Spinal surgery becomes inevitable when back pain cannot be managed with medications and/or exercise. This is a major decision and requires planning for many things before, during, and after the surgery.

Before a spinal surgery- This preparation will help in smooth recovery, especially if you do not have a full-time caretaker.

Discontinue pain killers: Discontinue pain killers at least 10 to 14 days before surgery. These are blood thinners and can prolong bleeding during the surgery.

Prepare for blood loss: Most people experience some blood loss, but not excessive.

Use a toilet seat raiser: Sitting and getting up from the toilet seat may be difficult. The seat raiser is used to increase the height, making this movement easy.

Enable easy access to common items: Before heading for the surgery, keep things which are commonly used within easy reach. This will help reduce movement and avoid searching (especially if someone else is going to be doing it).

Stock it up: Cooking may not be feasible during the initial postop period, and so it is advisable to stock up food items (ready to eats, fruits, soups, etc.) which will come in handy.

Slip-ons: Bending down and tying shoes may not be easy, so slip-ons can be used.

Caregiving: It is always advisable to have someone stay over with you during the initial postop days. They could help with regular household chores, cooking, etc.

Lifestyle changes: Ensure you eat well in the days before surgery, quit smoking, quit/use moderate amounts of alcohol, and exercise as advised by your surgeon.

After Surgery- Post surgery, there will be some pain and limitation of movement. It is important to understand that adherence to post-op instructions will improve the success rate of the surgery. Also, recovery time for spine surgery is slightly longer and affects overall quality of life, so psychological preparation is required.

Postoperative medications: These will be given to control infection and pain in the immediate postop period, and should be taken without fail

Rehab: The surgeon will recommend physical therapy and rehab exercises which need to be followed. Complete recovery may take anywhere between 3 to 12 months. During this time, care should be taken to avoid repeat injury.

Support: Adequate back support should be provided using lumbar support and ergonomic chairs, and the right posture should be maintained. Ensure there is no undue strain on the back muscles.

Weight management: With excess weight, there is too much strain on the lower disks. Therefore, weight should be managed to reduce this strain.

Smoking and alcohol should be completely stopped, as healing can be hampered.

With some preparation, spinal surgery can be sailed through smoothly.

What To Expect Before and After Spine Surgery?

Several spine-related problems like cervical spondylysis, lumbar spondylysis, prolapse of intervertebral disc, spinal stenosis, sciatica are most common among the people aging from 30 to 65+. They are very common among women also, especially after menopause.

Nowadays, these spine problems are very common because of our unhealthy lifestyle. Now in this modern era, our life has become very unhealthy. It's very sedentary. We don t walk, we sit in one place and one position for long hours. There is no laborious activity to our body.  We travel a lot on moped, bikes and cars. Our nutritious value of food has gone down.

Traditional medicines deal with the above discussed problems initially with painkillers, multivitamins and combinations of minerals. If there is no improvement traction, cervical belt or lumbar belt is suggested. Still if there is no improvement, the patient is asked to go for surgery. 

These problems cannot be solved only with yoga, or any kind of exercises or acupuncture, etc. They require very definite approach of treatment. 

Homoeopathy has very definite approach to a spine problem. In homoeopathy, the patient is first given a consultation in which he is asked only 5 questions which are enough to understand the symptoms related to the spine problem and symptoms related to the patients personality.

When this is done, the derived information is matched with the hundreds of homoeopathic medicines and the exactly indicated medicine is prescribed after determining the needs of the patient. Usually, the patient gets about 40 per cent relief in the first month and 40 per cent more in the next month. It is worth mentioning that any spine related problem is fully curable in about 5-6 months of homeopathic treatment.

Four effective exercise are recommended.

Here are some remedies that are also suggested to heal spinal issues:

One fist of coriander
5 leaves of kaddi patta with both the meals
Recipes prepared from sesame
Patients, who can have non-veg, can have soup prepared of goat's leg atleast twice a week
In the above way, patients can get rid of all painkillers and dangerous surgeries and can get cured to enjoy there life peacefully.

Spine Problems & Homeopathy!

Did you know that lack of sleep can make you fatter? Here's how.

Lack of sleep doesn't only affect your mood and concentration levels, it also affects your weight. Studies show that not getting enough sleep can be responsible for your increasing waistline and bulky frame. 

Here's how sleep impacts your weight. 

1. Sleep deprivation leads towards consumption of foods that give quick energy
When you've had less sleep than what you require, you feel a lack of energy while performing your daily chores. This can cause you to increase your intake of instant energy-giving foods like potato chips and chocolates or other foods with high carbohydrate and fat content. As a result, you may end up accumulating more kilos on your body.

2. A sleepy brain experiences difficulty in making decisions
Sleeplessness has a negative effect on your body as it prevents you from having complete control of your brain, which may ultimately make you a bad decision maker; especially when it comes to choice of food. You may lack the mental clarity required to avoid calorie-rich foods and may try to fulfil your food cravings with the first available serving of food.

Sleep deprived people are more likely to munch on late night, unhealthy snacks, which are responsible for making them fatter. Lack of sleep also leads you towards consuming foods in greater quantity.

3. The sleep-diet connection 
Sleep deprivation results in the improper functioning of your metabolism and increases the hormone 'ghrelin' (responsible for regulating the frequency of food intake) and decreases the amount of the hormone 'leptin' (responsible for indicating when to stop food consumption). More ghrelin and lesser leptin imply more amount of food consumption, which consequently leads to weight gain.

How to implement an enhanced sleep pattern in your lifestyle?

You can try out the following remedies to ensure that you get good quality sound sleep.
- To begin with, try to abstain from caffeine consumption in any form during the afternoons as it affects your sleep routine at night. 
- Design a sleep schedule for yourself and try to follow it every day, even at weekends.
- Do not consume heavy meals or alcohol before bedtime as it may result in indigestion and may make it difficult for you to fall asleep.
- Also, you can enhance the quality of your sleep by exercising daily. However, ensure that you don't exercise just before sleeping as exercising can cause your energy levels to rise, making it difficult for you to fall asleep.

If you would like to consult with me privately, please click on 'Consult'.

Did You Know Lack of Sleep Makes You Fat? 

Sciatica pain arises from the sciatic nerve which is the single largest nerve in our body. It consists of individual nerve roots, which branching out from the lower back of the spine to the back of each leg and combining together forms the sciatic nerve. The origination of the sciatic pain lies in the lower back of the body and radiates down the buttock to the sciatic nerve.

Causes of the sciatica pain

Arthritis: If an individual is diagnosed with arthritis, then he or she can expect a throbbing pain or numbness down till the leg.
Herniated disc: Another cause could be a herniated disc in the lower back of the body.
Spondylosis: Spondylosis in the lower back would also be a reason for the development of the sciatica pain.
PIVD/DISC bulge
Other causes are a spinal injury, diseased degenerative disc, infection on and around the lower back. The pain would worsen, if an individual is in an occupation where he or she has to stand or sit for hours at length. The lifting of heavy things would strain the sciatic nerves as well.

How to identify sciatica pain?
Sciatica pain varies from infrequent to a constant throbbing down the lower back. So initially it is difficult to detect whether it is sciatic pain or not. But when the constant pain in the lower back leads right down till the toes and foot, it is really time for an individual to get in touch with a doctor. The pain can give a burning sensation almost searing making it difficult for the person to stand up or walk properly. Along with the pain, one can feel fatigued. An involvement of the spinal cord is rare in the sciatic pain but is possible.

Treatment for sciatica pain
Sciatica can be treated in both surgical and non-surgical way. Surgical treatment is rare as sciatica tends to respond well with non-surgical treatments. If the pain continues for over a month despite treatment, surgical treatment will be considered. The non-surgical pain treatment would include physical exercises and oral medications along with natural treatment.

Medications: Painkiller medications prescribed by the doctor can be used to reduce sciatica. Medicines like aspirin, non-steroidal or oral steroids can help reduce the pain.
Steroid injection: Epidural steroid injection acts faster as it is injected in the affected area, thus providing relief from the pain quickly.
Exercise: Early morning exercises can be quite helpful.
Percutaneous Endoscopic Discectomy: The surgical treatment of Percutaneous endoscopic disc dissectomy constitutes a large part of interventional pain physicians and it has evolved considerably in terms of surgical technique and instrumentation. Percutaneous endoscopic discectomy is a relatively new technique for removing lumbar disc herniation. It involves using an endoscope to visualize the disc removal. The discectomy is performed through a posterolateral approach using specially developed instruments. The advantage of percutaneous endoscopic discectomy is that the disc is approached posterolaterally through the triangle of Kambin without the need for bone or facet resection thus preserving spinal stability. The procedure is day care and is done under local anaesthesia.

Sciatica Pain - 5 Ways You Can Treat It!

Little or limited caffeine amount can definitely boost energy levels, but an excessive amount might lead to addiction, which is really quite a serious issue. This addiction cannot be kicked away with medications and rather you have to follow the natural ways. Practicing yoga asanas is one of the most improved solutions that can help you to get rid of acute or severe caffeine addiction and that too in a natural way without inviting any unhealthy side effects.

5 leading asanas that can help avoid caffeine addiction:

Mayurasana: This asana is mainly well known as the Peacock pose. The pose is very much useful for maintaining digestive and circulatory functions. The hands should be clasped backside and you should bend your head towards your feet. Standing straight is needed and you have to take deep breaths at the time of holding back the concerned posture.
Chakrasana: This is nothing, but a wheel pose which helps in system detoxification and toxin release. Your thyroid and pituitary glands will get naturally stimulated as a result of this pose. Extending arms overhead by keeping feet together you can perform this pose. You should bend backwards with your face down towards the floor, and you have to use your palms for support.
Sarvangasana: This pose needs to be done by keeping your shoulders in support. Without using yoga mats, this pose cannot be performed comfortably. Parathyroid and thyroid glands are stimulated along with the normalization of different body functions. Relief from constipation and indigestion can be gained from this pose. Keeping your shoulders in support, the legs should be extended upwards at 90-degree angle. The shoulders should take your full body weight at the time of doing this asana.
Halasana: This plough pose can help in reducing lethargy, fatigue and stress. Your nervous system can be calmed down, and you will feel completely relaxed. Energy channels of your body can be easily opened up by practicing this asana regularly. In this case, legs should be bended at your hips so that the legs can be flat over the ground. You should keep your hands beside your body.
Nadi-sodhan Pranayama: if you have got accumulated stress, then nothing can be a better option other than doing this asana. Both body and mind get completely relaxed as a result of practicing this pose. In this case, breathing patterns or techniques can be corrected along with the balancing of the nadis. You have to get a proper guidance in order to perform it in a correct manner.

Are You a Caffeine Addict? These 5 Yoga Asanas Will Help You Kick the Habit

Everybody loves a bright white smile, and there are a variety of products and procedures available to help you improve the look of yours. 

Many people are satisfied with the sparkle they get from daily brushing and regular cleanings at your dentist’s clinic, but if you decide you would like to go beyond this to make your smile look brighter, you should investigate all of your whitening options.

Start by speaking with your dentist. He or she can tell you whether whitening procedures would be effective for you. Whiteners may not correct all types of discoloration. For example, yellow-ish hued teeth will probably bleach well, brownish-colored teeth may bleach less well, and grayish-hued teeth may not bleach well at all. If you have had bonding or tooth-colored fillings placed in your front teeth the whitener will not affect the color of these materials, and they will stand out in your newly whitened smile. You may want to investigate other options, like porcelain veneers or dental bonding.

If you are a candidate for whitening there are several ways to whiten your smile:

•	In-office bleaching. This procedure is called chairside bleaching and usually requires only one office visit. The dentist will apply either a protective gel to your gums or a rubber shield to protect the oral soft tissues. A bleaching agent is then applied to the teeth, and a special light may be used. Lasers have been used during tooth whitening procedures to enhance the action of the whitening agent.

•	At-home bleaching. Peroxide-containing whiteners actually bleach the tooth enamel. They typically come in a gel and are placed in a specially made bleaching trays. Usage regimens vary. There are potential side effects, such as increased sensitivity or gum irritation. Speak with your dentist if you have any concerns.

•	Whitening toothpastes. All toothpastes help remove surface stain through the action of mild abrasives. "Whitening" toothpastes have special chemical or polishing agents that provide additional stain removal effectiveness. Unlike bleaches, these products do not change the color of teeth because they can only remove stains on the surface.


Whitening / Bleaching

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