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10 Best Spine And Pain Specialists in Paldi

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Dr. Pulin Shah Spine And Pain Specialist

Dr. Pulin Shah

Orthopedist

34 years of experience

Shilp HospitalPaldi, Ahmedabad

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Questions & Answers on "Spine And Pain Specialist" (11)

Answered on 26th Nov '24

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I am 69 years old female. Since 2-3weeks I was having pain in right pelvic region and slight low backache.. Other than that I had no any symptoms…I had significant weight loss but didn’t care about it much…10 days back I underwent MRI Lumbo-sacral spine with TIM which showed partial collapse of L1 vertebra showing heterogenous altered signal intensity with in an ill-defined lobulated lesion in right half of body of L1 vertebra suggestive of either being neoplastic or infective..Then I underwent PET-CECT which showed Hypermetabolic lesion involving almost entire caudate lobe of liver suggestive of primary liver malignancy i.e.Hepatocellular carcinoma and hypermetabolic metastatic purely lytic lesion with large soft tissue component in L1 vertebra… I never had alcohol or any HBV or HCV infection nor I am obese..And spinal metastatis is very rare from liver…Please give your expert opinion regarding this case.. what may be the cause and what investigations should I need to do further? Also please tell me about the treatment options I could have

Female | 69

Chemotherapy and radiotherapy. Are the only options. As being metastatic it's stage 4 ca

Answered on 31st July '24

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Findings: Spastic straightening of the cervical spine. L3-4 and L2-3 broad-based disc bulge indenting the thecal sac encroaching upon both lateral recesses mildly compromising the inferior aspect of the neural foramina effects accentuated by posterior elements hypertrophies and short lamina. L4-5 broad-based disc bulge indenting the thecal sac which upon both lateral recesses comprising the neural foramina bilaterally. L5-S1 broad-based disc bulge encroaching upon both lateral recesses compromising the inferior aspect of the neural foramina Rest of scanned discs show no significant disc protrusions or foraminal compromise. Normal MR appearance of spinal cord and bone marrow signal intensity. No other abnormality seen. Impression: Multilevel spinal canal stenosis and bilateral neural compromise between L3-4 to L5-S1 and to lesser extent L2-3 with effects accentuated by bilateral posterior elements hypertrophies, short lamina and possibly mild epidural lipomatosis

Male | 50

You have a condition calle­d spinal canal stenosis. This means the space­ around your spinal cord is narrow. The narrowing puts pressure on the­ nerves in your spine. This can le­ad to leg pain, numbness or weakne­ss. Aging and regular use of the spine­ cause wear and tear. Tre­atment options include physical therapy e­xercises, medications, or surge­ry in severe case­s.

Answered on 6th Aug '24

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Answered on 5th Apr '25

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Answered on 31st July '24

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