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Best Cervical Pain Doctor in Delhi, Meerut and NCR

Let us learn about treatment of cervical spondylosis, neck pain, cervical radiculopathy, and recovery after cervical spine surgery from the best Neurosurgeon in Delhi, Meerut and western UP, Dr. Amit Bindal.

Seek immediate help for treatment of cervical pain, surgery for cervical slip disc, endoscopic surgery for cervical slip disc from the top Spine surgeon in Delhi and Meerut, Dr. Amit Bindal at Bindal Brain and Spine Clinics, Meerut, who has more than 15 years of expertise in spine surgery at affordable prices and best possible outcome.

Cervical Radiculopathy

What is cervical spondylosis?

Neck Pain

As we age a process of wear and tear occurs in our whole body.

The same wear and tear and ageing also occurs in the cervical spine. These changes include degeneration of disc in the neck, herniation of cervical disc and also bony overgrowth in the cervical vertebrae known as osteophytes.

These changes in the cervical spine which occur due to normal ageing process of the cervical spine are called cervical spondylosis.

Which patients are affected by cervical spondylosis?

Usually the features of cervical spondylosis and resultant symptoms occur after the age of 40 to 50 years and more so after 60 years of age, but these days due to increase in sedentary lifestyle and also greater work on the computers and laptops, it is commonly seen in youngsters nowadays.

What are the symptoms of cervical spondylosis?

Cervical spondylosis can cause pressure over nerves and may result into following symptoms:

  • Neck pain
  • Pain, radiating to both the shoulders.
  • Pain in the lower part of back of head also known as occipital pain.
  • Pain, radiating down to one or both arm and forearm also known as cervical radiculopathy.
  • Tingling and numbness or pins and needles sensations over the affected area or affected upper limb.
  • Sometimes when the symptoms are severe, it may result into a condition known as cervical myelopathy.

What is cervical radiculopathy?

Sometimes due to changes in the cervical spine like cervical spondylosis the osteophytes or the degenerated desk or herniated disc impinges and compress over the nerve roots.

In these cases pain, radiates down one upper limbs over the arm and forearm. This radiation of pain is called cervical radiculopathy.

The symptoms may also include tingling and numbness, paraesthesias, pins and needle over the affected area.

Rarely there maybe weakness of one arm or hand. The most common levels involved are C5/ C6 and C6/ C7.

Any patient having symptoms of cervical radiculopathy must see a neurosurgeon and get investigated and must get treatment.

What is cervical myelopathy?

In cervical myelopathy, the spondylosis changes become so gross and widespread that they start compressing upon the spinal cord, and thus the symptoms start affecting lower limbs as well as abdomen and trunk.

The patient may experience pain and tightness over the trunk and both lower limbs. He may face difficulty in walking with numbness of both lower limbs and sometimes difficulty in urine nation.

Which people or predisposed to have cervical cervical radiculopathy or cervical spondylosis?

As already said that the symptoms of cervical spondylosis a result of normal wear and tear of our body, so changes occur in many individuals, but in some individuals, the changes may be prominent because of the following reasons

  • smoking,
  • excessive alcohol intake
  • sedentary lifestyle
  • lack of exercise
  • obesity
  • continuous working for long hours over laptop or computer.
  • Poor  posture
  • prolonged mobile screen time.

Which doctor is ideal for the treatment of cervical pain?

A Neurosurgeon doctor is well trained to understand all the facets of neck pain and cervical spondylosis pain along with its treatment with medicines or operation if required.

When to visit a doctor for cervical pain?

Neck pain can have a variety of causes, and most of the time, a simple treatment will suffice. However, because early detection and treatment of serious diseases like tumors and slip disc are crucial, consult your doctor about your cervical pain if:

  • It is persistent and developing.
  • It’s unrelated to activities.
  • You have a history of cancer and experience new neck  pain that is worse at night.
  • Nausea, vomiting, or lightheadedness.

Seek immediate medical help if you experience:

  • Increasing numbness or loss of sensation to touch, hot, or cold
  • Not able to walk or walking with difficulty
  • Loss of urinary sensations or stools
  •  muscle weakness in your arms or legs
  • Changes in bladder or bowel function

How a cervical spondylosis or cervical myelopathy diagnosed?

cervical spondylosis

CT scan of the cervical spineThe most common and important investigation to diagnose cervical radiculopathy include MRI scan of the cervical spine.

Sometimes to look for osteophytes and extent of the disease x-ray of the spine is necessary. CT scan of the cervical spine is done to assess further the degenerative changes in the spine.

What is the treatment of cervical radiculopathy and cervical myelopathy?

Treatment of cervical radiculopathy without surgery?

The treatment of cervical spondylosis and cervical radiculopathy is mainly conservative, that is medical management is usually sufficient.

The treatment part includes some medicines which include analgesics, muscle, relaxants and nerve pain medicines. The treatment part also includes physiotherapy, hot fermentation and regular neck and shoulder exercises.

The patient is also encouraged to adopt healthy lifestyle which includes daily walking or yoga for 30 minutes, various yoga and other forms of exercises to maintain overall body health. Patients are also encouraged to stop smoking, excessive alcohol intake and to reduce weight.

Most of the time these measures suffice and the symptoms of cervical pain are relieved.

Most important thing to remember is that the cervical pain is an episodic and intermittent disease, which means that the symptoms of cervical spondylosis or not permanent, they come and go, they may come remain for 15 to 20 days or one month and then become better after treatment. After sometime the symptoms can recur.

So there is very important role of physical therapy. With the help of daily Yoga and exercises, the neck and shoulder muscles become strong and the cervical pain symptoms do not recur or occur at very infrequent intervals.

Surgical management of cervical radiculopathy and cervical myelopathy?

When is cervical spine surgery needed?

Majority of the patients of above mentioned symptoms get relieved by medical management only. But sometimes the symptoms do not improve. These Patients may need surgery.

Patients with herniated cervical disc will need surgery in the form of anterior cervical Dissectomy and fusion also known as ACDF.

The ACDF surgery is done from the front of the neck. In this surgery, the prolapsed disc material is removed and the empty space is filled with Bone Graft and it is fixed by applying a titanium plate with screws for stabilization.

The goal of the surgery is creation of the bone in the space left behind after taking out the disc.

Sometimes another form of surgery known as cervical laminectomy or cervical laminoplasty is required.

Another form of surgery is cervical disc replacement.

Your Neurosurgeon will analyse your symptoms and MRI findings and will device a treatment plan best suited to relieve your symptoms.

What to expect from cervical spine surgery in India?

A typical ACDF is done from front of the neck. A small horizontal incision of around 2 to 3 cm is used.

The typical hospital stay is around 2 to 3 days. You can expect to walk next day after surgery. You can go to washroom independently and you will not require any support for walking, by the time of discharge. You can expect to join back work in 3 to 4 weeks.

What is the success rate after cervical spine surgery?

The success rate for anterior cervical surgery is more than 95%

Aggravation of symptoms or aggravation of paralysis after surgery is rare.

What is the cost of cervical spine surgery?

We at Bindal Clinics believe in affordable health care for all.

Surgery for cervical myelopathy at Bindal Clinics costs around 80,000 rupees to one lakh rupees.

In big corporate hospitals in India this type of surgery costs anywhere between 2.5 lakh rupees and go up to 5 lakh rupees.

We operate with all the latest state of art gadgets like surgical Microscope, Endoscopic system, CUSA (cavitron ultrasonic aspirator), High Speed Drill system, neuronavigation etc.

Experience state-of-the-art treatment at Bindal Clinics

We want the best for your brain and spine health here at the Bindal Clinics in Meerut.

Schedule a consultation to discuss more about the cervical pain, pain in neck, cervical slip disc, with the best spine specialist doctor in Delhi and Meerut, Dr. Amit Bindal, who has more than 15 years of expertise in Spine surgery at affordable prices.

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