When to see a spine surgeon?
Back pain persisting beyond 2 weeks with pain medications.
Severe back pain so that the patient is not able to sit or sleep.
Back pain radiating along back of thighs to legs with numbness/weakness in legs.
Back Pain increasing on coughing, sneezing.
Back pain associated with fever, loss of weight or loss of appetite.
Back pain associated with bowel/bladder disturbances.
Can brain tumours be completely cured?
A brain tumour can be of two types. primary tumours arising from brain or secondary tumours coming from other parts of the brain. Primary tumours of the brain can be slowly growing tumours (benign) or rapidly growing tumours ( malignant). secondary tumours are often highly aggressive malignant tumours in different parts of the body spreading to the brain by the bloodstream. These are called metastatic tumours.
Most benign tumours in the brain like meningioma, Cavernoma or tumours arising from the skull can be completely excised safely with high chances of cure rates over 90%. In benign tumours located deep in the brain or over the base of the brain can be associated with the risk of neurological deficits and incomplete tumour and can lead to the recurrence of the tumours. In a case with incomplete tumour removal, using advanced radiation techniques, their further growth can be completely stopped or controlled significantly. As brain surgery is done using an operative microscope of high resolution and magnification, even the most complex tumour can be removed safely. Further with the availability of neuronavigation, most brain tumours can be removed with smaller incisions safely even if located in critical locations of the brain or located deep inside the brain.
Malignant tumours of the brain are called gliomas. They can slowly grow, fast-growing based on the grade of the tumours (related to the proliferative potential of the tumours). Many slow-growing gliomas if located over the surface of the brain or frontal/temporal poles can have near-total excision and can be cured or have a long period of control of over 10 to 20 years. Fast-growing gliomas after surgical excision can prolong the survival of patients for several years further improved with radiation and chemotherapy.
What disorder do neurosurgeons treat?
Neurosurgeons treat disorders involved with the brain, spine and nerves. Cervical and lumbar disc prolapse is a very common disorder treated by neurosurgeons.
Brain Conditions: Injuries to brain/skull, brain tumours, brain bleeding, brain aneurysms, brain AVM, hemifacial spasms, trigeminal neuralgia, hydrocephalus (accumulation of water in the brain), brain infections (brain abscess/ tuberculosis/parasitic infections).
Spinal Conditions: Spinal injuries, tumours involving spine/spinal cord, spinal AVMs, disc prolapse involving cervical/thoracic/lumbar region, back and neck pain due to cervical and lumbar spondylosis, spinal infections ( spinal abscess/spinal tuberculosis).
Peripheral Nerves: Entrapment neuropathy (compression of the nerves): carpal tunnel syndrome/tarsal tunnel syndrome/cubital tunnel syndrome etc.
Nerve Injuries: nerve tumours; neve abscess, injection nerve palsies.
Can extreme anxiety cause neurological symptoms?
Extreme anxiety is a very common cause of many neurological symptoms like headache, giddiness, lack of sleep, etc. However, the history of anxiety is not relieved or not expressed by many of these patients. Further, anxiety aggravates pre-existing pain or symptoms in several neurological conditions. Hence for complete recovery, anxiety/ the underlying cause of anxiety should be addressed.
When should you consult an orthopedic surgeon?
If the patient has
Joint or musculoskeletal pain that is progressive and interfering with daily activities
Any type of arthritis
Congenital bone anomalies
What kind of surgeries do orthopaedic surgeons perform?
Internal fixation of bones with plates and nails
Joint replacements (knee, hip, elbow, shoulder)
Revision joint Surgeries
Bone tumour excision and joint reconstructions
Arthroscopic knee, shoulder surgeries for sports injuries
Soft tissue repairs
Correction of congenital deformities and osteotomies
Spine surgeries (decompression and fusion)
How is joint Replacement done?
In Arthritis, the damaged cartilage and bone from the joint are replaced with a prosthesis made of metal, polyethylene, ceramic, etc to regain normal joint biomechanics.
When should a joint be replaced?
Moderate to severe arthritis interfering with daily activities.
What is the total recovery time for knee replacement?
Most patients resume their daily activities by 6 weeks, complete recovery occurs between 3-4 months.
Who is a Podiatrist?
A podiatrist is a qualified doctor who is an expert in evaluating and managing foot and leg problems medically or surgically.