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Dr. Phani Kiran - Orthopedist, Chennai

Dr. Phani Kiran

89 (10 ratings)
MBBS, MS - Orthopaedics, DNB - Orthopedics

Orthopedist, Chennai

17 Years Experience  ·  300 - 700 at clinic  ·  ₹300 online
Dr. Phani Kiran 89% (10 ratings) MBBS, MS - Orthopaedics, DNB - Orthopedics Orthopedist, Chennai
17 Years Experience  ·  300 - 700 at clinic  ·  ₹300 online
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Phani Kiran
With an experience of over 16 years, Dr. Phani Kiran is recognized as a distinguished orthopedic expert in Chennai. He is often cited as one of the most skilled spine surgeons in the country, and you can consult him at his Kamalakar Clinic and Pharmacy in Ramapuram in Chennai. Dr. Phani Kiran has received his MBBS degree from Maulana Azad Medical College in New Delhi and MS in Orthopedics in 2006. He had also pursued DNB in Orthopedics from Maulana Azad Medical College. Dr. Phani Kiran has been awarded the membership of National Academy of Medical Sciences. His other memberships include Indian Orthopedic Association, AO Spine and Orthopedique et de Traumatologie. You may consult Dr. Phani Kiran for different orthopedic problems including treatment of lumbar radiculopathy, knee replacement, spinal fusion surgery, arthritis and pain management, hip resurfacing surgery, treatment for a hip injury, ankle injury, knee injury, hip and ankle pain. If you are suffering from dislocated joints, immovable joints, meniscus injury or similar other problems, you may also consult Dr. Phani Kiran. He is also known for state-of-the-art pelvic rehabilitation techniques, arthroscopy process, ACL reconstruction and limping child treatment.

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Specialty
Education
MBBS - Maulana Azad Medical College, New Delhi - 2001
MS - Orthopaedics - Maulana Azad Medical College, New Delhi - 2006
DNB - Orthopedics - Maulana Azad Medical College, New Delhi - 2007
Awards and Recognitions
Awarded Membership of National Academy of Medical Sciences.
Professional Memberships
Indian Orthopaedic Association
Société Internationale de Chirurgie Orthopédique et de Traumatologie (SICOT)
AO Spine

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ASTRA Ortho N Spine Center

No 80/9, Radha Mohan Street, Velachery Bypass Road, Velachery, Periyar Nagar, Velachery, Chennai, Tamil Nadu 600042Chennai Get Directions
300 at clinic
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Gleneagles Global Hospital And Health City

#439, Medavakkam Road, Cheran Nagar, Sholinganallur, Perumbakkam, Landmark: Near HCl & Near Shollinznumur JunctionChennai Get Directions
700 at clinic
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Ojas Ortho Clinic

Arcot Road, SaligramamChennai Get Directions
400 at clinic
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ASTRA Ortho N Spine Center

No 80/9, Radha Mohan Street, Velachery Bypass Road, Velachery, Periyar Nagar, Velachery, Chennai, Tamil Nadu 600042Chennai Get Directions
300 at clinic
...more
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Spine Tuberculosis - Catch It Early To Avoid Serious Disability!

MBBS, MS - Orthopaedics, DNB - Orthopedics
Orthopedist, Chennai
Spine Tuberculosis - Catch It Early To Avoid Serious Disability!

Tuberculosis is widely known as a disease that affects the lungs. Tuberculosis is an infection caused by a bacteria called Mycobacterium tuberculosis. Although most commonly the lungs and bowel are affected, it can affect any organ in the body including the bones and joints .

How and who:

Tubercular bacteria usually enter the body through the airway into lungs or through the gut and spread out to different areas of the body through the blood stream, spine being the most common area. They can stay dormant in the body for many years and start multiplying when the immunity goes down due to any reason. So those with reduced immunity like young kids, old age group, diabetics, those on steroid medication or other immune-suppressive medication are at a high risk of developing tuberculosis of various organs. Patients affected with HIV are also at high risk of developing tubercular infection. But it is not uncommon to see a healthy young person affected with tuberculosis of spine.

Disease manifestations:

Spine is one of the very common structures affected by tuberculosis, leading to significant disability and high risk of paralysis if undetected in the early stages. As the bones in the spine get destroyed by the disease, the spine bends abnormally at the affected level and a deformity develops. There is pus formation at the affected area which can cause compression on the spinal cord and nerves in the spinal canal and lead to paralysis of limbs and loss of bowel and bladder control. Tuberculosis of spine can affect all age groups from infancy to old age.

Spine tuberculosis initially causes pain in the back/neck, which gets worse on movements and while changing posture. Night pains that wake the patient up from sleep is another characteristic feature. Fever, weight loss and loss of appetite are usually associated. Weakness of limb muscles can lead to unstable gait and tendency to fall and the patient usually seeks a support to hold on to while walking.

Diagnosis and treatment:

With MRI being available widely, spinal tuberculosis is being detected at early stages now as compared to X-rays. Most of them can be cured well by anti-tubercular medication (ATT). The medication needs to be taken for a long duration (minimum of 6 months - upto 18 months). Drug resistance is a serious problem needing second line medicines and is more difficult to treat. There are special tests like Gene Xpert available now to detect multiple drug resistant tuberculosis.

In some patients with deformity in spine or those with spinal cord compression causing paralysis, surgery to stabilise the spine and decompress the spinal cord/nerves is required. Surgical treatment in right time can prevent spinal deformity/paralysis and help in faster and better recovery of muscle power in those who have developed paralysis.

So, any persistent back pain needs an evaluation by a Spine physician. 

1 person found this helpful

Spine Injections

MBBS, MS - Orthopaedics, DNB - Orthopedics
Orthopedist, Chennai
Spine Injections

Unique problem in dealing with age related spinal disorders is that degenerative changes (age related wear and tear) are very common and can exist without causing pain, while at the same time, some of them can be the cause of significant pain and disability in some patients.

  • These changes can exist in multiple levels in the spine making it difficult to identify clinically, despite a thorough clinical examination, the exact level or structure that is the main cause of the spinal pain. The fact that they can exist without causing pain in many people compounds the situation. So, seeing an x-ray or mri of the spine is not enough to exactly identify the pain generator in the spine.
  • In situations where there is spinal pain and there are multiple level degenerative changes seen on the mri, spinal injections are used as a test to temporarily block the pain from some structures in order to help identify the most likely cause of pain and help deciding further treatment plan accordingly.
  • These injections are also used as treatmentof spinal pain (back/neck pain, sciatica) caused by a specific structural problem for relieving pain, while we wait for the problem to settle down naturally; and in those who are not responding to medication and physiotherapy. Another situation where injections are used is in patients who need surgery but cannot be operated for other reasons or want to postpone the surgery temporarily.
  • Typically the injections are done under local anaesthesia, with the patient lying in an operation theatre with x-ray facility or in a ct scan console to help pass the needle to the exact desired location in the spine. A local anaesthetic alone or in combination with a steroid medication is injected. The target location may be the facet joints, si joints, disc or a near the nerve root.
  • Many spine surgeons use these injections as a tool to help in accurate diagnosis as well as treatment of spinal pain world over.
1 person found this helpful

Spine Injections.

MBBS, MS - Orthopaedics, DNB - Orthopedics
Orthopedist, Chennai
https://drspinekiran.wordpress.com/2017/11/03/spinal-injections-role-in-diagnosis-and-treatment-of-spinal-pain/

Spinal Canal Stenosis: What does it mean and how to deal with it?

MBBS, MS - Orthopaedics, DNB - Orthopedics
Orthopedist, Chennai
Spinal Canal Stenosis: What does it mean and how to deal with it?

The word “stenosis” means a narrowing or constriction of the diameter of a bodily passage/canal/tubular structure. “spinal stenosis” refers to narrowing of the spinal canal inside the spine, leading to constriction of the spinal cord and nerve roots passing through the spine. It usually occurs in the middle and old age. Main reason for stenosis is age related degeneration of the structures in the spine that gradually encroach into the spinal canal and start compressing the spinal cord or the nerve roots.

  • Reduced space for the spinal cord or nerve roots affects their function and can lead to pain/numbness/weakness in the limbs and trunk. When severe, it can affect the standing or walking balance, urine control and bowel control.
  • Symptoms depend on the region of the spine involved and the severity and duration of the narrowing. Initial symptoms are mild and usually there is a gradual worsening of symptoms over several months or years, leading to significant limitation of daily activities and lifestyle. If the stenosis is in the lumbar spine, it affects the lower limbs. If it is in the cervical spine, all four limbs and trunk as well can get affected. Dorsal spine stenosis is less common but often very disabling. Examination by a spine specialist will help in diagnosing the condition. Usually and mri and x rays are done to see the severity and level of stenosis.
  • Those with mild to moderate stenosis in lumbar spine are managed with medication, physiotherapy and exercises. Limitation of certain activities may also be advised.
  • Severe stenosis causing significant symptoms and disability needs surgical treatment. Surgery is more likely to be required if the stenosis is in the cervical or dorsal spine where the spinal cord itself is compressed.
  • Spinal stenosis is one of the most common reasons for which spine surgery is performed and surgical treatment gives an excellent relief of symptoms and improvement in those with severe stenosis. There are minimally invasive procedures that have been developed to minimise the muscle damage and pain due to the surgical procedure itself.

What Is Spinal Stenosis? How Does It Cause Symptoms And How To Deal With It.?

MBBS, MS - Orthopaedics, DNB - Orthopedics
Orthopedist, Chennai
https://drspinekiran.wordpress.com/2017/10/14/spinal-canal-stenosis-what-does-it-mean-and-how-to-deal-with-it/

Osteoporosis and Spinal Fractures - Symptoms and Treatments

MBBS, MS - Orthopaedics, DNB - Orthopedics
Orthopedist, Chennai
Osteoporosis and Spinal Fractures - Symptoms and Treatments

Osteoporosis is a condition wherein the bones become brittle and weak; so much so that even mildly stressful activities such as coughing, bending over or even a slight fall (such as the one from a high rise chair) can result in fractures. Osteoporosis-related fractures commonly occur in the spine, hip or the wrist. The human body has a continuous mechanism of bone absorption and removal. In case of osteoporosis, the creation of new bones doesn’t happen in accordance with the removal of old bones.

Spinal Fractures:

The bones of the spine get extremely vulnerable to breakage and even cracking open. The fractures in the spine, also known as vertebral compression fractures can cause a sharp stinging pain in the back that may make sitting, standing, or even walking a very tardy task.

Risk Factors:

  1. Increasing age
  2. Abnormally less or high body weight
  3. Smoking
  4. Menopause or low levels of sex hormones
  5. Gender: This disorder is more likely to affect women as compared to men. Also, women, who are above 50 are more likely to suffer from this debilitating disorder.
  6. Race is a significant risk factor of osteoporosis. If you are of Asian descent, you are more likely to be affected by it.
  7. Having a family history of osteoporosis will put you at a greater risk of this disorder.

The pain typically happens with a slight back strain during an everyday activity like:

  • Lifting a bag of groceries
  • Bending to the floor to pick something up
  • Slipping on a rug or making a misstep
  • Lifting a suitcase out of the trunk of a car
  • Lifting the corner of a mattress when changing bed linens

Symptoms  of Spine Fracture:

  1. Fractured or collapsed vertebra causing back pain
  2. A stooped posture
  3. A shrunken appearance (as if one has had loss of height)
  4. Very fragile bones, thus increasing risks of fractures
  5. Severe and sudden pain in the back
  6. Difficulty in twisting or bending the body

Lower spine fractures are way more troublesome as compared to fractures in the upper spine. Fracturing more than a bone in the spine also remains a huge possibility.

Who’s Most Likely to Get Spine Fractures?

Women, especially those older than 50, are most likely to get spine fractures. By age 80, about 40% of women have had one.

Your age makes a difference, too. As you get older, your bones become thinner and weaker, and you’re more likely to have osteoporosis. Women and men who have osteoporosis have much higher chances of getting spine fractures.

Diagnosis and Treatment:

Firstly, an X-ray or a computerized tomography (CT scan) will be done to have a closer look at the bones. A bone density test is another commonly used method of diagnosing osteoporosis.

  1. Steroids and medications: Some medications may be used to prevent or combat osteoporosis. These include alendronate, ibandronate, risedronate and zoledronic acid.
  2. Physical therapy: Just like muscles, bones get stronger too when you exercise. Weight-bearing and muscle- strengthening exercises are the most helpful in this regard and are considered best for the treatment of osteoporosis. Cardiovascular exercises such as walking, jogging or even swimming can prove to be immensely beneficial.
  3. Diet: Make a diet chart that includes high-calcium food items, dairy products such as yogurt, cheese, and low-fat milk, tofu, green vegetables such as collard greens and broccoli, sea fish such as salmon and sardines.
  4. Salt: Limit salt intake
  5. Therapy: Hormone replacement therapy (treatment method consisting of estrogens to alleviate and treat symptoms of osteoporosis) is another method of treatment that can be recommended by the doctor.

Prevent Spine Fractures:

The best way to prevent them is to prevent osteoporosis. Even if you already have it, you can take steps to keep it from getting worse. Eat a diet rich in calcium and vitamin D, and get regular exercise, especially the weight-bearing and muscle strengthening kinds. Ask your doctor if you need a bone mineral density test to see how strong your bones are. It is never too early -- or too late -- to prevent bone loss.

What Is Peak Bone Mass?

MBBS, MS - Orthopaedics, DNB - Orthopedics
Orthopedist, Chennai
What Is Peak Bone Mass?

As a kid grows older, the calcium content in the bones increases. It reaches a peak in early adult age, around 25-28 years and then there is a gradual reduction of calcium from the bones at a slow pace during the rest of the life. The loss of calcium from bones accelerates after menopause in ladies. That means their bones loose calcium at a much faster rate and become weaker and weaker, leading to porous bones. That is called Osteoporosis. Weak bones fracture easily and affect the lifestyle in old age.

So, it is clear that the lower the peak bone mass one attains, the higher are the chances of developing osteoporosis and fractures in old age. That is why it is important to try and reach a higher peak bone mass during growing years of your life. 

That can be achieved by calcium and vitamin D rich diet, adequate exposure to sunlight and regular exercises. Ladies after their menopause should check their bone density by DEXA scan atleast once in two years. Discuss with your doctor the risks of developing osteoporosis and fractures, and prevention tips. 

Spine Surgery - What To Expect Before And After Getting One?

MBBS, MS - Orthopaedics, DNB - Orthopedics
Orthopedist, Chennai
Spine Surgery - What To Expect Before And After Getting One?

Spinal surgery becomes inevitable when back pain cannot be managed with medications and/or exercise. This is a major decision and requires planning for many things before, during, and after the surgery.

Before a spinal surgery- This preparation will help in smooth recovery, especially if you do not have a full-time caretaker.

  1. Discontinue pain killers: Discontinue pain killers at least 10 to 14 days before surgery. These are blood thinners and can prolong bleeding during the surgery.

  2. Prepare for blood loss: Most people experience some blood loss, but not excessive.

  3. Use a toilet seat raiser: Sitting and getting up from the toilet seat may be difficult. The seat raiser is used to increase the height, making this movement easy.

  4. Enable easy access to common items: Before heading for the surgery, keep things which are commonly used within easy reach. This will help reduce movement and avoid searching (especially if someone else is going to be doing it).

  5. Stock it up: Cooking may not be feasible during the initial postop period, and so it is advisable to stock up food items (ready to eats, fruits, soups, etc.) which will come in handy.

  6. Slip-ons: Bending down and tying shoes may not be easy, so slip-ons can be used.

  7. Caregiving: It is always advisable to have someone stay over with you during the initial postop days. They could help with regular household chores, cooking, etc.

  8. Lifestyle changes: Ensure you eat well in the days before surgery, quit smoking, quit/use moderate amounts of alcohol, and exercise as advised by your surgeon.

After Surgery- Post surgery, there will be some pain and limitation of movement. It is important to understand that adherence to post-op instructions will improve the success rate of the surgery. 

  1. Postoperative medications: These will be given to control infection and pain in the immediate postop period, and should be taken without fail

  2. Rehab: The surgeon will recommend physical therapy and rehab exercises which need to be followed. Complete recovery may take anywhere between 3 to 12 months. During this time, care should be taken to avoid repeat injury.

  3. Support: Adequate back support should be provided using lumbar support and ergonomic chairs, and the right posture should be maintained. Ensure there is no undue strain on the back muscles.

  4. Weight management: With excess weight, there is too much strain on the lower disks. Therefore, weight should be managed to reduce this strain.

  5. Smoking and alcohol should be completely stopped, as healing can be hampered.

With some preparation, spinal surgery can be sailed through smoothly.

Osteoporosis Spine Fractures: Know Its Symptoms!

MBBS, MS - Orthopaedics, DNB - Orthopedics
Orthopedist, Chennai
Osteoporosis Spine Fractures: Know Its Symptoms!

Osteoporosis is a condition wherein the bones become brittle and weak; so much so that even mildly stressful activities such as coughing, bending over or even a slight fall (such as the one from a high rise chair) can result in fractures. Osteoporosis-related fractures commonly occur in the spine, hip or the wrist. The human body has a continuous mechanism of bone absorption and removal. In case of osteoporosis, the creation of new bones doesn’t happen in accordance with the removal of old bones.

Spinal Fractures:

The bones of the spine get extremely vulnerable to breakage and even cracking open. The fractures in the spine, also known as vertebral compression fractures can cause a sharp stinging pain in the back that may make sitting, standing, or even walking a very tardy task.

Risk Factors:

  1. Increasing age

  2. Abnormally less or high body weight

  3. Smoking

  4. Menopause or low levels of sex hormones

  5. Gender: This disorder is more likely to affect women as compared to men. Also women, who are above 50 are more likely to suffer from this debilitating disorder.

  6. Race is a significant risk factor of osteoporosis. If you are of Asian descent, you are more likely to be affected by it.

  7. Having a family history of osteoporosis will put you at a greater risk of this disorder.

Symptoms:

  1. Fractured or collapsed vertebra causing back pain

  2. A stooped posture

  3. A shrunken appearance (as if one has had loss of height)

  4. Very fragile bones, thus increasing risks of fractures

  5. Severe and sudden pain in the back

  6. Difficulty in twisting or bending the body

Lower spine fractures are way more troublesome as compared to fractures in the upper spine. Fracturing more than a bone in the spine also remains a huge possibility.

Diagnosis and Treatment:

Firstly, an X-ray or a computerized tomography (CT scan) will be done to have a closer look at the bones. A bone density test is another commonly used method of diagnosing osteoporosis.

  1. Steroids and medications: Some medications may be used to prevent or combat osteoporosis. These include alendronate, ibandronate, risedronate and zoledronic acid.

  2. Physical therapy: Just like muscles, bones get stronger too when you exercise. Weight-bearing and muscle- strengthening exercises are the most helpful in this regard and are considered best for the treatment of osteoporosis. Cardiovascular exercises such as walking, jogging or even swimming can prove to be immensely beneficial.

  3. Diet: Make a diet chart that includes high-calcium food items, dairy products such as yogurt, cheese, and low-fat milk, tofu, green vegetables such as collard greens and broccoli, sea fish such as salmon and sardines.

  4. Salt: Limit salt intake

  5. Therapy: Hormone replacement therapy (treatment method consisting of estrogens to alleviate and treat symptoms of osteoporosis) is another method of treatment that can be recommended by the doctor. If you wish to discuss about any specific problem, you can consult an Orthopedist.

2689 people found this helpful

Disc Prolapse And Treatment!

MBBS, MS - Orthopaedics, DNB - Orthopedics
Orthopedist, Chennai
Disc Prolapse And Treatment!

The spine lends structural stability and balance to our body helping us stand upright, while allowing flexibility in various movements. Moreover, it forms a protective canal in which the spinal cord, the most important part of the neural network, flows down from the brain to the rest of our body. The spinal column is an interconnected structure of bony (vertebrae) and cartilage tissues (intervertebral discs) and it is prone to age related wear and tear. Read through to learn more about a herniated disc, its manifestations and treatment options, with special reference to a minimally invasive surgical technique called endoscopic discectomy.

What is a herniated disc?

First, let’s understand an intervertebral disc. It is essentially a disc shaped, rubber like tough and flexible structure made of outer layers of fibrous cartilage with a softer gel like tissue in the centre. A disc lies between two adjoining vertebral bones of the spine and acts as a shock absorber. This disc undergoes wear and tear changes (degeneration) after a certain age. When the degenerated disc is subjected to any external strain or injury, the substance from the central part of the disc comes out through the tears in the outer fibrous layers. This condition is called a herniated disc. It is also referred to as prolapsed or slipped disc. A disc prolapse can occur in any part of the vertebral column; but, mostly observed in the lumbar (lower back) or in cervical (neck) region.

What happens when an intervertebral disc herniates?

When the inner disc material protrudes through the disc surface, it may pinch or irritate the nerve roots it comes in contact with. It also elicits a severe inflammatory chemical response in that area. If this happens in the lumbar spine, it induces symptoms such as:

Pain in the back, pain running down the leg, weakness of the muscles in the leg supplied by the affected nerve root, numbness or tingling sensation in the respective part of the leg. Loss of bladder and bowel control if a large disc prolapse compresses multiple nerve roots.

If you feel recurring radiating pain in any of the body parts, it would be a good call to see a spine specialist.

What causes disc herniation?

Disc herniation happens as a result of degeneration that is mostly related to the genetic composition of the person. Smoking is another well established factor that causes disc degeneration. Other factors also play a role in the process of wear and tear of the discs. Though the exact reason is hard to pick, disc herniation may be precipitated by strain on the spine during physical work, certain kind of frequent body movements or spinal injury due to any accident. Sometimes adopting improper body posture for physically demanding jobs of time may result in this condition.

What are the treatment options for herniated disc condition?

Most cases of disc herniation can be treated medically with rest, pain relievers, anti-inflammatory medication and physiotherapy. But, if the symptoms persist or the pain is severe or if it is affecting the nerve function causing numbness and weakness, it needs surgical intervention.

Minimally invasive (endoscopic) spine surgery

Spine surgery is generally adopted as the last resort to treat painful disc prolapse that do not respond to medication for a longer period (usually 3 months). Rarely, a severe nerve compression causing weakness of muscles or severe sciatica may need surgical treatment straight away. Conventional open surgery involves cutting the muscles and removing some portion of bone in the spine, which has its own complications and disadvantages. But, the advent of high definition image guided systems and surgical tools, now-a-days spine surgery for herniated discs can be done with minimal invasion.

Endoscopic discectomy for herniated disc is a minimally invasive spine surgery carried out through a small on the back. It involves removal of herniated disc material that protrudes and compresses the adjacent nerve roots, through specially designed spine endoscopes that help in clear visualization of the structures. Instead of cutting the muscles in an open surgery, endoscopic surgery involves dilation of the muscles causing much less damage and procedure related pain. It can also be performed under local anesthesia as a day care procedure in suitable patients.

back pain
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