29/04/2026
Many patients challenge the conventional understanding of disease processes… and today’s patient was one such example.
A 28-year-old young male presented with moderate to severe back pain while sitting and walking, following a fall from a truck nearly 1.5 years ago. Examination revealed marked point tenderness over the lower dorsal–upper lumbar midline spine.
MRI showed:
• Vertebral compression fractures at D12 and L1
• Persistent bone marrow edema on STIR images
• A moderate-sized defect in the superior endplate of D12 (?Schmorl’s node), significantly increasing the risk of cement leakage during intervention.
And the icing on the cake — the patient is getting married in a week and desperately wanted to become pain-free… without any incision or stitches.
The Pain Medicine Team at Dr RMLIMS, Lucknow, India, offered one of the most advanced MIPSIs in Pain Medicine — *Percutaneous Balloon Kyphoplasty* of D12 and L1.
Despite the guarded prognosis considering the chronicity of injury, the procedure was performed using meticulous technique during kyphoplasty, with:
✔ No cement leakage into the disc
✔ Uneventful procedure
✔ Completely pain-free patient within one hour
The Right Pediculoplasty was unintended-)
Cases like these remind us that medicine is not merely about protocols and algorithms — it is also about clinical judgement, courage, experience, communication, and compassion.
As physicians, we should never hesitate to take a thoughtful “leap of faith” when we genuinely believe an intervention may help the patient — provided everything, especially potential complications, is transparently explained beforehand.
And sometimes, beyond science and skill, one must also believe in the healing grace of Almighty Bhagwan.
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