Nahan, the headquarters of Sirmaur district, sits on a ridge above the plains, with Kala Amb's factories at the foot of the hills and villages spread across the valleys towards Paonta Sahib and Renuka. For a neurosurgical opinion, many families here come down to Panchkula, which is often closer than Shimla.
Dr. Gaurav Sharma, Senior Consultant Neurosurgeon, sees patients from Nahan and Sirmaur at Advaith Brain & Spine Clinic, Sector 21, and Paras Health - Panchkula, Sector 22.
The usual route goes from Nahan down to Kala Amb, then through Naraingarh and Raipur Rani to Panchkula. It is around 70 km and usually takes about one and a half to two hours. The hill section above Kala Amb has sharp bends, so a few things help:
Ginger and vegetable farming on terraced fields involves bending and carrying loads uphill. Workers in Kala Amb's industrial units lift and stand for long shifts. Slip disc, sciatica and neck pain are the result for many. Most improve without surgery; when they don't, see the options on the slip disc treatment page.
Falls from trees, terraces and steep paths, and accidents on hill roads, cause head and spine injuries. After any head injury, drowsiness, vomiting, a fit or confusion means going to the nearest emergency department straight away, whether in Nahan or on the way down. The head injury care page explains what happens next.
Persistent headaches, seizures or changes in vision need an MRI. If something is found, the scan can be reviewed and the options explained before any decision.
Because of the distance, it makes sense to plan the visit carefully. Call +91-9780703819 a day before to confirm timings and ask whether a fresh scan might be needed. Bring every MRI and CT film or CD, prescriptions and the medicine strips. The morning OPD at Paras Health (10 AM to 4 PM) leaves time for tests on the same day and for driving back in daylight.
Once treatment is under way, follow-ups are spaced out where it is safe to do so. Physiotherapy exercises taught at the visit can be continued at home or with a local physiotherapist in Nahan. If new weakness, numbness, bladder trouble or a severe headache develops between visits, don't wait for the next appointment; seek care locally and call for advice.
Older people in Sirmaur often have strong legs from years of walking on slopes, but spine wear, thin bones and balance problems still catch up. Sudden back pain after a minor fall, new unsteadiness, or legs that tire quickly while walking should be checked, not just put down to age. Older patients on blood thinners who hit their head, even lightly, should be watched closely for a few days, as slow bleeds inside the skull can appear later as confusion or weakness. Using a walking stick on steep paths and wearing shoes with a good grip in the monsoon are simple but worthwhile precautions. Keeping a small torch handy for evening walks on unlit village paths helps too.
| Location | Days | Timings |
|---|---|---|
| Advaith Brain & Spine Clinic, 1842, Sector 21, Panchkula – 134112 | Monday – Saturday | 5:00 PM – 7:00 PM |
| Paras Health - Panchkula, near Nada Sahib Gurudwara, Sector 22, Panchkula – 134109 | Monday – Saturday | 10:00 AM – 4:00 PM |
| Panchkula OPDs | Sunday | By appointment |
Phone / WhatsApp: +91-9780703819
Usually about one and a half to two hours via Kala Amb, Naraingarh and Raipur Rani.
Often yes. Call ahead and come for the morning OPD at Paras Health to allow time for tests.
Yes. Exercises are explained at the visit and can be continued with a local physiotherapist.
Go to the nearest emergency department if there is drowsiness, vomiting, a fit or confusion. Don't delay to travel to Panchkula.
