in conversation with Dr Raghava Dutt Mulukutla, Orthopedic Surgeon and Chief of spine surgery
Q. Doctor I am suffering from back and leg pain and I am told that my vertebra has slipped forward.
A. You are suffering from a condition called spondylolisthesis. Here one of the vertebra slips forwards over the vertebra below.
Q. How does this happen?
A. There are a number of reasons for this. This could result from anomalies in the spine at birth, some in early childhood and some due to fractures and various diseases and conditions of spine.
The two most common varieties
1. the first variety, when the vertebra slips forwards between 4-6 years of age. This may cause back pain or leg pain during childhood or during adulthood. Sometimes due to extra weight of pregnancy, women come to doctors with back pain and this condition is then diagnosed
2. the second variety is one which is somewhat common in females at about the age of forty. This is due to degeneration (wear and tear) and is more common in women who are overweight.
Q. What are the treatment options for this condition
A. Most patients get better with physiotherapy and medication. Once the pain subsides it is important to start exercise programmes to strengthen back and abdominal muscle. Walking, sports, yoga, swimming all help.
Q. Do I require surgery?
A. Only if the pain does not subside with physiotherapy, restricted activity for a few weeks followed by exercises etc. Surgery is more beneficial in those who suffer from leg pain rather than back pain alone
Q. What is the type of surgery that is done?
A. In children and young adults sometimes repair of the defect in the vertebra .is done to prevent back pain.Mostly screws and rods are placed in the spine and the vertebra that has moved forwarded is brought back to its original position. Cages are also used to maintain the reduction and restore the height between the vertebrae. Fusion is routinely done .
Q. How long do I need to take rest? And what are the precautions to be taken after surgery
A. You will be out of bed 2nd or 3rd day after surgery. You need to stay in hospital for 4-5 days. You will be in ICU for a day. You will be given a brace to support your back for a few weeks.
Q. When can I get back to work?
A. You need 6 weeks time for light duties and 3 months for heavy work.
Q. Do I need to undergo lot of physiotherapy?
A. You hardly require any physio. A few months after surgery physios will teach you a set of exercises which are very easy to follow and can be done at home.
Q. How painful is the procedure?
A. The procedure is not that painful and you will be given adequate pain relief medication after surgery
Q. can I play games and sports after surgery?
A. Swimming, yoga ,sports are all beneficial. You will be told how to lift weights and also given a set of exercises to strengthen your back.
Q. Will surgery affect my married life?
A. Not at all . You can have a normal married life and women can have babies and undergo normal deliveries
Dr Raghava Mulukutla lent support to another good cause. Spinal Cord Injury (SCI) Awareness Day is an opportunity for us all to make positive changes in the lives of people with SCI, their families and improve prevention programs of SCI around the world.
This year with the goal to increase spinal cord injury (SCI) awareness amongst the general public in Hyderabad, rallies were held at Peoples Plaza and KBR park.
10th June, 2016
Department of Physiotherapy and Management conducted a workshop on ADVANCED MANUAL THERAPY FOR LUMBAR SPINE ASSESSMENT & MANAGEMENT.
Dr Raghav Dutt Mulukutla spoke on ‘Lumbar Spine Stenosis Management Strategies’
Mohammed Jamsheer illustrated manipulation techniques and demonstrated hands on practice.
Harish Kumar, Senior physiotherapist was the organizing secretary.
Dr Raghav Mulukutla at the Global Spine Forum Symposium, spoke on ‘Challenges in Spine Care’ at the North American Spine Society (NASS) held in Boston, on Oct 26-29, 2016. The session focused on international challenges that spine surgeons face in their countries.
The North American Spine Society is a global multidisciplinary medical society that utilises education, research and advocacy to foster the highest quality, ethical, value- and evidence-based spine care for patients.
Udai Omni Hospital sponsored youngster Nagaraju, an ex employee of Udai Clinic Hospital in his endeavour to cycle across 10 districts over 10 days.
I was recently in Munich to update himself in the latest technology in knee ligament reconstruction. The Arthrex surgical skills lab is equipped with the latest arthroscopic wet and dry lab simulators and is stocked with a complete inventory of the latest instrumentation and implants.
The exposure certainly gave me the edge in offering my patients the latest surgical options in knee ligament surgery.
The knee has several ligaments that can get damaged after sports injuries and accidents. These include the ACL (anterior cruciate ligament), the PCL (posterior cruciate ligament), MCL (medial collateral ligament) etc.
Without surgical reconstruction many young patients can never get back to sports and an active lifestyle. The knee becomes vulnerable to getting worn out (arthritis) at a younger age than average.
Early and expert ligament reconstruction can help young people get back their former active lifestyle and delaying surgery can result in damage to other structures within the knee. It’s like a loose hinge on a door, if not repaired early can result in other hinges coming loose.
Knee arthroscopy procedures (keyhole surgery) have advanced many fold in the last few years. This was an opportunity for surgeons like myself interested in knee surgery to update themselves.
The experienced faculty from around the world conducted practical demonstrations in some of the most advanced arthroscopic (keyhole) procedures for ligament and meniscal injuries of the knee.
This is the latest in Anterior Cruciate Ligament reconstruction using the all inside technique which would give a patient less post -operative pain and a quicker recovery.
Every now and again many of us resolve to improving our health habits and promise ourselves to eating healthier. Follow these tips to treat yourself to healthy eating.
1. Don’t deprive yourself.
Aim to eat nutritious foods your body loves 80 percent of the time. Use that other 20 percent to treat yourself a bit.
2. Graze healthfully.
Tide yourself over between meals with healthier snacks. Whether your thing is sweet or savory, crunchy or chewy, there are plenty of options for snacking smart.
3. Eat fresh produce all year long.
Find out which fruits and veggies are in season even in the winter and stock up at the store and farmers’ markets. Eating fresh means eating the tastiest and most delicious produce around.
4. Indulge smarter.
Chocolate-dipped strawberries? Choco-Nut popcorn? Yes, please. Lower sugar doesn’t have to mean less deliciousness.
5. Understand emotional eating.
There is a link between how we feel and how we eat, particularly when it comes to stress. Figuring out what kind of eater you are and whether you look to food to comfort you in times of anger, boredom, stress, or sadness will help you formulate a plan for making different decisions when faced with those emotions.
6. Make holidays, birthdays, and special occasions a little healthier.
Holidays and special occasions are always a good reason to enjoy delicious food. Luckily, there are plenty of ways to celebrate without going overboard.
7. Be mindful at meal times…
Staying tuned in to what you’re eating (as opposed to the phone or TV) is a great way to eat until you’re full, but not beyond. Being relaxed and mindful can also help you heed fullness cues.
8. …But don’t overthink it.
Recent research shows that the more time we take to think about whether or not we should eat something, the more likely we are to find a reason to justify eating it. Checking in with yourself about your mood and are great habits to have, but remember to trust your gut.
9. Start the day right.
Studies suggest that eating a healthy breakfast is linked to sustained weight loss and weight management, particularly when that breakfast is nutritious and fiber-rich and high in protein.
10. Use the buddy system.
Having a partner with the same healthy-eating ambitions has been shown to help both people reach their goals.
What you eat can impact every aspect of your life from your mental health to your sleep and relationships. So go ahead and wholeheartedly commit to developing healthier eating habits this year. Set goals that are simple and tangible. Make time to meal plan to set yourself up for success. But above all else, believe in yourself. This is your year. You can do this!
Dr Deepa Agarwal, is Consultant Nutritionist at Udai Omni Hospital. She has an experience of 10 years having completed MSc and PhD in Clinical Nutrition.
To consult Dr Deepa Agarwal, please email email@example.com
Dr Ved Prakash handing over blankets to Sub Inspector Naidu (Abids). These were distributed to the homless in the Nampally /Abids area this winter which has been exceptionally harsh.
Ortho CME Program held at Kadapa on Jan 31st
Dr.Raghava Dutt gave presentation on NEW TECHNIQUES OF SPINE SURGERIES and
Dr. Udai Prakash on PARTIAL KNEE REPLACEMENT (WHY DO A TOTAL KNEE REPLACEMENT, WHEN PARTIAL KNEE REPLACEMENT)
VENUE: Sri Srinivasa Residency, Near Apsara theatre , Chennai Road, Kadapa