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.
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.
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.
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.
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.
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 craniotomy, ultrasonic aspirator, microsurgery, endoscopic surgery for brain tumors. Dr. Kalyan Bommakanti is a famous neurosurgeon from hyderabad and will try to answer these queries at leisure as a part of brain tumor clinics on you tube live
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Do you have to stay in the hospital after back surgery? : Explained by brain tumor surgeon Dr.Kalyan Bommakanti, M.Ch
Recovery from lumbar decompression surgery depends on your fitness and activity level before the operation, which is why a course of physiotherapy before the operation may be recommended.
The day after surgery, you will be encouraged to walk and move around, and it is likely that you will be discharged one to four days after that.
Do you have to stay in the hospital after back surgery? : Explained by brain tumor surgeon Dr.Kalyan Bommakanti, M.Ch
If you have a severe condition and symptoms prior to the operation, you will need 4 to 6 weeks to reach your expected level of mobility and function.
You will probably find that you are attached to at least one tube when you wake up after lumbar decompression surgery.
These may include:
Intravenous drips are used to ensure you do not become dehydrated by supplying you with fluids
Fluid can be drained from a wound with a drain
In the event you have difficulty urinating, a thin, flexible tube is inserted into your bladder (urinary catheter).
The pump delivers painkillers directly into your veins
The tubes are usually only attached for a short time after your operation.
Do you have to stay in the hospital after back surgery? : Explained by brain tumor surgeon Dr.Kalyan Bommakanti, M.Ch
The day after surgery, you will have some pain in and around where the operation was performed. You’ll be given pain relievers to ensure you’re comfortable and to assist you as you recover. You should tell your doctor and nurse if you don’t feel better immediately after surgery.
It is possible that a few people have difficulty urinating after the operation. This is usually temporary, but in rare cases complications, such as nerve damage, can cause the legs or bladder not to work properly. Tell your doctor and nurse right away if this happens.
You may need up to six weeks to recover fully from general pain and fatigue after your operation.
Stitches
Any cuts and incisions made during your surgery will be stitched or stapled closed. Deep stitches beneath the skin will dissolve and don’t need to be removed. If dissolvable stitches are used, they do not need to be removed.
Stitches and staples that are not dissolvable will be removed within five to ten days of your operation. Before you leave hospital, an appointment will be scheduled for their removal.
After having your stitches removed, you will not need a dressing and can shower and bathe as usual. Use care not to get your dressing wet when you wash.
Getting home
Your recovery depends on the type of surgery you had and how well you are doing. You should be able to go home about 1 to 4 days after your operation.
After surgery, it’s important to take it easy at first and gradually increase your level of activity each day. You may need some support at home for the first week afterward.
You should stay active to speed up your recovery. Do the exercises recommended by your physiotherapist, and avoid sitting or standing in the same position for more than 15-20 minutes at a time, since that can cause stiffness and soreness.
Work
In terms of how soon you can return to work after surgery, it depends on your recovery rate and what type of job you have.
If your job isn’t too strenuous, you may be back on the job after 4 to 6 weeks. If your job involves a lot of driving, heavy lifting, or other strenuous activities, you may have to take 12 weeks off.
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 craniotomy, ultrasonic aspirator, microsurgery, endoscopic surgery for brain tumors. Dr. Kalyan Bommakanti is a famous neurosurgeon from hyderabad and will try to answer these queries at leisure as a part of brain tumor clinics on you tube live
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