Depression is extremely common around the world. According to World Health Organization, India has one of the highest percentages of patients with depression.

February 20, 2019

Depression and Anxiety are very common problems. Unfortunately, there is still a stigma attached to these diseases and patients often suffer in silence. It is extremely sad that at times this suffering results in patients even committing suicide. 

Many people suffer from depression – rich and poor, young and old, famous and non-famous. Popular actress Deepika Padukone has been public and vocal about her suffering from depression and the impact it had on her life. 

It’s extremely important that patients with depression / anxiety get treatment without feeling fear or shame.

Common treatment options...

December 25, 2018

Main points about Migraine:

- Migraine usually causes intense throbbing pain on one side of the head.

- The pain lasts for hours or even days and many patients suffer greatly with the pain. 

- Sometimes associated with nausea, vomiting, and sensitivity to light. 

- Some patients experience an "aura" preceding the headache which consists of light flashes. 

-    Migraine is three times more common in women than men. 

Treatment for migraine:

The usual treatment for migraine is (a) taking medicines to treat the pain at the time of the attack (b) taking medicines to prevent an...

December 25, 2018

According to the recently released guidelines of the US Dept. of Health, PHYSICAL ACTIVITY is the most important healthy prescription FOR EVERYONE IN ALL AGE GROUPS.

The new Physical Activity Guidelines are published in the Journal of the American Medical Association (Nov 12, 2018) and are based on extensive research.

Highlights below:

  1. Low activity responsible for 10% of premature deaths.

  2. Everyone can dramatically improve their health, just by moving, anytime, anywhere and by any means that get you active.

  3. A single episode of physical activity can reduce anxiety and blood pres...

November 1, 2018

World Stroke Day was observed on October 29th 2018. On this day, I share with you some important facts and information that would be helpful to you and your family. 

1.    Stroke, also called Paralysis or Lakwa is a very common disease. It is the commonest cause of disability world-wide. In India alone, at least 18 lakh people every year suffer from a paralytic attack. Stroke affects old AND young people, men AND women.

2.    The most common symptom is the paralysis of one side of the body. Other symptoms are slurred speech, difficulty swallowing, memory issues, balance issues....

September 25, 2018

हाल ही में उदयपुर (राजस्थान) में आयोजित न्यूरो सम्मलेन में A4 क्लीनिक्स के परिवर्तनात्मक न्यूरो रेहेब प्रोग्राम के बारे में देश विदेश से सम्मिलित हुए सुप्रसिद्ध डॉक्टरों तथा वैज्ञानिकों से चर्चा करने का सुअवसर मुझे प्राप्त हुआ. इस प्रोग्राम में रोबोटिक रेहेब तथा ब्रेन स्टिमुलेशन जैसी  तकनीक पर हुई चर्चा  आकर्षण का केंद्र बनीं. हमारे इस नवीन प्रोग्राम की सराहना सुनकर  अत्यंत प्रसन्नता हुई. सभी का मानना था कि इस प्रकार के न्यूरो रिहेब क्लीनिक्स तथा प्रोग्राम्स की देश भर में आवश्यकता है.  

इस सम्मेलन में मेरे द्वारा दिए व्याख्यान में न्यूरोप्लास्टिसिटी के सिद्धांत पर विशेष जोर था....

September 12, 2018

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In this post, I will share with you results from a large Parkinson’s disease research project by Parkinson’s Foundation. 

1.    10,000 people across 5 countries participated. 

2.    People with recently diagnosed Parkinson’s as well as with diagnosis for over 20 years.

3.    Moderate to intense exercise is the MOST IMPORTANT thing to fight symptoms of Parkinson’s such as loss of mobility, loss of balance, loss of strength. 

4.    Parkinson’s is a progressive disease that gets worse with time...

August 15, 2018

In this post, we will learn about how to recognize if you or a family member is having a STROKE.

What is Stroke?

Stroke – called Paralysis (पैरालिसिस) or Lakwa (लकवा)  – in common parlance.

It is the commonest cause of disability world-wide. The most common manifestation is paralysis on one side of the body, difficulty in speaking or swallowing and memory problems.

In India, 18 lakh people suffer from stroke each year. 

Why is it important to learn about Stroke?

Early recognition of signs and symptoms of stroke is EXTREMELY IMPORTANT. Because you must take your family member to the hospital immediat...

August 12, 2018

1. What is Parkinson’s Disease (PD)?

Parkinson’s a disease of brain and nervous system.

It is slowly progressive.

It usually affects people >50 years age; sometimes it affects younger people even in their 30s/ 40s.  

2. What are the commonest signs and symptoms of PD?

  • Tremor or shaking – mostly in hands, sometimes in the neck. Looks like you are rolling a pill between your thumb and fingers.

  • Stiffness or rigidity – feel tightness in your muscle, body. Hesitation in moving.

  • Slowness of movement – very common. You walk with short steps, may feel hesitancy in starting movement or t...

According to a new study, sitting for long hours is very unhealthy for you.

This increases your risk of death by 19% from 14 diseases: cancer; heart disease; stroke; diabetes; kidney disease; suicide; chronic obstructive pulmonary disease (COPD); lung disease; liver disease; peptic ulcer and other digestive disease; Parkinson's disease; Alzheimer's disease; nervous disorders; and musculoskeletal disorders.



Even if you exercise regularly but sit for long hours, your risk of disease is higher.

So here are two simple tips:

  1. After sitting for 1 hour, stand up and walk around for at l...

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Blog Authors
Dr. Abha Agrawal, MD, FACP, FACHE

Founder of A4 Clinics

Experienced physician, healthcare leader & entrepreneur

Author of 2 books on Patient Safety


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