Best Doctor For Spine Treatment In India

Dr. Darsh Goyal is a renowned Orthopaedic Surgeon who has experience of nearly two decades in knee and shoulder surgery. He has worked in some of the finest hospitals across the globe. He has successfully treated more than nine thousand patients. Dr. Darsh has received training from some of the most respected institutes worldwide – NHS England, Hss New York, USA, and Munich, Germany. He has written many books and international papers. Dr. Goyal’s Bones & Joint Centre is among the best centres for advanced Arthroscopy/Laser Surgery for knee and shoulder and Fast track Total knee Replacement.

What is Spinal Pain?

Spinal pain treatment in the lumbar region (lower back) and cervical region (neck) are highly prevalent and is often the cause of many lost work days. Lumbar muscle strains and sprains are the most common causes of low back pain. The thoracic spine can also be a site of spinal pain, but because it is much more rigid, the thoracic spinal area is much less frequently injured than the lumbar and cervical spine.

Spinal Pain Symptoms

Non-surgical low back, cervical and thoracic pain usually affects the central or para-spinal soft tissue without radiating into the arms, around the chest or down the legs. On the contrary, pain radiating from the spine into the extremities or chest wall implies structural pinching of the nerves in the spine that might require a surgical opinion if the situation fails to improve within days to weeks with non-surgical symptomatic treatment.

Other symptoms include:

  • Stiffness in the low back area, restricting the range of motion
  • Inability to maintain normal posture due to stiffness and/or pain
  • Muscle spasms either with activity or at rest
  • Pain that persists for a maximum of 10-14 days
  • Notable loss of motor function such as the ability to tiptoe or heel walk.

Spinal Pain Treatment

Most back pain gets better within a month of home treatment. However, everyone is different, and back pain is a complex condition. For many, the pain doesn’t go away for a few months, but only a few have persistent, severe pain.

Over-the-counter pain relievers and the use of heat might be all you need. Bed rest isn’t recommended.

Continue your activities as much as you can tolerate. Try light activities, such as walking and activities of daily living. Stop the activity that increases pain, but don’t avoid activity out of fear of pain. If home treatments aren’t working after several weeks, your doctor might suggest stronger medications or other therapies.

Diagnostic Testing

Diagnostic testing is usually necessary only when the pain has been present for more than two weeks and has not improved as expected. Likewise, if the pain radiates into the extremities or around the chest well past the spinal epicentre of the pain focus, it is important to rule out underlying causes such as an undetected spinal disc injury.

 If symptoms are persistent, the following tests may be ordered by your doctor. It is important to note that regardless of diagnosis, improving the clinical picture supports continuing with nonsurgical modalities. If the improvement fails to reach a satisfactory stable point additional diagnostic efforts should be pursued. Likewise, if clinical symptoms deteriorate the diagnostic evaluation needs to be extended.

X-ray — The application of radiation to produce a film or picture of a part of the body can show the structure of the vertebrae and the outline of the joints. X-rays of the spine are obtained to search for other potential causes of pain; i.e. spinal malalignment, tumours, infections, fractures, etc.

Magnetic resonance imaging (MRI) — A diagnostic test that produces three-dimensional images of body structures using powerful magnets and computer technology. MRIs can show the spinal cord, nerve roots and surrounding areas, as well as enlargement, degeneration and tumours. Add contrast to the study and it can be made sensitive enough to detect inflammatory processes such as infections and new compression fractures without spinal malalignment.

CT scan with 3-D reconstruction —This shows boney detail better than any other imaging test and can still show soft tissue and nerves.

Electromyography or nerve conduction velocity testing — EMG/NCV neurophysiologic testing of nerves to help localize the site of compression or other neural pathology.

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Drdarshgoyal@gmail.com

 

 

 

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