Dr. Ramnarayan R

27/08/2023

30/09/2022

Some children benefit from regular or adaptive recreational or competitive sports, such as therapeutic horseback riding or skiing. This type of therapy can help improve your child's motor skills, speech and emotional well-being. Both adults and children benefit from regular physical activity and exercise for general health and fitness.

Get a Best Treatment by India’s Leading Functional Neurosurgeon, 𝐃𝐫. 𝐑 𝐑𝐚𝐦𝐧𝐚𝐫𝐚𝐲𝐚𝐧.
𝐁𝐨𝐨𝐤 𝐀𝐧 𝐀𝐩𝐩𝐨𝐢𝐧𝐭𝐦𝐞𝐧𝐭:
𝐌𝐨𝐛𝐢𝐥𝐞 𝐍𝐨.: +91 90030 22445, +91 80724 9805

29/09/2022

This is currently the best treatment for severe spastic and dystonic cerebral palsy. Here a pump is positioned under the skin of the abdomen which delivers the drug baclofen into the spinal cord and brain thus controlling the spasticity (stiffness) of the limbs. This procedure is approved by the FDA.

Get a Best Treatment by India’s Leading Functional Neurosurgeon, 𝐃𝐫. 𝐑 𝐑𝐚𝐦𝐧𝐚𝐫𝐚𝐲𝐚𝐧.
𝐁𝐨𝐨𝐤 𝐀𝐧 𝐀𝐩𝐩𝐨𝐢𝐧𝐭𝐦𝐞𝐧𝐭:
𝐌𝐨𝐛𝐢𝐥𝐞 𝐍𝐨.: +91 90030 22445, +91 80724 9805

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28/09/2022

Spinal cord stimulation (SCS) is a treatment modality that has shown tremendous potential in the management of FBSS. Today, the technology of SCS is more refined, and the proposed mechanism of how SCS works is believed to be more complex than just gate theory mechanics. The utility of SCS for pain associated with FBSS has been well-studied. The result of SCS in FBSS is very good and there are a good number of studies supporting its use with a significant evidence base.

Get a Best Treatment by India’s Leading Functional Neurosurgeon, 𝐃𝐫. 𝐑 𝐑𝐚𝐦𝐧𝐚𝐫𝐚𝐲𝐚𝐧.
𝐁𝐨𝐨𝐤 𝐀𝐧 𝐀𝐩𝐩𝐨𝐢𝐧𝐭𝐦𝐞𝐧𝐭:
𝐌𝐨𝐛𝐢𝐥𝐞 𝐍𝐨.: +91 90030 22445, +91 80724 9805

27/09/2022

Epidural steroid injections (ESIs) are the most commonly performed procedure in pain clinics around the world. ESI can be a useful tool for both treating the symptoms of radicular back pain after surgery and preventing or delaying the need for surgery. A recent meta-analysis suggests that between one-third and one-half of patients considering surgery for spinal pain can avoid it in the short term with ESI.

Get a Best Treatment by India’s Leading Functional Neurosurgeon, 𝐃𝐫. 𝐑 𝐑𝐚𝐦𝐧𝐚𝐫𝐚𝐲𝐚𝐧.
𝐁𝐨𝐨𝐤 𝐀𝐧 𝐀𝐩𝐩𝐨𝐢𝐧𝐭𝐦𝐞𝐧𝐭:
𝐌𝐨𝐛𝐢𝐥𝐞 𝐍𝐨.: +91 90030 22445, +91 80724 9805

26/09/2022

Postoperative scar formation is a natural part of tissue healing after any surgery. Naturally, spine surgery will result in the formation of fibrotic adhesions within the epidural space. These adhesions may cause back and leg pain by compressing nerve roots, decreasing range of motion in the back and inducing pain with movement. Adhesions may contribute to or cause 20%–36% of FBSS cases and may act to compromise the efficacy of ESI by creating septations within the epidural space that prevent steroid from acting on its intended target. Adhesions can be lysed either by delivering hyaluronidase with hypertonic saline into the epidural space or means of epiduroscopy

Get a Best Treatment by India’s Leading Functional Neurosurgeon, 𝐃𝐫. 𝐑 𝐑𝐚𝐦𝐧𝐚𝐫𝐚𝐲𝐚𝐧.
𝐁𝐨𝐨𝐤 𝐀𝐧 𝐀𝐩𝐩𝐨𝐢𝐧𝐭𝐦𝐞𝐧𝐭:
𝐌𝐨𝐛𝐢𝐥𝐞 𝐍𝐨.: +91 90030 22445, +91 80724 9805

24/09/2022

Physical therapy and medication management are the cornerstone of first-line management of FBSS. Physical therapy can help the patient optimize gait and posture and can improve muscle strength and physical function. Other conservative measures that may help postoperative back pain involve psychotherapy measures including stress reduction and cognitive behavioral therapy.

Get a Best Treatment by India’s Leading Functional Neurosurgeon, 𝐃𝐫. 𝐑 𝐑𝐚𝐦𝐧𝐚𝐫𝐚𝐲𝐚𝐧.
𝐁𝐨𝐨𝐤 𝐀𝐧 𝐀𝐩𝐩𝐨𝐢𝐧𝐭𝐦𝐞𝐧𝐭:
𝐌𝐨𝐛𝐢𝐥𝐞 𝐍𝐨.: +91 90030 22445, +91 80724 9805

21/09/2022

Alzheimer's is a battle which many people are fighting with. On this World Alzheimer’s Day, we must create awareness and stand with them.

19/09/2022

𝐇𝐢𝐬𝐭𝐨𝐫𝐲 𝐚𝐧𝐝 𝐩𝐡𝐲𝐬𝐢𝐜𝐚𝐥 𝐞𝐱𝐚𝐦𝐢𝐧𝐚𝐭𝐢𝐨𝐧 - Assess for radicular symptoms, range of motion, paraspinal and SIJ tenderness, alleviating and exacerbating factors
𝐗-𝐫𝐚𝐲 - Assess for bony spinal deformities with flexion and extension images
𝐌𝐑𝐈 - Gadolinium-enhanced T1 is Gold standard for assessing soft tissue injuries. Assess for disc herniations, stenosis, and fibrosis
𝐂𝐓 𝐦𝐲𝐞𝐥𝐨𝐠𝐫𝐚𝐦 - Useful when implanted hardware creates artifact with MRI
𝐂𝐓 𝐰𝐢𝐭𝐡 𝐦𝐮𝐥𝐭𝐢𝐩𝐥𝐚𝐧𝐚𝐫 𝐫𝐞𝐜𝐨𝐧𝐬𝐭𝐫𝐮𝐜𝐭𝐢𝐨𝐧𝐬 - Assess for osseous changes in the spine. Helpful for visualization of hardware
𝐃𝐢𝐬𝐜𝐨𝐠𝐫𝐚𝐩𝐡𝐲 - Helpful in isolating a specific intervertebral disc as source of back/leg pain
Diagnostic injections - Helpful in ruling in/out a specific nerve root or joint as cause of pain. Steroids may be added to provide sustained relief.

Get a Best Treatment by India’s Leading Functional Neurosurgeon, 𝐃𝐫. 𝐑 𝐑𝐚𝐦𝐧𝐚𝐫𝐚𝐲𝐚𝐧.
𝐁𝐨𝐨𝐤 𝐀𝐧 𝐀𝐩𝐩𝐨𝐢𝐧𝐭𝐦𝐞𝐧𝐭:
𝐌𝐨𝐛𝐢𝐥𝐞 𝐍𝐨.: +91 90030 22445, +91 80724 9805

16/09/2022

The reasons for FBSS can be divided into three
👉Preoperative factors
👉Intraoperative Factors
👉Postoperative factors

Get a Best Treatment by India’s Leading Functional Neurosurgeon, 𝐃𝐫. 𝐑 𝐑𝐚𝐦𝐧𝐚𝐫𝐚𝐲𝐚𝐧.
𝐁𝐨𝐨𝐤 𝐀𝐧 𝐀𝐩𝐩𝐨𝐢𝐧𝐭𝐦𝐞𝐧𝐭:
𝐌𝐨𝐛𝐢𝐥𝐞 𝐍𝐨.: +91 90030 22445, +91 80724 9805

14/09/2022

Failed back surgery syndrome (FBSS) is defined by the International Association for the Study of Pain as “lumbar spinal pain of unknown origin either persisting despite surgical intervention or appearing after surgical intervention for spinal pain originally in the same topographical location. The pain may originate after surgery, or the surgery may exacerbate or insufficiently ameliorate existing pain. It has now been named Post Spinal Surgery Syndrome.

Get a Best Treatment by India’s Leading Functional Neurosurgeon, 𝐃𝐫. 𝐑 𝐑𝐚𝐦𝐧𝐚𝐫𝐚𝐲𝐚𝐧.
𝐁𝐨𝐨𝐤 𝐀𝐧 𝐀𝐩𝐩𝐨𝐢𝐧𝐭𝐦𝐞𝐧𝐭:
𝐌𝐨𝐛𝐢𝐥𝐞 𝐍𝐨.: +91 90030 22445, +91 80724 9805

07/09/2022

The intrathecal baclofen pump is currently the best treatment for severe spastic and dystonic cerebral palsy. Here a pump is positioned under the skin of the abdomen which delivers the drug baclofen into the spinal cord and brain thus controlling the spasticity (stiffness) of the limbs. This procedure is approved by the FDA.

Get a Best Treatment by India’s Leading Functional Neurosurgeon, 𝐃𝐫. 𝐑 𝐑𝐚𝐦𝐧𝐚𝐫𝐚𝐲𝐚𝐧.
𝐁𝐨𝐨𝐤 𝐀𝐧 𝐀𝐩𝐩𝐨𝐢𝐧𝐭𝐦𝐞𝐧𝐭:
𝐌𝐨𝐛𝐢𝐥𝐞 𝐍𝐨.: +91 90030 22445, +91 80724 9805