Description

Dr. Dilip S. Kiyawat has wide experience in treating spinal disorders. cervical disc prolapse, lumbar spine disc prolapse, spinal trauma, spinal tumors, osteoporotic vertebral collapse. MRI is the choice of investigation to clinch the correct diagnosis. The large majority of back problems can be treated with nonsurgical methods usually referred to as conservative therapy. This includes bed rest, pain medications, muscle relaxants, lumbar traction, IFT (Interferential therapy) and spinal exercises. A majority of cases get good benefit from such therapy. Recurrence of pain and discomfort needs further treatment in the form of surgical intervention. Surgical treatment : 1. Microdiscectomy- through a 20 to 25 mm opening with the help of a microscope the abnormal disc is approached and nerve root is relieved of compression by removing the offending part of the disc. Patient can be discharged the next day 2. Endoscopic discectomy- through a tiny 10 to 12 mm opening the abnormal disc is approached using an endoscope and the nerve root is relieved of compression by removing the abnormal part of the disc. 3. Spinal stabilization - In cases of spinal instability due to fracture or degenerative disease the spinal segment needs to be stabilized. This procedure involves inserting titanium screws into the safe areas of the vertebrae at two or more levels and are fixed with titanium rods to stabilize the spinal segments. 3. Vertebroplasty- Osteoporosis in old subjects with trivial trauma often leads to vertebral collapse, a condition rendering the patient bed bound due to extreme intensity of pain they suffer. Such patients are dramatically benefitted by the procedure vertebroplasty where a biocompatible cement is injected in to the collapsed vertebral body. This offers immediate dramatic relief to pain and enables the patient to mobilize the same day.

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