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Cervical Disk Replacement Surgery in India

Defining Cervical Disk

Cervical disk syndrome is the neurosurgical condition that is caused by displacement or compression of cervical cord or root. It can be characterized by

  • radicular– suboccipital
  • cervical, interscapular

And

  • thoracic pain

Which radiates into the upper extremities, aggravated by movement and accompanied by paresthesias. Cervical Disk may be accompanied by muscle fasciculation’s, spasms, and atrophy, and spastic bladder Diagnosis Narrowed disk spaces,

osteophytes, or spinal stenosis by radiology, myelography. Most of the cervical disk syndromes are caused by injuries that involve hyperextension.

The cervical disc is a disk-shaped piece of specialized tissue that separates the vertebral bones of the spinal column in the neck.

When the disc has ruptured, it creates pressure against one or more of the spinal nerves which can cause pain, weakness or numbness in the neck and arm.

Cervical Disk Replacement Surgery in Gurgaon

The nucleus is the center of the disk. It is soft, springy and is able receives shock because of standing, walking, running, etc.

There is a ring that at the outer side the ring, it is called annulus. It provides structure and strength to the disc.

Also, it consists of complex interwoven layers of fibrous tissue that are responsible for holding the nucleus in place.

If part of the disc has moved out of normal position where it used to be it will cause pressure on the spinal cord in the center or on the individual nerve roots that exit from the spinal canal.

Over time, the body’s reaction to a disrupted disc is the formation of bone spurs called osteophytes which can also cause pressure on the spinal cord or nerve roots.

Cervical Disk Replacement Surgery in Delhi

Disc disruption and degeneration can cause neck pain as well as cause neurologic symptoms which may include pain, numbness or weakness that radiates from the neck into one or both arms.

Dr. Arun Saroha, is a degenerative spine disorder and disc replacements, specialist. He was Awarded “Best Spine Surgeon”

by BIG RESEARCH AWARDS at New Delhi 2013. Dr. Arun Saroha has also been a neurosurgeon at PGIMER, Chandigarh. He explains the process of treatment for Cervical Disk

Process of treatment

The initial treatment for cervical disc disease generally involves physical therapy, medications, and occasionally spinal injection procedures.

If the symptoms continue to persist for more than 6-12 weeks, surgical treatment can be considered. The most common and traditional treatment for symptomatic cervical disc disease involves an anterior cervical discectomy and fusion surgery.

The anterior cervical discectomy and fusion technique

In this technique, an incision is made in the front of the neck. Therefore allowing the surgeon to remove the damaged and protruding disc in order to relieve any pressure on the spinal cord and nerve roots. After the disc is removed,

the gap that has been created between the two bones is then filled with a piece of bone graft or with a synthetic cage device. Once the pressure on the nerves is relieved,

Cervical Disk Replacement Surgery

procedure has to cause the two bones to grow together which is called a fusion, resulting in a complete loss of any kind of motion at the surgical level.

In the anterior cervical discectomy and fusion procedure, a plate with screws is applied to the front of the spine to provide initial stability which assists in achieving a solid fusion.

After that the fusion, patients are often immobilized for up to six weeks in a cervical collar. A disc replacement device composes of two metallic surfaces one of which is attached to the upper and the other to the lower vertebra at the affected disc level.

These metal implants can then slide on each other directly or can be separated by a piece of medical grade plastic. The device allows for movement between the two vertebrae to be maintained and avoids the need for a fusion.

 

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Carpal Tunnel Syndrome

Explaining Carpal Tunnel Syndrome

Carpal Tunnel Syndrome is caused by pressure on the median nerve, which runs through the length of the arm and goes through a passage in the wrist which is called the carpal tunnel,

And ends in the hand. Therefore, mostly because of the pressure the carpal tunnel is narrowed and starts to swelling. What people all the time forget to keep in mind is that the carpal tunnel syndrome happens most of the time because of the following reasons

  • Repetition in motions, like typing or any kind of motions with and around the wrist that one tends do over and over again.
  • Conditions like hypothyroidism and being obsessed or
  • Pregnancy

In case of Carpal Tunnel Syndrome a person would feel a sensation of burning, or tingling, or itching numbness in the palm of the hand and thumb, or in the index and middle fingers. The first thing that usually gets noticed by most people is that their fingers start to fall asleep and become numb during night. This happens because of the relaxed position of the hand while sleeping.

In the morning, the person would wake up to find numbness and tingling in his hands that would run all the way to his shoulder.

Carpal Tunnel Syndrome can lead to permanent muscle damage and loss of function in the hand

Diagnosis

It can be bases of the hand numbness. The neck, shoulder, elbow, pulses, and reflexes are examined to exclude other conditions that might turn out to be carpal tunnel syndrome. The wrist can be examined for swelling as well. Tingling of the hand can be reproduced by sometimes tapping the front of the wrist this is referred to as Tinel’s sign of carpal tunnel syndrome.

The tests involves measurement of the rate of speed of electrical impulses as they travel down a nerve. In carpal tunnel syndrome, the impulse slows as it crosses the carpal tunnel. A test of muscles of the extremity, electromyogram is also performed with the nerve conduction velocity test to detect other conditions like carpal tunnel syndrome.

The choice of treatment depends on the severity of the symptoms and any underlying disease that might have been causing the symptoms.” Says Dr. Arun Saroha who has 10 years of experience in Neurosurgery and has special interest in spine surgery. He is an MBBS, from Rabindra Nath Tagore Medcal College in Udaipur.

Dr. Saroha continues about Carpal Tunnel Syndrome that most patients improve with only conservative measures and medications. Sometimes, pressure on the median nerve might result in persistent numbness and weakness. So, in order to avoid that serious and permanent nerve consequences surgical treatment is considered.

Treatment

For Carpal Tunnel Syndrome Surgery severing the band of tissue is done around the wrist. It reduces pressure on the median nerve. This surgical procedure is called “carpal tunnel release.” It is also performed by microsurgery with a small diameter viewing tube, called an arthroscope, or by open wrist procedure. After carpal tunnel release, most patients often undergo exercise rehabilitation.

Traditional procedure used to correct the syndrome, by making an incision up to 2 inches inside the wrist and then the carpal ligament was cut to enlarge the carpal tunnel.  Whereas in the endoscopic surgery allows much faster recovery and less amount of discomfort than an open release surgery.

But Endoscopic Surgery for Carpal Tunnel Surgery is also said to have higher complications. One or two incisions of about ½ inch each in the wrist and palm are made, then a camera is inserted and is attached to a tube, which observes the nerve, the ligament, and the tendons on a monitor. The carpal ligament which is a tissue that holds joints together is cut with a small knife, inserted through the tube.

 

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What causes a backache,Symptoms,Treatment,causes

What causes a backache?

It is the disorder that causes several kinds of problems. It usually results from the one or three parts of the back. It consists:

  • Ligaments
  • Muscles
  • Nerves
  • The body structure

It has also the problem with the sitting and standing.

What causes back pain?

The most common cause of the lower back pain is strain and back structure.

Strained muscles often cause the back pain. If you incorrectly carry the heavy object and immediate movements.  If you do some back activities then it can happen to you. It is the sore feeling that occurs after few hours playing the sport.

Structural problem

The spine is made from the vertebrae are the interlocking bones stacked on the top of another. The disk is the space between on it.  It is one of the common causes of the back pain.

How is back pain diagnosis?

There is a physical exam that needed to diagnose the back pain. Your doctor may examine the test your:

  • The ability to stand and walk
  • The range of motion of the spine
  • Reflexes
  • Leg strength
  • Ability to detect the sensation

 

What are the symptoms?

Back Ache happens for the serious damage or disease. If you don’t do anything about the pain then it will increase consistently. It some cases it can cause the serious problem. Here are the symptoms that you must take care of it.

  • Difficulty in standing and walking.
  • There is numbness around the back passage.
  • Numbness, and weakness in both the legs.
  • There is unsteadiness in your legs.

What is the acute low back pain?

It is the lower back pain that lasts for the short time. Most of the people face the low back pain in some stages.  In most of the cases, it will improve within the several weeks. It can happen again over time.

 

MRI & the Back pain

There are certain set of test your Neurosurgeon will tell you to undergo to check the Spine. This includes blood investigations, X Ray , CT scan and MRI of Spine. In some cases, as per Dr Arun Saroha, results of MRI is fine but still the person have severe back pain.

Many patients have been told that pain is coming from disc bulges or tears that look abnormal on their MRIs. As per Dr Saroha sometimes the chronic back pain frequently does not correlate with the structural abnormalities that may appear on MRIs.

Many people with disc degeneration, tears, and bulging discs are able to lead pain-free and active lives. Once reassured by the doctor that there is no fracture, infection,

tumor, or a sinister medical condition that is responsible for your pain, the next step is to look for whether there are any factors that you can use to improve your pain condition.

Team of Spine and Brain India will help you to get rid of your back pain. For any information please visit us at www.spineandbrainindia.com

 

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bak pain tretment in Delhi

Back pain Treatment in Gurgaon | Delhi | India

Back pain Treatment in Gurgaon | Dr. Arun saroha 

Back pain Treatment in Gurgaon-80% of people at some point in their lives will experience back pain. And people who do not have low back pain have a herniated disc on MRI.

Back pain has become a major issue which has developed more and more due to the wrong postures people sit in and the neutrality their body cannot maintain.

backpin tretment in Gurgaon

backpin tretment in Gurgaon

Back pain Treatment in Delhi | Cause Of Backpain

Back pain Treatment in Gurgaon-Posture plays a big part in neck and back tension as well. It is a natural tendency to lean forward; as a person ages, the tendency increases. So many people spend a good part of their days sitting at a desk and leaning over computers.

Back pain Treatment in Gurgaon-At first, they may not feel pain but only a little stiff. As their tension increases and it becomes harder for the flow of blood and water to make it through tight spaces, the stiffness increases to such an extent that it manifests itself as pain.

backpin tretment in Gurgaon

backpin tretment in Gurgaon

Breaking the shackles of Back Pain | symptoms Of backpain

Back pain Treatment in Gurgaon-the low back is the area behind the belly from the rib cage down to the pelvis. Back pain is reported to be a major cause of missed work. Low back pain might usually resolve itself on its own and might be commonly the result of a strain injury. There are many treatments for back pain like;

  • Manual materials handling (especially lifting)
  • Twisting of the trunk
  • Bending the trunk forward
  • Falls
  • Prolonged sitting
  • Highly physical jobs
  • Cigarette smoking
  • Obesity

Back pain Treatment in Gurgaon | Symptoms Of Backpain

Back pain Treatment in Gurgaon-Also, extreme ranges in the movement of joints can damage ones back seriously. It’s one of those things that never have a clear diagnosis.

Magnetic resonance imaging also called MRI is considered to be great for imaging but it shows a lot more than one wants.

In MRI a powerful magnetic field, radio waves and a computer are used to produce detailed pictures of the inside of your body.

It might be used to help diagnose or monitor treatment for a variety of conditions within the chest, abdomen, and pelvis. MRI examinations are done for the following conditions

  • tumors of the chest, abdomen or pelvis.
  • diseases of the liver, such as cirrhosis, and abnormalities of the bile ducts and pancreas.
  • heart problems

Disc herniation is an incidental finding in a lot of patients. And in patients who have back pain, get herniation repaired, the pain often does continue even after repair.

Finding a herniation if one doesn’t have symptoms consistent with a herniation doesn’t really help; because of this, MRI should be avoided unless there’s something we expected to found.

Dr. Arun Saroha, Director, Neurosurgery, Max Healthcare, Delhi is a specialist in

  • Spine disorders that are degenerative
  • Brain Tumors
  • Disc replacements
  • Pediatric Neurosurgery
  • Spine Traumas & Complex Spine Fixations

He explains “If after a few MRIs we still can’t find anything wrong, the problem is likely muscular. The muscles in your back could have got knotted up in such a way that it can pinch nerves and create a great deal of pain for you.”

Role Of Dr Arun Saroha in Backpain Treatment

Back pain Treatment in Gurgaon-Dr. Saroha highly recommends the following for people to whom back still persists even after MRI one can go for an Electromyogram (EMG) on the lower back.

An EMG is a muscle conduction test in which they essentially send pulses of electricity through muscles with the help of acupuncture needles and then readings are taken on the other end of the muscle and can determine what is wrong.

A few other tips that might help if even after an MRI the back pain continues to persist…these might be helpful as well

  • Losing weight
  • Exercising
  • Physical therapy
  • Pain Medicine referral
  • Acupuncture

 

For appointment booking of Dr Arun saroha visit here for Online Appointment Booking

 

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fibromalgia tretment in gurgaon

Fibromyalgia Treatment In India | Gurgaon | Delhi

Fibromyalgia Treatment In India

Fibromyalgia is a disorder characterized with widespread musculoskeletal pain and fatigue, sleep, memory and mood issues.

It amplifies painful sensations by affecting the way ones brain processes pain signals. Fibromyalgia causes in many areas of the body, and tiredness as well.

fibromalgia tretment in india

fibromalgia treatment in india

Fibromyalgia Treatment In Delhi | Causes Of Fibromyalgia

Fibromyalgia is considered to be a central pain problem, which is caused by excessive levels of pain stimulators and amplifiers inside the central nervous system since there is no corresponding injury). There are subtle changes in chemicals called neurotransmitters,

Found in the brain and inside the nervous system. These neurotransmitters are responsible for transmitting messages between nerves and brain cells.

Fibromyalgia Treatment In Delhi

The increased level of pain-producing neurotransmitters is called central sensitization. Which implies that Fibromyalgia tends to cause the considerable amount of distress and misunderstanding.

About 1 out of 25 people have chances of suffering from fibromyalgia at some stage in their lives. And it is more common in women than it is in men. It usually begins somewhere between the ages of 25 and 55.

Reports suggest that fibromyalgia begins after an illness like flu, and causes muscle inflammation and pain. Some of the causes of Fibromyalgia are

  • Since it runs in families,
  • Physical or emotional trauma. Fibromyalgia can sometimes be triggered by a physical trauma.

People with this disorder also experience:

  • fatigue
  • trouble sleeping
  • sleeping for long periods of time without feeling rested
  • headaches
  • depression
  • anxiety
  • inability to focus
  • difficulty to pay attention
  • pain in the lower abdomen

Fibromyalgia Treatment In India

The Brain and the nerves misinterpret or overreact to normal pain signals. And this may be due to a chemical imbalance inside the brain.

Dr. Arun Saroha who has performed 1000’s of Neurosurgeries successfully till date. A well-read and a successful spine and brain surgeon he explains that fibromyalgia treatment is to manage pain and to improve quality of life,

He goes on that this can be accomplished through an approach of self-care and medication. According to him, the symptoms of fibromyalgia vary from person to person.

  • Headaches might be common.
  • Irritable bladder might be common –
  • Irritable bowel syndrome
  • Constipation or bloating.
  • People with fibromyalgia also have restless legs syndrome.
  • Painful periods would occur in women with fibromyalgia.
  • Pins and needles in fingers and/or toes are some symptoms of fibromyalgia.

Fibromyalgia Treatment In India

Repeated nerve stimulation is believed to cause the brains with fibromyalgia to change. It involves abnormal levels of increase in certain chemicals that signal neurotransmitters.

Apart from this the brain’s pain receptors develop a memory of the pain and become more sensitive, which means that they can overreact to pain signals.

More than 5 million people over the age of 18 are diagnosed with the condition. Between 80 and 90 percent of people diagnosed with the condition are women.

Fibromyalgia Treatment In Gurgaon

Men and children can also be diagnosed with the disorder. Most people are diagnosed during middle age.

Dr. Arun Saroha also tells us the medications for Fibromyalgia; Antidepressants; these are helpful for fibromyalgia because they also function as painkillers.

Maybe probably because antidepressants are able to modify levels of neurotransmitters, and pain and depression involve the same neurotransmitters working indifferently but closely related parts of the brain.

Fibromyalgia Treatment In Delhi

Antidepressants are able to help with easing pain and to improve overall function, and they are also able to help with disturbed sleep.

Since Fibromyalgia is a long-term condition. It is strongly advised to take strong opiates long-term, because they can lead both to problems such as medication dependence,

General impairment in the performance of your mind and brain – things such as memory, mental agilit, and alertness.

Therapies like relaxation, acupuncture and psychological support have shown for being useful in pain. All of these increase the levels of endorphins in the nervous system so that symptoms become more tolerable and activity levels are able to increase.

Fibromyalgia  Support | Number, Chat, Group support

fibromyalgia support

If you have any queries or issues Related to the Fibromyalgia then you can easily contact our support number for online queries or issues regarding the fibromyalgia.there are lots of region that you want to talk with the fibromyalgia ,

The indian fibromyalgia indian support number is 098917 78811

 

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