Specialized Spine Treatments
Comprehensive Spine Care by Dr. Nitish Agrawal
From interventional pain management avoiding surgery to ultra-precise microscopic spine reconstructions, discover our personalized, evidence-based treatment plans for 14 common and complex spine conditions.
Surgery & Decompression
Spinal Canal Stenosis
Decompression surgery combined with spinal fixation, discectomy, and state-of-the-art neural preservation techniques to eliminate leg numbness, heaviness, and walking discomfort.
- Pain, numbness, or cramping in one or both legs when walking or standing for prolonged periods (Neurogenic Claudication)
- Relief from leg pain upon sitting down or bending forward (shopping cart sign)
Infection Care
Tuberculosis Spine (Pott’s Spine) Treatment
Comprehensive medical and surgical management including antitubercular therapy, decompression, discectomy, laminectomy, abscess drainage, and deformity prevention.
- Deep, agonizing back pain that is often worse at night and during movements
- Constitutional symptoms: low-grade evening fever, night sweats, loss of appetite, and weight loss
Emergency Care
Cauda Equina Syndrome
Emergency surgical decompression, complete disc removal with titanium disc/cage placement, and nerve restoration to safeguard critical bowel and bladder function.
- Sudden loss of bowel or bladder control (urinary incontinence or urinary retention with overflow)
- Saddle anesthesia: Loss of sensation or numbness in the groin, buttocks, perineum, and inner thighs
Non-Surgical Care
Non-Surgical Disc Prolapse Pain Management
Selective nerve root block, caudal epidural injections, targeted physiotherapy, and advanced interventional pain management therapies avoiding surgery.
- Sharp, shooting electric-shock-like pain down the buttocks and legs
- Moderate back or neck discomfort with associated muscle spasm
Microscopic Care
Sciatica / Lumbar Disc Prolapse Treatment
Minimally invasive micro-discectomy using microscopic technique through a small 1-inch incision for rapid pain relief and same-day mobilization.
- Shooting, burning, or sharp pain starting in the lower back and traveling down the buttock into the calf and foot
- Numbness, tingling, or "pins and needles" in the toes or foot
Cervical Care
Cervical Disc Prolapse Treatment
Surgical removal of the affected disc with titanium cage placement or artificial disc replacement to restore neck mobility and relieve radiating arm pain.
- Dull or sharp pain in the neck radiating into the shoulder blade, arm, forearm, or fingers
- Numbness, tingling, or loss of sensation in the arm or specific fingers
Trauma Care
Spine Fracture & Trauma Care
Comprehensive management of traumatic and osteoporotic vertebral compression fractures via percutaneous vertebroplasty, kyphoplasty, and minimally invasive instrumentation.
- Sudden, intense localized spinal pain following a fall, accident, or even minor coughing in osteoporotic elderly
- Inability to sit upright, stand, or walk without extreme pain
Infection Care
Spine Infection (Spondylodiscitis)
Accurate microbiological diagnosis, targeted intravenous antimicrobial therapy, and minimally invasive surgical debridement for pyogenic and granulomatous infections.
- Persistent, unrelenting back or neck pain that fails to improve with rest
- Fever, chills, night sweats, and marked malaise
Nerve Care
Cervical Radiculopathy (Pinched Nerve in Neck)
Specialized conservative and surgical decompression for pinched cervical nerves, relieving excruciating radiating arm pain, numbness, and tingling.
- Sharp burning or shock-like pain traveling down one arm into specific fingers
- Numbness or reduced sensitivity to touch in the thumb, index, middle, or little finger
Complex Care
Cervical Myelopathy (Spinal Cord Compression)
Advanced surgical decompression to relieve chronic spinal cord compression, preventing irreversible cord damage and restoring balance and dexterity.
- Loss of fine motor skills: Difficulty buttoning shirts, tying shoelaces, or holding a pen
- Unsteady, clumsy gait: Feeling as though you are "walking on sponges" or losing balance in the dark
Specialized Care
Spine Tumor & Oncology Care
State-of-the-art multidisciplinary diagnosis, neural decompression, and spine reconstruction for primary and metastatic tumors.
- Unrelenting spinal pain that is not relieved by bed rest and frequently wakes the patient from sleep at night
- Rapidly progressing neurological deficit or numbness in extremities
Deformity Care
Degenerative Scoliosis & Severe Disc Degeneration
Comprehensive surgical and non-surgical restoration of spinal alignment, balance, and neural decompression for complex adult spinal deformities.
- Noticeable sideways curvature or postural tilt when standing
- Difficulty standing upright; progressive forward stoop (loss of lumbar lordosis)
Pain Management
Back Pain Management
Comprehensive diagnostic evaluation, evidence-based medication, targeted physical therapy, and interventional pain procedures for acute and chronic back pain.
- Dull aching, burning, or sharp pain across the lower back, buttocks, or hips
- Inability to stand up straight or bend forward without discomfort
Pain Management
Neck Pain Management
Precision diagnosis and individualized treatment plans for cervical spondylosis, postural tech-neck, facet arthritis, and whiplash injuries.
- Persistent soreness, tightness, or knot-like spasms in neck and shoulder muscles
- Restricted range of motion; difficulty turning your head while driving or looking up
Unsure Which Treatment Is Right For You?
Every spine is unique. Bring your recent MRI or X-ray scans to Agarwal Spine Clinic for an in-depth clinical consultation with Dr. Nitish Agrawal.