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The best Back Pain treatment in Guntur is Dr Raos

The best Back Pain treatment in Guntur is Dr Raos

Know your spine

Your spine consists of 33 bones (vertebrae) and 23 shock absorbers (discs), carrying 31  pairs of nerves. The discs have interior gel and exterior, firm cartilage. The spinal column primarily protects the spinal cord and nerves, carrying the weight on its long axis. The spinal column is divided into cervical, thoracic, or lumbar regions, or, in layman’s terms, neck, midback, or lower back areas. The neck and lower back are highly mobile, and the middle back is relatively less mobile and is attached to the rib cage and sternum.

In the same way, neck or lower back pain is more common than mid-back pain. Suppose you are looking for a back pain specialist, spine surgeon, or spine neurosurgeon. In that case, your choice is Dr Raos Hospital, the best spine surgery, spinal surgery, or spine specialist hospital in Guntur, India. Call us at 9010056444 or 9010057444. Dr. Rao is the best minimally invasive spine surgeon available in India, and he is the top neurosurgeon in India, according to MIDDAY Newspaper.

The most common reason for mid-back pain is a muscle sprain or strain.

“The most common reason I see people with upper or midback pain is a simple musculoskeletal strain,” says Dr. Mohana Rao Patibandla, CMD, Dr. Raos Hospital, Guntur. Generally, you hurt your back while doing yard work or tennis. Spinal cord injury is also a possibility, but it occurs with injury. Typically, spinal injuries occur in older adults with osteoporosis and young people due to falling from heights.

What are the Symptoms of your mid- or upper back pain?

If you get pain in your upper back following a weekend’s enjoyment, it is most likely a muscle sprain. You may experience:

  1. Pain
  2. Tenderness to touch
  3. Headache
  4. Tightness
  5. Stiffness

If the pain is secondary to the nerves, bones, or discs of the dorsal spine, you may get symptoms like:

  1. Pain down the legs
  2. Pain in the lower back
  3. Numbness or weakness in your legs
  4. Incontinence (bowel and bladder incontinence)

What causes your mid-back or upper back pain?

1. Soft tissue injury like muscle sprain is generally due to everyday behavioral activities, including but not limited to

  1. Poor posture
  2. Twisting
  3. Text neck
  4. Lifting improperly
  5. Whiplash or other neck injuries
  6. Repetitive movements
  7. Overuse
  8. Carrying too heavy a load
  9. Contact sports
  10. Wearing an overloaded backpack

2. When you look at the senior population, the list of common causes expands. “In elderly people, we have to consider osteoporosis and compression fractures, as well as the rare occasion of a neoplasm, such as multiple myeloma and lymphoma,” Dr. Rao says. No need to be a senior to experience a problem directly related to your thoracic spine, though.

  1. Osteoarthritis
  2. Inflammatory conditions such as ankylosing spondylitis
  3. Herniated disc
  4. Fracture of a vertebra
  5. Osteoporosis
  6. Cancers that affect the spine
  7. Spinal stenosis

Don’t let that long list of potential, severe conditions alarm you too much. “In younger patients – and when I say young, I mean people up to their mid-60s – it’s most commonly a strain,” Dr. Rao says.

What are the Risk Factors for your mid-back or lower back pain?

  1. Acute, unaccustomed work
  2. Sedentary lifestyle
  3. Psychological depression or anxiety
  4. Excess weight or obesity
  5. Belly fat
  6. Smoking

Smoking – This terrible habit reduces blood flow to the spine, which prevents your back from getting the nutrients it needs to stay healthy. Your discs might degenerate because of smoking. In some people, quitting smoking may help restore some of the loss. But even when the discs don’t regenerate, quitting smoking reduces inflammation that causes back pain.

What tests are needed for the diagnosis?

  1. Good clinical history – red flags like fever, weight loss, weakness of legs, decreasing sensation over the body or legs, severe pain, bowel or bladder involvement
  2. Clinical exam: tenderness, multiple tender bones, weakness, or decreased sensation
  3. MRI: If you have “red flags such as a weakness or bowel or bladder incontinence,” you may get more advanced testing like MRI,” Dr. Rao says.
  4. They can show herniated disks, nerves, muscles, ligaments, and other problems.
  5. Blood tests for infection or inflammatory diseases like rheumatoid arthritis or multiple myeloma.
  6. DEXA scan: Osteoporosis
  7. NCS
  8. EMG

What kind of management do I need?

Nonoperative or conservative management includes the initial management options like Icing, heating, over-the-counter medication, gentle stretching, restriction of activity for 2 to 3 days but not absolute bed rest, Posture exercises like chin tuck, Imagery, Shoulder blade squeeze, upper back stretch, and prescription medications like muscle relaxants if needed.

Most upper or mid-back pain will subside within three weeks, and nonserious problems will subside within six weeks. Resume your regular activities slowly, and perform and increase activities if you don’t have hurt.

Why do you need surgery as an option?

Surgery – The idea of spine surgery itself is scary, but occasionally it’s the right choice to get relief from symptoms. Surgery is very rarely indicated for isolated upper or mid-back pain.

Indications include

  1. If persistent pain for more than six weeks
  2. does not decrease with medications,
  3. there are alarming symptoms like weakness, sensory disturbances, or bowel and bladder incontinence.
  4. MRI showing disc or cancerous lesions

Surgery Options

  1. Kyphoplasty or
  2. Vertebroplasty
  3. Spinal laminectomy/spinal decompression
  4. Microdiscectomy
  5. Spinal Fixation and Fusion

How will my back pain repair be?

Pain relief depends on the cause of the pain in the mid-back or upper back.

  1. The bad news is some people will never be pain-free. Chronic pain conditions like fibromyalgia or spinal stenosis – it’s essential to manage expectations for relief, says Dr. Rao; “The truth is that chronic pain is an emotion, and there is no cure. You can only manage it,” says Rao. That means a combination of physical and mental therapy is required.
  2. The excellent news is that that musculoskeletal pain can be greatly improved simply by moving sore muscles more. However, with back pain, especially if you don’t know the cause yet, Dr. Rao warns against doing this on your own.
  3. The best news is most back pains get better on their own, even if you do nothing but exercise patience.

When to call your doctor for upper back pain or mid-back pain?

There’s no need to rush to the doctor for an exam for mild upper back soreness that you can link to an activity. When you have upper back pain and other symptoms like leg weakness, decreased sensation, or bowel and bladder control issues, it’s worth calling your doctor to determine the next steps. The thing is, upper back pain affects everyone differently. Partly, that’s because there are so many possible reasons for your upper back (also mid back) pain. The first step in solving your upper back pain problem is understanding why it’s happening. To do that, start with learning your anatomy.

 

If you are looking for a back pain specialist, spine surgeon, or spine neurosurgeon, your choice is Dr Raos Hospital, the best spine surgery or spine specialist hospital in Guntur and India. Call us at 9010056444 or 9010057444. Dr. Rao is the best minimally invasive surgeon available in India and one of the top neurosurgeons in India, according to the Midday Newspaper.

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The best treatment for Ankylosing Spondylitis in Guntur Dr Raos

The best treatment for Ankylosing Spondylitis in Guntur Dr Raos

Ankylosing spondylitis is a common form of arthritis that can cause severe pain in the spine. A combination of genetic and environmental factors may be to blame for the chronic condition ankylosing spondylitis. If you or a loved one is diagnosed with ankylosing spondylitis, discuss treatment options with your doctor, Dr Rao, the best neurosurgeon and spine surgeon in Andhra Pradesh, Guntur, and India. Dr Raos hospital is the best neurosurgery hospital in India, Guntur and Andhra Pradesh provide the best spine surgery, spinal surgery or spine specialist care for ankylosing spondylitis. Call us at 9010056444 or 9010057444 for an appointment.

Definition of ankylosing spondylitis:

Ankylosis means joints fuse and become unmovable, and spondylitis is inflammation involving the spine’s vertebrae and facet joints.

The spine becomes stiff and immobile when vertebrae or other bones/joints fuse. AS commonly involves sacroiliac joints but may affect other joints like the spine and cause kyphosis.

    1. Ankylosing spondylitis is a form of arthritis that can affect the spine.

    2. The pain associated with ankylosing spondylitis can be severe.

    3. Ankylosing spondylitis is thought to be caused by a combination of genetic and environmental factors.

B. Demographics of ankylosing spondylitis

    1. Ankylosing spondylitis is most common in men.

    2. Ankylosing spondylitis is also more common in people between the ages of 30 and 60.

C. Causes of ankylosing spondylitis

1. It is believed that a combination of genetic (HLA B27) and environmental factors is what causes ankylosing spondylitis.

    2. Environmental factors that may increase your risk of developing ankylosing spondylitis include your family history and your overall health.

D. Risk factors for ankylosing spondylitis

    1. Age is one of the main risk factors for ankylosing spondylitis.

    2. Other risk factors for ankylosing spondylitis include smoking, obesity, and a sedentary lifestyle.

E. Symptoms of ankylosing spondylitis

  1. The classic symptoms of ankylosing spondylitis include severe pain in your spine, stiffness, and limited movement.
  2. Other symptoms of ankylosing spondylitis can include fatigue, mood swings, and trouble sleeping.
  3. Inflammation in key areas. AS could be to blame if you experience discomfort in different parts of your body. The places most often affected by AS include:
  4. SI joints
  5. Lower back vertebrae
  6. Hip and shoulder joints
  7. The entheses, or areas where tendons and ligaments attach to bones, are mainly in your spine but sometimes at the back of your heels
  8. The cartilage around your ribs and breastbone

F. Diagnosis of ankylosing spondylitis

    1. Ankylosing spondylitis can often be diagnosed based on your medical history, symptoms, and blood work with HLA B27.

    2. Your doctor may order tests to confirm the diagnosis, such as an x-ray or an MRI.

G. Treatment of ankylosing spondylitis

    1. The goal of treatment for ankylosing spondylitis is to reduce your pain and improve your mobility.

    2. Treatment for ankylosing spondylitis may include physical therapy, medications, and surgery.

  1. DMARDs prescribed to treat AS include methotrexate and sulfasalazine (Azulfidine)
  2. Biologics such as adalimumab (Humira), certolizumab (Cimzia), secukinumab (Cosentyx), and ixekizumab (Taltz).
  3. Laminectomy
  4. Osteotomy
  5. Spinal instrumentation and fusion
  6. Joint replacement

H. Prognosis of ankylosing spondylitis

    1. The prognosis for ankylosing spondylitis varies based on age, symptoms, and treatment response.

    2. In some people with ankylosing spondylitis, the condition worsens over time.

I. Precautions for ankylosing spondylitis: FIRST AND FOREMOST QUIT SMOKING

    1. take precautions to prevent falls in people with ankylosing spondylitis.

    2. Avoid heavy lifting, which can aggravate ankylosing spondylitis.

    3. Be sure to wear supportive shoes around people with ankylosing spondylitis.

III. Conclusion

Ankylosing spondylitis is a common form of arthritis that can cause severe pain in the spine. A combination of genetic and environmental factors may be to blame for the chronic condition ankylosing spondylitis. If you or a loved one is diagnosed with ankylosing spondylitis, be sure to discuss treatment options with your doctor, Dr Rao, the best neurosurgeon and spine surgeon in Andhra Pradesh, Guntur, and India. Dr. Raos Hospital is the best neurosurgery hospital in India; Guntur and Andhra Pradesh provide the best spine surgery, spinal surgery, or spine specialist care for ankylosing spondylitis. Call us at 9010056444 or 9010057444 for an appointment.

the-best-sciatica-treatment-in-Guntur at Dr Rao's Hospital by Dr Rao

The best sciatica treatment in Guntur

The best sciatica treatment in Guntur

Sciatica

Sciatica is a pain caused in the back of the leg due to irritation and inflammation secondary to nerve compression. The two most common causes of sciatica are herniated discs or lumbar canal stenosis. 8 out of 10 people’s pain decreases without surgery. Sciatica is a common condition that can cause pain in the lower back and legs. This article will discuss the causes, symptoms, and treatment options for sciatica. Dr. Rao’s hospital is the place to go for spine surgery or spinal surgery treatment in Guntur, Andhra Pradesh, or India. Dr. Mohana Rao Patibandla is the best spine surgeon in Guntur and Andhra Pradesh.

What is sciatica?

The sciatic nerve is the thickest in the back, originating from the lower two lumbar or upper three sacral nerves. The irritation or inflammation leads to nerve pain and is called sciatica. The pain generally starts in the back or gluteals and then goes back to the bottom of the leg. Actual injury to the Sciatic nerve is rare, but the compression leads to pain. Sciatic compression may cause weakness of the leg and foot and tingling or unpleasant sensation in the leg and foot.

What does sciatica pain feel like?

Pain is burning or stabbing or electric or sharp shooting or jolts of pain. Pain may be intermittent or constant, more in the leg than the back, increasing with sitting or standing for a prolonged time, twisting the body, coughing, or sneezing.

Can sciatica occur down both legs?

Generally, bilateral nerve compression is rare but can occur sometimes and may present bilaterally.

Does it take time to develop?

Sciatica may be sudden or gradual.

How common is sciatica?

Back pain is one of the most common complaints to visit the hospital, and there is a 40% chance that every person will feel sciatica in their lifetime. Patients seeking expert care often consult the best spine surgeon in India for accurate diagnosis and effective treatment.

What are the risk factors for sciatica?

Accident or injury or trauma to the back
Aging
Overweight or obese
Weak core muscles, that is, the abdomen and back
Weight lifting
Prolonged sitting
Poor posture in Gym or workplace
Osteoarthritis
Diabetes
Sedentary lifestyle
Smoking

Is the weight of pregnancy the reason why so many pregnant women get sciatica?

Ligaments loosening due to hormones is the main reason for developing sciatica.

SYMPTOMS AND CAUSES

What causes sciatica?

A herniated or slipped disk – the most common cause
Spinal stenosis
Spondylolisthesis
Osteoarthritis of aging with bone spurs
Trauma
Tumors
Piriformis syndrome
Cauda equina syndrome

What are the symptoms of sciatica?

Pain radiating down the leg
tingling numbness, pins and needles sensation in the legs radiating downwards
pain worsens with movement
Bowel and bladder incontinence

DIAGNOSIS AND TESTS

Medical History
Straight leg raise test
FABER Test
Spinal X-rays – Flexion and extension
Magnetic resonance imaging (MRI) – will note detailed soft tissue problems, disc desiccation, disc prolapse, and ligamentum flavum hypertrophy.
Computed tomography (CT) scans fractures, infection, to know more about bony pathology.
Nerve conduction velocity studies (NCV) or electromyography (EMG)
Myelogram if MRI is contraindicated

MANAGEMENT AND TREATMENT

How is sciatica treated?

The goal of treatment is to increase mobility and decrease pain; 8 out of 10 cases don’t need surgery.

Conservative management or self-care treatments:
Appling ice and hot packs: 20 min of hot or cold packs, switching between the hot and cold several times a day.
Taking over-the-counter medicines: non-steroidal anti-inflammatory drugs (NSAIDs)
Performing gentle stretches: Core muscle strengthening

How long can a patient wait to go to a Neurosurgeon?

Every person with sciatic pain is different. Typically, six weeks of conservative management.
Muscle relaxants: cyclobenzaprine, tricyclic antidepressants, and anti-seizure medications.
Physical therapy: Stretching and aerobic exercises
Spinal injections: Corticosteroid and lidocaine mixture

When is surgery considered?

Indication of surgery is alarming symptoms like increasing pain severity even after six weeks, the development of weakness, or bowel or bladder incontinence. A neurosurgeon, such as Dr. Rao, the best neurosurgeon in Guntur, can perform surgery immediately if a patient develops bowel or bladder symptoms or cauda equina syndrome. 

The goal of the surgery is to decompress the nerve and stabilize the spine. For specialized spine care, patients can also consult the best spine surgeon in Guntur for expert evaluation and treatment of sciatica and other spinal disorders.

Surgical options to relieve sciatica include:
Microdiscectomy
Laminectomy
Transforaminal lumbar interbody fusion

How long does the surgery take, and what’s the typical recovery time?

Laminectomy and Discectomy (endoscopic or microscopic) – generally take one to two hours to perform. Recovery time is around six weeks.

What are the complications of spinal surgery?

Blood clots.
Bleeding.
Infection.
Spinal fluid leak
Nerve damage.
Bladder or bowel control incontinence.

What complications are associated with sciatica?

Developing chronic pain
Foot drop
Loss of feeling in the legs
bowel or bladder disturbance
call the Neurosurgeon immediately if anything develops

PREVENTION

Can sciatica be prevented?

Maintain good posture
Don’t smoke:
Maintain a healthy weight
Exercise regularly: strengthen your core
Activities that don’t hurt your back
Keep yourself safe from falls

OUTLOOK / PROGNOSIS

What can I expect if I have been diagnosed with sciatica?

The good news is that it goes on its own. Eight out of 10 people don’t need surgery, improve in the first six weeks, and rarely need surgery.

LIVING WITH

When should I contact my healthcare provider?

Severe leg pain increases even after six weeks, or excruciating pain lasting more than a few hours.
Muscle weakness or Numbness in the same leg.
Bowel or bladder incontinence
Cauda equina syndrome
Trauma
infection

Is the sciatic nerve the only source of “sciatica” pain?

No, upper or lower roots can also cause symptoms and are considered sciatica.

How can I tell if the pain in my hip is a hip issue or sciatica?

FABER test

Is radiculopathy the same as sciatica?

Radiculopathy and sciatica are interchangeable words.

Should I rest if I have sciatica?

2 to 3 days of activity restriction is advised, but not bed rest

Can sciatica cause my leg and ankle to swell?

Yes, it might cause swelling.

Sciatica is a pain in the back of the leg caused by irritation and inflammation secondary to nerve compression. The two most common causes of sciatica are herniated discs and lumbar canal stenosis. Six weeks of conservative treatment will reduce pain in most people. Eight out of 10 people’s pain decreases without surgery. Dr. Rao’s hospital is for spine surgery and spinal surgery treatment in Guntur, Andhra Pradesh, India. Dr. Mohana Rao Patibandla is the best spine surgeon in Guntur and Andhra Pradesh.

the-best-peripheral-neuropathy-treatment-in-guntur

The best peripheral neuropathy treatment in Guntur

The best peripheral neuropathy treatment in Guntur

I. Introduction

Peripheral Neuropathy symptoms

Peripheral neuropathy is a condition that affects the nerves in the body’s extremities, such as the hands and feet. It can cause various symptoms, including pain, numbness, and weakness. There are many possible causes of peripheral neuropathy, including diabetes, vitamin deficiencies, and certain infections. Treatment depends on the underlying cause. This article will discuss the causes, symptoms, and treatment of peripheral neuropathy. Are you looking for the best neurologist, neurosurgeon, spine surgeon, or Neuro physician? Look no further than Dr. Rao’s hospital! We specialize in treating peripheral neuropathy and can help you find relief from your symptoms. Contact us today to schedule an appointment.

 

A. Causes of peripheral neuropathy

  • Autoimmune diseases: Rheumatoid Arthritis
  • Diabetes is the most common cause. 50% of people with diabetes will develop some neuropathy.
  • Infections: HIV, HCV, HBV
  • Inherited disorders. 
  • Tumors or Paraneoplastic syndrome.
  • Bone marrow disorders. Gammopathies, myeloma, lymphoma, amyloidosis. Other diseases – hypothyroidism
  • Alcoholism – B1 deficiency
  • Exposure to poisons – Lead and mercury.
  • Medications – Chemotherapy
  • Injury or pressure on the nerve – Injuries
  • Vitamin deficiencies: B complex— including B-1, B-6, and B-12, E and Niacin
  • In many cases, there is no cause (idiopathic).
  •  

B. Symptoms of peripheral neuropathy

The peripheral nervous system has specific functions; each nerve does its designated function. Nerves are classified into: Sensory nerves that carry sensory information, the motor that controls movement and the autonomic that control involuntary functions.

 

Signs and symptoms of peripheral neuropathy might include:

  • Slow onset of numbness, tingling, prickling in your hands or feet, which can spread upward into your legs and arms
  • Sharp, throbbing, or burning pain
  • Excessive sensitivity to touch
  • Pain during activities that shouldn’t cause pain
  • falling or Lack of coordination
  • Muscle weakness
  • Feeling as of wearing something when you are not
  • Paralysis 

Symptoms of autonomic nerves include

 

  • Excessive sweating or not being able to sweat 
  • Heat intolerance
  • Bladder, Bowel, or digestion problems
  • Drop in blood pressure – dizziness or lightheadedness

Peripheral neuropathy can affect only one nerve (mononeuropathy),

Can affect two or more nerves in different areas (multiple mononeuropathies), 

May affect several nerves (polyneuropathy). 

Carpal tunnel syndrome is an example of mononeuropathy. 

Most people with peripheral neuropathy have polyneuropathy.

 

C. Diagnosis of peripheral neuropathy

  • Blood tests. Blood glucose, vitamins
  • Imaging tests. CT or MRI scans – herniated disks, tumors 
  • Nerve function tests. Electromyography (EMG), NCS
  • A sweat test
  • Nerve biopsy – Sural nerve biopsy
  • Skin biopsy.

 

D. Managing peripheral neuropathy

Treatment: Aim to control the symptoms and causing factors

Medications

  • Pain relievers. NSAIDs
  • Anti-seizure medications. Gabapentin and Pregabalin 
  • Topical treatments. Capsaicin cream, Gabapentin, Baclofen, local anesthetic creams
  • Lidocaine patches
  • Antidepressants. 
  • SNRIs duloxetine, venlafaxine and desvenlafaxine 

Therapies

  • Transcutaneous electrical nerve stimulation (TENS). 30 min per day over 30 days
  • Plasma exchange and intravenous immune globulin. 
  • Physical therapy for weakness
  • Surgery – carpal tunnel syndrome or disc problems

 

E. Prevention of peripheral neuropathy

    1. Avoiding factors that may cause peripheral neuropathy

    2. Managing factors that may cause peripheral neuropathy

    3. Wearing supportive shoes when walking and others like

 

F. Lifestyle and home remedies

  • Take care of your feet – especially for diabetics
  •  Exercise: Regular exercise, such as walking three times a week for 30 min, can reduce neuropathy pain or muscle weakness
  • Quit smoking, Avoid excessive alcohol
  • Eat healthy meals. Eat a diet rich in fruits, whole grains, vegetables, and lean protein to keep your nerves healthy. 
  • Monitor your blood glucose levels

 

III. Conclusion

Peripheral neuropathy is a condition that affects the nerves in the body’s extremities, such as the hands and feet. It can cause various symptoms, including pain, numbness, and weakness. There are many possible causes of peripheral neuropathy, including diabetes, vitamin deficiencies, and certain infections. Treatment depends on the underlying cause. This article will discuss the causes, symptoms, and treatment of peripheral neuropathy. Are you looking for the best neurologist, neurosurgeon, spine surgeon, or Neuro physician? Look no further than Dr. Rao’s hospital! We specialize in treating peripheral neuropathy and can help you find relief from your symptoms. Contact us today to schedule an appointment.

the-best-glioma-surgery-in-guntur-dr-raos

The best Glioma Surgery in Guntur Dr. Raos

The best Glioma Surgery in Guntur Dr. Raos

Glioma is a rare, deadly disease that causes abnormal growth of cells in the brain. Gliomas are the most common type of primary brain tumor. Gliomas arise from the supportive cells of the central nervous system, either from the brain or spinal cord. A glioma location and rate of growth decide the symptoms and emergencies. Glioma type determines the prognosis. Typically, Glioma treatment includes surgery, radiation, chemotherapy, targeted therapy, and clinical trials. Dr. Rao’s hospital is the best brain tumor surgery hospital and best glioma surgery hospital in Guntur with UpToDate technology. Dr. Rao is the best brain tumor neurosurgeon in Guntur.

A. Causes of glioma: exact cause not known

  1. Genetic mutations usually cause glioma
  2. Environmental toxins can also cause glioma. 
  3. Glioma can also be caused by radiation exposure.

B. Types of glioma

  1. Astrocytoma
  2. Ependymoma
  3. Oligodendroglioma

C. Symptoms of a glioma

  • Neurological symptoms – 
  1. Headache
  2. Nausea or vomiting
  3. Seizures
  4. Difficulty with balance
  5. Vision problems – blurred vision, double vision, or loss of peripheral vision
  6. Speech difficulties
  7. Urinary incontinence 
  • Behavioral signs – cognitive issues, 
  1. Confusion or a decline in brain function
  2. Memory loss
  3. Personality changes or irritability

D. Diagnosis of glioma

  1. Symptoms should be taken into account

  2. Imaging tests can be used – 

  1. MRI of brain and spine both plain and contrast, others like 
  2. Perfusion MRI, 
  3. Functional MRI, 
  4. Diffusion-weighted MRI,
  5. Diffusion Tensor Imaging MRI 
  6. MR spectroscopy; 
  7. CT imaging in those MRIs is contraindicated; 
  8. PET scan to know where the tumor metastasized.

E. Treatment of glioma:

The size, type, grade, and location of the tumor, as well as your age, overall health, and preferences will decide the kind of surgery or extent of resection and prognosis.

Dr. Rao may prescribe steroids or antiepileptic drugs to reduce swelling and relieve pressure on affected brain areas or control seizures.

Surgery: safe maximal resection is the goal; Surgery is helpful for Biopsy – tissue diagnosis, molecular genetic analysis, and specific treatment drug administration. Types of surgery are Biopsy, partial resection, and gross total resection. Dr. Rao does minimally invasive surgery with six pillars or a 360-degree approach using Image-guided surgery, neuronavigation, access with tubular retractors, and high-end optics like microscopes or endoscopes, resection tools like SONOSTAR along with neuromonitoring, which aids in safe maximal resection at eloquent areas. This high-end technology is available only in Dr. Rao’s hospital. We use an intraoperative CT scan to analyze the completeness of tumor resection. Removing some of the tumor may ease the symptoms and signs and aid in radiation and chemotherapy if the cancer is not completely removable without causing neurological deficits.

Radiation therapy: This is part of treatment, especially in high-grade glioma. Radiation uses either X-rays or protons to kill tumor cells. 

Chemotherapy: Temozolomide concurrent chemotherapy along with radiation therapy and then for 12 cycles.

Immunotherapy

F. Adjunctive treatments for glioma

  1. Stem cell therapy

  2. Gene therapy

  3. Targeted therapy: Bevacizumab VEGF antagonist

G. Prognosis of glioma

  1. Most people with glioma will die from the disease based on the grade, malignancy, and resection        of the tumor

  2. Some people with glioma may live for several years; the lower grade will survive around ten        years, Grade 3 will be approximately three years, and Grade 4 will be about 18 to 24 months

  3. Some people with glioma may live for decades – the reason remains unknown

H. Life with glioma

  1. Being diagnosed with glioma can be a shock

  2. Living with glioma can be challenging

  3. There are ways to cope with the disease

I. Life after glioma surgery

  1. Most people can return to their normal activities
  2. Some people may experience a few complications
  3. Some people may need additional surgery

J. Rehabilitation after treatment

Rehabilitation is necessary as gliomas arise from the areas that control motor skills, vision, and speech.

·        Physical therapy 

·        Occupational therapy

·        Speech therapy 

·        Tutoring for school-age children

III. Conclusion

Glioma is a rare, deadly disease that causes abnormal growth of cells in the brain. Gliomas are the most common type of primary brain tumor. Gliomas arise from the supportive cells of the central nervous system, either from the brain or spinal cord. A glioma location and rate of growth decide the symptoms and emergencies. Glioma type determines the prognosis. Typically, Glioma treatment includes surgery, radiation, chemotherapy, targeted therapy, and clinical trials.

the-best-neurosurgeon-in-andhra-pradesh

The Best Neurosurgeon in Andhra Pradesh

The Best Neurosurgeon in Andhra Pradesh

Neurosurgeon is a specialized surgeons who perform surgeries on the human brain, spinal cord, and peripheral nerves. They also treat patients with neurological disorders and injuries. 

Their practices include: 

– performing surgery on the brain, spine, and other areas of the body where nerves pass through 

– researching new treatments for neurological disorders and improving existing treatments  

How to Choose the Right Neurosurgeon For Your Need?

When looking for the best neurologist in Andhra Pradesh, there are several factors to consider. It is essential to be aware of your prospective surgeon’s qualifications, training, and international experience.

First, a neurosurgeon is whether or not they are board certified. Board certification means that they have been through a rigorous process of training and testing that proves their knowledge and skills in the field of neurosurgery. It also means they have passed an exam as an expert in the area.

Next, look into how long they’ve been practicing as a neurosurgeon. The more experienced they are at treating patients with similar conditions as yours, the better chance you’ll have of getting good results.

Finally, consider whether or not this surgeon has foreign experience —this can give you an idea of their exposure and high technical expertise.

Why Consult The Best Neurologist in Andhra Pradesh?

The brain is one of the complex organs in the body and is responsible for controlling our actions and reactions. It sends signals to our muscles so that they can move. So that if there is something wrong with your brain, it can affect the way you feel, the way you think, and even the way you move.

There are many reasons to consult the best neurologist in Andhra Pradesh, but here are the top three:

1. Neurology is a complex field with many potential causes of pain and problems. A good neurologist can tell you if your symptoms are caused by something simple like compression of the nerve or something more serious like an infection or tumor.

2. A good neurologist can diagnose your condition and prescribe appropriate treatment, whether physical therapy or surgery. 

3. The best neurologists have years of experience examining patients with similar conditions and giving advice on how to treat them effectively or even cure them completely!

Factors to Consider When Hiring the Best Neurosurgeons In Andhra Pradesh?

Before choosing a neurosurgeon, you should consider their affiliations, years of experience, and international exposure.

Doctor affiliations can tell you how much work your surgeon does with other doctors in their field. The more associations they have, the more likely they will be working with other experts and can provide you with the best care possible.

Years of experience are also critical because it shows how long a doctor has been working in their field, which means they have more knowledge and experience than someone who hasn’t been practicing as long.

International exposure is essential because it shows how many surgeries have been performed outside of India or another country where there might be fewer regulations on what equipment can be used during surgery.

The Best Neurologist and Best Neurosurgeon In Guntur?

Dr. Mohana Rao Patibandla, an experienced neurologist in Guntur, is one of the best minimally invasive neurosurgeons in the area. With a focus on diagnosing and treating spinal cord and brain injuries, Dr. Patibandla has years of experience in neurosurgery. He began his career as a general neurosurgeon and became subspecialized in every subspecialty of neurosurgery and neurology. He is an expert in Neurooncology, pediatric neurosurgery, endovascular neurosurgery, spine surgery, functional neurosurgery, and minimally invasive procedures such as endoscopic surgery and radiosurgery; He did all these fellowships in the United States of America (USA).

Dr. Patibandla has been praised by many of his peers for his ability to conduct highly effective surgeries while keeping patients comfortable throughout the process. His commitment to providing the highest quality to his patients has made him one of the most sought-after specialists in Guntur and surrounding areas.

World-Class Neurology Hospital in Andhra Pradesh

Dr. Rao’s Hospital is the best neurology hospital in Guntur, Andhra Pradesh. It is a renowned private hospital that offers a wide range of neurology services at affordable and feasible rates. The hospital has an extraordinary team of nurses and doctors dedicated to providing patients with world-class medical care.

The hospital has a team of qualified neurologists specializing in various fields such as Parkinson’s disease, multiple sclerosis, epilepsy, brain tumor, stroke, and many others. Dr. Rao’s Hospital offers advanced intraoperative facilities, which you don’t find in other parts of India.

The hospital also provides emergency services for neurological problems such as seizures, stroke, and injury to the brain or spine, which occur suddenly. Dr. Rao’s hospital is the only tertiary care center for neurological diseases available in Guntur technologically.

Final Thoughts

To sum up, the best neurosurgeon in Andhra Pradesh is Dr. Mohana Rao Patibandla. Not only does he have an excellent reputation and an impressive track record of accomplishing the impossible, but he also offers some of the most feasible & affordable rates for his services.

We hope that you have found this blog helpful in finding the best neurosurgeon in Andhra Pradesh. Please call Dr. Mohana Rao Patibandla’s office if you have any neuro issues; please feel free to reach out at @9010056444 or 9010057444 or info@drraoshospitals.com

First Biplane cath lab in Andhra Pradesh, India at Dr Rao's Hospital for the advanced interventional neurology procedures

The Best Neurosurgery Hospital in Guntur With The Latest State of the Art Technology

Best Neurosurgery Hospital in Guntur With State of the Art Technology

A hybrid operating theater is a type of operating room that combines features of both a traditional operating room and a catheterization lab. This type of room is typically used for procedures that require both surgical and interventional radiology (IR) techniques. 

Some of the benefits of using a hybrid operating theater include: 

1. Increased efficiency – procedures that would normally require two separate rooms can be completed in one hybrid room, which can save time and money. 

2. Better patient outcomes – having all of the necessary equipment and personnel in one room can help to ensure that procedures are performed safely and effectively. 

3. Enhanced safety – having a dedicated hybrid operating room can help to reduce the risk of infection and other complications. 

4. Improved patient comfort – patients may feel more comfortable knowing that they will not have to be moved between two different rooms during their procedure. 

The Biplane Cath Lab Hybrid operation theater at our hospital is equipped with the latest 4K endoscopy and neuronavigation technology. This state-of-the-art equipment allows us to provide our patients with the best possible care. 

The Biplane Cath Lab Hybrid operation theater at our hospital is equipped with the latest 4K endoscopy and neuronavigation technology. This state-of-the-art equipment allows us to provide our patients with the best possible care. 4K endoscopy provides superior image quality, which helps our doctors to more accurately diagnose and treat conditions. 

This advanced equipment helps us to safely and effectively perform procedures such as brain surgery. Neuronavigation technology allows us to precisely target areas in the brain, while neuromonitoring helps us to monitor the patient’s neurological status during surgery. This information is essential in order to ensure that the procedure is being performed safely and effectively. 

Conclusion: The Biplane Cath Lab Hybrid operation theater at Dr. Rao’s hospital is equipped with the latest 4K endoscopy and neuronavigation technology. This state-of-the-art equipment allows us to provide our patients with the best possible care. Neuronavigation and neuromonitoring technology help us to safely and effectively perform procedures such as brain surgery.

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The best Spine Surgery Relief from Spinal Radiculopathy?

The best Spine Surgery Relief from Spinal Radiculopathy?

Spinal radiculopathy is a condition that affects the nerves in the spinal column. Spinal radiculopathy is a long-term condition that can cause pain, numbness, and weakness in the arms and legs. Irritation of neck spinal roots is called cervical radiculopathy, and those in the low back are called lumbar radiculopathy. The most commonly affected areas in the low back are L4-5 and L5-S1, and in the neck are C5-6 and C6-7. Dr. Rao’s hospital is the one of the best center for the spinal radiculopathy treatment.

A. Causes of spinal radiculopathy: Sitting and a sedentary lifestyle are risk factors. Other factors include Male gender, chronic cough, Pregnancy, Routine heavy lifting, and Smoking.
  1. Trauma to the spine
  2. Disease of the spine – Bone spurs, degenerative disc, tumors
  3. Injuries to the nerves in the spine

B. Symptoms of spinal radiculopathy: Symptoms depend on the location of the compression. 
  1. Pain in the arm or leg or headache, sharp and shooting.
  2. Numbness in the arm or leg
  3. Weakness in the arm or leg – dropping of objects, slippage of slippers

C. Diagnosis of spinal radiculopathy
  1. History and Physical exam: specific dermatome and myotome involvement.
  2. X-rays – bony spurs, loss of curvature.
  3. MRI – disc degeneration, annular tear, nerve root compression, and neural foramen narrowing.

D. Treatment of spinal radiculopathy: 8 out of 10 people with pain will improve without surgery.
1.Pain medication: Anti-inflammatory medications
2.Immobilization – cervical collar
3.Physical therapy – Neck strengthening exercises following the acute phase
4.Surgery: 

  • Discectomy for the herniated disc if the pain lasts longer than six weeks of conservative management.
  • Discectomy with fusion – The fusion helps stabilization of the spinal column. 
  • Disc replacement is a relatively new and less commonly used surgery. The advantage over fusion is the preservation of motion.
  • Posterior cervical laminoforaminotomy is indicated if the disc is outside the vertebral body.

E. Precautions following surgery: 
1.Avoid activities that require excessive pressure or bending.
2.Avoid twisting
3.Avoid lifting heavy things
4.Avoid pushing or pulling things in any way
5.Avoid standing or sitting for more time
6.Avoid lifting anything above your head if you have spinal fusion
7.Avoid prolonged walking for the first two weeks
8.Avoid straining your body; you can go up or down the stairs once or twice a day.

F. Follow-up for spinal radiculopathy
  1. Return to activity – Generally in 3 to 6 weeks.
  2. Resuming activity – Generally in 3 to 6 weeks
  3. Long-term care – MRI to check the progress, CT scan to check the fusion

Conclusion
Spinal radiculopathy is a condition that affects the nerves in the spinal column. Spinal radiculopathy is a long-term condition that can cause pain, numbness, and weakness in the arms and legs. Visit the spine surgery center in Guntur if you experience these symptoms. If you’re searching for high-quality spine surgery in Guntur, Dr. Rao’s hospital is the perfect place for you! Our experienced best neurosurgeon in India, Dr. Mohana Rao Patibandla, can help relieve your pain and get you back to your life.

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Is Swimming Beneficial To Back Pain?

Is Swimming Beneficial To Back Pain?

When you are dealing with back pain, it can be challenging to find workouts that do not make the condition worse. In many circumstances, low-impact activities are ideal, as they exert minimal pressure and strain on an already-sore portion of your body. 

Swimming is among the finest workouts you can undertake if you are looking for a low-impact exercise. 

Dr. Mohana Rao, the founder of Dr. Rao’s Hospital – a world-class neurology hospital in Andhra Pradesh, adds that the buoyancy of floating on water basically means there is less possibility of stressing your muscles. Water also provides terrific resistance that can strengthen your muscles without creating more pain. 

Read on to learn more about how swimming can benefit your back problem.

Does Swimming Help In Easing Back Pain?

Yes, swimming can help alleviate back pain.

The first thing you might think to do if you have neck or back pain is to lay low and get a lot of rest. However, if you do this, it can make the problem even worse and take you longer to get better. Resting too much can weaken your muscles and make it even more difficult for your body while it tries to stabilize your spine.

The best activity when dealing with your back pain is swimming. Following are some of the reasons:

Alleviates pressure and strain on your joints

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Most exercises tend to put a lot of stress on your joints and usually concentrate on specific areas of your body. 

Swimming is a great way to get a full-body workout while not putting too much stress on your joints. The buoyancy in water eases the pressure on your joints and spine; this automatically relaxes the sore parts of your body.

Strengthens less-used muscles

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When you swim, you engage a different set of muscles than required in your daily activities. Also due to the buoyancy, you are able to flex or move your body parts in a way that is difficult when on land. Thus the less exercised muscles in your body get strengthened, making your body stronger overall.

In fact, when you engage in swimming, almost all of your muscles are utilized, so it provides you with a complete body workout. And by making your less-used muscles stronger, swimming helps you balance and support yourself better when on land.

Improved physical stamina

If you can gradually up the period of time that you swim, you will most likely be able to use that same endurance in other parts of your life. The simple act of going for a swim can help you build up your stamina and strength over time, which in turn can help you when you play other sports or engage in other activities.

Improved physical stamina will improve your mobility and reduce the frequency of back pain.

It helps in losing weight

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Backache can be worse if you are overweight, as excess weight puts additional strain on your already burdened and sore back. An excellent way to stay fit if you are overweight is swimming, which lets you move freely without feeling pain from standing, taking a walk, or running. In addition, if you want to lose weight, swimming burns more calories than most land-based exercises. 

Dr. Mohana Rao, among the best neurosurgeons in Guntur, says because you have to use your whole body to swim properly, it burns more calories as compared to working out specific parts of your body.

Improves flexibility

Swimming is an excellent way to move, and it may cause your flexibility to also get better over time. Swimming requires movements that help you work and stretch your muscles in a more effective way than most forms of exercise.

When your body gets flexible, the strain on your back is significantly reduced.

An excellent cardio-based exercise

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Swimming is a great way to get a lot of cardio-based exercise in a short amount of time. Try to remember when you last went swimming. After you did that, you most likely felt hungry. The exact reason for this is not known, but there are a few theories, one of which is that swimmers usually swim in colder water, which burns more calories.

The acclaimed neurosurgeon in Guntur, Dr. Mohana Rao, adds that your heart pumps faster and your body works harder to keep you warm when swimming in cold water. This results in more calories being burnt than if you were to swim in warmer conditions.

It can boost your mental health

Studies have shown that when you are in the water, the blood flow to your brain gets a significant boost. This positively impacts your brain due to the increase in oxygen, nutrients, and glucose supplied to it. Regular swimming, even for just 20 minutes at a time, is thought to help people with anxiety and depression and improve their sleep habits. 

When you swim, your nervous system feels relaxed and releases endorphins, your “feel-good” chemicals. They make you feel happier and better about yourself. This, in turn, lightens up your overall mood and aids in relieving the tense muscles. 

Conclusion

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Back pain can be very discomforting and frustrating, making it difficult to follow a healthy workout regime. But do not worry! Swimming is an excellent workout if you suffer from back pain. It will help build your stamina and strength, as well as increase blood flow to all parts of your body. 

Dr. Mohana Rao says that you should swim as part of your exercise plan if a pool is accessible. Swimming is not only relaxing and refreshing, but the aerobic aspects of swimming can improve the movement, flexibility, and strength of your joints. It is fun, healthy, and can help open up your body’s muscles, joints, and back.

If your back pain is bothering you and interfering with your activities, do not wait for it to get worse. Reach out to Dr. Mohana Rao at Dr. Rao’s Hospital, among the top neurology hospitals in Andhra Pradesh.

Dr. Mohana Rao is one of the preferred neurosurgeons in Guntur and has over 20 years of expertise in the medical field. He can assess your condition and ensure that you get the best treatment possible.

Best Neurosurgeon in India

Glioblastoma –Symptoms, Causes, Diagnosis, And The best Treatment

Glioblastoma –Symptoms, Causes, Diagnosis, And The best Treatment

It is pretty normal for people to have mood changes and irritability once in a while. We all have one of those days when we just want to be left alone. However, if you notice changes in behavior accompanied by severe headaches, failing memory, and blurred eyesight, amongst other things, it is time to sit up and take notice.

Dr. Mohana Rao, Founder of Dr. Rao’s Hospital – a world-class neurology hospital in Guntur, says that these may be symptoms of a serious condition or brain ailment called Glioblastoma.

If you or a loved one has been suddenly experiencing sensations and having episodes that are out of the ordinary, please do not take it lightly. Get in touch with Dr. Mohana Rao, a renowned and respected neurosurgeon in Andhra Pradesh, to avail of his expertise in comprehensive nerve, brain, and spine care. 

What Is Glioblastoma?

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Glioblastoma or glioblastoma multiforme (GBM) is a condition that strikes unexpectedly, usually with a sudden seizure or some days of headaches that get worse each day. It is cancer that can develop in your brain or spinal cord and is very destructive. Glioblastoma originates from astrocytes, which are cells that support your nerve cells.

This cancer can strike anyone at any age, but it affects older people more frequently. It can induce headaches, seizures, nausea, and vomiting that worsen with time.

What Are The Symptoms Of Glioblastoma?

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Symptoms of GBM usually appear suddenly. As the tumor grows, it exerts pressure on your brain, resulting in:

  • Hazy or blurry vision
  • Headaches, which become more and more frequent and severe
  • Appetite loss
  • Memory problems
  • Mood swings or changes in personality
  • Weakness in the muscle, and trouble walking
  • Nausea and vomiting
  • Seizures
  • Speech difficulties
  • Numbness or tingling

If you have noticed any of the above symptoms, please consult with Dr. Mohana Rao, among the best neurosurgeons in Andhra Pradesh, to find out what may be causing it.

What Can Cause Glioblastoma?

Despite various studies and research, experts do not know why some people develop malignant brain tumors, including glioblastoma.

However, some risk factors have been observed and understood.

Who Is At Risk Of Glioblastoma?

GBM most typically affects persons between the ages of 45 – 70. Although men are at a little higher risk than women, the disease affects people of all genders and ages.

These variables may put you at a higher risk:

  • Exposure to chemicals like petroleum, synthetic rubber, pesticides, and vinyl chloride
  • Genetic tumor-causing disorders like neurofibromatosis (tumors that form in your nervous system), Turcot syndrome, and Li-Fraumeni syndrome (both of which are rare genetic disorders increasing the risk of cancer in your brain and spine)
  • Radiation therapy to the head had previously been used

How Is Glioblastoma Diagnosed?

There are several ways to diagnose a brain tumor, including-

Neurological exam:

Your doctor will discuss what changes you have observed, and experienced. He might examine your eyesight, hearing, coordination, reflexes, balance, and strength, among other things. Problems in any of these areas could indicate which section of your brain is being impacted by the tumor.

Imaging tests:

Imaging tests can enable your doctor to figure out where your brain tumor is and how big it is. Brain tumors are frequently diagnosed with MRI, which may be combined with specialized MRI imaging, like functional MRI and MRS (magnetic resonance spectroscopy).

The specialist may also conduct other imaging tests like CT scan (computed tomography) and PET (positron emission tomography).

Biopsy:

Depending on your situation and the position of your tumor, a needle biopsy can be performed before or during the surgery to remove some glioblastoma tissue. A laboratory examines the sample of suspicious tissue to assess the sort of cells present and the level of their aggressiveness.

The specialist can conduct specialized tests of the extracted tumor cells to determine and understand their mutation types. The types of mutation the cells have developed can provide information about the severity of your condition and the best treatment option.

If you suspect that the recent changes you have been undergoing are related to a brain condition, please visit Dr. Rao’s Hospital. It is among the leading neurology hospitals in Guntur with cutting-edge technology and sophisticated equipment. 

What are the treatment options available?

Glioblastoma is a cancer that is very hard to treat and often incurable. Treatments may help to decrease the growth of cancer and alleviate symptoms.

The primary treatment is surgery during which your neurosurgeon will operate and work on removing as much of the cancerous tissues as possible. Glioblastoma cannot be completely removed because it develops into normal brain tissue. As a result, the majority of patients undergo further treatments following surgery to address the leftover cells.

However, some people cannot undergo surgery due to health issues or the location of the tumor. In such cases, radiation therapy and chemotherapy will be the primary treatment.

The treatments for GBM include:

Radiation Therapy:

Radiation therapy employs high-energy beams such as protons or X-rays to damage the cancer cells and stop their growth. 

IMRT (Intensity-modulated radiation therapy):

IMRT enables the targeting of radiation to the tumor while limiting the exposure to healthy brain tissue in the surrounding area.

Stereotactic radiosurgery:

Stereotactic radiosurgery ( or gamma knife radiosurgery) is an advanced form of radiation therapy. This therapy uses highly focused X-ray beams to precisely target the tumor, resulting in minimal harm to healthy tissues. Providers may apply this approach when GBM increases after going through initial IMRT.

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Targeted Drug Therapy:

Targeted medications target the specific defects in cancer cells that allow them to develop and flourish. The medicines focus on those abnormalities and cause them to die.

Chemotherapy:

Chemotherapy is a treatment that uses medications to kill cancerous cells. Fine, circular wafers filled with chemotherapy medicine could be inserted into your brain during the surgery in some cases. The slowly dissolving wafers release the medication to kill the cancer cells.

TTF (Tumor treatment fields):

TTF entails putting adhesive pads on your scalp. The pads are wired to a handheld device that produces an electrical field that disrupts the ability of tumor cells from multiplying.TTF is used in conjunction with chemotherapy and can be administered following radiation therapy.

 

What Is The Outlook Or Prognosis For Glioblastoma Patients?

GBM is a malignancy that is aggressive and difficult to treat. Suitable treatments help to reduce symptoms, make you more comfortable, and help you live longer. The condition does not have a cure yet but many clinical trials are being conducted to develop newer glioblastoma therapies. 

The average life expectancy is 15 months, with about 25% of patients surviving after 2 years and 7% for 5 years.

Conclusion

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It can be tough to discover that you have GBM. The disease spreads swiftly, making therapy difficult. GBM researchers are still looking for novel ways to treat it. For the time being, treatments can help you manage your symptoms and enhance the quality of your life. 

It is critical to understand that there was nothing you might have done or avoided that would have led to the development of a brain tumor in you or someone you love.

Do watch out for any sudden behavioral changes or discomforts that you feel, or are expressed by a loved one. The faster you address the symptoms, the faster the treatment can begin to alleviate discomfort. 

Please schedule an appointment and seek medical attention from Dr. Mohana Rao, a top-notch neurosurgeon in Guntur, Hyderabad. Known for his integrity, professionalism, and expertise, he is passionate about improving the quality of people’s lives.