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January 22, 2020 0

Types of Spine Deformities

The spine is a very important part of the human body and performs a number of functions. For starters, it provides support and keeps the body upright, and it also provides a pathway for signals from other parts of the body to get to the brain, and much more. Just like other parts of the body, the spine is also prone to problems that may lead to deformities. These spine conditions arise from a number of reasons which include the deformities that are present at birth which is referred to as congenital, age-related degeneration, the effect from ailments such as tumors and other infections, and much more. The best spine surgeons in Gurgaon have been trained to handle these different kinds of spinal ailments and try as far as their skill allows them to restore the spine close to its natural state.

Spinal deformities cause the spine to appear misaligned or a bit exaggerated in specific areas when viewed from the back. Conditions associated with these deformities are lordosis, kyphosis, and scoliosis. Brain tumor doctors in Delhi, however, have also identified conditions like achondroplasia, spondylolisthesis, osteoporosis, and much more as the main causes of spinal curvature disorders.

Lordosis

The best spine surgeon in Gurgaon also refers to this deformity as swayback. People who suffer from this condition have their lower back significantly curved in. Lordosis is caused by factors such as weakened muscles which may cause muscle imbalance in the back, congenital deformities, technical factors such as improper lifts when dancing, and much more.

Kyphosis

This deformity manifests itself in a number of ways. However, it can generally be described as a characteristic abnormal curvature of the upper back at an angle of more than 50 degrees. The most common causes of kyphosis include a vertebral fracture due to osteoporosis, congenital kyphosis, degenerative kyphosis, neuromuscular kyphosis, and much more.

Scoliosis

This is described as a sideways curvature of the spine to form either a C-shape or an S-shape. Scoliosis has a number of risk factors like age and sex. However, according to the best spine surgeons in Gurgaon, it can be caused by conditions such as cerebral palsy and muscular dystrophy. Birth defects, as well as other injuries to the spine, are considered as the main causes of scoliosis.

Diagnosis of these different types of spinal deformities can be done by care physicians, chiropractors, as well as other spine specialists through a physical exam, and other diagnostic imaging such as an X-ray or an MRI scan. At Spine and Brain India hospital, the spine specialists handle the diagnosis phase very seriously because it gives them the much-needed insight on the most appropriate treatment option to employ. Non-surgical treatment options such as the use of pain medication, exercise, as well as physical therapy are sufficient in handling specific conditions. These options, when employed appropriately are very helpful with pain. However, surgical correction is also a very valid treatment option. Certain types of spinal deformities such as osteoporosis-related kyphosis require a surgical treatment option in order to repair the fracture.

Spine and Brain India hospital provide expert care for all spinal deformities. The facility has put in place measures that ensure all the patients that come to them with a spinal injury, congenital deformity, and much more, receive the attention they need that would ensure they resume their normal day to day routine with ease. The facility has invested in state-of-the-art equipment which has set them apart from other hospitals and enabled them to handle more complex spinal disorders. In addition, the hospital has a number of competent spine surgeons who work relentlessly to ensure the best of results are attained.

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January 21, 2020 0

Keyhole Surgery for Slip Disc (Disc Prolapse)

‘Keyhole surgery’ is an advanced technique that has brought a revolution in the field of spinal surgeries. The procedure is now widely performed in the best spine hospitals in India. As the name indicates, the term is used for a small size incision made in the spine during the surgery.

What is slip disc: Slip disc is also known as ‘herniated disc’. Our spine has bones that are called vertebrae. Between each vertebra, there are protective shock-absorbing pads. These pads are known as discs. Each disc has two parts. The outer part is a tough ring, and the inner part contains the soft gelatinous substance. Due to aging, or an injury, the inner gel may come out and cause protrusion in the outer ring. This condition is slipped or herniated or prolapsed disc.

Being one of the most common reasons for backache, slip disc mostly occurs in people aging between 30 to 50 years old. The best spine hospitals in Gurgaon estimate that one in twenty people with backache have slipped discs, and around 10 percent of them have to go through surgery.

Causes of slip disc:

  • Aging
  • Wear and tear
  • Random movements like twisting and turning
  • Lifting heavyweights
  • Overweight
  • Poor lifestyle

Risks associated with slip disc: If you have been diagnosed with a slipped disc, it is recommended to visit the surgeon and get treatment at the earlier stage. With best spine hospitals in India, it is now easier to get quality care with multiple options to choose from. An unnecessary delay may damage the nerves and an irreversible paralysis may happen.

Keyhole surgery: The advancement in the medical field and its technologies have given birth to keyhole surgery. The other name for keyhole surgery is ‘minimally invasive spine surgery’.  The slit is made by the surgeon to access the affected areas of the spine. Traditionally, large incisions were made in the back surgery.

Advantages of Keyhole Surgery:

Some of the best spine hospitals in Gurgaon have made India a popular choice in the whole world. The chief characteristics of this surgery are the following:

  • The incision is even less than 1 inch. For this reason, the scarring is negligible.
  • It is an outpatient procedure. That means the patient doesn’t have to stay overnight, at the hospital. You can get operated, and simply go home the same day.
  • The muscle tissues involved in the surgery are pushed aside rather than disrupted. As a result, healing is faster and less painful.
  • The surgery does not take more than 60 minutes. The infection rate is lesser as compared to traditional spinal surgeries, which made the body more vulnerable to infections.
  • There are two types of minimally invasive surgeries available, depending upon the severity of damages caused in the spine.
  • Due to such a fine incision, the recovery period is very short. The patients can resume their work-life within few months. The patient satisfaction rate is very high too.

If you are suffering from spinal problems, there are many best spine hospitals in India to choose from. Earlier diagnosis of the problem makes the treatment easier and a lot smoother for everybody.

Dr Arun Saroha

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January 21, 2020 0

When Should You See Your Doctor in Back Pain?

Back pain is a common problem. We all come across it. Usually, it goes away on its own. In a normal case, a person would recover from the pain in a few weeks, without any treatment given. However, the best spine surgeons in India recommend that in case, it gets severe and becomes problematic, one should consider taking a break and just have some proper bed rest for a few days.

When to call the doctor?

Don’t wait too long for the back pain to disappear on itself, if it shows no improvement within a week. This is a red flag, and one should contact the doctor, as soon as possible.

Who is a Spine Specialist?

A spine specialist is a health professional who specializes mainly in treating spine conditions. There are several common specialists who fall under the category of a spine specialist. Some of them are chiropractors, physiatrists, physical therapists, orthopedic surgeons, neurosurgeons, pain management physicians, anesthesiologists, and many rheumatologists and neurologists.

According to the best spine surgeons in Gurgaon, there are other symptoms too which point to a serious problem. The red flags are:

  • A constant, piercing pain while lying down, or at night
  • When the backache is accompanied with some kind of fever
  • If the pain is spreading from back to the legs, more so, extending down your knees
  • If there is a swelling or redness on the back
  • Loss of control of bowel or bladder along with back pain
  • If the person feels weakness or any kind of numbness in one or both the legs
  • If the pain is accompanied by sudden weight loss, without any change in the diet
  • In case of serious accidents
  • If there has been a history of cancer disease, and the back problem is added along
  • If it has been more than a month and the pain still persists

Factors that increase the chances of back pain:

Not everybody might suffer from severe backache. The best spine surgeons in Delhi jot down for us, some of the most specific factors which make a person more likely to have a lingering back problem.

  • Old age
  • Physically unfitness
  • Heredity
  • Occupational hazards, like lifting heavy weights, twisting the spine while pulling or pushing, etc
  • Being Overweight
  • In the case of diseases like arthritis and cancer etc

Causes of back pain: There are multiple types of causes that contribute to a serious back problem, states one of the best surgeons in India. This may be due to some physical factors or some diseases and other medical conditions. Some of the most common factors being:

  • Ruptured disks
  • Spasms
  • Broken disc
  • Injuries, fractures, sprains, etc
  • Arthritis
  • Kidney stones
  • Infections
  • Endometriosis
  • Scoliosis
  • Tumors

Precautions to take: Do not just refrain from all physical movements. If you stop doing any physical activity because of the pain you experience, it actually might harm you in other ways. Inactiveness might make the muscles weak and the joints will become stiff. Keeping some light activity such as walking, a little bit of stretching would be recommended to maintain flexibility in the body.

In the preliminary stage, seeing a general physician might be enough. But the best surgeons in Gurgaon advise that it is essential to get an appointment with a spine specialist when the initial treatment doesn’t help much.

Dr Arun Saroha

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January 21, 2020 0

What Are The Warning Signs Of Brain Tumor?

The symptoms of brain tumors occur as per the size of the tumor, the rate of growth, the level of malignancy and the location of the tumor. As the tumor presses against the nerves and adjacent tissues, it gradually destroys these healthy cells.

The location of the tumor directly affects the intensity and type of symptoms. Certain brain tumors grow away from the crucial points of the brain and may not exhibit symptoms and hence these are not detected until they have reached a considerable size that triggers severe symptoms. Tumors that grow close to the vital areas show symptoms from the initial stage and can be detected early. Other types of tumors grow rapidly or are positioned close to vital areas of the brain, causing symptoms to occur quickly. As a tumor grows, the brain may swell and fluid often develops. As this mass continues to expand within the limited space of the skull cavity, the pressure on the other parts of the brain increases and triggers a wide range of symptoms and life-threatening conditions.

In case the tumor is affecting the hormonal balance, the symptoms are experienced throughout the body. The largest part of the brain is the cerebrum, which is again divided into two parts that store different types of information and the cerebrum executes decision-making by perfect coordination between these two parts. Tumor in this region directly affects the sensory function and memory.

There are brain tumor symptoms which are generic and come across as warning signs that should not be ignored.

1. Headache

This won’t feel like a normal stress headache. It is a deep, dull headache that reoccurs frequently. The pattern of the headache will seem to change. Headache is not a very early symptom of a brain tumor and is not felt until the tumor has reached a significant size.

2. Seizures

This is a symptom of something wrong in the body. The tumor exerts pressure and obstructs the brain neurons which makes them respond aggressively and they lose control. This triggers abnormal movements in the body. These movements cannot be controlled by the person experiencing it. When a seizure strikes it could be in any form like jerking, muscle-flexing in the limb or face or entire body convulsions. This is a grave state because the person needs immediate attention and help when there is a body convulsion. Patients who experience seizures, constantly need someone along with them, especially when they are outdoors. Seizures could also be followed by loss of consciousness and abnormal breathing. Post seizure, the person feels weak, sleepy and can experience a headache.

3. Numbness

A tumor that suppresses nerves that control the limbs causes numbness and weakness of limb muscles. This happens when the tumor forms in the brain stem that is connected to the spinal cord where the limb nerves shoot out.

4. Nausea

Abnormal nausea or sudden vomiting could also be a symptom of a brain tumor.

5. Loss of control

When the tumor grows in the region that controls limb movements or body balance, the patients experience difficulty in handling objects or balancing. The person might seem to be fumbling with keys, losing balance, spilling liquids while handling a glass, cup or bowl. The symptoms also include problems in swallowing food, controlling facial expressions and remembering things.

6. Faulty vision

The patient experiences sensory changes in vision, hearing, touch, taste, and smell. There could be a loss of partial or complete vision.

7. Personality change

With all these symptoms cropping up at a time, the overall personality and behavior of the person are altered. Clumsiness, memory loss and aches cause the person to get irritated due to the inability to perform daily activities normally. Moreover, the loss of control makes the person helpless. There could be sudden outbursts of anger, aggression, impulsive sex drive and grumpiness.

The cause of the brain tumor is not yet known. Doctors have been able to identify certain risk factors but not the exact cause that triggers uncontrolled cell mutation that makes the tumor. Only awareness and prompt medical attention can help detect and treat brain tumors.

Dr Arun Saroha

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January 21, 2020 0

A Headache might be a sign of brain tumor

Most brain tumor patients experience a headache. Headache can be caused by various triggers and a headache might be a sign of a brain tumor.

What causes headaches due to a brain tumor?

The type and intensity of the pain depend on the location and growth of the tumor. When the brain tumor compresses the vital functioning organs in the skull like the veins, nerve fibers, large arteries, and the skull wall, a pattern of headaches is triggered.

When a tumor grows in the brain, there could be brain swelling. This causes intracranial pressure (ICP). ICP is the pressure exerted on the brain tissues and cerebrospinal fluid that surrounds the brain.

In the case of a brain tumor, the headache comes along with a sequence of other symptoms like vomiting. Seizures or body convulsions are other symptoms of brain tumor post which the person experiences a dull headache and weakness.

How is it different from a Migraine headache?

Most headaches cannot be associated with a brain tumor. But out of all the patients diagnosed with a brain tumor, 50% have experienced severe or minor headaches. There are striking similarities between the headaches in the case of migraine and those in brain tumors. Migraines can also cause nausea for some people. But the migraine pains do not occur with seizures or loss of control. Patients should also note other changes in the body like numbness in limbs, dizziness, vomiting, loss of sensory control, etc. The ultimate solution here to seek a neurologist and get checked. The specialist will be able to clearly distinguish and figure out the nature and cause of headache. Migraines are common and need not be worried about. But brain tumor is life-threatening and needs immediate treatment.

Brain tumor headache characteristics:

The generic nature of brain tumor headache could be associated with the below features.

  • Persistent dull headache
  • Sometime it could be a throbbing unbearable headache
  • Pain that steadily begins on waking up and continues for a few hours
  • Headache that worsens on coughing, sneezing, movement of head and changes in body position
  • This pain might not usually respond to the headache medication or remedies

Headaches in brain tumor do not occur separately but are in sync with other neurological symptoms like:

  • Muscle flexing in face or limbs, jerking, full-body convulsions. This could be followed by temporary unconsciousness and abrupt breathing.
  • Changes in sensory organs like altered vision or hearing
  • Weakness and numbness in arms and legs
  • Slurred speech, uncontrolled facial expression
  • Vomiting
  • ​​Memory loss
  • Abrupt changes in mood, aggression, and loss of balance.

Gradually, as the tumor grows, the headaches will seem to occur more frequently and with increased intensity. Lying down or resting worsens this type of ache.

If you are experiencing any of these symptoms, talk to your doctor. The specialist will ask you various questions to understand the nature of ailment and family history. The doctor would also want to know what medications you take to control the headaches, do they work, remedies that you use to soothe the headache, etc. It is best to keep a journal and note that occurrences of such aches and if there are other symptoms. This will help the doctor understand the exact pattern and frequency. The further course of tests and treatment can then be derived.

Dr Arun Saroha

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About Dr. Arun Saroha


Dr.Arun Saroha is working as Neurosurgeon with a special interest in spine surgery for the last 15 years. He specializes in Neuro-oncology, Paediatric Neurosurgery, Neurotrauma, Stroke & Cerebrovascular surgery including Transnasal surgeries. He has also been performing instrumented/ Non-instrumentation spine surgeries, including minimally invasive spine surgeries. He has performed more than 6,000 Neurosurgeries (Spine and Brain) successfully till date with patients from all over the world.

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