Services

Back pain is a very common symptom.Almost everyone in his or her life experiences it some time.There are many causes of low back pain from a simple muscle sprain which is the most common cause to a serious cause like spinal tumour, which is a very rare cause.So, lumbar spinal sprain, minor trauma, spondylosis, disc herniation (slipped disc), osteoporosis, spondylolisthesis (one vertebra slipping over another), sacroiliac joint pain is some of the common reasons.In our spine clinic we need to diagnose the exact cause of back pain and to decide whether it is serious or not serious.It is advisable to let us as doctors decide about it. Right?Yes. True. But there are some red flags which everyone should know about back pain. This is because back pain is a very common symptom and frequently it is self-treated with pain killers.As a general guideline...and it is only a guideline...you have to answer the following questions about your back pain.And if one or more of the answers are affirmative, you need to take the pain seriously, at least till things are ruled out, and consult a neurosurgeon.So, following are those questions about your back pain:1. Does it wake you upat night?2. Are you running fever with back pain?3. Is it not getting relieved by simple over the counter pain-killers?4. Do you have a history of having been treated for any sort of cancer in the past?5. Is it progressively and rapidly increasing in intensity over the period of a few days?6. Does changing position increase it severely?7. Is your pain associated with rapid weight loss?8. Is there history of trauma to back before the pain started?It does not necessarily mean that if one or more answers are “yes”There is always a cause for worry. It only tells you to check out.

Stitchless spine Surgery technique- Revolutionary technical advance for sciatica and low back pain.Mr. Khadilkar was suffering from severe pain in the right buttock, thigh and leg for more than three months. This pain was severe enough to cause hindrance in his busy schedule of an architect. He had undergone open spine surgery about eight years back for similar complaints. That time there was a disc prolapse at L4-5 level of his lumbar spine. The recent MRI of his spine was showing a prolapse at L5-S1 level (One level below) as well as recurrent disc herniation and nerve root compression at L4-5 level.He could not believe his ears when he was informed that the nerve compression can be relieved without taking any incision on his back. However, the nerve roots at both the levels were decompressed by PLESS technique and he was back to work immediately.Mr. Khadilkar says,“As I have experience of both-the open surgery and endoscopy (PLESS), I can confidently comment about how effective and beneficial the endoscopic procedure is. In fact, as there was no incision and muscle cutting, I did not feel that I have undergone any ‘surgery’ as such. It was like a small procedure which relived me of my severe sciatica.”Prashant Bharat is another example. “I was lifting up some heavy object when there was severe pain in my low back and buttocks. This was followed by severe leg pain and numbness. The local doctor advised rest, traction and medicines but my pain increased. I was not able to walk. I did not want open surgery which would cut through my muscles and bones. When I heard about this new technique, I contacted Dr. Jaydev Panchawagh who explained to me that the disc can be removed without any skin incision.When I got admitted for surgery, I was not able to walk and had to go on a wheelchair, but on the very next day after endoscopy, I was up and about like nothing had happened and till today am totally symptom free, doing quite vigorous work. I sincerely think that this option should be known to the public at large.

The central portion of the spine has a canal where spinal cord is located.The cord itself ends at around L1 level (below the middle portion of the spine).Below this level, the canal is occupied entirely by bunch of roots (This portion looks like Cauda Equina-“Horse tail’).Stenosis means narrowing and spinal canal stenosis literally means that this canal, housing the cord or the nerves, is narrowed. This gradual narrowing happens as a result of the degeneration of both the facet joints and the intervertebral discs. The osteophytes, which develop in the degenerative disc disease, encroach inside the spinal canal or the root canal. These are called respectively as canal stenosis and lateral recess/ foraminal stenosis.When we stand or walk, our legs need more nerve impulses flowing through the spinal roots. This, in turn increases the need for blood supply to the area inside the spinal canal.Whenever there is increased need of oxygen and sugar for the Cauda-equina (nerve roots), normally blood vessels in the spinal canal distend to allow more blood flow. In canal stenosis, these vessels can not distend due to lack of space. The nerve roots, resultantly, suffer form the lack of oxygen & glucose and start to dysfunction. This is when the symptoms like pain, numbness or weakness appear in one or both the legs. As soon as the person stops walking/ Running etc, the need for the oxygen & glucose goes down and the symptoms slowly subside. The person can then again walk for sometime.So, to summarize the symptoms, usually, there are no symptoms when a person starts walking, running etc. After a certain distance, there is one or more of the following numbness, weakness, heaviness, tingling pain in one or both the lower limbs. The person has to stop walking and rest. The symptoms subside and he can walk without a symptom is called ‘Claudication’ distance. As the stenosis progress, this distance reduces. Finally, a stage comes when the person can barely walk for 2 to 3 minutes.Any position, which increases the diameter of the spinal canal, reduces the symptoms. Flexion (Bending Forward) of the spine alleviates the symptoms, as it increases the diameter of the spinal canal. (e.g. Person who can hardly walk for 5 minutes can ride a bicycle in bending forwards posture for half an hour.)I have known a senior police officer who had symptoms even on standing. When on duty, he had to bend down on pretext of tying shoe laces. This bending down would then relieve his pain.TreatmentIn initial stages, exercises to strengthen the flexor muscles of the lower spine (Mainly Iliopsoas and abdominals) are useful. Doing only stretching exercise like yogasanas without strengthening muscle exercise is the commonest mistake seen especially in India.As the disease advances Neuro Surgical decompression of the affected area is essential. This should be done in the disease which is progressively increasing and has reached moderate severity. On ocarinas, when there is instability, instrumental fixation may be required.Delaying surgery when it is necessary can have adverse effects on the nerve roots.(Alternative medicine treatments should be attempted logically and intelligently. Not fanatically. Very few of them are, actually, really proven by modern scientific methodology.)

Meet our doctor

Dr. Jaydev Panchawagh

Brain and Spine surgeon

+91-7720948948

Dr. Jaydev Panchawagh is internationally renowned brain and spine surgeon in India. He has been active in the field of neurosurgery for the past 20 years. At present, he is Head Of Department of Neurosurgery at Deenanath Mangeshkar Hospital and Research Centre, Pune,which is a 1000 bedded Super specialty Hospital and is one of the largest private institutions in Maharashtra, India. He has successfully treated many patients for challenging and complicated neurological conditions like trigeminal neuralgia, hemifacial spasms, micro vascular decompression surgery, base of skull tumours, pituitary adenomas, intracranial aneurysms etc. Dr. Panchawagh is a recipient of the prestigious KWP-excellence award for outstanding work in neurosurgery in 2007.

Testimonials

When I consulted Dr. Jaydev Panchawagh in his Neurosurgery OPD, he explained to me that the disc can be removed without any skin incision.

Prashant Bharat

Mr. Khade says, “As I have experience of both-the open surgery and endoscopy (PLED), I can confidently comment about how effective and beneficial the endoscopic procedure is. In fact, as there was no incision and muscle cutting, I did not feel that I have undergone any ‘surgery’ as such. It was like a small procedure which relived me of my severe sciatica.”

Mr. Khade

Latest Update

Young patient with severe sciatica....pain in the right leg. And weakness.Due to a large fragment of L4 5 disc prolapse (slipped disc) causing extreme compression of the nerve going to leg.Removed b

It's Done!!

Your appointment is confirmed

Doctor Name: Dr. Jaydev Panchawagh

Date & Time:

Contact: 7720948948

Address: 1st Floor, Near Patwardhan Baugh Cdss Cummins Erandawane, Bhagyatara, Mehendale Garage Road

Appointment details has also been shared with you on your mobile number 7720948948. Please arrive atleast ten minnutes ahead of the scheduled time.

It's Done!!

Your appointment is confirmed

Doctor Name: Dr. Jaydev Panchawagh

Date & Time:

Contact: 7720948948

Address: 1st Floor, Near Patwardhan Baugh Cdss Cummins Erandawane, Bhagyatara, Mehendale Garage Road

Appointment details has also been shared with you on your mobile number . Please arrive atleast ten minnutes ahead of the scheduled time.

Success

Book Appointment Ask anything

Doctor is not available right now.

Purpose

Morning

    Afternoon

      Evening

        Your enquiry
        Your mobile number/email address
        BOOKING DETAILS
        Patient Name
        Mobile Number
        Email id
        Notes