Spine surgery is indicated for patients who continue to have back pain and lower body weakness even after trying different treatments. The most common spine surgeries are spinal fusion, laminectomy, foraminotomy, diskectomy, interlaminar implant, and disk replacement.
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Do I need surgery for compressed nerve and back pain?
Query: Hi doctor,I suffered a back injury at work nine months ago while lifting an order of 20 batteries weighing 44 pounds each. When I lifted the last battery of the order, I felt a sharp pain in my lower back and my left leg that made me collapse, and I was rushed to the hospital. I have seen a number o... Read Full »
Answer: Hi, Welcome to icliniq.com. Firstly, I would suggest you undergo endoscopic or microsurgical discectomy surgery for your back pain as soon as possible without further delay. You can also consider disc replacement as an option. Regarding your symptoms, I would like to tell you that we human beings ... Read Full »
Kindly explain the difference between spine fusion and fixation surgery.
Query: Hello doctor, What is the difference between spine fusion and fixation surgery? Read Full »
Answer: Hi, Welcome to icliniq.com. The spine fusion means we fuse one mobile segment of the spine. That means we fuse between two vertebral bodies. We put bone graft there and it fuses with time. This is usually done if there is instability at that segment or spinal canal is so narrow that while decompress... Read Full »
Query: Hi doctor, Lately, I have felt weird about my hand, like tiredness and stiff. I travel a lot due to work, so I thought this was why my hand was tired. But I did a magnetic resonance imaging (MRI) for a check-up. I will attach the report. I have a problem with my spinal cord. The doctor said it needs... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. I saw the magnetic resonance imaging (MRI) reports (attachments removed to protect the patient's identity). However, you did not attach the complete images of obtained MRI. Nevertheless, the attached reports are enough to show your serious si... Read Full »
Please suggest ways to cure spinal deformity.
Query: Hi doctor, I would like to know which avenue to go down to treat my issues. I believe I have something wrong with my legs which cause my body to strain. The first memory I can remember was having very excruciating pain in my legs at night when I was a young teenager. As I got older my knees started ... Read Full »
Answer: Hi, Welcome to icliniq.com. Excruciating pains at night could be due to muscle cramps or due to vascular ischemia (compromised blood supply). Cold feeling in ankles and feet suggest vascular compromise. Pinching of nerve could be due to spinal deformity. Nerve compression when it exits spinal... Read Full »
I have left leg sciatica with a referred pain down the heel. Will surgery help?
Query: Hi doctor, I have left leg sciatica. There is no back pain, but there is a referred pain down to the heel. I have recurring flare ups once in every six to eight months. I am currently taking Advil 3200 mg per day and ice. I feel great once the Advil kicks in. I got a selective nerve block on L5-S1 b... Read Full »
Dr. Hardik Nareshbhai Rajyaguru
Answer: Hi, Welcome to icliniq.com. I understand your symptoms. Before we go ahead and discuss the MRI, I would like to know some more clinical details. You said pain in the left leg. I would like to know here that which aspect of your leg is it. Either is it in the inner part or outer part or front or ... Read Full »
Query: Hello doctor, I am a 20-year-old female. I have double thoracolumbar scoliosis with a curvature of 40 degrees. Can a spinal decompression surgery improve my condition? If yes, then by how many inches will my height improve? I have lost a lot of height due to the condition. Kindly suggest. Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern and would be happy to help. If the curve was greater than 30 degrees before peak height was reached during or after the onset of menstruation, then there is a strong likelihood for the need for surgery. Based on the skeletal maturity of the ... Read Full »
My brother suffers from paraplegia after an accident. Can this be cured?
Query: Hi doctor, My brother met with an accident while riding his bike. His D4 and D5 vertebra got fractured and he is not able to move due to loss of sensation from the upper part of the abdomen. The doctor said that he is suffering from paraplegia due to complete damage to the main spinal cord nerve,... Read Full »
Answer: Hi, Welcome to icliniq.com. No, natural body healing is the only way at present for paraplegia and spinal cord recovery. The only things that we can do are as follows. Surgery is done to give the spinal cord the space to heal and prevent any further damage from the vertebrae. Physiotherapy to mobili... Read Full »
Is it advisable to have surgery for spinal TB?
Query: Hi doctor, My brother, who is 27 years old, has been suffering from back pain for the last nine months. Nine months ago, in the first MRI, the doctor told us it is a slipped disc. We took it lightly. He had painkillers, and due to excessive use of painkiller, he had a stomach ulcer. Now, the ulcer ... Read Full »
Dr. Hardik Nareshbhai Rajyaguru
Answer: Hi, Welcome to icliniq.com. I understand the scenario well. If it was only a spinal involvement, then we could have given only medicines and weighted for improvement. But here it is both, spinal involvement and abscess also (attachment removed to protect patient identity). An abscess is a collecti... Read Full »
Please suggest the best treatment option for sciatica.
Query: Hi doctor, My father had sciatica on his lower left leg and back pains. This has continuously happened for the last five months. In the past two years, it only pains periodically. What are the best options of treatment, without surgery or minimally invasive surgery? Read Full »
Answer: Hello, Welcome to icliniq.com. The MRI (magnetic resonance imaging) shows the lumbar spine's degenerative disease, mainly at the L45, L5S1 level. The main indications for surgery are as follows: Presence of neurological deficits (i.e., weakness of legs or numbness of legs or numbness or tin... Read Full »
Can I perform all the physical activities normally after spinal fusion surgery?
Query: Hello doctor, It has been about a year since my fusion (T8, T9, T10). About three months after surgery, my fusion was healed (solid fusion). I went today just for a yearly X-ray. The doctor stated that everything still looks great. I feel like I can do everything I did before the injury. My doctor ... Read Full »
Answer: Hi, Welcome to icliniq.com. You have undergone spinal fusion surgery. The surgery site has healed well from the attached photograph (attachments removed to protect the patient's identity). 1) You can do all your daily activities but avoid lifting weight. As the weight is transferred from above ... Read Full »