paracetamol 500 mg within 15 min of starting headache. If headache does not respond to paracetamol, you may take tablet headset one tablet at the start of headache, you can repeat again after 2 hours of previous dose but maximum 2 doses in a day. 2. Yoga, meditation, stress relieving techniques help you in relieving symptoms. 3. Identify the trigger which causes this type of headache, and avoid that i. E. Coffee, alcohol, chocolate, any particular fruit or nut, or else. Consult again with answer (yes or no) to following questions for further prescription to manage your migraine: 1. Unilateral location (right or left side) 2. Pulsating or throbbing quality of headche 3. Moderate or severe pain intensity 4. Aggravation by or causing avoidance of routine physical activity (eg, walking, climbing stairs) 5. Nausea and/or vomiting 6. Intolerance to light or sound while headache.
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