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Dr Meher Thej AIIMS - Spinal Stenosis - Causes, Symptoms, Treatment

Dr. Meher Tej AIIMS is a neurosurgeon. He trained at AIIMS, New Delhi. He has experience in Neuro Oncology, Skull-Based Vascular Neurosurgery, Pediatric Neurosurgery, Functional-Epileptic Surgery, Spine Surgery, and Neurotrauma. The mission of Dr Boorgula Meher Thej in life is to build a successful neurosurgical career encompassing all aspects of neurosurgery, serving people, and growing himself. 

#BoorgulaMeherThej #Dr.MeherThejAIIMS #DrBoorgulaMeherThej #Dr.MeherTejAIIMS

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Dr. Meher Tej AIIMS is a neurosurgeon. He trained at AIIMS, New Delhi. He has experience in Neuro Oncology, Skull-Based Vascular Neurosurgery, Pediatric Neurosurgery, Functional-Epileptic Surgery, Spine Surgery, and Neurotrauma. The mission of Dr Boorgula Meher Thej in life is to build a successful neurosurgical career encompassing all aspects of neurosurgery, serving people, and growing himself.

#BoorgulaMeherThej #Dr.MeherThejAIIMS #DrBoorgulaMeherThej #Dr.MeherTejAIIMS

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Dr Meher Thej AIIMS - Spinal Stenosis - Causes, Symptoms, Treatment

Dr Meher Thej AIIMS -  Spinal stenosis occurs when the spaces between the vertebrae narrow, putting pressure on the spinal cord and nerve roots. Depending on the location and how much narrowing happens over time, a spinal nerve or the spinal cord may become compressed, causing pain, tingling, numbness, and/or weakness.

According to Dr Meher Thej AIIMS, Some individuals are born with a narrow spinal canal. This is known as "congenital stenosis." However, most spinal narrowing is caused by age-related changes that occur over time. This is referred to as "acquired spinal stenosis."

Causes Of Spinal Stenosis

The following are some of the causes of spinal stenosis:

Bone spurs: Wear-and-tear damage from arthritis can cause extra bone to grow on the spine. They have the ability to push into the spinal canal. Paget's disease can also result in the formation of extra bone on the spine.

Herniated disks: The soft cushions that act as shock absorbers between your spinal bones are known as disks. If some of the soft inner material of the disk leaks out, it can press on the spinal cord or nerves.

Thick ligaments: The strong cords that help hold your spine's bones together can stiffen and thicken over time. Thick ligaments can force their way into the spinal canal.

Tumors: According to Dr. Meher Tej AIIMS, rarely, tumors can form inside the spinal canal.

Spinal injuries: Spinal bones can break or move out of place as a result of car accidents and other trauma. Swelling of nearby tissue immediately following back surgery can also put pressure on the spinal cord or nerves.

Symptoms Of Spinal Stenosis

In the lower back:

Boorgula Meher Thej says lower back spinal stenosis can cause pain or cramping in one or both legs. This occurs when you stand for an extended period of time or when you walk. When you bend forward or sit, your symptoms improve. Some people also experience back pain.

In the neck:

Numbness in hands or feet

Hand, leg, foot, or arm tingling or weakness

Walking and balance difficulties

Neck pain

Problems with the bowel or bladder

Treatment Of Spinal Stenosis

Treatment for spinal stenosis depends on how severe your symptoms are:

Mild to Moderate disease is managed conservatively with Medications and Exercises. 

Medications For Spinal Stenosis:

Nonsteroidal anti-inflammatory drugs (NSAIDs): If over-the-counter pain relievers are ineffective, prescription NSAIDs may be beneficial. 

Antidepressants: Tricyclic antidepressants, such as amitriptyline, can be taken at night to help relieve chronic pain.

Anti-seizure drugs: Gabapentin (Neurontin, Gralise) and other anti-seizure medications are used to treat pain caused by damaged nerves.

Opioids: Medications like oxycodone (Oxycontin, Roxicodone, and others) and hydrocodone (Hysingla ER) can become addictive.

Exercises for spinal stenosis: 

Dr Boorgula Meher Thej says exercise is very important in the treatment of this disease. Regular exercise to keep muscles strong and improve flexibility increases strength, reduces pain, and improves overall well-being.

Improve your flexibility: Stretching exercises can alleviate pain and make it easier to hold and move your neck and spine in a more healthy manner.

Strengthen your muscles: A series of exercises known as stabilization training can help build up and balance the muscles that support your neck.These are simple exercises that you can do at home without any special equipment, similar to stretching.

Boost your fitness: Aerobic exercises, which raise your heart and breathing rates, release endorphins, which are pain relievers. Bicycling and swimming are two examples of aerobic exercise.

When the disease is severe or when the following red flags are seen, surgery is indicated. 

Warning Signs/ Red flag signs

Profound weakness in the limbs

Sensory loss in the limbs

Bowel/ bladder dysfunction

Saddle distribution of sensory loss

The type of surgery is decided based on the imaging. A Neurosurgeon's opinion is required to decide the approach for surgery. 

About Dr Meher Thej AIIMS

Dr. Meher Tej AIIMS is a neurosurgeon. He trained at AIIMS, New Delhi. He has experience in Neuro Oncology, Skull-Based Vascular Neurosurgery, Pediatric Neurosurgery, Functional-Epileptic Surgery, Spine Surgery, and Neurotrauma. The mission of Dr Boorgula Meher Thej in life is to build a successful neurosurgical career encompassing all aspects of neurosurgery, serving people, and growing himself. 

#BoorgulaMeherThej #Dr.MeherThejAIIMS #DrBoorgulaMeherThej #Dr.MeherTejAIIMS

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Dr Meher Thej AIIMS - Types of Headache and Trigger factors

Dr. Meher Thej of AIIMS is a neurosurgeon. He trained at AIIMS, New Delhi. He has experience in Neuro Oncology, Skull-Based Vascular Neurosurgery, Pediatric Neurosurgery, Functional-Epileptic Surgery, Spine Surgery, and Neurotrauma. The mission of Dr. Meher Tej AIIMS in life is to build a successful neurosurgical career encompassing all aspects of neurosurgery, serving people, and growing himself.

#BoorgulaMeherThej #Dr.MeherThejAIIMS #DrBoorgulaMeherThej #Dr.MeherTejAIIMS

[drmeherthejaiims]

Dr. Meher Thej of AIIMS is a neurosurgeon. He trained at AIIMS, New Delhi. He has experience in Neuro Oncology, Skull-Based Vascular Neurosurgery, Pediatric Neurosurgery, Functional-Epileptic Surgery, Spine Surgery, and Neurotrauma. The mission of Dr. Meher Tej AIIMS in life is to build a successful neurosurgical career encompassing all aspects of neurosurgery, serving people, and growing himself.

#BoorgulaMeherThej #Dr.MeherThejAIIMS #DrBoorgulaMeherThej #Dr.MeherTejAIIMS

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Dr Meher Thej AIIMS - Types of Headache and Trigger factors

Headaches are a very common condition that most people will experience many times in their lives. Sometimes taking painkillers doesn't work, and your headache worsens. You feel sick, nauseous, and as if you are light or noisy and painful as a result of this headache. Most people underestimate the complexity of headaches. Different types of headaches have different symptoms, different causes, and require different treatments. Some common types of headache and their triggering factors by Dr. Meher Thej of AIIMS.

Types of Headaches:

According to Dr. Meher Thej of AIIMS, There are over 150 different types of headaches, but the most common are as follows:

Common Type of Headaches:

Dr. Meher Thej of AIIMS says the most common types of headaches that cause people to seek medical care are tension headaches, migraine headaches, and cluster headaches.

1) Tension Headache

Tension-type headache is the most common type of headache. A tension headache is a dull ache, tightness, moderate, or intense pain behind your eyes and in your head and neck. It is often described as feeling like a tight band around the head: episodic tension headaches and chronic tension headaches. Episodic tension headaches happen less than 15 days per month. Chronic tension headaches happen more than 15 days a month. According to Dr. Meher Thej of AIIMS, Tension headaches occur at any age but are most common in adults and older adolescents. It is slightly more common in women and tends to run in families. It occurs when the muscles of the neck and scalp become tense or contract. Muscle contractions can be a response to stress, depression, a head injury, or anxiety.

2) Migraine Headache

Migraine headaches cause moderate to severe pain. The pain is often described as throbbing or trembling and usually starts on one side of the head. Migraine headaches are aggravated by physical activity, light, sound, or physical activity. Migraines are related to the dilation, or widening, of the blood vessels that supply blood to your brain and face, and they are often triggered by environmental or weather changes, stress, or lack of sleep. They can last as little as 30 minutes or as long as several days.

Trigger factors for Migraine Headache by Dr. Meher Thej of AIIMS

Cigarettes – Both smoking and secondhand smoke can trigger headaches. Nicotine is a vasoactive substance in cigarettes. This means it changes the shape of the blood vessels in your brain, and this can lead to headaches.

Weather – Changes in the weather can cause an imbalance in brain chemicals, including serotonin, which can lead to headaches.

Crying - The stress that the body releases, which causes crying, can also lead to a headache in a person suffering from it. Mostly emotional crying can trigger a headache.

Odour - Strong or unusual smells trigger their headaches. Clinical studies suggest that anywhere between 25 and 50 percent of sufferers have an increased sensitivity to smell during their headache.

Eye strain - When your eyes work too hard, your eye muscles can contract significantly. These contractions can trigger an eye tension headache. Often these headaches cause pain and discomfort behind your eyes. After concentrating on something for a long time, you may have a headache.

Not eating – Fasting, eating high-sugar foods, eating too much, and skipping meals can all be trigger factors, or make people more likely to get headaches.

Noise - Very loud or long sounds can trigger a headache. Any loud sound such as rock concerts, parties can relieve headaches.

Sleep - Lack of sleep, too much sleep can cause headache. Insufficient sleep is often cited as a trigger for acute headache attacks. Excessive sleepiness is also an often reported trigger. Researchers have reported that 20 percent of people say that stress triggers their headaches.

Stress - Physical or physical stress at work and at home can cause headaches. Researchers have reported that 50 to 80 percent of people say that stress triggers their headaches.

Some Tips to Prevent Migraine Headaches By Dr. Meher Thej of AIIMS: You may be able to prevent Migraine headaches by avoiding the following:

Alcohol

Tobacco

Cocaine

high altitudes

strenuous act

Yoga, Meditation, Lifestyle modifications prove useful for preventing Migraine attacks.

Cluster headaches are a kind of Trigeminal Autonomic Cephalgias which are characterized by short-lasting attacks of head pain with cranial autonomic symptoms like red eyes, tears, stuffy nose, aural fullness etc. Cluster headache often appears suddenly, lasts about 1 hour, then disappears. Cluster headaches usually affect one side of the head and the area around the eyes. Patients are perfectly normal between episodes. Attacks occur during night time in 50% of patients. Men are affected more than women in this type of headache.

Less Common Headache:

1) Hemicrania Continua

Hemicrania continua is also a kind of Trigeminal Autonomic Cephalgias(TAC). It causes pain on one side of your face or head and occurs more often in women than in men. People with hemicrania continua describe a dull ache or throbbing that is interrupted by pain that is jerking, sharp and stabbing. There are two types of hemicrania: chronic and remitting. Chronic hemicrania involves having daily headaches that last indefinitely. Remitting hemicrania refers to persistent headaches that can last for 6 months.

2) Hormone Headache

Hormone headaches or Menstrual Migraine or PMS Headache are caused by fluctuating hormone levels. They can happen due to changes in estrogen levels. Menstrual Migraine occurs 2 -3 days before to 3 days after the start of menstruation. PMS headaches happen before the period begins. To relieve headaches, a variety of medications and other treatments are used. Women who suffer from hormonal headaches often find relief during later part of pregnancy or after they reach menopause. Hormone levels change for a variety of reasons, such as the menstrual cycle, pregnancy, perimenopause, menopause, oral contraceptives, hormone replacement therapy, and so on.

Rare Headache:

1) Ice Pick Headache

Ice pick headache, also called Primary Stabbing Headache/ Ophthalmodynia Periodica, is a unique headache type characterized by ultra-brief stabbing pain( like from an ice-pick), most usually in the frontal or temporal region. Ice pick headaches can occur at any time during the day. They can occur several times a day and affect different parts of your head.

2) Post Spinal / Low CSF pressure Headache

Post Spinal headache is a very intense headache. This occurs when cerebrospinal fluid leaks out of the meninges. Post Spinal headaches usually last from a few hours to a few days. These headaches get better when a person is lying down and get worse when sitting or standing.

Symptoms of a Post spinal headache include:

Headache pain that increases when sitting or standing

Headache pain worsens when coughing, sneezing or straining

Neck pain

Stiff neck

vomiting

 About Dr Meher Thej AIIMS

Dr. Meher Thej of AIIMS is a neurosurgeon. He trained at AIIMS, New Delhi. He has experience in Neuro Oncology, Skull-Based Vascular Neurosurgery, Pediatric Neurosurgery, Functional-Epileptic Surgery, Spine Surgery, and Neurotrauma. The mission of Dr. Meher Tej AIIMS in life is to build a successful neurosurgical career encompassing all aspects of neurosurgery, serving people, and growing himself. 

#BoorgulaMeherThej #Dr.MeherThejAIIMS #DrBoorgulaMeherThej #Dr.MeherTejAIIMS

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Dr. Boorgula Meher Thej is a neurosurgeon. He trained at AIIMS, New Delhi. He has experience in Neuro Oncology, Skull-Base Vascular Neurosurgery, Paediatric Neurosurgery, Functional-Epilepsy Surgery, Spine Surgery, and Neurotrauma. Boorgula Meher Thej’s mission in life is to have a successful neurosurgical career involving all the aspects of neurosurgery, serve people, and grow himself. You can book an appointment with Dr Meher Thej AIIMS for any kind of back pain treatment.

#BoorgulaMeherThej #Dr.MeherThejAIIMS #DrBoorgulaMeherThej

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Dr Meher Thej AIIMS — Chronic Low Back Pain And Postural Rehabilitation Exercise

Dr. Boorgula Meher Thej is a neurosurgeon. He trained at AIIMS, New Delhi. He has experience in Neuro Oncology, Skull-Base Vascular Neurosurgery, Paediatric Neurosurgery, Functional-Epilepsy Surgery, Spine Surgery, and Neurotrauma. Boorgula Meher Thej’s mission in life is to have a successful neurosurgical career involving all the aspects of neurosurgery, serve people, and grow himself. You can book an appointment with Dr Meher Thej AIIMS for any kind of back pain treatment.

#BoorgulaMeherThej #Dr.MeherThejAIIMS #DrBoorgulaMeherThej

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Dr Meher Thej AIIMS — Quadriplegia: what is it, symptoms and treatment

Dr. Boorgula Meher Thej is a great neurosurgeon. He is a neuro-onco surgeon, pediatric neurosurgeon, spine surgeon, and neurotrauma. He operated approximately 150 cases of neuro-oncology, neuro-trauma, CSF-diversion, and intracranial hemorrhage as primary surgeon. Boorgula Meher Thej’s mission in life is to have a successful neurosurgical career involving all the aspects of neurosurgery, serve people, and grow himself.

#BoorgulaMeherThej #Dr.MeherThejAIIMS #DrBoorgulaMeherThej

[drmeherthejaiims]

Dr. Boorgula Meher Thej is a great neurosurgeon. He is a neuro-onco surgeon, pediatric neurosurgeon, spine surgeon, and neurotrauma. He operated approximately 150 cases of neuro-oncology, neuro-trauma, CSF-diversion, and intracranial hemorrhage as primary surgeon. Boorgula Meher Thej’s mission in life is to have a successful neurosurgical career involving all the aspects of neurosurgery, serve people, and grow himself.

#BoorgulaMeherThej #Dr.MeherThejAIIMS #DrBoorgulaMeherThej

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Dr Meher Thej AIIMS — Quadriplegia: what is it, symptoms and treatment

Tetraplegia is another name for quadriplegia; it refers to paralysis from the neck down, including the trunk, legs and arms. This condition is usually caused by an injury to the spinal cord, which contains nerves that carry movement and sensation messages from the brain to different parts of the body. Quadriparesis is different from quadriplegia. According to Dr. Boorgula Meher Thej, A person with quadriparesis can still move and feel portions of their limbs. A person with quadriplegia is incapable of moving any of their limbs at all.

Causes of Quadriplegia by Dr Boorgula Meher Thej

The two main causes of quadriplegia are spinal cord injury and brain damage (which has many additional unforeseen outcomes, including changes in persons consciousness, memory, thinking and mood).

The majority of spinal cord injuries are caused by accidents, including car accidents, motorcycle accidents, falls, gunshot wounds, surgical complications, pedestrian accidents, being struck by flying objects, sports injuries, and diving mishaps.

Classification of severity is:

Complete spinal cord injury A: It is a most serious type of spinal cord injury. Such a patient has no sensation or motor function below the injury.

Incomplete spinal cord injury B: This type of patient has some sensation, , but the motor function is limited below the injury.

Type C: more than 50% muscles are weak, with inability to move against gravity

Type D: less than 50% of the muscles are weak.

Incomplete spinal cord injury E: It is a minor type of spinal cord injury. Such a patient has almost normal sensation and strength.

Quadriplegia can also be caused:

Multiple sclerosis: This is a potentially disabling disease of the brain and spinal cord, where the immune system attacks the protective sheath (myelin) that covers nerve fibers and causes communication problems between your brain and the rest of your body.

Lou Gehrig’s disease, commonly known as amyotrophic lateral sclerosis: Lou Gehrig’s disease, commonly known as amyotrophic lateral sclerosis: , It is a progressive nervous system disease that affects nerve cells in the brain and spinal cord, causing loss of muscle control.

Transverse myelitis: Transverse myelitis is irritation of both sides of a segment of the spinal cord. This neurological problem regularly damages the insulating material covering nerve cell fibers (myelin). Transverse myelitis interferes with the messages that the spinal nerves send throughout the body. This can cause pain, paralysis, sensory problems, muscle weakness, or bladder and bowel dysfunction.

Guillain-Barré disease: Guillain-Barré syndrome occurs when your body’s immune system attacks your nerves. Initial side symptoms are often weakness and tingling in your range. These feelings can happen immediately. And eventually paralyzes your whole body.

Symptoms of Quadriplegia:

The basic symptoms of Quadriplegia:

Numbness throughout body including all the 4 limbs.

Urinary retention or incontinence with bowel dysfunction due to lack of smooth muscle control.

Breathing Problems

Medical Tests for Quadriplegia:

According to Dr Meher Thej AIIMS. Doctors will evaluate patients’ complaints, look into the medical background, examine the patient’s motor and sensory abilities.

Apart from that, various medical tests are done:

X-Rays

CT Scan

MRI Scan

Spinal Taps

Blood Tests

EMG Tests

Treatment of Quadriplegia:

Treatment depends on the cause of the Quadriplegia, extent of injury and the condition of patient. You need to consult a neurosurgeon. Patients with quadriplegia are unable to control their bodies or senses. For moving around, eating, using the bathroom, and for each other’s daily needs, they are always dependent on associates.

Treatment for Quadriplegic Patients include:

Respiratory care

Skin management and skin care

Exercises to improve movement and strength

Occupational therapy

Bowel and bladder control programmes

Prevention of Deep vein thrombosis

Prevention of bed sore

About the Dr Meher Thej AIIMS

Dr. Boorgula Meher Thej is a great neurosurgeon. He is a neuro-onco surgeon, pediatric neurosurgeon, spine surgeon, and neurotrauma. He operated approximately 150 cases of neuro-oncology, neuro-trauma, CSF-diversion, and intracranial hemorrhage as primary surgeon. Boorgula Meher Thej’s mission in life is to have a successful neurosurgical career involving all the aspects of neurosurgery, serve people, and grow himself.

#BoorgulaMeherThej #Dr.MeherThejAIIMS #DrBoorgulaMeherThej