M J Speciality Clinic - Dr Manoj Jain

05/02/2020

Lumbar Canal Stenosis: Management and Treatment

What are the treatment options for lumbar canal stenosis?
Since the aging of the spine is a natural and irreversible process, non-operative treatment options are aimed at removing pressure from the nerves to allow them to function more normally. Removing pressure from the nerves, in turn, will help relieve the pain associated with lumbar canal stenosis. Non-operative treatment options include physical therapy, medicine, and pain therapy.

Physical therapy: Physical therapists can work with you to develop an appropriate exercise program. The exercises prescribed by your therapist can help relieve pressure from your nerves, reducing the symptoms of pain and weakness.
Medicines: Non-steroidal anti-inflammatory medicines (NSAIDs) or pain-relieving medicines (analgesics) might be prescribed to decrease pain and increase your activity level. These medicines might be taken as pills, patches, topical cream/ointment or injections. Over-the-counter pain relievers, such as acetaminophen, might be effective as well.
Pain therapy: An injection of a cortisone-like medicine into the lower back might help reduce swelling and inflammation of the nerve roots. These injections are sometimes called epidural or nerve blocks.

When is surgery necessary?
A surgical procedure called a laminectomy is used treat lumbar canal stenosis for people who have progressive symptoms that could cause serious damage. Surgery also might be prescribed to treat people who have persistent symptoms, despite medical treatment. During a laminectomy, the central tunnels of the vertebrae are opened and nerve pressure is relieved.

A newer surgical procedure involves the placement of a bullet-shaped metal spacer (x-stop) between vertebral spinous processes, mechanically optimizing the diameter of the spinal canal.

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Dr Manoj Jain
Consultant Orthopedic
Mj Speciality Clinic

24/01/2020

Microdiscectomy (Microdecompression) Spine Surgery

Typically performed for a herniated disc, a microdiscectomy relieves the pressure on a spinal nerve root by removing the material causing the pain.

During the procedure, a small part of the bone over the nerve root and/or disc material under the nerve root is taken out.

A microdiscectomy (also called a microdecompression) is usually more effective for relieving leg pain (also known as radiculopathy, or sciatica) than lower back pain:1-3

For leg pain, patients will normally feel pain relief almost immediately after a microdiscectomy. They will usually go home from the surgery with significant pain relief.
For numbness, weakness, or other neurological symptoms in the leg and foot, it may take weeks or months for the nerve root to fully heal and any numbness or weakness to subside.

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M J Specialty Clinic
Dr Manoj Jain
Orthopedic Surgeon

21/12/2019

Patient testimonials after receiving perfect treatment from Dr Manoj Jain...

21/12/2019

What is a knee replacement surgery?

Knee replacement, also called knee arthroplasty or total knee replacement, is a surgical procedure to resurface a knee damaged by arthritis. Metal and plastic parts are used to cap the ends of the bones that form the knee joint, along with the kneecap. This surgery may be considered for someone who has severe arthritis or a severe knee injury.

Various types of arthritis may affect the knee joint. Osteoarthritis, a degenerative joint disease that affects mostly middle-aged and older adults, may cause the breakdown of joint cartilage and adjacent bone in the knees. Rheumatoid arthritis, which causes inflammation of the synovial membrane and results in excessive synovial fluid, can lead to pain and stiffness. Traumatic arthritis, arthritis due to injury, may cause damage to the cartilage of the knee.

The goal of knee replacement surgery is to resurface the parts of the knee joint that have been damaged and to relieve knee pain that cannot be controlled by other treatments.

Call for more details : 9819867477

Dr Mnaoj Jain
Consultant Orthopedic
MJ Speciality Clinic

21/12/2019