Demystifying Brain and Spine surgery...

Cervical Radiculopathy

Pain originating in the neck and travelling down into arm and forearm...and Sometimes fingers is termed as cervical radiculopathy.
It is similar to "Sciatica"...(where the pain starts in waist and travels down the buttock, back side of thigh and calf).... but occurs in the upper limb.
Along with pain there could be weakness at shoulder, elbow, wrist or fingers.
If this is because of slipped disc in the neck area of the spine...it needs careful neurosurgical treatment.
Many cases do settle without surgery...but if pain is severe and weakness develops...surgery should not be avoided.
In this case one can see a big disc pressing on the right sided nerve.
The young man (patient) had severe unrelenting pain un the shoulder and arm and forearm for more than a month. He also had weakness at elbow.
You can see the disc slippage shown with the red arrow.
The disc was microscopically removed followed by restoration of disc height with titanium cage. Stability achieved by titanium plate and screws.
This patient was fully mobile eight hours after surgery with complete subsidence of the severe pain and return of the elbow power.
Radiculopathy should be taken seriously if simple measures do not work
........

Jaydev Panchawagh
With the brain and spine surgery team. ... See more

Demystifying Brain Surgery.....

Sometimes brain tumours grow in size rather silently and can reach to enormous size posing a grim surgical challenge.

A middle aged person presented to our Brain Tumour Center with headache and progressively declining mental functions.
MRI of brain as seen on the top image showed a massive brain tumour.
This was removed with tedious seven hour long surgery using modern neurosurgical techniques and technology.
The tumour was totally removed as seen in the post operative photo at the bottom.
Patient is back to normal life for thar last two months.

Had the tumor been diagnosed early...surgery would have been a lot easier.
Symptoms of brain tumours need to be understood by everyone for early diagnosis. ... See more

From our brain tumour center......

Pituitary gland tumours or adenomas may cause hormonal and/ or visual disturbances. What are the symptoms of pituitary tumours? Why are there vision defects ...

A case of Spindylolisthesis in which one vertebra slips on another and causes severe back pain and sciatica. You can see the the L5 vertebra slipped over the S1 vertebra as shown by the red arrowhead. The problem is treated by correcting the deformity and ficing the spine with ultra light and tough titanium construct as seen in the right sided X ray image. This case was recently treated successfully at our neurospine unit. .......Dr Jaydev Panchawagh
Brain and Spine Surgeon.

CONSULTATION FOR BRAIN AND SPINE PROBLEMS AND TOP CLASS SPINE SURGERY AND BRAIN SURGERY CONTACT ON +91 9011333841 OR 7720948948

Watch about brain and spine problems on the You tube channel https://www.youtube.com/channel/UCKSJxdzYBQXoGqIy3_ecsLA ... See more

What is the relationship of our posture and intervertebral disc pressure?
This is a very important consideration for our daily activities.
If we have an insight into this correlation we would take care while sitting, standing, lifting heavy objects etc.
I am sharing a small article which details this relationship....which appeared today in Sakaal. ... See more

Young patient with severe sciatica....pain in the right leg. And weakness.
Due to a large fragment of L4 5 disc prolapse (slipped disc) causing extreme compression of the nerve going to leg.
Removed by microscopic discectomy done by Dr Jaydev Panchawagh.
Patient is immediately pain free.
Small incision and two stitches only.
9011333841. For more info visit us at http://spinesurgerywithdrjaydevpanchawagh.com/Young-patient-with-severe-sciatica-pain-in-the-right-leg-And-weakness-Due-to-a-large-fragment-of-L4-5-disc-prolapse-slip/u5 ... See more

Young patient with severe sciatica....pain in the right leg. And weakness.
Due to a large fragment of L4 5 disc prolapse (slipped disc) causing extreme compression of the nerve going to leg.
Removed by microscopic discectomy.
Patient is immediately pain free.
Small incision and two stitches only.
9011333841 ... See more

It has been my observation...specifically over the last ten years... that when a patient improves or gets cured from any nagging painful or troublesome condition....the improvement in life quality is far more than one that can be expected from just curing the concerned condition.
Two important models that I treat frequently are that of chronic Sciatica-Lumbar canal stenosis spectrum and the other is trigeminal neuralgia.
In chronic low back pain-Sciatica-neurogenic Claudication spectrum, improved or cured patients are not only pain free but better off psychologically and cognitively.
Other parameters like diabetes and effort tolerance also improve. (which may be additionally due to improved ability to walk and exercise ).
That is the reason why tolerating pain and increasing your tolerance for it beyond a point is of limited value. Also using drugs to alleviate pain on chronic basis is of limited value.
Recent studies done with f-MRI (functional MRI) have shown that there are Brain changes in the patients with chronic pain.
Loss of Grey matter, increase in the size of pain perception-decoding area and reduction in total brain volume has been shown.
Good news is that curing or significantly improving the pain can reverse this if pain is treated by surgery or other interventions. Chronic medical treatment is a bad idea here if other forms of cure are available for the condition.
I am sharing this news in todays Times of India which highlights a patient from Mauritius who came to us about a month ago and I operated on his trigeminal neuralgia on the 13th of April.
Before coming here, he had gone literally from pillar to post searching for cure. He travelled to Europe where he was again put on increased doses of medication....completely missing the point that the numbing drugs in high dosage were increasing his cognitive impairment already caused by chronic neuralgia.
I am sure that the next few years will further bring out the brain volume and qualitative changes
caused by chronic pain.

TRIGRMINAL NEURALGIA HELPLINE- 9011333841
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......Jaydev Panchawagh ... See more

Severe Sciatica caused by a slipped disc and not responding to medicines.
Disc removed by microscopic discectomy.
The post operative picture shows the disc prolapse by red arrow and the excised disc by the Green.. For more info visit us at http://spinesurgerywithdrjaydevpanchawagh.com/Severe-Sciatica-caused-by-a-slipped-disc-and-not-responding-to-medicines-Disc-removed-by-microscopic-discectomy-The-post/u4 ... See more

What is Hemi-facial spasm? What are the symptoms of this disease? How do we diagnose this, what are the available treatments, and how to choose the right one...