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Author: Dr. B Leela Prasad

  • Spinal Implants—Frequently Asked Questions

    Spinal Implants—Frequently Asked Questions

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    Spinal Implants—Frequently Asked Questions

    Home > Blog > Spinal Implants—Frequently Asked Questions

    Spinal Implants

    🔹 What are spinal implants?

    Spinal implants are medical devices placed inside the body during spine surgery. 

    🔹 What types of spinal implants are commonly used?

    Pedicle screws, hooks, and rods: Used to stabilize the spine and hold the bones in proper alignment.

    Plates: Commonly used in the cervical spine (neck) to support stability and protect the bone graft.

    Interbody cages: Placed between vertebrae to maintain disc height and promote bone fusion.

    Artificial discs: Used to replace damaged spinal discs while preserving spinal motion.

    Wires and connectors: Sometimes used to provide additional support in complex spinal surgeries.

    The type of implant used depends on:

    • The patient’s spinal condition
    • Age
    • Bone quality
    • Surgical goals

    🔹 What materials are spinal implants made of?

    Most spinal implants are made from:

    • Titanium 
    • Cobalt-chromium alloys
    • Medical-grade plastics (eg, PEEK)
    • Stainless steel

    These materials are safe, biocompatible, and well-tested for use in the human body.

    🔹 What are the indications for spinal implants?

    Spinal implants are used to stabilize, support, or correct the spine in conditions such as:

    • Spinal instability causing pain and functional impairment (spondylolysis, spondylolisthesis)
    • Spinal deformities (scoliosis, kyphosis) — to correct deformity and maintain spinal alignment
    • Spine fractures and dislocations — to restore alignment, stabilize the spine, relieve pain, and allow early mobilization
    • Spinal tumors and infections — to stabilize and reconstruct the spine
    • Failed previous spine surgery (revision surgery)
    • Slipped disc and spinal canal stenosis when significant bone removal is required for adequate decompression

    🔹 Do spinal implants help in bone healing?

    Yes. Many spinal implants are designed to facilitate bone healing by providing stability, especially after spinal fusion surgery. However, implants themselves do not directly heal bone.

    During spinal fusion surgery, a bone graft is placed along with the implants. The implants keep the spine stable while the bone graft gradually grows and fuses adjacent vertebrae into one solid bone over several months.

    🔹 Are spinal implants safe?

    Yes. Spinal implants are generally very safe, and complications are uncommon.

    Possible complications include:

    • Infection
    • Implant loosening or breakage
    • Malpositioning of implants
    • allergic reactions( very rare)

    Usually, surgeons take several precautions to minimize these risks.

    🔹 What is malpositioning of spinal implants?

    Malpositioning means that a screw, rod, cage, or other implant is not placed in the ideal position during surgery.

    Depending on the severity and location, possible complications include:

    • Persistent back or neck pain
    • Nerve injury causing pain, numbness, tingling, or weakness
    • Spinal cord injury (rare but serious)
    • Implant loosening or failure
    • Poor bone fusion (non-union)
    • Reduced deformity correction
    • Damage to nearby blood vessels, lungs, or internal organs
    • Need for revision surgery

    Precise surgical techniques and modern technologies improve implant accuracy and reduce complications.

    🔹 Can I walk and do normal activities after surgery?

    Yes. Most patients are encouraged to start walking within a day or two after surgery, and daily activities are gradually resumed over weeks to months, depending on the procedure and overall condition. 

    However, during early recovery, patients are usually advised to avoid heavy lifting, excessive bending/twisting and high-impact activities

    🔹 Will spinal implants remain in the body forever, or do they need to be removed?

    In most cases, spinal implants are designed to remain in the body permanently. They are made from biocompatible materials and usually do not need removal once the bone has healed and the spine is stable.

    Implant removal is uncommon and may be considered if the patient develops:

    • Infection
    • Implant loosening or breakage
    • Persistent pain or irritation
    • Rare allergic reactions

    Important exception:

    When implants are used temporarily to stabilize lumbar spine fractures, especially in younger patients, surgeons may sometimes remove them  1–2 years after the fracture has healed. It may help restore lower back movement and flexibility.

    Overall, most patients live their entire lives with spinal implants without problems.

    🔹 Will I feel the implant inside my body?

    Usually not. Most patients do not feel the implant once healing is complete.

    🔹 Will spinal implants trigger metal detectors?

    Usually not. Most spinal implants do not trigger airport security alarms.

    🔹 Can patients undergo MRI scans after spinal implant surgery?

    Yes. Most modern implants, especially titanium implants, are MRI-compatible and safe for MRI scans.

    🔹 Can spinal implants fail or break?

    Yes. Although modern spinal implants are very durable, breakage can occur, especially if healing does not occur properly.

    Common causes of implant failure include:

    • Failure of bone fusion (pseudarthrosis)
    • Excessive mechanical stress
    • Poor bone quality (such as osteoporosis)
    • Infection
    • Long spinal constructs
    • Implant fatigue over time
    • Improper spinal alignment or surgical factors

    🔹 Do spinal implants cure back pain completely?

    Not always. Spinal implants can stabilize the spine, reduce pain caused by instability and improve quality of life.

    However, some patients may continue to have mild discomfort even after successful surgery.

    🔹 Is spine surgery with implants very risky?

    Spine surgery is a major procedure, but modern surgical techniques have made it much safer than before.

    Most patients achieve good outcomes when they have surgery for the right reasons and follow it with proper rehabilitation.

    🔹 Can I live a normal life after spinal implant surgery?

    Yes, most patients return to normal daily activities. resume work, travel, and participate in exercise and recreational activities

    Many people lead active and healthy lives after recovery from spinal implant surgery.

     

    Spinal Implant—Dr. B. Leela Prasad Spine Specialist

    Dr. B. Leela Prasad at Amulya Hospital specializes in spine surgery in Visakhapatnam and provides advanced surgical and nonsurgical treatment for patients suffering from spine disorders, fractures, disc problems, and spinal instability. With expert care, modern surgical techniques, and personalized recovery support, patients receive effective treatment for long-term spine health and improved mobility.

     

    Dr. B Leela Prasad

    Spine Leela Logo

    Dr. B. Leela Prasad is one of the country’s most renowned orthopedic doctors, with over 15 years of experience in the field. After earning his medical degree from Andhra Medical College, Visakhapatnam, he pursued post-graduation in Orthopedics at Guntur Medical College.

    Quick Links

    Visit Us at

    • Amulya Hospital
    • 14-1-3/1, Nowroji Rd, Opp More Supermarket, Visakhapatnam
    • spineleela@gmail.com
    • +91 95739 17693
    • Hyma Nursing Home
    • Main Road, Marripalem, Visakhapatnam-18
    • HYMA Nursing : 07:30PM – 09:30 PM
  • Common Myths About Spine Surgery

    Common Myths About Spine Surgery

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    Common Myths About Spine Surgery

    Home > Blog > Common Myths About Spine Surgery

     

    1. Myth: Spine surgery is always the first treatment for back pain

    Fact:
    Most spine problems do not require surgery. The majority of patients improve with a short period of rest, appropriate medications, physiotherapy, and lifestyle changes.

    Surgery is considered only in a small percentage of cases—typically when these treatments do not provide relief or when there is significant nerve compression causing severe symptoms.

    2. Myth: Spine surgery is only for elderly patients.

    Fact:
    Spine surgery may be required in people of any age, depending on the condition. Problems such as disc prolapse, spondylolisthesis, fractures, deformities, infections, or tumors can occur in younger as well as older individuals.

    3. Myth: Spine surgery, when required, must always be done as an emergency or else the patient will become paralyzed

    Fact:
    Most spine surgeries are not emergencies and can be safely planned after proper evaluation and imaging.

    Emergency surgery is needed only in specific situations, such as:

     

      • Severe spinal cord compression causing rapidly progressing weakness  of limbs and/or  loss of bowel and bladder control

      • Spinal trauma causing instability

    A spine specialist will determine whether surgery is urgent, elective, or not required, based on the patient’s condition.

    4. Myth: Spine surgeons recommend surgery for all patients.

    Fact:
    This is a common misunderstanding. Spine surgeons treat the majority of patients without surgery using medications, physiotherapy, exercise, and lifestyle changes. Spine surgeons are specially trained to diagnose spine problems and decide the most appropriate treatment, whether non-surgical or surgical. Surgery is recommended only when necessary.

    5. Myth: Spine surgery is always very risky.

    Fact:
    Modern spine surgery has become much safer due to advances in surgical techniques, better imaging, improved anesthesia, and enhanced perioperative care. Many procedures today are minimally invasive, which means smaller incisions, less tissue damage, and faster recovery.

    Patients are carefully evaluated before surgery, and the benefits, risks, and alternatives are thoroughly discussed.

    6. Myth: Spine surgery leaves large scars and requires long hospital stays.

    Fact:
    Many spine surgeries today are minimally invasive, involving smaller incisions, less muscle damage, shorter hospital stays, and faster recovery.

    7 Myth: Spine surgery requires months of bed rest.

    Fact:
    With modern techniques, patients are usually encouraged to start walking within a day or two after surgery. Early mobilization helps recovery and reduces complications.

    8. Myth: Recovery after spine surgery is very slow.

    Fact:
    Recovery after spine surgery varies depending on the severity and duration of the underlying condition, the type of surgery performed, and the patient’s overall health. With proper rehabilitation and medical guidance, many patients are able to return to their daily activities within a few weeks.

    However, in certain situations—especially when the spinal cord or nerves have been compressed for a long time before surgery—recovery may take longer. In such cases, improvement is often gradual and may sometimes be incomplete, depending on the extent of nerve damage prior to treatment.

    9. Myth: Patients cannot return to sports or dancing after spine surgery.

    Fact:
    After proper recovery and rehabilitation, many patients can return to sports, exercise, and dancing, depending on the type of surgery and medical advice.

    10. Myth: Spine surgery means permanent disability.

    Fact:
    Most patients return to normal daily activities, work, and exercise after recovery.

    11. Myth: The risk of nerve injury or paralysis after spine surgery is very high.

    Fact:
    The risk of nerve injury or paralysis is very low in most spine surgeries. Even in complex procedures, the risk is generally low when surgery is performed by experienced spine surgeons using modern techniques and safety measures.

    Many spine operations are actually performed to relieve pressure on nerves or the spinal cord and prevent permanent nerve damage.

    12. Myth: Once you have spine surgery, you will need repeated surgeries.

    Fact:
    Most patients do not require repeat surgeries. When surgery is performed for the right indication and followed by proper rehabilitation, many patients experience long-term relief.

    However, some spine conditions, such as disc prolapse, can recur over time, and natural aging may lead to degeneration at other levels of the spine. Hence, a small percentage of patients may require additional surgery later.

    13. Myth: Eating dal after spine surgery causes surgical wound infection.

    Fact:
    Eating dal does not cause wound infection. In fact, dal is a rich source of protein, which is essential for wound healing and recovery after surgery.

    Wound infections (surgical site infections) are usually caused by germs entering the surgical wound during or after surgery. Several factors can contribute to this, including a breach in sterile technique, inadequate sterilization of instruments or the operating environment, excessive tissue handling, or blood loss during surgery.

    Patient-related factors such as uncontrolled diabetes, obesity, poor hygiene, low immunity, smoking, and improper wound care after surgery also increase the risk.

    14. Myth: Spine surgery should be done only by neurosurgeons.

    Fact:
    Spine surgery is performed by both neurosurgeons and orthopedic spine surgeons who have specialized training in spine care.

     

      • Neurosurgeons traditionally focus more on intradural problems such as spinal cord tumors and nerve-related conditions.

      • Orthopedic spine surgeons often focus more on extradural problems such as spinal malalignment, deformities, fractures, and spinal stabilization.

    The most important factor is the surgeon’s expertise, training, and experience in spine surgery.

    15. Myth: Major spine surgeries are done only in metro cities.

    Fact:
    Major spine surgeries are no more limited to metro cities. With advancements in medical technology and training, many well-equipped hospitals in smaller cities and towns are now capable of performing complex spine procedures safely and effectively.

    Qualified spine surgeons, modern operation theatres, advanced imaging, and improved anesthesia care are increasingly available beyond metro areas. As a result, patients can often receive high-quality spine care closer to home.

    16. Myth: It is better to avoid spine surgery at all costs.

    Fact:
    When surgery is recommended for the right reasons and at the right time, it can relieve severe pain, protect nerves, and significantly improve quality of life.

    ✅ Key Message:


    Spine surgery is not required for most patients, but when necessary, it can be safe, effective, and life-changing, helping relieve pain and restore normal function.

    Best Spine Surgeon in Vizag – Dr. B. Leela Prasad, Amulya Hospital

    Dr. B. Leela Prasad is one of the most trusted and experienced spine surgeons in Vizag, currently practicing at Amulya Hospital. With many years of experience in orthopaedics and spine surgery, he specializes in treating conditions such as slip disc, sciatica, spinal deformities, and complex spine infections.

    Known for his patient-centric approach, Dr. Leela Prasad focuses on accurate diagnosis and prefers non-surgical treatments whenever possible, recommending surgery only when necessary. He is skilled in advanced and minimally invasive spine procedures, ensuring faster recovery and better outcomes for patients.

    At Amulya Hospital, patients benefit from modern facilities, advanced technology, and personalized care, making it a reliable destination for comprehensive spine treatment in Visakhapatnam.

    Dr. B Leela Prasad

    Spine Leela Logo

    Dr. B. Leela Prasad is one of the country’s most renowned orthopedic doctors, with over 15 years of experience in the field. After earning his medical degree from Andhra Medical College, Visakhapatnam, he pursued post-graduation in Orthopedics at Guntur Medical College.

    Quick Links

    Visit Us at

    • Amulya Hospital
    • 14-1-3/1, Nowroji Rd, Opp More Supermarket, Visakhapatnam
    • spineleela@gmail.com
    • +91 95739 17693
    • Hyma Nursing Home
    • Main Road, Marripalem, Visakhapatnam-18
    • HYMA Nursing : 07:30PM – 09:30 PM
  • Common Myths About Back Pain

    Common Myths About Back Pain

    Common Myths About Back Pain

    1. Myth: Back pain always means there is a serious spine problem.

    Fact:
    Most episodes of back pain are due to muscle strain, poor posture, or unaccustomed activity. They usually improve with rest, physiotherapy, and simple medication. Only a small percentage of cases are caused by serious conditions such as infection, tumors, or disc related problems.

     2. Myth: Back pain and spine problems occur only in elderly people.

    Fact:
    Back pain and other spine disorders can affect people of all ages, including young adults and adolescents. Conditions such as disc prolapse, sports injuries, or infections can occur even in younger individuals.

     3. Myth: Back pain in elderly people is a normal part of aging, and nothing needs to be done.

    Fact:
    Although back pain in older adults is often related to age-related wear and tear, it is not an inevitable part of aging and should not be ignored. It may also be caused by serious conditions such as infection, fractures, or cancer. Proper medical evaluation and timely treatment can significantly reduce pain and improve mobility.

     4. Myth: Spinal anesthesia injections cause back pain later in life.

    Fact:
    Spinal anesthesia does not cause long-term back pain. The injection is given in the lower back with a very fine needle and temporarily affects the nerves to provide anesthesia during surgery.

    Some patients may experience mild soreness at the injection site for a few days, but this usually resolves on its own and does not lead to chronic back pain.

     5. Myth: Lifting weights in the gym causes back pain.

    Fact:
    Weight training does not necessarily cause back pain. When done correctly and under proper guidance, it can actually strengthen the muscles that support the spine.

    Back pain during gym activities usually occurs due to:

      • Improper lifting technique

      • Lifting excessive weight beyond one’s capacity

      • Lack of proper warm-up

      • Weak core muscles

      • Sudden increase in training intensity

    Strengthening the core, back, and abdominal muscles can actually reduce the risk of back pain.

     6. Myth: Back pain always shows up on X-ray or MRI. If scans are normal, the pain must not be real.

    Fact:
    Many people experience back pain due to muscle or soft-tissue strain, which may not appear on X-ray or MRI scans. Pain can still be real even when imaging tests are normal.

     7. Myth: Complete bed rest is the best treatment for back pain.

    Fact:
    Prolonged bed rest can worsen back pain by weakening muscles and stiffening joints. A short period of rest followed by gentle activity and physiotherapy is usually recommended.

     8. Myth: People with back pain should sleep on the floor or a hard bench.

    Fact:
    Sleeping on a very hard surface is not necessary and may even increase discomfort by putting extra pressure on the shoulders, hips, and spine.

    Doctors usually recommend a medium-firm mattress that supports the natural curves of the spine and allows the muscles to relax.

     9. Myth: Oil massage alone can cure back pain.

    Fact:
    Massage may provide temporary relief, but it does not treat underlying causes such as spinal stenosis, disc problems, or muscle imbalance.

     10. Myth: Wearing a back belt all the time will fix back pain.

    Fact:
    Long-term use of back belts may actually weaken the back muscles. They are usually recommended only for short-term support in specific situations.

     11. Myth: Once you have back pain, you should stop exercising permanently.

    Fact:
    Regular exercise and strengthening of the back and core muscles help prevent future episodes of back pain and improve spinal health.

     12. Myth: If you have a slipped disc, surgery is the only option.

    Fact:
    Many patients with disc prolapse recover with a short period of rest, medications and physiotherapy. Surgery is required only in a small percentage of cases, particularly when there is severe nerve compression or progressive weakness.

     Back Pain Treatment By Dr. B. Leela Prasad

    To get effective relief from chronic back pain, you can talk to Dr. B. Leela Prasad, who is one of the best spine doctors in Visakhapatnam. He has a lot of experience diagnosing and treating spinal issues. He offers expert therapy for conditions like slip disc treatment, sciatica, spinal degeneration, and persistent back pain. His method is based on making the right diagnosis, creating tailored treatment programs, and using advanced spine care procedures to help people move again and enhance their quality of life. Patients seeking reliable back pain treatment in Vizag trust his expertise for both non-surgical management and advanced spine procedures.

    Dr. B Leela Prasad

  • Common Myths About Scoliosis – And the Truth

    Common Myths About Scoliosis – And the Truth

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    Common Myths About Scoliosis

    Home > Blog > Common Myths About Scoliosis

    Scoliosis Treatment in Vizag

    Common Myths About Scoliosis

    Scoliosis is one of the most misunderstood spinal conditions. Many patients and families have concerns based on information they hear from friends, relatives, or social media. Understanding the facts can help patients make informed decisions about diagnosis, treatment, and long-term spine health.

    🔹 Myth 1: “Carrying heavy school bags/backpacks causes scoliosis.”

    Truth: Carrying heavy school bags may cause temporary back or shoulder pain, but it does not cause scoliosis.

    A heavy bag can strain muscles, but it will not permanently change the shape of the spine.

    🔹 Myth 2: “Scoliosis is caused by poor posture.”

    Truth: Poor posture does not cause scoliosis. Slouching may make asymmetry more noticeable, but it does not create a structural spinal curve.

    🔹 Myth 3: “Scoliosis only affects girls.”

    Truth: Both boys and girls can develop scoliosis . However, girls are more likely to have curves that progress and require treatment.

    🔹 Myth 4: “Scoliosis always causes visible deformity.”

    Truth: Many scoliosis curves are mild and barely noticeable. Possible signs include uneven shoulders, rib prominence, or waist asymmetry, but not everyone has obvious physical changes.

    🔹 Myth 5: “Scoliosis is painful.”

    Truth: Scoliosis in children and adolescents is usually painless. Pain is more common in adults with long-standing curves or degenerative changes, but many people with scoliosis live completely pain-free.

    🔹 Myth 6: “Scoliosis can be corrected by exercise and physiotherapy.”

    Truth: Exercise and physiotherapy improve strength, posture, and comfort, but they usually do not permanently straighten a structural curve.

    Specialized programs such as the Schroth method may help manage progression and improve symmetry, but they are not a guaranteed cure.

    🔹 Myth 7: “Braces cure scoliosis.”

    Truth: Bracing does not cure scoliosis. It helps prevent the curve from worsening while a child is still growing.

    🔹 Myth 8: “Everyone with scoliosis needs surgery.”

    Truth: Surgery is recommended only for severe or rapidly progressing curves. Most patients are either monitored regularly or treated with bracing.

    🔹 Myth 9: “If you need surgery, you’ll never be active again.”

    Truth: Most patients return to sports, dance, and everyday activities within a few months after surgery.

    Although procedures such as spinal fusion may reduce flexibility in treated segments, patients are generally encouraged to remain active once healing is complete.

    🔹 Myth 10: “Females cannot have normal childbirth after scoliosis surgery.”

    Truth: Most women who undergo scoliosis correction surgery can conceive normally, carry pregnancy safely, and deliver vaginally.

    Scoliosis surgery does not affect the uterus, ovaries, or hormonal function, so fertility is typically unaffected.

    🔹 Myth 11: “Children stop growing taller after scoliosis correction surgery.”

    Truth: Children do not automatically stop growing after scoliosis surgery.

    Most procedures are performed near or after the adolescent growth spurt, when most spinal growth is already complete.

    Many children actually become taller immediately after surgery because the curved spine is straightened.

    Spinal fusion stops growth only in the fused segments. Growth of the unfused spine, legs, and the rest of the body continues until skeletal maturity.

    Important:
    In very young children with early-onset scoliosis, surgeons may use growth-friendly techniques instead of full fusion to allow continued spinal growth.

    🔹 Myth 12: “Scoliosis surgery is very risky and often causes serious complications like paralysis.”

    Truth: Scoliosis correction is a complex procedure, but with modern techniques and intraoperative monitoring, it is considered safe when performed by experienced spine deformity surgeons.

    Serious complications such as paralysis are very rare.

    🔹 Myth 13: “Complex spine surgeries can only be done in major metropolitan cities.”

    Truth: In the past, scoliosis correction was largely concentrated in metropolitan centers due to the need for highly specialized surgeons, advanced ICUs, experienced anesthesia teams, and specialized instrumentation.

    Over the past decade, spine care has advanced significantly. Surgical expertise, modern technology, and advanced hospital infrastructure are now available in many Tier-2 cities.

    As a result, complex spine surgeries such as scoliosis correction can be safely and successfully performed in well-equipped centers, including Visakhapatnam, provided the necessary expertise, technology, and multidisciplinary support are available.

    Looking for scoliosis treatment?
    Consult Dr. B. Leela Prasad , an experienced spine surgeon in Visakhapatnam, for expert evaluation and personalized treatment.

    Common Myths About Scoliosis — Dr. B. Leela Prasad | Spine Specialist, Visakhapatnam

    Dr. B. Leela Prasad specializes in the diagnosis and treatment of scoliosis, spinal deformities, and complex spine disorders. With advanced surgical expertise and modern treatment approaches, patients receive comprehensive care for long-term spinal health, improved posture, and enhanced quality of life.

    Dr. B Leela Prasad

    Spine Leela Logo

    Dr. B. Leela Prasad is one of the country’s most renowned orthopedic doctors, with over 15 years of experience in the field. After earning his medical degree from Andhra Medical College, Visakhapatnam, he pursued post-graduation in Orthopedics at Guntur Medical College.

    Quick Links

    Visit Us at

    • Amulya Hospital
    • 14-1-3/1, Nowroji Rd, Opp More Supermarket, Visakhapatnam
    • spineleela@gmail.com
    • +91 95739 17693
    • Hyma Nursing Home
    • Main Road, Marripalem, Visakhapatnam-18
    • HYMA Nursing : 07:30PM – 09:30 PM
  • Scoliosis: All you need to know

    Scoliosis: All you need to know

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    Scoliosis: All you need to know

    Home > Blog >Scoliosis: All you need to know

    What is Scoliosis

    Scoliosis is a structural spinal disorder in which the spine curves sideways rather than remaining straight. Normally, the spine has gentle front-to-back curves that help maintain balance and absorb shock. In scoliosis, however, there is a side-to-side curvature, often accompanied by rotation of the vertebrae.

    The condition is most commonly detected in children and adolescents, particularly during periods of rapid growth, although it can affect individuals of any age. Earlier consultation for scoliosis treatment from an expert doctor can help you understand more about the condition, treatment, and medication.

    Types and causes

    • Adolescent idiopathic scoliosis: This is the most common type, accounting for nearly 80% of cases. It develops during adolescence and occurs more frequently in girls. Although the exact cause remains unknown, genetic, hormonal, and neuromuscular factors are believed to contribute.
    • Congenital scoliosis: This results from abnormal vertebral development during fetal growth. The vertebrae may be fused, missing, or incompletely formed.
    • Neuromuscular scoliosis: It arises secondary to conditions such as cerebral palsy, muscular dystrophy, or spinal cord injury, in which weakened or imbalanced muscles are unable to provide adequate support to the spine.
    • Degenerative scoliosis: It develops in older adults as a result of age-related wear and tear of the intervertebral discs and facet joints, leading to progressive spinal curvature.

    Symptoms

    Symptoms vary depending on the severity of the curvature.

    Visible Signs:

    • Uneven shoulders
    • Tilted waistline
    • One hip higher than the other
    • Rib prominence when bending forward

    Mild cases may go unnoticed and are often detected during routine screening.

    Children and adolescents typically do not experience pain. However, adults may report pain and stiffness of the back.

    In severe cases, significant curvature can reduce chest cavity space, potentially causing breathing difficulties and, rarely, impaired heart function.

    Scoliosis Treatment

    Diagnosis and Imaging

    Scoliosis is typically diagnosed by a physical examination. The spinal curvature becomes more apparent when the patient is asked to bend forward, a maneuver known as the forward bend test.

    X-rays are used to confirm the diagnosis and to measure the severity of the curvature using the Cobb angle. Curves less than 20 degrees are generally classified as mild, those between 20 and 40 degrees as moderate, and curves greater than 40–50 degrees as severe.

    MRI scans are done to rule out underlying abnormalities of the spinal cord.

    Follow-Up and Risk of Progression

    • Growing children require regular follow-up, typically with X-rays every six months, to monitor changes in the spinal curvature.
    • The risk of curve progression depends on several factors, including the child’s age, remaining growth potential, and the magnitude of the curve at the time of diagnosis.

    Treatment

    Treatment depends on:

    • Curve severity
    • Patient’s age
    • Remaining growth
    • Risk of progression

    Mild curves in adolescents who have completed growth often require no active treatment but should be monitored.

    Bracing

    It is a key treatment option for moderate scoliosis, particularly in children and adolescents who are still growing. While braces do not correct or straighten the spine, they are effective in preventing further progression of the curve. For optimal effectiveness, the brace must be worn for about 20 hours per day. They are usually worn under clothing. Children wearing braces can continue to participate in most daily activities, and once growth is complete, bracing may no longer be necessary.

    Surgical Correction

    Surgery is generally recommended for:

    • Curves greater than 50°
    • Curves likely to progress despite conservative management

    The procedure typically involves:

    • Placement of titanium screws in vertebrae
    • Connecting the screws with rods to correct alignment
    • Correcting the deformity with controlled manoevers
    • Bone grafting to achieve spinal fusion

    Fusion stabilises the spine and prevents further worsening of the curve.

    Complications of Surgery

    Scoliosis correction is a major surgical procedure with potential risks and complications.

    Immediate Complications:

    • Significant blood loss
    • Weakness or paralysis due to spinal cord injury
    • Anaesthesia-related complications
    • Need for postoperative ICU care
    • Implant-related problems
    • Wound infection

    Late Complications:

    • Progression above or below the fused segment
    • Delayed wound infection

    The risk of surgical complications can be reduced through meticulous planning and the surgeon’s skill and experience in execution.

    Lifestyle and Supportive Care

    Non-medical measures play an important supportive role:

    • Physical therapy to improve muscle balance and posture
    • Core strengthening exercises
    • Swimming, yoga, and Pilates for flexibility and fitness
    • Psychological support for body image concerns and emotional well-being

    Adolescents may experience stress or self-consciousness, making emotional support essential.

    Outlook

    Scoliosis is no longer considered a disabling condition. With modern medical and surgical advancements, individuals with scoliosis can lead active, productive lives. Women can safely bear children, even after corrective surgery.

    Effective treatment is now available in many well-equipped hospitals, not just major metropolitan centers.

    Why Choose Spine Leela for Scoliosis Treatment in Vizag?

    Choosing treatment with Dr. B. Leela Prasad at Spine Leela for scoliosis treatment in Vizag is one of the best decisions for patients seeking expert spine care. With extensive experience in diagnosing and managing spinal deformities, he provides personalized treatment plans tailored to each patient’s condition and age.

     

    At Spine Leela, advanced diagnostic tools, modern surgical techniques, and compassionate care ensure safe, effective, and long-term results for scoliosis patients in Vizag.

     

    Dr. B Leela Prasad

    Spine Leela Logo

    Dr. B. Leela Prasad is one of the country’s most renowned orthopedic doctors, with over 15 years of experience in the field. After earning his medical degree from Andhra Medical College, Visakhapatnam, he pursued post-graduation in Orthopedics at Guntur Medical College.

    Quick Links

    Visit Us at

    • Amulya Hospital
    • 14-1-3/1, Nowroji Rd, Opp More Supermarket, Visakhapatnam
    • spineleela@gmail.com
    • +91 95739 17693
    • Hyma Nursing Home
    • Main Road, Marripalem, Visakhapatnam-18
    • HYMA Nursing : 07:30PM – 09:30 PM
  • 10 FAQs Regarding Slip Disc Treatment.

    10 FAQs Regarding Slip Disc Treatment.

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    10 FAQs Regarding Slip Disc Treatment

    Home > Blog >10 FAQs Regarding Slip Disc Treatment

    1. What is a slipped disc?

    A slipped disc (also called a herniated or prolapsed disc) happens when the soft gel-like center (nucleus pulposus) of a spinal disc pushes out through a tear in the outer layer (annulus fibrosus). This can press on nearby nerves and cause pain, numbness, or weakness.  To get the best slip disc treatment, you need to consult a top spine specialist for better understanding.

    2. Does it occur only in the lower back?

    Slipped disc commonly occurs not only in the lower back (lumbar spine) but also in the neck (cervical spine) as well. It can rarely occur in the mid back (thoracic spine)

    3. What are the common symptoms?

    Symptoms depend on the level (cervical/thoracic/lumbar) of the disc prolapse. Common symptoms are:

    Lumbar (lower back) disc prolapse:

    • Lower back pain
    • Pain radiating down the leg (sciatica)
    • Numbness or tingling in legs
    • Muscle weakness

    Cervical (neck) disc prolapse:

    • Neck pain
    • Pain radiating to the shoulder/arm/forearm or hand.
    • Tingling or numbness in fingers
    • Weak grip strength

    4. Do all people with slipped discs have symptoms?

    No, many people with slipped discs do not have symptoms.

    5. How is it diagnosed?

    A slipped disc is suspected by a good clinical history and thorough physical examination of the patient and confirmed by an MRI scan.

    X-rays are done to rule out other problems and also help in surgical planning.

    6. Can a disc prolapse heal on its own?

    Yes. The symptoms of a slipped disc resolve within 4-6 weeks in more than 90% of patients.

    6. Are alternative systems of medicine (like Ayurveda, homeopathy, etc.) effective in treating slipped discs?

    As mentioned above, the symptoms of a slipped disc resolve within 4-6 weeks in more than 90% of patients irrespective of the treatment modality. This is the natural history of a slipped disc.

    7. What is the role of spinal injections in the treatment of slipped disc? Do they provide permanent relief?

    Spinal injections like selective nerve root blocks provide good pain relief and are generally indicated in patients not responding to medication or those with severe pain.

    However, the duration of pain relief is highly unpredictable. It may vary from a few days to a few years. In some patients, the pain relief may be permanent.

    8. Do spinal injections have any serious side effects? Can they be repeated?

    Spinal injections are considered very safe; the incidence of side effects is very rare. They can be repeated if the pain recurs.

    9. How often is surgery required for patients with slipped discs?

    Surgery is required in less than 5% of patients. To know if surgery is necessary or not, you need to consult a top spine specialist for slip disc treatment.

    10. How soon can the patient get back to work after surgery for slipped disc

    With the advent of minimally invasive procedures like microdiscectomy and endoscopic discectomy, patients can get back to office jobs as early as a few days.

    However, patients need to wait for a few weeks before getting back to heavy manual labor.

     

    Dr. B Leela Prasad

  • 10 FAQs regarding TB Spine

    10 FAQs regarding TB Spine

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    10 FAQs regarding TB Spine

    Home > Blog >10 FAQs regarding TB Spine

    Q1. Many people think TB affects only the lungs. Does it really affect the spine?

    Though TB commonly affects the lungs, it can also affect bones and joints (called skeletal tuberculosis).
    In fact, the spine is the most common site of bone TB. Get the best tuberculosis spine treatment in Vizag from Dr. B. Leela Prasad.

    Q2. Can healthy people get TB spine? Or does it affect only poor or malnourished people?

    Anyone can get TB spine—young or old, healthy or sick, educated or not, well-nourished or undernourished.

    TB spine is a medical condition—not a reflection of lifestyle, hygiene, education, or social status.

    However, the risk is higher in:

    • People with diabetes
    • Patients with HIV
    • Patients on long-term steroids/chemotherapy/immune-suppressive medications

    Q3. Does TB spine spread by sharing food or close contact with a patient?

    No. TB spine is not contagious. It does not spread from person to person.

    Only lung TB (pulmonary TB) spreads through air when an infected person coughs. Spinal TB itself does not spread.

    Q4. Does TB spine always cause fever, cough, weight loss, and loss of appetite?

    • Fever, weight loss, and loss of appetite may be present in some patients — but not all.
    • Cough is present only in patients with lung TB.

    Patients with TB spine do not have cough unless they also have lung TB.

    Q5. How is back pain due to TB spine different from routine back pain?

    Back pain due to TB spine is often more severe, persistent, progressive and  worse at night.. Unlike routine back pain it doesn’t improve with rest or painkillers.

    Q6. Does TB spine always need surgery, or can it be treated with medication?

    TB spine is primarily a medical disease and can be cured with proper anti-TB medication alone.

    Surgery is needed only in selected cases, such as:

    • Weakness or paralysis due to nerve compression
    • Severe or worsening deformity (hump)
    • Spinal instability
    • Large abscess
    • No improvement despite proper medication

    Most patients recover without surgery. For more information about the treatment, it is recommended to consult the best spine specialist near me.

    Q7. Does TB spine cause paralysis? If yes, does it recover?

    Paralysis is uncommon and usually occurs when:

    • Diagnosis is delayed
    • Treatment is inadequate

    If treated early, paralysis often recovers well.
    However, if treatment or surgery is delayed, recovery may be incomplete.

    Early diagnosis is key.

    Q8. Are anti-TB drugs safe? Do they have serious side effects?

    Anti-TB drugs are very effective and safe for most patients.

    However,  they can cause serious side effects in a small number of patients. Treatment should therefore always be administered under close medical supervision.

    Never stop medicines without consulting your doctor.

    Q9. How long should a patient take anti-TB medication? What happens if treatment is stopped midway?

    Patients with TB spine usually need anti-TB treatment for at least 9 months, depending on medical advice.

    Stopping medication early or taking it irregularly can:

    • Cause recurrence of the disease
    • Lead to drug resistance
    • Make treatment more difficult

    Complete the full course, even if symptoms improve. Always get the best consultation from an expert spine surgeon.

    Q10. Does everyone with TB spine develop a hump? Can it be corrected?

    No. Not everyone develops a hump (spinal deformity).

    Deformity usually occurs in:

    • Late diagnosis
    • Inadequate treatment
    • Extensive disease

    Early treatment can prevent or minimize deformity.

    If deformity develops, it can be corrected with surgery.

    Dr. B Leela Prasad

    Spine Leela Logo

    Dr. B. Leela Prasad is one of the country’s most renowned orthopedic doctors, with over 15 years of experience in the field. After earning his medical degree from Andhra Medical College, Visakhapatnam, he pursued post-graduation in Orthopedics at Guntur Medical College.

    Quick Links

    Visit Us at

    • Amulya Hospital
    • 14-1-3/1, Nowroji Rd, Opp More Supermarket, Visakhapatnam
    • spineleela@gmail.com
    • +91 95739 17693
    • Hyma Nursing Home
    • Main Road, Marripalem, Visakhapatnam-18
    • HYMA Nursing : 07:30PM – 09:30 PM
  • Scoliosis Treatment in Vizag: Consult the Best Spine Surgeon in Vizag for Lasting Relief

    Scoliosis Treatment in Vizag: Consult the Best Spine Surgeon in Vizag for Lasting Relief

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    Scoliosis Treatment in Vizag: Consult the Best Spine Surgeon in Vizag for Lasting Relief

    Home > Blog > Scoliosis Treatment in Vizag

    Scoliosis is a structural disorder in which the spine bends sideways instead of being straight. While the spine typically exhibits gentle front-to-back curves that help maintain balance and absorb shock, scoliosis involves a side-to-side bending accompanied in many cases by vertebral rotation.  This condition is most often noticed in children or teenagers, especially during periods of rapid growth, though it can affect people of any age.

    Types and causes

    • Adolescent idiopathic scoliosis: It is the most common type of scoliosis, accounting for nearly 80% of all cases. It develops during adolescence and has no clearly identifiable cause. The condition is more frequently seen in girls. Although its exact cause remains unknown, a combination of genetic, hormonal, and neuromuscular factors is thought to play a role, with no single mechanism definitively established.
    • Congenital scoliosis: It results from abnormalities in vertebral development during fetal growth, such as fused, missing, or incompletely formed vertebrae.
    • Neuromuscular scoliosis: It arises secondary to conditions such as cerebral palsy, muscular dystrophy, or spinal cord injury, in which weakened or imbalanced muscles are unable to provide adequate support to the spine.
    • Degenerative scoliosis: It develops in older adults as a result of age-related wear and tear of the intervertebral discs and facet joints, leading to progressive spinal curvature.

    Symptoms

    Symptoms of scoliosis vary from mild to severe depending on the extent of spinal curvature. In mild cases, the condition may remain unnoticed and is often detected only during routine screening. Common visible signs include uneven shoulders, a tilted waistline, one hip appearing higher than the other, or a noticeable rib hump when bending forward. Scoliosis usually does not cause pain in children and adolescents; however, adults may experience back pain, muscle fatigue, and stiffness. In severe cases, significant spinal curvature can reduce chest cavity space, potentially leading to breathing difficulties and, in rare instances, impaired heart function due to restricted organ capacity.

    Diagnosis & Imaging tests

    Scoliosis is typically diagnosed through a physical examination. The spinal curvature becomes more apparent when the patient is asked to bend forward, a manoeuvre known as the forward bend test. X-rays are used to confirm the diagnosis and to measure the severity of the curvature using the Cobb angle. Curves less than 20 degrees are generally classified as mild, those between 20 and 40 degrees as moderate, and curves greater than 40–50 degrees as severe.

    MRI scans may be performed to rule out underlying abnormalities of the spinal cord.

    Scoliosis Treatment – MRI scans

    Follow-up and Risk of Progression:

    Growing children require regular follow-up, typically with X-rays every six months, to monitor changes in the spinal curvature. The risk of curve progression depends on several factors, including the child’s age, remaining growth potential, and the magnitude of the curve at the time of diagnosis.

    Treatment:

    Scoliosis treatment depends on the spinal curve size and the child’s expected growth. Even children with slight curves require regular follow-up to monitor whether the curvature worsens during growth—older adolescents who have stopped growing and have mild curves often do not need active treatment. Overall, management is individualised based on the patient’s age, curve severity, and risk of progression.

    Bracing:

    It is a key treatment option for moderate scoliosis, particularly in adolescents who are still growing. While braces do not correct or straighten the spine, they are effective in preventing further progression of the curve. For optimal effectiveness, the brace must be worn for about 20 hours per day and is usually worn under clothing. The success of bracing increases with the number of hours it is worn. Children wearing braces can continue to participate in most daily activities, and once growth is complete, bracing may no longer be necessary.

    Surgical correction:

    It is generally recommended for severe curves (Cobb angle greater than 50 degrees) or for deformities that are likely to progress despite conservative management. Surgery typically involves placing titanium screws into the vertebrae, connecting them with rods, and correcting the deformity through controlled manoeuvres. Bone grafts are then placed to achieve spinal fusion, which helps stabilise the spine and prevent further progression of the curve.

    Scoliosis—Before and After Surgery

    Complications of scoliosis surgery:

    Scoliosis correction is a major surgical procedure that carries the risk of several potential complications. These include significant blood loss, infection, weakness of the legs or paralysis due to injury to the spinal cord, complications related to anaesthesia, the possible need for postoperative ICU care, and problems associated with the surgical implants used for spinal stabilisation. Rarely, the spine may continue to curve above or below the surgically corrected segment, leading to a progression of curvature adjacent to the surgery site.

    Beyond medical treatments, lifestyle measures play an essential supportive role in the management of scoliosis. Physical therapy and regular exercise help improve muscle balance, posture, and core strength. Activities such as swimming, yoga, and Pilates can enhance flexibility, overall fitness, and comfort. Psychological support is equally essential, as adolescents with scoliosis may experience self-consciousness, stress, or anxiety related to body image and treatment.

    Although once considered a dreaded condition, individuals with scoliosis can now lead active and productive lives. Patients can pursue normal daily activities, and women can safely bear children even after undergoing corrective surgery. With advances in medical expertise and surgical techniques, scoliosis surgery is no longer limited to major metropolitan centres, and effective treatment can be accessed in many well-equipped hospitals closer to home.

    Scoliosis Treatment In Vizag-

    Patients of all ages can get expert evaluation and personalised treatment plans from Dr B. Leela Prasad, who is known as the Best Spine Surgeon in Vizag for Scoliosis. He is known as a trusted Scoliosis Treatment Specialist in Visakhapatnam because he has years of experience treating complicated spine deformities. He uses cutting-edge technology along with caring support to make sure that patients get the proper treatment and long-lasting relief.

    As an expert in Top Spine Surgeon Vizag Scoliosis Correction, Dr B. Leela Prasad uses both non-surgical and minimally invasive medical methods to treat scoliosis, depending on the needs of each patient. People in Vizag who want safe, effective, and long-lasting scoliosis treatment choose him. It is because he is dedicated to professional quality and patient-centred results.

     

     

     

     

     

    Dr. B Leela Prasad

    Spine Leela Logo

    Dr. B. Leela Prasad is one of the country’s most renowned orthopedic doctors, with over 15 years of experience in the field. After earning his medical degree from Andhra Medical College, Visakhapatnam, he pursued post-graduation in Orthopedics at Guntur Medical College.

    Quick Links

    Visit Us at

    • Amulya Hospital
    • 14-1-3/1, Nowroji Rd, Opp More Supermarket, Visakhapatnam
    • spineleela@gmail.com
    • +91 95739 17693
    • Hyma Nursing Home
    • Main Road, Marripalem, Visakhapatnam-18
    • HYMA Nursing : 07:30PM – 09:30 PM
  • Unusual presentation of Cervical Myelopathy – A Journey from Wheelchair to Recovery

    Unusual presentation of Cervical Myelopathy – A Journey from Wheelchair to Recovery

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    Unusual presentation of Cervical Myelopathy – A Journey from Wheelchair to Recovery

    Home > Blog > Unusual presentation of Cervical Myelopathy

    Unusual presentation of Cervical Myelopathy – A Journey from Wheelchair to Recovery

    Even a specialist doctor cannot choose the patients coming to him. Patients with symptoms totally unrelated to the specialty may visit the doctor with a lot of confidence and hope. In this context, let me narrate an interesting case.

    A 40-year-old gentleman from a neighboring state came down with paralysis of the right upper and lower limbs. His symptoms were worsening rapidly, and he became wheelchair-bound within a few days. As paralysis of one half of the body is very typical of a brain stroke, I was wondering why he decided to visit me and asked him to consult a neurophysician. He told me he had already consulted a neurophysician in his home town and he had no relief. An MRI of the brain was already done; it was normal. After careful clinical examination, I suspected a problem in the cervical spine and asked for an MRI scan of that region.

     

    Diagnosis and Surgical Decision-

    The scan showed disc prolapse at the C4-5 and C5-6 levels, with severe compression of the spinal cord. The paralysis of his right hand and leg was due to this compression. A diagnosis of cervical myelopathy was made  , and as the patient was rapidly deteriorating, surgery was advised. The patient was taken up for surgery after a detailed discussion with his family regarding the risks, benefits, and possible outcomes. Surgery (Anterior Cervical Discectomy and Fusion (ACDF)) was done at the C4-5 and C5-6 levels.

    The surgery involved approaching the spine from the front (anterior), removing the discs at C4-5 & C5-6 (discectomy), thereby relieving the pressure on the spinal cord, and placing a bone graft in the empty disc spaces (fusion) and fixing them with a titanium plate and screws.

    Cervical Spine Treatment Before

    Postoperative Recovery and Progress –

    Surgery was uneventful. He started showing signs of improvement almost immediately after the surgery; he was discharged within 3 days. The patient made steady progress and started to walk with support in a few weeks’ time.

    After 9 months, follow-up X-rays and MRI scans showed good decompression of the spinal cord and fusion at both the C4-5 and C5-6 levels. His paralysis recovered completely; he is able to walk, squat, and get up without any support. He is back to his work and is even able to do what he likes most: biking.

    Cervical Spine Treatment After

    This case underlines the importance of meticulous examination of every patient to make a correct diagnosis.

    Understanding Cervical Myelopathy

    Cervical myelopathy is a disorder due to physical compression of the spinal cord in the cervical region (neck). This compression can result from various causes, the commonest being age-related degenerative (wear & tear) changes, followed by disc herniations, spinal canal stenosis, spinal infections, tumors, or injuries.

    Though cervical myelopathy can affect anyone at any age, it’s more common among males and the elderly.

    Symptoms of cervical myelopathy

    In the early stages, symptoms are  very subtle,  like  neck pain, feeling of heaviness and numbness in the legs and clumsiness of hands. These are usually mistaken for ‘general weakness’ by patients and sometimes by doctors as well.

    In the later stages, slipping of footwear unknowingly , swaying while walking, feeling of tightness of legs, loss of balance on closing eyes, and difficulty in climbing stairs and stepping into vehicles are the common symptoms in the legs. Patients will not be able to perform activities involving fine motor skills and coordination of hands like buttoning and unbuttoning shirts, operating mobile phones, counting currency notes, and writing.

    In the advanced stages, patients may be unable to walk without support and unable to firmly grasp objects in the hand. The hands become deformed, and they may not be able to feed themselves, brush their teeth, or clean themselves.

    Finally , the legs become paralyzed, and patients become bedridden; they may lose control in passing urine and motion.

    Why is early diagnosis intervention critical?

    Delay in diagnosis allows the disease to progress; the neural tissues of the spinal cord may be permanently damaged.

    Early diagnosis and intervention at the appropriate time is crucial for good functional recovery. Surgery in advanced stages only gives poor results

    FAQs:

    Q1) What is Cervical Myelopathy, and what causes it?

    Cervical myelopathy is dysfunction of the spinal cord in the cervical region (neck).

    Compression of the spinal cord in the neck area, commonly caused by disc prolapse, bone spurs, or spinal degeneration, results in cervical myelopathy.

    Q2) How is Cervical Myelopathy diagnosed?

    Cervical myelopathy is difficult to diagnose in the early stages. Only a thorough clinical history and physical examination combined with appropriate investigation will clinch the diagnosis. An MRI scan of the spine shows the extent and severity of compression. CT scans and X-rays provide additional information regarding the nature of compression and also help in planning the surgery.

    Q3) What is the best way to treat cervical myelopathy?

    Mild disease without any worsening or functional impairment can be   managed non-surgically. However, they should be observed and examined at regular intervals for worsening. Nonsurgical options may include

    Surgery is recommended for all patients with functional impairment or worsening symptoms.

    Q4) After surgery on the cervical spine, how long does it take to get better?

    Recovery largely depends on the stage of the disease at the time of surgery. If operated on early, most patients can go back to work within a few weeks. Recovery also depends on the age of the patient, the number of levels involved, and the severity and nature of compression.

    Q5) Why choose Amulya Hospital for Cervical Spine Surgery in Vizag?

    Our state-of-the-art facilities, cutting-edge technology, and compassionate care create a warm and welcoming atmosphere. Our team of passionate and highly skilled doctors led by Dr. B. Leela Prasad is dedicated to providing personalised attention and expert care.

    Dr. B Leela Prasad

    Spine Leela Logo

    Dr. B. Leela Prasad is one of the country’s most renowned orthopedic doctors, with over 15 years of experience in the field. After earning his medical degree from Andhra Medical College, Visakhapatnam, he pursued post-graduation in Orthopedics at Guntur Medical College.

    Quick Links

    Visit Us at

    • Amulya Hospital
    • 14-1-3/1, Nowroji Rd, Opp More Supermarket, Visakhapatnam
    • spineleela@gmail.com
    • +91 95739 17693
    • Hyma Nursing Home
    • Main Road, Marripalem, Visakhapatnam-18
    • HYMA Nursing : 07:30PM – 09:30 PM
  • What is Cervical Myelopathy?

    What is Cervical Myelopathy?

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    What is Cervical Myelopathy?

    Home > Blog > What is Cervical Myelopathy?

    What is Cervical Myelopathy?

    Literally cervical myelopathy means dysfunction of the spinal cord in the cervical region (neck). The dysfunction is due to compression of the spinal cord in the neck. This compression can result from various causes, the commonest being age-related degenerative (wear & tear) changes, followed by disc herniations, spinal canal stenosis, spinal infections, tumors, or injuries.

    Cervical spondylotic myelopathy can affect anyone at any age, but it’s more common among males and the elderly. The average age of a diagnosis is 64. It is the most common type of non-traumatic spinal cord dysfunction in patients older than 55 years

    It is one of the most commonly missed & underdiagnosed problems amongst the spine disorders. Diagnosis is often delayed, which can lead to poor outcomes.

    A well-known spine specialist in Vizag, Dr. B. Leela Prasad is known for accurately diagnosing and treating complicated spine problems. He is one of the best cervical spine specialists in Vizag and has helped many people with neck pain, spinal cord compression, and other connected problems. A lot of people have found relief and better mobility with his advanced cervical myelopathy treatment in Vizag. This has made him one of the most trusted spine doctors in the area.

    Symptoms

    In the early stages, patients may be having only very subtle symptoms  like  neck pain, feeling of heaviness and numbness in the legs and clumsiness of hands. These are usually mistaken for ‘general weakness’ by patients and sometimes by doctors as well. As the disease progresses, the symptoms become more and more obvious.

    In the later stages, slipping of footwear unknowingly , swaying while walking, feeling of tightness of legs, loss of balance on closing eyes, and difficulty in climbing stairs and stepping into vehicles are the common symptoms in the legs. Patients will not be able to perform activities involving fine motor skills and coordination of hands, like buttoning and unbuttoning shirts, operating mobile phones, counting currency notes, and change in handwriting. In the advanced stages, patients may be unable to walk without support, unable to firmly grasp objects in the hand. The hands become deformed, and they may not be able to feed themselves, brush their teeth, or clean themselves.

    Finally , the legs become paralysed and patients become bedridden; they may lose control in passing urine and motion.

    How is cervical myelopathy diagnosed?

    Cervical myelopathy is difficult to diagnose in the early stages. Only a thorough clinical history and physical examination combined with appropriate investigation will clinch the diagnosis. An MRI scan of the spine shows the extent and severity of compression. CT scans and X-rays give additional information regarding the nature of compression and also help in planning the surgery. Nerve conduction studies may be done whenever the diagnosis is in doubt.

    Natural history Prognosis

    The natural history varies from patient to patient.

    In about 20% of patients the symptoms may remain static or may progress very slowly over a period of time. In more than two thirds of patients symptoms worsen gradually over a period of months to years. In very few cases, patients may rapidly deteriorate, especially after a fall.

    Cervical myelopathy usually worsens gradually if left untreated. Severe cases may cause permanent, irreversible nerve damage, which can lead to complications like intense pain and paralysis of all limbs.

    Treatment

    Nonsurgical management

    Non-surgical treatment plays a very limited role in cervical myelopathy. Doctors manage mild disease without worsening or functional impairment non-surgically, but they observe and examine patients regularly for any signs of worsening.

    Nonsurgical options may include:

    Surgical treatment–

    Doctors recommend surgery for all patients who experience functional impairment or worsening symptoms.

    The main aim of surgery is to prevent further worsening of patients’ symptoms. Patients usually recover gradually and slowly after surgery, and they may start noticing significant improvement after a few weeks to months. Results of surgery depend on many factors : the duration and severity of symptoms, speed of worsening of symptoms, extent of the disease (number of levels involved), nature of compression, age of the patient, and associated comorbidities.

    Young patients with single-level involvement achieve very good functional recovery when they undergo surgery in the early stages of the disease. In advanced stages, significant recovery may not occur even after surgery.

    Surgical procedure

    The recommended surgical procedure can vary based on the nature of compression (soft disc vs. hard bone), extent of disease (number of levels involved), alignment of the cervical spine, age, and general health of the patient. It may include one or a combination of the following:

    How can you prevent cervical myelopathy?

    As mentioned earlier, cervical myelopathy is commonly due to degenerative changes, trauma, tumors, and spinal infections, all of which are not preventable.

    Early diagnosis and surgery are key to good results.

    Why Choose Dr. Leela Prasad for Cervical Myelopathy Treatment in Vizag?

    When you choose Dr. B. Leela Prasad for cervical myelopathy treatment in Vizag, you entrust your spine health to a highly respected and experienced professional in the area. As a top spine surgeon in Visakhapatnam, Dr. Leela Prasad uses cutting-edge diagnostic tools. He uses custom treatment plans for each patient to make sure they get better and stay healthy in the long run.

    Expertise in Cervical Spine Treatment in Vizag based on years of successful surgeries. Especially when it comes to treating complicated cervical spine disorders. While Dr. B. Leela Prasad focuses on patient safety, minimally invasive methods, and compassionate care. H is still the first choice for people in Vizag who want specialised treatment for cervical myelopathy and other spine-related problems.

    Dr. B Leela Prasad

    Spine Leela Logo

    Dr. B. Leela Prasad is one of the country’s most renowned orthopedic doctors, with over 15 years of experience in the field. After earning his medical degree from Andhra Medical College, Visakhapatnam, he pursued post-graduation in Orthopedics at Guntur Medical College.

    Quick Links

    Visit Us at

    • Amulya Hospital
    • 14-1-3/1, Nowroji Rd, Opp More Supermarket, Visakhapatnam
    • spineleela@gmail.com
    • +91 95739 17693
    • Hyma Nursing Home
    • Main Road, Marripalem, Visakhapatnam-18
    • HYMA Nursing : 07:30PM – 09:30 PM