Orthopedics
Best Orthopedics Department provides state-of-the-art treatment in all fields of Orthopedic Surgery for adults and children. The doctors, in various sub-specialties, are highly qualified and have extensive experience both in India & abroad.
The HOD, Dr. Prasad Gourineni, who brings two decades of practicing experience in the US, has developed a comprehensive orthopedics program for the team to achieve the best combination of quality, value, and patient satisfaction.
A globally renowned authority on hip preservation (www.hippreservation.com). he has set-up the only Center of Excellence for Hip Preservation in India at Amara Hospital, which is recognized as perhaps the finest in the world.
MEET OUR TEAM
Dr. Prasad Gourineni
ConsultantOrthopaedic-HOD, Amara Hospital-Chairman, Associate professor- University of Illinois, Chicago
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Dr. Ravi Kumar
ConsultantOrthopedic & Joint Replacement Surgeon
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Dr. Vasudev Reddy
ConsultantHand & Micro Reconstructive Surgery
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Dr. Susmith Koneru
ConsultantPediatric Hand & Foot Surgeon
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Hip Preservation
Pediatric Deformities Correction
Spine
Hand & Micro Reconstructive Surgery
Sports Injuries Treatment
Joint Replacement
Arthroscopic
Pediatric Orthopedic Surgeries
Physical Therapy
Scoliosis
Complex Trauma
FAQ
Frequently Asked Questions
Find answers to the most common questions about our services for international patients.
Is lower back pain quite common?
Almost 80% of the population suffer from low back pain at some time in their adult life. It is one of the most common reasons for doctor visit, sick leave and disability. On a happier note, for 90% of patients, the low back pain is short-lived and goes away within a few days or couple of weeks. However, some cases may take a longer time to show improvement and in a few instances the persistent pain could require a thorough evaluation to identify the cause.
Symptoms
- Muscle ache
- Shooting or stabbing pain
- Limited flexibility and/or range of motion
Inability to stand straight.
What is the back made up of?
Bones, muscles, and other tissues make up the structure that forms the back. The spinal column, in the middle, supports the weight of the upper body and also acts as a protective conduit for the spinal cord – the nervous system that controls the body’s movements and transmits sensations. The spinal column (or spine) comprises about 30 vertebrae, which are small bones arranged one on top of another, through which the spinal cord runs.
Sponge-like pads of cartilage between the vertebrae enable the back to be flexible and also cushion the stress on the bones when the body moves. The vertebrae are held in place by ligaments and tendons attach the muscles to the spinal column.
The spine comprises the following:
- 7 cervical or neck vertebrae
- 12 thoracic or upper back vertebrae
- 5 lumbar vertebrae, commonly known as the lower back
- Sacrum and coccyx, at the base of the spine, which are a group of bones fused together
CLAUDICATION / NUMBNESS OF BOTH LEGS (Lumbar Canal Stenosis)
Wear and tear with age can give rise to degenerative disc disease, a condition where there is progressive deterioration of spinal discs and arthritic changes in facet joints. It can also result in the narrowing of the spinal canal due to overgrowth of bone spurs, leading to spinal stenosis, which can cause pain, numbness and weakness in the legs due to compression of the neural elements.
Spondylolysis
Spondylolysis is a condition that occurs when there is a break or discontinuity in the pars interarticularis, a small segment of bone located in the posterior portion of a vertebra. The human vertebra is a ring-like structure that surrounds the spinal cord and nerve fibers within the central vertebral canal. It can be divided into three parts: the anterior portion, known as the vertebral body; the middle portion, which consists of the pedicles on either side of the spinal cord; and the posterior portion, which includes the facet joints, pars interarticularis, and spinous process. Any break or discontinuity in the pars interarticularis is called spondylolysis.
Spondylolysis, also known as a pars fracture, is typically caused by repetitive stress rather than a sudden injury and is most commonly seen during childhood or adolescence. The fracture may occur on one side of the vertebra or on both sides. When fractures are present on both sides, the affected vertebra may slip forward or backward over the vertebra below it, leading to a condition known as spondylolisthesis.
Slipped vertebrae/ Spondylolysthesis
Spondylolisthesis is when a spinal vertebra slip forward over another vertebra caudal to it. There are different types of the condition, depending on the anatomical changes.
Spondylolytic lysthesis: It is caused when the crack in a pars fracture affects both sides of connection (between the lamina and pedicles). The condition can be a direct result of spondylolysis.
Degenerative spondylolisthesis: Usually seen in elderly age group, this condition is caused by the deterioration of the facet joints and discs of the spine.
Congenital spondylolisthesis: Usually seen in the younger age group, this condition is caused due to birth defects in the bony structure of vertebrae (predominantly pars).
Slipped vertebrae/ Spondylolysthesis
A common problem, neck pain affects most adults at some point of time in their life. It can involve just the neck and shoulders, or may stretch down an arm, with the pain being either a dull ache or like an electric shock in your arm. Other symptoms like a feeling of numbness or muscle weakness in an arm, help in pinpointing the cause of the neck pain.
Cervical disc herniation
Cervical disc herniation is a clinical condition wherein the intervertebral disc between the two vertebral bodies in the neck can herniate back, pressing on the spinal cord or the nerves that connect the arms and hand.
Cervical myelopathy
Cervical myelopathy is a clinical condition that involves compression of the spinal cord in the cervical spine (neck). The cervical spine comprises 7 vertebrae, with 6 intervertebral discs and 8 nerve roots. The spinal cord travels inside the vertebral column that is constructed with vertebrae in the front, cushioned by intervertebral discs, and facet joints and lamina at the back. The branched nerve roots primarily control the function of the shoulders, arms and hands. Any excessive pressure on the spinal cord can cause a decrease in its functioning.
Scoliosis
Scoliosis is abnormal side-to-side curvature of the spine. Normally a human spine is straight when seen from back, any deviation to the side by more than 10 degrees is considered scoliosis.
Spine Fracture - Traumatic
Fall from height and road traffic accidents are the two most frequent causes of a spine fracture. The spine is a highly stable structure by the virtue of disco-ligamentous structures, protecting the spinal cord in the spinal canal. In trauma, bone or disco-ligamentous structural failure can put the spinal cord at risk of compression and thereby cause neurological deficit (paralysis).
Acute Spinal Cord Injury
A spinal cord injury (SCI) — is damage to the spinal cord resulting in a change, either temporary or permanent, in its normal motor, sensory, or autonomic function.
Prognosis or scope of improvement in weakness/ function depends on various factors like severity of injury/ time since injury/level of injury etc.
If the SCI is complete, the chances of neurological improvement are very bleak.
We have great hope that ongoing research will make the repair of spinal cord injuries possible in the near future. Presently, effective treatments and rehabilitation programs enable a number of people with spinal cord injuries to lead productive, independent lives.
