Human Spine is made of up 33 bones (vertebrae) that are cushioned by discs. These ver-tebrae are divided by region: neck (cervical spine), mid-back (thoracic spine), and low back (lumbar spine). At the lower end spine ends at the terminal bone of sacrum and the coccyx, which is commonly called your tailbone. Discs or cushions are present between these bones which function like shock absorbers. The disc protect the bones by absorbing the shocks from daily activities like walking, lift-ing, and twisting.Each disk has two parts – a soft, gelatinous inner portion (nucleus pulp-ous) and a tough outer ring (annulus fibrosis). Facet joints are on the posterior side (back) of your vertebrae. These joints (like all joints in your body) help movement and are very important for flexibility.Together, the vertebrae and discs form a tunnel through which the spinal cords and nerve pass. Spine also has muscles, ligaments and blood vessels. Muscles are tissues that act as power generators for movement. Ligaments are the strong, flexible bands of fibrous tissue that link the bones together.

Most of the neck pain patients shall improve with simple pain management measures. However one should meet a spine doctor and a Spine Specialist for spine consultation if your back pain persists for more than 3 weeks. and seek immediate attention if you have back pain with any of the following emergency signs (RED FLAGS) –

• Pain is getting significantly worse.
• Pain affects every day activities.
• Severe symptoms.
• Associated Fever or constitutional symptoms.
• Shoulder pain or arm pain and weakness or numbness.
• Arm or hand weakness, tingling, or numbness.
• Loss of bowel or bladder control.

If Neck pain is associated with RED FLAG SIGNS – Shoulder pain, arm numbness or arm weakness one should meet a Spine Specilaist or nearest spine doctor for sppine consultation. Dr. Vishal Kundnani is one of the best Spine Specialist in Mumbai and one of the best spine surgeon in India.

There are different options to treat neck pain depending on the severity and duration of symptoms.

They may comprise one or many:-

• Drugs & Medications.
• Physical Therapy.
• Spinal Bracing.
• Spinal Injections.
• Spine surgery.
• Physiotherapy and exercises for back pain are helpful often.

For planing a suitable and most optimal treatment option for self one should meet spine doctor for spine consultation and a Spine Specialist for exact diagnosis. One should meet a Spine Specilaist for investigation or nearest spine doctor for spine consultation. Dr. Vishal Kundnani is one of the best Spine Specialist in Mumbai and one of the best Spine Surgeon in India.

• Acetaminophen: Your doctor may call this an analgesic, but most of us refer to acetaminophen me-dications as painkillers.
• NSAIDs (non-steroidal anti-inflammatory drugs): Reduce swelling (or inflammation) while relieving your pain.
• Muscle Relaxants: If you have chronic back pain caused by muscle spasms, you may need a muscle relaxant, which will help stop the spasms.
• Anti-depressants: As surprising as it may seem, anti-depressants can be effective drugs for treating pain because they block pain messages on their way to the brain. They can also help increase your body’s production of endorphins, a natural pain killer.
• Opioids: In the most extreme cases, and only under careful supervision, you doctor may also prescribe an opioid, such as morphine or codeine.

Medication Warning:-

• As with all medications, you must follow your doctor’s advice precisely. Never mix over-the-counter and prescribed drugs without consulting your doctor.
• No Medication shall be consumed without consultation of your spine doctor, spinal surgeon or spine specialist. Dr. Vishal Kundnani is one of the best spine specialists in Mumbai and one of the best spine surgeon in India.

Most patients with Neck pain respond well to non-surgical treatments (such as medication) –

• Indications for spinal surgery in Neck pain are :
  No response / partial response to non-surgical treatments after having diagnosed with a specific cause.
  Progressive radiculopathy, arm pain, shoulder pain , numbness, and tingling in the arms or legs.
  Loss of power sensation in your arms or legs or loss of bowel or bladder control.

Physiotherapy has a major role in spinal back pain/slip disc treatment. It teaches how to condition your body to prevent further injury and help in the recovery of the painful episode. There are a variety of physical therapy techniques. Passive and active treatments.

Passive treatments relax your body and include deep tissue massage, hot and cold therapy, electrical stimulation (TENS), and hydrotherapy. Active treatment involves active stretching and strengthening exercises trunk stability, core strengthening.

Passive Treatments:-

• Deep Tissue Massage: Deep tissue massage relieves deep muscle tension and spasms, which develop to prevent muscle motion at the affected area.
• Hot and Cold Therapy: Both hot and cold therapies offer their own set of benefits, and your physical therapist may alternate between them to get the best results. This reduces inflammation, muscle spasms, and pain.
• Hydrotherapy: gently relieves pain and relaxes muscles.
• TENS (transcutaneous electrical nerve stimulation): uses electrical current to stimulate your muscles and reduces muscle spasms and is generally believed to trigger the release of endorphins, which are your body’s natural pain killers. TENS machine stimulates your muscles through variable (but safe) intensities of electrical current. TENS may increase your body’s production of endorphins, your natural pain killers. The TENS equipment your physical therapist uses is larger than the “at home” use machine.
• Ultrasound: By increasing blood circulation, an ultrasound helps reduce muscle cramping, swelling, stiffness, and pain. It does this by sending sound waves deep into your muscle tissues, creating a gentle heat that enhances circulation and healing.
• Traction: reduce the effects of gravity on the spine. the intent is to reduce the disc herniation and is usually performed in the cervical or lumbar spine.

ActiveTreatments:-

• Help to reduce recurrent pain but will also benefit your overall health.
• Core stability: Many people don’t realize how important a strong core is to their spinal health. Your core (abdominal) muscles help your back muscles support your spine. When your core muscles are weak, it puts extra pressure on your back muscles. Your physical therapist may teach you to core stabilizing exercises to strengthen your back.
• Flexibility: Learning proper stretching and flexibility techniques will prepare you for aerobic and strength exercises. Flexibility helps your body move easier by warding off stiffness.
• Muscle-strengthening: Strong muscles are a great support system for your spine and better handle pain. and strengthening of muscles which can cause your back stretches and strengthen along with pelvic tilt, which helps you find a neutral spine position.

Dr. Vishal Kundnani is the best spine surgeon for Back pain surgery and is available in Spine Clinic Mumbai and other various hospitals for consultation and for surgery. Dr. Vishal Kundnani is the best spine specialist with a considerate approach to patients with an honest opinion and ethical spine practice

These options of nonsurgical management of back pain are available at Spine Clinic Mumbai –best Spine Clinic in Mumbai for treatment of slip disc. Dr. Vishal Kundnani is the best spine consultant in Mumbai and is available on appointment in Mumbai on appointment for spine specialist. Dr. Vishal Kundnani is the best spine specialist in Mumbai and best spinal consultant in Goregaon, Kandiwali and Malad.

• Neck and shoulder pain can be classified in many different ways. Some people experience only back pain or only shoulder pain, while others experience pain in both areas.

Causes of neck pain include:

• Abnormalities in the bone or joints
• Slip disc /Disc bulge /Herniated disc
• Trauma
• Poor posture
• Degenerative diseases
• Tumors
• Muscle strain

To determine exact cause of your problem you should meet a nearest spine doctor or a spine specialist. Dr Vishal kundnani is one of the best spine specialist in mumbai and one of the best spine surgeon in India

The shoulder is a ball and socket joint with a large range of movement. Such a mobile joint tends to be more susceptible to injury. Shoulder pain can stem from one or more of the following causes:

• Pinched nerves (also called radiculopathy)
• Slip disc in Neck
• Strains from overexertion
• Tendonitis from overuse
• Dislocation
• Collar or upper arm bone fractures
• Frozen shoulder

To determine the exact cause of your problem you should meet the nearest spine doctor or a spine specialist. Dr. Vishal Kundnani is one of the best spine specialists in Mumbai and one of the best spine surgeon in India.

• X-rays: Plain X-rays can reveal narrowing of the space between two spinal bones, arthritis-like diseases, tumors, slipped discs, narrowing of the spinal canal, fractures, and instability of the spinal column.
• MRI: Magnetic resonance imaging is a noninvasive procedure that can reveal the detail of neural (nerve-related) elements, as well as problems with the tendons and ligaments.
• Myelography/CT scanning: This is sometimes used as an alternative to MRI.
• Electrodiagnostic studies: Electromyography (EMG) and nerve conduction velocity (NCV) are sometimes used to diagnose Back and leg pain, arm pain, numbness and tingling.

To determine which investigation is needed for you meet a nearest spine doctor or a spine specialist. Dr Vishal kundnani is one of the best spine specialist in mumbai and one of the best spine surgeon in India.

• The treatment of soft tissue neck pain and shoulder pain often depends on the source of pain. Pain also may be treated with a local application of moist heat or ice. Drugs like muscle relaxers and even antidepressants might be helpful. Local corticosteroid injections are often helpful. For both neck and shoulder pain movement, exercises may help. For cases in which nerve roots or the spinal cord are involved, surgical procedures may be necessary. To plan the best treatment option for yourself one shall meet a spinal doctor or a spine specialist in Mumbai. Dr. Vishal Kundnani is the best spine specialist in india.