Dr. Abhishek Srivastava
Director, Physical Medicine & Rehabilitation
MBBS, MD (Physical Medicine & Rehab), DNB (Physical Medicine & Rehab), PhD (Neurological Rehab)
- Fellowship National Institute of Mental Health Neurosciences (NIMHANS), Bangalore
- Preventive Cardiology & Cardiac Rehabilitation, Department of Cardiovascular Cleveland Clinic Foundation, Cleveland, USA
- Palo Alto Health Care System, California, USA
- University Hospitals of Case Western Reserve University, Cleveland, USA
- Singapore General Hospital, Singapore
Stroke Rehabilitation, Spinal Cord Rehab, Gait & Motion Analysis, Sports Injuries, Pain Management
Dr. Abhishek Srivastava was first to get a PhD in Neurological Rehabilitation in the country from the prestigious National Institute of Mental Health & Neurosciences (NIMHANS). Dr. Srivastava has done advanced training from the best institutes in USA, Singapore and Itlay.
Dr Abhishek Srivastava is Consultant in Rehabilitation Medicine, Specialist in Neurological Rehabilitation and Director, Center for Physical Medicine and Rehabilitation at Kokilaben Dhirubhai Ambani Hospital, Mumbai. He is a Triple Doctorate in Rehabilitation Medicine, First PhD in Neurological Rehabilitation in the country from the prestigious National Institute of Neurosciences, Bangalore and underwent specialty training at some of the best centers in the United States, Europe and Singapore.
Dr Srivastava has more than 12 years of experience in Rehabilitation Medicine. He has set up the first and only of its kind Comprehensive Center for Rehabilitation in India at Kokilaben Hospital with state of the art technology, a multidisciplinary trained team with inpatient rehab beds, day care and outpatient services.
He has managed more than 5000 patients with complex neurological and neurosurgical problems in last the last 4 years at Kokilaben Hospital and has performed more than 300 Botulinum Toxin procedures for Adult Spasticity Management.
His clinical areas of interest are stroke, traumatic brain injury, hypoxic encephalopathy and spinal cord injury rehabilitation. He is an expert in 3D Instrumented Gait Analysis and multimodality spasticity management including Botulinum toxin injections. He has active research interest in recent advances in Neurorecovery and Neuroplasticity and is conducting multiple research studies on regeneration, repair and rehabilitation after neurologic injury.
He has received numerous Awards and Fellowships in the field of Neurosciences and Rehabilitation including the prestigious “Young Physician’s Scholarship” from the World Stroke Organization, Best Research Paper from the Neurological Society of India, IAPMR Gold Medal and Dr Anisya Vasanth Award for his pioneering research work
Dr Srivastava is an Honorary Medical Staff Member at the reputed Shepherd Medical Center, Atlanta, USA. He is among the few Physicians from across the world who was invited to contribute in the Preamble to the International Symposium held by the American Academy of Physical Medicine & Rehabilitation and Faculty at the World Congress of Neurology and International Spinal Cord Society. He has edited one book, contributed four book chapters, published 40 research papers, and delivered more then 100 invited lectures & presented papers at various International and National meetings in the field of Neurosciences and Rehabilitation.
Dr Srivastava is a Resource Person for World Health Organization Projects, Expert for the Indian Council of Medical Research Geriatrics Research Committee & Disability Research Group, and a member of the National Board of Examinations Curriculum Review Committee. He is the Founder Director of the Indian Federation of Neurorehabilitation, Executive Committee Member of the Indian Association of Physical Medicine & Rehabilitation, Editor of the Newsletter of Indian Stroke Society and Peer Reviewer for various International Journals.
- Young Physician Scholarship Award From World Stroke Organization
- IAPMR Gold Medal for Best Research Paper
- Dr Anisya Vasanth Award for Best Invited Speaker
- Dr WG Rama Rao Traveling Fellowship
- Asian Stroke Forum Traveling Bursary
- International Academy of Medical Science Trust Traveling Bursary
- Asia Pacific Stroke Society Traveling Bursary
Memberships and Affiliations:
- World Association of Psychosocial Rehabilitation
- World Stroke Organization
- Neurological Society Of India
- Indian Neuropsychiatry Association
- Indian Academy of Neurology
- Indian Association Of Physical Medicine & Rehabilitation
- Indian Spinal Cord Society
- Indian Stroke Society
- Indian Academy of Cerebral Palsy
Novel instrument based approaches in rehabilitation:
- Gait & motion analysis
- Bodyweight supported treadmill training
- Dynamic posturography
- Isokinetic multi-joint dynamometer
- Botulinum toxin for spasticity
- EMG Biofeedback
- Work Simulator
International Peer Reviewer:
- Editorial Board Of Neural Regeneration Research (NRR) Journal, Elsevier Ltd, Singapore , ISSN 1675-5374
- International Journal of Stroke, Official Journal of World Stroke Organization, Wiley Blackwell, ISSN 1747-4930
- Sub Editor of "Stroke Talk", official Newsletter of Indian Stroke Association
- World Health Organization for prevention of non-communicable diseases by diet & physical activity (WHO DPAS)
- Indian Spinal Cord Society for newer approaches of gait training
- Indian Stroke Association for novel approaches for gait disorder management
- Indian Association of Physical Medicine & Rehabilitation for sexual rehabilitation and newer approaches for gait training after stroke
- Indian Neurotrauma Society for newer instrument based approaches in neurological rehabilitation
- Indian Head Injury Foundation for long term care after head injury
- Regeneration, Repair & Rehabilitation: Redefined. NIMHANS Publications, Bangalore, India , ISBN 81 - 86412 - 00 - X
- Souvenir, XXXIII Annual National Conference Of Indian Association Of Physical Medicine And Rehabilitation, Bangalore , India
Book Contributions / Chapters:
- Abhishek Srivastava , AB Taly. Falls in Elderly. In. Reviews in Neurology 2008, S Prabhakar , AB Taly (eds), IAN Publications, Haryana, 81-108
- Abhishek Srivastava , AB Taly. Peripheral Neuropathies: A Rehabilitation Approach, In. Progress in Clinical Neurosciences. V Rajashekhar, KB Bhattacharyya (eds), Neurological Society of India Vol. XXI, 2007, 271-314
- Abhishek Srivastava , AB Taly. Multiple Sclerosis: A Rehabilitation Approach. In. Reviews in Neurology 2007, S Prabhakar, A B Taly (eds), IAN Publications, Chandigarh , 250 - 282
- Abhishek Srivastava. Disability Acts, Benefits & Guidelines for Evaluation of Various Disabilities & the Process of Certification. In. Regeneration, Repair & Rehabilitation: Redefined. AB Taly, Abhishek Srivastava, T Murali, KPS Nair, BM Maheshwarappa (Eds), NIMHANS Pub, Bangalore , 2006, 266-289
- Abhishek Srivastava, A Gupta, AB Taly, T Murali. Surgical Management of Pressure Ulcers in Patients with Spinal Cord Diseases in Neurological Rehabilitation Set up. Journal of Spinal Cord Medicine 2009;32:80-86
- A Gupta, AB Taly, Abhishek Srivastava , T Murali. Urodynamics Post stroke in Patients with Urinary Incontinence: Is there Correlation between Bladder Type and Site of Lesion. Annals of Indian Academy of Neurology 2009;12:104-107
- Abhishek Srivastava, AB Taly, A Gupta, S Kumar, T Murali. Force Platform with Visual Feedback Training in Improving Balance after Stroke. International Journal of Stroke 2008; 3(S1): 355
- Abhishek Srivastava, AB Taly, A Gupta, S Kumar, T Murali. Role of Body Weight Supported Treadmill Training in Retraining Gait after Stroke: A Randomized Controlled Study. International Journal of Stroke 2008; 3(S1): 360
- Abhishek Srivastava, A Gupta, AB Taly, T Murali. Post Stroke Balance Training: Role of Dynamic Posturography. Journal of Stroke & Cerebrovascular Accident 2008; 17(5): S73
- Abhishek Srivastava, AB Taly, A Gupta, ML Noone, T Murali, J Thirthahalli, BN Gangadhar, K Kumar, PN Jayakumar. Stroke with Supernumerary Phantom Limb: A Lady with Multiple Arms. International Journal of Stroke 2008; 3(S1): 149-150
- Abhishek Srivastava, A Gupta, AB Taly, T Murali. Post Stroke Gait Training: Role of Body Weight Supported Treadmill Training. Journal of Stroke & Cerebrovascular Accident 2008; 17(5): S41
- Abhishek Srivastava, A Gupta, Ravi Kumar, T Murali, BN Gangadhar. Salvaging a Psycho-Flexed Hand. Indian Journal Physical Medicine & Rehabilitation, 2008; 19(1): 18-20
- Abhishek Srivastava, AB Taly, A Gupta, ML Noone, T Murali, J Thirthahalli, BN Gangadhar, Keshav Kumar, PN Jayakumar. Stroke with Supernumerary Phantom Limb: Case Study, Review of Literature and Pathogenesis. Acta Neuropsychiatrica 2008; 256-264
- A Gupta, AB Taly, Abhishek Srivastava , T Murali. Traumatic vs. Non-Traumatic Spinal Cord Lesion: Comparison of Neurological and Functional Outcome after Inpatient Rehabilitation. Spinal Cord 2008; 46: 482-487
- Abhishek Srivastava, A Gupta, Ravi Kumar, BN Gngadhar, T Murali. A Rare Case of Psycho-Flexed Hand. Acta Neuropsychiatrica 2008; 20 (3): 157-158
- A Gupta, Abhishek Srivastava, Arun B Taly, T Murali. Single-Stage Multilevel Soft-Tissue Surgery in the Lower Limbs with Spastic Cerebral Palsy: Experience from a Rehabilitation Unit. Indian Journal of Orthopaedics 2008;4: 358-363
- A Gupta, AB Taly, Abhishek Srivastava , T Murali. Non Traumatic Spinal Cord Lesions: epidemiology, complications, neurological and functional outcome of rehabilitation. Spinal cord 21 October 2008; doi: 10.1038/sc.2008.123
- Abhishek Srivastava, A Gupta, P Murthy, T Murali. Multiple Pressure Ulcers in a Patient with Catatonia: A Rare Complication in Psychiatric Setting. Indian Journal Physical Medicine & Rehabilitation 2008; 19(1): 24-26
- Abhishek Srivastava, N Mathur. Bladder Management Outcome after Spinal Cord Injured Patients: A Prospective Study. Indian Journal of Physical Medicine & Rehabilitation 2008; 19(2): 43-47
- A Gupta, AB Taly, Abhishek Srivastava, T Murali. Urodynamic Profile in Myelopathies: A Follow-up Study. Annals of Indian Academy of Neurology 2008;12: 35-39
- Abhishek Srivastava, A Gupta, AB Taly, T Murali. Surgical Reconstruction of Pressure Ulcers in Patients with Spinal Cord Diseases: A Prospective Study. Indian Journal of Physical Medicine & Rehabilitation 2008; 19(2): 27-31
- A Gupta, AB Taly, Abhishek Srivastava, T Murali. "Quality of Life & Psychological problems in Patients Undergoing Neurological Rehabilitation at a Tertiary Centre ". Annals of Indian Academy of Neurology 2008;11: 225-230
- Abhishek Srivastava. Evaluation of Neurological Disability. Journal of Postgraduate Medical Education, Research and Training 2007; 2 (4): 3-5
- Abhishek Srivastava . Functional Restoration Following Stroke: Role of Physical Strategies. Journal of Postgraduate Medical Education, Research and Training 2007; 2 (4): 12-16
- T Murali, Abhishek Srivastava. Book Review: Cerebral Palsy: A Manual for Therapists, Parents and Caregivers. Indian Journal of Medical Research 2007; 126 (3): 234-235
- Abhishek Srivastava. Stroke Rehabilitation. Journal of Postgraduate Medical Education, Research and Training 2007; 2 (4): 6-11
- Abhishek Srivastava. Leprosy: Principles of Rehabilitation. Journal of Postgraduate Medical Education, Research and Training 2007; 2(3): 3-6
- Abhishek Srivastava, AB Taly, DN Nagaraja. Stroke Rehabilitation: A Neurologist Perspective. Souvenir Of Regional Asian Stroke Congress & I National Congress Of Indian Stroke Association, 2006
- T Murali, AB Taly, Abhishek Srivastava. Neurological Legal Disability. Annals Of Indian Academy Of Neurology 2006; 9(3): 184-86
Dr. Abhishek Srivastava: TB Meningitis squeale with spastic paraparesis
Tuberculosis is one of the most common and devastating diseases affecting mankind. India has largest population suffering from tuberculosis and its sequel. It can affect lungs, brain, spinal cord, bones, intestines, etc and has devastating consequences from coma to paralysis.
Mr X, 54 years old male was admitted under Dr. Abhishek Srivastava’s care on 31/07/2015. He was a known case of TB Meningitis squeale with spastic paraparesis who was non ambulatory since last 4 years. He suffered a fall with suspected seizures on the day of admission before reaching the hospital. On examination he was conscious, alert, answering questions and had a contused lacerated wound over his right eye. He had good power in all four limbs but his lower limbs had developed severe spasticity and resultant contractures .He was dependent for his all Activities of daily living , bed bound with contractures in hip and knee which further added in severe deconditioning and decreased endurance. Inspite of having some power in bilateral lower limbs he was never rehabilitated to improve or maximize functional independence in the last four years.
Physician supervised inpatient comprehensive neurorehabilitation treatment program was started comprising of spasticity management with oral medications, management of osteoporosis with bisphosphonates, Inj. Botulinum toxin injected in bilateral hamstring muscles, physical therapy to improve strength, balance, standing, endurance and gait training and occupational therapy to improve functional and activities and daily living training, and orthotics to support knee and ankle. As he was bedbound for 4 years, it was very difficult to initiate walking. So Robotic assisted treadmill gait training (Lokomat TM) was initiated to improve gait and motor recovery. This is one of the latest and high end technologies to initiate walking in any person with muscle paralysis. Anyone with weakness of both lower limbs due to spinal cord injury or disease, one side weakness due to stroke or traumatic brain injury, and all four limb paralysis due to brain or spinal cord injury can be made to walk on this training system to initiate neuroplasticity and enhanced motor and functional recovery.
He had bilateral knee pain due to joint degenerative changes interfering with therapy and hence underwent bilateral knee intra-articular steroid injection. Stiffness and spasticity in knee continued to hamper mobility training and hence he underwent Inj. Botox procedure (400 Units) in bilateral hamstrings and bilateral ankle plantar flexors along with bilateral below knee corrective cast applied with ankles in maximal possible correction. Cast was removed after one week and mobility training was reattempted but he continued to have pain and stiffness in bilateral knee and ankle during robotic training. Dr. Navita Purohit’s (pain medicine) opinion was sought and he underwent bilateral tibial nerve block under USG guidance on 07-10-2015, which further improved ankle movement and he was able to bear weight on the ankle with improved stiffness in knee. He started walking with walker but still had left ankle pain (medial side) which hampered full weight bearing and altered walking pattern.USG was done which was suggestive of subcutaneous edema with no muscle tear and on Dr. N Purohit’s advice underwent left posterior tibial nerve block.Pain reduced and walking pattern improved further.
He continued inpatient physician supervised multidisciplinary neurorehab program for 3 months and at discharge was able to walk with ankle supports and walker and was totally independent for self care activities and indoor ambulation.