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Dr. Vivian Bond

Neurosurgeon, Pune

400 at clinic
Dr. Vivian Bond Neurosurgeon, Pune
400 at clinic
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Vivian Bond
Dr. Vivian Bond is a trusted Neurosurgeon in Magarpatta, Pune. You can meet Dr. Vivian Bond personally at Noble Hospital in Magarpatta, Pune. You can book an instant appointment online with Dr. Vivian Bond on Lybrate.com.

Lybrate.com has top trusted Neurosurgeons from across India. You will find Neurosurgeons with more than 34 years of experience on Lybrate.com. You can find Neurosurgeons online in Pune 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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Hindi

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Noble Hospital

#153, Magarpatta City Road, Hadapsar. Landmark: Next To Magarpatta Bus Stop, PunePune Get Directions
400 at clinic
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I have numbness in my both hand as well as in my toes I have done blood test for sugar which was normal.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi Thanks for your query. We will have to rule out a vascular cause for it and I advise you to get an opinion from a general surgeon/Vascular surgeon for it because it is difficult for any spine condition to cause numbness in both Upper and Lower Limbs. In any case please also let me know if you have any neck/ Back issues as well. Do not hesitate to contact me if you need any further assistance. Thanks & Regards Dr Akshay Kumar Saxena
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Physiotherapy Treatment for Head Injury

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

PHYSIOTHERAPY TREATMENT OF HEAD INJURY

The treatment may comprise of the following measures:

IMPROVES ALERTNESS OR AROUSAL THROUGH SENSORY STIMULATION:

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

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

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

PREVENTION OF SPASTICITY:

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

MAXIMISE THE PATIENT’S FUNCTIONAL CAPACITY:

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

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

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

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

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

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

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

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

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

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

2 people found this helpful

I have a migraine problem lots of time my head are being sharp pain and my neck have not turn around give me a answer.

MBBS, Diploma In Dermatology And Venerology And Leprosy (DDVL)
Dermatologist, Raigarh
Migrae migraine is more of a preventable disease than curative. You have to identify the triggers of your headache and avoid them. Avoid exposure to bright light, loud sound, sunlight. Avoid stress. Avoid chocolate and coffee. Have enough sleep. Drink 3-4 litres of water daily. I can prescribe you prophylactic medicines too if you want.
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I'm epilepsy patient patient ,or ye sleep disk hai, some people say k is disorder se Mari Jan ja Sakti hai, wt is truth explain me pls, nd m I normal people or not.

MS - General Surgery, M.Ch - Neuro Surgery
Neurosurgeon, Siliguri
People with epilepsy are normal people. It's just that an uncontrolled seizure episode may risk you to injuries from a accident.
3 people found this helpful
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I hv migraine problem. What type of diet should I eat. What precaution shout take.

BAMS, MD Ayurveda
Sexologist, Lonavala
The best ayurveda herb for your case is Natural home remedy using green tea and lemon: 1. Take 1 cup warm water 2. Add a green tea bag 3. Squeeze ½ a lemon 4. Mix well 5. Drink for instant relief this is very helpful, if it dosent work then you must consult ayurvedic doctor.
1 person found this helpful
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I have been suffering from sleep disorder for the past few years. Without the support of sleeping tablet or a couple of alcoholic drink I will not be able to sleep. If I don't take either of this it will take a very long time to fall asleep and that too will be a very disturbed sleep. Please give me some advice to overcome this.

Hi lybra+e user avoid sound in sleepy time take homoeopthic medicine1- nux vom 200 four pills in night time for one week 2- avena sativa q 20 drops in half glass water two times a day for one week avoid laptop, mobile in sleeping before.
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He survive with febrile seizure But he have fit for a little time for 1 or 2 min Now he have fever 100 to 102 but fever not reduce.

MBBS
General Physician, Mumbai
He survive with febrile seizure But he have fit for a little time for 1 or 2 min
Now he have fever 100 to 102 but fev...
take paracetamol (according to the age and weight of patient)to reduce fever. reduce fever further by sponging with tap water.fever will reduce so will seizures. diazepam is given to children with febrile seizures.please have it prescribed by your paediatrician.
2 people found this helpful
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I am 26 year old. I am suffering from migraine. Every night. It's very painful. Please any solution for this diggis.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Do Take balanced diet and hyderated Avoid stress anxiety and anticipating the things Do regular physical activity and breathing exercises for about 15 minutes duration each time regularly Best Wishes
1 person found this helpful
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What happens if lopamax tablet to prevent and control seizures (epilepsy) is eaten with SB tablet to clean stomach.

MBBS
General Physician, Srinagar
Hi and thanks for asking a question dear user sb tablet have cleaning property ot removes toxin and other materials from body and also treats skin disorders. So if lopamax is already crossed gut and liver then it will do its functions. And the current dose for sb tablet is 1 tablet at night after some light food and I suggest you to take lopamax before eating sb tablet there should be timegap. Thanks.
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Hi, my hand shakes a lot I don't know what's a deficiency so how can I consult the same, I am 30 year old and want to be fit, so please help.

MD - Psychiatry, MBBS
Psychiatrist, Patna
Hi Shaking of hands may be because of generalised body weakness, anxiety, excessive alcohol use or some neurological illness. At your age anxiety and alcohol are two most important causes. Reduce drinking gradually if you drink regularly. If quitting not possible then you may consult a psychiatrist for help. If you remain always worried, can not relax, always feel on the edge, if always feel that some wrong may happen, if you have disturbed sleep, excessive sweating, palpitations, dryness of throat and mouth, choking sensation, breathlessness, dizziness, chest discomfort etc then it points towards anxiety. Then again you may require a psychiatric consultation. Get a thyroid profile (tsh, t3, t4) done to rule out a thyroid disorder. If nothing of the above is there in your case then consult a neurologist. Hope, you will benefited. I wish you all the best.
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Meri wife ke sir me hamesha dard bana rahata hai checkup se migrain ka proble bataye treatment bhi karwaya but thik nahi ho raha hai kya kare bataiye.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
Hello only medicines will not help het. You need to find out the reason behind it. Medicines will give symptomatic relife. You need to correct her eating habits. Do consult for further treatment. Till then suggested to take pathyadi kadha 3 spoons with warm water for 2 times for 8 days. 1 tsf of avipattikar churna at night while sleeping with warm water. Consult after 8 days.
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My hands are shivering. While drinking tea and lifting weights why it is happening and how to cure?

MBBS
General Physician, Mumbai
It can be due to anxiety or defeciency of vitamins and I will suggest you to take injection vitcofol 2cc intramuscularly every alternate days for five pricks
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I am feeling partial numbness on my right toe from last 15 days. I had a long drive just before that and that cause. Numbness on almost on foot but that gone away after few hrs and that is usual. I detected with pre diabetic last year but with few changes that recovered.

MD - Alternate Medicine, BHMS
Homeopath, Surat
I am feeling partial numbness on my right toe from last 15 days. I had a long drive just before that and that cause. ...
Take Calc Phos 6X one dose daily for 2 weeks. It will be alright. Still if you have any queries, please let me know. Take care. :)
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I am suffering migraine from childhood, Dr. said that it will automatically end with age but at the age of 20yo it is not relieved.

MBBS
General Physician, Mumbai
Migraine is more of a preventable disease than curative. You have to identify the triggers of your headache and avoid them. Avoid exposure to bright light, loud sound, sunlight. Avoid stress. Avoid chocolate and coffee. Have enough sleep. Drink 3-4 litres of water daily. I can prescribe you prophylactic medicines too if you want.
11 people found this helpful
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On November 2014 I suffered from retrobulbber optic neuritis and neurologist gave me solumedrol 1gram so it cured the infection. Now it sometimes pains on the right side of my head as it used to pain at the starting time of the infection. My right eye was not fully cured now also there is only around 80% vision visible rest of the vision is blurred. Note: I also have history of dengue.

DM - Neurology
Neurologist, Rajkot
On November 2014 I suffered from retrobulbber optic neuritis and neurologist gave me solumedrol 1gram so it cured the...
You suffered optic neuritis which has been partly cured. But the pain may be unrelated to optic neuritis. Only if there is further loss of vision in the same eye than the pain can be attributed to recurrent optic neuritis.
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I am a 37 yrs male. I am having pins and needles on my inner side of the right foot for the past 4 days. I am feeling like having numbness too. What should I do?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. These sensations are actually called as paresthesias and are symptoms due to nerve involvement. There are many causes, but seeing your age, I will ask you to observe it for some time, rule out diabetes, spinal origin of your symptoms. You can meanwhile initiate with physical therapy - tens for 10-14 days and see whats happening. Sometimes these maybe just due to deficiency of important vitamins like vitamin b12, b6, vitamin d etc. Do not hesitate to contact me if you need any further assistance.
2 people found this helpful
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Im 25 year old female. Im facing sleeping disorders from past 10 months. Eg.whem im in deep sleep I feel im awake n I try to get up but I couldn't. I researched about this on internet n got to know that it's a condition of sleep paralysis. Not only this I get scary dreams n hallucinations when im more tired. Cn I please know what happened to me actually n what can I do to get rid of my problems?

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
Im 25 year old female. Im facing sleeping disorders from past 10 months. Eg.whem im in deep sleep I feel im awake n I...
Consult psychiatrist and the mean time do follwing you will feel good 1. Do not sleep in supine ie on your back position, sleep on side 2. Sleep and wake up at at fixed time daily and keep surrounding clean and without much cluttering. 3. Have 2/ 3 good hobbies- photography, painting, playing games, swimming etc 4. Do regular meditation for at least 10 mts 5. Do deep breathing exercise daily for 10 mts 6. No alcohol 7. No smoking 8. Go for morning walk for 30 mts give feed back after 15 days for more advise and medicine good luck.
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One of my relative has migraine. Sometimes it becomes so severe that she can not tolerate and starts crying and screaming. So I want to know if there is any solution for migraine in ayurved.

BAMS
Ayurveda, Bangalore
Hi, You can undergo panchakarma treatment like nasya or shirodhara after checking with an ayurvedic doctor.
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