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Bringing "Back health" - Dr Ramachandran is an expert in managing all spinal problems and will help in regaining spinal health

24/08/2025

What are spinal expandable cages ?

Spinal expandable cages are advanced implants used in procedures like interbody fusion and vertebrectomy to reconstruct and stabilize the spine after damaged discs or vertebrae are removed. These cages are inserted in a compact form and then expanded inside the spine—similar to a car jack—to restore proper height, alignment, and curvature. They are especially beneficial in spinal tumor surgeries, degenerative disc disease, and severe spinal deformities.

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23/08/2025

What Is Carpal Tunnel Syndrome?

Carpal Tunnel Syndrome (CTS) occurs when the median nerve—responsible for sensation and muscle control in the palm—is compressed at the wrist. This leads to tingling, numbness, and hand fatigue. Common causes include hypothyroidism, diabetes, obesity, and hormonal changes. Severe cases may require surgical release to relieve pressure and restore function.

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08/08/2025

What is “shoulder presentation” in a disc prolapse?

In disc prolapse, the nerve root exits the dural sac much like an arm extending from the body. When the disc herniates, it often pushes out just to the side of where the nerve joins the dural sac—this is called a shoulder presentation.

Because the disc material presses on the side of the nerve at this junction, it causes pain. To reduce this pressure, the body naturally tilts away from the affected side, helping to relieve discomfort.

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27/07/2025

Why do some people lean forward while walking, especially as they age?

When the lumbar spinal canal becomes narrowed—a condition known as spinal stenosis—it can compress nerves and lead to pain or cramping in the legs, particularly after walking a short distance. This symptom is called neurogenic claudication. The more severe the narrowing, the shorter the distance a person can walk comfortably.

Interestingly, leaning or bending forward increases the space within the spinal canal, temporarily relieving the pressure on the nerves. That's why many people instinctively adopt a forward-flexed posture while walking—it helps them go farther with less discomfort.

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21/07/2025

What Is Mushroom-Type OPLL in Cervical Myelopathy?

Mushroom-type OPLL (ossification of the posterior longitudinal ligament) is a unique spinal condition where excess bone growth protrudes into the spinal canal, resembling a mushroom on CT or MRI scans. This can lead to spinal cord compression, resulting in symptoms such as numb hands, difficulty walking, stiffness (spasticity), and cervical myelopathy.

Early diagnosis of OPLL in the cervical spine is crucial for effective management. Advanced surgical techniques may be required depending on the severity of compression.

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20/07/2025

Osteoporotic Spine Fracture in a 65-Year-Old – A Case of Recovery Through Holistic Spine Care

A postmenopausal woman developed severe back pain and weakness due to an osteoporotic fracture at D11, adjacent to a prior D12 vertebroplasty. She was treated by Dr. Ramachandran, leading spine specialist in Bengaluru, with D9–L2 stabilization and prophylactic cementing. Timely surgical intervention restored stability and resolved spinal cord compression, allowing her to walk independently within 3 months. She is now on teriparatide, calcium, and vitamin D, reinforcing the importance of anti-osteoporotic therapy and fall prevention.

19/07/2025

What is the O-arm or Robotic Loop X CT imaging system and how is it used in spine surgery?

The O-arm and Loop X spine surgery system is a cutting-edge 3D CT imaging technology used during complex procedures like scoliosis correction, spinal deformity treatment, and robotic-assisted spine surgery. It provides real-time, high-resolution visuals that allow for precision spinal navigation, ensuring accurate implant placement and safer outcomes. Especially in Bengaluru spine surgery centers, the intraoperative CT technology is transforming patient care through enhanced surgical confidence and reduced complication rates.

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18/07/2025

What Is a C-Arm?

A *C-arm* is a medical imaging device used during spine surgeries and interventional procedures to produce *real-time X-ray images of Spine*. It gets its name from its distinct *C-shaped arm*, which holds the X-ray source and image detector at opposite ends, allowing it to move fluidly around the patient.

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10/07/2025

How does MRI work and it's use in spine ?

MRI of the spine uses a strong magnetic field and radiofrequency pulses to manipulate hydrogen atoms in spinal tissues. When these atoms return to their natural alignment, they emit signals that are transformed into high-resolution images of the vertebrae, discs, spinal cord, and surrounding soft tissues. This imaging method is valuable for identifying structural issues such as herniated discs, spinal stenosis, nerve impingement, tumors, infections, congenital conditions, and post-surgical changes. It also aids in surgical planning and tracking treatment progress.

-5 -4 -S1

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04/07/2025

What is clasp-knife spasticity ?

Clasp-knife spasticity is a type of hypertonia often seen in individuals with cervical or thoracic spinal cord lesions. During repeated passive joint movements, it is characterized by a marked initial resistance to limb motion, followed by a sudden release of tension—resembling the quick snap of a clasp knife. This presentation signals possible upper motor neuron dysfunction and requires further neurological assessment and imaging to determine the underlying cause.

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01/07/2025

What should every doctor prioritize?

This Doctor’s Day, let’s remind ourselves that caring for our own health is just as important as caring for our patients. Prioritize your physical well-being, stay active, and embrace a healthy lifestyle—not only for yourself, but as a powerful example for those you treat. A healthy doctor inspires healthier communities.

Wishing all medical professionals strength, vitality, and continued dedication. Happy Doctor’s Day!

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30/06/2025

What are the key takeaway messages for June Scoliosis awareness month?

June Scoliosis Awareness: Emphasizing Balanced Treatment Approaches

- Early Detection: Identifying and monitoring scoliosis early can prevent cardiopulmonary complications.
- Cardiopulmonary Concerns: Not all untreated scoliosis leads to cardiopulmonary issues.
- Cosmetic Treatment: Adolescent Idiopathic Scoliosis treatments are often for cosmetic reasons.
- Conservative Treatments: Bracing and Schroth exercises can be effective in early stages but shouldn't be the sole treatment.
- Scoliosis ≠ Surgery: Not all scoliosis cases require surgery.
- Preserve Mobility: Maintaining the mobility of the spine is crucial in any treatment.
- Rewarding Surgery: When indicated, surgery can be highly beneficial.
- Avoid Unnecessary Surgery: Especially for long segment lumbar spine fusion, as mobility is the key.
- Second opinion: Fusion surgery limits motion and can lead to complications; always seek a second opinion.
- Research and Questions: Conduct thorough research and ask your spine experts all the necessary questions.

Let's spread awareness and ensure informed decisions for scoliosis treatment!!

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