Common Specialities
Common Issues
Common Treatments

Parkinson's Disease: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Basics Treament: The aim of most popular Parkinson's treatments are to restore proper balance of the neurotransmitters acetylcholine and dopamine. This is usually done with medication, but some patients are candidates for implantation of a deep brain stimulator or DBS.

Alternative Treatment Options : Since there isn’t any known cure for Parkinson's disease, but it can be managed -- the symptoms of the disease can be relieved or reduced.

Known Parkinson's Medications: The two general approaches to treating Parkinson's disease via medication are: first attempt is to increase levels of dopamine in the brain; the second attempt is to improve by other means.

Surgery : Generally, surgery is only considered as a treatment for Parkinson's disease when medication cannot adequately control symptoms. Two surgical approaches used for Parkinson's are pallidotomy and thalamotomy.

Deep Brain Stimulation: Deep brain stimulation (DBS) is a way to inactivate parts of the brain that cause the symptoms of Parkinson's disease.

Gamma Knife Treatment: Not actually a 'knife' at all, the gamma knife is a machine that emits hundreds of powerful, highly focused gamma radiation beams. It allows for a more precise and concentrated treatment than with other radiation treatments.

Alternative Treatment Options: Vitamin E, coenzyme Q10, and uric acid are among alternative treatments that have been studied as treatments for Parkinson's disease. However, they were not found to be effective.

Parkinson's Disease Research: Some Parkinson’s disease treatments currently being studied involve fetal cell transplantation, the use of stem cells, and gene therapy.

How is the treatment done?

Medications is only limited to help you manage problems with walking, movement and tremor. These medications increase or substitute for dopamine, a specific signaling chemical (neurotransmitter) in your brain. People with Parkinson's disease have low brain dopamine concentrations. However, dopamine can't be given directly, as it can't enter your brain. You may have significant improvement of your symptoms after beginning Parkinson's disease treatment. Over time, however, the benefits of drugs frequently diminish or become less consistent, although symptoms usually can continue to be fairly well-controlled.

Who is eligible for the treatment? (When is the treatment done?)

Deep brain stimulation - a surgical procedure used to treat several disabling neurological symptoms, such as tremor, rigidity, stiffness, slowed movement and walking difficulties. An electrode is implanted deep inside the brain, where movement is controlled. A pacemaker-like device (neurostimulator), which controls the amount of stimulation delivered by the electrode, is placed under the skin in the upper chest. A wire travels under the skin and connects the neurostimulator to the electrode. Electrical impulses are sent from the neurostimulator, along the wire, and into the brain via the electrode. They interfere with the electrical signals that cause symptoms, effectively blocking them. Deep brain stimulation is generally used when the patient is in the advance stages of Parkinson’s disease, and has unstable medication responses. The procedure has some risks, including brain hemorrhage and infection. Patients who do not respond to carbidopa-levodopa therapy do not benefit from deep brain stimulation.

Who is not eligible for the treatment?

Deep brain stimulation is most often offered to people with advanced Parkinson's disease who have unstable medication (levodopa) responses. DBS can stabilize medication fluctuations, reduce or halt involuntary movements (dyskinesias), reduce tremor, reduce rigidity, and improve slowing of movement. DBS is effective in controlling erratic and fluctuating responses to levodopa or for controlling dyskinesias that don't improve with medication adjustments.

Are there any side effects?

Unfortunately, it can cause side effects, like nausea, vomiting, sleepiness, and low blood pressure. If you take levodopa over a long period of time, you may experience involuntary twisting or writhing movements (dyskinesia), and possibly psychotic delusions or hallucinations. Their most common side effect of COMT inhibitors is diarrhea. They may also lead to sleep disturbances, dizziness, or hallucinations. Side effects of anticholinergics may include dry mouth, constipation, urinary retention, or confusion. People who take levodopa for 3-5 years may eventually have restlessness, confusion, or unusual movements within a few hours of taking the medicine. Changes in the amount or timing of your dose will usually prevent these side effects.

What are the post-treatment guidelines?

The available guidelines for clinicians for the eligibility for deep brain stimulation (DBS) in the main conditions in which these forms of therapy are generally indicated-Parkinson's disease (PD), tremor, and dystonia-is presented. In general, the literature shows that DBS is effective for PD, essential tremor, and idiopathic dystonia. In these cases, key points in patient selection must include the level of disability and inability to manage symptoms using the best available medical therapy. Overall, currently available literature is able to guide physicians on basic aspects of patient selection and indications for DBS; however, a few points are still debatable and controversial.

How long does it take to recover?

The recovery time depends on the condition of the patient and cannot be predicted by the doctor beforehand without running a few tests on the patient.

What is the price of the treatment in India?

Information not available

Are the results of the treatment permanent?

If the treatment is followed as prescribed by the doctor then the results show a huge improvement in the patients life.

What are the alternatives to the treatment?

Other then DBS or medicaion there are no known alternatives for this treatment.

Safety: Disease Effectiveness: High Timeliness: Medium Relative Risk: Medium Side Effects: Medium Time For Recovery: Medium Price Range: Information not available

Popular Health Tips

Adopting Deep Brain Stimulation For Parkinson's disease

MS - General Surgery, MCh - Neuro Surgery, MBBS
Neurosurgeon, Greater Noida
Adopting Deep Brain Stimulation For Parkinson's disease

One of the common ailments in the elderly people is the Parkinson’s. A progressive disorder, when left untreated, results in worsening of the symptoms. Hence, it is essential to understand the treatment options available to manage the condition effectively. You may be suggested surgical therapies if medication is not effective enough to treat the symptoms.

Surgical treatment options can be beneficial for patients who are suffering from symptoms, but they do not help with treating the disease. In the past, surgical methods like Thalamotomy and Pallidotomy were used to destroy brain cells that contributed to the symptoms. While these methods are still used, they are very rare and situational.

Deep Brain Stimulation (DBS), an FDA-approved procedure, has become much more popular as it is much safer and does not involve invasive surgery. Instead of destroying brain cells like traditional methods, DBS involves sending electric pulses to the affected brain cells to reduce the symptoms. It is not a treatment procedure, but a means of bringing down the severity of Parkinson’s to allow better and more comfortable treatment.

Deep Brain Simulation – Who are the right candidates?
Deep Brain Simulation is commonly used for Parkinson ’s disease, but it is not recommended for everyone. It is a preferred method of treatment for people who have had Parkinson’s for at least four years but have complications which include long periods of time where medications do not work, or symptoms return, uncontrolled and involuntary movements or the freezing/stiffness in the body.

Deep Brain Simulation is not recommended for those who have Dementia as it can lead to memory problems. The general rule of thumb that neurosurgeons follow is that Deep Brain Simulation can help with symptoms that do not get better with medication. DBS can help reduce medication requirements for patients as well as reduce the side effects that may occur due to medication.

Disorder specialists and neurosurgeons can conduct tests to determine if DBS is going to be effective for a patient before going ahead with such a procedure. An extensive assessment is necessary to understand the symptoms, the effect of Parkinson's drugs and also brain imaging is done. All of the expected benefits are then evaluated for the patients, and if the procedure can help alleviate the symptoms, DBS is given a green signal by neurosurgeons and patients can undergo the procedure.

How Does Deep Brain Simulation Work?
Deep Brain Simulation is a very complex procedure. Brain cells communicate with the rest of the body through electric signal, and these become irregular and do not work properly when affected by Parkinson's. DBS smoothens the functioning of these brain cells and reduces symptoms through electric pulses through the implantation of a medical device known as neurostimulator which is also referred as brain pacemaker.

But, as with any treatment procedure, DBS has potential risks and side effects, hence discuss with neurosurgeon thoroughly to access the suitability.

2952 people found this helpful

Impact Of Parkinson's Treatment - How Can It Be Managed?

DM - Neurology, MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Medicine
Neurologist, Ghaziabad
Impact Of Parkinson's Treatment - How Can It Be Managed?

Coping with Parkinson’s disease is not an easy task. Whether you or your loved one is suffering from it, the effect of the disease takes a toll. Other than the fact that it is a degenerative disease and the neurological condition deteriorates over time, the mental trauma that Parkinson’s brings; not only to the patient but to the caregiver as well, is a whole chapter on its own. When you are taking care of someone who is suffering from

Parkinson’s disease, it is natural that the emotional upheaval that you may go through will take a huge toll on your health and your mind. It is imperative that you prepare yourself thoroughly, whether you are the patient or the caregiver, about the disease and its treatments.

There is hardly any cure and treatment for the disease. It is still in its research stage and hence, often there is a strong sense of despair that sets in the mind of the patient and their loved ones. It is for this reason you have to prepare yourself to face and fight this disease.

Here are some tips that may help you to cope with the treatments of Parkinson’s disease:

  1. Educate Yourself: Educate yourself about every detail of the disease, specific to the type of Parkinson’s that has affected you or your loved one. Ask questions, whether to your doctor or the nurses. Search through the internet, you will get plenty of genuine information. This is necessary as it will prepare you to face the future head-on. You will understand what you are dealing with and how much worse it can get.
  2. Stay Active: If you are the one who is suffering from Parkinson’s, then write it down as the golden rule – I will have to stay physically active. Staying active will keep your muscles active and there will be a steady functioning of the nervous system. Staying active gives you the benefit of keeping the muscles at work, ultimately fighting the main symptom of Parkinson’s disease. Being physically active is also essential to have a good mental health, both for the patient and the caregiver.
  3. Connect With People: Talk to people, your friends, family members, children, grandchildren and anyone you feel like. If you have any estranged relative, it could be a good time to reconnect. Have wholesome conversations that will influence happy thoughts and encourage you to think and ponder on happy memories. This is crucial as Parkinson’s invites depression and you will have to tackle it vehemently.
  4. Talk to a Mental Health Professional: If you feel that you are losing a complete hold of your life and your depression seems uncontrollable, it is time to visit a professional psychiatrist and seek his/her advice in dealing with your troubled mental condition.


1298 people found this helpful

Parkinson's Disease - Are You Aware Of These Signs?

DNB (Neurology), MD/MBBS - General Medicine
Neurologist, Delhi
Parkinson's Disease - Are You Aware Of These Signs?

Neurology is the branch of science and medicine dealing with the central and peripheral nervous system. The nervous system is made of the brain and spinal cord. The disorders, illness or injuries of the nervous system can become problematic for people suffering from them. One of the worst diseases of the nervous system is Parkinson’s disease.

It is a progressive disorder affecting the central nervous system that leads to slowing down of movement and slurring of speech over a period of time. It is a condition where the nerve cells in the brain producing dopamine (a neurotransmitter) are affected.

Some of the early signs of Parkinson’s include:

  1. Tremor: If you have noticed a slight shaking of your hands or limbs, then Parkinson’s might be the cause. The trembling can range from mild to severe as the disease progresses. The back-and-forth rubbing of your thumb and forefinger is known as pill-rolling tremor. One of the most prominent signs is your hand shaking even when it is rested.
  2. Bradykinesia (slow movement): As the disease progresses, you may find it difficult to move your hands or legs or going from one place to another. Even making the smallest movement will require an increased effort on your part.
  3. Rigid Muscles: The muscles in your body can become stiff causing you pain and making it difficult to perform physical activities.
  4. Masked Face: Your face may experience spasms or become stiff periodically. It can also lead to complete paralysis on one side of the face.
  5. Stooping or improper balance: Having Parkinson’s disease can make your body posture imbalanced resulting in stooping or hunching over.
  6. Decreased Automatic Movements: You may experience difficulty in smiling, blinking or swinging your arms while walking.
  7. Alteration in voice or speaking: Your voice can become soft or you may slur while talking. You can also experience a monotonous voice.
  8. Writing may become small: You can experience changes in your handwriting as it becomes small and crowded.
  9. Loss of Smell: The smell of food sitting right in front of you may not register in your olfactory resulting in loss of appetite.
  10. ConstipationHaving Parkinson’s disease can lead to patients experiencing irritable bowel syndrome.
  11. Have Trouble SleepingIt might be difficult to fall asleep for people suffering from Parkinson’s. Also, there are sudden movements during the sleeping process.
  12. DizzinessPeople suffering from Parkinson’s may faint from time to time.

These were some of the symptoms and signs by which you can tell whether a person has Parkinson’s or not. However, as of now it is not curable and can only be treated with medicines. But, early detection can definitely help in preventing it from affecting the whole body.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1819 people found this helpful

6 Signs Of Early On-Set Parkinson's That You Need To Look Out For

MBBS, MD-Medicine, DM - Neurology, MBA, PGD Hospital Administration, PGD Echocardiography, Fellow Neuro-Sonology, PGD Sonology
Neurologist, Jalandhar
6 Signs Of Early On-Set Parkinson's That You Need To Look Out For

If you are young chances are you aren’t worried about this particular neurodegenerative disease, and rightly so since the only people afflicted by it are above the age of 50. Although, there are a lot of cases where it develops in the younger age bracket, so you need to be careful and examine the signs of early onset Parkinson’s and be wary if any of these symptoms apply to you.

Parkinson’s is a neurological disorder wherein the dopamine-producing neurons are affected in a particular area of the brain. It can cause tremors and balance problems, eventually worsening over time. Here are some signs that you should keep an eye out for:

  1. Tremors: If you are experiencing tremors, while at rest, in your hands, arms, fingers or your jaw then it is a sign that you need to be aware about. In an excitable or stressful situation, the tremors may even worsen.
  2. Micrographia: Your hand movements become restricted and, as a result, your handwriting may become cramped and the words smaller in size. Examine your handwriting from the past with your present one, if you find a noticeable difference in the size and positioning of the letters and if you feel like the sentences are extremely crowded together, be wary.
  3. Olfactory issues: One of the symptoms of early onset could be the loss of the sense of smell. If you feel like you can’t sense stronger aromas like that of spices and pickle or even bananas as well as others and it isn’t because your nose is blocked then you need to be on the lookout.
  4. Sleeping troubles: There are times when you feel restless in bed while trying to sleep. If this becomes a routine then it could be a sign that you are prone to Parkinson’s. Sudden movements and jerking while sleeping is a bad sign.
  5. Stiffness: If your arms and joints feel stiff without reason, and you feel like free body movement is restricted or limited if you feel like you can’t swing your arms or move your fingers freely, it is a definite sign that you might have Parkinson’s. Stiffness can even lead to muscle pain in various parts of the body. Bradykinesia or slowness of movement is common with the stiffness of the body.
  6. Constipation: If every time you have to defecate you have to strain yourself and put a lot of pressure on your bowels, and bowel movement does not come naturally or easily, even with the inclusion of roughage in your diet, it is a symptom.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1733 people found this helpful

Neurological Disorders - What Triggers Them?

MBBS, MD - Medicine, DM - Neurology
Neurologist, Gurgaon
Neurological Disorders - What Triggers Them?

Neurological disorders are referred to as disorders of the nervous system that occur due to structural, biochemical or electrical abnormalities in the brain, spinal cord or nerves. They are diseases of central and peripheral nervous system.

Types of neurological disorders:
As any disease of the nervous system is a neurological disorder, there are many types of them; as many as more than 600 diseases. Some of the most common are-

  • Stroke: It can occur suddenly if the flow of the blood to the brain stops and it leads to further brain damage. The two kinds of strokes are Hemorrhagic and Ischemic. Blood clots or blocking of the blood vessels causes these attacks.
  • Migraine: It is a chronic neurological disorder that causes frequent headaches. It can last for two days or more.
  • Brain tumors: Rapid growth of abnormal brain cells results in brain tumors. They can be malignant or benign.
  • Multiple Sclerosis: This disease damages the myelin sheath or the protective layer surrounding the nerve cells.
  • Spinal Cord Disorders: Head injuries, blocked blood supply, fractured bone, tumor in the spinal cord, its compression and infection causes these disorders.

Few more neurological disorders are
Muscular dystrophy and Huntington’s disease, caused by faulty genes. Spina bifida, caused by problems with the nervous system development. Degenerative diseases like Parkinson’s disease and Alzheimer’s disease - MeningitisEpilepsy.

Causes of neurological disorders:
The causes of neurological disorders are quite diverse. The nervous system has numerous membranes of which the nerve is a vulnerable and delicate spot that can be injured and damaged easily. These disorders have a number of causes

  1. Lifestyle-related
  2. Genetics
  3. Infections
  4. Nutrition-related
  5. Environmental influences
  6. Physical injuries

Symptoms of neurological disorder:
Symptoms of neurological disorders can be emotional or neurological, as well as indicative of other disorders and conditions. Some physical symptoms are

  1. Paralysis
  2. Weakness of muscle
  3. Loss of sensation
  4. Seizures
  5. Difficulty with reading and writing
  6. Poor cognitive abilities
  7. Unexpected pain
  8. Decreased alertness
  9. Headaches
  10. Blurry vision
  11. Fatigue
  12. Changes in behavior
  13. Numbness of arms and legs
  14. Slurry speech
  15. Tremors

Symptoms of stroke

  1. Dizziness
  2. Weakness and sudden numbness of face, arms or legs
  3. Severe headache
  4. Trouble with speech
  5. Loss of balance

In case you have a concern or query you can always consult an expert & get answers to your questions!

3306 people found this helpful

Popular Questions & Answers

My mother has severe dementia. She is having starring problem. She is taking T.Ativan 1 mg and Valance syp 2.5 ml. Suggest treatment for starring. T. Eptoin 100 did not give good result.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
Dear Narain. Dementia Not a specific disease, dementia is a group of conditions characterised by impairment of at least two brain functions, such as memory loss and judgement. Symptoms include forgetfulness, limited social skills and thinking abilities so impaired that it interferes with daily functioning. Medication and therapies may help manage symptoms. Some causes are reversible.
1 person found this helpful

My mother in law suffers from dementia, family members manage her with her forgetfulness, repetitive questions, anger, irritability but some particular times of the day like in the afternoon and night before going to bed she becomes unmanageable. She keeps asking for people in her past and insists to call or meet them please advice whether any medicine can be given to her to reduce her irritability and anger.

M.B.B.S, D.P.M, M.A (Clinical Psychology)
Psychiatrist, Nagpur
Proper history along with physical examination will be needed before starting any treatment. Yes the anger and irritability can be controlled with meds. Also her dementia can be improved or atleast reduce its progression. Consult a psychiatrist personally.
1 person found this helpful

My mother has multiple infarcts in the brain and doctor has diagnosed vascular dementia for which there is no cure they say. Is there no hope?

Psychiatrist, Mumbai
Dear Sir I can imagine you must be quite concerned about your mother. Vascular dementia is a type of memory loss that occur due to disruption in blood circulation in brain. Along with memory, it can also affect a person's behavior, judgement, communication and ability to function. It is a progressive condition and the illness trends to progress over time. Unfortunately, there is no cure. However, there are medications which can be prescribed to control further damage to blood circulation. There are medications to help with the behavioral problems if there are any. Certain lifestyle adjustments like keeping her engaged and as much mentally active by scheduling activities, sticking to routine, maintaining a healthy diet will help her.

My father is suffering with shivering of hands and legs also over tension. We have consulted many doctors some says that it is because of diabetes. Before one week ago we had consulted a neurologist he says its Parkinson disease, he have given some medicine. Now its one week later and there is no any changes. Can anyone suggest anyways for this problem?

MD - Psychiatry
Psychiatrist, Chennai
The shivering can be due to various reason, it can be diabetes, parkinson's, anxiety, or Vitamin B complex deficiency 0r idiopathic tremors, kindly do all tests before confirming the diagnosis and then get treated. All the best.
1 person found this helpful

My mother aged 80 years suffering from parkinson and was under treatment for Syndopa cr daily once was suddenly asked to stop due to which she had tremors and right now ridden.

MBBS, MD - Consultant Physician, DNB (General Medicine), DM - Neurology
Neurologist, Vijayawada
You should not stop syndopa suddenly. She needs to be restated on medication and we should also check for other causes of worsening. She will recover with medication.
3 people found this helpful

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Diagnosing dementia can be more difficult than you can imagine. Medically, the patient needs to have at least two areas of mental functionality impaired to an extent where it interferes with their everyday life. However, diagnosis is just the beginning as treating dementia can be even more challenging.
Play video
Neurological Disorder: Parkinson's Disease

Myself is Dr. Harshita Sethi I am Ayurvedic practitioner and diet and lifestyle counsellor too. After finishing my MD in Kaya Chikitsa branch of ayurved in 2003, I started my own practice with the name of Avedna Ayurveda, after that I spent few years in UK and coming back in 2014 I started, I extended my practice into panchkarma centre and opened a panchkarma wellness clinic with the name of Avedna Ayurveda Wellness Panchkarma Centre. I have got two branches of it, one is in Gurgaon and one is in Noida.

And today I am going to talk about neurological disorders which is a Parkinson s disease. Parkinson s disease normally seen in elderly patients, so you know patient is usually 65 years of age but nowadays we are seeing early onset of Parkinson s disease and what happens in Parkinson s disease patient start with the symptom of uncontrolled movement of finger and thumb. Basically it's a degenerative disorder, so what happens in our brain there is a part of brain stem where the loss of function of specialised group of cells happens and it stops the production of neurotransmitters which is dopamine, it is chemical basically which is released by a nerves cell and it passes the signal to another nerve cell. So when there is a deficiency of this particular neurotransmitter then there are some motor changes starts happening in our body and patient you know they experience that some kind of tremors in their hands, arms and gradually it extends to leg also. It becomes very difficult for the patient to do daily task, you know like opening or closing of button of their shirt becomes very difficult and then gradually goes to the legs also and which hampers their gate and the patient also get very expressionless face and sometimes they give a very mask face kind of feeling to us and in some patients we see the loss of memory also happens with Parkinson s disease. So what we do in Parkinson s disease basically, in ayurveda also it is mentioned very beautifully with the name of kampavata or vepathu it is a kind of Vata disorder. When the Vata increases in our body our excessive predominance of Vata or any imbalance of Vata happens in our body then this kind of movements we see, uncontrolled moment we see in our body. So in this we treat Vata we do Vata chikitsa with oleation therapy with Abhyanga with particular oils like ashwagandha oil and bala oil and we gives certain herbs which can regenerate or even if they cannot regenerate they can prevent the detoration of further nerve cells. So the cells which we have the intact nerves cells, we can prevent them from further deteriorating. So and there are some herbs which show the activity of this natural they have got natural leveropinedat so we give these kind of herbs to those patients along with the complete treatment of lifestyle and daily regime according to Vata pacifying diet and Vata pacifying herbs we give it to them. If there is a predominance of other doshas like if there is a association of some other doshas like Pitta or Kapha than we treat them accordingly, so we give the herbs like guduchi, shankhpushpi, jatamansi then there is a one more drug of choice is atmagupta, which is very very effective in Parkinson's disease. So atmagupta is basically micuna pruriens but we give this in very control supervision of a Ayurvedic physician and there are some therapies also we do in Parkinson's disease to prevent it further going on for the deterioration there are some Abhyanga massages we do, vasti chikitsa to do, in which we give medicated enema to prevent the Vata from the sthan of its sanchreya where it is originating, So we relieve the constipation and we control the Vata from the place of its origination and then there are there is another way of preventing Parkinson's disease is continuously mantra chanting you know when we are repeating something or singing something or like in hindu culture we have a culture of chanting mantra s according to the days, there are different mantra s for the different days like for the Sunday there is a god son we chant different mantra s for god sun, for Monday it's a day of lord Shiva so we chant different mantra s for lord Shiva, like Tuesday is a day of hanuman so we chant hanuman chalisa which has got 40 verses in that. So we memorize it and chant it without looking at it, so what it does with it stimulates our brain cells and it prevent further deterioration of our brain cells. So I would advise all the people should start putting this into practice when they reach the age of 50 which is a innerway we can prevent Parkinson's disease and other therapies we do it at do at our Panchkarma Centre is Potli massage is Abhyanga, shirodhara and to prevent neurological muscular disorders we do Shasti shali pinda sweda also in which cook special kind of rice in the milk and applied all over your body. So it is useful in paralysis and muscular weakness kind of disease.

So here I end for today now, so you can contact me through Lybrate or you can contact me two of my Avedna Ayurveda Panchkarma Centre, one is in Noida and one is in Gurgaon. I hope you find this information useful, Thank you.
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