Author Archives: Taheal

The best over view of Neurorehabilitation in 2020

Best neurology rehabilitation centers or as said by some neurorehabilitation centers in 2020, these centers are rare to find nowadays.

Knowing that both neurorehabilitation and neural repair are two faces of the same coin, which means that neural repair won’t be achieved without neurorehabilitation. You can imagine how much this service is highly needed and essential.

The literature opinion about some miss conceptions:

All the major references as a developmental neurorehabilitation journal and neurorehabilitation journal had always emphasized that neurorehabilitation centers shouldn’t be equivalent to a physical therapy center or a fitness center.

  • Developmental neurorehabilitation journal said that the neurorehabilitation center is more comprehensive than just being a physical therapy as it might also include other services besides physical therapy. Even if physical therapy is a cornerstone service at any neurorehabilitation centers yet it shouldn’t be standing alone.
  • Neurorehabilitation journal said that the neurorehabilitation center is much more different than a fitness center, as the provided service is in the context of a medical frame and tailored not only to suit each diagnosis but to suit each patient with each diagnosis.

But why you need neuro-rehabilitation centers or what is the ideal patient to seek this help?

Any patient requiring neural repair after any neurological illness would need neurorehabilitation. Any patient with motor impairment, ambulation issues, sensory disturbance, cognitive and memory problems, consciousness problems, difficult to swallow, difficult to control urine and stool with sphincteric problems. All these problems would need the help of a specialized neurorehabilitation center.

The patient suffering from the fore-mentioned problems might be suffering from any of these illnesses:

Patient with:

  • cerebrovascular stroke,
  • brain hemorrhage,
  • brain tumors,
  • multiple sclerosis,
  • peripheral neuropathies whether the acute form name gallian barre syndrome or acute demyelinating poly radiculo-neuropathy or the chronic form of peripheral neuropathy named the chronic inflammatory demyelinating poly radiculo-neuropathy. Peripheral neuropathy might happen due to immunological problems as mentioned before or might be due to a number of other causes the most important are endocrinological conditions as diabetes.
  • Patients also might be suffering from spinal cord injuries.

As mentioned by nearly all neurorehabilitation journal in 2020 that spinal cord injuries are the second most common reason to seek neural repair via a neurorehabilitation center after cerebrovascular stroke. Spinal cord injury can happen due to a number of reasons. As inflammation of the spinal cord only or the spinal cord and the nerve roots which are called respectively transverse myelitis and radiculo-myelitis.

Other reasons for spinal cord injuries which are very common nowadays are traumatic spinal cord injuries after multiple causes as road traffic accidents and after neck or back surgeries.

Other causes to head to a neurorehabilitation center in 2020 are

  • myopathies as Duchene myopathy and other types of muscle diseases, myasthenia gravis,
  • amyotrophic lateral sclerosis (ALS) or Lou Gehrig’s disease,
  • Parkinson’s disease,
  • Alzheimer disease,
  • traumatic brain injuries,
  • and finally, neurological infections as infection brain disease.


The most important benefit for contacting and receiving care a neurorehabilitation centre is that all the needed service would be under one roof. Knowing that most of the patient in need of neurorehabilitation are either old age and or difficult to transfer from their homes to therapy.

As mentioned by the developmental neurorehabilitation journal long time ago before the concept of neurorehabilitation centers was available, the patients to receive this kind of service would need one day to leave the home and go to receive physical therapy.

Another day to go to receive speech therapy, another day to receive brain stimulation, another day to receive botulinum toxin injection (Botox) for his spasticity, another day to see his neurologists do he follow up imaging scans or blood tests.

When you think about all this effort that was previously done by the patients and the family to acquire this service, you would know that providing the service in this context won’t survive long and won’t persist.

Because if the patient and his family could do this once they won’t be able to do it again and again until accomplishing the full required neural repair. Knowing that the process of neural repair doesn’t only depend on medical treatment as recovery is not only through medications.

Medications do have a minor role for functional recovery, but the main factor for neural repair and functional recovery is the nonpharmacological solutions which are through neurorehabilitation.

Neurorehabilitation journal said that it is not logic that the patient is the one who should move to the healthy service provider to receive his optimum level of care by rotating by self on each of the rehabilitation services.

The brilliant idea behind the existence of the comprehensive center for Neurorehabilitation

From this, the concept of neurorehabilitation in 2020 had emerged where it acquires the patient at a certain facility, and all his needs are provided at that place.

Neurorehabilitation Centers would include:

  • Accommodation
  • Nursing for the patients
  • Intensive program, including a daily number of therapy hours, interrupted with periods of rest.
  • Medical supervision to follow up medications, vital data and adjust the program according to the level of exertion the patient can withhold.

Services provided:

  • physical therapy –
  • occupational therapy –
  • dysphagia and swallowing rehabilitation –
  • sensory rehabilitation and education –
  • bowel and bladder training programs –
  • brain stimulation via non-invasive methods as repetitive transcranial magnetic stimulation (rTMS) and transcranial direct current stimulation (tDCS).

These techniques are used to improve neuroplasticity and neural repair and recovery process – speech therapy – psychiatric consultation and psychological support – cognitive rehabilitation and memory training programs.


In Egypt, where are we standing from all of this:

The Taheal Rehabilitation Centers in Cairo – Egypt provide a state-of-the-art neurorehabilitation service. Taheal Rehabilitation Centers were the first to establish the concept of comprehensive neurorehabilitation center in Egypt, Middle East and Africa.

The Taheal Rehabilitation Centers in Cairo – Egypt has more than 10 years’ experience in this field. It has been a common factor at more than 2000 patients’ successful stories who were managed at Taheal over the years.

Taheal Rehabilitation Centers in Cairo – Egypt has a total number of beds exceeding 35 bed including 7 beds for critically ill patients associated with ventilators and monitors.

In Taheal Rehabilitation Centers in Cairo – Egypt the service is run and supervised by several very highly qualified team of consultants and faculty staff members holding the highest medical and rehabilitation degrees on the national and international levels.

Our staff has been trained at:

In Egypt: faculty of medicine Ain-Shams University (ASU). ASU was ranked the first in Africa according to Nature review 2019,

In the USA: University College of San Francisco, Harvard medical school, Cleveland clinic, and case western university.

In Europe: Royal college of physicians (U.K.).


At Taheal Rehabilitation Centers in Cairo – Egypt all forms of service can be provided with either full accommodation with nursing care to receive an intensive program to achieve the highest level of recovery and independence at the shortest time, or outpatient service where the patient can come to our centres and leave after receiving the needed service and a home program.

Before starting treating any of our patients, we do a precise assessment for the patient including seeing his medical reports, knowing his medical history and examining the patient. After which a detailed plan of management including specific goals and time frame.

The primary patient assessment can be done onsite or online for those coming from abroad or want to know their case before arrival.

The most important to go conclusion at the end of this article would be:

Finally, the proverb saying time is brain is always true, which means; losing more time would make you lose more chances for recovery. You need to act fast and start your journey of functional recovery through a specialized neurorehabilitation center in 2020.

If in Egypt, the Middle East or Africa then Taheal Rehabilitation Centers in Cairo – Egypt would always be your best destination to go.

Causes of back and neck pain and its treatments

back pain

Causes of back and neck pain and its treatments

Back and Neck pain is the experience of unpleasant sensations in one or more areas of your neck, mid and upper back, or low back, they are very mundane

quandaries and customarily any of us in his life suffered an attack or more of these pains.

Here is why your back and neck might be hurting it might be as a result of a vertebral quandary, spinal cord quandaries, and infractions, more causes withal could be:

back and neck pain and its causes:

  • Overuse, strenuous activity and improper use, such as repetitive or heavy lifting
  • Trauma, injury in addition to fracture
  • Degeneration of vertebrae, often caused by accentuates on the muscles and ligaments that support your spine in addition to the effects of aging
  • Infection
  • Abnormal growth, such as a tumor or bone spur
  • Obesity, which places increased weight on your spine, and pressure on your discs
  • Poor muscle tone
  • Muscle tension as well as spasm
  • Sprain or strain
  • Ligament or muscle tears
  • Joint problems, such as arthritis
  • Smoking
  • Protruding as well as herniated (slipped) disk and pinched nerve
  • Osteoporosis and compression fractures
  • Congenital (present at birth) abnormalities of your vertebrae and bones
  • Abdominal problems, such as an aortic aneurysm

Back and Neck pain

can be associated with some other repines as movement quandaries up to paralysis at the lower limbs or even paralysis of the four limbs. Sphincter and sexual are prevalent.

  1. Treatment of Back and Neck pains are not only via medications. Yet many medications can be used in these conditions as pains for nephropathy, non-steroidal and muscle relaxants with Taheal Rehabilitation.

Physiotherapy customarily has a role to reduce pain and inflammation, to relinquish the tense muscle and determinately to reinforce some week muscles.

In chronic cases of back and neck pain and resistant for mundane treatments, in cases that need minor surgical interventions we consider radiofrequency which exists in  Taheal Rehabilitation.

To Taheal Advices to do Lifestyle adjustment and consummate rest might be of very good replication at the early mild stages.

Causes of back and neck pain and its treatments – Taheal


Parkinson’s disease


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Parkinson’s disease


is a chronic gradual progressive neurological illness. It is not only a single type but the most prevalent as it’s the second most common age-cognate nerve degenerating disease after Alzheimer’s disease. yet other atypical forms do subsist.

Parkinson is a disease characterized by movement problems in the form of slowing and even some times freezing of moment ( (Slowed kineticism (bradykinesia). Over time, Parkinson’s disease may slow your movement, making simple tasks arduous and time-consuming. Your steps may become shorter when you ambulate. It may be arduous to get out of a chair. You may drag your feet as you try to walk.)

sleeping problems additionally could be an early sign:

Everybody has trouble slumbering from time to time. Tossing and turning takes on an incipient meaning when you’ve got Parkinson’s.

Early signs of the disease

can include many uncontrollable forms of movement, not just infrequently, but on a customary basis. Kicking, thrashing, flailing your arms, and even falling out of bed can be designations of a serious quandary.

in additament to tremors: A tremor is an unintentional and uncontrollable rhythmic kineticism of one part or one limb of your body which customarily in the typical forms affect the inside of the body afore the other.

Different people experience progression at different speeds, as well. However, physicians have established stages that describe how the disease progresses. These five stages of Parkinson’s are kenned as the Hoehn and Yahr Scale utilized by medicos throughout the world to relegate patients in research studies.

We know for a fact that Parkinson’s is an older person disease, as it is most commonly doctors Diagnose people who are over 60 with this disease.

It has some genetic factors yet the exposure to insecticides and reiterated head injuries can make it at an earlier age. Males are more affected than female

Parkinson is conventionally due to A chemical imbalance in the brain that is verbally expressed to occur when there’s either an extravagant amount of or too much of certain chemicals, called neurotransmitters, in the brain. Neurotransmitters are natural chemicals that help facilitate communication between your nerve cells. Examples include norepinephrine and serotonin.









Spinal cord injury


spinal cord injury


Spinal cord injury causes temporary as well as permanent vicissitudes in its function. Symptoms may include loss of muscle function, sensation, finally autonomic function in the components of the body below the caliber of the injury.

Spinal cord injury is very common and it affects many due to various causes some of which are:

  • road traffic accidents
  • Gunshots
  • inflammation
  • cord infarction.

On the anatomical perspective, there are two types of spinal cord injuries: As consummate cord injury and partial cord injuries.

On the caliber of presentation, it varies according to the caliber of injury the higher the caliber the more profound the effect might be so cervical cord injuries can cause quadriplegia.

while lower calibers can only cause paraplegia. It is not only the movement that is affected but withal the sensation, sexual and sphincter functions in additament to autonomic functions which might affect blood pressure and body temperature and so on

In some cases of cervical cord injury, the respiration might be affected.

some of its symptoms could be:

  • Loss of movement
  •  altered sensation, including the ability to feel heat, cold and touch
  • Loss of bowel or bladder control
  • Exaggerated reflex activities or spasms
  • Changes in sexual function, sexual sensitivity and fertility
  • Pain or an intense stinging sensation caused by damage to the nerve fibers in your spinal cord
  • Difficulty breathing, coughing or clearing secretions from your lungs
  • that is Also can be included is back and neck pain

Patient with spinal cord injury whatever the caliber or the type customarily needs intensive rehabilitation program to achieve the highest caliber of functional recovery making utilization of the remaining functions they do have after the injury.

Taheal rehabilitation program of patients with spinal cord injuries is usually a prolonged program so patience is a must in this type of illness.


spasticity problems




is a condition in which certain muscles perpetually contract.

This contraction causes stiffness or tightness of the muscles in addition to it can interfere with mundane kineticism, verbalization, and gait.

Muscle contraction:  is the activation of tension-engendering sites within muscle fibers.

In physiology, muscle contraction does not indispensably mean muscle truncating because muscle tension can be produced without transmutations in muscle length

spasticity is also a prevalent problem with Injuries of the upper Motor Neuron

i.e. it indicates a lesion at the CNS, not the peripheral nervous system.

The central nervous system includes the brain and spinal cord.

while the peripheral nervous system includes all of the nerves that branch out from the brain and spinal cord and elongate to other components of the body including muscles and organs.

What to do with this spasticity to obviate

it is always a paramount question, And here’s the answer…

1st spasticity can be managed in some and most of the cases avail by some pharmacological treatments as Baclofen and Sirdalud which represent a group of potent muscle relaxants acting mainly centrally

you shouldn’t use any medication afore your personal medico approbation and prescription),

then the non-pharmacological management including:

  • the stretching exercise via the physiotherapy
  • the serial casting increasing the angle gradually
  • the local muscle injection via botulinum toxin or other substances as phenol under medical supervision
  • the local trans-magnetic stimulation using the theta-burst at the spastic area itself or paraspinal muscles
  • Finally, we consider rhizotomy as a surgical intervention.

Sphincter problems

sphincter problems


Sphincter problems


if there’s an injury in the sphincter muscle or impuissant for any reason, they are not able to fully close.

and this may cause stool to leak out. Constipation as well as having frequent or loose bowel forms of kineticism

Sphincter problems transpire If the sphincter muscles are injured or impuissant for any reason.

they are not able to fully close, and this may cause stool to leak out. Constipation as well as having frequent or loose bowel forms of kineticism

Sphincter problems in patients with multiple sclerosis as well as spinal cord injuries or many other neurological illnesses is a series quandary to many patients.

Yet at Taheal Rehabilitation Centers we offer a simple program

to ameliorate the bowel and bladder quandary.in a

This program even being simple but it is much homogeneous to what is provided ecumenical at many of the rehabilitation and neurology institute all over.

For the Bladder control: starting by identifying if any source of infection through fundamental lab battery including consummate blood picture and urine analysis.

Intermittent self-catheterization utilizing clean technique.

Insuring no residual urine after weaning from catheter via post voidable ultrasound, in addition to the utilization of thin Malton catheter for a couple of times to ken

. Afore weaning off the catheter, the patient should firstly, do some catheter training.

Injection of spastic bladder or sphincter can be an option.

Urodynamic studies and considering alteration of urinary pathways via sundry procedures.

For the Bowel control: a salubrious lifestyle as well as a salubrious balanced diet, in addition, to being in the toilet at customary times.

in addition to some rectal massage and abdominal compression. Improve abdominal muscle strength as well doing some colon massages can improve

Using some laxatives.

The immensely colossal target of the bowel and bladder programs is to adjust your voidance to be timely at the right place at the right time.

If this was done prosperously,

the patient will evade unaccepted accidents due to being in the erroneous place at the erroneous times.





Cerebrovascular accidents



Cerebrovascular accidents are a disease affecting the cerebrovascular circulation it causes either infarction or hemorrhage.

The kind of symptoms that the patient suffers after this depends on where was this quandary in the brain.

The most prevalent presentation is hemiparesis or impotency of one half of the body, verbalization problems, arduousness of swallowing, balance problems and so on.

Time is brian; the earlier we diagnose the patient the better the outcome is.

Treatment in the early few hours up to 3 or 4 hours is via thrombolytic therapy is the ideal treatment option and in some cases are surgical interventions.

Other than this some customary blood thinners we can use either anticoagulants or antiplatelet.

Customarily, the value of the pharmacological treatment is to avert recurrence yet the functional improvement will only be achieved via rehabilitation. The earlier and the more profound the rehabilitation is the better the outcome and the more expeditious it is.

For the movement problems, we consider physiotherapy in addition to communication quandary, we also consider verbalization and language problems.

For the swallowing quandary, a dysphagia rehabilitation program is considered. And the same for balance and so on.

Most of the times we can augment our rehabilitation program via noninvasive encephalon stimulation aiming at achieving the best results in the shortest time.

Customarily, cerebrovascular accidents are diseases of old age, yet nobody is immune and any age can be affected.

The most prevalent risk factor for this kind of disease are mainly hypertension, diabetes, obesity and hyperlipidemia and smoking

yet in a puerile age the most prevalent risk factors are vasculitis.

One of them sots protective implements for many illnesses not only cerebrovascular accidents are sports, sports, and sports.

Neurological tips

Neurological illnesses

Here are some neurological tips:

  • Try to know that treatment of almost all of the neurological diseases is not only via medications.
  • Always advise seeking professional medical advice. Neurological diseases are much more complicated than taking an advice from a friend.
  • Even minor symptoms can be of great significance, so once again always speak to your neurologist.
  • Neurologist and Neurosurgeon are two medical specialties and not one so always consult the right one for your condition.
  • Time is the brain, i.e. losing more time means losing more chances of recovery so act fast.
  • Healthy minds are always within health bodies, so always practice exercise.
  • A balanced diet and controlling your risk factor can always help.

Hope these neurological tips helped