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Spinal Surgery - Treatment, Procedure And Side Effects

What is the treatment?

Spinal surgery, also known as lumbar surgery, concerns any kind of surgery conducted on the lower back. There are two types of lumbar surgery: lumbar fusion and lumbar decompression.

The main objective of a lumbar decompression surgery is to ease the pain caused due to neural impingement (pinched nerve). This pain is referred to as sciatica or radiculopathy. This involves removing a tiny part of the bone above the root of the nerve to address the pinching of the nerves. The commonest types of a lumbar decompression surgery include discectomy and microdiscectomy.

Lumbar fusion concerns itself with easing the pain at a particular portion in the individual’s lower back. Mostly, this type of a surgery is carried out in the case of any disability or pain from spondylolisthesis or a lumbar degenerative disc condition. This technique uses a bone graft to thwart any type of movement in the painful part of the vertebra that in turn takes care of the pain that was caused due to the movement. Bone stimulators, bone grafts, and other medical devices are used in this surgery.

How is the treatment done?

A Lumbar Microdiscectomy is one of the most important minimally invasive surgical procedures carried out to ease pain from pinched nerves. Firstly, a minor incision is made in the patient’s lower back and the affected part (that is in contact with the pinched nerve root) is removed. It has a pretty high success rate (of about 90-95%) in alleviating pain. Often times, the patient experiences instant relief from pain. However, for some, the symptoms might not resolve completely.

A Lumbar laminectomy, on the other hand, is performed to address lower back stenosis symptoms. In this technique, the lamina (the bone that is present at the back of one’s vertebra) at one or multiple segments is taken out that in turn prevents any further pressure to be put on the nerves in the spine.

Who is eligible for the treatment? (When is the treatment done?)

Spinal surgery is carried out because:

  • Spinal fusion can be performed independently or in combination with the surgery to remedy tissues and bones which might be narrowing down the spine canal and thus squeezing the nerves of the spine or the spinal cord in itself.
  • It can also be done as part of a follow-up post any surgery to address conditions such as herniated disc, spinal stenosis, infection, tumors, and injuries.
  • Can be performed to treat problems such as fractures.

Who is not eligible for the treatment?

There is no non-eligibility criterion as such. If the patient experiences pain from a pinched nerve or spinal instability, he/she should consult a spine surgeon and consider the decision of a spinal surgery. However, if any evidence of an anatomic cause isn’t detected through a CT scan or an MRI scan, then spinal surgery should be avoided. In a nutshell, there must be some anatomical lesion that can be considered to be the reason behind such a pain. At the end of the day, however, it is completely the patient’s discretion whether or not to go for spinal surgery.

Are there any side effects?

The possible side effects and complications depend on the patient’s age, the overall state of health, the type of procedure opted for and the problem that is being treated. Some of the possible side effects are:

  • Pain emanating from the site of the bone graft
  • Breakage of the metal implants and/or weakening of the fusion
  • Blood clots that could result in pulmonary embolism
  • Injury to the nerves
  • Infection
  • Rejection of the bone graft by the body

What are the post-treatment guidelines?

After the spinal surgery, the patient will be kept under supervision for a few days. If the patient is recuperating at home, bed rest would not be required. A back brace might be prescribed by the doctor for you so as to speed up the recovery process. Rehabilitation post-surgery can take its own time. Usually walking, swimming and riding a static cycle are some of the activities that constitute the rehabilitation program.

How long does it take to recover?

Post spinal surgery, recovery can take about 4 months’ time. This is because the bones take the time to heal completely and the healing process may continue over a period of one year. In the case of a spinal fusion, the doctor will recommend one to be off work and other activities for about a month or even more (approximately 4-5 weeks); especially if the patient is young and is in otherwise good physical shape.

What is the price of the treatment in India?

The cost of spinal surgery in India lies in the range of approximately Rs.4, 22,500- Rs.6, 17,500.

Are the results of the treatment permanent?

Spinal surgery is important to render stability to the spine after any trauma, accident or injury. However, there isn’t sufficient research about whether it works as effectively for other problems of the spine as well. Studies have failed to come up with stark differences in the way this surgery and intense rehabilitation would work for chronic problems. Though it does provide relief from quite a few problems with the back, it will always be wise to consult with the doctor regarding the risks and benefits, given that it is a costly surgery and entails its fair share of side effects.

What are the alternatives to the treatment?

The possible alternatives include:

  • IDET
  • Posterior dynamic stabilization
  • Artificial disc
  • Disc regeneration
Safety: High Effectiveness: High Timeliness: Medium Relative Risk: Side Effects: Medium Recovery Time: Medium Price Range: Rs. 4,22,500 - Rs. 6,17,500

Popular Health Tips

Spinal Cord Injury - Tips To Help You Recover!

MBBS, MS - General Surgery, Mch - Neuro Surgery
Neurosurgeon, Ghaziabad
Spinal Cord Injury - Tips To Help You Recover!

A spinal cord injury involves damage to the spinal cord either from trauma, loss of the normal blood supply, or compression caused by a tumor or infection. These injuries can either be complete; wherein there is a complete loss of sensation and muscle function in the body, below the level of the injury or incomplete; wherein there is some remaining function below the level of the injury. In most cases, both sides of the body are affected equally.

Classification of the spinal cord injuries

  • High-cervical: It involves the topmost vertebrae in the spinal column, which can result in partial or full paralysis if the spinal cord is severed.
  • Low-cervical: Damage to this area can affect the function of the upper limbs.
  • Thoracic: It involves the center of the spinal column; damage to this area can impact the muscles and nerves of the trunk.
  • Lumbar: It is the commonest site of lower back pain; damage to this area can affect the lower back and limbs.
  • Sacral: Any trauma to the tailbone can cause damage to the nerves in the sacral part of the spine.

Several cases of spinal cord injury are treated with surgery. The two major goals of surgery involve relieving the pressure on the spinal cord and stabilizing the spine.

Quick recovery from spinal cord injuries

Damage to the spinal cord often causes inflammation of the surrounding tissues. A smooth and quick recovery can be achieved by promptly addressing the inflammation post-injury. Following tips can help regain a normal range of motion, promote fast healing, and eliminate pain:

  • Cold therapy: One of the best ways to treat inflammation is with cold application. The lower temperature causes constriction of blood vessels, which reduces the flow of blood to the injured area and helps control swelling. Additionally, a reduced body temperature around an injury slows down cellular metabolism and cell death, minimizing the amount of tissue repair required. Also, pain reduction by a brief deadening of nerve endings and lessening sensation in the affected area is achieved with cold application.
  • Ample rest: Overexertion has to be avoided during the recovery period to ensure that the body gets a lot of rest. Adequate rest needs to be supplemented with a healthy diet to provide the body with all the nutrients it needs for healing.
  • Physical therapy: Physical therapy is an important component of fast recovery in a spinal cord injury. Gentle strengthening and stretching exercises will help an individual regain range of motion, improve flexibility, and build the surrounding muscles to support the spine. It is advised to work closely with a physical therapist and follow their instructions for better results.

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

3087 people found this helpful

Spinal Cord Tumors - 5 Things You Must Know!

MBBS, DNB, Fellowship In Neurosurgery
Neurosurgeon, Kolkata
Spinal Cord Tumors - 5 Things You Must Know!

There is hardly any individual who hasn't suffered from back pain at some point or the other, and lower back pain is considered one of the prime factors for which people might want to miss a day of work. The source of the pain could range from herniated disk to muscle spasm to osteoarthritis. What’s worse, it could be benign or cancerous spine tumor. Even though spinal cord tumors are quite rare, when it occurs, it could be life-threatening. If caught early, it is possible to treat spine disorders effectively and therefore, it pays to know a few important facts about spinal cord tumors.

  1. Back pain is the most common symptom: When it comes to spine tumors, regardless of whether they are cancerous or non-cancerous, you cannot afford to ignore back pain. This is because the tumor causes pain by pressing against the spinal cord or destroying the bone. It is crucial to note that such type of back pain tend to linger even while you are resting at night.
  2. Pain that radiates to other parts of the body as well: When spine tumors are the culprit for back pain, it can radiate towards the arms or lower back rather than improving with time.
  3. Spinal cord tumors can lead to other symptoms: There is no reason to believe that when you have spinal cord tumors, then you will only suffer from a debilitating back pain. You may also suffer from reduced sensitivity to pain, difficulty in walking, loss of sensation and muscle weakness. You may also notice that you have a decreased sensation to heat and cold as well.
  4. People who have previously suffered from cancer are at a high risk: Individuals who had cancer particularly, breast, lung, kidney, prostate, and thyroid should be extra careful about their health in general. You should regularly monitor the symptoms of spine tumors since you are at a higher risk of developing it. It is found that in about 60 to 70 percent of the cases, cancer occurring in other parts of the body either metastasizes or spreads to the spinal cord.
  5. There are ways other than surgery to remove spinal tumors: A biopsy would be able to tell whether the tumor is malignant or benign. A biopsy is a process which involves removal of a small tissue sample and also examining it with the help of a microscope. But it is important to note here that all spinal tumors do not require an immediate removal through surgery. Sometimes, all you will need is a regular monitoring for detecting if there is any change. This is commonly chosen when the spinal tumors are small and benign.

Not always your back pain is a sign of spinal cord tumor. However, in the case of a persistent back pain along with other symptoms, a doctor’s opinion must be sought. In case you have a concern or query you can always consult an expert & get answers to your questions!

3579 people found this helpful

Spinal Compression Fracture - How It Can Be Treated?

Spine and Pain Management
Pain Management Specialist, Hyderabad
Spinal Compression Fracture - How It Can Be Treated?

What is spinal compression fracture?
Spinal compression fractures are getting frequent due to the many lifestyle changes which we undergo. The body should not be made to be put use in a certain way like posture, lifting heavy weights, etc. However, prolonged and repeated usage affects the spine directly and results in compression fractures. Though the condition looks, gratifying, modern science has advanced to levels where the fractures can be addressed very effectively, and the pain symptoms can be eradicated almost completely. Let us have a summary about the treatment methods.

The treatment
The treatment plan of any spinal compression fracture should effectively highlight the pain, the factors leading to the pain and lastly the fracture itself. Our body has been designed in such a way that the spine can withstand an amount of pressure and force. As a result of it, it is one of the strongest parts of the human body. Hence most the fractures heal with pain medications and strength exercises. These activities can be embraced as a permanent one- thus eradicating the pain altogether.

Pain killers are administered gradually for a few weeks along with rest and once the pain subsidises strength exercises are imparted as a part of the treatment plan. In few cases, anti-inflammatory drugs and antidepressants can also help in relieving the nerve related pain. A back brace like an easily removable cast can also be put when doing the usual activities. This, directly stiffness the spine and provides it with support. The pressure to the spine can be greatly relieved due to the back brace.

Surgery for Spinal compression fractures
As stated, most of the spinal pain can go away with certain lifestyle changes and medications. However, in some extreme cases even after putting all the effort the pain does not go, then a surgical treatment has to be performed to correct the fractures. There are two minimally invasive procedures namely Vertebroplasty and Kyphoplasty and one complicated procedure known medically as the Spinal fusion surgery. In vertebroplasty and kyphoplasty, bone cement is spread across in layers to the affected region.

These blocks of cement have a tendency to get strong in a matter of minutes, thus relieving the pressure immediately. Spinal fusion surgery is done in extremely rare cases where two or more vertebras are connected together using metal screws. Sometimes even a bone graft is affixed to provide support to the fractured region. Doctors, however, do not go for it usually as the procedure causes extreme inconvenience even after the treatment.

Spinal compressions are a frequent occurrence nowadays, and as good physician would suggest prevention is better than cure. Making the much-needed changes to life and the activities we perform can drastically reduce the chances of getting a spinal compression fracture.

11 people found this helpful

Minimally Invasive Spine Surgery - Understanding the Benefits!

DNB (Orthopedics), Diploma in Orthopaedics, MBBS
Orthopedist, Mumbai
Minimally Invasive Spine Surgery - Understanding the Benefits!

Humans are prone to much more complex and extensive experiences in life than any other animal species, this is because we also enjoy highly developed cognition and mental abilities in comparison to the other species. However, our cognitive abilities also mean that we are more prone to bad experiences and health issues that may require intensive treatment or even at times surgeries.

Having to undergo a surgery may sound like an exceptionally difficult or painful prospect, but with the help of modern medical practices and the use of state of the art technology and equipment, there are times when patents are able to get excellent results. One among many such advanced practices is the use of minimally invasive spine surgeries.

There may be times when we may injure ourselves or may develop health issues that make it difficult for us to go about our daily lives and at such times a surgery on the spine may be required. It is however, risky to carry out a full-fledged surgery on the spine because of the fact that our movements in general and the central nervous system may be put at great risk when the spine is tweaked or worked with. This is one of the biggest reasons why modern medical practitioners suggest and prefer carrying out the minimally invasive surgery.

Understanding the practice:
In order to be able to develop a conviction for the practice, it is important to make sure that you understand the practice in general. As the name suggests, the surgery is done in a manner in which large incisions are not made on the spinal region and the procedure is done only by the creation of a small hole. The surgery is carried out with the use of non-conventional tools that can be manoeuvred through smaller openings and the process is carried out with the help of a small incision around the spinal region.

Advantages of the minimally invasive surgery:
As opposed to the regular open surgery, there are a lot of advantages for the patients that opt to undergo the minimal surgical procedure.

  1. The biggest advantage is that the patients are able to recover much sooner and the pain is also cut down to a minimal level because of the surgical opening being so small.
  2. The muscles that get affected due to the surgery heal much faster and they do not have any long term side-effects which is much more common in a conventional surgical procedure.
  3. The chances of damage to the spine are cut down to a great extent because it is minimally exposed during the surgery.
  4. Finally, the time taken for the procedure and the after care is also brought down because of the simplicity of the surgical procedure.

As we step into an era of advanced medical practices, it may be important to quickly adopt and adapt to the new age practices so that a better future for patients may be carved out and established all across the world. If you wish to discuss any specific problem, you can consult an orthopedist.

4213 people found this helpful

Minimally Invasive Spine Surgery - A Guide On What To Expect?

MBBS, MS - Orthopaedics, Fellowship in Shoulder Surgery
Orthopedist, Gurgaon
Minimally Invasive Spine Surgery - A Guide On What To Expect?

Spine surgery is conventionally performed as ‘open surgery’, which means the region being worked on is opened with a long entry point to permit the surgeon to view and access the area. Technical and scientific advances have permitted more back and neck conditions to be treated with a less obtrusive surgical technique. The minimal invasive spine surgery (MISS) does not include a long cut, and it prevents causing damage to the muscles around the spine. As a rule, this causes less pain after the surgery and a speedier and healthy recovery.

Spine surgery is normally suggested when non-surgical treatments like medicinal or exercise based methods have not helped in lessening the excruciating symptoms of your back problem. Moreover, surgery is just considered if your doctor can pinpoint the correct reason of your pain, for example, a herniated circle or spinal stenosis. 

MISS is also called less obtrusive spine surgery. In these procedures, surgeons utilise particular instruments to get to the spine through little cuts. The surgery process is as follows:

  1. During the surgery, a little entry point is made and the tubular retractor is embedded through the skin.
  2. It is also inserted into the delicate tissues down to the spinal cord.
  3. This makes a passage to the little range where the problem exists in the spine.
  4. The tubular retractor holds the muscles open and is set up all through the surgery.
  5. The surgeon gets to the spine utilising the little instruments that fit through the focal point of the tubular retractor.
  6. Any bone or disk material that is expelled goes out from the retractor.
  7. Any gadgets needed for the fusion process, for example, screws or rods, are embedded through the retractor.
  8. A few surgeries require more than one retractor.
  9. Keeping in mind the end goal to see where to put the entry point and embed the retractor, the surgeon is guided by fluoroscopy.
  10. This strategy shows ongoing X-ray pictures of the patient's spine on a screen throughout the surgery.
  11. The surgeon additionally utilises a microscope to enlarge the view through the retractor.
  12. Towards the end of the procedure, the tubular retractor is expelled and the muscles come back to their original position.
  13. This restrains the muscle damage that is more ordinarily found in open surgeries.

It is very important to talk about these risks with your doctor before your surgery or procedure.

  1. InfectionAntibiotics are consistently given to the patient some time before, during, and regularly after the surgery to reduce the danger of infections.
  2. BleedingA specific measure of bleeding is normal; however, this is not commonly dangerous.
  3. Pain in the grafted area: Some patients will encounter surgical pain at the bone joint site.
  4. Recurring symptoms: A few patients may encounter a repeat of their side effects.
  5. Pseudarthrosis: Patients who tend to smoke are more prone to pseudarthrosis. This is a condition wherein there is insufficient bone formation. In case that this happens, a minor surgery may be required.
  6. Nerve damage: It is possible that the nerves or veins might be harmed during these operations. These complications are extremely uncommon.
  7. Blood clots: Another complication is blood clots in the legs. This poses a threat because these clots can break off and settle in the lungs. If you wish to discuss about any specific problem, you can consult an Orthopedist.
4457 people found this helpful

Popular Questions & Answers

79 years has been diagnosed with Lung cancer (NSCLC) Adenocarcinoma & Metastatic Spinal Compression too for D9 & D10 vertebrae. Please advise whether Chemotherapy is to be given to him first or Surgery for Spinal Compression is to be done first? He is bedridden currently due to severe pain in the spine. His Spinal MRI & Lung scans are attached for your ready reference in this app under X-ray. Kindly advise asap.

Registrar In Surgical Oncology, Fellowship In Gynaecologic Oncology, Masters In Advanced Oncology, Fellowship In advanced laparoscopy and robotic surgery, Fellowship In Gastrointestinal Oncology, Fellowship In CRS and HIPEC, Fellowship In PIPAC
Oncologist, Mumbai
If the spinal compression is causing symptoms like weakness of arms and legs, then surgery is needed first as failing that the paralysis will worsen. Once he recovers from that, we can immediately start the chemo. For adenocarcinoma we also have lot of targeted chemotherapy oral medicines which can be given, so ask you Oncologist to do tests for those if not already done.
3 people found this helpful

After my spinal surgery (Interlaminar micro-lumber disectomy) two month back. I was feeling tingling in left arm, I had enquired with my doctor and he said spinal surgery has nothing to do with left hand tingling. Now tingling has gone but I feel numbness and sometimes weakness. Please advise if its a temporary and can be treated at home?

MBBS, Diploma In Orthopaedics (D. Ortho)
Orthopedist, Lucknow
Hi You are on right medicine.just try some local massage, vivaran gel application of affected area and neck, hot fomentation and neurobion forte once daily
3 people found this helpful

I am 36 years old women completed Bariatric surgery and abdominal surgery seven months back now I am suffering from Back pain in the spinal cord.

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
It is because of Weight and probably calcium deficiency. You need to do some back exercises, some medicines. You will do fine
1 person found this helpful

Hi, I am 25 years old and have backache for last 2 months, what should I do, in 2006 I got surgery and anesthetic has given at spinal cord.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. You are very young to actually have persistent back pains. Can you mention what surgery was done, normally spinal needle for injection should not be a cause of pain. If you have localized back pain with no other symptoms like radiating leg pain, neurological symptoms like numbness, weakness, paresthesias etc, then you can start with following recommendations for initial period of 2-3 weeks: - to maintain proper posture of your back while working and sleeping - if pain is more then you can take a short course of an anti-inflammatory medication like tab etoshine or paracetamol or one which suits you - physical therapy initially under supervision of a trained physiotherapist and then to continue at home - adequate calcium & vitamin d intake if levels are low in body - ice packs can applied if your pain is acute, then hot fomentation can be done at home - analgesic spray for local application can be used and is easily available. - avoid lifting heavyweight/ acute forward bending in mornings etc we will observe you for next 2-3 weeks how you respond to this conservative management protocol. If you are not feeling better, then we will have to get some investigations like, dynamic x rays of lower back and few blood tests for evaluation. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation.
3 people found this helpful

Dear doctor, what is the success rate of a lower back surgery. If it possible to do hard works if the surgery is successful.

MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
The success rate may depends on the deformity of perticular vertebrae Your general body condition Hard work: may not be possible.
1 person found this helpful

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Spinal Cord Injuries
Hello, I am Dr Gaurav. I am senior Physiotherapist and HOD in Anaath Clinic. I have worked in different multi speciality Hospitals and and clinic before. I have around 10 years of experience. I this time, I have seen many kinds of cases. Today, I will discuss Spinal cord injury.

In Spinal cord Injury, patients generally do not go to Physiotherapist for a longer duration or they just go for few days in the starting injury phase. At that time they are not able to walk or depending upon their level of injury and everything. They might not able to take care of themselves also. But here we try to make them independent as much as they can to help them move their body accordingly. We try to make them stand. We try to focus on their sitting and their walking also. So, it will be more of the confidence increasing for those kinds of patients.

We generally prescribe patients to do movements and increase their strength and motivations. In this condition, if they do not move, there might be different kinds of serious problems like bed su, the stiffness of the joints which will again lead to major issues which will hinder their improvement and progress. So, we prescribe our patients to move as much as they can to help them and gain their mobility soon.

In our clinic, we are just not focusing to maintain the range of motion in their body. We focus to make them motivated, to help gain them the confidence so that they will be able to do their own work.

For any query or treatment, you can contact me through Lybrate.
Play video
Muscular and Spinal Problems
Ayurvedic Treatment for Muscular and Spinal Problems
Play video
Know About Various Surgeries
Surgical procedures are commonly categorized by urgency, type of procedure, body system involved, degree of invasiveness, and special instrumentation.
Play video
Fast Track Surgery
Hi everybody!

I m Dr. Rojy, physiotherapist. I m in physiotherapy department. Today I m going to talk about the osteoarthritis of the knee. Osteoarthritis of the knee is very common for arthritis. And we will discuss about the difference of the osteoarthritis means what is the differences between the osteoarthritis of the knee. So osteoarthritis of the knee is the degenerative disease of the joints and another it is called arthritis. In this conditions the natural connecting between the joints cartilage becomes worse to worse.

So when it happens bones between the joints means the bones of the joints becomes rough against one another. So that roughing reasons in pain, stiffness, sometimes results in the osteoarthritis formations. And sometimes it results in the decrease in the joints mobility. So the types next the types of osteoarthritis are 2 types of osteoarthritis are there. One is tibia fibula osteoarthritis second is the patellofemoral joints arthritis. The causes for the osteoarthritis is first is the age.

Age is the major risk factor for the osteoarthritis of the knee. Second hereditary, then weight, then repetitive strain injury. Then arthritis like rheumatoid arthritis and some other illness like metabolic disorder. These are the causes for the arthritis of the knee. Then next is what the symptoms of the osteoarthritis of the knee area. First is the pain, second swelling then warmth filling of warmth in the joints then stiffness and the other symptoms are the decreased mobility of the joints and sometimes deformity also and then sometimes creepy also. So, these are the symptoms of the osteoarthritis of the knee.

Second is the diagnose next step is the diagnosis. Diagnosis is based on the history and the physical examination. Other diagnoses are X-ray and MRI. So on MRI, some changes can see on MRI. The changes involved are one is osteophytes formation that is the bone spur then narrowing of the joint space. Then what is the treatment for the osteoarthritis of the knee means the physiotherapy is the treatments for the osteoarthritis of the knee. So first that is discussed is the aim and goal of the physiotherapy treatments. First the aim, one is the reduced the pain and the inflammation. Second, normalize the range of the motion.

Third is the strengthen the knee muscle especially quadriceps and hamstring. Then improve the functions, then improves the balance, then improves the particular alignment and some functions. These are the aims and the goals of the physiotherapy. Then next come to the treatment for the physiotherapy. First is the race, second cold therapy, we can apply the ice in the knee joints to reduce the pain. Next thermotherapy, thermotherapy includes soluble diathermy, paraffin wax bath and hydro collator pack.

This thermotherapy means this modality we can use according to the conditions. Next electrotherapy. Electrotherapy includes IFC, ultra Sony and the TENS. These also we can use according to the patient s conditions. Next exercises. Exercises are very important in the cases of osteoarthritis. Basically, exercises have to strengthen the muscles, improves the flexibility, to improve the range of the motion. Next water reduction. Next aerobic like cycling, walking then tapping then supporting device like braces we can also use. These are the physiotherapy treatments. So if you are suffering from osteoarthritis of the knee you can get this physiotherapy and physiotherapy. And if you have any investigations you can contact on
Play video
Rhinoplasty Surgery
Hi! Everybody

I am Dr. Gambhir. I am a cosmetic and plastic surgeon in Sir Ganga Ram Hospital, New Delhi. I have my cosmetic clinic in karor bagh by the name of Personna.

Today I ll be talking on Rhinoplasty. Reason being I my self is a Rhinoplasty surgeon. Most of my practice involves Rhinoplasty. What I have seen in the past few years that most of the patients with breathing difficulty, they go to the ENT surgeon for Septal correction, but this is not going to solve all that problems. Just simple correction of the septum did not solve the breating problem. It requires the total of septal framework correction as a Rhinoplasty surgeon and as a plastic surgeon I have been trained to do a septal framework correction. Just the ENT surgeon, they do the septal part, but for the framework correction the involve the plastic surgeon. What I suggest that patient who have difficulty in breathing, who have debated as a septum, or who want a groped nose correction to be done should go to a person, to a doctor, who is qualified Rhinoplasty surgeon and who has been doing Rhinopasties. For those doctors, they are not going to solve just the breathing problem but give you an aesthetic correction simultaneously.

Thank you.
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