JPRC Neuro Spine Centre

15/10/2025

14/10/2025

Diwali ke safai ke dauran agar kamar ya peth mein dard hone lage, to ise nazarandaz mat kijiye! 😣
Zyada jhukne, weight uthane, aur galat posture mein kaam karne se spine aur muscles par pressure padta hai — jisse Slip Disc, Sciatica, Ghutne ka dard, Gardan ka dard ya Chronic Back Pain jaise problem ho sakte hain.

Ab chinta ki zarurat nahi!
JPRC Neuro Spine Centre, Jaipur mein ho raha hai advanced MIPSI Technique se bina operation aur bina stitches ke ilaj.

✅ Non-Surgical & Safe Procedure
✅ Sirf 1–1.5 ghante ka Day-Care Treatment
✅ Fast Recovery aur Same Day Discharge
✅ 40,000+ Patients ne payi rahat

🎯 Advanced Spine & Pain Treatment with MIPSI Technique

📍 Address:
JPRC Neuro Spine Centre, Transport Nagar, Gurudwara Mod, Govind Marg, Jaipur – 302004

📞 Contact: 9799088887 | 9770551901

14/10/2025

Slip Disc या Sciatica से परेशान हैं?
अब बिना Operation के भी इलाज संभव है! 💪
JPRC Neuro Spine Centre, Jaipur में MIPSI Technique से पाएं दर्द से राहत —
✅ बिना सर्जरी
✅ बिना टांके
✅ तेज़ रिकवरी

📍 Transport Nagar, Gurudwara Mod, Govind Marg, Jaipur – 302004
📞 9799088887 | 9770551901

14/10/2025

Absolutely! I can provide you with an overview of cervical radiculopathy and its management options.

🩺 What is Cervical Radiculopathy?
Cervical radiculopathy, commonly referred to as a "pinched nerve" in the neck, is a medical condition where a nerve root in the cervical spine (neck) becomes compressed and/or inflamed.
This compression irritates the nerve, leading to pain and neurological symptoms that often radiate down into the shoulder, arm, and hand, following the path of the affected nerve.

⚡️ Common Symptoms
The symptoms of cervical radiculopathy can vary depending on which nerve root is affected, but typically include:
* Pain: A sharp, burning, or electrical pain that starts in the neck and radiates down the arm into the hand or fingers.
* Numbness/Tingling: A "pins-and-needles" sensation (paresthesia) or numbness in the shoulder, arm, or hand.
* Weakness: Muscle weakness in the arm, shoulder, or hand, which can sometimes lead to loss of reflexes.
* Relief with Hand-on-Head: Some people find that placing their hand on top of their head temporarily relieves the arm pain, as this movement can decrease tension on the nerve root.

💥 Causes of a Pinched Nerve
The nerve root compression and inflammation can be caused by various factors, which often depend on a person's age.
|Cause | Description | Most Common In |

Cervical Spondylosis (Degenerative Changes) | Age-related "wear and tear" of the spine. This leads to the formation of bone spurs (osteophytes) and a decrease in disc height, which narrows the space where the nerve roots exit the spinal canal (foraminal narrowing). | People in their 50s and older |

Herniated Disc (Bulging or Ruptured Disc) | The soft, gel-like center of an intervertebral disc pushes through the tougher outer layer, pressing directly on a nearby nerve root. Often results from an acute injury or trauma. | Younger patients (up to age 50) |
| Less Common Causes | Less frequently, cervical radiculopathy can be caused by tumors, infection, or direct trauma. | - |

💊 Management and Treatment
The good news is that most cases of cervical radiculopathy improve with nonsurgical (conservative) treatment. The natural history of the condition is favorable, with significant improvement often seen within 4–6 months.

1. Non-Surgical Treatment (First Line of Management)
Non-operative treatment is the initial and preferred course of action for the vast majority of patients.
* Rest and Activity Modification: Limiting or avoiding strenuous activities, heavy lifting, and any neck movements that increase pain. A soft cervical collar may be used for a short time to limit movement.

* Medications:
* NSAIDs (Nonsteroidal Anti-Inflammatory Drugs), like ibuprofen or naproxen, to reduce pain and inflammation.
* Oral Corticosteroids (a short course) to reduce severe inflammation.
* Nerve Pain Medications (like gabapentin or pregabalin) for neuropathic pain symptoms.
* Physical Therapy: Includes exercises for strengthening and stretching the neck and shoulder muscles, posture correction, and range-of-motion exercises.

* Cervical Traction: A device gently pulls the head up to create more space between the cervical vertebrae, potentially relieving pressure on the nerve root. This may be done in a clinic or with a home unit.
Pain management treatment-
* Cervical Epidural Steroid Injection (ESI): A powerful anti-inflammatory steroid is injected directly into the epidural space of the cervical spine near the irritated nerve root to reduce local inflammation. This is typically considered if initial therapies are not effective.

2. Surgical Treatment
Surgery is generally reserved for cases where non-surgical treatment has failed after an extended period (typically 6-12 weeks) or if there are signs of progressive neurological deficits (worsening muscle weakness). The goal of surgery is to decompress the pinched nerve root.

Surgical Technique
Anterior Cervical Discectomy and Fusion (ACDF) | The disc causing compression is removed, and the vertebrae are fused together into a single bone to stabilize the segment. | Most common surgical approach. |

Cervical Disc Arthroplasty (Disc Replacement) | The damaged disc is replaced with an artificial disc, which allows for motion preservation at that level. | Often an option for younger patients with a soft disc herniation at one or two levels.

Posterior Cervical Foraminotomy | A small portion of the bone (foramen) at the back of the neck is removed to relieve pressure on the nerve root. | A motion-preserving option. |
If you are experiencing symptoms of cervical radiculopathy, it is important to consult a healthcare professional for an accurate diagnosis and a personalized treatment plan

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14/10/2025

14/10/2025

🩺 क्या Spine में दर्द है तो Surgery ही Last Option है? 🤔

बिलकुल नहीं! अब इलाज है आसान और बिना सर्जरी के — MIPSI Technique 🔬

कई मरीज़ जो चल भी नहीं पाते थे, अब बिल्कुल ठीक हैं और अपनी सामान्य ज़िंदगी जी रहे हैं।
अब दर्द को मत सहिए, इलाज कराइए सही जगह पर — JPRC Neuro Spine Centre, Jaipur

✅ बिना ऑपरेशन
✅ बिना टांके
✅ सिर्फ कुछ घंटों में Day-Care Treatment
✅ तेज़ और सुरक्षित रिकवरी

MIPSI (Minimally Invasive Pain & Spine Intervention) से इलाज संभव है:
✔ Slip Disc (L4-L5, L5-S1)
✔ Sciatica
✔ Cervical Pain
✔ Nerve Compression

🎯 Advanced Non-Surgical Spine Treatment — Trusted by 40,000+ Patients!

📍 Address:
JPRC Neuro Spine Centre, Transport Nagar, Gurudwara Mod, Govind Marg, Jaipur – 302004

📞 Contact: 9799088887 | 9770551901

14/10/2025

Pillow height, or loft, is important to maintaining proper sleep posture and preventing neck pain. The left column shows improper pillow height for back sleepers, side sleepers and stomach sleepers, respectively.
The right column demonstrates the proper pillow height for a neutral spine for each sleeping position.
Excellent question — the neck pillow position is crucial for maintaining spinal alignment and preventing neck, shoulder, and back pain. Let’s break it down clearly 👇

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🧠 Goal of Neck Pillow Positioning

To support the natural cervical curve (gentle “C-shape”) of your neck so your head, neck, and spine stay in a straight, neutral line — not bent or rotated.

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💤 1. For Back Sleepers

Ideal Neck Pillow Position:

The pillow should cradle your neck, not just your head.

The thickest part of the pillow (neck roll or curved edge) should fit under the neck, supporting the curve.

The head should rest slightly lower than the neck support zone — not tilted forward.

✅ Best pillow type:

Cervical contour pillow (with a raised neck section and a dip for the head).

Memory foam or orthopedic pillow that molds to your cervical curve.

Optional:
Place a small pillow under knees to ease lower back strain.

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😴 2. For Side Sleepers

Ideal Neck Pillow Position:

The pillow should fill the gap between the neck and the mattress, keeping the head in line with the spine.

The neck should not tilt upward (too high pillow) or downward (too low pillow).

The shoulder rests comfortably on the mattress, not on the pillow.

✅ Best pillow type:

Firm, high pillow or contour memory foam pillow.

Pillow height ≈ distance from neck to shoulder tip.

Bonus Tip:
Use a small pillow between knees to keep pelvis and spine aligned.

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😌 3. For Stomach Sleepers (least recommended)

Ideal Neck Pillow Position:

Avoid thick pillows — they cause neck rotation and strain.

Use a very thin pillow or none under the head.

You may place a small flat pillow under the chest to keep neck in a more neutral position.

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⚕️ 4. For People with Neck Pain or Cervical Spondylosis

Use a cervical orthopedic pillow that supports both the neck curve and base of skull.

Avoid stacking multiple pillows.

Your neck should feel supported but relaxed, not pushed forward or bent sideways.

✅ Best position: Supine (on back) with gentle cervical support.

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🧩 Quick Visual Check (Lying Down):

Sleeping Position Head-Neck Alignment Pillow Height Support Area

Back Head slightly lower than neck Medium Under neck curve
Side Head aligned with spine High/Firm Between shoulder & neck
Stomach Neck neutral (no twist) Thin/None Optional under chest

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12/10/2025

क्या Spine में दर्द है तो Surgery ही Last Option है? 🤔
बिलकुल नहीं! अब नया समाधान है — MIPSI Technique 🔬
✅ बिना ऑपरेशन
✅ बिना टांके
✅ सिर्फ कुछ घंटों में इलाज और तेज़ रिकवरी

JPRC Neuro Spine Centre, Jaipur में Slip Disc, Sciatica, Cervical Pain, Nerve Compression जैसी समस्याओं का इलाज अब आसान और सुरक्षित तरीके से संभव है।

🎯 Advanced Non-Surgical Spine Treatment
📍 Transport Nagar, Gurudwara Mod, Govind Marg, Jaipur – 302003
📞 9799088887 | 9770551901

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09/10/2025

What exactly your pain condition ?

The Sciatic is a Nerve and its role as pain generator ..

• The : The sciatic nerve is the longest and thickest single nerve in the human body, formed by the joining of nerve roots from the lower spine (specifically from the L4 to S3 spinal segments).
• The Path: It travels through the buttock and down the back of the thigh, branching out to the knee, calf, ankle, and foot.

2. Clinical Symptoms
Sciatica pain is distinct from general back pain because it is nerve pain (neuropathic pain) that radiates down the leg. Key clinical symptoms include:
• Pain: Often described as , , burning, or electric-shock like, extending below the knee.
• Radiating Pain: The pain starts in the lower back or and travels (or radiates) down the back of the leg.
• Other Sensations:
• : Tingling or a "pins-and-needles" sensation.
• : Loss of feeling in parts of the leg or foot.
• : Muscle in the affected leg or foot.
• Aggravating Factors: Symptoms are often worsened by movements that increase pressure on the nerve, such as sitting, , , or twisting.

3. Most Common Causes (Etiology)
Sciatica occurs when the sciatic nerve or one of its contributing nerve roots is , pinched, or inflamed. The most common causes are:
• (or Slipped) Lumbar Disc: This is the cause in about 90% of cases, where the inner material of a spinal disc out and presses on a nerve root.
• Stenosis: A narrowing of the spinal canal in the lower back that puts pressure on the nerves.
• : A condition where one vertebra slips forward over the one below it.
• Syndrome: A spasm or tightening of the piriformis muscle (in the buttock) that irritates the sciatic nerve that runs beneath or through it.

Do you have any questions about the treatment options for sciatica or lumbar , such as the procedures Dr. Sanjay Sharma specializes in?

09/10/2025

Dr. Sanjay Sharma is a Spine and Pain Specialist/Interventional Pain Physician with significant experience in Jaipur, Rajasthan, India. He is known for providing non-surgical and minimally invasive treatment options for chronic pain conditions.

👨‍⚕️ Profile and Practice Details
* Specialization: Interventional Pain Medicine, Pain Management Specialist, Spine and Pain Specialist, Neurointerventional Surgery, Algologist.
* Clinic/Practice: Pain Clinic JPRC (JPRC Neuro Spine Centre/JPRC Spine & Joints Care) in Sethi Colony, Jaipur.
* Experience: He has a total experience of around 25 to 33 years in his field, with over a decade of experience as a pain specialist.

* Education & Certification:
* MBBS (Jawaharlal Nehru Medical College, Ajmer).
* Diploma in Anesthesiology (DA) (Sawai Mansingh Medical College, Jaipur).
* Fellowship in Interventional Pain Practice (FIPM) from Pain Relief Academy - Sri Nagar J&K.

✨ Areas of Expertise and Procedures
Dr. Sanjay Sharma specializes in using advanced, non-surgical techniques to manage chronic pain, particularly focusing on the spine and joints.

* Spine and Back Conditions:
* Slip Disc treatment.
* Sciatica Treatment.
* Spondylitis and Spondylosis.
* Minimal Invasive Spine Surgery.
* Spine Endoscopic Surgery.

* Interventional Procedures:
* Radiofrequency Neurotomy/Ablation.
* Ozone Injection Treatment (for Slip Disc).
* Percutaneous Discectomy.
* Neurostimulation and Neuromodulation.
* Vertebroplasty (as per patient stories).

* Joint and Musculoskeletal Pain:
* Arthritis and Joint Pains treatment.
* Musculoskeletal Pain Management.
* PRP (Platelet-Rich Plasma) Therapy and Stem Cell Therapy.
* Minimally Invasive Knee Correction.
* Frozen Shoulder Treatment.

* Other Pain Conditions:
* Trigeminal Neuralgia treatment.
* Headache Treatment.
* Cancer Pain Management.
* Chronic Pain Treatment.

⭐ Patient Feedback
* Patient feedback on platforms like Practo and Lybrate is generally very positive, with a high recommendation rate (100% on one platform, 90% on another).
* Patients have reported satisfaction with his explanation of the health issue and the treatment received, noting relief from chronic pain conditions like lower back pain and arthritis.

Would you like to know the clinic's location or appointment availability for Dr. Sanjay Sharma?
Call 📞 9929105191 JPRC Neuro Spine Centre

09/10/2025

Adhesiolysis (also called epidural adhesiolysis or epidural ) is an advanced pain management technique often used in patients with Failed Back Surgery Syndrome ( ) when adhesions (scar tissue) compress or tether nerve roots, causing persistent pain despite spine surgery.

Here’s a details technical, clinical aspects revealing everything pertaining to procedure as explained by Dr Sanjay Sharma JPRC Neuro Spine Centre .he is well known figure in pain medicine for his contribution to spine since two decades experience!

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🔹 Indication in Failed Back Surgery Syndrome ( )

Persistent pain (leg pain, sciatica) after spine surgery.

Pain due to epidural fibrosis/adhesions restricting the free movement of nerve roots.

Chronic back pain with evidence of nerve entrapment on imaging or failed response to conservative care.

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🔹 Procedure Steps

1. Access

Performed under (X-ray) or guidance.

A special Racz catheter or flexible epidural catheter is inserted via the epidural approach (through sacral hiatus) or approach.

2. Identification

Contrast ( ) is injected to outline filling defects in the space (areas of adhesions).

3. Mechanical & Chemical Adhesiolysis

The catheter is maneuvered to break through adhesions .

saline, local , and may be injected to reduce , , and .

Sometimes is added to help dissolve scar tissue.

4. Completion

After , therapeutic medications are delivered around the nerve root to restore mobility and decrease pain.

Some protocols use 3-day continuous infusion of medications via .

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🔹 Mechanism of Benefit

Breaks bands tethering the nerve root.

Restores drug spread (so medications reach target site).

Reduces nerve root and ischemia.

Improves mobility of dura and nerve roots, thus relieving radicular pain.

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🔹 Outcomes

Studies show moderate to good evidence for short- and intermediate-term pain relief (up to 6–12 months).

Many patients report improvement in pain, mobility, and quality of life.

Some may need repeat procedures.

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🔹 Risks & Complications

puncture & post-dural puncture .

Infection ( abscess, – rare).

/ .

Catheter-related complications (kinking, breakage).

Transient neurological symptoms (due to drug or catheter).

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✅ Summary:
In FBSS, epidural adhesiolysis is a minimally invasive, fluoroscopically guided procedure designed to break scar tissue and deliver drugs directly to entrapped nerve roots. It can provide significant pain relief and functional improvement in patients unresponsive to simpler interventions like epidural steroid injections.
This Blog is written by interventional pain physician

07/10/2025

TFESI stands for Epidural Steroid Injection. It's a common medical procedure used to diagnose and treat pain originating from inflamed spinal nerve roots.
Here's a breakdown of what that means for the spine:
What is a Transforaminal Steroid Injection (TFESI)?
A TFESI is an injection of an anti-inflammatory steroid medication (corticosteroid) and typically a local anesthetic directly into the epidural space of the spine.
* Epidural Space: This is the area that surrounds the dura mater, a thick protective membrane around the spinal cord and its nerves.
* Transforaminal: This term means "through the foramen." The foramina are the small, natural openings on the sides of your spine where the nerve roots exit the spinal canal to travel to other parts of your body.
The injection targets the specific nerve root that is causing pain, delivering a concentrated dose of medication right at the source of inflammation.

Why is TFESI Used?
TFESI is primarily used to relieve radicular pain, which is pain that radiates away from the (like into the arms or legs). It is most commonly recommended for patients who have not responded to other conservative treatments, such as physical therapy or oral medications.
Conditions often treated with TFESI include:
* (Lumbar Radiculopathy): Pain that travels from the lower back down the leg, often caused by nerve root irritation.
* (Bulging) Disc: When disc material presses on a nerve root.
* Stenosis: A narrowing of the spaces in the spine, which can put pressure on the spinal cord and nerves.
* Bone Spurs ( ): Bony growths that can press on nerve roots.

Types of TFESI Based on Spinal Area
The procedure is named for the area of the spine being treated:
| Type | Spinal Area | Treats Pain In |
|---|---|---|
| Lumbar TFESI | Lower back | Lower back, buttocks, and legs |
| Thoracic TFESI | Middle back | Middle back, chest, or abdomen |
| Cervical TFESI | Neck/Upper spine | Neck, shoulders, arms, and hands |

The Procedure
The injection is performed by a and uses a special X-ray technique called to ensure the needle is placed safely and accurately near the target root. A contrast dye is often used to confirm the medication will spread correctly into the epidural space.

The steroid helps reduce , and the anesthetic provides temporary pain relief, which also helps the doctor confirm that the specific nerve root is indeed the source of the patient's pain.
Would you like to know more about the potential risks or expected outcomes of a TFESI?

You can discuss with your relevant investigation like MRI and other details information !







JPRC Neuro Spine Centre