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BLOG&NEWS Sciatica and key hole spine surgery

Does Sciatica Go Away on its Own?

Post author By bommakanti
Post date April 9, 2022
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Up to 40% of people endure something like one episode of sciatica in the course of their life. Sciatica is due to compression, inflammation or injury to sciatic nerve, which is the biggest nerve in your body.

More often , sciatica is due to a fissure or herniated inter vertebral disc that is compressing against the lumbar nerve roots. The strain on the nerve roots causes pain that radiates down the leg. But, different conditions can simulate sciatica. So, it is very important that you get examined by a qualified neurosurgeon or a professional before starting any treatment.

Does Sciatica Go Away all alone? : Explained by brain tumor surgeon Dr.Kalyan Bommakanti, M.Ch

Does Sciatica Decrease by itself without surgery?

Sciatica decreases in a majority of patients with a combination of physiotherapy, bed rest and medications. Sciatica is characterized by frequent flare ups if precautions are not adhered to. Bed rest is advised during flare ups but in between flare ups patient is advised to stay active with few activity limitations.

Your treating doctor will determine what’s causing your sciatica, together with him you foster a work-out schedule that permits you to remain dynamic while dealing with your aggravation. You might rest for a little while during severe flares, yet you ought to attempt to fortify your muscles

The fundamental muscles associated with sciatica are the hip flexors and the piriformis, the two of which run from your lower spine to your thigh bones. We might suggest non-invasive treatment that delicately extends these muscles and relax your hips.

Does Sciatica Go Away all alone? : Explained by brain tumor surgeon Dr.Kalyan Bommakanti, M.Ch

What if sciatica comes back?

In any case, assuming the reason for your common sciatica is a slipped or burst plate, we might suggest a surgery. During this basic, minimally invasive surgery, we eliminate the piece of the fissured or herniated disc that is compressing against your sciatic nerve.

Does Sciatica Go Away all alone? : Explained by brain tumor surgeon Dr.Kalyan Bommakanti, M.Ch

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.

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For appointment see details below (+91-8520003683). Brain tumors are serious disorders and
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BLOG&NEWS

HOW LONG DOES IT TAKE TO RECOVER AFTER AN ENDOSCOPIC SPINAL SURGERY?

Post author By bommakanti
Post date April 7, 2022
No Comments on HOW LONG DOES IT TAKE TO RECOVER AFTER AN ENDOSCOPIC SPINAL SURGERY?

**HOW LONG DOES IT TAKE TO RECOVER** **AFTER AN ENDOSCOPIC SPINAL SURGERY?** **: Explained by brain tumor surgeon Dr.Kalyan Bommakanti, M.C**

Endoscopic spine surgery is a great success nowadays because of its minimally invasive technique. As the incision is relatively very small compared to the traditional open surgery, the muscles and the soft tissues are intact. They do not require healing, so the recovery time is reduced significantly.

PAIN MANAGEMENT

Pain control is the key element to recovery, and it is essential to manage the pain and discomfort following the surgery. This part is done to make sure that the rest of the program can be started, which includes strengthening the muscles and returning to the normal routine. This phase is quite easy to manage after endoscopic spine surgery compared to open surgery as muscle damage is very very minimal and skin incision is very small. Usually patients are either pain free or have very minimal pain at incision site. For this pain very low dose of analgesic like paracetemol or voveran or any other NSAID is given for a very short period.In the initial few days ww need to be extra careful regarding posture and movements.

RECOVERY PHASE

It takes about an hour to two for the procedure, and you can go home the same day or in 1-2 days. The recovery time varies among individuals. But on an average, after endoscopic spine surgery patient can carry on his activities of daily life after a day. He is advised not to bend or squat or lift heavy weights for 3 weeks. All other activities are usually allowed. Your pbysiotherapist will be able to advise you better. After three weeks the restrictions are further eased and patient can lift light weights. At this time he can still experience some mild paraesthesias like tingling. The tear in annulus which was repaired during surgery will require 3 months to gain 90% strength as per my experience. The recovery phase progresses to the long-term lifestyle modifications that include a healthy lifestyle, nutritional diet, regular walking, comfortable sleeping position, exercise, drinking plenty of water plays a significant role in long term results and avoiding re-injury. A healthy diet plan reduces inflammation and speeds up the healing process.

The time of the recovery phase depends upon the condition of the patients and the procedure that is done. After an open surgery the recovery phase is much prolonged dye to more collateral damage to muscle, bone and skin. The recovery is also dependant on the willingness of the patient to actively participate in all the activities leading to a quicker recovery.

PHYSICAL THERAPY

The surgeon prescribes you to seek physical therapy to preserve the benefits of the surgery. The physical trainer designs a customized plan according to the type of surgery and the patient’s needs that includes stretches, strengthening exercises to increase stamina and mobility. The physical therapy sessions allow you to avoid any chances of re-injury and strengthen the back, abdomen, and legs muscles.

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BLOG&NEWS

WHAT IS THE SUCCESS RATE OF ENDOSCOPIC SPINE SURGERY?

Post author By bommakanti
Post date April 4, 2022
No Comments on WHAT IS THE SUCCESS RATE OF ENDOSCOPIC SPINE SURGERY?

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

Endoscopic spine surgery is a highly successful procedure with a success rate of approximately 90 – 95%. It has revolutionized the treatment pattern of the spine. This is an advanced procedure as the surgeon has better visibility, magnification, and light to treat spine pathologies. These features collectively result in a higher success rate and accuracy.

The procedure is convenient for the patient as the incision size is very small with minimal muscle dissection and collateral tissue damage. As it is an endoscopic procedure, the risk of infection is less, and the volume of blood loss during the process is also very very low. The intensity of pain following surgery is very low compared to open surgery.

The stay at the hospital is minimized in this procedure. The patient is discharged in a day. After that, he can immediately carry out his daily activities with a bit of precaution. Some lifestyle changes, healthy habits, and a good diet can aid in rapid recovery and healing of the wound. They can perform daily activities independently and can perform tasks that they had to skip because of the spine issue.

Most of the patients report minimum pain and excellent mobility after the surgery. The strength and stamina are restored by physical therapy and rehabilitation. Effective stretches and exercises are prescribed for carrying out after the surgery .

The procedure done in the surgery corrects the pathology, and the teamwork of the patient and his physiotherapist can enhance and sustain the beneficial results of the surgery. Hence, endoscopic spine surgery is the best way to cure any spinal problem because of its high accuracy and success rate compared to open surgery.

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What should I do after a microdiscectomy?

Post author By bommakanti
Post date April 2, 2022
No Comments on What should I do after a microdiscectomy?

Human back in pulsating pain

For patients who have chosen to have back a medical procedure, taking more time to get ready for the post-careful recuperation time frame is really smart and will ordinarily further develop their experience when they return home. Apparently the treating doctor and nursing staff will give composed release directions and medicines for things like torment prescription and active recuperation, yet there are a few commonsense things that patients and families ought to know about that ought to smooth the progress from clinic to home. The accompanying sums up a few reasonable focuses that patients and their families ought to see as accommodating.

What should I do after a microdiscectomy? : Explained by brain tumor surgeon Dr.Kalyan Bommakanti, M.Ch

If in Pain, Ask for Help

Appropriate pain management after surgery can really help with the recovery process – both from a physical and emotional standpoint. Narcotic pain pills, anti-inflammatory medications and Tylenol are commonly prescribed for postoperative pain. For patients who have just had a fusion surgery, NSAIDs (non-steroidal anti-inflammatory drugs) should be avoided as this class of drugs inhibits the formation of bone, a necessary component of creating the fusion.

What should I do after a microdiscectomy? : Explained by brain tumor surgeon Dr.Kalyan Bommakanti, M.Ch

Composed guidelines are generally given which detail how to utilize these (frequently in mix) to control the aggravation successfully, while limiting aftereffects like stoppage, sickness, and unnecessary sedation. Since postoperative obstruction can be irksome and an incessant reason for expanded torment after a medical procedure, request the medical care supplier or drug specialist for names from prescribed items to have available at home to forestall clogging or ease it in the event that it happens. This issue is generally normal inside the main week after medical procedure because of opiate torment prescriptions, change in diet and diminished action.

What should I do after a microdiscectomy? : Explained by brain tumor surgeon Dr.Kalyan Bommakanti, M.Ch

Use Ice and Heat to Ease the Pain

Happy with apparel and body situating, and successive ice application (particularly in the initial 48 to 72 hours) can likewise support torment the executives. Icing after action, for example, strolling and extending can likewise be gainful. From the beginning, the utilization of hotness to the careful region can increment blood stream to the tissues and may cause slight expansion in expanding and torment so ought to rather be considered at a later point. Hotness can be useful right off the bat to free pressure or muscle torment in different areas from the body and may worth attempt. Regularly torment and solidness will work on because of incessant position change, or short strolls either inside or outside.

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What are the benefits of key hole spine surgery?

Post author By bommakanti
Post date March 22, 2022
No Comments on What are the benefits of key hole spine surgery?

**What are the benefits of back surgery?** **: Explained by brain tumor surgeon Dr.Kalyan Bommakanti, M.Ch**

Back pain is extremely common, and surgery often does not help. Find out what’s causing your pain and whether surgery may be able to relieve it.

Many back pains resolve on their own within three months without any intervention. The majority of back pains can be relieved by back surgery, but it is rarely necessary. Family doctors deal with a lot of low back pain. It is usually treated nonsurgically – such as anti-inflammatory drugs, heat, and physical therapy.

Would you benefit from back surgery?

When conservative treatments are not working and your pain is persistent and disabling, back surgery may be the best option. Back surgery can relieve associated pain or numbness that travels down one or both arms or legs.

Nerve compression may result in these symptoms. Various factors can cause nerve compression in the spine, including:

Disk problems. Bulging or ruptured (herniated) disks – the rubbery cushions that separate the bones of the spine – can sometimes press too tightly against spinal nerves and compromise their function.

Overgrowth of bone. Bone spurs can form on your spine due to osteoarthritis. These bone spurs most commonly affect the hinge joints on the lower part of your spine and can narrow the openings where nerves can pass.

Even if your X-rays show that you have disk problems or bone spurs, it can be hard to determine the exact cause of your back pain. X-rays taken for other reasons often show bulging or herniated disks that do not cause symptoms and may not require treatment.

Back surgeries types

A variety of back surgeries are available, including:

Diskectomy. Diskectomy involves removing a herniated portion of a disk to relieve nerve irritation and inflammation. The back portion of a vertebra is removed in order to access the ruptured disk.

Laminectomy. During this procedure, the bone that covers the spinal canal is removed, enlarging the spinal canal and relieving nerve pressure caused by spinal stenosis.

Fusion. A spinal fusion is the permanent joining of two or more vertebrae in your spine. It is sometimes used to reduce or eliminate painful motion between vertebrae caused by degenerated or injured disks.

Artificial disks. Spinal fusion is an alternative to implanted artificial disks in cases where degenerating or injured disks cause pain between two vertebrae. However, these relatively new devices aren’t available for most people.

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The Purpose of Discectomy, Post-Operative Pain Management & Rehabilitation

Post author By bommakanti
Post date March 16, 2022
No Comments on The Purpose of Discectomy, Post-Operative Pain Management & Rehabilitation

**The advantages and disadvantages of back surgery** **: Explained by brain tumor surgeon Dr.Kalyan Bommakanti, M.Ch**

Herniated discs are often diagnosed in people between 30 and 50 years of age and are twice as common among males than females[i]. Discectomy involves removing the herniated disc from the spine.

This article describes what a discectomy is and why it is performed in more detail. We will also discuss how physical therapy can benefit patients after discectomy, helping to manage postoperative pain and improve function and mobility.

How does a discectomy work?

The discectomy is a surgical procedure that can address any issues associated with a herniated disc pressing on the spinal cord or nerve root that leads to the spinal cord, including pain, numbness, and changes in sensation.

The natural result of aging is the degeneration of discs in the spine, leading to more susceptibility to herniation. People with a herniated disc often experience numbness and weakness alongside lower back pain. Treatment with medication or rest is considered if conservative treatment does not relieve symptoms.

Dissections may be performed in a number of ways, but minimally invasive procedures have been shown to reduce hospital stays and postoperative pain[ii]. However, your doctor will determine the most appropriate surgical technique for you.

An open discectomy, for example, involves removing the affected disc, leaving the surrounding bones, muscles, and soft tissues intact. Minimally invasive discectomy, on the other hand, leaves the surrounding bones, muscles, and soft tissues intact.

Introduction to Spine Anatomy

Stacking 24 different bones, called vertebrae, together makes up the spine. Vertebrae are connected by intervertebral discs, which function as shock absorbers and maintain adequate space for spinal nerves to exit the vertebral column. There are two main components in intervertebral discs: annulus fibrosus and nucleus pulposus. The annulus fibrosus takes the form of the tough outer layer of the disc while the nucleus pulpous takes the form of its jelly-like interior. This function is primarily accomplished by the nucleus pulposus, which is jelly-like in nature, while the annulus fibrosis works to maintain the nucleus pulposus centered in the disc.

Disc herniations are caused by a rupture or tear in the annulus fibrosis of the disc, causing the nucleus pulposus to bulge out of the disc. This bulging of the nucleus may result in pain, weakness or changes in sensation if the pressure is placed on the spinal cord. In order to relieve the pressure on these structures and address the symptoms that are being experienced, a discectomy can be performed to remove the herniated disc.

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What if sciatica comes back?

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