Saurabh
Hospital
An ISO 9001 : 2000 Certified
 

Orthopaedic
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Dr. Nainesh Vankawala
M.S., D.N.B (Ortho.)
Consultant Orthopaedic Surgeon
Gynaecologist
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    Department of Orthopaedic  
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Trauma, Accident and Fracture care Centre
Laminectomy and Laminotomy
Lumbar Spinal Surgery
Lumbar Disk Surgery
Joint Replacement Surgeries
Knee Joint Replacement
Hip Joint Replacement
Paediatric Orthopaedic for
devolopmental and congenital deformities
Arthroscopic Surgeries
Spine surgeries and Backache clinic
In-house Radiology Department
Diagnosis and Treatment
 
Facilities Available in Orthopeadic

 

 
Lumbar Spinal Surgery
Low Back Problems
If you have a low back problem, you're not alone. Low back problems are very common. Some are caused by aging or injury. Others are the result of daily wear and tear on your spine. No matter the cause, back problems are often very painful. And there are no magic cures. But treatment can help ease your pain and improve your quality of life.
When You Have Pain
Low Back Problems
Back pain can make it hard for you to do day-to-day activities.
Pain due to low back problems is different for each person. For some, pain gets worse with certain activities. For others, it hurts all the time. The location of pain can also differ. Pain may be only in the low back. Or, you may have pain in the buttocks and legs. You may also feel tingling, weakness, and numbness. Whatever your symptoms, a low back problem often puts limits on your life. Doing even simple tasks, such as lifting groceries or bending to help your child, can be frustrating. In some cases, constant pain can even lead to depression.
Surgery Can Help
Surgery Can Help
If other treatments haven't helped your symptoms, surgery may offer relief. Surgery often helps:
Ease back and leg pain.
Relieve pain during movement.
Reduce numbness or weakness.
Improve your quality of life.
Understand Your Role
For best results, plan to take an active role in your treatment and recovery. Talk with your doctor about what you hope surgery will do for you. Also keep in mind:
Recovery from spine surgery takes time, often several months.
You will be asked to limit activities that put stress on your back.
Physical therapy may be needed to improve your strength and mobility.
Learning About Low Back Problems
Low Back Problems
Vertebrae are bones that stack like building blocks to make up your spine. The lumbar spine contains the five bottom vertebrae in your back. When the lumbar spine is healthy, you can bend and move in comfort. But if part of the lumbar spine is damaged, pain can result.
A Healthy Lumbar Spine
In a healthy lumbar spine, all the parts work together.
Disks are soft pads of tissue that act as shock absorbers between the vertebrae. The firm, fibrous outer layer of a disk is called the annulus. The soft center of the disk is called the nucleus.
The spinal canal is a tunnel formed within the stacked vertebrae. The opening between the vertebrae on either side of the spinal canal is called the foramen.
Nerves run through the spinal canal. They branch out from the spinal canal through the foramen on each side.
The lamina is the arched part of each vertebra that forms the back of the spinal canal. Facet joints are the joints where the vertebrae meet.
Top view of a vertebra
Top view of a vertebra
Side view of two vertebrae
Side view of two vertebrae
Back view of two vertebrae
Back view of two vertebrae
A Painful Lumbar Spine
Low back pain can be caused by problems with any part of the lumbar spine. A disk can herniate (push out) and press on a nerve. Vertebrae can rub against each other or slip out of place. This can irritate facet joints and nerves. It can also lead to stenosis, a narrowing of the spinal canal or foramen.
Pressure from a Disk
Constant wear and tear on a disk can cause it to weaken and push outward. Part of the disk may then press on nearby nerves. There are two common types of herniated disks:
Contained means the soft nucleus is protruding outward.
Extruded means the firm annulus has torn, letting the soft center squeeze through.
A contained herniated disk
Top view of a vertebra
An extruded herniated disk
Side view of two vertebrae
Pressure from Bone
Low Back Problems
Stenosis results when bone spurs narrow a foramen or the spinal canal.
With age, a disk may thin and wear out. Vertebrae above and below the disk may then begin to touch. This can put pressure on nerves. It can also cause bone spurs (growths) to form where the bones rub together. Stenosis results when bone spurs narrow the foramen or spinal canal. This also puts pressure on nerves.
An Unstable Spine
Low Back Problems
Spondylolisthesis can occur when a worn disk allows the vertebra above it to slip forward.
In some cases, vertebrae become unstable and slip forward. This is called spondylolisthesis. Slipping vertebrae can irritate nerves and joints. They can also worsen stenosis.
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