Best Spine Surgery Clinic In Hyderabad - Dr Kiran Reddy Chennuri

These days people have started complaining about the lumbar a lot, mostly recurring. There's no one particular reason for it but a whole list. Starting from the neck down until the lower back, this pain is called a slipped disc. The Best treatment for slipped should be taken.

Spinal discs are found in between the vertebrae bones in the spine. They have an elastic casing made of ligament and a gel-like focus. The occurrence is when the spinal disc tissue pushes out, or "herniates," between the vertebrae.

A slipped disc can be like nightmares. However, luckily the symptoms usually disappear all alone in about a month or two in some people.

One can have a slipped disc in whatever part of their spine, starting from the neck to the lower back, but commonly found in the lower back.

Here are a few symptoms of slipped disc:

• Numbness and pain, generally on one side of the body.
• The torment that reaches out to your arms or legs.
• Burning sensations, stinging or aching in the affected part.
• Pain when walking short distances.
• Worsening of pain after standing and sitting.

There is no particular reason why slipped discs occur, but they can be due to:

• A particular movement not supported by the body.
• Weak and torn out outer rings make the inner ones slip out.
• Lifting large and heavyweights.
• Being overweight is quite common now.
• Increasing age can be a reason as the protective water content starts secreting out of the disc.

The affected area hurts and troubles the patient a lot. Merely by touching the nerves and the muscles, the best doctor for sure would be able to make out the affected area. Post this, the history of the patient is examined, and to avoid the situation from getting worse further tests are mentioned like:

• X-rays
• CT scans
• MRI scans
• Discograms

1. Weight: Surplus of body weight causes overstress on the discs in your lower back.
2. Occupation: People with physically demanding occupations have more danger of back issues. Dreary lifting, pulling, pushing, bending sideways, and curving can also build your danger of a herniated disc.
3. Genetics: A few people inherit to fostering a herniated disc.
4. Smoking: Smoking reduces the supply of oxygen to the disc, causing it to break down quickly.

Seek the best doctor for medical help if you encounter any of these:

• Worsening indications: Pain, numbness or weakness can increase to the point that they hamper your everyday exercises.
• Bladder or bowel dysfunction:Cauda equina can cause incontinence or trouble peeing even with a full bladder.
• Saddle anaesthesia:This loss of sensation influences the areas that would contact a saddle- the internal thighs, back of legs and the area around the rectum.

To prevent slipped disc, do the following:

1. Exercising and maintain good posture:
   • Exercising regularly strengthens the trunk muscles that stabilize and uphold the spine.
   • While lifting heavy objects, do most of the work by your legs and by not your back.
2. Quit smoking:
   • Avoid using tobacco items.
3. Maintaining a healthy weight:
   • Being overweight puts pressure on the spine and discs, making them more vulnerable to herniation.

Slipped discs can be treated in both surgical and conservative ways. But, the best treatment for it is conservative ways like stretching, exercising, physiotherapy as it helps strengthen the muscles and the nerves naturally and reduces pain. Because taking too many pain killers and other medicines can have adverse side effects.

Cervical Spondylosis is also termed Arthritis of the neck and back. It is very common in people in the age group of over 55 years. The symptoms which are apparent include pain in the neck and back. Treatment for cervical Spondylosis includes physiotherapy, little medication, and changing some pain-causing habits. The area affected is the spine in the neck region.

The best treatment for Cervical Spondylosis is doing exercise regularly.

There are mainly no severe symptoms except stiffness and pain in the neck. Sometimes, due to stiffness, you might feel your body getting numb and weakness in the overall body. This weakness and numbness are the main reasons you must refer to a doctor. Overall symptoms are:

• Difficulty in walking and balancing yourself becomes difficult.
• Loss of control of the bowel and bladder.

It is caused due to the changes caused by the wear and tear of the backbone while you age. The changes that occur are:

• Drying of Discs: After you age 40, the discs in the backbone start drying. This results in the bone to bone contact by the age of 60. When there is bone to bone contact, your body becomes stiff, and there is less space for the nerves to travel around the body, which causes numbness in the body.
• Bulged Bones: Due to ageing, the bones develop cracks and are bulged, affecting the spinal disc's outer portion. This also causes numbness as it directly presses and diminishes the space of nerves to travel.
• Spurred Bones: This causes an increase in the size of bones which takes up extra space. Spurring of bones affects the nerves and spinal cord.
• Not So Flexibility Left: Due to ageing, the tissues that connect bone to bone, ligaments become stiff. This causes loss of flexibility in the neck region and causes pain during the movements when the back portion is involved.

The best treatment for Cervical Spondylosis involves proper physiotherapy.

The main reasons that can be termed as risky for the patients surviving Cervical Spondylosis include:

• When your age is more than 40 years, your spine disc starts getting dissolved, and by the age of 60, it completely dissolves, which causes stiffness and loss of flexibility.
• Injuries in the Neck and Backbone.
• Stress like jobs that require a lot of neck movement or old positioning of the neck, and overhead work stresses the neck region.
• It can be hereditary.

The damage can be lifelong.

Keeping a check on the flexibility of motions of the neck and balancing while walking, the diseases can be diagnosed—intake of Corticosteroids, and anti-inflammatory drugs, nonsteroidal. Severe cases include surgery. Physiotherapy after 40 years of age can prevent it.

When the person suffers from the diminishing of space of the nerves and spine, the patient suffers from Spinal Stenosis. As the name suggests, the areas affected are the neck and back. Apart from symptoms like loss of flexibility and pain, there are no symptoms, but with time it worsens, and the severity leads to surgery in many cases. The best treatment for Spinal Stenosis is doing exercise regularly.

There are mainly no severe symptoms except stiffness and pain in the neck and. Sometimes, due to stiffness, you might feel your body getting numb and weakness in the overall body. There are two types of Spinal Stenosis, Cervical Stenosis and Lumbar Stenosis. Lumbar stenosis is a more common type and affects the stiffness of the spine in the lower back. In contrast, Cervical Stenosis affects the neck region.

The weakness and numbness are the main reasons you must refer to a doctor. Overall symptoms are as follows:

• Difficulty in walking and balancing yourself becomes difficult.
• Loss of control of the bowel and bladder.

It is caused due to the changes caused by the wear and tear of the backbone while you age. The changes that occur are:

• Abnormal Growth of Bones: Due to abnormal growth of bones, the space becomes less for the spinal cord and causes stiffness, numbness in the body.
• Growth Of Tumors: Some muscles surround the spinal cord, which might grow tumours in severe cases.
• Bulging Of Bones: When ligaments thicken between the bones, the space also diminishes and causes stiffness and numbness. This happens due to age.
• Spurred Bones: This causes an increase in the size of bones which takes up extra space. Spurring of bones affects the nerves and spinal cord.
• Injuries in the Neck and Backbone.

The best treatment for Spinal Stenosis involves proper physiotherapy.

The main reasons that can be termed as risky for the patients surviving Spinal Stenosis include

• Due to ageing, that is, from the age of 50 years, the disease is common among that age group.
• Injuries in the Neck and Backbone.
• Stress like jobs requiring a lot of neck movement or old positioning of the neck, and overhead work stresses the neck region among people less than 50 years.
• Health disorders like trauma, tumour, stress, and osteoarthritis are the main reasons.
• It can be hereditary.

The damage can lead to paralysis.

Keeping a check on the flexibility of motions of the neck and balancing while walking, the diseases can be diagnosed. Also, imaging like MRI, X-rays and CT scans can diagnose the disease after symptoms. Medicines like anti-depressants, Opioids, and Pain relievers can help in treatment. Severe cases like tumours lead to surgery. Physiotherapy after 40 years of age can prevent it.

Kyphosis, commonly known as round back or hunchback, is a disorder characterized by an abnormal curvature of the spine in the upper back. The upper back, also known as the thoracic portion of the spine, has a little natural curvature. To assist absorb stress and support the head's weight, the spine naturally bends in the neck, upper back, and lower back.

Kyphosis occurs when the natural arch is wider than usual. Furthermore, persons with kyphosis seem to stoop and have a significant rounding of the shoulders. Kyphosis can cause discomfort by putting too much strain on the spine. It may also cause breathing issues as a result of the pressure placed on the lungs.

Back discomfort, muscular weariness, and back stiffness are all possible symptoms. Most of the time, these symptoms remain consistent and do not worsen with time. This can cause spinal cord compression in rare circumstances, resulting in neurologic symptoms such as weakness, lack of feeling, or loss of bowel and bladder control.

On the other hand, Kyphosis can be uncomfortable, create considerable spinal deformity, and cause breathing issues in extreme cases. Patients suffering from severe kyphosis may require surgery to decrease the abnormal spine curvature and alleviate their symptoms.

Severe forms of thoracic kyphosis can also limit the amount of room in the chest, resulting in chest discomfort or shortness of breath and pulmonary and/or heart failure.

People of any age might be affected by kyphosis. It is uncommon in infants since poor posture is generally the reason. Postural kyphosis is kyphosis caused by improper posture. Other possible causes of kyphosis are:

• Fractures: Broken or crushed vertebrae can result in curvature of the spine.
• Birth defects: Kyphosis can be caused by spinal bones that do not grow properly before birth
• Disorders: Certain syndromes, such as Ehlers-Danlos syndrome and Marfan syndrome, can be linked with kyphosis in children.

Postural irregularities cause the majority of cases of kyphosis, and it seldom progresses to severe difficulties. Anyone who develops the signs or symptoms of kyphosis, on the other hand, should be examined by a physician to rule out a more serious cause.

A referral to an orthopaedist may be necessary for proper examination and treatment. Furthermore, any patient whose symptoms worsen or who has weakness, numbness, or tingling in the legs and chest pain and shortness of breath should see a doctor.

• Breathing difficulties: Severe kyphosis can put a strain on the lungs.
• Physical limitations: Kyphosis is characterized by weaker back muscles and difficulties performing actions such as walking and getting out of chairs.
• Digestive issues: Severe kyphosis can compress the digestive tract, producing acid reflux and swallowing difficulties.
• Body image issues: People with kyphosis, particularly teenagers, may acquire a negative body image due to having a rounded back or wearing a brace to address the disease.

Regular X-rays to monitor the curve, physical therapy, and, in some circumstances, a back brace may be used to Best treat postural kyphosis and Scheuermann's kyphosis. Spinal fusion surgery can alleviate discomfort and straighten the curvature in congenital kyphosis.

A tendon rupture is a part or full tear of your tendon. Tendons are tough bands of tissue that attach muscles to the bones. A tear could have been caused by an injury or heavy pressure on the tendon that occurs during sports or a fall. Weak tendons may be caused by tendonitis, use of steroids, old age, and chronic conditions like arthritis.

A tendon rupture is a serious problem resulting in excruciating pain and permanent disability if left untreated.

The symptoms that arise from tendon injury are mostly mechanical. When a tendon is no longer intact, the ability to move is weak or absent. In partial tears, movement there will be there but will have a weakness. Some of the common symptoms are:

• Tearing or popping sound at the time of the injury
• Pain, clicking, catching, or tenderness in the area of the ruptured tendon while moving the finger, hand or wrist.
• Weakness or stiffness in the joints of fingers, hand, or wrist
• Sweeling
• Bruising
• Discomfort bearing a weight
• Deformity of the area

Tendons are of two types- flexor tendons and extensor tendons.

• Flexor tendons: these tendons are present in the palm side of the hand, wrist, and forearm
• Extensor tendons: these are present in the backside of the hand, wrist, and forearm.

The main aim of treatment for tendon injury is to repair the tendon and re-establish its function.

The doctor will diagnose the tendon rupture by physical examination and your symptoms.

Advanced imaging tests such as Ultrasound and MRI are done if the tendon rupture occurred without any trauma, to evaluate any internal causes.

The treatment for tendon rupture and tendon injury is very important to restore the functioning of the hand and wrist. Treatment may vary depending upon the type of tendon injury or rupture and whether it is a full rupture or partial rupture.

Full tendon ruptures are treated by surgery using sutures to bring the tendon ends together

Partial tendon ruptures are also treated surgically to prevent the weakened tendon from becoming a full rupture.

If the tears are very small then they are not treated.

The tendon repair is very straightforward, but the rehabilitation needed to regain normal tendon movement is very difficult and challenging in the entire treatment process.

The main problem that arises after tendon repair is scarring around the tendon. Scarring limits the movement. Rehabilitation focuses on moving the tendon and prevents it from scarring down. This is a very difficult process to achieve in flexor tendons because they travel through a very tight tunnel.

You need to wear a splint after the surgery for around one to two weeks. Later, sutures are removed and a removable splint is then worn for around eight weeks. Therapy sessions will start after the splint is removed and will continue for 3 months.

You may re-join work after 1-2 weeks. It depends on the kind of work you do and if you can manage with a splint. One should be very careful and avoid any activity that may cause further injury to the tendon until it is fully recovered. It may take around 6-8 weeks for the tendon to heal completely and resume normal activity.

A spinal cord injury causes permanent changes in strength, sensation, and other body functions below the location of the injury if any section of the spinal cord or nerves at the end of the spinal canal is damaged.

If you've just suffered a spinal cord injury, it may appear that every part of your life has been impacted. Many experts believe that improvements in research will one day allow for the healing of spinal cord damage.

After a spinal cord injury, your ability to control your limbs is governed by two factors: the location of the injury along your spinal cord and the severity of the spinal cord injury. The extent of the damage is often referred to as "the completeness," and it may be classified in two ways:

Full: You have a complete injury if you have lost all feeling and ability to govern movement below your spinal cord damage level.

Incomplete: If you have any motor or sensory function below the affected region, your damage is called incomplete. There are various degrees of incomplete damage.

Damage to the vertebrae, ligaments, discs of the spinal column, or the spinal cord itself can result in spinal cord injuries. A traumatic spinal cord injury can occur due to a quick, jarring impact to your spine that fractures, dislocates, crushes, or compresses one or more of your vertebrae.

Additional damage often develops over days or weeks due to bleeding, edema, inflammation, and fluid collection in and around your spinal cord.

• Call 911 as soon as possible. The faster medical assistance arrives, the better.
• Encourage the individual to remain as motionless as possible, even if they believe they can stand and walk on their own.

Because unexpected circumstances frequently cause spinal cord injuries, the best you can do is decrease your risk. Among the risk-reduction measures are:

• When driving, always wear a seatbelt.
• Wearing appropriate protective equipment when participating in sports
• Never dive into the water until you've first checked to ensure it's deep enough and free of rocks.

Members of the rehabilitation team will begin working with you while you are still in the early phases of recovery. A physical therapist, occupational therapist, rehabilitation nurse, rehabilitation psychologist, social worker, nutritionist, recreation therapist, and doctor specializing in physical medicine or spinal cord injuries may be on your team.

Unfortunately, there is no method to repair spinal cord injury. However, researchers are constantly developing novel therapies, such as prostheses and medicines that may stimulate nerve cell regeneration or enhance the function of nerves that remain after a spinal cord injury.

To minimize the consequences of any head or neck injuries, immediate medical treatment is required. Emergency workers usually immobilize the spine as gently and swiftly as possible by utilizing a stiff neck collar and a rigid carrying board, which they will use to take you to the hospital.

Sciatica is pain that spreads down the course of the sciatic nerve, which runs from the lower back to the hips and buttocks and down each leg.

Sciatica is most frequently caused by a herniated disc, a bone spur on the spine, or a constriction compressing a nerve. This results in inflammation, discomfort, and numbness in the affected limb.

Depending on the reason, people describe sciatica pain in a variety of ways. Sharp, shooting, or jolting pain is how some individuals describe their suffering. Others describe the pain as "burning," "electric," or "stabbing."

Sciatica is characterized by pain that spreads from your lower spine to your buttock and down the back of your leg. You may have some pain virtually anywhere along the nerve route, but it is most likely to go from your low back to your buttock and the back of your thigh and calf.

It can even get worse when you cough or sneeze, and sitting for an extended period might worsen symptoms. It is caused by just one side of the body being affected.

Mild sciatica typically goes away on its own. Call your doctor if self-care techniques do not relieve your symptoms or if your pain lasts more than a week, is severe, or worsens over time. If you are experiencing any of the following symptoms, get immediate medical attention:

• You experience significant pain in your low back or leg, as well as numbness.
• The pain that follows a traumatic injury, such as a car collision, is excruciating.

Sciatica occurs when the sciatic nerve is pinched; most commonly by a herniated disc in your spine or a bone spur on your vertebrae. Degenerative disc disease is caused by the normal deterioration of the discs that sit between the spine's vertebrae. The wearing out of the discs reduces their height, causing the nerve pathways to become smaller.

What are the sciatica treatments?

Acute sciatica treatments include:

• OTC pain relievers such as ibuprofen, which is readily accessible online.
• Walking or mild stretching exercises

Treatments for chronic sciatica:

• Physiotherapy
• Cognitive behavioural therapy (CBT) - aids in the management of chronic pain by teaching patients how to react differently to pain.

Exercise regularly: To maintain your back strong, focus on your core muscles, which are the muscles in your midsection and lower back that are necessary for correct posture and alignment.

Maintain appropriate sitting posture by selecting a seat with excellent lower back support, armrests, and a swivel base.

Use proper body mechanics: If you stand for lengthy periods, rest one foot on a stool or small box now and then. Allow your lower extremities to make an effort while lifting anything heavy.

Though the pain of sciatica can be excruciating, most instances heal in a matter of weeks with non-surgical therapies. Patients with severe sciatica with considerable limb weakness or bowel or bladder abnormalities may be candidates for surgery.