Dr Rahul Chaudhari-Best Spine Surgeon,Spine Specialist in PCMC,Pune

Dr. Rahul D Chaudhari is an Orthopedic-Spine Surgeon in Pune. He initially completed his, MBBS and MS orthopedic from KEM hospital Mumbai. Dr. Chaudhari received 3 years of specialized training in Spine speciality in USA. Dr. Chaudhari was trained in adult and pediatric spine surgery at Twin city spine center, Minneapolis and Hospital for Special surgery, New York. He is a fellow of Dr. Dennis and Dr. Boachie who are the world known spine surgeons. Further he received dedicated one year training in scoliosis surgery at Children’s Hospital, NewOrleans USA. Also Dr.Rahul Chaudhari published his research studies in International journals and also did podium presentations in International spine conferences.. For more info visit us at https://www.drrahulchaudhari.com/latest-updates/1?utm_source=facebookpage

SCIATICA / LUMBAR DISC PROLAPSE/ NERVE ROOT COMPRESSION/ DISC PROLAPSE / LUMBAR MICRODISCECTOMY / SPINE SURGERY :- A YOUNG FEMALE PRESENTED WITH SEVERE LOW BACK PAIN WITH LEFT LOWER LIMB WEAKNESS, RADICULAR PAIN AND TINGLING SENSATION. THIS IS A CASE OF LUMBAR DISC PROLAPSE / SCIATICA. ON MRI PATIENT IS HAVING HUGE L4-L5 DISC PROLAPSE WITH SEVERE NERVE ROOT COMPRESSION. EMERGENCY SPINE SURGERY WAS DONE AND L4-L5 MICRODISCECTOMY WAS DONE THROUGH SMALL HOLES. PATIENT IS NOW WALKING COMFORTABLY AND DOING ALL REGULAR ACTIVITIES. For more info visit us at http://www.drrahulchaudhari.com/latest-update/sciatica-lumbar-di/211?utm_source=facebookpage

SCOLIOSIS CORRECTION -

If we treat scoliosis in time we can get almost full correction and we get absolute straight erect spine.

Ignoring the scoliosis and waiting for it to become more severe is the biggest mistake

Surgical correction of the scoliosis is the only treatment to correct severe scoliosis and to make patient looks normal like any other child.

It has great psychological impact on patient development

With newer advances it is very much possible to correct spine curve with all safety measures

It boosts the confidence of the child

It never impacts the child working capacity in future.

There is no issues with s*x or pregnancy in future.

They all live very happy and meaningful life

Otherwise if we don’t do correction due to surgical fear, we tend to hamper the further psychosomatic development of the child.

Untreated child develop inferiority complex in their life.

They have trouble in their working as well as marriage life.. For more info visit us at http://www.drrahulchaudhari.com/latest-update/scoliosis-correction/204?utm_source=facebookpage

I had a major problem with my hand. I could not do any work with my left hand. I could not lift any heavy object. It was very difficult to rotate my neck to right side. whenever I used to start working I was getting neck pain and dizziness.
I am from Dhule. I consulted to our family doctor who prescribed some medicines to me. But it didn't help. Then we came to Pune at Hardikar hospital FOR Dr. rahul chaudhari sir consultation. I was advised to get cervical MRI and CT scan.
After checking my reports doctor told I have slipped disc at C5, C6, C7 with spinal cord compression. Because of which my hand was numb and paining.
Doctor advised me surgery. Within 8 days we
decided to get operated.
Dr Rahul Chaudhari performed my surgery. Post surgery I was on bed rest for two days and on third day I stared walking slowly. I was in hospital for 6 days. Post discharge my first followup was done after 8 days and later after one and half month. I was prescribed medicines and physiotherapy. Now I don't have any
pain.
Now I can do all my household works and I am able to travel as well.
Thank you Dr Chaudhari

Patient Diagnosis – C5-6, C6-7 disc prolapse with nerve root compression

Surgery - Anterior cervical discectomy and fusion C5-6, C6-7 For more info visit us at http://www.drrahulchaudhari.com/latest-update/c5/205?utm_source=facebookpage

Dr Rahul Chaudhari
Consultant Spine Surgeon -
CONDITIONS TREATED -
Degenerative conditions – Cervical, dorsal, lumbar
Disc prolapse / slipped disc - Cervical, dorsal, lumbar
Spine fracture
Infection in spine – Bacterial / TB / fungal
Back pain , Neck pain
Spine tumour
Spinal deformity – Scoliosis / kyphosis
Paediatric spine disorders

SURGICAL EXEPERTIES -
Microscopic discectomy
Endoscopic discectomy
Minimal invasive spine surgery (MIS)
Cervical disc replacement
Spine fixation / fusion – Dorsal / lumbar
Cervical laminectomy / decompression
Deformity correction – Scoliosis/ kyphosis
Anterior cervical discectomy and platting
Vertebroplasty / kyphoplasty
Pain management / Spine injections.. For more info visit us at http://www.drrahulchaudhari.com/latest-update/dr-rahul-chaudhari-c/206?utm_source=facebookpage

MINIMALLY INVASIVE SPINE SURGERY (MIS)(PERCUTANEOUS SCREWS FIXATION)
IDEAL FOR OBESE / OVERWEIGHT PATIENTS -
NEWER TECHNOLOGY

IDEAL FOR OBESE / OVERWEIGHT PATIENTS

NO ICU REQUIRED

DISCECTOMY / DECOMPRESSION/SPINE FIXATION –CAN BE PERFORMED EFFECTIVELY THROUGH SMALL HOLES.

NO MUSCLE CUTTING REQUIRED

RAPID RECOVERY

IMMEDIATE MOBILISATION

REDUCED RISK OF INFECTION

NO WOUND COMPLICATIONS.

GOOD FOR OSTEOPOROTIC FRACTURE PATIENTS. For more info visit us at http://www.drrahulchaudhari.com/latest-update/minimally-invasive-s/207?utm_source=facebookpage

Cervical Spondylosis :
Cervical spondylosis, also known as cervical osteoarthritis, is a condition characterized by the degeneration of the cervical spine (neck region) due to age-related changes in the bones, discs, and joints. It is a common condition that affects the cervical vertebrae, discs, and surrounding structures, causing various symptoms.

Symptoms:
Neck pain and stiffness: Often the most common symptom, the pain may radiate to the shoulders and arms (Radiculopathy in arms, hands, fingers)

Headaches: Cervical spondylosis can cause chronic headaches, particularly at the back of the head.

Tingling or numbness: Compression of nerves can lead to sensations of pins and needles, numbness, or weakness in the arms, hands, or fingers.
Reduced range of motion: The neck may become less flexible, making it difficult to tilt, rotate, or bend.
Muscle spasms: Involuntary muscle contractions in the neck and upper back can occur.

Non-surgical treatment: Initial treatment may involve pain management with over-the-counter or prescription medications, physical therapy, heat or cold therapy, neck exercises, and lifestyle modifications.

Advanced non surgical treatments -Spinal decompression(Spine MT) are pain free , non invasive treatments that can help to treat root cause without injections and surgery. For more info visit us at http://www.drrahulchaudhari.com/latest-update/cervical-spondylosis/208?utm_source=facebookpage

MEDICAL CAMP - BARAMATI. For more info visit us at http://www.drrahulchaudhari.com/latest-update/medical-camp-baram/203?utm_source=facebookpage

SCOLIOSIS TREATMENT PROTOCOL
Earlier we detect the spine curve better is the treatment.
Never ignore the minor curves because as child grows those curves become very
Severe
I always check patient clinically and then will do necessary xrays of the patient
On xrays we measure the curve angle and decide the severity of the curve
Curves less than 20 degree needs exercise and observation or may be bracing if
growth potential is significant.
Curves between 20 to 45 usually treated with spine brace to halt progression and for
Correction
Curves around 50 degrees need surgical correction.
With recent advances the risk of surgery has significantly reduced and benefit of the surgery is huge. So always opt for surgery as it will make your normal for the all life.. For more info visit us at http://www.drrahulchaudhari.com/latest-update/scoliosis-treatment-/202?utm_source=facebookpage

LIVE PAIN FREE LIFE

SAY NO TO PERSISTENT BACK AND NECK PAIN

REENERGIZE YOUR SPINE AND JOINTS WITH ADVANCE PHYSIOTHERAPY. For more info visit us at http://www.drrahulchaudhari.com/latest-update/live-pain-free-life-/201?utm_source=facebookpage

LIVE PAIN FREE LIFE

SAY NO TO PERSISTENT BACK AND NECK PAIN

REENERGIZE YOUR SPINE AND JOINTS WITH ADVANCE PHYSIOTHERAPY. For more info visit us at http://www.drrahulchaudhari.com/latest-update/live-pain-free-life-/200?utm_source=facebookpage

LIVE PAIN FREE LIFE

SAY NO TO PERSISTENT BACK AND NECK PAIN

REENERGIZE YOUR SPINE AND JOINTS WITH ADVANCE PHYSIOTHERAPY. For more info visit us at http://www.drrahulchaudhari.com/latest-update/live-pain-free-life-/199?utm_source=facebookpage

Your spinal discs function as shock absorbers for your body keeping your vertebrae separate when your body jars from impact and activities.
Your body has 24 spinal discs. They are located between individual vertebrae in your back and neck, and have tough exteriors with soft, gel-like interiors creating cushions between the bones in your back.
When you experience problems with one or more of your discs, it can have quite a few negative impacts on your life with the following types of symptoms:
* Difficulty sleeping
* Diminished quality of life
* Impaired mobility
* Inability to work
* Muscle weakness
* Pain
* Tingling
* Numbness
The precise symptoms you experience vary according to the specific types of disc problems you're living with.
Some spinal disc problems are caused by injuries, while others develop as a result of aging.
Problems like
• Degenerated disc
• Disc Bulge (Bulging disc)
• Herniated Disc
• Thinning Disc
• Disc Degeneration with Osteophyte Formation. For more info visit us at http://www.drrahulchaudhari.com/latest-update/injuries/197?utm_source=facebookpage

DEGENERATIVE SCOLIOSIS
SPINE DISEASE OF ADVANCED AGE :-

LIFE EXEPECTANCY HAS INCRESED

WITH ADVANCE AGE EVERYONE GETS DEGENERATION WEAR AND TEAR OF SPINE AND JOINTS

SIDEWISE CURVATURE OF SPINE HAPPENS DUE TO DEGENERATION

IT CAUSES GAIT DISTURBANCE WITH LOW BACK PAIN.

IT CAUSES PINCHING OF THE NERVES CAUSING LEG PAINS

ADVNCED SCOLIOSIS SIGNIFICANTLY CAUSES COMPROMISE OF QUALITY OF LIFE, REGULAR WALKING AND DAILY ROUTINE ACTIVITIES

PHYSIOTHERAPY MAY HELP TO IMPROVE PAIN BUT IT DOES NOT IMPROVE THE SCOLIOSIS

AS AGE INCREASES THE SCOLIOSIS INCRESE.

SO TIMELY INTERVENTION WITH SCOLIOSIS CORRECTION GIVES BETTER RESULTS AND PREVENTS FUTURE DISABILITY

PURPOSE OF THE SURGERY IS TO IMPROVE LOW BACK PAIN AND TO RELIEVE THE NEUROLOGICAL PAINS. For more info visit us at http://www.drrahulchaudhari.com/latest-update/degenerative-scolios/196?utm_source=facebookpage

DEGENERATIVE SCOLIOSIS
SPINE DISEASE OF ADVANCED AGE :-

LIFE EXEPECTANCY HAS INCRESED

WITH ADVANCE AGE EVERYONE GETS DEGENERATION WEAR AND TEAR OF SPINE AND JOINTS

SIDEWISE CURVATURE OF SPINE HAPPENS DUE TO DEGENERATION

IT CAUSES GAIT DISTURBANCE WITH LOW BACK PAIN.

IT CAUSES PINCHING OF THE NERVES CAUSING LEG PAINS

ADVNCED SCOLIOSIS SIGNIFICANTLY CAUSES COMPROMISE OF QUALITY OF LIFE, REGULAR WALKING AND DAILY ROUTINE ACTIVITIES

PHYSIOTHERAPY MAY HELP TO IMPROVE PAIN BUT IT DOES NOT IMPROVE THE SCOLIOSIS

AS AGE INCREASES THE SCOLIOSIS INCRESE.

SO TIMELY INTERVENTION WITH SCOLIOSIS CORRECTION GIVES BETTER RESULTS AND PREVENTS FUTURE DISABILITY

PURPOSE OF THE SURGERY IS TO IMPROVE LOW BACK PAIN AND TO RELIEVE THE NEUROLOGICAL PAINS. For more info visit us at http://www.drrahulchaudhari.com/latest-update/degenerative-scolios/195?utm_source=facebookpage

SPINAL FUSION SURGERY
It is the procedure which involves fusing two or more vertebral levels
Indication for spine fusion surgery-
Severe disc prolapse slipped disc
Disc degeneration
Spondylolisthesis - slippage of vertebral body
Spine infection
Spine fracture
it involves removing disc and freeing the nerves
The bone graft is put in the disc space for fusion
Vertebral bodies are fixed with screws and rods
We expect relief of back pain and leg pain post fusion surgery For more info visit us at http://www.drrahulchaudhari.com/latest-update/spinal-fusion-surger/194?utm_source=facebookpage

MIS SURGERY – MINIMALLY INVASIVE SPINE SURGERY

NEWER ADVANCES IN SPINE SURGERY IS GIVING PROMISING RESULTS

DISCECTOMY / DECOMPRESSION/SPINE FIXATION – ALL THESE PROCEDURES CAN
BE PERFORMED EFFECTIVELY

STICHLESS SURGERY

THROUGH SMALL HOLES WE CAN PERFORM THE OPERATIONS

NO MUSCLE CUTTING REQUIRED

RAPID RECOVERY WITH IMMEDIATE MOBILISATION POSSIBLE

REDUCED RISK OF INFECTION AND ICU CARE

BENIFICIAL FOR OBESE PERSONS TO AVOID WOUND COMPLICATIONS

IDEAL WAY OF TERATING OSTEOPOROTIC FRACTUTRES IN OLD AGE WHICH NEEDS SCREW FIXATION For more info visit us at http://www.drrahulchaudhari.com/latest-update/mis-surgery-minima/193?utm_source=facebookpage

CERVICAL RADICULOPATHY
Cervical Disc prolapse is a condition where the disc that is a cushion between the two vertebral bodies get damaged or it
may get wear and Tear causing the neck pain and if the disc herniates or pop out it may press the nerve which is going into
the arms causing the radiating pain in the upper extremity this is also called as cervical radiculopathy.
Common things to cause cervical disc problem
1. excessive mobile use in abnormal neck posture
2. Long two wheeler travels with helmet use
3. Heavy lifting on shoulder or head
4. Vitamin B12 and D3 deficiency
5. Sudden jerk to neck
Acute Mild to moderate cervical disc problem is usually treated with neck collar, physical therapy and medicines.
In severe cervical disc problem usually there is a significant nerve compression causing tingling numbness and weakness in
the upper extremity. So it is important to relieve the pressure on the nerve.
Timely surgical intervention relieves the pressure on the nerve and it helps to recover the nerve function completely. For more info visit us at http://www.drrahulchaudhari.com/latest-update/cervical-radiculopat/192?utm_source=facebookpage

SCOLIOSIS TREATMENT PROTOCOL

Earlier we detect the spine curve better is the treatment.
Never ignore the minor curves because as child grows those curves become very
Severe
I always check patient clinically and then will do necessary xrays of the patient
On xrays we measure the curve angle and decide the severity of the curve
Curves less than 20 degree needs exercise and observation or may be bracing if
growth potential is significant.
Curves between 20 to 45 usually treated with spine brace to halt progression and for
Correction
Curves around 50 degrees need surgical correction.
With recent advances the risk of surgery has significantly reduced and benefit of the surgery is huge. So always opt for surgery as it will make your normal for the all life. For more info visit us at http://www.drrahulchaudhari.com/latest-update/scoliosis-treatment-/191?utm_source=facebookpage

SCOLIOSIS CORRECTION

If we treat scoliosis in time we can get almost full correction and we get absolute straight erect spine.

Ignoring the scoliosis and waiting for it to become more severe is the biggest mistake

Surgical correction of the scoliosis is the only treatment to correct severe scoliosis and to make patient looks normal like any other child.

It has great psychological impact on patient development

With newer advances it is very much possible to correct spine curve with all safety measures

It boosts the confidence of the child

It never impacts the child working capacity in future.

There is no issues with s*x or pregnancy in future.

They all live very happy and meaningful life

Otherwise if we don’t do correction due to surgical fear, we tend to hamper the further psychosomatic development of the child.

Untreated child develop inferiority complex in their life.

They have trouble in their working as well as marriage life For more info visit us at http://www.drrahulchaudhari.com/latest-update/scoliosis-correction/190?utm_source=facebookpage

Case of spine fixation and decompression with vertebral body reconstruction:-
A middle age female presented with severe low back pain, unable to turn and not able to walk and sit. Patient also complaining of severe right low limb radiculopathy.
On MRI patient was diagnosed with severe osteoporosis with L4 compression fracture with neural compression.
The purpose of surgery was to remove diseased vertebral bone and free the nerve root and also stabilization of spine.
This was achieved with the help of mash cage and screws were fixed above and below with rod attached.
Patient was sitting and walking next day of surgery with minimal pain.. For more info visit us at http://www.drrahulchaudhari.com/latest-update/case-of-spine-fixati/189?utm_source=facebookpage

Bike riding no fun for your back

Helmet use is must however it puts more load on your neck

Two wheeler travel > 10km no good for back and neck

Constant jerks to low back due to speed breaker and path holes

Long two wheeler travels causes disc degeneration and disc prolapse

Simple stretching at signal helps to improve back muscle functioning For more info visit us at http://www.drrahulchaudhari.com/latest-update/bike-riding-no-fun-f/188?utm_source=facebookpage

Regular Moderate Exercise No skipping. Being regular is the key. No sudden over exertion may further damage the ligaments, muscles and joints. Body stretching especially hamstrings and shoulder blade muscles. Early morning start walk and then go for any exercise. It helps to loosen the muscle, ligament, disc and joint stiffness. Start slowly and do limited exercise in initial few weeks Gradually develop the muscle strength Yoga and swimming is very helpful to improve the body stiffness. It definitely avoids disc prolapse, slipped disc and sciatica.. For more info visit us at http://www.drrahulchaudhari.com/latest-update/regular-moderate-exe/187?utm_source=facebookpage

Spondylosis / Spondylitis- means degeneration of lumbar disc, ligaments and joints of the spine Disc degeneration- loss of disc hydration causes black disc on MRI and it looses its function of shock absorber Disc rupture / Slipped disc /disc herniation means disc fragments popped out of the damaged disc Sciatica- low back pain coming into the legs Spinal stenosis- compromised spinal canal with pressure on nerves Spondylolysis- Break in the connection between two vertebral bodies Spondylolisthesis- Slippage of the vertebral body Cauda Equina Syndrome- Severe neural compression causing weakness in legs with difficulty in passing urine and stool Lordosis, Kyphosis, Scoliosis- bending of spine causing either sided curvature to the spine. For more info visit us at http://www.drrahulchaudhari.com/latest-update/spondylosis-spondy/186?utm_source=facebookpage

Understand Back pain

Back muscle sprain is very common

80% people at least get one episode of back spasm in their life time

It is usually due to muscle weakness

Repeated exertions or heavy lifting can cause back muscle spasm

Initial stages it is due to muscle fatigue and is totally reversible with regular exercise

However if we ignore the back pain then eventually patient develop disc prolapse with slipped disc and sciatica

Disc Degeneration- Black disc on MRI. Looses normal Hydration. It looses the shock absorber quality. Sudden load on such disc causes disc rupture.

Slipped Disc/ Disc Herniation-Usually acute episode. Sudden unusual exertion. Lifting heavy weight. Severe back pain. Nerve gets pinched. Associated leg pain / heaviness.

Spinal Stenosis- Narrowing of spinal canal. Secondary to degeneration
Leg pain > back pain. When you walk certain distance you get heaviness in legs For more info visit us at http://www.drrahulchaudhari.com/latest-update/understand-back-pain/185?utm_source=facebookpage

65 year old Male with severe lumbar canal stenosis with facetal arthropathy

Severe Back pain with both leg pain
Difficulty in sitting and walking for > 5 min

Patient tried conservative therapy such as physiotherapy, acupressure and also alternative therapy without any relief

He decided to undergo surgery due to unrelenting back and leg pain

Surgery- Lumbar spine L45 L5S1 fixation with discectomy

We have to fix the spine due to severe disc damage and also we need remove the disc to release the pressure on nerves

Now he is 1 month post surgery with complete relief from back and leg problem

He can walk 30 min at a stretch without any pain

Message- If we choose the surgery at right time and if patient has positive outlook towards the surgery then patient gets excellent results

Spine surgery with newer advances aim to improve quality of life of patient.

There is no need for prolong compulsory bed rest as thought by many patients For more info visit us at http://www.drrahulchaudhari.com/latest-update/65-year-old-male-wit/184?utm_source=facebookpage

Spinal Canal Stenosis Narrowing of spinal canal Pressure on nerves Disc bulging, thickening of spine ligament and osteophyte(bone spur) formation compromises the spinal canal Back pain and leg pain / Heaviness / Tingling Claudication present- means patient need to sit down or bend forward after walking certain distance to relieve leg pain Patient feels weakness in legs on walking certain distance It happens as the spinal cord flow doesn’t reach the legs due to pressure on nerves.. For more info visit us at http://www.drrahulchaudhari.com/latest-update/spinal-canal-stenosi/183?utm_source=facebookpage

Spine infection May be bacterial, tubercular or fungal. It causes damage to vertebral bone with fracture of the vertebral body. It leads to pus formation in the spine. Patient have severe back pain with difficulty in sitting or walking. Instability due to vertebral body destruction. Pus formation can cause pressure on the spinal cord. Neurological compromise – may loose strength of arms and legs. Treatment involves medical and if required surgical intervention. Antibiotics need to be given for weeks to months depending upon type of infection. It needs to treated very aggressively otherwise it can result into permanent paralysis.. For more info visit us at http://www.drrahulchaudhari.com/latest-update/spine-infection-may-/182?utm_source=facebookpage

Low back also called as lumbar spine. If patient get a slipped disc means the disc between the two vertebral bodies has come out or herniated. disc bulging or slipped disc fragment causes pressure on the nerves. Patient suffer from low back pain and radiating leg pain also called as sciatica. Lumbar Discectomy means removing the fragment and freeing the nerve. It can be done Microscopic or Endoscopic way. A small hole made in the low back to reach the disc and with specialized instruments we remove the fragment. This surgery is highly rewarding with immediate pain reduction. This surgery can be performed as daycare procedure.. For more info visit us at http://www.drrahulchaudhari.com/latest-update/low-back-also-called/181?utm_source=facebookpage

Correct Posture of Spine While Sitting Head shoulder elbow should be supported by chair. Computer or laptop screen should be at eye level so as to avoid protruding neck. Hanging Elbow usually cause neck pain. Pillow behind low back is always advisable. Keep your hip and knee at 90 degree or if possible supported by chair. Feet should be on foot rest in chair sitting. Correct posture can prevent spondylosis, disc prolapse or back and neck pain. Long siting hours is one of the leading reason for disc problems. Always take mini breaks in-between. Change of posture stimulates muscle to function optimally. Continuous one position causes early fatigue of back and neck muscles. For more info visit us at http://www.drrahulchaudhari.com/latest-update/correct-posture-of-s/180?utm_source=facebookpage