Tag: best surgeon for sciatica in india

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What are the intramedullary spinal cord tumors?

The spinal cord is a tube consisting of nerve bundles running along the spinal canal, carrying messages from the brain to the body and vice versa. The formation of a tumor in or around the spinal canal is called a spinal cord tumor. These tumors may be benign (localized) or malignant (can transfer to other body parts). Whether malignant or benign, these tumors can compress the nerve bundles passing nearby causing numbness, pain, and loss of sensations in the affected area.

The best spine surgeon in India Dr. Kalyan Bommakanti has classified the various sub-types of intramedullary spinal cord tumors according to their size and location.

  1. Intramedullary tumors:

Spinal cord tumors that grow inside the spinal cord are called intramedullary tumors. Usually, they appear in the cervical/neck region. These tumors are further classified into sub-types such as:

i. Ependymoma:

Ependymal cells are located in the spinal cord and act as a lining to the central canal while helping in regulating the fluid flow within the spinal canal. The tumor of these cells is called Ependymoma – the most common type of spinal cord tumors. These tumors spread at a slow rate and can cause symptoms like nausea, vomiting, and bowel and bladder incontinence.

ii. Astrocytoma:

Astrocytes are star-shaped cells (gliomas) located in the spinal cord and the brain that regulates the proper functioning of the nerve cells. A tumor of astrocytes is called astrocytoma. Astrocytomas are usually found in the thoracic region. They may cause weakness in the legs and gait problems. This type of spinal cord tumor is most common in children.

iii. Lipomas:

Lipomas are congenital and are very rare. They arise in the fat tissue present in the middle of the back i.e. cervicothoracic region.

iv. Hemangioblastoma:

This type of tumor is usually non-cancerous and can occur in any area of the spinal cord. They arise in the blood vessels lining the spinal cord and the brain. It may cause disturbance in the balance and weakness in various parts.

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BLOG&NEWS Health

WHAT ARE THE SYMPTOMS OF SPINAL CORD TUMORS?

A spinal cord tumor is a tumor within the spinal cord enclosed by the spine. An uncontrolled cell growth results in the tumor. It may be benign or malignant depending on the root cause of it. Spinal cord tumors can seriously compromise the body’s functioning according to the level of the damaged neurons.

The symptoms caused by it depend upon the growth of the tumor. Here are the symptoms of spinal cord tumors explained by Dr. Kalyan Bommakanti – the best neurosurgeon in India.

1. Back pain:

Back pain is a common early and non-mechanical symptom of the tumors of the spine. The pain is not associated with any injury or trauma. However, it remains consistent and may increase with increased activity and even at night while lying down. The pain may also radiate to other body parts such as hips, feet, legs, arms, or chest.

2. Muscle weakness or sensations loss:

The damage to the nerve bundles passing across the spinal cord may result in numbness and complete/partial loss of sensations in several body parts. The affected areas may experience less sensitivity to several environmental factors such as hot or cold. This may also result in weakness of the muscles in the affected areas, especially the legs and arms.

3. Loss of bowel and bladder function:

The normal functioning of the bowel and bladder may also be affected if the associated nerves are damaged. It may cause incontinence of the bowel and bladder or complete loss of control in extreme cases.

4. Difficulty in walking:

The person experiences difficulty in walking as his balance and coordination may also be affected. It becomes so persistent that sometimes he ends up trembling or even falling.

5. Paralysis:

In extreme cases of nerve damage, the body may go into paralysis. Its intensity and location depend upon the level of injury.

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What are Spinal Cord Tumors?

The spine is a long and flexible structure running through the back from the skull’s base to the tailbone, consisting of vertebras and intervertebral discs. It encloses a long band of tissues called the spinal cord. The spinal cord is made up of nerve fibers that conduct the sensations from the brain to the body and from the body to the brain. It controls all the sensations and movements of the body. Damage or injury to the spinal cord may cause a complete/partial loss of sensory or motor functions.

The abnormal growth of the tissues within or next to the spinal cord/ vertebral column is called a spinal cord tumor. The cells keep multiplying at an abnormal and uncontrollable rate. This abnormal growth may compress the spinal cord resulting in the damage of the nerve fibers running through the spinal cord conducting sensations to and from the spinal cord. Depending on the type and intensity of the damage may be temporary or permanent. Permanent damage to the spinal cord may be avoided by prompt evaluation, diagnosis, and treatment.

Here is a brief summary of the spinal cord tumors explained by the best spine surgeon Dr. Kalyan Bommakanti.

A spinal cord tumor is also called an intradural tumor as it occurs within the spinal cord or the dura (covering of the spinal cord). Spinal tumors may be primary (benign) or metastatic (secondary). Benign tumors are non-cancerous while malignant tumors are cancerous. Usually, the spinal tumors are a result of cancer metastasis – the type of cancer that has spread from any other part of the body to the spine. However benign tumors are those which originate within the spinal cord. Benign tumors are non-cancerous while malignant is cancerous. Due to the advancement in technology, the chances of these tumors being cured have increased with time.

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BLOG&NEWS Sciatica and key hole spine surgery

WHAT ARE THE THINGS THAT AGGRAVATE SCIATIC PAIN?

Sciatic pain is caused by the impingement or inflammation of the sciatic nerve in the lumbar spine. It may cause pain, numbness, or muscle weakness in the lower back, legs, or foot. The intensity of pain may vary among individuals, and proper care and precautions must be taken to minimize the symptoms.

The best neurosurgeon Dr. Kalyan Bommakanti has explained different factors that may aggravate the sciatic pain:

1.Being obese:

Being overweight may be a cause of many health problems. The more the weight is, the more the strain and pressure are put on the body, especially the musculoskeletal system. Bones and joints are affected mostly by this, as they need to carry a heavy load hence resulting in weakness. The lower back is the place that is usually affected by it a lot, as there is a shift in the center of gravity due to excessive weight, resulting in putting pressure on the lumbar spine and causing disc herniation. It may eventually compress the sciatic nerve. To manage it or prevent it, it is advised to maintain a healthy weight.

2. Wearing uncomfortable shoes:

Wearing the wrong shoe may seriously disturb the biomechanics of gait pattern, unequal weight distribution, increased stress on the lower back, and aggravates the symptoms of sciatica. The increase of pressure in the lower back directly compresses the sciatic nerve.

3. Excessively loaded back pocket:

When you continue to sit for a prolonged time with an excessively loaded back pocket, it exerts direct pressure on the piriformis muscle under which the sciatic nerve runs.

4. Lifting weight with your back:

While lifting loads, the bending posture puts a lot of pressure on the lumbar discs. Due to excessive load, the vertebral discs may bulge out causing disc herniation ultimately compressing the sciatic nerve.

5. Pregnancy:

In pregnant women, it is common to experience piriformis syndrome due to the increasing fetus that results in the anterior shift of the pelvis resulting in the tightening of the piriformis muscle. Sciatic occurs as a secondary symptom of this syndrome.

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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

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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