Frequently Asked Questions
Neurosurgery OPD is on all days of the week between 9 am to 5pm except Sunday and gazetted holidays. However, Neurosurgical emergencies are taken care of 24X7.
Prior appointment is recommended but not mandatory.
It is mandatory to bring the patient for consultation; more so if he/she is seriously ill. Patient has to be examined by the doctor and his condition has to be assessed for proper advice and treatment. A relative can bring all the documents/investigation results/scans and discuss the problem but no treatment can be advised.
A Neurosurgeon is trained in diagnosis and treatment of the entire nervous system, composed of the brain, spinal cord and spinal column, as well as the nerves that travel through all parts of the body (hands, legs, arms, face). Though many patients think of Neurosurgeons as "brain surgeons," it may be interesting to know that the majority of operations performed by Neurosurgeons across the country are spine surgeries. Neurosurgeons train in surgery of the spine including Microdiscectomy, Laminectomy, Cervical and Lumbar Fusion and Instrumentation during their entire residency training. Their experience is not limited to a one year fellowship or a few weekend courses as with other specialties that sometimes operate on the spine.
Surgery is indicated for multiple problems of the spine, including, but not limited to, Disc Herniation, Spinal Stenosis, Deformity, Instability, Tumors and Fractures. Surgery is typically recommended for patients who have failed conservative treatment and are still having significant symptoms, which inhibit their lifestyle. You should be evaluated for surgery right away if you develop weakness in your arm/s or leg/s, a change in bowel or bladder function, you have severe pain that suddenly goes away.
There are risks associated with any type of surgery. However, in the hands of a well-trained, dedicated Neurosurgeon, these risks are quite low. The risks are unique to the procedure and patient and are always explained in detail to the patient prior to undergoing surgery. Co-existing illnesses such as diabetes, hypertension, coronary artery disease, other co-morbidities can enhance the risk to a certain higher level. Before any surgery, discuss risk specific to your condition and type of surgery with your surgeon.
Your recovery is very individual. The single biggest factor in speed of recovery is probably the patient’s positive attitude and motivation. Other factors include age, overall fitness, and other associated medical conditions. It depends on the kind of procedure that you have. Some procedures, like spinal fusions, may require extensive exposure of the spine, and the recovery may take from six months to a year. With other surgical procedures, such as those done through a minimal invasive exposure, the patient may recovery more quickly.
Pain is an individual experience, therefore management differs from person to person. Some pain is an inevitable companion to most types of surgery, and the severity of pain is related to the type of surgery, the occurrence of complications and a host of other factors. The good news is that there are many highly effective medications to keep post-surgical pain under control. In addition to the benefit of greater comfort, experts say well-controlled pain can speed recovery and prevent long-term problems. Many patients report less pain after surgery than they were experiencing before surgery. The first few days following surgery are the most uncomfortable and your pain will diminish over time as you heal. Pre-existing medical conditions such as chronic pain, addiction or dependence, and past history can complicate pain management after surgery. Talk to your care team to develop a plan for your pain management.
First, are you risking damage to recent surgery or treatment by driving? Driving involves specific movements and a fully conscious and attentive mind which need to be accomplished before you can return behind the wheel. Your doctor can tell you when it is safe for you to drive a vehicle from this standpoint.
Second, you need to ensure that you can operate a vehicle safely, and respond to unpredictable situations appropriately. Studies have shown that even wearing a simple wrist splint can significantly impair your ability to control a vehicle, and reaction times for several weeks. Driving while taking medications that make you dizzy, sleepy or decrease your response time is illegal.
Third, do not drive, if you have a new diagnosis of seizures.