Spine Surgery

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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Please suggest the best treatment option for sciatica.

Query: My father has been having sciantica on lower left leg and back pains. This have continuously happened for last 5 months. In the past 2 years it only pains periodically. What are the best options (1) without surgery or (2) minimal invasive surgery? I would be able to share further on the MRI scans o...  Read Full »


Dr. Chandan Mohanty

Neurologist, Neuro Surgeon, Spine Surgeon, Spine Health Specialist

Answer: Hello, Sorry to hear this. The MRI does show degenerative disease of the lumbar spine mainly at L45 L5S1 level. The main indications for surgery are as follows Presence of neurological deficits ( i.e weakness of legs and/or numbness of legs and/or numbness or tingling in the peri anal region an...  Read Full »

Can a CT scan show blood clots?

Query: Hi doctor,Post spine surgery My CT says evidence of pre and paravertebral soft tissue and differentiation of hematoma may be considered. Does this mean there is a blood clot?  Read Full »


Dr. J Mariano Anto Bruno Mascarenhas

Family Physician, General Practitioner, Neuro Surgeon, Neurologist, Spine Health Specialist, Spine Surgeon

Answer: Hi, Welcome to icliniq.com. I have read your question with care and understand that you want to know about a CT report (attachment removed to protect patient identity). This report means that there is a pre and paravertebral soft tissue. But, from the CT scan, they are not able to find out specifica...  Read Full »

Can a nerve disorder cause weakness and bladder problems?

Query: Hi doctor, I am a 27 year old male. I am suffering from a unique neurological disorder for about 5 years. I have consulted many doctors, but there is no improvement. So, I want your suggestion in regard to this. I am explaining my problem below. Five years ago, one morning when I got up from be...  Read Full »


Dr. J Mariano Anto Bruno Mascarenhas

Family Physician, General Practitioner, Neuro Surgeon, Neurologist, Spine Health Specialist, Spine Surgeon

Answer: Hi, Welcome to icliniq.com. I understand that you have numbness and weakness in legs, difficulty in walking and difficulty in passing urine. Please scan and send all the reports you have with you. We will evaluate and get back to you. Revert back with the reports to a neurologist online --> http...  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 »


Dr. Sumit Srivastava

General Medicine Physician, General Practitioner, Internal Medicine Physician

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 cord ...  Read Full »

I am sensitive to Morphine. What drug can be used to control post-operative spinal surgery pain?

Query: Hello doctor, I am undergoing major spinal deformity surgery next month, anterior and posterior. I am 50 years old and this is my fourth scoliosis surgery. In recent years, I have developed a sensitivity to Morphine and I cannot take Dilaudid (Hydromorphone) because it gives me terrible headaches. ...  Read Full »


Dr. Prem

Anesthesiologist, Pain Medicine Physician

Answer: Hi, Welcome to icliniq.com. From your brief history, I can sense that you have already become tolerant to opioids. Once tolerance develops to one group of opioids, simultaneously other opioids also develop the same way. I would suggest the addition of Clonidine, Dexmedetomidine through your spin...  Read Full »

Do I need surgery for compressed nerve and back pain?

Query: Hi doctor, I suffered a back injury at work before nine months while lifting an order of 20 batteries weighing 20 kg 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...  Read Full »


Dr. Chirag Solanki

General Surgeon, Neuro Surgeon, Spine Surgeon

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 ha...  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 »


Dr. Anuj Gupta

Orthopaedician And Traumatologist, Spine Surgeon

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 decompre...  Read Full »

My brother became paraplegic after he met with an accident. Can it 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 »


Dr. Lokesh

General Practitioner, Orthopaedician And Traumatologist, Spine Health Specialist, Spine Surgeon, Family Physician

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 »

For spinal TB, should we go for surgery?

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. Rajyaguru

Neuro Surgeon, Neurologist, Spine Surgeon

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 »

Will surgery help my sciatica?

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. Rajyaguru

Neuro Surgeon, Neurologist, Spine Surgeon

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 b...  Read Full »

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Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.