Spine Leela

Author: Dr. B Leela Prasad

  • Slip Disc Treatment in Vizag – All you need to know

    Slip Disc Treatment in Vizag – All you need to know

    One of the most common back problems is a prolapsed or bulging intervertebral disc, which is normally called a “slipped disc.” 

    Intervertebral disc(IVD): The intervertebral disc is a fibrocartilaginous cushion that serves as the primary joint between two adjacent vertebrae in the spinal column. It is composed of a central, soft, jelly-like substance called the nucleus pulposus and an outer, tough, rubbery layer known as the annulus fibrosus. The human spine contains 23 intervertebral discs (IVDs): 6 in the cervical region (neck), 12 in the thoracic region (middle back), and 5 in the lumbar region (lower back). These discs enhance spinal flexibility while maintaining strength. Additionally, they act as shock absorbers, reducing impact on the spine and preventing vertebrae from rubbing against each other. Let us know more about Slip disc treatment in Vizag from one of the best doctors at Amulya hospital.

    What is a Slipped disc

    A slipped disc occurs when the nucleus pulposus (the soft, jelly-like center of the disc) pushes through a tear in the annulus fibrosus (the tough, rubbery outer layer). This can put pressure on nearby nerves, leading to pain, discomfort, and restricted movement. Slipped discs are most commonly found in the lower back (lumbar spine) and neck (cervical spine), causing symptoms such as radiating pain, numbness, or weakness in the limbs. If left untreated, it can significantly impact daily activities. For those experiencing these symptoms, Slip Disc Treatment in Vizag at Amulya Hospital provides expert care and advanced treatment options to help relieve pain and restore spinal function.

    Symptoms

    The signs and symptoms rely on where the disc herniation is and how much pressure is on the nerve root. 

    Pain:  Most of the time, lumbar disc herniations cause pain that starts in the lower back and spreads to the buttocks, thighs, calves, and sometimes even the foot. When you have a cervical disc herniation, the pain generally starts behind your neck and goes down your shoulder, arm, and into your hand. When you cough, sneeze, or move into certain positions, the pain might shoot into your arm or leg. People often say that pain is sharp or burning. 

    Numbness and tingling: Along the path of the affected nerve root, patients may also feel numbness and/or tingling.

    Weakness: Severe compression of the nerve roots can weaken the muscles they control, potentially leading to difficulty walking, stumbling, or trouble lifting and holding objects. This condition can significantly impact mobility and daily activities if left untreated.

    A herniated disc may not cause any signs in many people. 

    Causes

    Disc herniation is primarily caused by gradual, age-related wear and tear known as disc degeneration. As people grow older, their discs lose flexibility, making them more vulnerable to tears or ruptures, even from minor strains or twists.

    Many people are unable to identify the exact cause of their herniated disc. In some cases, lifting heavy objects using the back muscles instead of the legs and thighs can contribute to disc herniation. Additionally, twisting or turning while lifting may also lead to this condition.

    An accident, such as a fall or a blow to the back, is not always the cause of a slipped disc. In many cases, disc herniation occurs due to gradual wear and tear. If you’re experiencing severe back pain, seeking treatment at the best hospital for slip disc in Vizag can help you get the right diagnosis and care.

    Risk factors

    A herniated disc is more likely to happen if you have any of the following: 

    Weight: The discs in your lower back are put under more stress when you are overweight. 

    Occupation: Individuals whose jobs require a lot of physical effort are more likely to experience back issues. Overusing your back muscles by lifting, pulling, pushing, turning sideways, and twisting can also make you more likely to get a herniated disc. 

    Genetics: Some people are genetically more likely to get a herniated disc. 

    Smoking: It is thought that smoking cuts off discs’ oxygen intake, which makes them break down faster. 

    Frequent driving: Sitting for long amounts of time and the vibrations from a car engine can put stress on the spine. 

    Being sedentary: Herniated discs can be avoided by working out regularly. 

    Complications

    Cauda Equina Syndrome is a very dangerous side effect of lumbar disc herniation, even though it doesn’t happen very often. It generally happens when a large disc bulges and puts pressure on the whole spinal canal in the lower back.This is what cauda equina syndrome looks like: 

    Anxiety and pain in the lower back and legs, sudden onset of extreme weakness in the legs, ankles, and feet, numbness in the feet, groin, or around the anus, and losing control of your bladder or bowels. This situation is an absolute emergency that needs surgery right away; if treatment isn’t started right away, the person could become permanently weak or paralysed. 

    Imaging tests

    X-rays: Plain X-rays can’t find herniated discs, but they can rule out other possible causes of back pain, such as an illness, a tumour, a misaligned spine, or a broken bone. 

    MRI (Magnetic Resonance Imaging)

    When looking for spinal problems, MRI is very sensitive and detailed. As a result of pinpointing the exact location of the herniated disc, MRI not only helps with correct diagnosis but also with planning surgery. Unlike CT scans, MRIs don’t expose you to radiation. 

    Natural history:

    Disc herniations usually get better on their own. Several studies have shown that most people with an acute disc injury feel a lot better or no longer have any symptoms within 6 to 12 weeks, regardless of what treatment they get.This is used by many quacks and alternative medicine systems to make false claims. 

    Slip Disc Treatment

    Rest 

    During the acute phase, complete rest is very helpful for relieving pain. However, you shouldn’t stay in bed and do nothing for more than two to four days. Patients can do things as long as they don’t cause too much pain after the acute phase is over. Activities should be changed so that people don’t have to move or do things that hurt. Long periods of rest can make back muscles weak and work against you. 

    Medications 

    Medications for disc herniation include are:

    1. Analgesics & Anti-inflammatory Agents: Reduce inflammation and pain. 

    2. Neuropathic Drugs: Modify nerve signals to ease pain.

    3. Muscle Relaxants: Calm down those spasms.

    4. Steroids: Lessen the swelling around the nerve that is hurt. 

    Depending on the level of pain, the patient’s needs, and how they respond, one or more medications may be given. 

     Physiotherapy

    Physiotherapy can help with pain and muscle stiffness. Spine mobility and flexibility are improved by gentle exercises and manual treatment. Targeted workouts make the muscles in your back and abdomen stronger, which gives you more support and stability. Physiotherapists also teach their patients how to stand or sit correctly, which takes pressure off the spine. 

    Spinal Injections (Selective Nerve Root Blocks)

    When pain doesn’t get better with pills or when the pain is so bad that the person needs instant pain relief, these injections are suggested. 

    To reduce swelling and ease pain, a small amount of a long-lasting drug is injected into certain nerve roots. These treatments are done in an operating room with the help of an X-ray (fluoroscopy). 

    Spinal injections are generally a safe and effective treatment for pain relief. However, the duration of relief varies from person to person. For expert care, spinal injections treatment in Vizag at Amulya Hospital by Dr. Leela Prasad offers personalized solutions to help manage spinal pain effectively.

    Surgery

    Few people (less than 5%) with herniated discs need to have surgery. If treatments that don’t involve surgery don’t help after six to twelve weeks, surgery may be a choice. Especially if the pain is very bad and making it hard to do normal things. People who have severe weakness in their lower limbs should also have surgery. People who have cauda equina syndrome are the only ones who need emergency surgery. Most of the time, doctors can remove only the part of the disc that sticks out with little to no damage to the healthy tissues.Microdiscectomy and endoscopic discectomy have made it possible for people to go back to work in just a few days.These days, surgery to fix a compressed disc is very safe and works very well. 

    If you want to find the best spine specialist in Vizag or get professional help with slip disc treatment in Vizag. This guide will explain the problem and the best ways to treat it.

    The Best Spine Specialist in Vizag—Why Choose Dr. Leela Prasad at Amulya Hospital?

    Dr Leela Prasad from Amulya Hospital is one of the best and most skilled spine doctors in Vizag. He helps a lot of people with herniated discs, chronic back pain, and spinal problems, as well as slipped discs. 

    Why Choose Dr. Leela Prasad?

    Expert in surgery and non-surgery: Offers customised care plans based on how bad the issue is. 

    Surgery only when necessary : Before surgery, the doctor makes sure that all non-surgical options have been explored. 

    Spine surgery with little incision: Advanced methods are used to make sure that recovery goes faster.

    Complete Spine Care: Specialists in degenerative disc disease, slip discs, sciatica, and spine problems. 

    Focus on Patients: Our main goals are to reduce pain, help the patient heal completely, and improve their quality of life.

    Amulya Hospital Features Modernity: A great spine surgery hospital in Vizag that gives great medical care. 

    If you’re experiencing ongoing back pain, sciatica, or signs of a slipped disc, consult Dr. Leela Prasad, best slip disc specialist in Vizag, at Amulya Hospital. His expertise in slip disc treatment in Vizag and personalized approach can help you regain a pain-free, active lifestyle.

    Conclusion:

    Slipping discs can be painful, but most people can get better without surgery if they get the proper evaluation and care. It is essential to talk to a skilled spine specialist in Vizag. Whether you need non-surgical treatment or expert surgical care. One of the best spine doctors in Vizag is Dr. Leela Prasad at Amulya Hospital. He treats herniated discs and other spinal problems very well.

    Make an appointment with Dr. Leela Prasad today to treat slipped discs successfully in Vizag. It will be the first step towards a healthy spine and a pain-free life.

  • Spinal Tuberculosis Treatment in Vizag

    Spinal Tuberculosis Treatment in Vizag

    Despite what most people think, Spinal tuberculosis (TB) does not only affect the lungs. The most common type of TB is lung TB, but the infection can spread to almost any organ in the body, even the spine. Someone once said, “Tuberculosis can cause anything except pregnancy.” Consult the top doctors for the best spine tuberculosis treatment in Vizag.

    Spinal Tuberculosis most often affects the lungs, but it can also happen in the spine. Pott’s disease, which is another name for spinal tuberculosis, happens when TB germs that have been dormant in the body since childhood come back to life. If this condition isn’t treated, it can lead to extreme pain, spinal deformities, and even paralysis.

    It is imperative to see a Spine Specialist in Vizag if you or someone you care about is having constant back pain. Dr. Leela Prasad at Amulya Hospital provides the best spine tuberculosis treatment in Vizag, assisting patients regain their independence and pain-free living.

    Getting to Know Spinal Tuberculosis 

    Contrary to popular belief, tuberculosis (TB) is not limited to the lungs; it can affect almost any organ in the body. As the saying goes, “Tuberculosis can cause anything except pregnancy.”

    After the lungs, the spine is one of the most commonly affected sites. Spinal tuberculosis, also known as Pott’s disease, typically develops when dormant TB bacteria, present since childhood, become reactivated.

    If left untreated, spinal TB can lead to severe complications. Early diagnosis and timely treatment are essential to prevent long-term damage and ensure optimal recovery.

    Symptoms of Spinal Tuberculosis

    Back pain associated with spinal TB is typically deep-seated and persists even at rest. It often worsens at night and, if left untreated, gradually intensifies over time. In severe cases, the pain can become so debilitating that it confines the patient to bed. The discomfort may be localized to the back or radiate to the limbs.

    The mid-back region, specifically the dorso-lumbar junction, is the most common site of spinal tuberculosis. One of the most prevalent symptoms is persistent back discomfort, which is characterised by:

    • Noticible during the night
    • Getting stronger over time
    • Might worsen to the point where the sufferer can’t leave their bed

    Additional symptoms:

    • Night sweats and unexplained fever
    • Fatigue and losing weight
    • Back pain, stiffness, and limited range of motion
    • Swelling or deformity in the affected area

    Possible Side Effects of Spinal Tuberculosis

    Neglected cases of tuberculosis in the spinal cord can cause serious, even fatal, consequences, such as:

    Bone Destruction

    The TB bacteria loosen the vertebrae over time, which makes the spinal column less strong. This damage can cause breaks and abnormalities, so it’s important to find the problem quickly.

    Building up of pus and nerve compression

    As the infection gets worse, pus builds up in the spine, which presses on spinal nerves. This could lead to:

    • Bad leg pain
    • Legs that feel numb or tingly
    • Lower limb weakness

    Spinal Cord Compression and Paralysis

    If the pus or broken bone puts a lot of pressure on the spinal cord, the person may experience:

    • Partial or complete paralysis
    • Loss of bladder and bowel control

    Kyphotic Deformity (Hunchback)

    The destruction of bone by tuberculosis bacteria can cause vertebral collapse, leading to a hunchback-like deformity known as kyphosis. A strong forward bend (kyphosis) in the spine can happen when several vertebrae break. In severe cases, a kyphotic condition that lasts for a long time can cause permanent paralysis.

    Diagnosis of Spinal Tuberculosis

    Dr. Leela Prasad, an expert in spinal tuberculosis treatment in Vizag specializes in minimally invasive surgeries to restore mobility and function.

    Diagnostic Tests for Spinal Tuberculosis Treatment

    Complete Blood Count (CBC), ESR, and CRP:

    These tests help evaluate signs of infection and inflammation in the body.

    X-rays:

    In the early stages of spinal TB, X-rays may appear normal, making diagnosis challenging. Characteristic changes become visible only after significant bone destruction has occurred.

    Magnetic Resonance Imaging (MRI):

    MRI is highly sensitive in detecting spinal disorders and can identify spinal TB at an early stage, even before X-rays or CT scans reveal any abnormalities. It provides a detailed view of the extent of the disease, detects pus collections, and assesses spinal cord compression.

    Biopsy:

    A tissue sample from the affected bone is examined under a microscope to confirm the presence of spinal TB.

    A combination of these diagnostic tests is often required for an accurate diagnosis of spinal tuberculosis.

    Treatment for Spine Tuberculosis Treatment in Vizag

    Tuberculosis of the spine, or any organ, is a medical condition that can be successfully treated with medicine.

    Medical Management

    Anti-tubercular therapy (ATT) consists of a combination of 4 drugs (isoniazid, rifampicin, pyrazinamide, ethambutol), which should be taken for a period of 9-12 months.

    Supportive care: Rest, analgesics, and spinal bracing to reduce pain and prevent deformity.

    Surgical Management

    • Indications: severe pain not responding to medication, Significant kyphosis, weakness and paralysis of limbs, failed medical management,
    • Surgical procedures: Debridement( removal of dead bone), decompression( relieving the pressure on spinal cord),  instrumentation (supporting the spine with screws rods), bone grafting and fusion.
    • Goals: To relieve pressure on the spinal cord, stabilize the spine, and prevent further deformity.

    Recovery and Rehabilitation

    To get better from spinal TB, you need long-term medicine, physical therapy, and changes to your lifestyle. Patients are told to:

    •  Physical therapy: To improve mobility, strength, and flexibility.
    • Pain management: To control pain and discomfort.
    • Spinal orthotics: To provide support and stability.

    Monitoring and Follow-up

    • Regular check-ups: To monitor treatment response, spinal stability, and neurological function.
    • Imaging studies: To assess spinal alignment, bone healing, and disease progression.

    For the best care of TB spine, a team effort combining orthopaedic surgeons, spine surgeons, infectious disease specialists, and rehabilitation experts is needed. 

    Spine Tuberculosis Treatment in Vizag

    Dr. Leela Prasad, an expert in spinal tuberculosis treatment in Vizag, specializes in minimally invasive spinal surgeries to restore mobility and function.

    Final Thoughts:

    Spinal tuberculosis is a dangerous disease that needs to be found and treated quickly to avoid complications that can change a person’s life. If you or someone you care about has constant back pain, numbness, or weakness, talk to Dr. Leela Prasad, the best spine specialist in Visakhapatnam. With expert care and cutting-edge treatment choices, you can beat spinal TB and regain your quality of life.

  • Understanding the Warning Signs of Serious Spine Problems

    Understanding the Warning Signs of Serious Spine Problems

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    Understanding the Warning Signs of Serious Spine Problems

    Home > Blog > Understanding the Warning Signs of Serious Spine Problems

    Back pain is a common complaint that affects people of all ages, but not all back pain is the same. While minor discomfort can often be resolved with rest or lifestyle changes, some symptoms may indicate serious spine problems that require immediate attention. Here are key warning signs to watch out for:

     

    • Chronic or Severe Pain

      If back pain persists for weeks or becomes unbearable, it may be more than just muscle strain. Conditions like herniated discs or spinal stenosis often cause prolonged discomfort that shouldn’t be ignored.

      • Pain Radiating to the Arms or Legs

        Nerve compression in the spine can cause pain, tingling, or numbness in the arms or legs. Sciatica, for example, results in sharp pain radiating down one leg and signals an underlying spinal issue.

      • Weakness or Loss of Coordination

        Difficulty walking, balancing, or performing everyday tasks could indicate nerve damage or spinal cord compression. These symptoms should be evaluated promptly.

        • Loss of Bladder or Bowel Control

          Sudden incontinence accompanied by back pain may point to cauda equina syndrome, a rare but serious condition requiring emergency medical intervention.

      • Deformities or Visible Changes

        Noticeable curvature of the spine, such as in scoliosis or kyphosis, or visible swelling in the back, could indicate structural issues or inflammation.

        • Nighttime Pain

          Back pain that worsens at night and disrupts sleep may be a sign of infections, tumors, or other serious conditions affecting the spine.

      • Fever Along with Back Pain

        A fever combined with back pain could signal an infection, such as spinal osteomyelitis, and should be addressed immediately.

        • Sudden Onset of Pain After an Injury

          If back pain begins after a fall, accident, or sports injury, it might indicate fractures or ligament damage that requires professional care.

          • When to Seek Medical Help

            While mild back pain can often be managed with home remedies, these warning signs suggest more severe conditions that need medical attention. Early diagnosis and treatment can prevent complications and improve outcomes.

            If you experience any of these symptoms, don’t wait. Consult a spine specialist to identify the cause and receive the care you need to protect your spinal health.

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  • Top 10 Everyday Habits That Could Be Hurting Your Spine

    Top 10 Everyday Habits That Could Be Hurting Your Spine

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    Top 10 Everyday Habits That Could Be Hurting Your Spine

    Home > Blog > Top 10 Everyday Habits That Could Be Hurting Your Spine

    Your spine plays a crucial role in supporting your body and maintaining mobility, but everyday habits can unknowingly put stress on it. Here are ten common habits that might be hurting your spine and how to prevent them:

      • Poor Posture

        Slouching while sitting or standing puts unnecessary strain on your spine. Maintain a neutral spine position by sitting upright with your shoulders back and your feet flat on the floor.

        • Prolonged Sitting

          Sitting for extended periods, especially with improper support, can lead to back pain. Take breaks to stretch and walk around every 30 minutes.

        • Lifting Incorrectly

          Bending at the waist instead of the knees when lifting heavy objects can harm your spine. Always squat down and use your legs to lift.

          • Sleeping on the Wrong Mattress

            An unsupportive mattress can misalign your spine during sleep. Choose a medium-firm mattress that provides proper support and promotes spinal alignment.

        • Carrying Heavy Bags

          Carrying a heavy backpack or shoulder bag unevenly strains your back. Use a backpack with even weight distribution or lighten your load whenever possible.

          • Skipping Exercise

            Weak core muscles can’t adequately support your spine. Incorporate regular exercises like planks or yoga to strengthen your core and improve posture.

        • Wearing Improper Shoes

          High heels or unsupportive footwear can affect your posture and spine health. Opt for comfortable, supportive shoes for daily wear.

          • Using Poor Ergonomics at Work

            Working at a poorly arranged desk can strain your neck and back. Ensure your chair, desk, and monitor are positioned to encourage good posture.

          • Ignoring Minor Back Pain

            Disregarding mild back pain can lead to more significant issues. Pay attention to discomfort and seek advice if it persists or worsens.

            • Excessive Screen Time

              Hunching over phones or laptops can lead to “tech neck.” Keep your screen at eye level and take regular breaks to stretch.

            • Takeaway

              Your daily habits have a significant impact on your spine’s health. By making small adjustments to your posture, lifestyle, and environment, you can protect your spine and avoid unnecessary pain or injury. If you experience persistent discomfort, consult a specialist for personalized care.

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          •  

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  • Osteoporosis and Rising Fracture Rates

    Osteoporosis and Rising Fracture Rates

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    Osteoporosis and Rising Fracture Rates

    Home > Blog > Osteoporosis and Rising Fracture Rates

    A recent study published in the journal Bone indicates that bone fracture rates are likely to increase in the coming decades. The predictions are largely related to the incidence of osteoporosis among a large segment of the population that is aging, as well as an increase in sports-related fractures among young and active people. When it comes to any type of bone fracture, especially one involving the spine, the most common and debilitating symptom is severe pain.

    This study also suggests that managing pain well is crucial to the proper healing of the fractured bone. Unfortunately, the common treatments prescribed to manage fracture pain can cause significant side effects, especially when used beyond the short-term or acute phase of pain. Though it is impossible to prevent EVERY risk associated with bone fractures, when it comes to osteoporosis, there is plenty that everyone can do to help minimize the risk of developing it.

    What You Can Do to Prevent Osteoporosis

    First, it should be understood that osteoporosis is NOT just a normal part of the aging process in humans. Rather, it is an irreversible and degenerative disease that results in bone loss over time. So when it comes to prevention, the younger one starts, the better off they’ll be later in life. But the truth is that it is NEVER too late. In order to protect your bones, one of the most important things you can do is to focus on what you eat.

    • Your diet must be well-balanced with abundant green leafy vegetables and fruit.

    • Dairy sources such as milk, yoghurt and cheese are sources high in calcium, while Vitamin D quantities are typically highest in sources of wild-caught fatty fish like salmon and tuna.

    In addition to a well-balanced diet, regular exercise is important to help reduce the risk of osteoporosis and to keep bones strong. Focus on weight-bearing exercises (think high or low-impact aerobics or walking/jogging) and muscle-strengthening (think weightlifting and exercise bands). Yoga and Pilates can also help improve strength, balance and flexibility – essential ingredients in preventing bone fracture due to falls.
     

    • The key is to engage in ENJOYABLE exercise so that you will be more likely to stick with it regularly. Aim for at least three sessions a week if you’re just starting out with the goal of building up to five.

    Finally, while it is important to incorporate a healthy diet and regular exercise into your osteoporosis prevention routine, there are some items to exclude or limit fully. These include smoking and alcohol. The chemicals in cigarettes have been widely studied as a significant contributor to bone loss, as does heavy alcohol consumption. Talk to a doctor about a smoking cessation program if you need one and limit alcoholic beverage intake to no more than 2-3 drinks per day.
    While this study may predict a rise in osteoporosis-related fractures in the coming years, the situation isn’t hopeless and there is plenty each of us can do to reverse the trend.

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