Orthopedic Treatment of Neck and Back Pain:
Excellent Consultation for Orthopedic Treatment
Spinalogy Clinic provides Orthopedic treatment of neck and back pain from the best orthopedic doctors in pune for all musculoskeletal problems such as neck, back, joint and bone pains. There are many spine and joint conditions that require detailed diagnosis and then proper treatment plan to cure the condition.
In case of Spine and Joint problems, we perform the following comprehensive assessments at our state-of-the-art orthopedic treatment center:
- Thorough History to find out early warning signals about deteriorating back and joint condition
- Postural assessment to detect any abnormality so that it can be corrected in time before it becomes fixed and irreversible
- Movement assessment of each spinal segment to find out early locking and stiffness due to mal-rotation or sub-luxation of vertebrae
- Trigger point identification to tackle them early
- Thorough neurological assessment of the limbs to detect any sensory or motor deficit
- X-ray of either low back or neck region depending upon need
- Consultation with Orthopedic Surgeon
- If any treatment is required - Guidance about the same
- Preventive plan guidance (if needed by the patient)
All-inclusive Orthopedic Treatment Plans
The treatment plan is decided as per your condition and the findings of the spine and joint check and diagnosis. Our Orthopedic surgeon would design the right treatment plan for your condition as per the Spinalogy Approach. The treatment plan is individually customized but follows general guidelines of our standardized treatment plans. These standards have been developed through scientific research studies and are evidence based. They cater to a set of findings that develop in these cases. The basic standardized plans offered are:
- Back 2 work:For early postural back, neck or joints pain.
- Spinacure: For with little advanced fixed structural spinal abnormalities.
- SpinaRehab: For those with neurological symptoms such as radiating pain.
- SpinaFit: For maintenance and prevention.
Spinal Injections to Provide Orthopedic Treatment
There are several types of spinal injections, often referred to as nerve blocks or root blocks and facet blocks. They may be used for both pain relief and diagnostic purposes. Spinal injections are usually administered using a live x-ray (fluoroscopy / Image Intensifier) for guidance. Common spinal injections include:
- Epidural Steroid Injection
- Facet Joint Injections
- Selective Nerve Root Block
- Caudal Blocks
- Medial Nerve to Facet Blocks
Administration of spinal injections is a brief procedure and would not require staying over at the orthopedic treatment center. The procedure does not take more than 15-20 minutes followed by a recovery period of around one hour. We usually do this procedure in nearby hospitals. It’s a daycare procedure. The steps that the patient would undergo for a spinal injection treatment are:
- Step 1: Prepare the patient
Patient can remain awake throughout the procedure. To reduce the anxiety level and make the patient comfortable, sedative drug may be used. He is then induced with a local anesthetic with his face upside down. This position helps to make the skin numb before the injection is given to the patient. During this procedure, sometimes IV sedation is used and in case of elderly patients, their blood pressure, heart rate and breathing are monitored.
- Step 2: Insert the needle
With the help of an image intensifier, which is basically a specialized X-ray device, the doctor penetrates a hollow needle through the skin and your back muscles to the sensory nerves that are located in the epidural space/facet joints. The doctor can watch the needle through the Fluoroscopy on the X-ray monitor to ensure that the needle reaches to a particular intended area as required. To comfort the entry, contrast can be injected into the space. This may cause some unsettling feeling to the patients and they could feel more pressure than pain.
- Step 3: Inject The Medication
Once the doctor has ensured that the needle has reached the correct position, he injects corticosteroid and/or anesthetic and/or other medication in the patient's facet joint capsule/ epidural space. Later on, the needle is removed. Depending on the location of the pain, needle can be injected at one or more places.
In case of radiofrequency blocks, instead of injecting local anesthetic, radiofrequency probe is placed near to the intended area of block and then the probe is heated with RF generator.
Most patients can walk around immediately after the procedure. After being monitored for a short time (approximately an hour), you can usually leave the clinic. However, someone must drive you home. Typically patients resume full activity by the next day. Soreness around the injection site may be relieved by using ice and taking a mild analgesic that would be prescribed to you.
Follow up appointments would be usually scheduled after 7 days of the administration of the injection. You would be reevaluated and the progress would be noted. The follow up session would depend on your condition, orthopedic treatment plan, and progress. You will need different sessions such as physiotherapy or complementary therapy based on the diagnosis and treatment plan. Care Manager would guide you about the same.
Non-Surgical Orthopedic Treatment with Ozone Therapy
Medical Ozone is produced from medical grade oxygen with the use of high voltage electrical discharge. When compared to surgical dissectomy, success rates of medical ozone can be estimated to 88% according to the research. Thus, many orthopedic surgeons recommend this treatment. Nucleus pulpous, a jelly like material, fills 50-60% of intervertebral discs. As a result, the disc starts shrinking and mummifies, which is equivalent to surgical dissectomy, and hence, the procedure named as “Ozone Dissectomy” or Ozonucleolysis.
In case of prolapsed slipped disc- Ozonucleolysis procedure can be carried out by injecting Ozone in to the intervertebral disc-proteoglycan in that ozone bridges and they were broken down results in shrinking of discs and finally they are no longer capable of holding water. The cost of Ozonucleolysis is less compared to surgical dissectomy. These non-surgical interventions enhance speedy recovery as compared to surgical interventions.
Ozone for Interventional Pain Management:
Ozone therapy shows remarkable recovery in various conditions like rheumatoid arthritis, systemic lupus erythemoatosis, scleroderma, polymyositis/fibromyositis and also in disc prolapse. Ozone can be administered through different modalities like inhalation of ozone/air mixture, treating ulcers, dressing wounds depending on nature of existing conditions. Molecular ozone is not safe. Ozone therapy is contraindicated in pregnancy, any active bleeding, and active hyperthyroidism.
Patients can move around immediately after the procedure. Ozone therapy enhances speedy recovery process. You can effortlessly resume to work after this therapy. This cost-effective procedure minimizes process of prolonged recovery.
Physiotherapy sessions were awesome. If and when I run again its all thanks to the coolest doctors I have ever met. Dr. Kiran and Dr. Shweta You ladies rock !!!
Excellent treatment! The step by step approach was superb. The amount of attention given was fantastic. Also, Dr. Franklin’s patient explanations were fantastic. Great Job. Glad I came here. Cheers !
I came to this beautiful place to get my back and knees treated. I was of two minds whether to for surgery or therapy. I am very happy I did not go under the knife. I got my smile back. I will continue to visit the clinic not as a patient but as a friend. Best of wishes.
Very friendly, warm and professional treatment! Keep it up
Dear Kiran, We made a family bond here. It is so nice to be here and getting treated from professionals like you people. I should appreciate Reena, Sagar, Kiran P and others who had helped us throughout the course. It was fantastic and ultimate to meet you guys here and I’m really happy about the back pain treatment. Thank you for all for priceless advice and care due to which I can feel happy about my spinal, postural health and progress in maintaining good pain free life.