Non Surgical Services

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Non-surgical care

Non-surgical care forms the basic 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.


Patient Education and Support: A patient who is well informed and has a thorough awareness of his problem is able to participate in a shared decision making process regarding the treatment. We make an attempt to inform and educate our patients about their symptoms, their problem and the treatment options at every stage of your interaction with our team – surgeons, physiotherapists, counsellors and nurses.


Pain Counselling: Chronic (long standing) spinal pain can occasionally take a toll on ones occupational, social and recreational activities leading to irritability, anxiety and depression. The pain can occasionally take control of peoples lives and they find all their day-to-day activities being affected by their symptoms. The resultant anxiety and depression can lead to heightened pain perception and can prolong the duration of symptoms. Pain counselling helps to form coping strategies to break the vicious cycle of pain and anxiety and reduces the severity of perceived pain and the duration of symptoms. The aim is to restore spinal pain sufferers to a wholesome and productive life.


Physical Therapy: passive therapies such as ultrasound, transcutaneous nerve stimulation (TENS), and massage may be combined with a disciplined program of stretching and strengthening exercise. Core strengthening (strengthening of the abdominal and low back muscles) is often helpful in relieving pain from degenerative disc and joint disease. When the muscles around the disc become stronger, they may shield the disc from loads and may reduce pain.


Spinal Injections: local anesthetics combined with long-acting corticosteroid injections. This medication combination may be injected into the facet joints or around the nerves of the back to help reduce back pain and radicular leg pain.


Bracing: braces (orthoses) help support the back and limit movement that may provoke painful episodes. Rarely is bracing a long-term treatment for back pain. Long-term bracing may lead to weakened back and abdominal muscles which may provoke muscle spasm.


Spinal Rehabilitation: Spinal Rehabilitation forms the basic of the management of a large proportion of spinal disorders and is carried out by highly trained physiotherapists. Our rehabilitation interventions are evidence-based and in keeping with the accepted best-practices all over the world. We adopt an exercise based treatment approach combined with advice regarding posture and back care and usually avoid local treatments like interferential therapy, short-wave diathermy and ultrasound massage for chronic pain management. Our physiotherapists have considerable expertise in the management of acute and chronic spinal problems and may supplement the exercise base treatment with other treatment modalities.


Lifestyle Modification: dieting to reach a more 'back friendly' body weight, smoking cessation, and physical activity help maintain a healthy spine.


Sports Rehabilitation:

Management of acute & chronic sports injuries.

Management of athletes from recreational to professional and Olympians.