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Dr. Praharaj

Neurosurgeon, Bangalore

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Dr. Praharaj Neurosurgeon, Bangalore
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Praharaj
Dr. Praharaj is one of the best Neurosurgeons in Banashankari, Bangalore. He is currently practising at Radhakrishna Multispeciality Hospital(Gastroenterologist) in Banashankari, Bangalore. Book an appointment online with Dr. Praharaj and consult privately 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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Radhakrishna Multispeciality Hospital(Gastroenterologist)

#3\4, Sunrise Towers, JP Road, Giri Nagar, Banashankari 3rd Stage. Landmark: Opp. Canara BankBangalore Get Directions
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Sir, I am a ret med. Spe. My wife is suffering from parkinsonism since last 6-7 yrs but since last one yrs her condition is deteriorating pertaing to muscle loss. Loss of memory, unable to talk & respond properly. Shedevloped hypoprotenaemia due to bedsore etc & I gave her uman albumin 20%. Kindly advice any thing to be done at this stage to boost up her muscle power. Thanks.

MPTh/MPT
Physiotherapist,
Dear friend. Kindly find out brain auditary evoked potentials. This will help to report the performance of memory power, muscles power, speech etc. Consult neuro physiotherapist nearest your location also. This will be helpful
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I am 32 years old. I am having migraine pain. I want to know the supportive medicine.

B.H.M.S
Homeopath, Patna
1. If pain is in left side than spigelia 1m one drop only 2. If pain is in right thans sangunaria c 1m one drop only.
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I am 63 years old man. and suffering from parkinson I am very much disturb with cramping in the legs. Can it be cure?

BHARAT JYOTI, MRACGP, INCEPTOR, MD-PhD, MD - Psychiatry, FIPS, Fellow of Academy of General Education (FAGE), DPM, MBBS
Psychiatrist, Bangalore
Pain is the most common reason people in the United States visit their doctors each year. Although pain is highly subjective and difficult to describe, a working definition is ?an unpleasant sensory and emotional experience associated with actual or potential physical damage.? Its components are physical, cognitive, behavioral, emotional and perceptual. Among people who have Parkinson?s disease (PD), pain is a major complaint. In fact, up to 85 percent of people with Parkinson?s report pain as a troubling symptom. Some of these people experience pain as an early symptom of Parkinson?s, before their disease has even been diagnosed. Yet, pain in Parkinson?s disease often remains undiagnosed and untreated. Thus, it is important to understand that pain can be part of the Parkinson?s experience and to learn ways to manage it. Causes of Pain in Parkinson?s Pain researchers use a classification system that is based on the separation of tissue pain receptors from the nerves that transmit pain signals. Pain can be classified as nociceptive, which relates to tissue damage, implicating the pain receptors in the skin, bones or surrounding tissues; as neuropathic, indicating pain arising in nerves; or as a mixed pain syndrome involving both nociceptive and neuropathic pain. In Parkinson?s, most pain experiences seem to result from tissue that is injured or has the potential to be damaged: causes include persistent tremor, muscle rigidity, dystonia, musculoskeletal injury (i.e., sprains, bruises, bone fractures resulting from a fall etc.), burns and inflammation. The pain is typically well-localized to the affected body part; it may fluctuate with the medication dosing. Pain caused by dystonia can be diagnosed when there is visible twisting, cramping or posturing of the painful body part. The most common areas of the body where people with Parkinson?s experience pain are the neck, upper back and extremities. In Parkinson?s, neuropathic pain is less common than nociceptive pain, and includes a number of conditions not directly related to PD, such as shingles, cancer pain, carpal tunnel syndrome, diabetic neuropathy, and peripheral neuropathy. The pain may present as burning, numbness and tingling, sharp sensations, or electric shock qualities. Pain due to nerve or root disease is most commonly caused by akathisia, an extreme inner restlessness. Parkinson?s specialists gain insight from the perspective of the pain specialist, and often select treatments based on the nociceptive versus neuropathic classification. In practical terms, it often proves helpful to conceptualize the experience of pain in Parkinson?s as relating to one or more of the following five categories: pain from the muscles or skeleton, pain from nerves or spinal roots, pain related to sustained twisting or writhing, discomfort from akathisia and pain caused directly by changes in chemicals in the brain due to Parkinson?s. The Impact of Pain It is important to address pain because it may interfere with day-to-day activities, mood, sleep and overall enjoyment of life. Specific problems resulting from chronic pain may include sleep disturbance, malnutrition, social withdrawal, physical and functional decline, depression, anxiety and impaired cognition. Pain also accounts for increased overall health care costs. A person?s perception of pain can be affected by emotional factors. Scientists have shown that depression, which affects approximately 40 percent of individuals diagnosed with Parkinson?s, plays an important role in the way people perceive pain. Similarly, tension and muscle stress caused by anxiety can compound pain. Cognitive processes ? how a person views pain and how he or she pays attention to it ? also influence the level of pain a person feels. A person who pays more attention to his or her pain and reacts to pain with a high level of stress will likely experience more pain than someone who tries to ignore the pain and considers it irrelevant to his or her daily life. Feeling helpless to control pain ? that is, believing that pain is uncontrollable or that there are no treatment options or health professionals available to assist in managing pain ? can also make pain seem worse. Fortunately, many options exist for treating pain. How can you find which are right for you? The first step is to talk to your doctor who can assess your pain and then help to build a pain management plan. Assessing and Managing Pain Your doctor can assess pain through a clinical interview and neurological examination, sometimes performed in both the unmedicated state and when the Parkinson?s medications are working fully. Your doctor may also ask you to describe the characteristics of your pain. For example, when do you feel pain? Where in the body is your pain? Does the pain feel hot or cold, stabbing or burning? You also may be asked to report how pain impacts your daily activities ? for example, walking or sleeping. The more information you can provide about your pain, the better your doctor will be able to diagnose and treat it. Management options for pain in Parkinson?s include both the pharmacological (i.e., medications) and the non-pharmacological. A combination of both may offer the best pain control, and an interdisciplinary model of care can lead to optimal results for pain management. Some treatment options include: medications physical therapy massage botulin toxin injections nutrition management exercise acupuncture/acupressure psychotherapy (emphasis on pain management) stretching Because of the relationship between dopamine and pain, dopaminergic medications such as levodopa can affect a person?s perception of pain. People with Parkinson?s who are in the ?on? levodopa state, when the medication is at peak effectiveness, report less pain than those in the ?off? state. Pain due to rigidity or dystonia can be relieved by dopamine drugs, but on the other hand, may cause dyskinesias. Therefore, effective management of levodopa medication for people with Parkinson?s may help to reduce pain. Because certain thought processes and behaviors can alleviate or worsen pain, some people find psychotherapy helpful for managing their pain. Techniques such as cognitive-behavioral therapy (helping to control the psychological response to pain; teaching diaphragmatic breathing, visual imagery exercises, relaxation techniques, etc.), and biofeedback may help ease pain, but are unlikely to eliminate it completely. A physical therapist can help you select and modify appropriate exercise routines. Of course, you should avoid activities or exercises that make your pain worse.
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From last three days i am having problem in in my ear. I can't hear properly and having numbness in my hands too, I consulted to ent specialist also he said my ear clean. Then I consult to physician he said metrology has affected me I was taking it from last seven days because fungal infection in my viginal. Please suggest me whom should I consult is it gasteric or nerve problem ?

MS - ENT(Gold Medalist), MBBS
ENT Specialist, Delhi
If you r having hearing problem despite the fact that your ear is clean and there is no visible pathology you should get an audiometry (hearing test) done bcz there may be problem of ear ossicles or nerves that will be solved by this test.
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What causes panic disorder or panic attack. It can be cure in short period or take time to cure. If it occurs suddenly e. G when in office, driving, market etc. Etc. What is the emergency steps to be taken. Coz. It fill like, it's going to be heart attack, the heart beats very quickly, shaking body sometimes feel that I am going to be die it occurs, feeling very uncomfortable. So, please give a good advice to overcome this illness.

MBBS
General Physician, Allahabad
It is purely non- confident state of mental health. Those with strong will power can resist any such attack successfully and come out to be victorious even though the attack was a real one. So try to develop confidence in yourself as your un - supportive will power is your only enemy. In this disease confrontation with each other and reassurance helps most rather than any drug.
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I've Photosensitive Epilepsy. I've been treating with gabapentin 300mg bd for 2 years It doesn't work well Please tell me what should I do.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
-Medical treatment in form of sodium valproate is available to reduce the sensitivity in PSE, -avoid situations in which u might be exposed to stimuli that trigger seizures and/or take steps to diminish ur sensitivity (as by covering one eye) if unavoidably exposed. These actions together can reduce the risk of seizures to almost zero for many PSE patients.
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I am taking medicine for Epilepsy for almost 18 Years. Fitz occur once in 8-12 months subject to my lapse of medicine. I am 24 Years aged now. Doctors say as per EEG that there is very minor problem. I want to know is there any way out that i do not have to take medicine further. Is there any permanent cure of Epilepsy ??

MD - Psychiatry, MBBS
Psychiatrist, Patna
Do not stop medicine, as it is the mainstay of treatment. epileptic attack is potentially fatal, suppose you get epilepsy while standing at the gate of moving train, or in a swimming pool or in front of gas burner while cooking.
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Is there any home medicine for migraine related vertigo. I am having motion sickness when walking and my doctor specified its migraine related vertigo. Is this causes tiredness and bitterness in mouth too?

MBBS, Diploma In Dermatology & Venerology & Leprosy (DDVL)
Dermatologist, Raigarh
Migrae migraine is more of a preventable disease than curative. You have to identify the triggers of your headache and avoid them. Avoid exposure to bright light, loud sound, sunlight. Avoid stress. Avoid chocolate and coffee. Have enough sleep. Drink 3-4 litres of water daily. I can prescribe you prophylactic medicines too if you want.
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Dear Doctor, Physician of neurology, I am suffering from nerve pain below my neck right side, I don't know how it happens, but feeling pain when move my head back and when wake up after sleeping, could you please tell me how to treat this, or any nerve relaxant tablet/capsules are there, thanks in advance.

DNB, FELLOWSHIP IN COMPLEX SPINE SURGERY, MCH - Neurosurgery
Neurosurgeon, Delhi
Dear Doctor, Physician of neurology, I am suffering from nerve pain below my neck right side, I don't know how it hap...
U need mri. Some medicines are useful as well as collar and physiotherapy. This is cervical spondylosis. Need further evaluation may need surgery.
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I'm suffering with seizures which I rarely get I.E once in 100 days. I was not having this from birth it started just an year ago and I drink regularly.

BAMS
Ayurveda, Ambala
Sezuire is a neurological problem that occurs due to disbalance in chemical in brain. To get relief from sezuires- * give a balanced diet with vegetables, cereals, milk, fruits. Sit in the sun rays for atleast 8-10 minutes daily. * do bhramari pranayam twice a day. * practice sarwangasan and shirshasan * sit with the gyan mudra in hands. * take rogan badam (almond oil) and put it 1/2 tea spoon in a glass of milk and drink it in the morning.
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