A Rare Brain Aneurysm Treated By Hair Size Coils- Advanced Endovascular Surgery!

Rare Brain Aneurysm Treated With Hair-Size Coils in Bangalore

adminA Rare Brain Aneurysm Treated By Hair Size Coils- Advanced Endovascular Surgery! 196 Comments
A 56-year-old male was brought to ER with sudden onset of headache, vomiting, and altered sensorium. He had no comorbidities.On arrival, his neurological examination showed – he was drowsy with GCS E3V3M5(11/15) and was moving all limbs. His CT brain done elsewhere showed diffuse subarachnoid hemorrhage with intraventricular extension. He was admitted to ICU and managed with anticonvulsants, cerebral antihypertensives(nimodipine), steroids, PPIs, angioedema measures, and other supportive measures. He was noted to have a deranged renal function, which was optimized with corrective measures as per nephrologist advice.He was investigated with a CT brain angiogram which did not reveal any aneurysm, he was planned for a DSA 4 vessel angiogram of the brain after optimization of renal functions, on which an aneurysm of the Left Superior Cerebellar Artery was noted.CT Angiogram Brain Didnt Show Any AneurysmDSA AP VIEW

DSA AP VIEW

DSA  LATERAL VIEW

DSA  LATERAL VIEW

He underwent “ENODOVASCULAR LEFT SUPERIOR CEREBELLAR ARTERY COIL MOBILISATION WITH PARENT ARTERY OCCLUSION” under GA.COIL IN SITU ANEURYSM POST-PROCEDURE

COIL IN SITU ANEURYSM POST-PROCEDURE

DSA POST COILING SHOWING LEFT SCA OCCLUDED- microcatheter in place

DSA POST COILING SHOWING LEFT SCA OCCLUDED- microcatheter in place

After post-procedure, he gradually recovered and at discharge, he was obeying simple commands, he needed a few weeks of neurorehabilitation and is now able to perform his activities of daily living with regular follow-up.

Discussion:

Aneurysms of the posterior circulation, including superior cerebellar artery (SCA) aneurysms, present unique technical challenges because they can only be accessed via maneuvering through deep operative corridors with limited working angles bound by critical neurovascular structures.critical neurovascular structuresThe posterior circulation is intimately involved with the brainstem and cranial nerves, and complications related to aneurysm treatment frequently result in clinically significant and often unfavorable consequences. The SCA supplies the main portions of the superior cerebellar hemisphere and the “roof” nuclei.superior cerebellar hemisphereThe most frequent location of intracranial aneurysms occur around the Circle Of Willis with the commonest being anterior communicating artery(ACom-35%), followed by the internal carotid artery [30%-including the carotid artery itself, the posterior communicating artery(PCom), and the ophthalmic artery], the middle cerebral artery (MCA-22%), and finally, the posterior circulation sites, most commonly the basilar artery tip. These are comparatively more amenable for surgical and endovascular treatments due to the skill of operating clinicians and familiarity with the anatomy developed by the frequency of performing these operations and the possible proximal control of these arteries.SCA aneurysms are rare lesions with a reported incidence of 1-2% of all aneurysms. The majority of these aneurysms are located at the proximal aspect of the SCA, typically at the basilar junction. The aneurysm in the discussion being in the distal portion of SCA is not in this typical location making it an even rarer entity(~0.25-0.6%).They typically present with subarachnoid hemorrhage; their close association to the cranial nerves (CNs) III and IV also result in an asymptomatic mass effect on these nerves. The reported 48-hour survival rates for patients presenting with hemorrhage from ruptured SCA aneurysms be only 32%, and the 30-day survival rate by 11%.Surgical treatment of such aneurysms is technically challenging with a relatively high morbidity/mortality rate.  Given the anatomic course of the SCA, surgical approaches to this aneurysm were even more complex and there is often a limited opportunity to thoroughly dissect the neck of ruptured SCA aneurysms because of the restricted working space provided by a swollen brain after subarachnoid hemorrhage. In addition, a complete mobilization of the aneurysm, which is often required for circumspection of the neck, may not be safe as it can lead to premature rupture intraoperatively. The risk of injury to lower cranial nerves and venous sinuses, inability to obtain proximal control of arteries adds to the arduous task of safe dissection in narrow corridors even with larger craniotomy apart from the risks of blood loss and infections.Distal aneurysms of SCA are difficult to treat not only surgically but also endovascularly because the microcatheters have to pass through the blood vessels of posterior circulation viz., a vertebrobasilar system which supplies life-sustaining and life regulating structures of the brainstem with many tiny perforators arising from vertebrobasilar trunk and their major branches with added inaccessibility to distal portions of the arteries due to the age-related tortuosity, atherosclerosis, smaller caliber of the distal vessel, maneuverability of microcatheters, probability of rupture during the procedure and other factors. Also, the occlusion of the aneurysm with detachable coils often results in coil protrusion. Parent artery occlusion is therefore frequently the preferred method.With all these factors under perusal and due consideration, we could successfully place 3 detachable thrombogenic soft platinum coils in the fundus of the aneurysm. The patient recovered without much morbidity and is functional to perform his activities of daily living.Dr. Ganesh VeerabhadraiahConsultant Neurosurgeon and Endovascular Surgeon

FAQs

1. What is coil surgery for a brain aneurysm?

It is a minimally invasive procedure where tiny coils are placed inside the aneurysm to block blood flow and prevent rupture.

2. Is coil surgery safe for brain aneurysm patients?

Yes, coil surgery is safe and preferred for many patients as it avoids open brain surgery and reduces recovery time.

3. How long is recovery after coil surgery?

Most patients stay in the hospital for 2–5 days and resume light activities within a few weeks.

4. What makes this case rare?

The aneurysm was treated with coils thinner than a human hair, showcasing advanced endovascular surgical expertise.

5. Where can I get advanced brain aneurysm treatment in Bangalore?

Neurowellness Brain & Spine Clinic provides cutting-edge endovascular coil surgery for brain aneurysms.

Ganesh

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

back pain

Tips to prevent back pain at work

adminNeurosurgeon Bangalore, Back Pain Treatment in Bangalore, Bangalore Spine Specialist Clinic, Best spine surgeon in Bangalore 19 Comments

If you work in an office and sit for the majority of the day, you’re probably familiar with back pain. Sitting at a desk for eight hours a day can cause stiffness and tension, which can make working difficult. You may be at an even higher risk of developing back pain if your job requires you to twist or bend frequently. Between 50 and 80 percent of people will experience back pain at some point in their lives, and about 20 percent of adults will experience back pain in a single year.

Back pain can range from a sharp, sudden pain caused by twisting or moving suddenly to a constant, dull ache that develops over time. Back pain can be acute, lasting a few days to weeks or chronic lasting a months to year or more. Lower back pain is usually only temporary and will go away on its own with or without proper self-care. However, approximately few people who suffer from acute back pain can develop chronic back pain.

Back pain, whether dull and achy or sharp and stabbing, can make it difficult to focus on your work. Unfortunately, many jobs, such as nursing, construction, and factory work, put a lot of strain on your back. Back pain can be caused or exacerbated by even routine office work. Learn about the causes of back pain at work and how to avoid it.

Common office related problems are –

  1. Back pain
  2. Neck pain
  3. Leg pain
  4. Numbness in the hands
  5. Headache
  6. Blurring of vision
  7. Dryness in the eyes
  8. Muscle soreness and pain due to pressure  after pronged sitting in one position

Protect your Staff:

The employer must:

  • Wherever possible, avoid work activities that can cause back pain.
  • If you can’t avoid the activity, evaluate it to see what you can do to reduce the risk of back pain.
  • Implement the control measures you’ve identified, and make sure they’re working by monitoring and reviewing them.
  • Consult your employees and, if they have any health and safety concerns, address them.

Common causes of back pain:

Back pain at work can be caused by a variety of factors. Consider the following scenario:

  • Force – Lifting or moving heavy objects with too much force on your back can result in injury.
  • Repetition – Certain movements, particularly those that involve twisting or rotating your spine, can injure your back if you do them repeatedly.
  • Inactivity – Back pain can be caused by an inactive job or a desk job, especially if you have poor posture or sit all day in a chair with insufficient back support.
  • A person’s bad lifestyle also affects back pain; poor diet, unhealthy habits (smoking, drinking) and so on.

Tips to prevent back pain at work:

Tips to prevent back pain at work:

1. Create an ergonomic workspace

Tips to prevent back pain at work

Employees can reach everything they need in an ergonomic workspace without straining. By adjusting the height of desks, chairs, and monitors, proper office ergonomics promote good posture. Here are a few pointers on how to set up an ergonomic workspace:

  • Place the computer monitor at eye level in order to avoid tilting your head or leaning forward.
  • Position frequently used items within your arm’s reach to avoid moving or stretching your hand.
  • Adjust the brightness of the monitor in which your eyes feel comfortable and non-straining.
  • Adjust the height of your chair and desk

2. Choose the right office chair

  • Adjustable height: Choose a desk chair with a height adjustment so that your elbows are at a comfortable angle with your desk.
  • Adjustable backrest: When sitting with your back against the backrest and your calves against the front of the chair, there should be 2 to 4 inches between your calves and the front of the chair if your desk chair has an appropriate seat depth. Choose an office chair with the appropriate seat depth or a backrest that can be adjusted.
  • Adjustable armrests
  • Comfortable material

3. Practise good posture

  • Maintain a straight line between your shoulders and your head.
  • Keep your back against the chair’s backrest.
  • Maintain a square relationship with your computer screen by keeping your shoulders back.
  • By bringing your chair closer to your desk, you can keep your upper arms parallel to your spine.
  • Do not cross your legs and keep your feet flat on the ground.
  • Maintain a 90-degree angle with your knees and, if necessary, a footrest.

4. Take frequent short breaks

Take breaks between work to stretch your body and relax, continuous work makes the body stiff and result in back pain. So this point is very essential.

5. Choose comfortable shoes

 For work, always choose flat and comfortable footwears. High-heeled footwears negatively affect the spine and the body, also back pain arises by wearing these for a long time. Flats help in back comfort.

Summary –

Tips to prevent these office related problems

Tips to prevent these office related problems:

  1. Eye posItion-during working in front of monitor or laptop our eye level should be at the level of the monitor or slightly above the monitor.
  2. neck and shoulder should be relaxed.
  3. Elbow and shoulder should be  flexed at 70 -90 degrees at least
  4. wrist should be pronated and not flexed
  5. Our back should be supported by small pad or pillow
  6. thigh should be parallel to the ground
  7. foot should be resting flat and supported by small stool
  8. long static posture is not advisable- if you are  sitting or standing— you have to change the position-you have to get up and walk around and take micro breaks for a minute or two. At the same time you can focus your eye on distant object ,which will reduce your eye strain and prevent dryness in eyes.
  9. using adjustable rotating  chair is helpful instead of static chair.
  10. other small things like reduce the brightness /contrast  of the screen, increase in the font size and avoiding direct light source in from the the working area is avoided.

By following these steps we can work comfortably long hours and reduces the pressure over the spine and help our spine.

Find back pain relief with NeuroWellness brain and spine care

Back pain at work can range from a dull ache to severe chronic pain that interferes with daily activities. Even minor back pain can have a significant impact on your ability to focus and work in a comfortable manner. Because we recognise that pain is a complicated symptom, the specialists at Neurowellness care centre will create a pain management plan specifically for you and your back pain. The NeuroWellness care specialists provide a wide range of pain treatment options, such as therapies, medications, injections, and surgeries. Our doctors can draw on a variety of disciplines to provide you with the best back pain treatment in Bangalore and prevention options.

MCA

Minimally Invasive MCA Stenting: Pin-Hole Brain Surgery in Bangalore

adminBest Neurosurgeon in Bangalore, brain stroke 17 Comments

Successful MCA Stenting for TIA in a 46-Year-Old Patient: A Case Study

A 46-year-old gentleman from North Karnataka presented with complaints of left-sided weakness and difficulty speaking for 10 days prior to his arrival at 1224, G-Floor, 26th Main, 9th block, Jayanagar, Opp to Ragiguddada Anjaneyaswamy Temple Arch, Bangalore, Karnataka 560069. On examination, he was conscious, alert, and oriented, with no noticeable motor or sensory deficits. Further investigation led to a diagnosis of a Transient Ischemic Attack (TIA), a condition often referred to as a mini-stroke. Here’s an in-depth look into his diagnosis, treatment, and recovery process.

MRI
Minimally invasive pin hole surgery

Initial Diagnosis

The patient underwent an MRI brain stroke protocol, which revealed watershed infarcts in the right middle cerebral artery (MCA) territory with high-grade stenosis of the MCA. To further evaluate the extent of the problem, a Digital Subtraction Angiogram (DSA) was performed, showing more than 95% focal stenosis, with significantly reduced blood flow into the distal branches of the M2 and M3 segments of the MCA.

This high-grade stenosis posed a significant risk of a major stroke, prompting the team to plan for MCA stenting after carefully explaining the benefits and risks to the patient.

What is MCA Stenting?

The Middle Cerebral Artery (MCA) is one of the major blood vessels supplying the brain. Stenting is a minimally invasive procedure that involves placing a small tube called a stent inside the narrowed artery to restore proper blood flow.

Unlike traditional brain surgery, MCA stenting doesn’t require opening the skull (craniotomy). Instead, thin wires and catheters, as small as a strand of hair, are inserted through a blood vessel in the thigh. These wires are guided all the way to the narrowed brain artery, where the stent is placed to open up the blocked area.

Procedure Overview

The patient was taken to the catheterization (Cath) lab for the procedure. A right femoral puncture was made to insert the guide wires and a micro-catheter. Using these tools, the team successfully reached the right MCA and placed a 2.25mm x 8mm stent in the brain vessel. The patient tolerated the procedure well, with no complications during or after the stenting.

Stenting
Brain Stroke

Post-Operative Results and Recovery

A post-operative CT scan showed no signs of bleeding or stroke. The patient experienced no complications and was able to walk the next day. He was discharged two days later, in good condition.

Stenting

Understanding Transient Ischemic Attacks (TIA)

A Transient Ischemic Attack (TIA), also called a mini-stroke, is a temporary blockage of blood flow to the brain. Unlike a major stroke, the symptoms of a TIA usually resolve within 24 hours. However, it is crucial to identify the underlying cause, as a TIA is often a warning sign of a more serious stroke.

Symptoms of TIA

ㆍWeakness in the face or limbs, typically on one side
ㆍDifficulty speaking or understanding speech
ㆍDizziness or loss of balance
ㆍTemporary vision disturbances
ㆍNumbness or tingling sensations

CT scan

Diagnosing TIA

A variety of diagnostic tools are used to confirm a TIA and identify the cause:

ㆍDuplex scan
ㆍCT scan of the brain
ㆍMRI of the brain
ㆍMRA angiogram
ㆍEchocardiogram (ECHO)
ㆍPerfusion brain scan
ㆍDSA (Digital Subtraction Angiogram)

Importance of Early Detection and Treatment

TIAs are a critical warning sign, predicting a higher risk of a major stroke. Studies show that about 15% of people who experience a TIA will suffer a major stroke within three months. The risk increases to 30-40% within one year if left untreated. Therefore, prompt diagnosis and treatment are essential to prevent a future stroke.

CT scan

Preventive Treatments for Stroke

Several interventional procedures are available to prevent strokes in high-risk individuals, such as those who have experienced a TIA:

ㆍMCA Stenting: This is the procedure that was performed in this case to treat severe stenosis and restore blood flow to the brain.

ㆍCarotid Artery Stenting: This procedure is used to treat blockages in the carotid arteries in the neck, which supply blood to the brain.

ㆍMechanical Thrombectomy: This is an emergency treatment used to remove large blood clots during an acute stroke.

These minimally invasive procedures can dramatically reduce the risk of a major stroke, especially in patients with a history of TIA.

Conclusion

In this case, the timely diagnosis of MCA stenosis and the successful MCA stenting procedure helped prevent a major stroke for the 46-year-old patient. With the growing availability of advanced interventional treatments, it is possible to reduce the risk of life-threatening strokes in patients with conditions like TIA.

For those at risk, early medical intervention can make all the difference in ensuring a full recovery. If you experience symptoms of a mini-stroke, it’s essential to seek medical attention promptly.

This surgery was performed, Consultant Neurosurgeon specializing in brain and spine surgery.

Advanced MCA Stenting in Bangalore

“Minimally invasive pin-hole brain surgery can save lives after stroke. Consult Dr. Ganesh Veerabhadraiah at Neurowellness today.”

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FAQs

1. What is MCA stenting?

MCA stenting is a minimally invasive brain procedure to open narrowed arteries and restore blood flow after a stroke.

2. Is MCA stenting safe?

Yes, when performed by skilled neurosurgeons, MCA stenting is a safe and effective way to prevent further strokes.

3. How long is recovery after MCA stenting?

Most patients recover within a few days in the hospital and can resume normal activities within weeks.

4. Who needs MCA stenting?

Patients with blocked middle cerebral arteries at high risk of stroke are recommended for MCA stenting.

5. Where can I get MCA stenting in Bangalore?

Neurowellness Brain & Spine Clinic offers advanced MCA stenting with minimally invasive techniques.

Ganesh

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

Tips to prevent brain stroke

10 Proven Tips to Prevent Brain Stroke & Stay Healthy in Bangalore

adminTop Neurosurgeon in Bangalore, Advanced Stroke treatment in Bangalore, Paralysis treatment in Bangalore 19 Comments

What steps can you take to avoid a stroke? Having a mother, father, or other close relative who has had a stroke makes us more susceptible to having one.

Although you can’t turn back the clock or change your family history, you can control many other stroke risk factors if you’re aware of them. Knowledge is a powerful tool. You can take steps to mitigate the effects of a risk factor that is sabotaging your health and predisposing you to a higher risk of stroke if you are aware of it.

What is a stroke?

 When blood circulation to the brain fails, a stroke, also known as a “brain attack,” occurs. Reduced blood flow and the resulting lack of oxygen can cause brain cells to die. Strokes can be divided into two types: those caused by a blockage in blood flow and those caused by bleeding into the brain. Ischemic stroke, or a blockage of a blood vessel in the brain or neck, is the most common cause of stroke, accounting for about 80% of all strokes.

types of stroke

The formation of a clot within a blood vessel of the brain or neck, referred to as thrombosis; the movement of a clot from another part of the body, such as the heart, to the brain, referred to as embolism; or a severe narrowing of an artery in or leading to the brain, referred to as stenosis. The second type of stroke, hemorrhagic stroke, is caused by bleeding into the brain or the spaces surrounding the brain.

In brief, When the blood supply to a part of your brain is cut off, a stroke occurs. A clot or something else blocking the flow is the most common cause. Ischemic strokes are what they’re called. Bleeding in the brain is responsible for about 20% of the cases. Hemorrhagic strokes are what they’re called.

Top 10 Tips to Prevent Brain Stroke

✔️ Control Blood Pressure → Reduces main cause of strokes
✔️ Manage Diabetes → Prevents blood vessel damage
✔️ Quit Smoking → Lowers clot and blockage risks
✔️ Limit Alcohol Intake → Reduces high BP & irregular heartbeat
✔️ Exercise Regularly → Improves circulation & weight control
✔️ Eat a Balanced Diet → Lowers cholesterol & improves heart health
✔️ Maintain Healthy Weight → Prevents obesity-linked risk
✔️ Get Regular Health Checkups → Detects risks early
✔️ Manage Stress → Prevents BP spikes and hormonal imbalance
✔️ Follow Doctor’s Advice → Medication compliance ensures long-term safety

Prevention of a stroke:

• Lower your blood pressure

 Strokes are most commonly caused by high blood pressure. For more than half of them, this is the reason. Blood pressure readings of less than 120/80 are considered normal. If yours is consistently higher than 130/80, you may have high blood pressure, also known as hypertension.

High blood pressure can make you 4-6 times more likely to have a stroke if it isn’t properly managed. This is due to the fact that it can thicken artery walls, causing cholesterol and other fats to build up and form plaques. If one of these breaks free, it can cut off the blood supply to your brain.

High blood pressure can also weaken arteries, making them more prone to burst and resulting in a hemorrhagic stroke.

Plaquue in Blood vessel

Work with your doctor to keep your blood pressure in a healthy range if you have high blood pressure. Medication and lifestyle changes, such as regular exercise and a healthy diet, may be beneficial.

• Quit smoking

 If you smoke, you increase your chances of having a stroke by twofold. Cigarette smoke contains nicotine, which raises blood pressure and carbon monoxide, which reduces the amount of oxygen your blood can carry. Even inhaling second hand smoke can increase your risk of having a stroke.

Tobacco is also responsible for :

1. Increase the amount of triglycerides in your blood.
2. Reduce the amount of “good” HDL cholesterol in your body.
3. Your blood will become sticky and more likely to clot as a result.
4. Increase the likelihood of plaque formation
5. Blood vessels thicken and narrow, causing damage to their linings.
6. Consult your doctor about quitting smoking. Nicotine patches and counselling may be of assistance. If you don’t succeed the first time, don’t give up.

• Manage your heart

 Some strokes are caused by blood clots and are caused by an irregular heartbeat called atrial fibrillation (AFib). AFib causes blood to pool in your heart, posing a clotting risk. If that clot travels to your brain, it can cause a stroke. You can have AFib because of high blood pressure, plaques in your arteries, heart failure, and other reasons.

Your heart can be put back into a normal rhythm with the help of medications, medical procedures, and surgery. Consult your doctor if you’re not sure if you have AFib but are experiencing heart flutters or shortness of breath.

• Control your diabetes

 A stroke is 2-4 times more likely if your blood sugar is high. Diabetes can cause fatty deposits or clots in your blood vessels if it isn’t properly managed. This can narrow the ones in your brain and neck, potentially cutting off the brain’s blood supply.

If you have diabetes, make sure to check your blood sugar levels on a regular basis, take your medications as directed, and visit your doctor every few months so they can monitor your levels.

• Exercise

 A sedentary lifestyle can lead to obesity, high cholesterol, diabetes, and high blood pressure, all of which are risk factors for stroke. So get to work. You are not required to run a marathon. It is sufficient to exercise for 30 minutes five days a week. Before you begin exercising, consult your doctor.

• Get proper diet

Healthy eating can help you lose weight and reduce your risk of having a stroke. Every day, eat plenty of fresh fruits and vegetables (broccoli, Brussel sprouts, and leafy greens like spinach are ideal). Choose foods that are high in fibre and lean proteins. Trans and saturated fats can clog your arteries, so avoid them. Reduce your salt intake and stay away from processed foods. They’re frequently high in salt and trans fats, both of which can raise blood pressure.

•Medications

Blood thinners are advised in medical conditions like stent in heart and neck vessels(angioplasty) and after bypass surgery of heart etc.  You may  be advised to manage blood parameters correctly.  Blood thinners are like double edged sword. If you don’t take correctly also cause problem,  if you won’t take/manage blood parameters properly also causes problem. Please follow doctors advise correctly – helps in stroke prevention.

Summary:

 Neuro Wellness spine and brain care centre does Advanced Stroke treatment in Bangalore with the best care. The specialists ensure cost effective and efficient treatment.

Stroke Prevention Clinic in Bangalore

“Prevent stroke before it happens. Neurowellness Brain & Spine Clinic offers personalized risk assessment, prevention guidance, and advanced care.”

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Ganesh

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 

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FAQs

1. Can brain strokes be prevented naturally?

Yes. Lifestyle changes such as a healthy diet, exercise, and stress management help reduce stroke risk.

2. What foods help prevent stroke?

Fruits, vegetables, whole grains, nuts, and foods low in salt and trans fat support brain and heart health.

3. How does exercise reduce stroke risk?

Regular activity improves blood flow, controls BP, reduces cholesterol, and supports healthy weight.

4. Who is most at risk of brain stroke?

People with hypertension, diabetes, smoking habits, obesity, or family history of stroke.

5. Where can I get stroke prevention advice in Bangalore?

Neurowellness Brain & Spine Clinic provides stroke risk assessment and prevention guidance.

Ganesh

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

ಡಿಸ್ಕ್ ಪ್ರೊಲಾಪ್ಸ್ ಬಗ್ಗೆ ನಿಮಗೆ ಏನು ತಿಳಿದಿರಬೇಕು

ಡಿಸ್ಕ್ ಪ್ರೊಲಾಪ್ಸ್ ಬಗ್ಗೆ ನಿಮಗೆ ಏನು ತಿಳಿದಿರಬೇಕು !

adminNeurosurgeon Bangalore 19 Comments

ಸ್ಲಿಪ್ ಡಿಸ್ಕ್ ಎಂದರೇನು?

ಇದಕ್ಕೆ ಇರುವ ಇತರ ಪದಗಳು –
ಡಿಸ್ಕ್ ಹರ್ನಿಯೇಷನ್, ಡಿಸ್ಕ್ ಪ್ರೋಲ್ಯಾಪ್ಸ್, ಡಿಸ್ಕ್ ಎಕ್ಸ್ಟ್ರುಶನ್, ಡಿಸ್ಕ್ ಮೈಗ್ರೇಶನ್, ಡಿಸ್ಕ್ ಮುಂಚಾಚುವಿಕೆ ಎಂದೂ ಕರೆಯುತ್ತಾರೆ.

ನಿಮ್ಮ ಬೆನ್ನುಹುರಿಯನ್ನು ರೂಪಿಸುವ ಕಶೇರುಖಂಡಗಳು (ಮೂಳೆಗಳು) ಒಂದರ ಮೇಲೊಂದು ಇಟ್ಟಿಗೆ ತರಹ ಇರುತ್ತವೆ  ಮೇಲಿನಿಂದ ಕೆಳಕ್ಕೆ ಕತ್ತಿನಲ್ಲಿ  ಏಳು ಮೂಳೆಗಳು, ಎದೆಗೂಡಿನ ಬೆನ್ನೆಲುಬು ಹನ್ನೆರಡು ಮತ್ತು ಸೊಂಟದ ಬೆನ್ನುಮೂಳೆಯಲ್ಲಿ ಐದು, ಕೆಳಭಾಗದಲ್ಲಿ ಸ್ಯಾಕ್ರಮ್ ಮತ್ತು ಕೋಕ್ಸಿಕ್ಸ್ ಇರುತ್ತದೆ. ಡಿಸ್ಕ್ಗಳು ಈ ಮೂಳೆಗಳಿಗೆ ಮೆತ್ತನೆ ನೀಡುತ್ತವೆ. ವಾಕಿಂಗ್ ಮತ್ತು ಎತ್ತುವಿಕೆಯಂತಹ ದೈನಂದಿನ ಕ್ರಿಯೆಗಳಿಂದ ಆಘಾತಗಳನ್ನು ಹೀರಿಕೊಳ್ಳುವ ಮೂಲಕ ಡಿಸ್ಕ್ಗಳು ಮೂಳೆಗಳನ್ನು ಮೆತ್ತುತ್ತವೆ.

ಮೃದುವಾದ, ಜೆಲಾಟಿನಸ್ ಒಳಗಿನ ಪ್ರದೇಶ ಮತ್ತು ಬಲವಾದ ಹೊರಗಿನ ಉಂಗುರವು ಪ್ರತಿ ಡಿಸ್ಕ್ ಅನ್ನು ರೂಪಿಸುತ್ತದೆ. ಡಿಸ್ಕ್ನ ಒಳಭಾಗವು ಗಾಯ ಅಥವಾ ದುರ್ಬಲಗೊಳ್ಳುವುದರಿಂದ ಹೊರಗಿನ ಉಂಗುರದ ಮೂಲಕ ಆಚೆ ಬರಬಹುದು . ಸ್ಲಿಪ್ಡ್, ಹರ್ನಿಯೇಟೆಡ್ ಅಥವಾ ಪ್ರೋಲ್ಯಾಪ್ಸ್ಡ್ ಡಿಸ್ಕ್ ಈ ಸ್ಥಿತಿಗೆ ವೈದ್ಯಕೀಯ ಪದವಾಗಿದೆ.  PIVD – ಜಾರಿಬಿದ್ದ ಡಿಸ್ಕ್ ನಿಮ್ಮ ಬೆನ್ನುಮೂಳೆಯ ನರಗಳಲ್ಲಿ ಒಂದನ್ನು (press )  ಗಿಂಜಿದರೆ, ನೀವು ಪೀಡಿತ ನರಗಳ ಉದ್ದಕ್ಕೂ ಮರಗಟ್ಟುವಿಕೆ ಮತ್ತು ನೋವನ್ನು ಅನುಭವಿಸಬಹುದು, ಇದನ್ನು ಸೀಯಾಟಿಕಾ ಎಂದೂ  ಕರೆಯುತ್ತಾರೆ .

ಸ್ಲಿಪ್ ಡಿಸ್ಕ್ನ ಲಕ್ಷಣಗಳು:

ಜಾರಿಬಿದ್ದ ಡಿಸ್ಕ್ ನಿಮ್ಮ ಬೆನ್ನುಮೂಳೆಯಲ್ಲಿ ಎಲ್ಲಿಯಾದರೂ ಸಂಭವಿಸಬಹುದು. ನಿಮ್ಮ ಬೆನ್ನುಮೂಳೆಯಲ್ಲಿ, ನಿಮ್ಮ ಕುತ್ತಿಗೆಯಿಂದ ನಿಮ್ಮ ಕೆಳ ಬೆನ್ನಿನವರೆಗೆ. ಸ್ಲಿಪ್ಡ್ ಡಿಸ್ಕ್ಗಳು ಸಾಮಾನ್ಯವಾಗಿ ಕೆಳ ಬೆನ್ನಿನಲ್ಲಿ ಮತ್ತು ಕುತ್ತಿಗೆಯಲ್ಲಿ ಕಂಡುಬರುತ್ತವೆ. ಇದನ್ನು PIVD (ಪ್ರೋಲ್ಯಾಪ್ಸ್ಡ್ ಇಂಟರ್ವರ್ಟೆಬ್ರಲ್ ಡಿಸ್ಕ್) ಎಂದೂ ಕರೆಯುತ್ತಾರೆ. ಜಾರಿಬಿದ್ದ ಡಿಸ್ಕ್ ನರಗಳ ಮೇಲೆ ಹೆಚ್ಚುವರಿ ಒತ್ತಡವನ್ನು ಉಂಟುಮಾಡಬಹುದು ಮತ್ತು ಈ ಪ್ರದೇಶದಲ್ಲಿ ನರವನ್ನು ವಿತರಿಸುವ ಜಾಗದಲ್ಲಿ ನೋವನ್ನು ಉಂಟುಮಾಡಬಹುದು.

ರೋಗಲಕ್ಷಣಗಳು ಕೆಳಕಂಡಂತಿವೆ:
ಬೆನ್ನು ನೋವು ಮತ್ತು ಕುತ್ತಿಗೆ ನೋವು.

ಕುತ್ತಿಗೆಯಲ್ಲಿ  ಪ್ರೋಲ್ಯಾಪ್ಸ್ ಅನ್ನು ಆದರೆ  ಕುತ್ತಿಗೆ  ಮತ್ತು ಕೈನಲ್ಲಿ,  ಸೊಂಟದಲ್ಲಿ ಡೈಕ್ ಪ್ರೊಲ್ಯಾಪ್ಸ್   ಆದರೆ  (ಸೀಯಾಟಿಕಾ)  ಕಾಲುಗಳಲ್ಲಿ ನೋವು ಉಂಟಾಗುತ್ತದೆ  ಮತ್ತು  ಕೈಕಾಲುಗಳಲ್ಲಿ   ಬಲಹೀನತೆ ಮತ್ತು ಮರಗಟ್ಟುವಿಕೆ ಆಗಬಹುದು. ರಾತ್ರಿಯಲ್ಲಿ ಅಥವಾ ನಿರ್ದಿಷ್ಟ ಚಲನೆಗಳಲ್ಲಿ ನೋವು ಹೆಚ್ಚಾಗುತ್ತದೆ. ನಿಂತುಕೊಳ್ಳುವುದು ಅಥವಾ ಕುಳಿತುಕೊಳ್ಳುವುದು ನೋವನ್ನು ಉಂಟುಮಾಡಬಹುದು. ಕೆಲವೊಮ್ಮೆ -ಸ್ನಾಯು ದೌರ್ಬಲ್ಯ ಆಗಬಹುದು .
ಸೊಂಟದಿಂದ ಕೆಳಗೆ  ಜುಮ್ಮೆನಿಸುವಿಕೆ, ನೋವು ಅಥವಾ ಸುಡುವ ಸಂವೇದನೆಗಳು ಆಗಬಹುದು .
ಕೆಲವೊಮ್ಮೆ  ಡಿಸ್ಕ್ ಪ್ರೊ ಲ್ಯಾಪ್ಸ್  ಬಹಳ   ತೀವ್ರ  ಆದರೆ   ಅಥವಾ ಕಾಡ ಎಕ್ಸ್ಯ್ಯನ (cauda  equina )  ಮೂತ್ರ ಮತ್ತು ಮೋಶನ್  ನಿಯಂತ್ರಿಸುವಲ್ಲಿ ತೊಂದರೆ  ಆಗಬಹುದು .

ನೋವಿನ ರೀತಿಯು ಒಬ್ಬರಿಂದ ಇನ್ನೊಬ್ಬರಿಗೆ ಭಿನ್ನವಾಗಿರುತ್ತದೆ. ನಿಮ್ಮ ಅಸ್ವಸ್ಥತೆಯು ಮರಗಟ್ಟುವಿಕೆ ಅಥವಾ ಜುಮ್ಮೆನಿಸುವಿಕೆಯನ್ನು ಉಂಟುಮಾಡಿದರೆ ಅದು ನಿಮ್ಮ ಸ್ನಾಯುಗಳನ್ನು ನಿಯಂತ್ರಿಸುವ ನಿಮ್ಮ ಸಾಮರ್ಥ್ಯಕ್ಕೆ ಅಡ್ಡಿಪಡಿಸಿದರೆ, ನಿಮ್ಮ ವೈದ್ಯರನ್ನು ನೋಡಬೇಕಾಗುತ್ತದೆ .

ಜಾರಿಬಿದ್ದ ಡಿಸ್ಕ್ಗಳಿಗೆ (PIVD ) ಸೀಯಾಟಿಕಾಗೆ ಕಾರಣ ಏನು ?

ಸ್ಲಿಪ್ಡ್ ಡಿಸ್ಕ್ (ಆನ್ಯುಲಸ್) ನ ಹೊರಗಿನ ಉಂಗುರ ದುರ್ಬಲವಾಗಬಹುದು ಅಥವಾ ಹಾನಿಗೊಳಗಾಗಬಹುದು, ಇದರಿಂದ ಒಳಗಿನ ವಿಭಾಗ (ನ್ಯೂಕ್ಲಿಯಸ್ ಪಲ್ಪೋಸಸ್) ಹೊರಬರಲು ಅವಕಾಶವಾಗುತ್ತದೆ. ನೀವು ವಯಸ್ಸಾದಂತೆ ಇದು ಸಂಭವಿಸಬಹುದು. ಕೆಲವು ಅಸಹಜ ಚಲನೆಗಳಿಂದ ಜಾರಿಬಿದ್ದ ಡಿಸ್ಕ್ ಕೂಡ ಉಂಟಾಗಬಹುದು. ಭಾರವಾದ ವಸ್ತುವನ್ನು ಎತ್ತು ವಾಗ  ತಿರುಗಿಸುವಾಗ, ಒಂದು ಡಿಸ್ಕ್ ತನ್ನ ಸ್ಥಳದಿಂದ ಜಾರಿಕೊಳ್ಳಬಹುದು.  ಬಹಳ ಭಾರವಾದ ವಸ್ತುವನ್ನು ಎತ್ತುವಿಕೆಯು ಇದ್ದಕ್ಕಿದ್ದಂತೆ ಕೆಳ ಬೆನ್ನಿನಲ್ಲಿ ಸಾಕಷ್ಟು ಒತ್ತಡವನ್ನು ಉಂಟುಮಾಡುತ್ತದೆ, ಇದು ಜಾರಿಬಿದ್ದ ಡಿಸ್ಕ್‌ಗೆ ಕಾರಣವಾಗಬಹುದು. ಏಕೆಂದರೆ ಡಿಸ್ಕ್‌ ಹರ್ನಿಯೇಷನ್ ಗಳು ಹೆಚ್ಚು ತೂಕಇರುವವರಲ್ಲಿ ಆಗಲು ಸಾಧ್ಯತೆ ಇದೆ,

ಜಾರಿಬಿದ್ದ ಡಿಸ್ಕ್ ದುರ್ಬಲ ಕೋರ್ ಸ್ನಾಯುಗಳು(AB OR  CORE MUSCLE of  abdomen ನಿಂದ  ಮತ್ತು ಜಡ ಜೀವನಶೈಲಿಯಿಂದಲೂ ಉಂಟಾಗಬಹುದು. ನೀವು ವಯಸ್ಸಾದಂತೆ ಸ್ಲಿಪ್ಡ್ ಡಿಸ್ಕ್ ಆಗುವ  ಸಾಧ್ಯತೆ ಹೆಚ್ಚು. ಇದಕ್ಕೆ ಕಾರಣ, ನೀವು ವಯಸ್ಸಾದಂತೆ, ನಿಮ್ಮ ಡಿಸ್ಕ್‌ಗಳು ತಮ್ಮ ರಕ್ಷಿಸುವ ನೀರಿನ ಅಂಶವನ್ನು ಕಳೆದುಕೊಳ್ಳುತ್ತವೆ. ಪರಿಣಾಮವಾಗಿ, ಅವರು ಸ್ಥಳದಿಂದ ಹೊರಬರುವ ಸಾಧ್ಯತೆಯಿದೆ.

ಜಾರಿಬಿದ್ದ ಡಿಸ್ಕ್ಗಳನ್ನು ಹೇಗೆ ಪತ್ತೆ ಮಾಡಲಾಗುತ್ತದೆ?

ವಿವರವಾದ ರೋಗಲಕ್ಷಣಗಳ ವಿಶ್ಲೇಷಣೆಯನ್ನು ಒಂದು ನ್ಯೂರಾಲಜಿಕಲ್ ವಿಧಾನದಲ್ಲಿ ನರವೈಜ್ಞಾನಿಕ ಪರೀಕ್ಷೆಯನ್ನು ಡಾಕ್ಟರ್ ರಿಂದ  ಮಾಡಲಾಗುತ್ತದೆ.  ನಿಮ್ಮ ನೋವಿನ ಮೂಲವನ್ನು ವೈದ್ಯರು ಪರೀಕ್ಷೆ ಮಾಡುತ್ತಾರೆ . ಅವರು ನಿಮ್ಮ ನರ ಕಾರ್ಯ ಮತ್ತು ಸ್ನಾಯುವಿನ ಶಕ್ತಿಯನ್ನು ನಿರ್ಣಯಿಸುತ್ತಾರೆ. ನಿಮ್ಮ ವೈದ್ಯರು ನಿಮ್ಮ ವೈದ್ಯಕೀಯ ಇತಿಹಾಸ ಹಾಗೂ ನಿಮ್ಮ ಪ್ರಸ್ತುತ ರೋಗಲಕ್ಷಣಗಳ ಬಗ್ಗೆಯೂ ವಿಚಾರಿಸುತ್ತಾರೆ. ಹೆಚ್ಚಿನ ಸಮಯ ನರವೈಜ್ಞಾನಿಕ ಪರೀಕ್ಷೆಯ ಮೂಲಕ ನಿಮ್ಮ ವೈದ್ಯರು ಸ್ಲಿಪ್ಡ್ ಡಿಸ್ಕ್ ಅನ್ನು ತಾತ್ಕಾಲಿಕವಾಗಿ ಪ್ರೋವಿಸಿಯೋನಲ್ ಡೈಗನೊಸಿಸ್ ಮಾಡಬಹುದು.

ಇಮೇಜಿಂಗ್ ಪರೀಕ್ಷೆಗಳು ನಿಮ್ಮ ವೈದ್ಯರು ನಿಮ್ಮ ಬೆನ್ನುಮೂಳೆಯ ಮೂಳೆಗಳು ಮತ್ತು ಸ್ನಾಯುಗಳನ್ನು ಹಾಗೂ ಯಾವುದೇ ಹಾನಿಗೊಳಗಾದ ಪ್ರದೇಶಗಳನ್ನು ನೋಡಬಹುದು. ಇಮೇಜಿಂಗ್ ಸ್ಕ್ಯಾನ್‌ಗಳು ಈ ಕೆಳಗಿನವುಗಳನ್ನು ಒಳಗೊಂಡಿವೆ:

೧ ಎಕ್ಸ್ ಕಿರಣಗಳು- ನಿಮ್ಮ ಬೆನ್ನಿನ ಮೂಳೆಯನ್ನು ಸ್ಕ್ರೀನ್ ಮಾಡುತ್ತವೆ

೨ CT ಸ್ಕ್ಯಾನ್‌ಗಳು- ಬೆನ್ನುಮೂಳೆಯ ಮೂಳೆ ಅಥವಾ ಬೆನ್ನು ಕಾಲುವೆ ಅಥವಾ ನರಗಳ ರಂಧ್ರ ಕಿರಿದಾಗುವಿಕೆಗೆ ಕಾರಣವಾಗುವ ಯಾವುದೇ ಮೂಳೆಯನ್ನು ಸ್ಪಷ್ಟವಾಗಿ ನೋಡಲು ಸಹಾಯ ವಾಗುತ್ತದೆ .

೩ ಮ್ಯಾಗ್ನೆಟಿಕ್ ರೆಸೋನೆನ್ಸ್ ಇಮೇಜಿಂಗ್ (ಎಂಆರ್‌ಐ) ಸ್ಕ್ಯಾನ್‌ಗಳು- ಇದು ನರ ಅಥವಾ ಬೆನ್ನುಹುರಿಯ ಒಳಗೊಳ್ಳುವಿಕೆ ಮತ್ತು ಒಳಗೊಳ್ಳುವಿಕೆಯ ಮಟ್ಟವನ್ನು ತೋರಿಸುತ್ತದೆ.

ನಿಮ್ಮ ನೋವು, ದೌರ್ಬಲ್ಯ ಅಥವಾ ಅಸ್ವಸ್ಥತೆಗೆ ಕಾರಣವೇನೆಂದು ಕಂಡುಹಿಡಿಯಲು ನಿಮ್ಮ ವೈದ್ಯರು ಈ ಎಲ್ಲಾ ಮಾಹಿತಿಯನ್ನು (ಕ್ಲಿನಿಕಲ್ ಮತ್ತು ರೇಡಿಯೋಲಾಜಿಕಲ್) ಒಟ್ಟಾಗಿ ಹೋಲಿಸಿ ಸಲಹೆ ನೀಡುತ್ತಾರೆ.

ಜಾರಿಬಿದ್ದ ಡಿಸ್ಕ್ ಅನ್ನು ತಡೆಯಲು ಸಾಧ್ಯವೇ?

ಸ್ಲಿಪ್ಡ್ ಡಿಸ್ಕ್ ಅನ್ನು ತಡೆಯಲು ನಿಮಗೆ ಸಾಧ್ಯವಾಗದಿದ್ದರೂ, ನೀವು ಅದನ್ನು ಪಡೆದುಕೊಳ್ಳುವ ಸಾಧ್ಯತೆಗಳನ್ನು ಕಡಿಮೆ ಮಾಡಲು ಪ್ರಯತ್ನಗಳನ್ನು ಮಾಡಬಹುದು. ಈ ಹಂತಗಳು ಹೀಗಿವೆ:

೧.ನಿಮ್ಮ ಸೊಂಟಕ್ಕಿಂತ ಹೆಚ್ಚಾಗಿ ನಿಮ್ಮ ಮೊಣಕಾಲುಗಳಿಂದ ಬಾಗುವುದು ಮತ್ತು ಎತ್ತುವಂತಹ ಸರಿಯಾದ ಎತ್ತುವ ತಂತ್ರಗಳನ್ನು ಬಳಸಿ.

೨ ಆರೋಗ್ಯಕರ ಬಾಡಿ ಮಾಸ್ ಇಂಡೆಕ್ಸ್ (ಬಿಎಂಐ) ಕಾಪಾಡಿಕೊಳ್ಳಿ.

೩ ದೀರ್ಘಕಾಲ ಕುಳಿತುಕೊಳ್ಳಬೇಡಿ, ಕೆಲವು ವ್ಯಾಯಾಮಗಳನ್ನು ಮಾಡಿ.

೪ ವ್ಯಾಯಾಮ  ಮಾಡುವ ಮೂಲಕ ನಿಮ್ಮ ಬೆನ್ನು, ಕಾಲುಗಳು ಮತ್ತು ಹೊಟ್ಟೆಯ ಸ್ನಾಯುಗಳನ್ನು ಬಲಗೊಳಿಸಿ.

೫ ಆಹಾರ ಸಮತೋಲಿತ ಆಹಾರ.

೬ ಸರಿಯಾದ ಸಮಯದಲ್ಲಿ ವೈದ್ಯರ ಸಹಾಯ ಪಡೆಯಲು.

ಸಾರಾಂಶ:

ಹೆಚ್ಚಿನ ಡಿಸ್ಕ್ ಸಮಸ್ಯೆಗಳು ಶಸ್ತ್ರಚಿಕಿತ್ಸೆಯ ಅಗತ್ಯವಿಲ್ಲದೆ ಪರಿಹರಿಸಲ್ಪಡುತ್ತವೆ. ಹೆಚ್ಚಿನ ಜನರು ಕಡಿಮೆ ಅವಧಿಯಲ್ಲಿ ಸಾಮಾನ್ಯ ಕಾರ್ಯಕ್ಕೆ ಮರಳಬಹುದು. ನ್ಯೂರೋ ವೆಲ್ನೆಸ್ ಕೇರ್ ಸರ್ವೀಸಸ್ ಬೆಂಗಳೂರಿನ ಸ್ಪೈನ್ ಸ್ಪೆಷಲಿಸ್ಟ್ ಕ್ಲಿನಿಕ್‌ನಲ್ಲಿ, ಬೆನ್ನುಮೂಳೆ ಮತ್ತು ಮೆದುಳಿಗೆ ಸಂಬಂಧಿಸಿದ ಸಮಸ್ಯೆಗಳಿಗೆ ನೀವು ಅತ್ಯುತ್ತಮ ಚಿಕಿತ್ಸೆಯನ್ನು ಪಡೆಯ ಬಹುದು.

ಡಾ ಗಣೇಶ್ ವೀರಭದ್ರಯ್ಯ
ಕನ್ಸಲ್ಟೆಂಟ್ ನ್ಯೂರೊಸರ್ಜನ್ – ಮಿದುಳು ಮತ್ತು ಬೆನ್ನುಮೂಳೆ

spinal stenosis

What is spinal stenosis?

adminNeurowellness, lower back pain treatment, Spine 198 Comments

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 andcausing 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.

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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.

Ganesh

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 

Book An Appointment

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 allneuro 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.

What you should know about disc prolapse at neck cervical PIVD

Neck Cervical PIVD: Causes, Symptoms & Treatment Options

adminSpine, Best Neurosurgeon in Bangalore 26 Comments

Cervical PIVD is a condition where a disc in your neck slips out and presses on nearby nerves. It can cause pain, stiffness, or arm numbness. Early treatment helps avoid surgery. This guide explains symptoms, diagnosis, and treatment options.

📍 Consult Dr. Ganesh, Neurosurgeon in Bangalore, for spine-related issues.

What Is Cervical Disc Prolapse (PIVD)?

Cervical disc prolapse, also called Neck Cervical PIVD, occurs when one of the discs between the vertebrae in your neck shifts out of its normal position and presses on nearby nerves. This can lead to pain, stiffness, or numbness in the neck, shoulders, or arms.

PIVD stands for Prolapsed Intervertebral Disc — commonly referred to as a “slipped disc” in the neck.

These discs act as cushions between the bones in your spine. When a disc bulges or ruptures, it can compress nerves or the spinal cord, triggering symptoms that range from mild discomfort to severe neurological problems.

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Symptoms of Cervical PIVD

Neck Cervical PIVD can cause a range of symptoms depending on how much the disc is pressing on the nerves or spinal cord. These symptoms can appear suddenly or build up over time — and are often mistaken for a pinched nerve or cervical spondylitis.

Look out for the following signs:

Common Symptoms:

ㆍPersistent neck pain, especially on one side
ㆍPain radiating from neck to shoulder, arm, or hand
ㆍNumbness or tingling in the fingers or arms
ㆍWeakness in the arms or hand grip
ㆍDifficulty turning the head or tilting the neck
ㆍHeadaches starting from the back of the neck
ㆍMuscle spasms or stiffness
ㆍIncreased pain after sitting, driving, or looking down

Causes & Risk Factors of Neck Cervical PIVD

Cervical PIVD (Prolapsed Intervertebral Disc in the neck) is commonly caused by disc wear and tear, sudden neck movements, or long-term poor posture. The risk increases with age and lifestyle habits that weaken spinal structures.

Common Causes:

ㆍ Age-related disc degeneration
ㆍ Lifting heavy weights improperly
ㆍSudden neck movement (e.g., whiplash from accidents)
ㆍProlonged sitting with poor posture (IT professionals, drivers)
ㆍWeak neck muscles due to inactivity
ㆍSleeping without neck support

Risk Factors:

ㆍRepetitive neck strain (tech jobs, phone use)
ㆍFamily history of spine issues
ㆍObesity (adds strain to cervical spine)
ㆍSmoking (reduces disc nutrition)
ㆍDiabetes (affects nerve health)

How Is Cervical PIVD Diagnosed?

Diagnosing Neck Cervical PIVD involves a combination of clinical evaluation and imaging tests to accurately identify the location and severity of the disc problem.

1. Clinical Examination

Your doctor will assess:

ㆍNeck movement and range of motion
ㆍMuscle strength and reflexes
ㆍSensory loss or numbness in the arms/hands
ㆍSigns of nerve compression

2. MRI Scan

An MRI (Magnetic Resonance Imaging) is the most accurate test to visualize:

ㆍBulging or herniated discs
ㆍNerve root compression
ㆍSpinal cord involvement

3. Nerve Conduction Studies / EMG(If needed)

These tests check how well electrical signals travel through your nerves and muscles—useful in cases where symptoms are unclear or widespread.

Want to know what happens during your first neurosurgeon visit?
Click here → First Visit to Neurosurgeon – What to Expect

Treatment Options for Cervical Disc Prolapse (Neck Cervical PIVD)

The treatment for Neck Cervical PIVD depends on the severity of your symptoms and how much the disc is pressing on surrounding nerves. Most cases do not require surgery and respond well to a combination of rest, therapy, and lifestyle changes.

Non-Surgical Treatment Options

TreatmentDescription
Rest & MedicationShort-term rest with anti-inflammatory medication to reduce pain and swelling
PhysiotherapyPosture correction, neck muscle strengthening, cervical traction if needed
Collar SupportTemporary use of a cervical collar to limit motion and support healing
Injections (if severe)Epidural steroid injections or nerve blocks to relieve severe nerve pain

Avoid prolonged cervical collar use without prescription.
Learn more :  Cervical Collar Use Guide

Surgical Treatment (Only if Necessary)

In rare cases where non-surgical treatments fail or if symptoms worsen (e.g., muscle weakness, nerve damage), your neurosurgeon may recommend:

ㆍMicrodiscectomy – Removing the herniated part of the disc
ㆍCervical decompression or fusion surgery – To relieve spinal cord or nerve root pressure

✅ Surgery is considered only when pain is disabling or neurological deficits progress.

Ganesh

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 

Book An Appointment

When Should You See a Doctor for Neck Cervical PIVD?

While mild neck pain may go away with rest, symptoms related to Cervical PIVD should never be ignored—especially if they involve the nerves. Early consultation can prevent permanent nerve damage and reduce the chances of needing surgery.

Consult a Neurosurgeon Immediately If You Have:

ㆍPain radiating from neck to shoulder, arm, or fingers
ㆍNumbness, tingling, or burning sensation in your hands
ㆍWeakness in grip strength or arm movement
ㆍDifficulty holding objects or fine motor tasks
ㆍSymptoms lasting more than 7 days despite rest
ㆍBalance issues or spinal cord compression symptoms

Don’t wait until it worsens. Early diagnosis = Faster recovery.

Book a consultationwith Dr. Ganesh, Senior Neurosurgeon at Neurowellness, Bangalore.

FAQs

1. What is cervical PIVD?

Cervical PIVD (Prolapsed Intervertebral Disc) is a condition where a disc in the neck region bulges or herniates, pressing on spinal nerves.

2. How long does cervical disc prolapse take to heal?

With proper treatment, mild to moderate cases heal within 4–6 weeks. Severe or chronic cases may require long-term care.

3. Can cervical PIVD cause arm pain or numbness?

Yes. A prolapsed disc in the neck often presses on nerves that travel down the arm, leading to tingling, pain, or weakness.

Heal your headache

7 Tips to Heal Your Headache

adminBest Neurosurgeon in Bangalore, Headache specialist doctor near me, Neurowellness 15 Comments

If you are suffering from headache and looking to heal with Headache Specialist in Bangalore then you are on the right page. In this article, you will get 7 tips to heal your headache but before we jump to tips let’s understand some important information about the headache.

How Medical Define Headache?

The medical definition of “headache” is a pain in the head, which is located in the front, side, back of the head, and neck.

Let me quote the definition of Wikipedia –

“Headache is the symptom of pain in the face, head, or neck. It can occur as migraine, tension-type headache, or cluster headache. There is an increased risk of depression in those with severe headaches. Headaches can occur as a result of many conditions.”

Headache

Headache is classified mainly into two categories: Primary and secondary.

A primary headache is usually benign and longstanding. Common primary headaches are migraine and tension-type headache. They have typical features – Migraine, tends to be pulsating in character, affecting one side of the head, associated with nausea, disabling in severity and it usually lasts between 3 hours and 3 days.

7-Tips-to-cure-your-headach

Secondary Headache: This may be caused by problems elsewhere in the head or neck. Some of these are not harmful, such as cervicogenic headache (pain arising from the neck muscles). Medication overuse headache may occur in those using excessive analgesics or other medication for a headache.

Serious causes of secondary headache include brain tumours, stroke and brain hemorrhage. Patients having a very severe headache, thunderclap headache or sudden change in the pattern of long duration headache or having associated symptoms like vision loss, frequent vomiting, seizures and drowsiness may have a serious disease. This type of headache requires a brain scan (CT or MRI Scan). It may also require surgery depending on the pathology. Brain tumour biopsy or surgery may be required to know the tissue diagnosis or to relieve the headache and other associated neurological symptoms.

Why do we get headaches?

There are perceptions that headaches are a pain that originate from the brain. By the way, that is not the case because while the brain makes us a sense of pain in different parts of our bodies, it is unable to feel any pain itself.

So the pain we feel when we get a headache usually initiates from the nerves, blood vessels, and muscles that cover our head and neck.

7-Tips-to-cure-your-headach

Actually, we feel pain when these muscles or blood vessels expand, contract, or go through other changes that activate the nerves around them to send a pain signal to the brain. If you wish to know more please visit a Headache Specialist in Bangalore.

What causes headaches?

There are many different reasons of headaches. Some of the most common triggers include stress, dehydration, computer or TV fatigue, loud music, smoking, alcohol, caffeine, hunger, sleeplessness and eye strain. Each type of common headache pain varies in intensity, location, for example, the top, back, or front of the head, and duration.

Sometimes hormonal changes could trigger a headache—for example, the dreaded period headache! Some kinds of headaches, like migraines, could also be hereditary which can be treated by a Best doctor for migraine in Bangalore. Stress and anxiety may trigger some people’s headaches, and some seem to have no apparent cause.

7 Tips to Heal Your Headache

Now that you are aware of Headache and its causes here you get 7 Tips to Heal Your Headache

1. Take Analgesic/pain killer after consulting the Neurosurgeon in Bangalore

In this article, all tips belong to writer experience and written for sharing information but please consult a Neurosurgeon in Bangalore before taking pain medications including the most commonly used paracetamol. Let me help you understand about paracetamol – It is very common pain reliever medicine but it has some side effects such as stomach upset – nausea and vomiting over usage can cause liver damage.

medicine

Next common medicine used by the common man is aspirin. People with stomach ulcers or on blood thinners such as warfarin (Coumadin) should not take aspirin. Alcohol use increases the risk of bleeding. People older than 60 years and those with kidney problems should not take aspirin unless advised by their Headache Specialist in Bangalore.

2. Try Heating Pad or Hot Compress

If you have a headache due to tension, the doctor may advise – a heating pad on your neck or the lower back of your head. If you have a sinus headache, hold a warm cloth to the area that hurts. A warm shower might also help.

Hot Compress

3. Dim the Lights

If you stay in Bright or flickering light like long work duration in front of computer/laptop screen, can cause headaches. If you’re prone to lighting devices, use the best quality eyeglasses or wear sunglasses while going outdoors.

Dim the Lights

4. Try Head Massage

Your neurosurgeon in Bangalore may advise the best cure but a few minutes of massaging your forehead, neck, and temples can help ease a tension headache, which may result from stress. Or apply gentle, rotating pressure to the painful area.

5. Avoid Stress

Stress leads to many health issues and headache is one of them. Stress is nothing but the body’s response to a challenge or demand. Everyone experiences stress, which can be triggered by a range of events, from small daily hassles to major life incidents like family issues, toxic relationships, and divorce or job loss. Try to be punctual on your healthy diets and good sleep.

Avoid Stress

6. Call Your Headache Specialist in Bangalore

Headache may lead to many neurological problems – for example, if you suffer from chronic headaches and can’t find relief with normal medications, you might be experiencing cervicogenic headaches.

concernA headache that gets worse even after you take pain medications so if you have an immediate health concern, don’t wait weeks to book an appointment with the best Headache Specialist in Bangalore.

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

Please visit

NeuroWellness
Brain and Spine Clinic
#1224, Ground-Floor, 26th Main, Jayanagar 9th Block
BANGALORE – 560069

Phone No
72596 69911
73490 17701

Website www.neurowellness.in

Facebook www.facebook.com/neurowellness.in/

Disclaimer: This information is not meant to be a substitute for professional medical advice. The reader is advised to always seek the advice of a physician prior to changing any treatment or to receive answers to questions regarding a specific medical condition.

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