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Intradural Extramedullary Spinal Tumour - In Depth!

MBBS, MS - General Surgery, MCh - Neuro Surgery, FESBS
Neurosurgeon, Mumbai
Intradural Extramedullary Spinal Tumour - In Depth!

Extramedullary intradural tumours are a rarity. Of all the tumours of the nervous system, fewer than 15% are of the spine. And around 45% of them are intradural. And 40% of intradural tumours are extramedullary.

What are some common Intradural Extramedullary Spinal Tumours? 

Some forms of intradural extramedullary spinal tumours are-

  • Schwannomas

  • Meningiomas

  • Gliomas

  • Neurofibromas

What are the Symptoms of Intradural Extramedullary Spinal Tumours?

Some symptoms of this condition are-

  • Back pain

  • Cramps

  • Loss of feeling along the back

  • Loss of spinal flexibility

  • Weakness of the limbs

  • Slight degrees of paralysis

  • Hunched-over spine

If treatment is not sought immediately, the effect of the tumours would penetrate all levels of the spine and may lead to complete paralysis.

How are Intradural Extramedullary Spinal Tumours diagnosed?

A basic physical examination will reveal that there are tumours on the spine. Before treatment commences, the person will have to opt for these tests-

  • An MRI scan

  • A CT scan

  • X-rays

  • biopsy

Treatment of Intradural Extramedullary Spinal Tumours diagnosed?

Doctors do not usually suggest surgery right away. They will first try to vanquish the tumours with chemotherapy and radiation therapy. Sometimes a combination of both might be required.

If therapy does not work, surgery will be suggested. During the surgery, resection is done with the aim to assuage pain and stabilize the spine. Preoperative embolization is performed. A catheter is inserted into a vessel of the groin and directed to the tumour. Then a glue-like agent is administered to the vessels that carry blood to the tumour. When this supply is cut off, the tumour will shrink.

After the surgery, a person will be required to stay on in the hospital for a couple of weeks after which rehabilitation may be required to help the patient get back to a normal lifestyle.

Spinal tumours can be fatal. That is why it is important to pay heed to the symptoms and consult a doctor right away.

1905 people found this helpful

Low Back Pain - Should Know!

Bachelor of physiotherapy
Physiotherapist, Gurgaon
Low Back Pain -  Should Know!

Chronic and acute low back pain is a common problem which occurs in 80% young and old people. Low back pain outcome from damage to structures in the back such as muscles, ligament, disc, nerves and bone. Back pain commonly occurs following relatively simple movement such as bending forward or twisting through the spine. Low back pain can also occur through more complex and forceful movement of lower spine. 
Low back pain is experienced as pain from the lower back. This is often dull or strong ache, which is made worse by movement. Pain may be central in the back, to one side or on both sides of the spine. It may also radiates down into the buttocks, back of the thigh or lower leg.
Low back pain is usually aggravates by activity, particularly activities that involve extension or arching of the back, so you shouldn't continue with activities which aggravate your pain by making it worse.
Diagnosis and treatment of back pain becomes important to prevent long term dysfunction and pain. 80% patients after being diagnosed can be treated with simple exercises and rehabilitation programmes. Back pain recovery usually takes place in a number of weeks. However, in some cases, this period may be long.
The treatment for low back pain is to avoid activities which aggravate your pain by making it worse such as forward bending, gymnastics, dance, rowing, weightlifting or twisting the spine.
Activity modification, medication, spinal traction, electrotherapy treatment, or taping of the lower back may be helpful in your low back pain recovery.
When your pain has settled sufficiently, the sports medicine physician or sport's physiotherapist will be able to provide you with a series of stretching and strengthening exercises designed to return you to your normal life and sport activity.

3 people found this helpful

How To Get Quick Relief From Neck Pain?

Dr.Shrish Dutt Mishra 89% (47ratings)
MBBS, D.Ortho, DNB-Orthopaedic Surgery, M.Ch - Orthopaedics
Orthopedic Doctor, Delhi
How To Get Quick Relief From Neck Pain?

Do you suffer from neck pain? Do you sit for long hours without backrest and are used to terrible pains in the neck at the end of the day? Neck pains are very common in people of all age. Though they have various reasons for developing, their solutions can be sometimes the same. If you are suffering from neck pain, then you can try these simple methods and ease it.

  1. Drink lots of water: This is quite interesting. Not many know that a person is born with their spinal cord made of eighty percent water. As we age, the water content reduces and the spinal discs regenerate. For those who have neck pains originating from the spinal cord, they should particularly drink lots of water to maintain a hydrated body.
  2. Use Mobile Phones Cautiously: Sometimes we are unconscious of the fact that we support our mobile phones with our neck to keep our hands free. This puts a strain on our neck causing it to ache very often. In fact, it also affects the muscles of the neck. This can be a serious cause of chronic neck pain and thus it is advised that one keeps track of how they are holding and using their phones, especially during long conversations.
  3. Visit a PhysiotherapistVisiting a physiotherapist is one of the earliest treatments that you can undertake to get quick and easy neck pain relief. The physiotherapists have lots of tricks up their sleeves to provide a quick remedy for your pains. Their treatment also helps in strengthening the neck muscles apart from reducing pain.
  4. Ice-Therapy: Usually when it comes to pains, we think of using a hot water bag to soothe the pain. But, interestingly, at times ice-therapy might also help in reducing pains. You can take some ice cubes, crush them and put them in the bag and hold it against the affected area or use an ice bag directly. This helps in calming the muscles and reducing your discomfort.
  5. Acupuncture: It is a very advanced and critical form of alternative treatment. Acupuncture must always be undertaken by professionals. Administered in the correct manner, it would help you. But if something goes wrong it can lead to dire consequences.

Thus, these are some of the quick and easy ways to reduce your neck pain discomfort. However, it is recommended that if the pain persists one should go and visit a doctor.

1919 people found this helpful

Know About PRP Therapy For Heel Pain!

Dr.Shrish Dutt Mishra 89% (47ratings)
MBBS, D.Ortho, DNB-Orthopaedic Surgery, M.Ch - Orthopaedics
Orthopedic Doctor, Delhi
Know About PRP Therapy For Heel Pain!

Heel pain is one of the most common foot problems. Often experienced under the heel or right behind it, it can sometimes affect the side of the heel as well. Heel pain can be moderate to severe and can cause difficulty depending on the intensity of the pain. Plantar fasciosis is a kind of heel pain stemming from the deterioration of the plantar fascia that occurs due to repetitive stress as well as chronic plantar fasciitis. This term is used for a non-inflamed stage of plantar fasciopathy.

It is more difficult to treat plantar fasciosis when healthcare providers are not able to recognize it at the non-inflamed stage of the condition. While there are several treatment options, PRP has gained popularity in the recent times.

What causes heel pain?
Heel pain is usually caused by plantar fasciitis or plantar fasciosis. In plantar fasciitis, there is an optimum supply of blood to the affected area along with an inflammatory response that causes a lot of pain. On the other hand, in plantar fasciosis, the fascia has a reduction or absolutely zero inflammatory response along with decreasing healing factor and chronic scar tissue that inhibits the healing response.

What are the treatment options for heel pain?
Various types of treatments such as extracorporeal shockwave therapy, dry needling, monopolar capacitive-coupled radiofrequency, coblation and also, PRP or platelet rich plasma are available to treat heel pain. When a patient has been suffering from heel pain for over six months, the doctors stimulate the inflammation as well as the healing cascades in order to exploit the best treatment for individual cases.

PRP for heal pain
The PRP technique of treating heel pain primarily focuses on provoking a supraphysiologic release of different growth factors for kickstarting the healing of chronic injury of heel pain. When there is an increase in the concentration of growth factors, there is also a rise in the autologous platelets which, in turn, leads to an intense healing of soft tissue on the level of cells.

It is important to mention here that there are numerous components of blood including the red and white blood cells, platelets and plasma. Platelets are endowed with a lifespan of 10 days at the most and they aggregate at the affected area whenever there is an injury. The platelet is also meant for causing hemostasis which is characterized by the formation of new connective tissue along with revascularization. The body’s natural reparative process entails concentration of platelets along with white blood cells within a clot at the site of injury. White blood cells and platelets dominate the healing response through the release of growth factors, recruitment of stem cells, and support of regeneration of tissue.

Platelet-rich plasma or PRP therapy is an individualized approach for patients suffering from feet or heel pain. It offers the benefit of not needing to undergo any surgical intervention or any therapies that are time-consuming. The best part is that the PRP therapy is applied to one’s own blood. Therefore, those patients who have been suffering from persistent foot pain can highly benefit from the PRP therapy. However, it is advised to consult with an expert to understand which treatment will work best for you.

1901 people found this helpful

Back Pain - Can Homeopathy Treat it Effectively?

Dr.Soumalya Golder 91% (270ratings)
Dip. IACH (GREECE), BHMS, Att. Cert. of B.A.M.I (Kolkata), C.S.D (Mumbai), D.N.H.E, Post Graduate Diploma in Counselling (PGDC, 1st class, CU), P.G. Hom (LONDON), Att. Cert. of A.C.H (London), MD - Homeopathy
Homeopathy Doctor, Kolkata
Back Pain - Can Homeopathy Treat it Effectively?

No matter what is the cause of a backache, a combination of core strengthening exercises, activity and physical therapy can help lessen the pain. A backache can be caused by something as simple as bending the wrong way. Hence, the first step towards dealing with a backache is to pay attention to daily movements. Homeopathy effectively deals with back pain, though it takes some time for the pain to subside.

Top homeopathic medicines for curing back pain are:

  1. Rus Tox: If you want to stop chronic condition of your back pain, then nothing can be the best option other than this medicine. Most of the homeopathic practitioners are now strongly recommending this medicine for severe cases. Only limited dosage of this medicine taken in a consistent manner can offer you more relief from your back pain and you can get greater relaxation.
  2. Bryonia: There are some prominent symptoms of back pain and they can be easily and efficiently alleviated by this medicine. If you have become pretty tired of trying homemade therapies, then you can try out this solution. This medicine can reduce your pain and inflammation within a few hours and you can get back to your daily activities with great energy. Apart from taking this medicine, you have to take enough rest so that your back can get relaxed. Your back motion can be smoothened and made flexible by taking the medicine.
  3. Arnica: Injured back often leads to severe back pain and it can be well treated by this homeopathic medicine. Both recent and past back-injuries can be treated using this medicine. This medicine is absolutely safe and thus you will not face any side-effects at all. Unwanted back stiffness and soreness within back muscles can also be minimized to a great extent with the consistent application of this medicine. Back motions can be made much more flexible by curtailing restlessness.
  4. Kali carb: This medicine is the best back-pain solution for females. Those females who have severe back pain immediately after delivery can get greater relief from this medicine. In this case, back muscles often develop cramping pains and these pains are very much irritating and thus you might feel disturbed. This is the reason doctors often recommend taking this medicine to fix the problem.
1511 people found this helpful

Sites Of Chest Pain In Heart Attack Or Angina!

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Internal Medicine, DNB Cardiology
Cardiologist, Jaipur
Sites Of Chest Pain In Heart Attack Or Angina!

Usually public consider that chest pain occurs in middle or left side of chest during heart attack and they ignore pain at other sites. 
In real, pain of angina can occur at many othersites. 

  • Left side of chest
  • Right side of chest
  • Left arm
  • Right arm
  • Back of chest
  • Both shoulders
  • In the front of neck
  • Back of neck

Therefore pain at these sites should also be considered as angina unless proved otherwise by testing.

Pelvic Pain - 4 Ways It Can be Treated

Dr.Sameer Pahlajani 88% (27ratings)
IVF Specialist, Raipur
Pelvic Pain - 4 Ways It Can be Treated

Pelvic pain is most common in women, though sometimes it occurs in men as well. There is absolutely no reason why pelvic pain cannot be treated and therefore women need not panic. if they are experiencing such pain. The treatment of any pain can be done methodically after discovering its cause. Thus, before jotting down the treatments for pelvic pain, it is important to explore the reasons that cause pelvic pain in women.

Reasons for pelvic pain

  1. Reproductive organs in women play an important part in causing pelvic pain. The reproductive organ is complex when it comes to women and many small or big problems there might end up leading to pelvic pain.
  2. Any urinary infection or bladder irritation might also lead to pelvic pain.
  3. The nerves and muscles of the abdomen may cause pain in the pelvis area as well. In fact, the nerves and muscles are very tender near the pelvis area and care should be taken so that one does not strain them or pull the ligaments. This can cause severe pain.
  4. Another interesting point to be noted is that sometimes even after going through a lot of examinations, no causes of pelvic pain are found. In such cases, it is understood that the pelvic pain is a manifestation of the remains of a long-forgotten injury or accident.
  5. It has been examined and found out that physical abuse can at times lead to chronic pelvic pain. Though this link has not yet been understood properly, it is seen to be true.

Treatments for pelvic pain

  1. The most basic treatment is to apply a heating pad on the affected area. The heat helps in relaxing the muscles and nerves thereby, lessening the pain. However, this would reduce the pain, but cannot make it disappear in a day. Thus, it is a continuous process for a week or 10 days until the pain recedes.
  2. Relaxation techniques like meditation, breathing exercises, yoga and even muscle exercises like jogging help in reducing the pain. However, this should be done under guidance. One wrong move can actually aggravate the pain instead of lessening it.
  3. Then there are painkillers which are non-steroidal and help in lessening the pain. Painkillers have a correct dosage and must be taken only after consulting a doctor. Self-medication in such cases can prove disastrous.
  4. At times, when all medications fail, surgery is the last resort.

Thus, these are some of the treatments that can be undertaken if and when you are experiencing pelvic pain. All these are connected to the root cause and must be followed only under medical supervision.

6346 people found this helpful

Stomach Ache in Kids - 7 Causes Behind It!

Fellowship In Neonatology, MRCPCH(UK), Diploma In Child Health (DCH), MBBS
Pediatrician, Delhi
Stomach Ache in Kids - 7 Causes Behind It!

Stomach aches or abdominal pains are one of the most frequently reported health complaints faced by children. Children below the age of twelve are known to suffer from recurrent stomach pain. While pains such as these lead to momentary discomfiture, they also lay the path for graver worries if neglected for too long. Your child may feel sick and bunk school for two days; rest and home care can restore his or her health, but that in no way, is the best suited way of dealing with the situation. If tummy aches resurface over a certain period of time, parents should be cautious enough to look for the root cause and should try to eliminate it accordingly.

Widely noticed causes of stomach aches in children:

  1. Unhygienic food can affect the child’s digestive system.
  2. Intolerance to a certain food item should not be overlooked.
  3. Perpetual anxiety can make the tummy twist and turn.
  4. Urinary Tract Infections can also lead to acute abdominal pain.
  5. Serious factors such as gallstones or appendicitis could also be present. Immediate expert consultation is advised in such a case.
  6. Caffeine and packaged soft drinks can be harmful.
  7. Butter, ghee and other greasy products can trigger tummy aches.

Ways to treat tummy aches in children:

  1. Keep children away from gas producing food items: Food that is hard to digest should be avoided. Lentil soup or dal should only be consumed in limited amounts to prevent the formation of gas. Don’t let your child have too many nuts regularly.
  2. Keep them hydrated: Fluid intake should be monitored. A child should drink at least six to seven glasses of water per day. Fruit juices or soups can also be given to them alongside main meals. This helps digestion.
  3. Do not stack up food in one go: Eating a lot in one meal is a bad way of satisfying hunger. Have smaller meals in more numbers. Six to eight meals will keep your child full and will also eliminate chances of acid reflux which happens either due to an empty stomach or too much piling up of greasy food.
  4. Timely check - up with the doctor: If tummy aches refuse to go away, take your child to a doctor for a thorough check- up. Administer medicines as prescribed by the physician.
3275 people found this helpful

Trigeminal Neuralgia And Radio-Frequency Ablation - What Causes It?

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Anaesthesiology, Dip (Pain Medicine)
Pain Management Specialist, Delhi
Trigeminal Neuralgia And Radio-Frequency Ablation - What Causes It?

Trigeminal neuralgia is specified by the condition of a chronic pain that influences the trigeminal nerve. This nerve transfers sensation from one’s face to his/her brain. If a person is suffering from trigeminal neuralgia, then a gentle stimulation of face (sourced from brushing teeth or applying makeup) might generate a fright of agonizing pain. The affected person might experience short and mild attacks initially. However, the trigeminal neuralgia might progress and generate more-frequently and longer attack of severely critical pain. Women get affected by this situation more than men get and it is more prominently occur in individuals older than 50 years.

Trigeminal neuralgia does not mandatorily mean that you need to experience a lifelong pain. Various types of treatment alternatives are available and so doctors can usually handle the particular condition effectively by taking help of injections, medications or surgery. Various types of triggers might cause the pain regarding trigeminal neuralgia, such as eating, drinking, shaving, brushing teeth, touching face, smiling, washing face etc.


The symptoms of trigeminal neuralgia might comprise of one or more patterns and some of these are described below:

  1. Sequences of serious, jolting or shooting pain that might generate as an electric shock
  2. Spontaneous pain attacks or attacks stimulated by different activities like face touching, speaking, chewing, or brushing teeth. Pain attacks last from a few moments to some minutes.
  3. It is not a comprehensive list because Trigeminal neuralgia hosts various other symptoms as well. If a person feels facial pain, specifically recurring or prolonged pain or if the person does not get relief through the utilization over-the-counter pain relievers, then that person must consult a doctor.

How does Radiofrequency Ablation treat Trigeminal Neuralgia?

Trigeminal Neuralgia is a chronic and painful condition that involves the trigeminal nerve. There are two separate trigeminal nerves on both sides of the face, which carry the sensations like pain from the face to the body. Each nerve has three branches- forehand, midface and chin and trigeminal neuralgia can cause intense pain in any of these areas.


  • This occurs when the trigeminal nerve functioning is disrupted. When the blood vessel/artery and the trigeminal nerve at the base of your brain come in contact, it puts pressure on the nerves and causes pain.
  • It also occurs as a result of ageing or multiple sclerosis
  • A disorder that damages the myelin sheath protecting the nerves can trigger pain
  • Sometimes pain occurs from tumors, which compresses the trigeminal nerves
  • Surgical strokes, facial trauma or strokes can also be the root cause of excruciating pain


  1. Shaving
  2. Touching your face
  3. Eating and drinking
  4. Putting on makeup
  5. Brushing
  6. Washing your face


The pain can be mild and for a shorter duration or it can happen frequently for longer durations. Some experience the pain in cycles where it can come and go for days or even for weeks. Gradually the intensity of the pain lessens.

Cure by Radio-frequency Ablation

The treatment of trigeminal neuralgia is often a challenging process in clinical practice. When medicines do not prove as effective, surgery is the desired option.


  1. After applying local anaesthesia, the Pain Specialist carefully inserts a needle through the corner of your mouth to reach the trigeminal nerve
  2. The doctors then wake up the patient after stimulating the nerves and ask them to feel the stimulation at the same place where they undergo pain. This confirms their targeted location
  3. Once you fall asleep again, the Pain Specialist uses radiofrequency heat to injure the nerve enough to create numbness and removes the pain

How Effective is Radio-frequency Ablation?

The pain is cured almost in 98% of the patients. 50% of patients report a recurrence of pain after about two years. Hence the procedure can be repeated in the same patient if necessary.

In case you have a concern or query you can always consult a specialist & get answers to your questions!

1174 people found this helpful

Avoid Pain Killers!

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - ENT
ENT Specialist, Bangalore
Avoid Pain Killers!

During this covid 19 pandemic, I request you not use any painkillers like nsaids which is easily available down the counter, it has adverse effect on health. Instead you can use paracetamol for pain relief.


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