Dr. Sameer Kalkotwar’s Spine Clinic

Non Surgical Treatment

Non Surgical Spine Care

Non-surgical care forms the foundation of our practice and we spend considerable amounts to time pursuing non-surgical treatment modalities before recommending surgery. In keeping with our philosophy of a multi-disciplinary approach to spinal care we offer the following non-surgical services.

Medications for Pain

Pain medications are a quick and effective way of coping with mild to severe pain. While these drugs do not treat the cause of the pain, they can provide enough relief to make people more comfortable and to allow them to carry out their daily routines. Most analgesics take from 30 to 60 minutes to start working if taken in tablet form. Intravenous or injected pain relivers are often much quicker to take effect.

Types of pain medications

There are two primary types of pain medications :
  • Non-Narcotic Pain Medications :Non-narcotic pain medications, also known as non-opioids. These medications are milder forms of analgesics and include acetaminophen, the most commonly used over the counter non-narcotic analgesic. Other drugs are not technically part of the analgesic family, but are nonetheless considered analgesics in practice. These include nonsteroidal anti-inflammatory drugs (NSAIDs).
  • Narcotic Pain Medications :Narcotic pain medications, also known as opioids. These medications are stronger analgesics that are used when pain signals are too severe to be controlled by non-narcotic analgesics. Analgesics in this category include natural narcotics (derived from the opium poppy), such as morphine and codeine, and synthetic narcotics.

Pain Management

Pain management is important for ongoing pain control, especially if you suffer with long-term or chronic pain. After getting a pain assessment, your doctor can prescribe pain medicine, other pain treatments, or psychotherapy to help with pain relief.

What’s Your Best Pain Management Plan?

Each person and their pain are unique. The best way to manage your case could be very different from what works for someone else. Your treatment will depend upon things such as:
  • The cause
  • How intense it is
  • How long it’s lasted
  • What makes it worse or better
Be sure to share that information with health professional you work with. It will help them find the right solutions for you.
Diseases which can be cured :
  • Arthritis
  • Spine Problems
  • Knee Problems
  • Osteoporosis
  • Paralysis
  • Heart Problems
  • Depression
  • Hormonal Imbalance
  • Obesity
  • Polycystic ovarian syndrome

Physiotherapy & Rehabilitation

Physiotherapy rehabilitation aims to optimize patient function and well-being, to help integrate that patient back into their chosen lifestyle activities whether at home, work or leisure. Rehabilitation should focus on changes to functional disability and lifestyle restrictions based on the patient’s own goals for functional improvement.
Rehabilitation should start as soon as possible to speed recovery. The programs that combine many different components are likely to be most effective.
20 minutes of additional exercise a day in an acute or rehabilitation setting is all that is required to achieve:
  • Improved mobility and activity levels.
  • Shorter length of stay in hospital.
  • Significantly improved quality of life.
Types of Rehabilitation :
  • Neuro Rehabilitation,
  • Cardiac And Pulmonary Rehabilitation
  • Oncology Rehabilitation,
  • Musculoskeletal Rehabilitation,
  • Paediatric Rehabilitation

Services

Our healthcare professional provides services including, but not limited to :
  • Injury assessment and treatment.
  • Human performance lab for VO2max testing, lactate threshold testing, and isokinetic testing and training.
  • Specialised sport specific clinics – Running clinic, Cricket clinic, Golf clinic, Football clinic.

Spinal Trauma

Spinal Cord Trauma is damage to the spinal cord. It may result from direct injury to the cord itself or indirectly from disease of the surrounding bones, tissues, or blood vessels.
A spinal cord injury (SCI) is damage to the spinal cord that causes changes in its function, either temporary or permanent. These changes translate into loss of muscle function, sensation, or autonomic function in parts of the body served by the spinal cord below the level of the lesion. Injuries can occur at any level of the spinal cord and can be classified as complete injury, a total loss of sensation and muscle function, or incomplete, meaning some nervous signals are able to travel past the injured area of the cord.
Depending on the location and severity of damage along the spinal cord, the symptoms can vary widely, from pain or numbness toparalysis to incontinence.
The prognosis also ranges widely, from full recovery in rare cases to permanent tetraplegia (also called quadriplegia) in injuries at the level of the neck, and paraplegia in lower injuries. Complications that can occur in the short and long term after injury include muscle atrophy, pressure sores, infections, and respiratory problems.

Causes

The spinal cord contains the nerves that carry messages between your brain and body. The cord passes through your neck and back.
Spinal cord trauma can be caused by injuries to the spine, such as:
  • Assault
  • Falls
  • Gunshot wounds
  • Industrial accidents
  • Motor vehicle accidents
  • Sports injuries
Types of Rehabilitation :
  • Neuro Rehabilitation,
  • Cardiac And Pulmonary Rehabilitation
  • Oncology Rehabilitation,
  • Musculoskeletal Rehabilitation,
  • Paediatric Rehabilitation
A minor injury can damage the spinal cord if the spine is weakened, such as from rheumatoid arthritisor osteoporosis. Injury can also occur if the spinal canal protecting the spinal cord has become too narrow (spinal stenosis) due to the normal aging process. Direct injury, such as bruises, can occur to the spinal cord if the bones or disks have been weakened. Fragments of bone (such as from broken vertebrae, which are the spine bones) or fragments of metal (such as from a traffic accident or gunshot) can damage the spinal cord.

Symptoms

Symptoms vary depending on the location of the injury. Spinal cord injury causes weakness and loss of feeling at, and below the injury. How severe symptoms are depends on whether the entire cord is severely injured (complete) or only partially injured (incomplete).
An injury at and below the first lumbar vertebra does not cause spinal cord injury. But it may cause cauda equina syndrome. This is an injury to the nerve roots in this area. This type of spinal cord injury is a medical emergency and needs surgery right away.
Injuries of the spinal cord at any level can cause:
  • Increased muscle tone (spasticity)
  • Loss of normal bowel and bladder control (may include constipation, incontinence, bladder spasms)
  • Numbness
  • Sensory changes
  • Paralysis
  • Pain
  • Weakness