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Dr. Prathap Kumar Pani

MS - Neuro Surgery

Neurosurgeon, Bangalore

31 Years Experience  ·  300 at clinic
Dr. Prathap Kumar Pani MS - Neuro Surgery Neurosurgeon, Bangalore
31 Years Experience  ·  300 at clinic  ·  ₹ online
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Prathap Kumar Pani
Dr. Prathap Kumar Pani is one of the best Neurosurgeons in Sarjapur, Bangalore. He has helped numerous patients in his 31 years of experience as a Neurosurgeon. He is a qualified MS - Neuro Surgery. He is currently practising at Neuro & Ortho Clinic in Sarjapur, Bangalore. Book an appointment online with Dr. Prathap Kumar Pani on Lybrate.com.

Lybrate.com has a number of highly qualified Neurosurgeons in India. You will find Neurosurgeons with more than 27 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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Specialty
Education
MS - Neuro Surgery - S.C.B. Medical College, Cuttack - 1985
Languages spoken
English

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17/1, HDFC Bank Road, Ambalipura, Sarajapur Road, Landmark: Opposite Spring Fields ApartmentsBangalore Get Directions
300 at clinic
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I have bells palsy which happened in August 2015, now the right side is shrinking as I have bells palsy at this side only. I mean to say that if I try to see up my right eye becomes small and get close. I feel pain at right side of my face and neck and shoulder. I am taking stamlo 5 for blood pressure and neurobion forte medicines. Its almost 10 months now. Will I be recover completely? Pls suggest how long I have to continue with medicines and will be ever completely cured or no?

MBBS, MD (Medicine), DM (Neurology)
Neurologist
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I have bells palsy which happened in August 2015, now the right side is shrinking as I have bells palsy at this side ...
Please consult a neurologist. If it is since aug 2015 you might be having residual weakness which may not improve further. However further evaluation by a neurologist may be helpful to answer your doubts/questions.

My mom is suffering from GLIOMA .5 times RADIO THERAPY has been done as there was a doubt between lymphoma and glioma after mri reports. She is in a state of unconsciousness from 3 days after 5th RADIO THERAPY. Her serum creatinine is 5.07 right now. Her body is swelled up. Kindly recommend what should be done nest to get her back in consciousness and to lower her creatinine?

PG Diploma in Clinical Research, Diploma in Acupuncture, MBBS, College Of Physicians & Surgeons
General Physician
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Prayer and treatment should go on. We treat (Medical professional) and he (God) cures.Please discuss with treating professional without examination difficult to opine. Godbless you all.

My friend was feeling kind of vibration in her left breast intermittently 4 days back. This happened for 2 days. After that since 2 days there is pain in her left breast and this pain is extended to her full left hand as well. please suggest if there is any possibility of breast cancer? Or could it be heart related problem?

BHMS
Homeopath
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My friend was feeling kind of vibration in her left breast intermittently 4 days back. This happened for 2 days. Afte...
No possibility of cancer. For ecg to find out whether its heart related. Give her crategus q 20 drops three times - heart tonic.

My child is having minor Epilepsy. He is taking Keppra 250 daily twice. Since November 2014. Since he started taking medicine. He is fine. I just want to know that now almost 1 and a half year is being completed. So should I continue this medicine or should I go to doctor again to confirm.

MD Paediatrics, MBBS
Pediatrician
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Your neurologist should be able to answer your query well, initially you need to reduce the dosage and see, if no seizures you can further reduce the dose and gradually taper the dose and stop. Ifno epileptic attacks. Also get an eeg done.

I am suffering from cerebellar ataxia caused by genetic disorder now I cannot walk please help me.

MCh Neurosurgery, MS - General Surgery, MBBS
Neurosurgeon
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Physiotherapy with electrotherapy suggested. May evaluate with a brain scan if rapidly progressing symptoms esp new.

I am 23 year old female, I wanna I ask you I am suffering from migraine. How can I recover this?

MD - Homeopathy, BHMS
Homeopath
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Dear lybrate user, greetings! for the migraine - the stress is most important cause, try to relax and do mediation. Avoid being much stress, if you can able share you symptom I could you help you in better way. Thank you have a healthy life

I am 67 years young. I have numbness in the outer portion of both thighs. Degree is more, when I get up in the morning.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist
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Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. It could most probably due to a nerve impingement. Start with tens as a modality of physical therapy, medications for neuropathic symptoms like pregabalin or gabapentin in basic doses, vitamin b 12 supplementation if there is a deficiency and let me know in 2-3 weeks time how you are feeling? also tell me whether there are any symptoms with lower back region as well? do not hesitate to contact me if you need any further assistance.

Hi Doctor, My wife feel numbness in right hand middle finger after 3 month of delivery. What I should do? Please assist.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist
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Hi Doctor, My wife feel numbness in right hand middle finger after 3 month of delivery. What I should do? Please assist.
Do consult neuro physio and rule out if sing nerve deficit of injury of median nerve and take therapy as advised.

I am 31 year old male, I have severe migraine atleast 5-7 days in a month. What should I do?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist
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Migraine can be managed with lifestyle changes and medications, try muscle relaxation exercises. Relaxation may help ease the pain of a migraine headache. Get enough sleep, but don't oversleep. Get an adequate amount of sleep each night. It's best to go to bed and wake up at regular times, as well. Rest and relax. If possible, rest in a dark, quiet room when you feel a headache coming on. Place an ice pack wrapped in a cloth on the back of your neck and apply gentle pressure to painful areas on your scalp. It is very important keep a headache diary. Continue keeping your headache diary even after you see doctor. It will help you learn more about what triggers your migraines and what treatment is most effective. A dose of riboflavin in appropriate dose as prescribed under supervision, also may prevent migraines or reduce the frequency of headaches. Coenzyme q10 supplements may decrease the frequency of migraines, magnesium supplements may also be used to treat migraines.

BPTh/BPT
Physiotherapist
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What is Spinal stenosis?

Spinal stenosis is a narrowing of the spinal canal and foramen, which results in increase pressure on spinal cord and nerves which emerge out from spinal cord.

Causes of stenosis
degenerative ageing process of your spine.

the ligaments of your spine may hardened and calcify, and start to compromise the adjacent structures .

Increased bone stress causes bone spurs, which encroach in the spine?s space.

spinal discs, become dehydrated with age and lose their height. This disc narrowing can deteriorate quicker with injury eg disc bulges or degenerative disc disease.

Osteoarthritis of your spine is the most common form of arthritis and is more likely to occur in middle-aged and older people. It is a chronic, degenerative process. It is the result of everyday wear and tear of the spine joints, and is often accompanied by overgrowth of bone, formation of bone spurs, which can cause spinal stenosis.

Spinal stenosis is most common in men and women over 50 years of age and is related to degenerative changes in the spine. However, it may occur in younger people who are born with a narrowing of the spinal canal or who suffer an injury to the spine.

Symptoms of Spinal Stenosis?
numbness, muscle weakness, diminished reflexes , cramping or general pain in the arms or legs.
The most common stenosis regions of your spine are your lumbar spine (low back) and your cervical spine (neck), but any spinal region can suffer stenosis.

In lumbar spinal stenosis, the spinal nerve roots in the lower back are compressed and this can produce symptoms of pain, tingling, weakness or numbness that radiates from the low back and into the buttocks and legs, especially with activity.

Cervical stenosis may cause similar symptoms affecting your arms and potentially your legs too!

If the narrowed space within the spine is pushing on a nerve root, you may feel pain radiating down the nerve eg sciatica. However, unlike patients who have sciatica due to slipped disc, this sciatica is relieved by sitting down in stenotic patients.

Classically, in stenosis patients, sitting or bending forward to flex the spine should relieve your symptoms. The flexed position ?opens up? the spinal column and therefore enlarges the spaces between the vertebrae. Because keeping the lower back ?flexed' (bent forward) relieves their symptoms, patients will often walk with a slight stoop forward or look downwards.

sciatica
With this adaptive posture, the lower back is often stiff and tightness develops in the hip flexor muscles at the front of the hips.Standing, walking or bending backwards often makes stenosis-related symptoms worse because this position causes narrowing of the space surrounding the nerves.

Walking up a hill may be fine because leaning forwards opens up the space around the nerves.

The space in the spine may narrow without actually producing any symptoms of stenosis. It is only when the narrowing causes the compression of the spinal cord, nerves and nerve roots, that there may be an onset of stenosis symptoms.

Your neck or back may not even be painful. In severe spinal stenosis, you may experience with constant or worsening back pain; numbness or pins and needles in the genital region; weakness in both legs; and or disturbances in bladder or bowel function. If this is the case, you require urgent medical attention!

How is Spinal Stenosis Diagnosed?
Your physiotherapist or doctor may diagnose you with spinal stenosis based on your symptom behaviour alone. However, the extent of your stenosis is best determined via a CT-scan, MRI or myelography.

lower back pain

MRI Spinal Stenosis

Spinal Stenosis Treatment
PHASE I - Pain Relief & Protection

Managing your pain is usually the main reason that you seek treatment for stenosis. In truth, it was actually the final symptom that you developed and should be the first symptom to improve.

Managing your inflammation. Inflammation is the main short-term reason for why you have suddenly developed stenosis symptoms. It best reduced via ice therapy and techniques or exercises that de-load the inflammed structures.

Your physiotherapist will use an array of treatment tools to reduce your pain and inflammation. These include: ice, electrotherapy, acupuncture, deloading taping techniques, soft tissue massage and temporary use of a back brace.

Your doctor may recommend a course of non-steroidal anti-inflammatory drugs such as ibuprofen.

PHASE II - Restoring Normal ROM, Strength

As your pain and inflammation settles, your physiotherapist will turn their attention to restoring your normal joint alignment and range of motion, muscle length and resting tension, muscle strength and endurance.

Your physiotherapist will commence you on a lower abdominal and core stability program to facilitate your important muscles that dynamically control and stabilise your spine.

Researchers have discovered the importance of your back and abdominal core muscle recruitment patterns. A normal order of: deep, then intermediate and finally superficial muscle firing patterns is normally required for pain-free backs. Your physiotherapist will assess your muscle recruitment pattern and prescribe the best exercises for you specific to your needs.

Your physiotherapist may recommend a stretching program or a remedial massage to address your tight or shortened muscles.

Please ask your physio for their advice.

PHASE III - Restoring Full Function

As your back?s dynamic control improves, your physiotherapist will turn their attention to restoring your normal pelvic and spine alignment and its range of motion during more stressful body positions and postures. They?ll also work on your outer core and leg muscle power.

Depending on your chosen work, sport or activities of daily living, your physiotherapist will aim to restore your function to safely allow you to return to your desired activities.

Everyone has different demands for their body that will determine what specific treatment goals you need to achieve. For some it be simply to walk around the block. Others may wish to run a marathon.

Your physiotherapist will make your back rehabilitation to help you achieve your own functional goals.

PHASE IV - Preventing a Recurrence

Back pain does have a tendency to return. The main reason it is thought to recur is due to insufficient rehabilitation. In particular, poor compliance with deep abdominal and core muscle exercises. You should continue a version of these exercises routinely a few times

In addition to your muscle control, your physiotherapist will assess your spine and pelvis biomechanics and correct any defects. It may be as simple as providing you with adjacent muscle exercises or some foot orthotics to address any biomechanical faults in the legs or feet.

General exercise is an important component to successfully preventing a recurrence. Your physiotherapist may recommend pilates, yoga, swimming, walking, hydrotherapy or a gym program to assist you in the long-term.

Fine tuning and maintenance of your back stability and function is best achieved by addressing any deficits and learning self-management techniques. Your physiotherapist will guide you.

What is Your Prognosis for Spinal Stenosis?
The success of treatment for stenosis is reasonably good in the short-term due to the symptom onset mainly being related to recent inflammation.

With each repeat episode, it is more difficult to control your symptoms because your pathology has deteriorated

I am a sugar patient last one year but sugar is normal. I am suffering from last 10 years foot burns. Please advise good medicine

MCh Ortho, ATLS (AIIMS), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist
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You might be suffering from diabetic neuropathy. Unfortunately there is no good medicine to cure this condition. You should take vit. B12 supplements. There are also a few nerve medicines that help. Please do not hesitate to contact me if you need any further assistance. Thanks & regards Dr. Manoj kumar khemani.

My mother in law has some problem like specified in discharge summay. What does it say and what we have to do. 1. Chronic liver diseases with portal hypertension idiopathic 2. Dilated cardiomyopathy with left ventricular failure 3. Hypothyroidism 4. Seizure disorder.

C.S.C, D.C.H, M.B.B.S
General Physician
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Could be fungal discharge. But need to be checked up esp to make sure there is no cancerous changes.

My grand mother is suffering from Parkinson but the bigger problem is that she gets fainted when she walks or sits. Is there any thing by which she can walk properly or even sit properly. Her age is about 75 years. She has problem of even getting up from bed.

FRACP, DM - Neurology
Neurologist
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She probably has postural hypotension. Bp has to be checked in lying and standing position. If it drops by more than 20 mm then she will need medications. Alternatively she may be having multisystem atropy or drug induced bp fall on standing.

Iam 30 year old female and I have been suffering with carpal tunnel syndrome since 5 months. Iam using medicine which is suggested by neurologist but still iam having pain in my wrist and in three fingers. Is this paralysis simtom r what. please reply me with a good suggestion. Thanking you sir.

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist
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Iam 30 year old female and I have been suffering with carpal tunnel syndrome since 5 months. Iam using medicine which...
Carpal tunnel is common in females. Its not paralysis. There is a nerve in wrist which gets compressed and leads to carpal tunnel syndrome. Please get an EMG of both upper limbs if your problem is not getting solved. This test will tell us about nerve compression and decision regarding treatment can be taken.

Diploma in Child Health, MBBS
Pediatrician
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What happens to people with autism when they grow up?

Since autism is a spectrum and people have varying skill levels, future is not the same for all people with autism. A lot of children who are able to cope with mainstream school /college education go undiagnosed and are successful at jobs but may be considered quiet or reserved adults by their family, friends and colleagues.

Several adults on the spectrum who have been diagnosed, and been in a supportive environment in their childhood, have written books which have facilitated and enhanced the understanding of the condition. We have examples of people who are professionally very successful. Some have gone on to become famous authors and at least one has won a Nobel Prize. Some advocate and speak for themselves and for other people with autism in the community.

Some of those who are fully independent in their everyday life may find it difficult to sustain the demands of a job and work environment. Some are married and some choose not to.

Some of those who are married face difficulties in forming relationships with their spouses and carry out responsibilities that come with marriage and having a family, and may continue to need support of another person in planning and carrying out the activities in running a house.

As in every other condition, some people on the spectrum will always need support in life and may never be fully independent. As yet, in India, there are few schools which have an environment or the attitude to accommodate the special needs of people on the autism spectrum. Vocational centers and employment opportunities are even fewer.

For most parents struggling with getting services for their child with autism, one of the biggest worry is‘what after us?’ As yet, there are not enough and appropriate lifespan services for people with autism where they can lead a life of dignity and respect.

However, with support from people around them including the family, friends, neighbours and teachers all of them can lead a happy and meaningful life.

I am 57 year old and I am suffering from sleep apena.

DNB(Respireatory diseases), M.D
Pulmonologist
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If you are already diagnosed with sleep apnea by sleep study and your apnea hypopnea index is high and you are obese based on your ahi, weight, facial anotomy you may need either one of the following treatment. 1. Cpap therapy 2. Surgery 3. Intra oral device supported by weight reduction, life style modification. Cpap therapy is appropriate. In obese patient. Intra oral devices and surgeries are suitable for selected patients only.

Dr, my child suffer from cerebral palsy, I do not understand its how to recover from it.

MPTh/MPT
Physiotherapist
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Hello brijesh CP is a developmental delay caused by lack of blood supply to brain during the child birth or pregnancy or after the birth. Recovery totally depends upon the area of rain injured. Initially you can go for Physiotherapy alternatively you can think about stem cell therapy, it has been found effective. Please let me know if you want detailed info. Regards.

I am allergic to sun. And it leads to migraine whenever I do not eat anything in the morning. And it starts with severe headache. So whats the solution?

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist
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I am allergic to sun. And it leads to migraine whenever I do not eat anything in the morning. And it starts with seve...
You know the solution already. If you have migraine like headaches and you know precipitating factories then avoid them. For example as in your case. - avoid continued, unprotected sun exposure - have meals at regular intervals, do not fast - avoid foods that you are allergic to - have a restful and good sleep at night to prevent frequent relapses inspite of taking all precautions you need a course of prophylaxis for migraine.

I am having trouble with migraine and I have tried and taken a lots of pills but nothing happened, please tell me a permanent solution.

MBBS, MD - Anaesthesiology, FIPM
Pain Management Specialist
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Migraine has no permanent solution. You have not mentioned the medication that you have taken till now. Preventive medications in appropriate doses are most helpful Follow these health tips to get some relief. 1. Maintain regular sleep wake cycle, even on holiday's. 2. Don't skip meals. Take regular healthy diet with adequate fluids 3. Do not consume excess caffeine / carbohydrates / alcohol or smoke. 4. Exercise daily ( aerobics and cardiovascular) 5. Identify your headache trigger and try to avoid it. 6. Do meditation and pranayam. 7. Acupuncture treatment has shown some benefits in migraine. For further queries consult again.

My father is suffering from paralysis since 10 months. He is unable to speak. He suffered from paralysis attack twice in last 10 months. We consulted many doctors but all in vain. Please help me.

PGP In Diabetologist, Fellowship in non-invasive Cardiology, MD - Medicine, MBBS
Endocrinologist
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Treat the cause of stroke, which may be high blood pressure, diabetes, dyslipidemia, clotting disorders or cardiac arrythmias. Get him evaqluated thoroughly and with medicines and physiotherapy ,he will recover surely.
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