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Should I start medication for my son's motor tics?

Dr Shakeeb Ahmed

Dr Shakeeb Ahmed Khan  |124 Answers  |Ask -

Physiotherapist - Answered on Jun 17, 2024

Dr Shakeeb Ahmed Khan is a senior consultant physiotherapist with over 12 years of experience specialising in orthopaedic and paediatric physiotherapy.
He has served as a technical consultant for the World Health Organisation, the United Nations, the Tata Institute of Social Sciences and several national and international NGOs.
Besides physiotherapy, he is keenly interested in disability management, early intervention, geriatric care and assisting children with disabilities.
Dr Khan has a bachelor's degree in physiotherapy from the Ravi Nair Physiotherapy College in Wardha, Maharashtra, a master's degree in disability rehabilitation administration from the National Institute for the Mentally Handicapped, Secunderabad, and a PhD in disability management from Bangalore University.... more
Deepa Question by Deepa on Jun 14, 2024Hindi
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My son is having motor tics like blinking,tensing the abdomen for 6 months..all other reports are normal..he was not much disturbed by that.my neurologist was advising to start medication.do I should start..

Ans: Hello Deepa,

Thank you for your query. First and foremost, I would like to inform you that I am not a neurologist but a physiotherapist, so my advice will be from a physiotherapy perspective. If you are hesitant to start medication, you may consider seeking a second opinion from another neurologist, as neurologists are well-equipped to manage motor tics medically.

From a physiotherapy standpoint, we can offer supportive management of motor tics through various non-pharmacological interventions. These include teaching stress management techniques, as stress and anxiety can exacerbate tics. For instance, diaphragmatic breathing can help reduce overall stress and tension. Additionally, physiotherapists can guide the child through Progressive Muscle Relaxation (PMR) exercises to help relax muscle groups and reduce the frequency of tics.

Physiotherapists also engage children in activities that improve overall motor control, which might help lessen the frequency and severity of tics. Proprioceptive training exercises enhance body awareness and proprioception. Postural correction is another key area, addressing any postural issues that may arise due to repetitive tics, ensuring the child maintains a healthy posture to avoid secondary complications. Furthermore, we implement programs to strengthen weak muscles and stretch tight muscles to support better posture and overall muscle function.

Encouraging regular physical activity is also beneficial, as it can help reduce stress and improve overall well-being. By incorporating these strategies, physiotherapy can provide valuable support in managing motor tics, enhancing the child's quality of life, and complementing other medical and therapeutic interventions. Wishing for his quick recovery.
DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.
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My son is having motor tics like blinking,tensing the abdomen for 6 months..all other reports are normal..he was not much disturbed by that.my neurologist was advising to start medication.do I should start..
Ans: My son is having motor tics like blinking,tensing the abdomen for 6 months..all other reports are normal..he was not much disturbed by that.my neurologist was advising to start medication.do I should start..Ans: Hello Deepa,

Thank you for your query. First and foremost, I would like to inform you that I am not a neurologist but a physiotherapist, so my advice will be from a physiotherapy perspective. If you are hesitant to start medication, you may consider seeking a second opinion from another neurologist, as neurologists are well-equipped to manage motor tics medically.

From a physiotherapy standpoint, we can offer supportive management of motor tics through various non-pharmacological interventions. These include teaching stress management techniques, as stress and anxiety can exacerbate tics. For instance, diaphragmatic breathing can help reduce overall stress and tension. Additionally, physiotherapists can guide the child through Progressive Muscle Relaxation (PMR) exercises to help relax muscle groups and reduce the frequency of tics.

Physiotherapists also engage children in activities that improve overall motor control, which might help lessen the frequency and severity of tics. Proprioceptive training exercises enhance body awareness and proprioception. Postural correction is another key area, addressing any postural issues that may arise due to repetitive tics, ensuring the child maintains a healthy posture to avoid secondary complications. Furthermore, we implement programs to strengthen weak muscles and stretch tight muscles to support better posture and overall muscle function.

Encouraging regular physical activity is also beneficial, as it can help reduce stress and improve overall well-being. By incorporating these strategies, physiotherapy can provide valuable support in managing motor tics, enhancing the child's quality of life, and complementing other medical and therapeutic interventions. Wishing for his quick recovery.

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I am 21. I am a chronic overthinker. I am always thinking about what other people think about me or overanalysing situations and making things complicated. Is this a serious problem? What should I do?
Ans: Dear overthinker,

Thinking is a good trait to have, overthinking is not.

You literally have to STOP overthinking!!!

One way to overcome this is to stop thinking and become more action oriented. STOP analyzing everything in the head, put it on paper, there is something calming about putting thoughts on paper, writing them down with a pen and paper.
And then taking actions based on what you have written and no more thinking about it.

Indulge in physical activity, play a game which is more action oriented , this teaches you to be fully present in the moment, which helps you in being in the moment. Being fully present in the moment is what gets you out of overthinking.
Do meditate , I really can't enumerate all the benefits of meditation, what meditation does to people is beyond words.

There is a book called as, STOP OVERTHINKING by Nick Trenton, this book offers practical advice and exercises to help you break free from negative thoughts and worries. It provides evidence-based methods to combat overthinking and anxiety.

Another amazing book by Eckhart Tolle, "The Power of NOW", can help you.

There is no problem which can't be overcome, believe in yourself, you are more powerful than you think, the body and mind have to listen to you!!
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My manager is constantly manipulating his boss about me. Everyone in my team is aware that she is increasingly insecure about my success and feels threatened by me. She often gives incorrect and incomplete feedback due to which my manager feels that my manager is more efficient than I am. In the past, 4 people have quit or been foced to resign due to these politics. Should I also quit and move to another company or should I talk to the manager about this? Pls help
Ans: Hi!!

When I was working in the corporate world, the oft repeated quote was, "people don't leave the company ,they leave bad bosses".
Your manager's boss is your super boss, rt? Can't you go and speak to him directly and put your concerns across?
I am sure the HR must have noticed that people are quitting and might have explored the reasons why they are doing so too, do check with them.
I fail to understand why women should not cooperate with each other. You can also explore the option of talking directly to the manager and telling her if your actions in any way have caused some misunderstanding and if she says yes then you are willing to clear them. Also tell her that you are not eyeing her post and you are just trying to do your job well. I did the same with one of my bosses, it worked for me, we became the best of friends, we are still in touch. You need to think which is your best option and choose one from all the possible solutions I have mentioned. You can always quit, that's the last option I feel..

Hoping you choose wisely..All the very best!!

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my son is 8 year old studying in Class 3 . The classes occus is in morning shift from 6.30 am to 1.30 PM . after comming from the scholl he tired and not able to study in night . plz suggest the Correct time table for the second shift school child so that we can manage his tiredness and keep improving him in balanced way.
Ans: Priya Madam,

You have not provided information regarding the number of hours your son sleeps.

(1) Given that your son is only 8 years old, it is important to ensure he gets a minimum of 8 hours of sleep at night and 2 hours in the afternoon. Sleeping hours can be reduced once he enters the 6th Standard.

(2) Ensure he receives a balanced diet and nutritious food to sustain his energy levels. (3) Encourage him to maintain regular water intake to prevent dehydration. (4) Facilitate opportunities for him to take regular breaks and engage in play. (5) A 3rd standard student can't study for extended periods. He should study for 25 to 30 minutes, followed by a 10 to 15-minute break after each 25-minute study session.

(6) I am providing this information for general awareness. Parents should refrain from physically assaulting their children to achieve compliance, as this can undermine their self-confidence. (7) They should engage in more polite and loving communication with the children. (8) Children frequently observe their parents and tend to emulate their actions. Ensure that the environment at home is tranquil. (9) Addiction to electronic gadgets may also result in fatigue. (10) Regarding the Study Planner, it has been previously stated that regardless of whether he studies in the morning or evening, he should engage in study sessions of 25 minutes followed by a 10-minute break after each session. He will not experience fatigue, and the output will be increased. Hope, this answer will help you, Madam.

All the BEST for Your Prosperous Son's Future.

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