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Dr. Sikha Guha, MD

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Specializes in: Physiatry (Physical Medicine & Rehabilitation)

Professional interests include: stroke, osteomyelitis, cerebrovascular disease, and more.

111 EAST 210TH STREET
Bronx, NY 10467

(551) 282-1228

Dr. Sikha Guha, MD is a physiatrist in Bronx, NY specializing in physiatry (physical medicine & rehabilitation). Dr. Sikha Guha, MD is affiliated with Montefiore Medical Center.

Office Locations

Address:

111 EAST 210TH STREET
Bronx, NY 10467

Some issues Dr. Sikha Guha, MD can help you with:

Stroke

A stroke is a medical emergency that occurs when a blood vessel supplying oxygen and nutrients to the brain is ruptured or blocked. The brain cannot function without a steady supply of oxygen and nutrients, so when the blood supply to the brain is interrupted, even for a brief moment, brain cells begin to die. When a sufficient number of brain cells die, the brain itself can no longer function, meaning that strokes are very dangerous. Strokes can result in impaired movement, speech, cognitive ability, the impairment of important physical functions, and even death.

Anyone can have a stroke, regardless of age and health. Strokes are known to happen at random. However, certain conditions and behaviors can increase one's risk of stroke over time.

Risk factors for stroke include:

Heart disease
Older age
Smoking
Diabetes
High blood pressure
High blood cholesterol and lipids

There are two main types of stroke: ischemic stroke and hemorrhagic stroke. Ischemic stroke occurs more commonly and is when a blood vessel in the brain becomes blocked. Blockages are caused by blood clots and built-up plaque (deposits of fat and cholesterol), which leads to atherosclerosis, a condition where the blood vessels narrow and harden. The resultant restricted blood flow may lead to an ischemic stroke by blocking essential oxygen to the brain, causing the heart to exert more effort to pump blood.

Hemorrhagic stroke occurs when a blood vessel in or around the brain ruptures. The burst vessel leaks blood into surrounding brain tissue, causing irreparable brain damage.

Hemorrhagic strokes are less common and may occur from head injuries, brain aneurysms, brain tumors, and bleeding disorders, amongst other conditions.

Both ischemic and hemorrhagic strokes require immediate medical treatment. Medical intervention can prevent severe and life-threatening brain damage. Signs of stroke include:

-Disorientation or confusion

-Difficulty speaking

-Difficulty walking

-Impaired vision

-Weakness in the face, legs, or arms

-Severe headaches

When someone suspected of having a stroke reaches the hospital, the patient will usually receive a CT or other scan that provides an image of the brain. The scan results can reveal clotted or leaking blood in the brain. Physical exams, neurological exams, and blood tests may also be used to check for blood clotting and sugar. Treatment begins generally immediately if a stroke is detected.

Medical treatment for ischemic strokes includes a thrombolytic medicine which breaks up and disperses blood clots. This medicine can greatly improve stroke recovery and long-term health. However, the thrombolytic medicine must be administered as soon as possible to achieve these results. Other treatments for ischemic strokes are blood thinners and thrombectomy, a surgical procedure to remove a blood clot in the brain. Thrombectomy is performed by inserting a catheter (thin needle) into the artery to reach the blood clot and mechanically remove it. With the clot removed, normal blood flow to the brain resumes. Thrombectomy is typically performed at most six hours after a patient shows signs of a stroke.

Hemorrhagic strokes are treated with blood-saving medication and surgery. For a hemorrhagic stroke caused by the rupture of an aneurysm (blood vessel bulges), surgery to stem the bleeding aneurysm and vessel may be used. One surgical technique is stent-assisted coiling, which adds a stent (small wire-meshed tube) into the blood vessel to block the leaking opening of the aneurysm. A non-surgical procedure is endovascular coiling, where a catheter (thin, hollow needle) places a platinum wire coil at the spot of the aneurysm. The coil blocks bleeding and prevents the aneurysm from continuing to leak blood. These procedures are usually combined with blood-thickening medications. Blood transfusions may be administered if substantial blood loss has occurred.

Since stroke patients may have lost some essential functions while the blood flow to their brains was obstructed, both ischemic stroke and hemorrhage stroke patients may receive post-stroke rehabilitation to rebuild their physical and mental abilities. Some restorative treatments include occupational, physical, and speech therapy. Patients may also receive care from neurologists, who can assist patients in recovering certain brain functions and cognitive abilities, and rehabilitation psychologists, who may help patients with their emotional, behavioral, and cognitive recovery. Some stroke patients require lengthy rehabilitation and may never fully regain function, while others may recover more quickly. While the fastest recovery improvements are usually seen in the first three or four months, stroke rehabilitation can last for years.

If someone begins to show signs of stroke, contact emergency services and call 9-1-1 immediately since blood flow must be restored as soon as possible to help avoid significant brain damage. If an ambulance takes the person to the hospital, paramedics can initiate stroke treatment as soon as the patient enters the ambulance, allowing for more prompt medical intervention and care.

hospital care	498
inpatient care	498

**Gender**
Male	190
Female	263

**Ethnicity**
Non-Hispanic White	137
Black	146
Hispanic	144
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	149
From 75 to 84	132
85 and over	87
Less than 65	85

Hypertension	75
High Cholesterol	69
Stroke	23
Ischemic Heart Disease	65
Depression	36
Chronic Kidney Disease	62
Asthma	25
Osteoperosis	14
Atrial Fibrilation	26
Heart Failure	66
Chronic Obstructive Pulmonary Disease	30
Diabetes	62
Dementia	38
Cancer	15

hospital care	219
inpatient care	219

**Gender**
Male	94
Female	151

**Ethnicity**
Non-Hispanic White	62
Black	100
Hispanic	72
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	63
From 75 to 84	66
85 and over	53
Less than 65	63

Hypertension	75
High Cholesterol	60
Stroke	24
Ischemic Heart Disease	58
Depression	42
Chronic Kidney Disease	63
Asthma	21
Osteoperosis	13
Atrial Fibrilation	22
Heart Failure	58
Chronic Obstructive Pulmonary Disease	23
Diabetes	60
Dementia	38
Cancer	13

doctor visit	15
hospital care	285
inpatient care	285

**Gender**
Male	194
Female	342

**Ethnicity**
Non-Hispanic White	168
Black	220
Hispanic	122
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	186
From 75 to 84	140
85 and over	98
Less than 65	112

Hypertension	75
High Cholesterol	66
Stroke	29
Ischemic Heart Disease	63
Depression	45
Chronic Kidney Disease	63
Asthma	24
Osteoperosis	16
Atrial Fibrilation	17
Heart Failure	60
Chronic Obstructive Pulmonary Disease	24
Diabetes	63
Dementia	37
Cancer	13

hospital care	193
inpatient care	193

**Gender**
Male	85
Female	119

**Ethnicity**
Non-Hispanic White	68
Black	65
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	65
From 75 to 84	53
85 and over	35
Less than 65	51

Hypertension	75
High Cholesterol	75
Stroke	31
Ischemic Heart Disease	58
Depression	47
Chronic Kidney Disease	60
Asthma	35
Osteoperosis	9
Atrial Fibrilation	18
Heart Failure	57
Chronic Obstructive Pulmonary Disease	26
Diabetes	66
Dementia	39
Cancer	11

hospital care	121
inpatient care	121

**Gender**
Male	66
Female	83

**Ethnicity**
Non-Hispanic White	42
Black	54
Hispanic	41
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	57
From 75 to 84	44
85 and over	20
Less than 65	28

Hypertension	75
High Cholesterol	52
Stroke	34
Ischemic Heart Disease	56
Depression	45
Chronic Kidney Disease	63
Asthma	11
Osteoperosis	13
Atrial Fibrilation	20
Heart Failure	51
Chronic Obstructive Pulmonary Disease	21
Diabetes	60
Dementia	32
Cancer	9

hospital care	58
inpatient care	58

**Gender**
Male	53
Female	54

**Ethnicity**
Non-Hispanic White	0
Black	43
Hispanic	30
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	37
From 75 to 84	31
85 and over	13
Less than 65	26

Hypertension	75
High Cholesterol	64
Stroke	27
Ischemic Heart Disease	51
Depression	41
Chronic Kidney Disease	69
Asthma	19
Osteoperosis	0
Atrial Fibrilation	18
Heart Failure	47
Chronic Obstructive Pulmonary Disease	21
Diabetes	57
Dementia	36
Cancer	14

doctor visit	41

**Gender**
Male	24
Female	47

**Ethnicity**
Non-Hispanic White	0
Black	35
Hispanic	25
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	23
From 75 to 84	0
85 and over	0
Less than 65	28

Hypertension	70
High Cholesterol	46
Stroke	23
Ischemic Heart Disease	35
Depression	35
Chronic Kidney Disease	52
Asthma	15
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	25
Chronic Obstructive Pulmonary Disease	0
Diabetes	54
Dementia	18
Cancer	0

doctor visit	6

**Gender**
Male	19
Female	42

**Ethnicity**
Non-Hispanic White	0
Black	29
Hispanic	21
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	18
From 75 to 84	0
85 and over	0
Less than 65	26

Hypertension	66
High Cholesterol	44
Stroke	0
Ischemic Heart Disease	28
Depression	30
Chronic Kidney Disease	43
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	43
Dementia	0
Cancer	0

doctor visit	84

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Sikha Guha, MD for Medicare patients.

The highest averages for the top procedures that Dr. Sikha Guha, MD treated as a physiatrist in Bronx, NY were hospital care and inpatient care.

doctor visit	39
hospital care	229
inpatient care	229

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Sikha Guha, MD.

**Gender**
Male	72
Female	110

**Ethnicity**
Black / African American	69
Asian / Pacific Islander	0
Non-Hispanic White	47
Native American / Alaskan Native	0
Hispanic	45
Other	0

**Age**
75 to 84	46
85 and over	30
Less than 65	41
65 to 74	59

Average of Total of Conditions of Medicare patients treated by Dr. Sikha Guha, MD From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Sikha Guha, MD treated were hypertension, chronic kidney disease, high cholesterol and diabetes.

Hypertension	58
High Cholesterol	47
Stroke	19
Ischemic Heart Disease	41
Depression	32
Chronic Kidney Disease	47
Asthma	15
Osteoporosis	6
Heart Failure	36
Chronic Obstructive Pulmonary Disease	14
Diabetes	46
Atrial Fibrillation	12
Cancer	7
Dementia	23

Education & Training

She has a state license in New York.

Licensed In: New York

Affiliations & Hospitals

Dr. Sikha Guha, MD is associated with these hospitals and organizations:

Montefiore Medical Center

Ratings & Reviews

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General Payments

These charts describe general payments received by Dr. Sikha Guha, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Allergan Inc.	$100 BOTOX $100
Medtronic USA, Inc.	$62 Spinal Cord Neurostimulation - Neuro $62

**Types of Payments**
Food and Beverage	$162

Biography

Dr. Sikha Guha specializes in physiatry (physical medicine & rehabilitation) and practices in Bronx, NY. These areas are among her clinical interests: back pain, sciatica (sciatic nerve pain), and fibromyalgia. Dr. Guha is professionally affiliated with Montefiore Medical Center. She has an open panel in Bronx, NY according to Doctor.com.