The World Of Neurosurgery And Neurosurgeons – All You Need To Know About It!

Most people equate neurosurgery with brain surgery, but it involves so much more!

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It is a medical specialty that deals with the diagnosis and care of patients who have injuries, diseases/disorders of the brain, spinal cord, spinal column, and peripheral nerves in all parts of the body. Adult and pediatric patients are also treated in the neurosurgical specialty. A neurological surgeon may provide surgical and/or non-surgical treatment, depending on the nature of the injury or disease. Dr. Kalyan’s Hospital which is one of the best brain specialist doctor in Hyderabad provides all services.

Who is a neurosurgeon?

 

A neurosurgeon is a trained doctor who specializes in neurosurgery. Neurosurgeons are specially qualified neurosurgical professionals that may support patients suffering from back and neck pain and a variety of other conditions such as trigeminal neuralgia, head injuries, and Parkinson’s disease. Neurosurgeons treat neurological diseases, both operatively and non-operatively (i.e., prevention, diagnosis, assessment, treatment, critical care, and rehabilitation). We have the best neurosurgeons in Hyderabad who have specialized experience in diagnosing all neurological diseases, they are often consulted by emergency room physicians, neurologists, internists, family practitioners, and osteopaths.

Dr. Kalyan, who is renowned to be the best neurosurgeon in Hyderabad now makes it easy as he introduces this new technology. So far Dr. Kalyan has been a top notch spinal cord specialist also known for his brain surgeries but as he enters this field the best is awaited for.best neurosurgeon in Hyderabad

A very common misconception is that neurosurgeons only operate on the brain. They devote much more time to spine conditions and procedures than they do to brain conditions and procedures. We have some of the best spine specialists who deal with back pain, neck pain, sciatica, herniated discs, degenerative diseases of the spine, cerebrovascular disorders, brain and spinal tumors, and stroke are conditions that neurosurgeons treat. They also treat problems that show symptoms in one area of the body but are ultimately linked to a disease in the central nervous system since the nervous system stretches from your brain all the way to your spine, and then your nerves branch out into your entire body. Carpal tunnel syndrome, for example, maybe caused by a problem with the cervical spine (neck area). Neurosurgeons usually use non-operative recovery plans before undertaking surgery, even though they can perform extremely complex surgeries. Where surgery is necessary, minimally invasive procedures are used wherever possible. When a patient has a brain or spinal cord injury, our best neuro-spine surgeons from Hyderabad are also on call for emergency room doctors.

Degree and Training : 

The training and education of a neurosurgeon are the most extensive of any medical profession. 

Their education consists of the following:

You must have completed a four-and-a-half-year MBBS (bachelor’s degree) followed by one year and six months of mandatory training. A three-year MS in neurosurgery course is also required.

To become a neurosurgeon after MS neurosurgery, a five-year M.ch in neurosurgery as a super specialization is needed.  Many people then do a fellowship to specialize in spine surgery, pediatric neurosurgery, or peripheral nerve surgery. Although you will come across many brain doctors in Hyderabad, ours will astonish you with their services. 

What Does a Neurosurgeon Do?

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Neurosurgeons spend a lot of time consulting with other physicians in different cases because these doctors are literally the most experienced and highly qualified experts in medicine. They also have their own set of situations, each with its own set of difficulties. While not all of these cases will necessitate surgery, the majority of them will. They also provide with the best pediatric neurosurgery

  • Neurosurgeons treat a variety of neurological conditions, including:
  • Back pain in the lower back
  • Disorders of the peripheral nervous system (issues with nerves that carry messages to and from the brain)
  • Tumors of the brain
  • Carpal tunnel syndrome (CTS) 

For those who want to get any kind of brain surgeries or treatment done, don’t feel afraid to contact us, we have the best brain doctors in Hyderabad and also specialise in neurosurgery. We also have experienced neuro spine surgeons. These qualities make us one of the best brain specialist hospitals in Hyderabad.

Teamwork And Discipline – The Key To Successfully Manage Neuro-Spine ICU Patients

The most seriously ill admitted patients are cared for in intensive care units (ICUs). While interprofessional teams are increasingly used in ICUs to provide critical care, little is known about actual teamwork in this setting. To be one of the  we have to aim to achieve the best in managing our neuro ICU patients. Neurocritical treatment, also known as neurointensive care, has evolved due to new knowledge, policy and management, developments in imaging and testing methods, and, most importantly, the implementation of neuro intensivists and neuroscience intensive care units require the best neuro-spine surgeons and top notch neurosurgeon in Hyderabad.

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Different treatment models exist, but the concepts and requirements of neurocritical care are the same, whether delivered in a specialist unit or a general intensive care unit (ICU). The entire staff works together in neurocritical care units, where they take care of the most difficult patients who are on the verge of dying. Their experience is founded on the fact that they have had over 1,000 patient interactions every year for the past 12–15 years. Teamwork is an essential quality that each member of Dr. Kalyan’s team working in the ICU has. This is what makes them the best specialists in Hyderabad. It is important to keep in mind the following conditions before making a CCU team.

 

  • Creating a core group: Several neuro intensivists should be present in a well-run neurocritical care program. Neurocritical treatment necessitates the presence of teams with expertise in dealing with neurological and neurosurgical emergencies 24 hours a day, seven days a week. Since the nervous system is so important, neurocritical care teams must be familiar with the particular aspects of acute neurological disease processes and the effects of medical and surgical procedures on the injured brain. Our team has the best neurosurgeons who are goal oriented and work hard to give the best.

 

  • Building a collaborative practice: Only a multidisciplinary integrated approach enables neuro intensivists to work. The neuro intensivist provides input from several health practitioners, including neuroscience nurses, physical therapists, and pharmacists. Patients who have had an acute stroke should be referred to a multidisciplinary stroke clinic, and patients who have survived status epilepticus should be referred to an epilepsy specialist. We have spinal cord specialists who look into severe spinal injuries separately. 

 

  • Stabilizing acute brain injury by minimizing secondary insults: Acute brain injury activates a host response, which leads to a cascade of biochemical and inflammatory reactions. Some initial injuries (such as trauma) cannot be treated with direct treatment, but others can (such as ischemic stroke). However, in many patients, early active intervention to reduce secondary insults enhances the outcome trajectory. Increased intracranial pressure, mass impact, and brain change must all be managed, as must systemic complications, including fever, hypotension, hypoxemia, and hyperglycemia. Hypoosmolar fluids, sedation, and surgical procedures that can wait (such as tracheostomy) should all be avoided. Neurocritical treatment is as much about diligent systemic physiological optimization as it is about individual brain-directed treatments, so it’s critical to get the little stuff correct. Only someone who is given a good training at the best brain specialist hospitals among the top notch brain specialists can do all of this.

 

  • Focusing on the quality of survival instead of just survival: Experience and seniority are required to assess proportionality in treatment. The basic tenet addresses acute conditions as quickly as possible since reducing second insults reduces residual impairment. This strategy would invariably result in us preventing death at the cost of living with a serious disability. This disagreement necessitates a cautious clinical judgment that addresses all variables. At Dr. Kalyan’s clinic our first  priority is to give you the best brain and spine services at our hospital to remain one of the best neurosurgeon specialist in Hyderabad. 

For those who want to get any kind of brain surgeries or treatment done, don’t feel afraid to contact us, we have the best brain doctors in Hyderabad and also specialise in neurosurgery. We also have experienced neuro spine surgeons. These qualities make us one of the best brain specialist hospitals in Hyderabad.

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Program Leadership Qualities :

A well-coordinated and integrated interdisciplinary team is essential for a high-quality neurocritical care unit to work. As a result, at both a Level I and Level II unit, the neurocritical care facility should have its own administrative unit and financial resources, as well as a committed physician, nursing, and hospital executive leadership. Physicians, nurses, and hospital administrators should regularly meet to formally evaluate service demands, resource use, outcomes, and performance measures. With the inclusion of members from various disciplines, this group should be known as a standing committee within the hospital. The composition of an interdisciplinary committee should include representatives from different disciplines. Physicians, nurses, advanced practice providers (APP), clinical pharmacists, fellowship or training/education coordinators, respiratory therapists, case managers, social workers, nutrition services, recovery services, and other disciplines should all be represented interdisciplinary committee. The committee should be in charge of the organization’s day-to-day operations. The committee should be in charge of the unit’s organizational management and efficiency result control. A Level III unit should have service oversight from the key physician, nursing, and executive officials, as well as daily meetings to determine service needs. Still, it is not necessary to act as a separate administrative unit.

Neuronavigation In Brain Tumor Surgeries – A Revolution In The World Of Surgeries!

The ability to perform real-time intraoperative guidance during the brain and/or spinal surgery is known as neuro-navigation, also known as frameless surgery. In neurosurgery, this skill improves precision and protection. Who would have thought a day would come when this would be possible? Dr. Kalyan, who is renowned to be the best neurosurgeon surgeon in Hyderabad now makes it easy as he introduces this new technology. So far Dr. Kalyan has been a top notch spinal cord specialist also known for his brain surgeries but as he enters this field the best is awaited for.

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Neurosurgeries were already the most challenging among all surgeries undertaken on the human body. Neuronavigation is nothing but computer-assisted neurosurgery, which has become a reliable and popular choice for neurosurgeons worldwide.

In reality, such technology is quickly becoming the norm in neurosurgery. Without the use of external frames, such technology will direct the surgeon to the surgical targets. External metal spheres and internal landmarks are used in this technology’s localization.

In neurosurgery, the most essential function of frameless systems or neuro-navigation is in brain surgery. Only the best neurosurgeons can perform a surgery as complicated as this. The craniotomy can be limited due to this localization, and lesions such as brain tumors can be safely removed. As a result, devices have mainly been used for tumor resection. Such devices are handy for precisely localizing and resecting tumors near critical brain areas like the motor strip.

Stereotactic Surgery:

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Stereotactic brain surgery is a precise term. The surgeon is guided to a target inside the brain using photographs of the brain. This is also known as neuro-navigation. This technique can use an external frame attached to the head (frame-based surgery) or imaging markers attached to the scalp to orient the surgeon in his approach. A light-weight frame is fixed to the head using local anesthesia in frame-based stereotactic surgery. To locate the target about the external frame, the head is imaged using CT, MR, or angiography. 

On the other hand, frameless stereotactic surgery depends on external metallic spheres taped to the scalp until the brain is imaged. For the precise approach and removal of large brain tumors, frameless or image-driven surgery is highly beneficial. Being the best brain doctor in Hyderabad we offer you with these services.

Brain Tumor And Neuronavigation :

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Despite significant advances in brain tumor diagnosis and surgery, precise intraoperative location and tissue removal in many patients remains challenging. As a result, numerous navigation systems have been developed. Neuronavigation has become increasingly common in the treatment of brain tumors in recent years. In patients with a narrow tumor, surgical removal is still tricky. Patients with small and deep-rooted brain cancers, multiple tumors, or tumors found in the brain’s critical functional areas face difficulties in surgical removal. Our brain specialist neurosurgeons must contend with the possibility of causing severe neurological deficits and the problem of identifying and removing the lesion. The use of keyhole procedures and surgical microscopes decreases the amount of force used in operation. The use of keyhole procedures and surgical microscopes reduces the operation region’s size, requiring detailed data about the instruments’ actual location and distance from the lesion and a perfect orientation in the operation area. By introducing this advancing technology Dr. Kalyan is undoubtedly the best neuro spine surgeon in Hyderabad providing patients with latest trends.

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Neuronavigation is an efficient procedure that makes brain tumor surgery more effective. It enables proper orientation in the operating room, resulting in the safe and precise removal of intracranial neoplasms. For those who want to get any kind of brain surgeries or treatment done, don’t feel afraid to contact us, we have the best brain specialist doctor in Hyderabad and also specialise in neurosurgery.

CERVICAL DISC HERNIATION: SYMPTOMS AND TREATMENT

Our spine has 24 vertebrae, which are layered one upon another. Cervical spines are the seven small vertebrae that begin at the skull base. A cervical disc herniation is when the disc is pushed out/ herniates a nerve in the neck. The discs are the soft cushions between the spinal bones that allow for motion between the bones. After 30, the bones become brittle, and the outer layer may crack, causing soft inner material to leak. The pain from a disc herniation comes from the pressure and inflammation being contacted by the herniated disc material. A cervical herniated disc can be genetic, can be because of a sudden jerk or movement, age-related, or because or sudden strain.

Symptoms of cervical disc herniation 

  • The most severe and uncomfortable symptom of cervical disc herniation is pain. Pain is burning, stabbing and can cause discomfort. The pain radiates from the neck to arms.
  • Cervical disc herniation can cause numbness in the arms and also a weakness.
  • There can be tingling or a shock-like feeling that runs down your body into your legs.
  • Patients also complain of loss of balance and coordination.

Treatment modalities 

If you are experiencing any pain or discomfort or any symptoms mentioned above, there are many treatment options available. You just have to figure out the best neurosurgeon nearby. Most disc herniations heal independently without any medication, only with proper rest. If weakness is the chief complaint, it is a matter of concern and needs in-depth observations. If strength is not improving, surgery can be recommended.

  • Medication: Certain medications like Gabapentin and Lyrica may reduce nerve pain. Anti-inflammatory drugs can ease the nerve’s inflammation, the same as steroids, but they are not as strong as a steroid. But these medications should be taken on doctor’s advice.

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  • Surgery: The most common surgery for a disc herniation is a microdiscectomy. In this herniated disc fragment is simply removed through a small incision. 

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  • Physical therapy: Physiotherapy, like traction, can decrease the symptoms of herniation by reducing pressure on the nerve.

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  • Injections: Spinal injections are a type of epidural that places steroid medication on the herniated nerve. 3-4 shots of injection in several months can heal herniation.

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Summary

Your health is important to us. Cervical disc herniation can worsen if you are not cautious. Bending, twisting, jerks can worsen your condition. You should consult your neurosurgeon and start your treatment ASAP for quick recovery. Visit Dr. Kalyan Bommakanti, a top neurosurgeon in Hyderabad. Book an appointment now. 

WHAT ARE THE ERGONOMIC TIPS TO HELP WITH BACK PAIN ?

Back pain is a growing cause of health issues during the coronavirus pandemic. This is because of the nature of the job that needs 10-12hours of sitting, and this is also because we are too busy switching between tablets, smartphones, tv, and laptops, refraining outdoor activities, and sitting inside for hours. Sitting at a desk all day can eventually lead to pain or discomfort in your neck or back. According to research, lower back pain causes more global disability than any other condition, making it imperative for us to tackle.

Here I am suggesting 5 Ergonomic tips to Help With Back pain!

  • Move around every hour: Humans were never meant to be sedentary. Walking is the best exercise and it can eliminate many kinds of problems. Walk around in your room, go for a walk, take breaks. It can get you out of poor postures. Taking breaks from continuous sitting can reduce your back pain.

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  • Go for a walk at lunch: Your lunch breaks are the best time when you can have a brisk walk. Use it in some extra physical activity, a cycle ride, or even some yoga to stretch out your back and loosen up tight muscles. Make the best use of your lunch hours.
  • Learn about active sitting: Chairs like the HÅG H05 have in-built mechanisms, which means the chair moves naturally when the person is sitting. This stimulates oxygen and blood flow through the body and helps the person stay alert and energized during long work hours. This is active sitting, which means you can sit and still remain functional.

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  • Get a decent ergonomic chair: Your chair should be comfortable, with good back support and headrest. A good ergonomic chair has many adjustable components that provide a perfect sitting position. This can reduce your back pain and prevent any twist and turn to the spine or vertebrae.

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  • Exercises at work to help neck or back pain: Even while working, you can stretch out and relax. This prevents neck or back pain. You can go for finger points by stretching your hand and pointing fingers toward the floor and palm facing out. Use another hand to increase the stretch, pulling your fingers down and toward the body. You can also do a ‘big hug’ backstretch or neck retraction exercises.

Summary

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You should not wait for the correct time or for your condition to worsen. Instead, start taking precautions from day 1. Back pain can slow down your career and can harm your overall health. These five tips can surely help you with back pain and if you are still struggling, visit Dr. Kalyan Bommakanti, the best spine surgeon in Hyderabad.

WHAT ARE THE BEST STRETCHES AND EXERCISES FOR SCIATIC PAIN?

Sciatic pain is excruciating and unbearable, is caused due to ruptured disc or because any injury to the sciatic nerve. Stretching out and exercise can reduce the pressure and loosen the tight muscles and also relieve the compression on the sciatic nerve. There are many exercises for sciatic pain. The stretches and exercises should be performed under the guidance and instructions. Any twist or wrong move can worsen the pain and discomfort.

 

Here are the three best stretches and exercises for sciatic pain

Pelvic tilt

You can use a firm mattress or yoga mat for the exercise.

  • Lie on your back. Bend the knees and point your toes forward.
  • Pull your belly button in so your pelvis pushes toward the ceiling, and your back flattens against the surface.
  • Hold this position for 20 seconds, and then relax. Repeat the stretch for ten times.

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Back Flexion Stretch

Flexion exercise increases your spinal mobility, relieves the compression of the spinal and abdominal muscle, and also strengthens the muscle involved.

  • Lie on your back.
  • Gently pull your knees to the chest with both hands until a comfortable stretch is felt in the mid and lower back.
  • Slowly bring your head forward for a more advanced stretch.
  • Hold for 5 to 10 seconds and return to the starting position.
  • Repeat it 5-6 time

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Sciatic nerve glide exercise

This exercise reduces pressure on the sciatic nerve and helps relax the nerve.

  • Sit upright on a chair and straighten one knee while keeping your other foot flat on the floor.
  • Slowly bend your ankle so that your toes are pointing towards you.
  • Continue to bend your ankle back and forth, pointing your toes away from you and then toward you.
  • As tolerated, to put more tension on the sciatic nerve, try the same nerve glide with your head bent forward, bringing your chin toward your chest.
  • Pump your ankle up and down 15 to 20 times and then repeat the exercise with your other leg.

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Summary

Easy exercises that target the lower back and hips can reduce sciatica pain. Stretching should be done at an early stage to decrease the chances of worsening of pain. Exercise not only reduces pain but also strengthens the muscles and keeps the body flexible and strong. Sciatic pain is unbearable, but luckily you have many treatment modalities that can help you recover quickly without surgery. Staying active and stretching is the best way to reduce sciatic pain. If you are suffering from sciatica or any spinal disorder, visit Dr. Kalyan Bommakanti, the best surgeon for sciatica in Hyderabad. Fix an appointment now!