Tag Archives: Minimally Invasive Spine Surgery

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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.

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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.

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 can do 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.

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.

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Low Back Pain – Get The Best Spine Surgery In Guntur

Low Back Pain – Get The Best Spine Surgery In Guntur

Back pain is one of the most common health complaints, affecting up to 80% of people at some point in their lives. The low back is the area between the bottom of the ribcage and the top of the legs. Pain caused by several factors, including muscle strain, arthritis, disc problems, and spinal stenosis. Treatment for low back pain often includes pain medication, physical therapy, exercise, and Surgery. Dr. Rao’s hospital is the best spine surgery hospital in Guntur; it will efficiently deal with all your spine problems, including low back pain, either with conservative treatment or minimally invasive spine surgery.

Low back pain is not unique. Low back pain is called chronic low back pain if it persists for over three months. Low back pain is temporary in 90% of the cases and improves without Surgery. In 50% of low back pain patients, it is primarily recurrent during the first year. The lumbar spine (lower back) comprises five vertebral bones and five discs with five pairs of nerves. Discs work as shock absorbers.  In a recent mayoclinic.

Causes of Low Back Pain

  • Trauma – Sprains & Strains, Fracture
  • Herniated Disc
  • Tumors
  • Infections
  • Degenerative disease – spondylosis
  • Lumbar Spinal Stenosis
  • Osteoarthritis
  • Scoliosis

Symptoms of Low Back Pain

It may constitute lower back pain only called lumbago or radiating down the buttocks, hips, and legs, which is called sciatica. The pain can vary from dull, sharp, burning, aching, or a combination. It can be intermittent, constant, or activity-related.

When to Seek Neurosurgeons advice

Even though low back pain is frequently common, some characteristics warrant the evaluation. Neurosurgeon advice is necessary when the pain is persistent or worsening for more than six weeks or; the presence of neurologic symptoms like weakness, numbness, or bowel or bladder incontinence (loss of voluntary control over the voiding or defecation).

Diagnosis of Low Back Pain

The neurosurgeon diagnoses low back pain based on patient history, symptoms, signs, and diagnostic radiological tests. Most patients are treated nonsurgically; Lowback pain needs imaging if the conservative management fails.

  • X-rays
  • Discography 
  • Selective Nerve Root Block
  • Electromyography (EMG)
  • Nerve Conduction Studies (NCS)
  • CT or CAT scan
  • Magnetic Resonance Imaging (MRI)
  • Myelogram

Conservative Treatment 

Physicians recommend six weeks of nonsurgical therapy before considering Surgery.

Physiotherapy, 

Exercises, 

Weight loss, 

Local anesthetic and Steroid injections in epidural space or into facets

NSAIDS, 

Three days of limited activity, but not bed rest. 

All the options mentioned above are aimed at relieving inflammation and irritation of nerve roots. 

Red flags for immediate treatment for low back pain are trauma due to accident, a fall, or sports injury or the presence of neurologic symptoms, including numbness, tingling, weakness, or bowel and bladder incontinence. 

When Low back pain needs Surgery?

When red flag signs present as mentioned above or worsening low back pain with conservative treatment, it is an indication for Surgery.

  • Difficulty standing or walking
  • No comorbidities
  • Back and leg pain impairs quality of life
  • Medication and physical therapy are ineffective
  • Increasing neurologic deficits develop, including leg weakness, numbness, or tingling
  • Loss of normal bowel and bladder functions

low back Pain Surgery

Neurosurgeons at Guntur, Dr. Rao’s hospital have several options to relieve nerve root pressure. Based on the fact how many nerve roots are involved, 

How much degeneration is present and 

The presence or absence of instability in the spine, the neurosurgeon would offer:

  1. A minimally invasive spine surgery.
  2. Open decompression.
  3. Decompression and fusion with bone grafts and stabilization with instrumentation, including screws, rods, and different types of cages, based on the extent of the disease.

Following low back pain surgery , patients may regain the ability to bend over. Patients often require post-operative physiotherapy. Any surgical intervention should weigh the benefits and risks involved and explain to the patient to get proper consent in an understandable native language.

Follow-up

Suppose back pain resolves with nonsurgical, conservative treatment. In that case, follow-up will likely be on an as-needed basis or if symptoms return. If a patient undergoes Surgery, follow-up is initially for suture removal at 7 to 14 days, then six weeks, then three months, and doubling the interval later. The neurosurgeon should follow the instrumentation with a radiological workup. 

Dr. Rao’s hospital has the best neurosurgeon in Guntur, the best spine specialist, and is the best spine surgery hospital. They offer minimally invasive spine surgery that is safe and effective. Call us at 9010056444 or 9010057444 for any back pain related complaints or to get an appointment.

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Lumbar Canal Stenosis – Get Best MIS Spine Surgery In Guntur

Lumbar Canal Stenosis – Get Best MIS Spine Surgery In Guntur

Most people experience relief from their symptoms with nonsurgical treatments. However, surgery may be an option if your symptoms are severe and impact your quality of life. Surgery involves widening the spinal canal to relieve pressure on the spinal cord or nerves. In Guntur, the best spine surgery specialists available at Dr. Rao’s hospital will help you understand and deal with your spinal stenosis problem effectively in terms of medical and surgical management in a patient-centric environment.

Lumbar canal stenosis is a condition that narrows the spinal canal in your lower back. It can cause pain, numbness, and weakness in your legs. LCS has been seen in people over age 60. There are several treatment options available.

Causes:

The narrowing of the spinal canal causes lumbar canal stenosis. This can be due to several things, including:

-A herniated disc

-Bone spurs

-Thickening of the ligaments

-Tumors

Symptoms: Symptoms of lumbar canal stenosis include:

-Pain in the legs

-Numbness in the legs

-Weakness in the legs

-Difficulty walking

Treatment: There are many treatments available for lumbar canal stenosis. These include:

-Physical therapy

-Exercise

-Weight loss

-Surgery

Physiotherapy:

Physiotherapy is the first line of treatment option for lumbar canal stenosis. Physical therapy can help strengthen the spine’s muscles and improve the range of motion.

Exercise:

Exercise is another treatment option for lumbar canal stenosis. Exercise can help strengthen the spine’s muscles and improve the range of motion.

Weight loss:

Weight loss can also help to treat lumbar canal stenosis. Weight loss can help to reduce the amount of pressure on the spine.

Surgery:

Surgery is a treatment option for lumbar canal stenosis. Surgery can help to decompress the spine and relieve pressure on the nerves.

  • Laminotomy: Removal of the part of the lamina
  • Foraminotomy: Removal of small bone and making the neural foramina wider
  • Medial Facetectomy: Removal of the lamina and the medial facet joints.
  • Anterior Lumbar Interbody Fusion
  • Anterior lumbar interbody fusion, or ALIF, is a surgical procedure that relieves pain in the lower back and legs. The surgery involves fusing vertebrae in the spine using metal rods and screws. ALIF can help to stabilize the spine and reduce pain by preventing movement between the vertebrae. ALIF is typically performed as an outpatient procedure, meaning patients can go home the same day as their surgery. Recovery time varies depending on the individual, around four to six weeks.
  • Posterior Lumbar Interbody Fusion (PLIF): spine surgery that is performed through the back. This type of surgery aims to meld together the vertebrae to stabilize the spine. :
  • Transforaminal Lumbar Interbody Fusion (TLIF): A surgical procedure is performed to remove the degenerative disk from the back, and a structural device is placed to take the supportive role. This process can eventually lead to fusion between the bones above and below.
  • Posterolateral Fusion:
  • Instrumented Fusion:

 

Conclusion:

Lumbar canal stenosis is a condition that can cause pain, numbness, and weakness in the legs. Treatment options include physiotherapy, exercise, weight loss, and surgery. Are you looking for the best spine surgeon in Guntur? Look no further than Dr. Rao’s hospital. Our specialists are experts in minimally invasive spine surgery and can help you get relief from your symptoms quickly and effectively. Contact us today to learn more.

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Cauda Equina Syndrome (CES) – Dr Rao at Dr Rao’s Hospital

Cauda Equina Syndrome (CES) – The best treatment at Dr Rao’s Hospital

Get the best neurosurgeon in Guntur. Dr. Mohana Rao Patibandla is doing minimally invasive spine surgery with a fixation for a patient with cauda equine syndrome secondary to spine trauma.

Compression of the spinal cord results in Cauda Equina Syndrome, a severe neurological condition. Early diagnosis and treatment are essential to improving the chances of a good outcome. The cauda equina is a bundle of nerves at the base of the spinal cord that controls movement and sensation in the legs and lower body. When these nerves are compressed, it can cause pain, numbness, and weakness in the legs. Cauda Equina Syndrome is a medical emergency and requires immediate treatment. Guntur’s best spine surgery hospital offers round-the-clock emergency surgical services and care. In a recent India today article.

Causes:

Various factors, including a herniated disc, spinal tumors, or trauma to the spine, can cause this compression.

One of the most common causes of CES is a herniated disc. A herniated disc occurs when the outer layer of the disc ruptures, allowing the inner layer to bulge out and compress the nerves. This can happen due to various factors, including age-related wear and tear, injury, or lifting heavy objects.

Another common cause of CES is spinal tumors. Spinal tumors are growths that develop on or near the spine. They can be benign (non-cancerous) or malignant (cancerous). While benign tumors are not usually life-threatening, they can still compress the nerves and cause CES.

Symptoms

Symptoms of a herniated disc include pain, numbness, and weakness in the legs and lower body. These symptoms can vary depending on the location of the herniated disc. In some cases, a herniated disc can also cause urinary incontinence. Malignant tumors are more likely to cause CES because they grow quickly and can spread to other body parts. Spinal tumor symptoms include back pain, numbness, and weakness in the legs and lower body. In some cases, a spinal tumor can also cause paralysis.

Diagnosis and Treatment

Once the diagnosis of CES is made and the etiology is established through clinical history, physical examination, diagnostic tests like an MRI of the spine, CT myelogram, and emergent surgery are the treatments of choice. The goal of CES treatment is to free up the compressed nerve roots. if not treated in time, it will result in paralysis and incontinence. The duration of surgery symptoms is less than 48 hours, leading to a better prognosis and looking for the best neurosurgery or spine surgery hospital in Guntur. Look no further than Dr. Rao’s hospital! We’re the best in the business, and our neurosurgeon is the best in India!

Conclusion:

Cauda Equina Syndrome is a severe condition that can cause permanent nerve damage. The syndrome occurs when the cauda equina, a bundle of nerves at the base of the spine, is compressed. A herniated disc, spinal tumors, or spine trauma are just a few causes of this compression.

CES is a medical emergency and requires prompt treatment to prevent permanent nerve damage. Suppose you experience any of the symptoms of CES. In that case, it is essential to seek medical attention immediately and call Dr. Rao’s hospital at 9010056444 or 9010057444 for the best spine surgeon in India, Dr. Mohana Rao Patibandla.

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Best Minimally Invasive Spine Surgery In Guntur

Best Minimally Invasive Spine Surgery In Guntur

INTRODUCTION

 Minimally Invasive Spine Surgery – When experiencing a spinal disc prolapse, it is essential to consult a neurosurgeon to ensure a safe and effective recovery. While some cases may resolve independently, more serious cases require surgical intervention. A neurosurgeon can evaluate the situation and determine the best course of action. In some cases, surgery may not be necessary if the disc prolapse is small and does not cause any pain or other symptoms. However, in more severe cases, surgery may be required to repair the damage and prevent further complications.

A. What is a spinal disc prolapse?

  1. What are the symptoms of a spinal disc prolapse?
A spinal disc prolapse, also known as a herniated disc, is a condition in which the inner gelatinous layer of an intervertebral disc bulges out through a tear in the outer layer. This can pressure the nerves and cause pain, numbness, or weakness in the affected area. Other symptoms may include tingling, muscle spasms, and difficulty moving. In severe cases, bladder or bowel control may be affected. If you experience any of these symptoms, you must see a doctor for diagnosis and treatment.

  2. What causes a spinal disc prolapse?
Spinal disc prolapse is caused by a herniation of the outer ring of the intervertebral disc, which results in a bulging or protrusion of the disc. This can happen due to various factors, including age-related wear and tear, injury, or obesity.

B. How is a spinal disc prolapse treated?

Thankfully, 8 out of 10 patients do not require disc surgery, and symptoms subside over time in a few days to weeks.

General Guidelines for disc prolapse are as follows: Activity limitation for 2 to 3 days but no bed rest, MRI is recommended only if symptoms have been present for six weeks or red flag signs in the history or physical examination.
The neurosurgeon advises the MRI based on the need. Emergency evaluation and imaging only if red flags present like significant leg or arm power decrease, saddle anesthesia, bowel or bladder incontinence, Trauma or infection, or cancer in the history, and Persistent pain for more than six weeks.

  1. Injections

  2. Surgery

  3. Other treatments

A thorough evaluation and discussion with a neurosurgeon will help you understand your options for treatment and ensure a successful recovery. Neurosurgeons in Guntur are the best spine surgeons and are experts in brain and nervous system disorders and can provide you with the latest information on treatments and procedures. Neurosurgeons can also answer any questions about your condition and its treatment. Meeting with a neurosurgeon is an important step in ensuring that you receive the best possible care for your condition.

Conclusion

When experiencing a spinal disc prolapse, it is important to consult a best neurosurgeon or best spine surgeon in Guntur to ensure a safe and effective recovery.

A thorough evaluation and discussion with our chief neurosurgeon and spine surgeon Dr. Mohana Rao Patibandla, who is fellowship trained in minimally invasive keyhole surgeries will help you understand your options for treatment, and ensure a successful recovery.

If you are experiencing symptoms of a spinal disc prolapse, don’t wait call Neurosurgery Today at 9010056444 or 9010057444 today!

The Biplane Cath Lab Hybrid operation theater at our hospital is equipped with the latest 4K endoscopy, neuromonitoring 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. 

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

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

A hybrid operating theater is a type of operating room that combines the features of a traditional operating room and a catheterization lab. It is typically used for procedures that require both surgical and interventional radiology (IR) techniques. check more about drraohospitals on india today.

First biplane cathlab in Andhra Pradesh and Telangana diagnostic-tests-in-neurosurgery-the-best-at-dr-raos-guntur

first biplane cath lab in Andhra Pradesh and Telangana diagnostic-tests-in-neurosurgery-the-best-at-dr-Rao’s hospital-Guntur


Hybrid operation theater @ Dr. Rao’s hospital.

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

1. Increased efficiency: procedures typically requiring two separate rooms can be completed in one hybrid room, saving time and money. 

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

3. Enhanced safety: having a dedicated hybrid operating room can help 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. 

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

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

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 to ensure that the procedure is being performed safely and effectively. 

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

 

Spine-Surgery

When Should the Spine Surgery to Be Considered?

When Should the Spine Surgery Be Considered?

Most people experience at least one major bout of back pain at some point in their life. While surgery may appear to be an excellent option to address chronic back pain, it is not always necessary. For many people, spinal surgery is ineffective, leading to persistent or even worse discomfort. However, there are a few instances when surgery is the best option. Dr. Raos Hospital is the best spine surgery hospital in Guntur and Andhra Pradesh and offers the best minimally invasive neurosurgery by the best Neurosurgeon in India, DR RAO. According to mid-day

Infection, trauma, neurological dysfunction, tumors, or significant structural abnormalities such as scoliosis are reasons for spine surgery. The final reason for surgery is pain that has not responded to more conservative treatments and imaging evidence that suggests a surgically correctable anomaly that, if operated on, could provide pain relief. 

This article will review a few of these scenarios to help you determine what kind of treatment is best for you.

Let’s know,

When Is Spine Surgery Needed?

Interventional pain treatment offers many non-surgical options for treating a patient’s pain. The most common treatments are physical therapy, medicines, anti-inflammatories, and lifestyle changes. Exploring more conservative non-surgical methods before considering spine surgery is always a good idea. 

At Dr. Rao’s Hospital, one of the best neurology hospitals in Guntur, Andhra Pradesh, proficient spine surgeons can often aid when these therapeutic choices fail to offer relief. Some available treatments include epidural steroid injections, nerve blocks, nerve ablations, regenerative medicine (i.e., PRP and stem cell treatments), and spinal cord stimulation (SCS).

Our surgeons may recommend surgery if non-surgical treatments fail to relieve the back discomfort. Our well-qualified and seasoned surgeons aim to provide the best spine surgery treatment in Andhra Pradesh. Patients with ruptured discs, spondylolisthesis, spinal fractures, and degenerative disc disease are good candidates for surgery. 

Besides, it is worth noting that, even in these cases, surgery should only be considered if the particular source of the discomfort has been identified, for example, a herniated disc, scoliosis, or spinal stenosis. You may be a candidate for spinal surgery if the source of your pain has been identified and non-surgical treatments have failed.

How Serious Is Spine Surgery?

Your type of surgery determines the severity of your back surgery. Traditional open surgery or minimally invasive spine surgery (MISS) are also options for spinal surgery. 

MISS avoids open manipulation of the muscles and tissues around the spine and does not require extensive incisions. As a result, patients frequently recover faster and with less discomfort.

Due to its proximity to the nerve system, back surgery carries a higher risk than other forms of surgery. Paralysis and infection are the most severe risks. While the risks of open spinal procedures and MISS are roughly the same, certain studies suggest that MISS has a lower risk of infection than traditional back surgery. 

In the case of spinal fusions, other potential consequences include bleeding, prolonged discomfort at the graft site, reoccurring symptoms, nerve injury, blood clots, and pseudarthrosis.

MISS techniques enable patients to stay in the hospital less often, with most leaving home the same day or within 1 to 2 days. On the other hand, standard surgery usually requires 3 to 5 days in the hospital. The recovery period can be lengthy and painful even if the surgery is successful. Pain management and physical therapy will be required for the majority of individuals.

What Is The Success Rate Of Spine Surgery?

The success of spine surgery is determined by the surgical procedures used. For example, the success rate of lumbar spinal fusion, as judged by pain reduction, is frequently less than 80%. Furthermore, despite immediate pain reduction success, many lumbar spine procedures fail within 3 to 5 years. This is due to changes in the biomechanical structure of the spine due to the surgery, which causes issues in adjacent spinal levels. 

Because so many spine procedures fail, there is a medical term for this: failed back surgery syndrome. This low success rate can be attributed to several factors. The most important is that the site operated on was not the source of the patient’s suffering. This is why, before undergoing spine surgery, it’s critical to pinpoint the particular source of pain.

In conclusion, surgery is not “necessary” for most patients with back pain and sciatica. However, if you believe you are a candidate for surgery, you should seek a second opinion before proceeding. This will not only determine whether surgery is genuinely essential, but it will also ensure that you receive the best sort of surgery and the least invasive technique feasible. 

Contact us today to schedule a complete physical exam, imaging review, and evaluation so our expert spine surgeons can identify the best appropriate treatment strategy for your persistent back pain and sciatica.

Dr. Rao’s Contact Information:

minimally-invasive-spine-surgery-all-you-need-to-know

The Best Minimally Invasive Spine Surgery in Andhra Pradesh

The Best Minimally Invasive Spine Surgery in Andhra Pradesh

“You are the backbone of the family!”

“My mother is my backbone.”

You might have heard such sentences and even used them yourself.

What does it mean when one uses the term backbone?

The backbone indicates strength! It means crucial—the central and most vital part of something!

Like, mothers are the backbone of the family!

We also use the word backbone to refer to one of our organs! And that organ is none other than the spine! The name justifies the organ. The spine, or backbone, is a crucial part of our body. It is the strength and the body’s central support structure.

What if the backbone of the body gets damaged?

Can you imagine a family without a mother, the most vital part, the backbone of the family?

What happens if the backbone of your family gets ill or injured?

The entire family is affected.

In the same way, when the backbone of our body, our spine,, is injured or damaged, our entire body is negatively affected.

The strongest becomes the weakest!

Stand up! Now sit down!

You can easily stand and sit,, right?

But unfortunately, you can’t easily sit, stand, or move when you have an injured spine!

But there is a solution to every problem! So don’t worry!

One can treat their spine problems by visiting Dr. Rao’s Hospital, Guntur!

Your neurosurgeon in Guntur will advise you to have spine surgery. It is recommended to ask your neurosurgeon whether minimally invasive spine surgery is an option for you.

What exactly is minimally invasive spine surgery?

Minimally invasive spine surgery is a technique for doing spine surgery. The experienced neurosurgeon at Dr. Rao’s Hospital, Guntur, will make a single large incision (cut) into your skin in a “traditional” open surgery procedure. A considerable quantity of muscle and surrounding soft tissue is distributed, pulled out of the way, or removed from the bone to let your surgeon see the surgery site correctly. This might lead to additional muscle injuries and pain following surgery.

Your neurosurgeon in Guntur will make one or more small incisions (approximately 1-2 inches each) through your skin during minimally invasive surgery. An endoscope is inserted into the incision to allow the surgeon to work in a narrower operational field. Working through more minor wounds produces far less harm to soft tissues and muscles than a single lengthy incision. Minimally invasive spine surgery is performed at the best neurology hospital in Guntur.

So, are you having severe spinal problems and are considering having a minimally invasive spine surgery treatment done?

Then, you would be interested in learning more about minimally invasive spine surgery!

This article explains minimally invasive spine surgery treatment in detail.

So, keep reading this article to learn more about minimally invasive spine surgery!

What kinds of spinal surgeries can be done using a minimally invasive approach?

At Dr. Rao’s Hospital in Guntur, many spine procedures can be performed using MISS. The following are a few of them:

  1. • Spinal fusion, a procedure that is commonly used to treat “slipped” discs.
  2. • Correction of deformities like kyphosis and scoliosis.
  3. • Decompression of tumors in the spine.
  4. • Vertebral compression fractures are repaired and stabilized.
  5. • Lumbar spinal stenosis, a condition that affects the lower back.
  6. • A bacterial infection in the spine.

How does minimally invasive spine surgery work?

  1. Anesthesia will be first administered to you.
  2. Several minimally invasive procedures are available. They all have one thing in common: your surgeon makes one or more small incisions through your skin instead of one lengthy incision.
  3. Your surgeon may use an endoscope or fluoroscope to decide where to make incisions. Tiny surgical instruments are inserted through the endoscope or the other half-inch incisions where tubular retractors have been inserted.
  4. Tubular retractors are narrow, hollow tubes. From the hole in your skin to the targeted location on your spine, retractors create little tunnels of workspace. One or more retractors are used to insert instruments. These retractors also remove tissue and bone from the spine during surgery. During surgery, tubular retractors keep your muscles away from the surgical site. Your muscles get back to their normal position once the retractors are removed.
  5. Stitches or glue are used to close your incisions after surgery, and surgical tape or thin bandages are used to conceal them.

What advantages does MISS have?

There are various advantages to minimally invasive spine surgery over open surgery, such as the following:

  1. • Less anesthesia is required.
  2. • There will be less loss of blood.
  3. • Soft tissue and muscle injuries are reduced.
  4. • The infection risk is reduced.
  5. • Post-surgery discomfort is reduced.
  6. • Use of pain relievers is reduced.
  7. • A more appealing appearance
  8. • A shorter stay in the hospital
  9. • Recovery time is reduced
  10. • A faster return to normal activities, such as work.

What can I expect from my recovery after minimally invasive spine surgery?

MISS leads to less discomfort, muscle damage, fewer hospital stays, and a faster recovery than open surgery.

Those who have undergone MISS are discharged the same day or the next day. The severity of your spinal condition, the experience of your neurosurgeon, your age, your health conditions, and other factors all affect how long it takes to recover fully from surgery. It could take months for you to heal fully. In a recent India today article.

Your doctor may recommend physical therapy to help you recover faster.

Do you wish to get rid of your spine problems and want to move around with ease?

Do you wish to resume your daily activities and get rid of the persistent and terrible spinal and back pain?

So, now is the time for your wishes to come true!

Visit Dr. Rao’s Hospital in Guntur, one of the best neurology hospitals in Guntur, for minimally invasive spine surgery treatment! Our hospital has experienced neurosurgeons like Dr. Mohana Rao Patibandla. He is a fellowship-trained minimally invasive surgeon from the USA who has performed many successful minimally invasive spine surgeries.

So, you will get rid of your persistent and terrible pain for sure!

So, now is the time to replace pain with joy by doing minimally invasive spine surgery.

Minimally invasive spine surgery is the path to a painless tomorrow!

A walk to the hospital can get you walking for the rest of your life!

So, visit the best neurology hospital, Dr. Rao’s Hospital in Guntur right now for minimally invasive spine surgery!

Dr. Rao’s Contact Information: