World Spine Day: How Technology Shapes Modern Spine Treatments

World Spine Day is observed every year on October 16 to remind us how important it is to have a healthy spine. With robotics, navigation systems, and endoscopic equipment, spine surgery has reached a whole new level of precision in this age of modern technology. But there is one key thing to remember:

Technology is helpful, but judgment is what really heals.

As a neurosurgeon, I’ve seen both sides of this change how technology can bring people back to life and how relying too much on it can often cause unnecessary pain.

Dr. Ganesh Veerabhadraiah

Consultant – Neurosurgeon, Neurointerventional Surgery, Spine Surgeon (Neuro)
23+ Years Experience Overall (17+ years as Neuro Specialist)

Available for Consultation: Jayanagar 9th Block & Kauvery Hospital, Electronic City 

1. Spine Problems: The Hidden Disease of Today

Back and neck discomfort have quietly become the most common reason working people visit doctors. The reasons differ, but the result is the same — less movement, sleepless nights, and poor productivity.

Common causes include:

  • Sitting in front of a computer for long hours
    • Poor posture while driving or lifting
    • Being overweight and physically inactive
    • Injuries or age-related degeneration

Common disorders include: Lumbar disc prolapse, cervical spondylosis, sciatica, spinal stenosis, infections, and spinal trauma. These issues no longer affect only the elderly — even those in their 30s and 40s are now facing spine difficulties due to modern work habits.

2. Technology in Spine Care: A Real Friend

Neurosurgeons now use advanced tools to diagnose and treat spine disorders in entirely new ways:
• High-Resolution MRI and CT Scans: Provide 3D clarity to identify nerve compression or disc damage.
• Intraoperative Navigation Systems: Work like GPS for surgeons, ensuring millimeter-level accuracy.
• Endoscopic Spine Surgery: Small-keyhole surgeries that allow faster recovery.
• Microsurgical Techniques and Neuro-Monitoring: Improve safety by protecting delicate nerves.
• Robotic Spine Systems: Enhance precision in screw placement and complex deformity corrections.

When used appropriately, these technologies help patients heal faster, reduce hospital stay, and regain mobility sooner than ever before.

3. Actual Experiences from My Practice

 have seen patients come to the hospital in wheelchairs and stretchers, unable to walk or even sit  and then leave within one to three days walking. It feels almost magical to witness such a transformation, where technology, skilled surgery, and timely intervention give individuals their lives back.

On the other hand, I’ve also encountered patients who developed complications after surgery elsewhere — sometimes due to poor case selection, incorrect technique, or implant issues. It doesn’t matter whether the surgery is open, minimally invasive, or robotic — every method has risks, and the outcome depends on the surgeon’s judgment and the patient’s healing.

It’s not how modern or fancy the technology is that matters — it’s how wisely it’s used.

4. The Risk of Decisions Based on Technology

Today, advertisements and social media often make some spine surgeries sound like miracle cures — “laser surgery,” “keyhole,” or “robotic” being popular buzzwords. But no single technology fits everyone. Every spine condition is different, and each patient should receive treatment tailored to their specific problem — not just based on the latest gadget.

When choices are made to promote technology rather than address the real cause, it leads to over-treatment and disappointment.

Your spine needs knowledge, not advertising.

5. What You Need to Know Before Having Spine Surgery

Before you agree to any spine surgery, make sure you clearly understand the following:
1. Know exactly what your diagnosis is
Ask your doctor: What is causing my pain? Which nerve or disc is involved?

2. Is surgery really needed?
Most spine disorders (up to 80%) improve with rest, medication, posture correction, and physiotherapy. Surgery is required only when pain is constant, there’s nerve compression, or conservative treatments have failed.

3. Know what kind of surgery it is
Each form — endoscopic, microscopic, or fusion — has its role. Ask why it’s chosen and what alternatives exist.

4. Discuss recovery and rehabilitation
Ask about possible complications, hospital stay, and physiotherapy time.

5. Choose skill over tools
An experienced and honest neurosurgeon always puts patient needs above equipment.

6. Useful Advice for Workers and Drivers

For Drivers:

Long-distance drivers often suffer back issues due to vibration, poor posture, and lack of movement.
• Adjust your seat to support the lower back.
• After every 2–3 hours of driving, take a 5-minute walk or stretch.
• Avoid keeping your wallet in your back pocket while sitting.
• Do gentle back and neck stretches daily.
• Stay hydrated and avoid sitting continuously for more than 3 hours.

For Industrial Workers and Labourers:

Many spine injuries occur due to improper lifting or sudden twisting movements.
• Lift with your knees bent, not your waist.
• Use team lifting for heavy loads.
• Avoid jerky twisting motions.
• Strengthen back and core muscles through regular exercise.
• Use support belts or braces only under medical supervision.
• Report early if you feel tingling or weakness — delaying treatment worsens nerve compression.

7. When Technology and Experience Come Together

When guided by skill and empathy, technology becomes life-changing. In my practice, using microscopic and endoscopic techniques wisely has helped many patients return to normal life within days. But it’s not the camera or robot that heals — it’s the understanding of anatomy, precision, and patient-centered judgment that truly makes a difference.

8. A Balanced Way to Keep Your Spine Healthy

Modern medicine works best when technology, knowledge, and ethics work together. At NeuroWellness India, we believe spine care should never be decided by machines it should be personalized, transparent, and evidence-based.

9. It’s Always Better to Prevent Than to Operate

Whether you work at a desk or lift heavy objects, remember to:
• Keep your posture upright
• Strengthen your core muscles
• Stay active and stretch every day
• Maintain a healthy body weight
• Sleep on a firm, supportive mattress

10. The Last Word: Your Spine Is Your Lifeline

Your spine supports your entire body — protect it.

Technology is a blessing when used wisely, but it’s only as effective as the surgeon who applies it.

I have seen patients leave the hospital smiling after major spine surgeries — and others suffer from wrong treatments.

So my advice is simple:
Trust knowledge, not gadgets. Learn before you agree. Let science — not marketing — guide your spine decisions.

This World Spine Day, let’s promise to care for our spine the way it cares for us  quietly, tirelessly, and every single day.

Your Spine Deserves Expert Hands

This World Spine Day, take charge of your spinal health.
If you’re facing chronic back pain, disc problems, or considering spine surgery, trust the specialists who balance technology with human expertise.

Book Your Consultation with Dr. Ganesh Veerabhadraiah — Senior Neurosurgeon, Neurowellness Bangalore.

About Author

Dr. Ganesh Veerabhadraiah

Dr. Ganesh Veerabhadraiah, leading neurosurgeon and neurologist in Bangalore, has over 20 years of expertise in managing back pain, migraines, headaches, neuro disorders, and spine problems. His clinical excellence and patient-first approach make him one of the most trusted neuro doctors in Bangalore.

At Neurowellness Brain & Spine Clinic in Jayanagar and Kavery Hospital Electronic City, Dr. Ganesh provides comprehensive treatments ranging from minimally invasive spine surgery to advanced neurological care. As a respected back pain specialist and migraine doctor, he continues to deliver reliable outcomes for patients.

👉 Connect with Dr. Ganesh on LinkedIn

Can Google Reviews Decide Your Brain & Spine Health with a Neurosurgeon in Bangalore?

When choosing a restaurant, hotel, or shopping site, we all check Google reviews. A few minutes of reading star ratings and comments can help us decide where to eat or what to buy.

But healthcare is not like dining out. If you are searching for the best neurosurgeon, neurologist, or neuro hospital, you are often dealing with something far more serious: a brain tumor, a stroke, epilepsy, spine disease, or even a life-threatening aneurysm.

The question is: Should you trust Google reviews to make such important health decisions?

This article explores how reviews can help, where they can mislead, and how patients can make safe, informed choices when it comes to brain and spine care.

Why Google Reviews Influence Healthcare Choices

In India and worldwide, millions of patients now search for best neurosurgeon near me or “top neurologist in Bengaluru” on Google. Reviews and star ratings often appear instantly, shaping a patient’s first impression.
 
There are several reasons patients turn to reviews:
1.Fear and uncertainty: Brain and spine illnesses are scary. Reviews provide reassurance.
2.Lack of medical knowledge: Most patients cannot judge the surgical skill of a neurosurgeon. Instead, they rely on other patients’ stories.
3.Ease of access: Reviews are free, fast, and available anytime.
4.Peer influence: Patients trust the experiences of “real people” online.
 
This makes online reputation extremely powerful in neurology and neurosurgery.
 

Dr. Ganesh Veerabhadraiah

Consultant – Neurosurgeon, Neurointerventional Surgery, Spine Surgeon (Neuro)
23+ Years Experience Overall (17+ years as Neuro Specialist)

Available for Consultation: Jayanagar 9th Block & Kauvery Hospital, Electronic City 

The Value of Google Reviews in Neurology and Neurosurgery

1. Insight Into Patient Experience

Google reviews often describe things like:
• Was the neurosurgeon approachable during consultation?
• Did the neurologist explain MRI or EEG results clearly?
• Was the neuro ICU clean and well-staffed?
• How supportive was the hospital’s nursing or rehabilitation team?
 
Such feedback is useful because these “non-clinical” aspects directly affect a patient’s confidence and recovery journey.

2. Spotting Patterns

If many patients repeatedly praise a neurologist for spending time explaining medications, that’s probably accurate. Similarly, if several reviews mention long waiting times at a neuro hospital, you should be prepared for delays.
 

3.Transparency and Accountability

Hospitals know patients will share their experiences online. This pushes neuro centers to improve systems like patient counseling, billing clarity, and follow-up care.
 

4.Empowering Families

Neurological decisions often involve the family. Reviews give caregivers the confidence that they are making the right choice.

The Limitations of Reviews in Brain and Spine Care

While reviews add value, they must be read with caution.
1.Emotional Bias – Neurology deals with high-risk, emotional cases. A family who loses a loved one after a massive brain hemorrhage may leave a poor review—even if the neurosurgeon did everything possible.
2.Expectations vs. Reality – Some patients expect immediate recovery after spine surgery or epilepsy treatment. When improvement takes time, they may rate negatively, despite correct treatment.
3.Fake or Manipulated Reviews – Unfortunately, some hospitals promote themselves with fake reviews, while others face negative attacks from competitors. Patients cannot always separate genuine reviews from manipulated ones.
4.Non-medical Issues Skew Ratings – Billing disputes, delays in MRI scans, or parking problems can overshadow excellent medical care in reviews.

Real-Life Scenarios

Case 1: A Family’s Grief Reflected in a Review

One online review described a patient’s father who underwent multiple brain surgeries, remained in ICU for weeks, and never recovered fully. The family, devastated by the outcome and overwhelmed by medical bills, left a harsh one-star review, calling the doctor “miserable.” While their pain and frustration were genuine, the review reflected the emotional burden of a tragic medical journey rather than an objective measure of surgical skill.

Case 2: Delay in Appointment Seen as Neglect

In another review, a patient suffering from severe spinal cord pain expressed anger that the doctor did not arrive at the hospital at the scheduled hour. The review focused solely on waiting time, without considering that neurosurgeons often manage emergencies, surgeries, and ICU cases that can delay outpatient schedules. While punctuality matters, such reviews may misrepresent the realities of a specialist’s unpredictable workload.

Why These Matter

These examples highlight how Google reviews can sometimes reflect expectations, grief, or system issues rather than true medical quality. For families, the review becomes an outlet for emotion. For the public, however, it can paint a distorted picture of the doctor or hospital.

How Much Should You Believe?

The right approach is to use reviews as one piece of the puzzle not the whole decision.
 
What to Trust in Reviews
• Patterns: If many patients say the same thing, it is likely true.
• Details: Reviews that describe specific experiences (“Dr. X explained my MRI in detail and suggested both surgical and non-surgical options”).
• Balanced feedback: A mix of positives and negatives is more credible.

What to Ignore

• Extremes: “Best doctor ever” or “Worst hospital in the world” without details.
• Generic praise: One-liners like “Very good” that lack medical context.
• Emotion-only reviews: Anger over cost or grief after complications without discussing actual treatment.

About Author

Dr. Ganesh Veerabhadraiah

Dr. Ganesh Veerabhadraiah, leading neurosurgeon and neurologist in Bangalore, has over 20 years of expertise in managing back pain, migraines, headaches, neuro disorders, and spine problems. His clinical excellence and patient-first approach make him one of the most trusted neuro doctors in Bangalore.

At Neurowellness Brain & Spine Clinic in Jayanagar and Kavery Hospital Electronic City, Dr. Ganesh provides comprehensive treatments ranging from minimally invasive spine surgery to advanced neurological care. As a respected back pain specialist and migraine doctor, he continues to deliver reliable outcomes for patients.

👉 Connect with Dr. Ganesh on LinkedIn

Choosing the Right Neurosurgeon or Neuro Hospital

Here’s a step-by-step approach to making a safe decision:
1. Read Many Reviews: Don’t rely on the top 2 or 3. Read 15–20 reviews for a full picture.
2. Check Recency: Recent reviews reflect current hospital practices better.
3. Look Beyond Stars: A 4.2-star doctor with 200 reviews is more reliable than a 5-star with 5 reviews.
4. Verify Credentials: Ensure the neurosurgeon has MCh/DNB training and hospital affiliations.
5. Seek Referrals: Ask trusted doctors, friends, or family for recommendations.
6. Meet in Person: Your comfort and trust in the doctor during consultation is the ultimate factor.

A Doctor’s Perspective on Reviews

As a practicing neurosurgeon, I can say many reviews fail to capture the complexity of neuro care.
• A successful brain surgery may still attract a negative review if recovery is slow.
• Complications—sometimes unavoidable—can lead to poor ratings even if best practices were followed.
• Billing or insurance issues handled by hospital staff often reflect unfairly on the doctor.
 
Doctors welcome constructive, honest feedback. But we hope patients understand that reviews may not always show the full picture.

The Future of Reviews in Healthcare

Reviews will remain important, but improvements are needed:

• Verified reviews only: Linked with actual patient visits.
• Structured feedback: Asking patients about clarity, communication, cleanliness, and outcomes—not just a star rating.
• Integration with medical boards: Combining online feedback with official hospital quality scores.
 
This will make reviews more balanced and trustworthy for patients.
 
Practical Advice for Patients
• Use reviews as a guide, not gospel.
• Combine online opinions with offline referrals and qualifications.
• Remember: Brain and spine care is delicate. A star rating cannot capture medical expertise.
• Ultimately, the best doctor is the one you trust, understand, and feel confident with after consultation.

Conclusion

Google reviews have changed how patients choose doctors and hospitals. For neurosurgeons, neurologists, and neuro hospitals, online reputation can influence life-changing healthcare decisions.
 
Reviews are valuable for understanding patient experience, but they are influenced by emotions, expectations, and non-medical issues. They cannot fully reflect medical expertise, surgical skill, or hospital safety standards.
 
The safest way to choose a neurosurgeon or neurologist:
• Read reviews for patterns.
• Verify credentials.
• Seek trusted referrals.
• Meet the doctor personally.
 
Your brain and spine deserve careful, informed choices—not just a decision made by a number of stars on a screen.

FAQs

1. Are Google reviews reliable for choosing a neurosurgeon?

They provide patient experiences but should not be the sole factor. Combine them with qualifications, referrals, and personal consultation.

2. Why do neuro hospitals sometimes get poor reviews despite skilled doctors?

Because reviews often reflect waiting times, costs, or emotions—not actual medical expertise.

3. How do I know if a neurologist is genuinely good?

Check their degrees (DM, DNB), experience, patient feedback, and clarity during consultation.

4. Should I trust a doctor with a 5-star rating but very few reviews?

Not necessarily. A doctor with slightly lower ratings but hundreds of consistent reviews is usually more reliable.

Pre-Surgery Tips for Patients Considering Spine Surgery in India

Chronic back pain, mobility issues, or nerve problems can severely impact your quality of life. While non-surgical treatments may provide temporary relief, they often fail to address the root cause. However, the thought of spine surgery can be overwhelming without adequate preparation.

For surgery and recovery to go smoothly, preparation is essential. By understanding the process, preparing your body and mind, and organizing your post-surgery care, you can reduce risks and enhance healing. This blog provides important preparation advice for spine surgery in India. With the help of this guide, you can feel more confident and ready for your spine surgery journey.

Understanding the Need for Surgery

Spine surgery is typically considered when non-surgical treatments like physiotherapy, medications, or lifestyle changes fail to provide relief. Common conditions requiring surgery include herniated discs, spinal stenosis, degenerative disc disease, spinal fractures, infections, tumors, or complications from previous surgeries.

Why Preparation Matters

Surgery isn’t just about addressing the physical problem; it’s about ensuring that both your body and mind are ready for the process. Understanding the need for surgery and exploring all available options, including second opinions, is crucial. This approach minimizes doubts and helps you commit confidently. For a second opinion or treating spine issues, choosing the best spine surgeon in Bangalore is essential for ensuring a healthy recovery.

Don’t rush into surgery. Educate yourself about the procedure, its benefits, and its risks.

Pre-Surgical Medical Assessments

A thorough pre-surgical evaluation ensures you’re physically prepared for surgery and reduces the risk of complications.

Common Tests

Before undergoing spine surgery in India, your surgeon will likely ask you to attend a consultation to clarify any issues. They will recommend the following tests:

  • Blood tests: To check overall health, especially diabetic control.
  • Imaging tests: X-rays, MRIs, or CT scans for surgical planning.
  • Cardiopulmonary assessments: To ensure your heart and lungs can handle anesthesia.

During this consultation, your surgeon will discuss the procedure, complications, and expectations for recovery.

Medication Management

Proper medication management is crucial before spine surgery in India. Some medications can cause bleeding or interfere with anesthesia during surgery. Inform your surgeon about any medications or supplements you take daily. Discuss whether you need to stop certain medications before the procedure. These discussions can significantly reduce surgical risks.

Key takeaway: Following your surgeon’s guidelines for medical evaluations can prevent last-minute cancellations or complications.

Preparing Your Body

Your body needs to be in good condition to handle surgery and recover efficiently.

Stop Smoking

Smoking can worsen the degeneration of intervertebral discs, contribute to neck and back pain, and impair spinal fusion healing in case of spinal fusion surgery.

Physical Fitness

  • Strengthen your core and back muscles under medical support or experts.
  • If you’re overweight, aim to lose weight to reduce stress on your spine.

Lifestyle Changes

  • Stop smoking at least 2–4 weeks before surgery to promote healing.
  • Limit alcohol intake to prevent complications with anesthesia.

Dietary Preparation

  • Control blood sugar levels: For diabetic patients, poor blood sugar control increases the risk of surgical wound infections, especially when implants are required.
  • Focus on a nutrient-rich diet: Include proteins, vitamins, and minerals to boost immunity and promote healing.

A healthy body heals faster, so investing in fitness and nutrition is essential.

Preparing Your Mind

Surgery can be stressful, but mental preparation can ease the process.

Address Anxiety

  • Speak openly with your surgeon about any concerns.
  • Practice relaxation techniques like meditation, deep breathing, or yoga.

Set Expectations

Understand the procedure, including the surgical steps, recovery timeline, and potential complications. Connecting with others who have undergone spine surgery can also provide valuable insights.

Mental preparedness improves a positive mindset, which can improve recovery outcomes.

Preparing Your Home for Recovery

After spine surgery in India, you’ll be moved to a recovery room where you’ll be observed for several hours. Depending on the type of surgery, you may need to be hospitalized for a few days. Your post-surgery environment plays a vital role in your recovery process.

Home Adjustments

  • Arrange furniture to create clear, obstacle-free pathways.
  • Place essentials like water bottles, medications, and phones for emergency calls within arm’s reach.

Support System

  • Organize help from family members, friends, or professional caregivers for the first few weeks post-surgery.

Mobility Aids

Equip your home with items like grab bars, a raised toilet seat, and a comfortable chair with back support.

Creating a comfortable and safe environment can significantly speed up recovery.

Conclusion

There is more to getting ready for spine surgery than simply showing up at the hospital. You can approach the procedure with confidence and position yourself for a more smooth recovery by concentrating on your emotional health,  and medical preparation.

Keep in mind that every stage of preparation, including speaking with your surgeon, taking your prescriptions, and organizing your recovery area, is essential to the success of the procedure as a whole. Follow these suggestions and include your loved ones and medical staff.

You’ll feel more in control and increase the likelihood of a successful outcome if you prepare properly. Consult the best spine surgeon in Bangalore for your spine issues or recovery process. At every step of the procedure, the best spine surgeon in Bangalore will be there to support you until your full recovery.

To know more:

Best Spine Surgeon in Jayanagar
Best Spine Doctor in Electronic City

Stenting For Major Brain Vessel Causing Cerebral Hypoperfusion Due To Stenosis

Preventing major stroke in high grade carotid artery stenosis: A case report

Dr. Ganesh Veerabhadraiah is a dedicated Neurosurgeon in Bangalore having 17 years of rich experience in the held of Brain, Spine and Neuroendovascular surgery. His passion is micro neurosurgery and cerebrovascular and endovascular.  He is rigorously working round-the-clock with an intention to provide quality neuro care for all the needy through his excellence.

significant despite medical therapy. Early diagnosis plays a vital role in suffering from hypoperfusion.

Stenting plays an important role in re establishing the brain blood flow in case of high grade carotid stenosis refractory to medical treatment and preventing major stroke.

CASE REPORT

Introduction:

Celebral Hypoperfusion is a condition happens due to insufficient supply of blood and oxygen to the brain. Intracranial Atherosclerosis (ICAD) is a pathological condition where there is a narrowing of arteries due to accumulation of cholesterol plaque arterial wall. It causes reduced blood supply to brain which leads to cerebral hypoperfusion and stroke.

Case details:

A 65 year old man was brought to  with chief complaints of weakness in the right side of the body along with frequent fainting attacks and he had a past history of diabetes and hypertension. He was diagnosed to have reduced blood supply to the left side of the brain. It was the result of the narrowing of the channels (arteries) that connect the heart to the brain.

MRI scan of the brain with perfusion scan showed that the patient had an inadequate flow of blood in the brain and narrowing of carotid artery at two places due to which he was at a high risk of getting major stroke and which should have caused even death. Owing to the severity of the condition, neurosurgeon recommended the patient to undergo intracranial stenting. The stenting helped in managing and normalising the blood flow to the brain. We did pinhole surgery / endovascular surgery to approach the brain vessels. through small puncture of femoral artery in the thigh. As he had narrow blood vessels in the neck and brain. Both these problems were addressed at the same time through stenting. The patient was suffering from cerebral hypoperfusion syndrome due to intracranial severe atherosclerosis.

high-grade-stenosis

The team of neurosurgeon, neurologist, endovascular surgeon successfully treated by intracranial stenting at two places of brain vessels at the same time on the patient to reduce the risk of major stroke. Fortunately, the patient. withstood the entire procedure and there were no complications post. procedure. The patient is doing well now.

Discussion:

Stroke is a leading cause of adult disability, Intracranial stenosis is the narrowing of

major Intracranial arteries due to the build-up of atherosclerotic plaque. The standard medical therapy for patients with intracranial stenosis includes the use of

antithrombotics, statins, antihypertensives and risk factor control .The risk of recurrent stroke in patients with high-grade intracranial stenosis.

Reference:

The American Journal of Medicine: https://www.amjmed.com/article/S0002-9343 (06)00186-0/abstract

NCBI- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4640326/
AHA journal: https://www.ahajournals.org/doi/pdf/10.1161/01.STR.24.11.1691

Contact –

7349017701

What is spinal stenosis?

Spinal stenosis is narrowing of spinal  space and or  compression  your spinal cord and nerve roots as they depart each vertebra. Changes in your spine as you get old is a common cause.  Symptoms are –back pain and/or neck pain, as well as numbness, tingling and weakness in the arms and legs.

What is spinal stenosis?

The narrowing of one or more areas within your spine is known as spinal stenosis. The amount of space available for your spinal cord and nerves that branch off your spinal cord is reduced . The spinal cord or nerves might become inflamed or pinched as a result of a narrowed space, resulting in back discomfort and causing claudication pain called neurogenic claudication.

Spinal stenosis normally takes a long time to develop, especially after 50 years . Osteoarthritis, or “wear and tear” changes in the spine that develop naturally as you age, are the most common causes. As a result, if some alterations are seen on X-rays or other imaging tests conducted for another cause, you may not have any symptoms for a long period.

Where does spinal stenosis affect?

Spinal stenosis can affect any part of the spine, however it usually affects two areas:

  • Lower back (lumbar canal stenosis)
  • Neck (cervical spinal stenosis)

Who gets affected by spinal stenosis?

Spinal stenosis can affect anyone, but it is most frequent among men and women over 50 years of age. Spinal stenosis can also affect younger persons who were born with a narrow spinal canal. Spinal stenosis can be caused by a variety of disorders that affect the spine, such as scoliosis or a spinal injury.

Causes of spinal stenosis:

There are numerous reasons for spinal stenosis. What they all have in common is that they alter the shape of your spine, narrowing the area around your spinal cord and nerve roots that escape through it. Compression or pinching of the spinal cord or nerve roots causes symptoms such as low back pain and sciatica.

The causes are:

  • Bulging disks/ herniated disk: a flat, circular cushioning pad (vertebral disc) sits between each vertebra and works as a stress absorber along the spine. The gel-like centre of these discs breaks through a weak or torn outer layer due to age-related drying out and flattening of vertebral discs, as well as breaking in the outside border of the discs. The nerves near the disc are then compressed by the bulging disc.

Spinal stenosis is commonly caused by herniated discs and bone spurs causing narrowing of spinal and Neurol foramina.

  • Thickened ligaments: ligaments, the fibre bands that keep the spine together, have thickened. Ligaments can enlarge and bulge into the spinal canal space as a result of arthritis (and can cause lateral recess syndrome)
  • So many times both disc prolapse and ligaments and facets enlarge may cause spinal stenosis.
  • inflammation from damage along the spine, can narrow the canal space or exert pressure on the nerves
  • Bone overgrowth/ arthritic spurs: osteoarthritis is a “wear and tear” condition that causes cartilage to break down in your joints, including spine. The protective coating of joints is cartilage. The bones begin to rub against one another when cartilage goes down. Your body reacts by producing new bone tissue. Bone spurs or bone overgrowth are a common occurrence.

Bone spurs on vertebrae protrude into the spinal canal, limiting the space and squeezing nerves.

Dr. Ganesh Veerabhadraiah

Consultant – Neurosurgeon, Neurointerventional Surgery, Spine Surgeon (Neuro)
23+ Years Experience Overall (17+ years as Neuro Specialist)

Available for Consultation: Jayanagar 9th Block & Kauvery Hospital, Electronic City 

Symptoms of spinal stenosis

1. Lower back (lumbar) spinal stenosis:

  • Lower back pain is a common ailment. Pain can range from a subtle aching or discomfort to an electric or searing sensation. It’s normal for pain to come and go.
  • Sciatica: this pain is what starts in your buttocks and spreads down your leg, possibly into your foot.
  • Leg cramps in one or both legs due to heavy feeling in the legs , after walking for sometime in the beginning, later stages even few steps also pain in legs ( neurogenic claudication)
  • Numbness or tingling in the buttocks, leg or foot (sometimes known as “pins or needles”)

2. Neck (cervical) spinal stenosis:

  • Neck ache
  • Arm, hand, leg or foot numbness or tingling. (symptoms can occur anywhere below the nerve compression point)
  • Arm, hand, leg or foot weakness or clumsiness.
  • Problems with body balance.
  • Loss of hand functioning, such as difficulty in writing or buttoning clothes.
  • Bladder or bowel control problems (in severe cases)

3. Abdomen (thoracic) spinal stenosis:

  • At or below the level of the abdomen, there is pain, numbness, tingling or weakness.
  • Problems with equilibrium.

Diagnosis 

Neuro imaging – MRI  to see the disc hernation and degree of canal stenosis

X Rays  to see the slip vertebrae, spondylolysis

Conculsion

Our expert Neuro team at NeuroWellness a neuro hospital in Bangalore provides consultation and treatment to all neuro problems.

FAQs

1. What is spinal stenosis?

Spinal stenosis refers to the narrowing of spaces in the spine, which puts pressure on the spinal cord and nerves. It commonly affects the neck or lower back.

2. What causes spinal stenosis?

Spinal stenosis is often caused by age-related changes like herniated discs, thickened ligaments, bone spurs (from osteoarthritis), or spinal injuries.

3. What are the symptoms of spinal stenosis?

Symptoms include lower back or neck pain, numbness, tingling, weakness in the limbs, sciatica, and leg cramps. In severe cases, balance issues and bladder/bowel problems may occur.

4. Where in the spine does spinal stenosis occur?

Spinal stenosis commonly affects the lower back (lumbar region) and neck (cervical region), but can also impact the thoracic spine (mid-back) in rare cases.

5. How is spinal stenosis diagnosed?

Spinal stenosis is diagnosed using MRI scans to visualize disc herniation and nerve compression, and X-rays to assess structural issues like slipped vertebrae.

Neck Cervical PIVD Causes, Symptoms & Treatment Explained by Experts (2025)

When you feel discomfort for long period in your neck or upper back that you have never felt before, you might have a herniated cervical disc.

What Is Cervical Disc Prolapse (PIVD)?

A brief 40–60-word intro defining PIVD and its effect on cervical nerves.
Example:

Cervical disc prolapse (PIVD) occurs when the soft disc between your neck bones slips or bulges, pressing on nearby nerves and causing neck and arm pain.

TypeLevelCommon SymptomsTreatment
MildC4–C5Neck stiffness, tinglingRest, medication
ModerateC5–C6Radiating arm painPhysiotherapy
SevereC6–C7Numbness, weaknessSurgery / Endoscopy

While it can sound worrying, it is not an unusual health condition as you age. In fact, you might not even know you have one if you do not have any symptoms.

“Cervical PIVD can occur due to poor posture, aging, or trauma. Early diagnosis prevents chronic nerve damage.” – Dr. Ganesh Veerabhadraiah

Spine and cervical discs:

 It will help if you first understand your spine, how it is built and where your cervical discs are located.

Vertebrae are the bones that make up your spinal column. They keep you on your feet. They also protect and surround your spinal cord, which resembles a tube with a fluid-filled centre. It runs from the top of your head to the bottom of your spine.

Discs are spongy cushions that sit between the vertebrae. They serve as shock absorbers for your everyday motions, as well as leaping, jogging and other activities that cause your body to wear out.

From top to bottom, your spine is divided into three primary segments:

• Cervical
• Thoracic
Lumbar

The cervical vertebrae are the top seven vertebrae in your spine. Nerves that connect your arms, hands and upper body are found in the cervical portion of your spinal cord.

The cervical vertebrae are cushioned by cervical discs. They also allow you to bend and twist your neck and back by connecting the vertebrae to one another.

Meaning of herniated:

A gel-like substance is seen in the core of the discs between the vertebrae. A disk’s outer layer is made up of fibrous cartilage, which keeps the gel confined.

The gel can poke out if the outer section tears or cracks. This is what it means for a disc to be herniated.

A ruptured disc” or a slipped disc” is another name for a herniated disc. It is similar to a jelly doughnut with the filling squirted out.

How does a cervical disc herniate?

 The cervical spine has six intervertebral discs. Each cervical disc cushions the vertebral bodies and helps disperse loads from the neck and head above by sitting between neighbouring vertebrae (one above and one below). A disc is made up of two basic components:

Annulus fibrosus: it is a type of fibrosus. The disc’s outer layer is made up of concentric collagen fibres, making it robust enough to protect the disc’s fragile inner layer. The annulus fibrosus aids in the handling of large loads and shock absorption in the spine.
• Nucleus pulposus: the inside of the annulus fibrosus is made up of a loose network of fibres suspended in microprotein gel and protected by the annulus fibrosus. The nucleus pulposus adds to the cushioning and flexibility of the movements.
most common cervical disc to herniate is C5C6 followed by C6C7.

Causes of herniated cervical disc:

It can be difficult to pinpoint the exact cause of a herniated cervical disc. It usually starts slowly and has no obvious cause. However, the reason can occasionally be narrowed down to:

Age: because of wear and strain, a disc may be more prone to herniation. Our discs contain a lot of water when we are young. However, as we age, the amount of water content reduces. When the discs have less water in them, they become less flexible. As a result, the risk of it rupturing or herniating increases when you move, twist or turn. They can rupture with less force in older people.
Genetics: herniated discs can also be passed down through families
Movement: one can be cause by sudden, jarring motions
Sudden strain: a disc can be damaged if you lift a large object or turn or rotate your upper body too quickly

Symptoms of herniated cervical disc:

One of the most prevalent reasons for neck pain is herniated cervical disc. Other symptoms that may occur if the disc is pressing on a nerve root include:

• Numbness or tingling in the shoulder or arm, which may extend to the fingers
• A Hand or arm that is weak .

If it presses against your spinal cord, you may experience more severe symptoms such as:

• Walking with stumbling or awkwardly
• Tingling or a jolting sensation travelling down your spine and into your legs
Problems with fine motor skills when using your hands and arms
Loss of coordination and balance.

Summary:

Herniated discs are frequent ,treatment is based on degree of herniation and clinical presentation of patients. Herniated discs are more common in people after 50 year, but it can occur in 30s also. You should consider consult Neurosurgeon in Bangalore or visit the Neuro Wellness care centre which is a Bangalore Spine Specialist Clinic and provides the best and cost effective treatment for spine related problems and Back Pain Treatment in Bangalore.

Experiencing neck stiffness or pain?

our neuro expert in Electronic City or Jayanagar.

FAQs

1. What is cervical PIVD?

Cervical PIVD (Disc Prolapse) is a condition where a disc in the neck bulges and presses on nerves, causing pain, tingling, or numbness.

2. How is cervical disc prolapse diagnosed?

Diagnosis usually includes neurological examination, MRI scans, and X-rays to identify the affected cervical level.

3. Can cervical disc prolapse heal without surgery?

Yes, mild cases improve with rest, medication, and physiotherapy. Severe compression may need surgical treatment.

4. When should I see a neurosurgeon?

If neck pain radiates to your arm or causes numbness, weakness, or balance issues, consult a neurosurgeon immediately.

ಡಾ ಗಣೇಶ್ ವೀರಭದ್ರಯ್ಯ ಎಂಬಿಬಿಎಸ್, ಡಿಎನ್‌ಬಿ (ನರಶಸ್ತ್ರಚಿಕಿತ್ಸೆ), ಎಫ್‌.ಐ.ಎನ್ಆರ್ .(ಫೆಲೋಶಿಪ್ ಇನ್ ಇಂಟರ್ವೆನ್ಷನಲ್ ನ್ಯೂರೋ ರೇಡಿಯಾಲಜಿ /ಎಂಡೋ ವಾಸ್ಕ್ಯುಲರ್ -ಸ್ವಿಟ್ಜರ್ಲೆಂಡ್), ಸಲಹೆಗಾರರು – ನರಶಸ್ತ್ರಚಿಕಿತ್ಸಕರು – ಮಿದುಳು ಮತ್ತು ಬೆನ್ನು ಹುರಿ

ಡಾ ಗಣೇಶ್ ವೀರಭದ್ರಯ್ಯ

ಎಂಬಿಬಿಎಸ್, ಡಿಎನ್‌ಬಿ (ನರಶಸ್ತ್ರಚಿಕಿತ್ಸೆ), ಎಫ್‌..ಎನ್ಆರ್ .(ಫೆಲೋಶಿಪ್ ಇನ್ ಇಂಟರ್ವೆನ್ಷನಲ್ ನ್ಯೂರೋ ರೇಡಿಯಾಲಜಿ /ಎಂಡೋ ವಾಸ್ಕ್ಯುಲರ್ಸ್ವಿಟ್ಜರ್ಲೆಂಡ್),

ಸಲಹೆಗಾರರುನರಶಸ್ತ್ರಚಿಕಿತ್ಸಕರು  – ಮಿದುಳು ಮತ್ತು ಬೆನ್ನು ಹುರಿ

ಡಾ.ಗಣೇಶ್ ವೀರಭದ್ರಯ್ಯ ಪ್ರಸಿದ್ಧ ನರಶಸ್ತ್ರಚಿಕಿತ್ಸಕ – ಮಿದುಳು ಮತ್ತು ಬೆನ್ನು  ಹುರಿ ಮತ್ತು ಇಂಟರ್ವೆನ್ಷನಲ್ ನ್ಯೂರೋರಾಡಿಯಾಲಜಿ / ನ್ಯೂರೋಎಂಡೋವಾಸ್ಕುಲರ್ ತಜ್ಞ,

ಪ್ರಸ್ತುತ ಫೋರ್ಟಿಸ್ ಆಸ್ಪತ್ರೆ, ಕನ್ನಿಂಗ್ಹ್ಯಾಮ್ ರಸ್ತೆ, ಬೆಂಗಳೂರು.

ಅವರ ಚಿಕಿತ್ಸಾಲಯದಲ್ಲಿ – ಜಯನಗರ 9 ನೇ ಬ್ಲಾಕ್ , ಬೆಂಗಳೂರು -ನ್ಯೂರೋವೆಲ್ನೆಸ್ ಮೆದುಳು ಮತ್ತು ಬೆನ್ನುಮೂಳೆಯ ಚಿಕಿತ್ಸಾಲಯದಲ್ಲಿ ಸಲಹೆಗೆ ಸಿಗುತ್ತಾರೆ .

ಎಂಬಿಬಿಎಸ್ ಮುಗಿಸಿದ ನಂತರ, ಡಾ.ಗಣೇಶ್ ಅವರು ಬೆಂಗಳೂರಿನ ಓಲ್ಡ್ ಏರ್ಪೋರ್ಟ್ ರಸ್ತೆಯಲ್ಲಿರುವ ಪ್ರತಿಷ್ಠಿತ ಮಣಿಪಾಲ್ ಆಸ್ಪತ್ರೆಯಲ್ಲಿ ಸೂಪರ್ ಸ್ಪೆಷಾಲಿಟಿ ಸ್ನಾತಕೋತ್ತರ ಪದವಿ ನರಶಸ್ತ್ರಚಿಕಿತ್ಸೆಯಲ್ಲಿ ಡಿಎನ್‌ಬಿಯೊಂದಿಗೆ ಮುಂದುವರೆದರು. ಸಂಕೀರ್ಣವಾದ ಬೆನ್ನು ಮತ್ತು ಮಿದುಳಿನ ಶಸ್ತ್ರಚಿಕಿತ್ಸೆಗಳು, ಸಾಮಾನ್ಯ ಸೂಕ್ಷ್ಮ ಶಸ್ತ್ರಚಿಕಿತ್ಸೆಗಳಲ್ಲಿ ವ್ಯಾಪಕವಾಗಿ ತರಬೇತಿ ಪಡೆದ ಅವರು, ಸ್ವಿಟ್ಜರ್‌ಲ್ಯಾಂಡ್‌ನ ಜುರಿಚ್ ವಿಶ್ವವಿದ್ಯಾಲಯದ ಆಸ್ಪತ್ರೆಯಿಂದ ಇಂಟರ್ವೆನ್ಷನಲ್ ನ್ಯೂರೋರಾಡಿಯಾಲಜಿಯಲ್ಲಿ ಫೆಲೋಶಿಪ್ ಪಡೆಯುವ ಮೂಲಕ ಹೆಚ್ಚಿನ ಪರಿಣತಿಯನ್ನು ಬೆಳೆಸಿದರು. ಜುರಿಚ್ ವಿಶ್ವವಿದ್ಯಾಲಯವು ಅತ್ಯುತ್ತಮ ವಿಶ್ವವಿದ್ಯಾಲಯ ಪ್ರಪಂಚಗಳಲ್ಲಿ ಒಂದಾಗಿದೆ.

ಎಂಡೋವಾಸ್ಕುಲರ್ ಕಾರ್ಯವಿಧಾನಗಳಲ್ಲಿ ತರಬೇತಿ ಪಡೆದಿದ್ದಾರೆ – ಮೆದುಳಿನಲ್ಲಿ ರಕ್ತನಾಳಗಳ ಸುರುಳಿ, ಎವಿಎಂ(AVM ಎಂಬೋಲೈಸೇಶನ್ ಅಪಧಮನಿಯ ವಿರೂಪತೆ, ಗೆಡ್ಡೆಯ ಎಂಬೋಲೈಸೇಶನ್, ತೀವ್ರವಾದ ಪಾರ್ಶ್ವವಾಯುವಿಗೆ ಯಾಂತ್ರಿಕ ಥ್ರಂಬೆಕ್ಟೊಮಿಯಂತಹ ಸುಧಾರಿತ ಸ್ಟ್ರೋಕ್ ಆರೈಕೆ. , ಜಪಾನ್ ನಲ್ಲಿ ಸೆರೆಬ್ರೊ ನಾಳೀಯ ನರಶಸ್ತ್ರಚಿಕಿತ್ಸೆ ಮತ್ತು ಮೆದುಳಿನ ಬೈಪಾಸ್ ಕಾರ್ಯವಿಧಾನದ ಕ್ಲಿಪಿಂಗ್, ಸಂಕೀರ್ಣ ಅನ್ಯೂರಿಮ್ಸ್ ಮತ್ತು ಅಪಧಮನಿಯ ವಿರೂಪ ಮತ್ತು ಶೀರ್ಷಧಮನಿ ಎಂಡಾರ್ಟೆಕ್ಟೊಮಿ ಚಿಕಿತ್ಸೆ.

ನ್ಯೂರಾಲಜಿಕಲ್ ಕಂಡಿಶನ್ಸ್ ಸಲಹೆ ಮತ್ತು ಚಿಕೆತ್ಸೆ-

ನರಶಸ್ತ್ರಚಿಕಿತ್ಸೆ – ಮಿದುಳು ಮತ್ತು ಬೆನ್ನು ಹುರಿ

೧ ಸಾಮಾನ್ಯ ನರಶಸ್ತ್ರಚಿಕಿತ್ಸೆ – ಮಿದುಳು ಮತ್ತು ಬೆನ್ನು

೨ ಗರ್ಭಕಂಠ ಮತ್ತು ಸೊಂಟದ ಡಿಸ್ಕ್ ಪ್ರೋಲ್ಯಾಪ್ಸ್ ಶಸ್ತ್ರಚಿಕಿತ್ಸೆ

೩ ಸೊಂಟದ – ಸ್ಲಿಪ್ ಬೆನ್ನು ಮೂಳೆ  ಶಸ್ತ್ರ ಚಿಕೆತ್ಸೆ (TLIF, PLIF)

೪ ಮಿದುಳಿನ ಗೆಡ್ಡೆ ಶಸ್ತ್ರಚಿಕಿತ್ಸೆಗಳು

೫ ಅನ್ಯೂರಿಸಮ್ ಶಸ್ತ್ರಚಿಕಿತ್ಸೆಗಳು-ಕ್ಲಿಪಿಂಗ್

೬ ಕಪಾಲದ ಮತ್ತು ಬೆನ್ನುಮೂಳೆಯ ಆಘಾತ

೭ ಮೆದುಳಿನ ಬೈಪಾಸ್ ಶಸ್ತ್ರಚಿಕಿತ್ಸೆ

೮ ಅಪಸ್ಮಾರ ಶಸ್ತ್ರಚಿಕಿತ್ಸೆ

೯ ಸಂಕೀರ್ಣ ತಲೆಬುರುಡೆ ಮೂಲ ಶಸ್ತ್ರಚಿಕಿತ್ಸೆಗಳು

೧೦ ಮೈಕ್ರೊವಾಸ್ಕುಲರ್ ಡಿಕಂಪ್ರೆಷನ್.

೧೧ ಬೆನ್ನುಮೂಳೆಯ ಗೆಡ್ಡೆ ಹೊರಹಾಕುವಿಕೆ

೧೨ ಬೆನ್ನುಮೂಳೆಯ ಸೋಂಕು

೧೩ ಕೃತಕ ಡಿಸ್ಕ್ ಬದಲಿ

೧೪ ಸಿ.ವಿ ಜಂಕ್ಷನ್ ಅನಾಮೊಲಿಸ್ ಶಸ್ತ್ರ ಚಿಕಿತ್ಸೆ

ನ್ಯೂರೋ ವೆಲ್ನೆಸ್ಮಿದುಳು ಮತ್ತು ಬೆನ್ನುಮೂಳೆಯ ಆರೈಕೆ (ಜಯನಗರ 9 ನೇ ಬ್ಲಾಕ್)

1224, ಜಿ-ಮಹಡಿ, 26 ನೇ ಮುಖ್ಯ,

9 ನೇ ಬ್ಲಾಕ್, ಜಯನಗರ,

ರಾಗಿಗುಡ್ಡದ ಅಂಜನೇಯಸ್ವಾಮಿ ದೇವಾಲಯದ ಕಮಾನು ಎದುರು,

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14, ಕನ್ನಿಂಗ್ಹ್ಯಾಮ್ ಆರ್ಡಿ,

ಸಿಗ್ಮಾ ಸೆಂಟ್ರಲ್ ಮಾಲ್ ಹತ್ತಿರ,

ವಸಂತ್ ನಗರ,

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