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: 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 »


Dr. Chandan Mohanty

Neurologist, Neuro Surgeon, Spine Surgeon, Spine Health Specialist

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 »


Dr. Rahul Patil

Neuro Surgeon

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 »

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. 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 »

Why am I in more pain after cyst removal surgery than before?

Query: Hello doctor, I am 23 years old. I had a cyst removal in two sites on my lower lumbar area due to pain when bending. After the surgery, I was in more pain than before. I was treated with Kenalog, acupuncture, NSAIDs, and chiropractic care. It is five years of pain, and sometimes I feel numbness dow...  Read Full »


Dr. Aida Quka

Neurologist

Answer: Hello, Welcome to icliniq.com. I understand your concern and explain that your symptoms are related to the disc herniation and the sciatica nerve's irritation. Coming to this point, I would recommend consulting with a spinal surgeon and discussing surgery to help improve your situation. Another...  Read Full »

What are the treatment options for PIVD and nerve compression?

Query: Hi doctor, I am an army man. I am having PIVD L4-L5 and neural compression at L5-S1. I have a little numbness in my left leg and I do not have any control on my left big toe. As of now, my doctor has recommended for surgery. I need your opinion on this case.  Read Full »


Dr. Atul Prakash

Fitness Expert, Orthopaedician And Traumatologist, Physiotherapist, Spine Health Specialist

Answer: Hello, Welcome to icliniq.com. The MRI films that you have sent shows only the L5-S1 level and I will pass that as normal (attachment removed to protect patient identity). The MRI report, however talks about a L4-L5 extruded disc, which could be significant, but I need to see the films and will appr...  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 »

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Disclaimer: All health Q&As published on this website are 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.