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BLOG&NEWS Sciatica and key hole spine surgery

WHAT ARE THE VARIOUS TYPES OF SCIATIC NERVE PAIN?

Sciatica is a term used to describe pain caused by impingement or inflammation of the sciatic nerve. The sciatic nerve is the longest in the body. It originates from the lumbosacral vertebrae and travels along the route through the hips, buttocks, down each leg, and foot. The impingement of the sciatic nerve causes pain or numbness in any part where it supplies. Some people may experience pain in one part and numbness in another. It also supplies the muscles of these areas and may also cause muscle weakness and difficulty in movement.

These are various types of sciatica explained by the best neurosurgeon Dr. Kalyan Bommakanti:

1. Acute sciatica:

Acute sciatica has a sudden onset and the pain lasts for about 4-8 weeks. The intensity of pain is not severe and can be managed by self-treatment and gentle stretches at home. Usually, there is no need for medical treatment. But if ignored for a long period, acute sciatica may recur and may convert into chronic sciatic nerve pain.

2. Chronic sciatica:

This type of sciatica lasts for more than 8 weeks and the pain type is persistent.  Chronic sciatica cannot be cured by self-medication and you need to seek medical help. According to the severity and nature of the pain, either surgical or non-surgical interventions are made. It depends upon the pain type and the patient’s health status.

3. Alternating sciatica:

Usually, sciatica involves only one leg but sometimes it may affect both legs alternatively. This may indicate a degenerative disorder in the sacroiliac joint (the joint that connects the spine to the hips) such as sacroiliac arthritis.

4. Bilateral sciatica:

Bilateral sciatica is rare and affects both legs simultaneously when there is an impingement of both ends of the sciatic nerve. It may be caused by some degenerative changes in the vertebral discs or the vertebra. The intensity of pain in both legs may be variable. It may also be caused by the Cauda equina syndrome.

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BLOG&NEWS Sciatica and key hole spine surgery

WHAT WILL HAPPEN IF SCIATICA IS LEFT UNTREATED?

Sciatica is a term used to describe pain caused by irritation or impingement of the sciatic nerve. The sciatic nerve is believed to be the longest nerve in the human body. In the lumbar spine, it may be compressed due to disc herniation or spinal stenosis, resulting in affecting the areas where it supplies. It runs through the buttocks, hips, legs, and feet. The nerve damage can cause pain and discomfort in the affected areas, as well as sensory impairment. This condition is experienced by over 40% of the population worldwide.

If left untreated, it may cause several serious complications as follows:

1.Irreparable nerve damage:

Permanent nerve damage can cause serious complications, the sensory or motor loss may occur. The nerve damage can increase the intensity of pain. The pain may become unbearable and the intake of medications will be increased. Eventually, there will be a time, when the medication stops responding resulting in the worst conditions. As the sensory system of diabetic patients is already compromised, they are at great risk for this.  

2. Loss of motor and sensory control:

When the condition becomes worse, the patient may suffer a sensory and motor loss in the affected areas. You may feel a constant numbness and tingling because the nerve is being damaged continuously. It may also cause muscle weakness and difficulty in movement in the areas that are supplied by it.

Prolonged damage gradually decreases and then diminishes the sensations causing irreparable nerve dysfunction that can result in the amputation.

3. Bowel and bladder incontinence:

In extreme cases, it may also affect the control of bowel and bladder movements. It may be a temporary loss but can become permanent if left untreated for long period. The nerves become completely compromised and the damage is irreversible.  

4. Cauda Equina syndrome:

It can be caused by damage to the nerve root bundle present at the lower end of the spinal cord. This condition is characterized by extreme low back pain. Sensory impairment and incontinence may also occur. Cauda Equina syndrome may also cause permanent paralysis.

These are some of the complications explained by brain tumor surgeon Dr.Kalyan Bommakanti, M.Ch.

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BLOG&NEWS Sciatica and key hole spine surgery

IS WALKING GOOD FOR SCIATICA PAIN?

Sciatica is a term that refers to the compression or inflammation of the sciatic nerve in the lumbar spine. It may cause pain or numbness in the areas where it passes through. The nerve passes along a pathway through the buttocks, legs, and feet. Usually, it affects one side of the body but it may be bilateral as well.

In the past, bed rest was thought to be effective, but nowadays patients are advised to be more active. Usually doctors advise walking after a brief period of bed rest and anti-inflammatory medications. Walking is believed to be very helpful in relieving sciatic pain, however, its effectiveness depends on the cause and severity of the pain. Posture correction is compulsory because walking while exhibiting a poor posture can worsen the pain. Walking aids in relieving pain as long as it is not aggravating the symptoms.

Walking is proved to be therapeutic as it stimulates hormonal changes such as the release of endorphins that decreases the inflammatory process. It relieves pressure on the affected area and improves the blood flow to that area. It may also increase muscle power, strength, and flexibility. Walking helps in preventing the atrophy of muscles and loss of power and range of motion.

The prognosis of sciatica is good enough. To reduce the symptoms, one must understand and learn how to walk properly to maximize its benefits. A good posture will not only help in managing the pain and discomfort but also in the correction of proper biomechanics as well. Walking without a good posture is useless, the person must follow a scheduled plan and techniques prescribed by the doctor.

In order to start any regime, you must consult with your doctor or physical therapist first. They will help you find a plan that is suitable and appropriate according to your condition and symptoms. When to walk, how much time and intensity? These are all the various queries you may need to discuss with your doctor.

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BLOG&NEWS Sciatica and key hole spine surgery

HOW LONG DOES SCIATIC PAIN LAST?

Sciatica is a term used to describe pain caused by the irritation or compression of the sciatic nerve, resulting in pain or numbness along the pathway of the sciatic nerve. The most common cause of sciatica is disc herniation in the lumbar spine, causing pinching and inflammation of the nerve. It may also be caused by spinal stenosis, bone spurs, facet arthritis, or any injury or trauma. This irritation can cause pain and numbness in the lower back, buttocks, or legs. Usually, it affects only one leg but can occur in both as well.

Sciatic pain usually lasts a few weeks depending on the underlying cause. Acute sciatica commonly resolves within 3-4 weeks. But if left untreated acute sciatica can convert into chronic and it may last for a long time. The pain experienced in the acute stage is sharp and stabbing while in the chronic stage it is less severe. The duration may last longer depending on the intensity and the level of injury. It also depends upon the time of diagnosis and early treatment. The earlier it is diagnosed and treated, the lesser will be the symptoms and impairment. Hence the greater and more effective will be the results.

Some people confuse it with usual low back pain if it is only localized there, resulting in delayed recovery and mismanagement. The pain may be present in only one part or all along the pathway. Pain and numbness may be felt together, or in some cases, pain is felt in one area and numbness in the other. If the symptoms last for a long time, it is advised to seek medical help as soon as possible. In severe cases, there may be loss of bowel or bladder control, it is considered a medical emergency, and professional help is given to prevent any further loss or damage. 

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BLOG&NEWS Sciatica and key hole spine surgery

HOW DOES SCIATICA PAIN FEEL LIKE?

Sciatica refers to the pain caused by the compression or irritation of the sciatic nerve. The sciatic nerve is the longest in the body and it passes through the lower back, buttocks, and down each leg. It usually occurs in only one leg but it may be bilateral. Sciatica is mostly caused by a herniated disc in the lumbar spine. The disc bulges out and compresses the sciatic nerve resulting in pain and sensory impairments in the affected area.

Sciatica can cause inflammation, pain, or sensory loss in the affected part. The pain of sciatica can be felt in a single region but usually, it follows a pathway radiating from the lower back then passing through the buttocks and proceeding to the posterior aspect of the thigh and calf. The sciatic pain tends to be more severe in the leg area. The nature of the pain may be sharp, shooting, or burning and the intensity varies according to the level of impairment. Prolonged sitting, standing, or coughing may also aggravate the pain. The pain is maybe intermittent or constant.

The sciatic nerve also supplies various muscles in the lower leg and controls the sensory supply of the foot and lower leg. So, it may also cause muscle weakness and numbness or tingling sensation in the various areas. It might also happen that you feel numbness in one part and pain in the other.

Sciatica itself is not a condition, rather it is a symptom caused by some other underlying pathology such as disc herniation, bone spur, spinal stenosis, etc. It may also be caused by any traumatic injury. So, to treat sciatica, the root cause has to be evaluated and diagnosed properly so that it can be treated properly. Following the diagnosis and proper treatment, lifestyle modifications, a healthy diet, and physical therapy sessions lead to a better and more effective recovery period.

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BLOG&NEWS

WHAT IS THE SUCCESS RATE OF FUSION SURGERY OF THE SPINE?

WHAT IS THE SUCCESS RATE OF FUSION SURGERY OF THE SPINE? : Explained by brain tumor surgeon Dr.Kalyan Bommakanti, M.Ch

SPINAL FUSION SURGERY:     

Spinal fusion is a surgical procedure that connects two or more vertebras into a single segment. The core idea is to fuse the bones, eliminate the painful motion, or restore the stability of the spine. This surgery helps in eliminating the painful movement between the vertebras. It also prevents the stretching of the surrounding structures such as nerves, muscles, and ligaments. During this procedure, a bone graft is used to fill and lock the space between the two vertebrae. After the bone is healed, the space between them is filled hence forming a single solid vertebral segment.

Before recommending this procedure, the doctor may prescribe some imaging tests first, such as X-rays, CT, and MRI to pinpoint the source of pain.

WHY IS IT PERFORMED?

Spinal fusion surgery is performed to relieve back pain and many other spinal problems such as:

  • Spondylolisthesis
  • Herniated disc
  • Degenerative disc disease
  • Spinal stenosis
  • Fractured vertebra
  • Tumors
  • Scoliosis
  • Kyphosis

WHAT IS THE SUCCESS RATE OF FUSION SURGERY OF THE SPINE? : Explained by brain tumor surgeon Dr.Kalyan Bommakanti, M.Ch

SUCCESS RATE:

Spinal fusion is a surgical procedure with a high success rate as about 90% of the patients report a substantial decrease in pain and functional improvement.  The surgery is very helpful in managing back pain that is not going away with any other approach and almost all the spinal problems. The success rate is incredible and patients are very satisfied with the results.

WHAT IS THE SUCCESS RATE OF FUSION SURGERY OF THE SPINE? : Explained by brain tumor surgeon Dr.Kalyan Bommakanti, M.Ch

RECOVERY:

After the procedure, the patient is kept under observation in the hospital for 3-4 days. During this time, initially, the patient is observed for any kind of reaction to the anesthesia. Then the discharge plan depends upon the physical fitness, emotional stability, and the reaction to the procedure.

Full recovery may take 3-6 months, it varies from patient to patient. Overall fitness, lifestyle, dietary intake, and the physical condition affects directly the healing time.

Dr.Kalyan Bommkanti is one of the best neurosurgeons in hyderabad and is also one of the best
spine surgeons in hyderabad. He received training in endoscopic spine surgeries, also known
as key hole spine surgery or minimally invasive spine surgery. He has experience in treating a
number of complicated brain surgeries, complicated spine surgeries like complex brain tumors,
complex spine tumors, complicated spine fractures, complicated head injuries. He has an
extensive experience in teaching junior doctors.


He consults and operates at: (For appointment WhatsApp on 8520003683)
Global Gleneagles hospital,Lakdikapul, Hyderabad.
Aware Global Gleneagles hospital, L.B. Nagar, Bairamulguda, Hyderabad.
Kalyan’s Neuro and Spine clinic, Kharkhana, Secunderabad.
Shenoy hospital, East Marredpally, Hyderabad.
Prasad Hospitals, Nacharam, Hyderabad.


Brain tumor clinics


For appointment see details below (+91-8520003683). Brain tumors are serious disorders and
should be treated as soon as possible. Many patients have a lot of doubts and queries
regarding brain tumors, symptoms of brain tumors, diagnosis of brain tumor, surgery for brain
tumor, treatment options for brain tumors. Patients also like to know regarding latest and
advanced treatment options for brain tumor surgery like intraoperative neuromonitoring, awake
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