Thursday 8 October 2015

Advanced Back Pain Surgery in India


Back problems are one of the most common reasons to see a doctor. Approximately 80% of people will experience back pain during their lifetime. Fortunately, for the vast majority of these people the pain will subside naturally without the need for surgery.  
Causes of Back Pain

There are several potential sources and causes of back pain. However, the diagnosis of specific tissues of the spine as the cause of pain presents problems. This is because symptoms arising from different spinal tissues can feel very similar and is difficult to differentiate without the use of invasive diagnostic intervention procedures, such as local anesthetic blocks.

One potential source of back pain is skeletal muscle of the back. Potential causes of pain in muscle tissue include muscle strains (pulled muscles), muscle spasm and muscle imbalances. However, imaging studies do not support the notion of muscle tissue damage in many back pain cases, and the neurophysiology of muscle spasm and muscle imbalances is not well understood.


Spine surgery in India—whether back or neck surgery—is an advanced treatment option for pain and disability caused by an identifiable lesion in the patient’s anatomy that has not adequately improved with non-surgical treatments. Although spinal arthritis tends to be chronic, the symptoms are rarely progressive and rarely require surgery on the painful spinal joints. However, surgery may be needed in severe cases, and may include a spine fusion, decompression and laminectomy.

Many patients with lower back pain wonder if they will need surgery and if and when they should consult a surgeon.  Spine surgeons are physicians who receive special training in the diagnosis and treatment of the spine which include problems with the neck (cervical spine), mid back (thoracic spine) and low back (lumbar spine). 



The latest techniques like Minimally invasive spine surgery, Expandable devices for Lumbar Spine Fusion are routinely carried out with results at par with the best centers globally.

Conventional Spine surgery involves taking long incisions, forceful muscle retraction for prolonged time, removal of normal tissues like ligaments and bone to approach area of pathology. Most of the times these surgeries are done under prolonged general anesthesia.

This long incisions and injury to normal structures results in

  • Increased blood loss
  • Increased scar tissue formation
  • Increased chance of neural injury
  • Epidural scarring
  • Denervation of paraspinal muscles

All these cause increased morbidity and failed surgery syndrome. Since many times patients require to stay in bed for long duration of time, and there is also loss of work, earning , patients tend to avoid surgery and prefer to suffer pain and disability. Now there is hope for all these suffering population, in the form of minimal invasive spine surgery.

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