Meet Our Doctor
Dr. Paresh Bang
Consultant Spine Surgeon
Spine Doctor In Harda
Spine Doctor
Why Is Medical Clearance Necessary for Spine Surgery?
Spine surgery—even when it’s performed minimally invasively—is a major medical operation that poses potential risks and complications. If you have a comorbidity, such as diabetes, that can increase the risks of the procedure.
Medical clearance is important because if your spine surgeon and PCP/other doctors (s) believe the surgery poses a risk for you, they will work together to adjust aspects of anesthesia and/or surgical approach (before, during, and after surgery) to minimize your risk. This could include changes in your medication regimen before and/or after surgery, starting a weight loss or smoking cessation program before surgery, or ensuring you are up and moving shortly after surgery to reduce respiratory complications.
Types of Spine Doctors
- Orthopedic Spine Surgeons:
- Specialize in treating musculoskeletal conditions, including spinal problems.
- Perform surgeries such as spinal fusions, microdiscectomy, and laminectomy.
- Treat issues like herniated discs, spinal stenosis, scoliosis, and fractures.
- Neurosurgeons:
- Focus on the spine as it relates to the nervous system, including the spinal cord and surrounding nerves.
- Perform surgeries for conditions like herniated discs, tumors, and spinal cord injuries.
- Often handle more complex cases involving nerve compression or neurological issues.
- Pain Management Specialists:
- Treat spine-related pain non-surgically using methods such as epidural steroid injections, nerve blocks, and radiofrequency ablation.
- Often work with patients who experience chronic pain due to conditions like herniated discs or degenerative disc disease.
- Help manage pain to improve quality of life and delay or avoid surgery when possible.
- Physiatrists (Physical Medicine and Rehabilitation Doctors):
- Focus on non-surgical treatments and rehabilitation for spine conditions.
- Help patients recover from spine surgeries and manage chronic spine conditions with physical therapy, exercise, and lifestyle changes.
- Often collaborate with surgeons and pain management specialists to provide comprehensive care.
- Chiropractors:
- Offer spinal adjustments and manipulations to relieve pain and improve function.
- Commonly used for less severe conditions like back pain, sciatica, and misalignments. Chiropractic care should be pursued carefully and in consultation with a medical doctor, especially for more serious conditions.
Common Spine Conditions Treated by Spine Doctors
- Herniated Discs:
- A spinal disc slips out of place, pressing on nearby nerves and causing pain, numbness, or weakness.
- Spinal Stenosis:
- Narrowing of the spinal canal that puts pressure on the spinal cord and nerves, often causing pain, weakness, or numbness in the legs or back.
- Degenerative Disc Disease:
- A condition where the spinal discs wear down over time, leading to chronic pain, stiffness, and sometimes nerve compression.
- Scoliosis:
- Abnormal curvature of the spine, which can be treated with bracing, physical therapy, or surgery in more severe cases.
- Sciatica:
- Pain that radiates along the path of the sciatic nerve, often caused by a herniated disc or bone spur compressing the nerve.
- Spinal Fractures:
- Breaks or cracks in the vertebrae, often due to trauma, osteoporosis, or tumors.
- Spondylolisthesis:
- A condition where one vertebra slips forward over the one below it, causing pain and instability.
- Spinal Tumors:
- Benign or malignant growths that develop within or around the spine, potentially compressing the spinal cord and nerves.
Treatment Options Provided by Spine Doctors
Conservative Treatments:
-Physiotherapy: Strengthening and flexibility exercises for the muscles, and posture correction.
-Medications: Anti-inflammatories (NSAIDs), Muscle relaxants, and Painkillers
-Injections- Epidural steroid injections and nerve blocks. To reduce inflammation and pain in the spinal cord and nerves.
Minimally Invasive Spine Surgery (MISS):
-Microdiscectomy: Removal of only a portion of a herniated disc using a small incision.
-Laminectomy- A portion of the vertebra removed to remove pressure off the spinal cord or nerves.
-Spinal Fusion: Two or more vertebrae are fused together to stabilize the spine and facilitate relief of pain.
Advanced Pain Management:
-Radiofrequency Ablation: The heat applied to the nerve fibers kills them, disabling the pain-transmitting fibers.
-Spinal Cord Stimulation: The implant device sends impulses to the spinal cord to block the pain.
Surgical Interventions:
-Surgery is required for those conditions that do not respond with conservative treatments. These include decompressive surgeries for stenosis or even removal of tumor and corrective surgery for scoliosis.
Choosing a Spine Doctor
- Experience:
- Look for a doctor with significant experience in treating your specific spine condition. Board certification and specialized training in spine care are important factors.
- Treatment Approach:
- Some spine doctors focus on conservative (non-surgical) treatments, while others specialize in surgery. It’s important to choose a doctor whose approach aligns with your treatment preferences.
- Hospital Affiliation:
- Spine doctors who are affiliated with reputable hospitals or spine centers often have access to advanced technology and resources.
- Patient Reviews and Testimonials:
- Reviews from former patients can offer insight into the doctor’s bedside manner, treatment outcomes, and the overall care experience.Contact Us
When to See a Spine Doctor
You should see the spine doctor if you have:
- Persistent back and neck pain lasting more than a few weeks.
- Radiating pain in the legs (sciatica) and arms, numbness, or tingling.
- Weakness in the arms or legs.
- Difficulty walking or performing daily activities.
- Sudden loss of bowel or bladder control (which could indicate a medical emergency). Visit Our Hospital