Leg Pain and Numbness: What Might These Symptoms Mean? - Spinal Stenosis Surgery in India

Common Symptoms of SpinalStenosis

Leg pain with walking (claudication) can be caused by either arterial circulatory insufficiency (vascular claudication) or from spinal stenosis (neurogenic or pseudo-claudication). Leg pain from either condition will go away with rest, but with spinal stenosis the patient usually has to sit down for a few minutes to ease the leg and often low back pain, whereas leg pain from vascular claudication will go away if the patient simply stops walking.

Although occasionally the leg pain and stenosis symptoms will come on acutely, they generally develop over the course of several years. The longer a patient with spinal stenosis stands or walks, the worse the leg pain will get.

 Leg Pain and Numbness: What Might These Symptoms Mean?

Flexing forward or sitting will open up the spinal canal and relieve the leg pain and other symptoms, but they recur if the patient gets back into an upright posture. Numbness and tingling can accompany the pain, but true weakness is a rare symptom of spinal stenosis. An older person leaning over the handle of their shopping cart while making short stumbling steps often has spinal stenosis.

Spinal Stenosis Diagnosis

Diagnostic imaging studies for patients with cervical stenosis or lumbar stenosis include either an MRI scan or a CT scan with myelogram (using an x-ray dye in the spinal sack fluid), and sometimes both. CT scans that are plain or not enhanced are of limited value unless made with very fine segmental scan slices.

It can be shown that each form of spinal stenosis has a dynamic (changing) effect on nerve compression, such as when bearing weight. Due to this changing compression, spinal stenosis symptoms vary from time to time and the physical examination generally will not show any neurological deficits or motor weakness. Some recent scanning methods allow the upright body position to study the effects of spinal loading.

Cervicalforaminal stenosis can be pinpointed not only by the CT and MRI scans, but by injecting the suspicious nerve with a small volume of about 2 dozen drops of local anesthetic (selective nerve root block). After the injection a remission of the symptoms of cervical spinal stenosis when walking, along with true temporary weakness of the limb, is clinically diagnostic and helps the patient decide about stenosis surgery.

Since spinal stenosis at two or even three levels (sub-laminar, foraminal and far lateral) can affect a single emerging nerve, a combination of anatomical and clinical clarification is needed if spinal stenosis surgery is contemplated in order to make sure that one surgical procedure will address all contributing components of that particular case.

Many conditions can lead to spinal stenosis, age being the most common. Others include Osteoarthritis, disk degeneration and thickened ligaments.

The first line of treatment is usually medication; non steroidal anti inflammatory drugs are prescribed. Studies have shown that even anti depressants also help in relieving pain. If the pain is severe, narcotics are also prescribed. Physical therapy and steroid injections also help in relieving the pain. However, if these options don’t work, surgery is recommended.

The surgery for spinal stenosis works by relieving pressure on the spinal cord and nerves. Laminectomy is the most commonly performed procedure to treat the symptoms associated with spinal stenosis. 

Laminectomy removes the lamina or the back portion of one or more vertebrae which creates space and relieves the pressure. In many cases, the surgeon would fuse two vertebrae together to maintain the strength of the spine and the procedure is called spinal fusion.

Laminectomy with spinal fusion is the most commonly performed procedures to treat spinal stenosis. The results of the operation are quite gratifying. The surgery helps reduce pain and improve the functioning.

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Laminotomy is a Surgical Procedure that Helps to Decompress the Spinal Cord

Laminotomy

Laminotomy is a surgical procedure performed to relieve spinal cord and/or nerve root compression.  To help you understand the term, let’s separate laminotomy into two: lamina and otomy.

• Lamina – Located at the back of the spine, the lamina are thin bony plates between each facet joint in the cervical (neck), thoracic (mid back), and lumbar (low back) spine.  The laminar plates are part of the bony wall that covers and protects the spinal canal.  Within the spinal canal are the spinal cord and nerve rootlets.
• Otomy means to partially remove.

Your spinous processes are bones that project off the back of your spine.  You can feel the end of most of your spinous processes by moving your hand up or down your spine.

Purpose

The purpose of a laminotomy is to decompress—take pressure off the spinal cord and nerve roots.  During a laminotomy, part of the lamina is removed to open the spinal canal and access the spinal cord and nerve roots.  A laminotomy allows your neurosurgeon to access your spine from behind; your posterior side.

• A laminotomy may be part of another surgical procedure called a discectomy.  Sometimes a herniated disc encroaches into the spinal canal and presses on the spinal cord and nerve roots.
• Degenerative spinal disorders may contribute to thickening of spinal ligaments.  The ligamentum flavum is a yellow ligament that vertically connects your spinal column.  Thickening of this ligament can cause it to buckle and press on the spinal cord and nerve roots.

Causes of spinal cord and/or nerve root compression includes:

• Cervical spinal stenosis
• Cervical herniated disc
• Cervical radiculopathy
• Degenerative disc disease
• Lumbar herniated disc
• Lumbar spinal stenosis
• Spondylosis
• Tumor, infection (uncommon)
  
  Minimally Invasive Spine Laminotomy Surgery in India - Laminotomy 
  Surgery at Best Spine Surgery Hospitals in India
  
  

  Our network hospitals have the most advanced spine surgery facilities. The spine surgeons here use minimally invasive and computer guided techniques in spine surgery. In a Minimally Invasive spine surgery the surgeon makes a few small incisions unlike the open surgery where a single large incision is made. Minimally Invasive spine surgery has several important benefits for the patients. If you have been advised spine surgery your first choice should be the latest minimally invasive technique developed by our world best hospitals in India. Most advanced Technology like Intra Operative MRI, Brain Suite and Computer Assisted Navigation System are deployed by highly trained surgeons for accurate and safe Spine Surgeries through a small incision.

  
  

  Why should you choose to get Indian hospitals offer the best spinal surgery treatment in India at affordable prices. MedWorld india associated best spine surgery hospitals in India have the latest technology and infrastructure to offer the most advanced spine surgery at low cost.

  
  

  Salient features of these hospitals are:

  
  

  • Comprehensive management of spine disorder from birth defects to degeneration of tumor and trauma.
  • Dedicated team of International trained and vastly experienced Spine Surgeons, Rheumatologists, Neurologist, Physicians and Physiotherapist.
  • Expert evaluation of spinal problems by dedicated team of experienced spine Surgeons, Rheumatologists, Neurologist, Physicians and Physiotherapist.
  • Latest Generation Diagnostic and Imaging facilities including dynamic digital X rays, Spiral CT scanning , MRI and Electrophysiology unit all under one roof.
  • Physiotherapy and Rehabilitation by experts after the surgery help you regain functional abilities quickly helping in vastly improved overall results.

  
  

  For more information visit:          http://www.medworldindia.com        
                      https://www.facebook.com/medworld.india

  
  

  Please scan and email your medical reports  to us at care@medworldindia.com and we shall get you a Free Medical Opinion from India’s Best Doctors.

  
  

  Call Us : +91-9811058159

  Mail Us : care@medworldindia.com

STEM CELL THERAPY FOR SPINAL CORD INJURY - Spine Treatment in India

A spinal cord injury usually begins with a sudden, traumatic blow to the spine that fractures or dislocates vertebrae. The damage begins at the moment of injury when displaced bone fragments, disc material, or ligaments bruise or tear into spinal cord tissue. Some injuries will allow almost complete recovery. Others will result in complete paralysis.

There are several types of treatment in the short term for a spinal cord injury. First, the spine in the area of the injured spinal cord is immobilized (held in place so it can’t move) to prevent further injury to the cord. For injuries to the neck, immobilizing the spine may include placing the head in a “halo” (a device that prevents the head from moving). For spinal cord injuries in the back, casts, braces and straps may be temporarily used to keep the back from moving.

To reduce swelling in the spinal cord caused by injury, steroid medication is usually given during the first 24 hours following injury. Other medical treatment is often necessary, depending on complications that may develop.

Treatment options

Spinal injury is a devastating event that occurs suddenly and whose consequences range from minimal symptomatic pain to a tragic quadriplegia (total paralysis of all four limbs). The key element in management is prevention of secondary neurological damage occurring during transportation, so whenever a family physician sees a patient with suspected spinal injury the first thing to be done is immobilize the spine which is done with  cervical collar and belts for thoracic and lumbar spine.

Treatment:

1. At the site of accident / clinic of the family physician :mainly deals with immobilization & proper transportation to the hospital.

2. In the hospital: Resuscitaion, haemodynamic stabilization, basic corrective surgery (if required), physiotherapy.

3. Surgeries: basic aims of surgery are decompression of the neural elements, reduction of malalignment and restoration of spinal stability.

    a.    Anterior /posterior

    b.    Decompression / stabilization

Improved emergency care for people with spinal cord injuries and aggressive treatment and rehabilitation can minimize damage to the nervous system and even restore limited abilities. Rehabilitation programs combine physical therapies with skill-building activities and counseling to provide social and emotional support.

STEM CELL THERAPY FOR SPINAL CORD INJURY

Cell therapy, in particular, stem cell implantation has become a feasible therapy for spinal cord injury. Embryonic stem cells and fetal stem cells are the forefathers of the field of stem cell therapy. Extraction ,separation & processing of specific populations of adult stem cells in the laboratories has evolved  such that  they can be converted to various types of specialized cells (eg.neurons, liver cells, heart cells). Thus, adult stem cells will transcend ethical concerns, technical difficulties, and probably immunorejection.

Spinal Surgery at India Best Spine Surgery Hospital 

in India

Our network hospitals have the most advanced spine surgery facilities. The spine surgeons 

here use minimally invasive and computer guided techniques in spine surgery. In a 

Minimally Invasive spine surgery the surgeon makes a few small incisions unlike the open 

surgery where a single large incision is made. Minimally Invasive spine surgery has several 

important benefits for the patients. If you have been advised spine surgery your first choice 

should be the latest minimally invasive technique developed by our world best hospitals in 

India. Most advanced Technology like Intra Operative MRI, Brain Suite and Computer 

Assisted Navigation System are deployed by highly trained surgeons for accurate and safe 

Spine Surgeries through a small incision.

Why should you choose to get Indian hospitals offer the best spinal surgery treatment 

in India at affordable prices. MedWorld india associated best spine surgery hospitals in 

India have the latest technology and infrastructure to offer the most advanced spine 

surgery at low cost.

Salient features of these hospitals are:

• Comprehensive management of spine disorder from birth defects to degeneration of tumor and trauma.
• Dedicated team of International trained and vastly experienced Spine Surgeons, Rheumatologists, Neurologist, Physicians and Physiotherapist.
• Expert evaluation of spinal problems by dedicated team of experienced spine Surgeons, Rheumatologists, Neurologist, Physicians and Physiotherapist.
• Latest Generation Diagnostic and Imaging facilities including dynamic digital X rays, Spiral CT scanning , MRI and Electrophysiology unit all under one roof.
• Physiotherapy and Rehabilitation by experts after the surgery help you regain functional abilities quickly helping in vastly improved overall results.

Minimally Invasive Spinal Tumor Removal Surgery in India

Some Spinal Tumors, benign or malignant, require surgical intervention before or after non-operative treatments. When pain is unresponsive to non-operative treatment, neurologic deficit progresses, a specimen is needed, neural elements (e.g. nerves) are compressed, vertebral destruction exists, or when spinal stabilization is necessary - surgery is considered. The primary goals in surgery are to reduce pain caused by the spinal tumor, restore or preserve neurologic function, and provide spinal stability. The spinal tumor may be approached surgically from the front (anterior) or back (posterior) of the body.

Surgery may include tumor resection (partial removal) or excision (complete removal). When the tumor is removed (partially or completed) pain and neurologic problems may clear up. Spinal instrumentation and Fusion are procedures used to reconstruct and stabilize the spine. These procedures join and solidify the level (or levels) where a spinal element (e.g. vertebral body) has been damaged or removed.

Following are different types of Spinal tumours based on there cancerous or non-cancerous behavior.

• Benign bone tumors are of following types:
• Giant Cell Tumor: Usually found in the sacrum
• Hemangioma: Usually found in the thoracic spine
• Osteoid Osteoma: Usually found to affect the lumbar spine's posterior spinal column
• Osteoblastoma: Usually found to affect the spine's posterior spinal column
• Malignant bone tumors are classified as follows:
• Chordoma: Affects the sacrum and coccyx in the midline
• Osteosarcoma: affect the anterior vertebral body and it may also invade the Posterior spinal elements.
• Malignant cartilage tumor:
• Chondrosarcoma; Found primarily in the thoracic, lumbar, and sacral spine
• Malignant plasma cell tumors:
• Plasmacytoma is cancer of the white blood cells (plasma cells) which effects the thoracic spine and may also involve the spinal cord ot the nerve roots.
• Lymphomas are cancer of the body's lymphatic system that may spread to the spine .Usually the anterior part (front) of the spinal column is affected
• Ewing's Sarcoma: It affects the Sacrum or the nerves.

Symptoms of Spinal Tumour

Tumor may cause generalized symptoms in the body (like persistent low energy levels, unexplainable weight loss, lump formation, enlargement of lymph nodes, malaise, irregularities of menstruation in females etc as well as symptoms pertaining to the affected organ in the body.

There are various ways in which spine tumour may exhibit, but the most common symptoms of spinal tumour are as follows:

• Back pain radiating to the other parts of the body..
• Loss of sensation and muscle weakness especially in the legs.
• Difficulty in walking, sometimes leading to falling
• Loss of bowel or bladder function

Why surgery for Spine Tumor Removal?

• When the tumor is removed (partially or completely) pain and neurologic problems may clear up.
• To restore and preserve neurological function and provide spinal stability.
• Spinal Tumor surgery is generally indicated in case there is a localized tumor which can be removed with minimum damage to nerve and spinal cord,
• There is persistent neurological deficit and pain which is unresponsive to non operative treatment
• Surgery may include resection (partial removal) or excision (complete removal) of tumor.

For more information visit:          http://www.medworldindia.com        
                    https://www.facebook.com/medworld.india

Please scan and email your medical reports  to us at care@medworldindia.com and we shall get you a Free Medical Opinion from India’s Best Doctors.

Call Us : +91-9811058159

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Lumbar Laminectomy for Leg Pain and Back Pain Relief - Laminectomy Surgery in India

A lumbar laminectomy is also known as an open decompression and typically performed to alleviate pain caused by neural impingement that can result from lumbar spinal stenosis.

A condition that primarily afflicts elderly patients, spinal stenosis is caused by degenerative changes that result in enlargement of the facet joints. The enlarged joints then place pressure on the nerves, and this pressure may be effectively relieved with the laminectomy.

The lumbar laminectomy is designed to remove a small portion of the bone over the nerve root and/or disc material from under the nerve root to give the nerve root more space and a better healing environment

The surgical results of a lumbar laminectomy are particularly effective for leg pain (sciatica) caused by spinal stenosis, which can be severe. Unfortunately laminectomy surgery is not nearly as reliable for relief of lower back pain.

This is because lumbar stenosis is often created by the facet joints becoming arthritic, and much of the low back pain is from the arthritis.

Although removing the lamina and part of the facet joint can create more room for the nerve roots, it does not eliminate the arthritis. Unfortunately, the symptoms may recur after several years as the degenerative process that originally produced the spinal stenosis continues.

How does the procedure work?

Laminectomy is performed under general anesthesia, in this the patient is usually positioned lying on the side or stomach. Then a small straight incision is made over the damaged vertebra. And then a retractor is used to spread apart the muscles and the fatty tissues covering the spine. When the laminae have been reached, the bony arch is cut in order to get to the ligamentum flavum (which is a band of yellow tissue attached to the vertebra that helps to support the spinal column). Thereby an opening is made in the ligamentum flavum to reach the spinal canal and then to the compressed nerve. At this point the cause of compression will be visible (that may be a herniated disk, tumour, fragmented disk etc) which is then rectified. This Surgery is completed in one to three hours.

Minimally Invasive Spine Laminotomy Surgery in 

India - Laminotomy Surgery at Best Spine Surgery 

Hospitals in India

Our network hospitals have the most advanced spine surgery facilities. The spine surgeons 

here use minimally invasive and computer guided techniques in spine surgery.

In a Minimally Invasive spine surgery the surgeon makes a few small incisions unlike the open surgery where a single large incision is made. Minimally Invasive spine surgery has 

several important benefits for the patients. If you have been advised spine surgery your first choice should be the latest minimally invasive technique developed by our world best hospitals in India. Most advanced Technology like Intra Operative MRI, Brain Suite and Computer Assisted Navigation System are deployed by highly trained surgeons for accurate and safe Spine Surgeries through a small incision.

Why should you choose to get Indian hospitals offer the best spinal surgery treatment in India at affordable prices. MedWorld india associated best spine surgery hospitals in India have the latest technology and infrastructure to offer the most advanced spine surgery at low cost.

Salient features of these hospitals are:

• Comprehensive management of spine disorder from birth defects to degeneration of tumor and trauma.
• Dedicated team of International trained and vastly experienced Spine Surgeons, Rheumatologists, Neurologist, Physicians and Physiotherapist.
• Expert evaluation of spinal problems by dedicated team of experienced spine Surgeons, Rheumatologists, Neurologist, Physicians and Physiotherapist.
• Latest Generation Diagnostic and Imaging facilities including dynamic digital X rays, Spiral CT scanning , MRI and Electrophysiology unit all under one roof.
• Physiotherapy and Rehabilitation by experts after the surgery help you regain functional abilities quickly helping in vastly improved overall results.

For more information visit:          http://www.medworldindia.com        
                    https://www.facebook.com/medworld.india

Please scan and email your medical reports  to us at care@medworldindia.com and we shall get you a Free Medical Opinion from India’s Best Doctors.

Call Us : +91-9811058159

Mail Us : care@medworldindia.com

Minimally Invasive spine surgery in India - (Percutaneous Endoscopic Lumbar Discectomy)

A percutaneous discectomy is a surgical procedure in which the central portion of an intervertebral disc is accessed and removed through a cannula. The percutaneous surgical procedure is for safe and sparing excision of herniated disc material. Even sequestered disc material - regardless of its size and level - that slipped into the spinal channel can be removed with this minimal invasive method.

The discectomy is performed through a cannula inserted through the back into the center of the vertebral disc under local anesthetic using a stylet. After the position of the stylet is confirmed to be correct using AP and Lateral X-ray views it is removed leaving the cannula in place. The disc material may be removed using surgical tools such as the Dekompressor or traditional manual surgical tools, however the manual instruments require a larger cannula and more disruption to the surrounding structures. Both the automated and manual percutaneous discectomy procedures produce similar results and reduction in disc height and pressure on the nerves to result in pain reduction.

What does the procedure involve?

Percutaneous Endoscopic Lumbar Discectomy is a minimal invasive spine surgery. It is an endoscopic surgical procedure which is conducted under local anaesthesia with mild sedation. The patient is made to lie on his/her front and the exact entry point is mapped on patient’s body using image intensifier X-ray system. A small incision of about 8-10 cm is made from the midline on the posterior part of the body. There are two different ways in which the inter-vertebral disc material can be removed:

•            Manual procedure also known as Automated Percutaneous Discectomy involves insertion of a long spinal needle from the side of the back, directly into the disc, by-passing other bone and ligaments. Through this needle, guide wire is passed and after making a 5 mm incision, a dilator and working cannula are passed, through which an endoscope is inserted. The prolapsed part of disc is removed with the guidance of the camera and monitor attached to the endoscope.

•            The laser surgery, referred to as Percutaneous Laser Discectomy (PLD), uses an external imager called the fluoroscope to direct the probe. The probe delivers laser energy which vaporizes a part of the inter-vertebral disc material and decompresses the nerve root. The most frequently used laser for treatment is Holmium Yttrium-Aluminum-Garnet (YAG) laser.

Advantaages of PELD (Percutaneous Endoscopic 

Lumbar Discectomy)

• ·         Surgery done under local anesthesia with conscious sedation
• ·         Very good technique for old and medically compromised patients.
• ·         No muscle, ligament or normal tissue damage
• ·         It saves the time and the costs. 75% of the patients discharged on the same.
• ·         Due to rapid recovery, comparing to open surgeries, it is recommendable for the workers or students with the desire of early return-to-work.
• ·         Even prolapsed, migrated, extra-foraminal, recurrent discs can be removed.
• ·         Very good technique for old and medically compromised patients.
• ·         Even prolapsed, migrated, extra-foraminal, recurrent discs can be removed.

For more information visit:          http://www.medworldindia.com        
                    https://www.facebook.com/medworld.india

Please scan and email your medical reports  to us at care@medworldindia.com and we shall get you a Free Medical Opinion from India’s Best Doctors.

Call Us : +91-9811058159

Mail Us : care@medworldindia.com