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Dr. Vivek Agarwal

Neurosurgeon, Thane

350 - 1000 at clinic
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Dr. Vivek Agarwal Neurosurgeon, Thane
350 - 1000 at clinic
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Personal Statement

My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Vivek Agarwal
Dr. Vivek Agarwal is a trusted Neurosurgeon in Dombivali, Thane. You can meet Dr. Vivek Agarwal personally at Icon Hospital in Dombivali, Thane. Book an appointment online with Dr. Vivek Agarwal on Lybrate.com.

Lybrate.com has a number of highly qualified Neurosurgeons in India. You will find Neurosurgeons with more than 42 years of experience on Lybrate.com. Find the best Neurosurgeons online in Thane. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Icon Hospital

Mahavir Nagar Corner, Manpada Road, Dombivli East. Landmark: Next To Dominos Pizza, ThaneThane Get Directions
1000 at clinic
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Shivam Hospital

Plot No. 57, C.R.W. CHS,Sonali Building, Ground Floor, Kalyan Road. Landmark: Near Manjunath School & , Near M.I.D.C, ThaneThane Get Directions
350 at clinic
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Sir there is a severe pain in my head with a continuation of 2-3 days, is it a problem of migraine.

MBBS
General Physician, Mumbai
Sir there is a severe pain in my head with a continuation of 2-3 days, is it a problem of migraine.
Migrane- It is characterised by one sided headache which is pulsatile in nature and with a throbbing pain usually with an aura
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Physiotherapy Treatment for Head Injury

MPT, BPT
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.

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Whenever I am physically intimate with a girl or even if I suspect eminent intimacy, I begin to tremble uncontrollably. This makes me feel quite awkward and I have no control on ejaculation too. Also this is not the only time it happens. While working or doing some things in front of my seniors I feel the same problem. Is this a treatable disorder? Is there perhaps some sort of quick fix solution? Can you suggest some drugs to treat this? Do I have anxiety and panic disorder?

Reparenting Technique, BA, BEd
Psychologist, Bangalore
Yes, you do show signs of anxiety in terms of expectations. There is no quick fix and it is best to resolve it with some work on emotional therapy. Understanding your feelings and how to deal with it successfully is the key. There may be some root cause for this condition from childhood or your past. There may have been undue parental expectation or you may have developed high and perhaps unrealistic expectation of yourself too. These expectations could cause early ejaculation in sex because of getting overly excited. Meet with a counselor and determine the contribution to further help deal with your condition.
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I am a 50 years old male suffering from ED (Erectile dysfunction) since May 2003. I had a major accident in May 2003 in which I had blood clots in RHS of my brain hence my left hand and left leg got effected. Since then there is a lot of stiffness in my effected limbs, its sort of a paralysis. My physical movement got limited and hence the sexual problem. Please help.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am a 50 years old male suffering from ED (Erectile dysfunction) since May 2003. I  had a major accident in May 2003...
avoid stress about it. try to take good sleep at night.avoid oily foods, alcohol in day time. take tab. ginseng 100mg once a day after meal . it is 100% safe and curable for E.D. and UTI. you can use good sex position for good sex in female do sex.
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I am 39 male. I have spinal operation for born 15 days baby. Then I am married and I kid. I have suddenly come out urine, and some time potty also. The Doctors said its not curable. Still I have back pain. What can I do. Help me. Pls.

MD , MBBS
Orthopedist, Delhi
I am 39 male. I have spinal operation for born 15 days baby. Then I am married and I kid. I have suddenly come out ur...
I believe you have had surgery for a meningomyelocoele. You may have variable neurological problems due to this conditions, and mostly these are incurable - like incontinence for urine and faeces. You must use a diaper and consult with a urologist in your area.
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I'm 27 Year old man with frequent migraines and I take migranil or Suminat tablets. The pain is very severe and sometimes lasts for two days. Please suggest ways to avoid migraines and please clarify if it is normal to get migraines frequently and also suggest medication. Thank you!

C.S.C, D.C.H, M.B.B.S
General Physician,
he International Headache Society defines chronic migraine as more than fifteen headache days per month over a three month period of which more than eight are migrainous, in the absence of medication over use. Episodic migraine is the other migraine sub-type, which is defined as less than 15 headache days per month. Though migraine causes aren't understood, genetics and environmental factors appear to play a role. Migraines may be caused by changes in the brainstem and its interactions with the trigeminal nerve, a major pain pathway. Imbalances in brain chemicals — including serotonin, which helps regulate pain in your nervous system — also may be involved. Researchers are still studying the role of serotonin in migraines. You have to avoid triggers which bring on migraine and do meditation and yoga and when there is pain take SUminat. A number of factors may trigger migraines, including: Hormonal changes in women. Fluctuations in estrogen seem to trigger headaches in many women. ... Foods. Aged cheeses, salty foods and processed foods may trigger migraines. ... Food additives. ... Drinks. ... Stress. ... Sensory stimuli. ... Changes in wake-sleep pattern. ... Physical factors.
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I have migraine problem. Because of that I am unable to concentrate on my studies and on other things. Can you please suggest me the remedy.

DHMS (Hons.)
Homeopath, Patna
Hi, headach is caused due to stress, anxiety, chronic diseases, medicinal aggravation, sinusitis, inedequate sleep, acidity, indigestion. Liver sluggishness. Excessive consumption of caffiene, nicotine, alcohol, junk food. Please, assess the exact condition, prevailing in your case. Go for meditation to reduce, stress, anxiety and to nourish your brain to calm down nerve to ease your headache, problem. Tk, plenty of water to eliminate toxins and to regulate metabolism to complete your digestion. Tk, easily digestible, simple, non- irritant diet on time. Ensure sound sleep in d night for 7 hrs, at least. Tk, homoeo medicines: @ spigelia 200-6 pills, thrice. @ china 200-6 pills thrice a day. Avoid, caffiene, nicotine, alcohol, junkfood, cold intake, polluted atmosphere, conteminated ted water. Tk, care.
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I feel weak very often. Many a times my hands feel numb. If I do not take food on time I can not even stand stil feeling firm from inside. I have erectile dysfunction also. What I think is I take too much stress. What should I do to gain strength from inside.

BHMS
Homeopath, Thane
I feel weak very often. Many a times my hands feel numb. If I do not take food on time I can not even stand stil feel...
Hi, take phos acid 30 4pills to be sucked thrice a day for 1mth your complaints will reduced if you take medicines regularly.
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Hello doctor My hand always shaking. Doctor suggested to visit neurologist for root cause. What is root cause?

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
Hands shaking is just an external manifestation of some problem in your brain that problem which causes the hands to shake is called as the" root cause"
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