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Dr. Balaji Pai

Neurosurgeon, Bangalore

Dr. Balaji Pai Neurosurgeon, Bangalore
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Balaji Pai
Dr. Balaji Pai is one of the best Neurosurgeons in Basavanagudi, Bangalore. You can consult Dr. Balaji Pai at Trinity Hospital & Heart Foundation in Basavanagudi, Bangalore. Save your time and book an appointment online with Dr. Balaji Pai on Lybrate.com.

Lybrate.com has a number of highly qualified Neurosurgeons in India. You will find Neurosurgeons with more than 44 years of experience on Lybrate.com. You can find Neurosurgeons online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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#27, Sreram Mandira Road, Basavanagudi. Landmark: Near RV Teacher Collage CircleBangalore Get Directions
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hi my son age 11 has absent seizures since last several years ,currently he is being given sodium valproate and clonabazam , but absent seizures do continue occassionaly ,in the past dosage was increased but this led to increased level of valporic acid in blood , dosage had to be reduced. plz suggest what to do

MD - Psychiatry
Psychiatrist, Indore
Please consult a neurologist. asertain that drugs are taken in adequate dose regularly. 11 year boy may be forgeting or delaberately not taking drugs.so occational seizure. if not then another drug like lamotrigine can also be added. ethosuxmide is another drug which is not available in india.
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Two years back she was having pain in knees. After sitting she the pain was worst. After seeing a physician we went to a neurologist. He said that certain nerves were pinched after an x ray. She was prescribed pregabalin and some other medicines. After two months she got a fit lasting for a minute only. We stopped that medicine and went to another neurologist. He said that there is no problem with nervous system and that knee pain is due to weight. He advised for a CT scan which was normal. However he prescribed Oxetol 300 mg and 450 mg for 3 years. After one month she was tired with the medicine and stopped. Everything was normal for two years. Then again she was having severe pain in leg. We went to another physician and he gave medicines for neuropathic pain of which pregabalin was a medicine. After using for one month she got a fit during night. This time the duration was even shorter. Both times it happened when she awoke in night and fainted. She told a feeling of anxiety that night before sleeping and told her head went numb or cold. We went to physician. He checked history stopped all medicines only giving oxetol 300mg in the morning and 450mg in the evening. Two months passed and she is fine. Very slight pain in knees also. But the doctor says she had to take this medicine for 5 years. Please advice us. We do not know whether she is having epilepsy or it was side effect of the medicines given for neuropathic pain.

MD - Anaesthesiology
Anesthesiologist, Anand
Two years back she was having pain in knees. After sitting she the pain was worst. After seeing a physician we went t...
I do not think it is becase of side effect. It is because of epilepsy only. And she need to continue the treatment for 5 yrs. Even if she donot have epilepsy this drugs wil not harm her.
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Today morning I did some squat exercises bit after doing it I couldn't even walk properly today while walking today I fell down many times when I sat down I couldn't stand up on my foot for a long time I got two people to lift me up what may be the problem?

Diploma in Cardiology
General Physician, Kolkata
If you are a v. beginner then it may happen for the first few days, do any exercise under supervision of a technical person.
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Sometime I trouble with headache it decrease sometime and sometime it decrease I don't understand what I do about problem. Rather it is migraine.

MBBS, cc USG
General Physician, Noida
Sometime I trouble with headache it decrease sometime and sometime it decrease I don't understand what I do about pro...
Hello, you may be having headache because of stress/ refractory problems/ any ENT problem or may be Migraine Headache follow advises given below: You can take(If No drug allergy) : 1. Tablet Crocin (Paracetamol 500 mg) one tablet after food when required for headache after food for 2-3 days (maximum 2 tablets with gap of 12 hour can be taken in a day) 2. Adequate sleep 6-8 hr in a day 3. Get check eyes for refractive error 4.We need to go for ENT evaluation to rule out sinusitis 5. Get BP checked 6. Regular physical exercise and meditation and yoga complete history of your headache for further management like duration, severity, aggravating factors/relieving/ triggering/ associated factor to reach diagnosis consult physician for further management.
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My father is suffering from vascular dementia how long will it take to recover his memory.

MD - Psychiatry
Psychiatrist, Chennai
My father is suffering from vascular dementia how long will it take to recover his memory.
Very difficult to say, as the severity of Dementia and certain medical variables are needed to comment. Also many aspects of Dementia may be irreversible, few reversible. Since vascular dementia, you can keep your fingers crossed
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Respected Sir, I am feeling migration pain in my left side brain please suggest me best medicine for this problem.

BAMS
Ayurveda, Bangalore
Hi, Take tab. Shirashooladi vajra ras 1-1-1 with ginger juice. Apply ginger paste on the forehead. Instill cephagraine nasal drops 2 drops to each nostril 3 time a day. You can undergo panchakarma treatment like nasya or shirodhara after checking with an ayurvedic doctor.
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I am 26 year old man I have numbness and burning sensation in my right part of the body. I am business man so lot tense in my daily life. Due this problem my sleep get disturb .i feel tired all day. From last 2 years. So please tell me how to get relief.

BHMS
Homeopath, Gandhinagar
I am 26 year old man I have numbness and burning sensation in my right part of the body. I am business man so lot ten...
Hello, That is probably gastric origin due sedentary lifestyle. Avoid gastric food .Avoid water at least half hour after meal .Do walking and pranayam.
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I have a severe acidity problem every day I need to consume 2-3 sachets of eno or would not be able to sleep at night what should I do?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I have a severe acidity problem every day I need to consume 2-3 sachets of eno or would not be able to sleep at night...
Homoeopathic treatment GASTROBIN ( Wilmar Schwabe India) Drink slowly 20 drops in 20 ml fresh water 3 times daily. NATRUM SULPH 6X ( Dr.Reckeweg) Chew 2 tabs twice daily NUX VOMICA 30 ( Dr.Reckeweg) Drink 5 drops in 1 spoon fresh water at night bed time DIGECOM SYRUP ( WELLMAN LAB) Drink 2 spoons 10 minute after meals 3 times a day Do nd dontss 1.Avoid fast,spicy nd fried food 2.Avoid tea,coffe nd cold drinks 3.Try to take nutritious easy digestible home diet 4.No any intake of water 30 minutes before nd after meals .This is possible only if the meals r non spicy nd if you r eating slowly. 5.Eat half chapati less than your appetite 6.My personal addition.........1 fast in a week is must ( Only 1 meals in the evening) in a week if you r habitually suffering from acidity problem.It will pay you in future 7.Breafast nd dinner light nd Lunch can be heavy 8.10 minutes evening walk after Dinner is a must 9.Start a habit of eating 5 leafs each of HOLY BASIL ( TULSI PATTA) nd KARI PATTA ( CURRY LEAVES) early morning empty stomach.Start from 1 leaf each nd go upto 5 leafs..After eating drink 1 glasss plain water.This will increase your digestive powers naturally 10.Implement naturopathy in your life as medicines can help only for the time being . How to take Homoeopathic medicines 1.Homoeopathic mediciness are always to be taken empty stomach,means when there is nothing in your stomach.It doesnt meanss that these medicines r to be taken early morning.It means that homoeopathic medicines are to be taken minimum 15 minutess before or 15 minutes after eating or drinking anything except plain water.and maximum time no limit. 2.Therefore distance between two homoeopathic medicines will also be minimum 15 minutes nd maximum no limit. 3.All the homoeopathic medicines can be taken empty stomach ( Morning dose) if you so like. 4.Difference from all allopathic medicine should be minimum of 1hour before or after as homoeopathic medicines r very light but deep acting nd allopathic medicines in materialistic doses being strong,mimimise the effect of homoeopathic medicines if taken in a difference of less than one hour
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My mom was affected with SAH and later got affected by vasospasm. Right side is paralysed. Latest CT report shows that there is a hydrocephalus formation. Doctor is advising for a surgery. My Question is that we do not have a reclining bed at home and we are giving food through a rayls tube and she is always lying down even when we are feeding her. Does this affect in any way?

PGD Maternal Child Health, MBBS
General Physician, Akola
Hydrocephalus may need a shunt procedure to keep intracranial pressure normal. Continuously in bed may cause bed sores and bladder infection if regular posture changing is not attended. If her bladder is catheterized, outer urine bag emptying should be done properly so that urine from bag does not return through catheter in to the urinary bladder. Apply talcum powder to the back and keep the skin dry, especially in these days of summer.
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My Mother Is having migraine as well as improper digestion problem. What should I do so that she gets relief?

MBBS
General Physician, Mumbai
My Mother Is having migraine as well as improper digestion problem. What should I do so that she gets relief?
Avoid any triggering factor, take folic acid regularly, eat a healthy diet, always be stress free, exercise regularly.
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I'm suffering from migraine and anemia inspire of taking good diet and healthy amount of iron. My haemoglobin level I just 5 inspite of good iron intake. Can you help me with this.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Kolkata
I'm suffering from migraine and anemia inspire of taking good diet and healthy amount of iron.
My haemoglobin level I...
U r a chronic anemic patient. I think you r also insomnia patient. You have neuro problem. You will be cure surly. Nat. Mur- 200/ 3-4 drops bdac x 5 days. And ferrum phos - 3x / 4 tabs 4 times daily with warm water for 3 months. If you want to contact with me. You can do.
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I'm 19 years old female. I'm suffering from postrual tremor, last attack occurred almost two years ago. Till then I use medication. I wants to know that how long I have to continue medication. Is there any permanent cure for this? or i'll suffer in future if i'll stop medication now?

DM - Neurology, MD - General Medicine, fellowship in interventional neuroradiology
Neurologist, Mumbai
Depends on the cause. If its due to hyperthyroidism treatment may be shortterm but if its familial that is genetic than life long treatment may be needed.
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I am a suffering migraine. How I can control that? Is it Coninous migraine is bad to head?

MBBS
General Physician, Mumbai
Migrane-- It is characterised by one sided headache which is pulsatile in nature and with a throbbing pain usually with an aura and we can start with tablet propranolol after personal examination
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My father suffering from brain stroke paralysis of left side (dt. 27.12. 2014). Leg some how working and he can walk but hand remain non- functional. He is complaining of pain when any movement of hand. He also can't put more pressure in the hand. He also develop a fear psychosis and got irritated and lose temper. What to do please anybody help me.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear , your father is irritated abd behaving like a psychoses patient mainly because of depression and worry which came forth due to the stroke and other ailments. You could talk to your neurologist about this. Please post a private question to me with all the details. I think he needs counseling. I am happy to help you. Take care.
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I have surfing from migraine. Sometime headache is out of control. How can I relief it.

PDDM, MHA, MBBS
General Physician, Nashik
You can use crocin or anacin or combiflam etc. (take it only if you have no known drug allergies) here are some tips to prevent a migraine attack: 1. Identify and avoid migraine triggers. You can keep track of your headache patterns and identify headache triggers by using a headache diary. 2. Recall what was eaten prior to an attack to help you identify chemical triggers. 3. Manage stress to prevent or reduce the severity of the migraine attacks. 4. Follow a regular daily routine and get adequate rest. 5. Exercise (in moderation) regularly.
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Since from a month am suffering from severe headache. How to conform whether it is a migraine or something else?

BHMS
Homeopath, Faridabad
Since from a month am suffering from severe headache. How to conform whether it is a migraine or something else?
Hello, Before coming to any conclusion, first get your blood pressure checked, make a chart. Let me know about the readings, will give you medication accordingly. Medication: Meantime, can start with homoeopathic medicine - Bakson's Mig Aid tablet/ after every 2 hours.
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I am 32 years old female having a huge amount of hair fall and migraine problems with joint pain can you suggest some remedies which can be easily made at home.

MD - Homeopathy
Homeopath, Aurangabad
I am 32 years old female having a huge amount of hair fall and migraine problems with joint pain can you suggest some...
Natrum mur 30 take 1 drop 3 times x 7 day above is homeopathic medicine and available in homeopathic store also safe to take and no side effects do not take more days without my consent.
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If migraine pain starts then pain killer at that should be taken immediately or should wait it to be slow down automatically.

MBBS, cc USG
General Physician, Noida
Some health tips for Migraine headache 1. You can avoid light for some time •2.You can Apply hot or cold compresses to your head or neck for reducing pain, (Ice packs and Hot packs and heating pads both decreases pain) •3.Warm showers or baths may also decrease pain 4.Proper sleep, some tips to encourage sound sleep. Establish regular sleep hours. Minimize distractions. •Your eating habits can also triggers migraines Headache •Be consistent. Eat at about the same time every day. Don't skip meals. Fasting increases the risk of migraines Avoid foods that trigger migraines Meditation is very effective in Migraine You can take painkiller if above measures are not effective.
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Cervical Lordosis Straightening Treatment

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Cervical Lordosis Straightening Treatment

Most commonly known as a military neck a straight or forward curve of the neck is abnormal and may cause an unkind progression of symptoms leading ultimately to cervical disk degeneration.

Reversal of cervical lordosis explained

The anatomy of the neck features a lordotic curvature in its typical and healthy state. This means that the cervical region has a gentle curvature with the open end of that curve facing the rear of the body. The base and top of the curve will be further posterior than the mid point, which will be further anterior.

When the lordosis is straightened, the neck becomes more upright and linear. This is more common than the next progression of atypical curvature, which is the subject of this article.

Actual reversal of curvature means that part or all of the cervical spine develops a kyphotic profile, with the open end of the curve facing anteriorly. Usually, this reversal is extremely mild, but is still very abnormal. What we now see is the middle of the curve being positioned posterior to the top and bottom.

In essence, picture the letter c and now turn it backwards: This is the shape of a reversed cervical lordosis.

Reversal of cervical lordosis causes

The spinal curvature in the neck is constantly in flux to some degree.

Congenital conditions and developmental conditions can have lasting effects on the natural degree of curvature typically demonstrated from patient to patient. These circumstances may be explainable due to injury or degeneration, or may be idiopathic:

Scoliosis can affect the normal lordotic curvature in the neck.

Cervical spondylolisthesis is a major source of reversed lordotic curvature.

Severe disc pathologies can facilitate a gradual loss or reversal of cervical lordosis.

Vertebral irregularities, such as wedging, can definitely contribute to lordotic alteration.

Traumatic injury, including vertebral fracture, can create the ideal circumstances for a reversal of lordosis to take place.

Severe neck muscle spasms can actually reshape the spinal curves, although these are usually temporary expressions and not actual structural conditions.

Effects of reversal of cervical lordosis
The neck is designed to curve in order to balance the spine, absorb stress, distribute force and provide proper movement of the head. When this curvature is diminished or reversed, symptoms may result, although this is not an inherent part of any altered lordotic condition.

Patients may experience stiffness and tension in the neck. Pain may be present and may even be severe in rare cases. Neurological dysfunction is possible in extreme cases, since the neuroforamen might not align properly, thereby causing a cervical pinched nerve.

In the worst circumstances, central spinal stenosis in the neck might affect the viability of the spinal cord, possible enacting the most dire of symptoms throughout the body.

Patients will also be more prone to injury, since the normal shock absorption qualities of the typical curvature have been lost.

While all these effects are certainly possible, they are not usual. In fact, a great majority of patients have minor symptoms or even no symptoms at all from mild reversed lordotic curvatures.

The pathology leading to a neck curve reversal (cervical kyphosis shown below right) may be inspired by a multitude of conditions as follows:
Post whiplash
Post head injury
Stomach sleeping
Poor sitting/working postures
Congenital spinal curvatures
Osteoporosis
Degenerative cervical discs (a form of osteoarthritis that can either be the cause of or the result of a cervical kyphosis)
Compression fracture of vertebral body
Infection of the cervical spine

Anatomy: straight vs. Curved

I've always heard that it was good to stand up straight.

stand upright, stick your chest out and hold your shoulders back! otherwise you're going get widows hump.

Are these expressions as familiar to you as they are to me? one might think that having a curved neck goes against what we heard from parents and teachers as we were growing up, but the reality is that there is a little bit a truth in both. Maintaining good posture throughout our lives is crucial to both the health of our spine and vital organs. On the contrary, a special type of curve called a lordosis is a good thing, both in the neck and lower back.

When we look at a person from the back their spine should be truly straight, so that the left and right sides of one's body is symmetrical. However, when we view a person from the side, the front and back of their body is different and this is reflected in a coinciding curvature of the spine. Both the lower back and neck are hollowed out (concave) and the mid or thoracic spine is protrudes (convex). Thus there is an alternation of curves functioning to provide stability, shock absorption and aid in propulsion. A straight spine would be very stiff and not flexible. Imagine the plight of a pole vaulter with an inflexible pole.

Nature's design of our spine and rib cage facilitates breathing and offers protective and supportive framework for vital organs. Spinal disks are shock absorbers and because they are in the front of the spine, lordotic curvatures keep them from having to bear weight. Kyphosis or loss of such curvatures bears weight upon the disks, leading to their ultimate degeneration. This process of deterioration is a form of osteoarthritis and in the spine is known as degenerative spondylosis.

Diagnosis
Although most physiotherapists or conservative orthopedists can recognize a cervical curve reversal upon viewing the patient's posture, a definitive diagnosis may be obtained via a standing lateral (side view) x-ray of the neck. Cause can often be determined by corroborating a comprehensive history, a thorough examination, x-rays and questions about sleep, work and lifestyle.

In my professional career I found that the majority of young adults presenting with cervical kyphosis either had a whiplash or were stomach sleepers from an early age. For desk jockeys 40-60 years of age, many hours of sitting with their head flexed forward almost dictates the fate of developing kyphosis. In prior years I considered cervical kyphosis a job hazard for the careers of accountants, attorneys and often teachers because of years spent with their head in a book or paperwork. However, the digital age offers some relief in that respect. A well-planned, ergonomically-friendly office can do wonders for protecting the spine in the sedentary worker.

Treatment for cervical curve reversal (kyphosis)
During my chiropractic practice I had the opportunity to note a good percentage of correction toward a more normal lordosis (noted on x-ray) for 70% of patients under my care. This was almost always consistent with those patients that followed all recommendations and were model participants in their own care. Here is the recommended treat plan:

Spinal manipulation of stiff and fixated spinal segments by a qualified physio
Flexibility exercises for flexion and extension of cervical spine
Resistance exercises for flexors and extensors of the neck
Learn the Alexander technique for maintaining good posture (hint: the basic philosophy is to sit and stand like you were hanging by a string from the vertex of your skull. Liken it to a puppet on a string).
Elimination of stomach sleeping
Avoid standing on your head, although some yoga postures may be beneficial
Use of orthopedic neck pillow while sleeping.

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