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Tackling Back and Neck
Problems in Day-to-day Life
Dr. Yogesh K. Pithwa,
Fellowship in Advanced Spine Surgery and Spinal Deformity
Correction, USA, FRANCE, JAPAN
FNB Spine Surgery, MS Ortho GOLD MEDAL, DNB Ortho,
MNAMS Ortho, D. Ortho, MBBS
Visiting Surgeon: Washington University, St. Louis, USA;
Institut Calot, Berck, FRANCE;
Tohoku University, Sendai, JAPAN;
Hokkaido University, Sapporo, JAPAN
Consultant Spine Surgeon,
Sattvik Spine Foundation, Jayanagar,
HOSMAT Hospital
He Is the BACKBONE
of Our Organization!
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
Bombing of Hiroshima and Nagasaki
BROKE THE BACK
of the Japanese
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
You Are Only As Strong As
Your Back Is!
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
• 80% of the adult population suffers
from back pain and
• 40% suffers from neck pain
at least once in lifetime
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
Know Your Spine!
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
Multiple Bones
Stacked One on
Top of Another!
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
The Spine Does Not Have
Stability of Its Own!
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
Most Spinal Problems
Relate to Life-style Factors
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
What is an ideal type of chair?
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
Working on a Computer
• Eye level
• Bifocals
• Watch your
wrists!!
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
Working on a Computer
• Eye level
• Bifocals
• Watch your
wrists!!
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
Working on a Computer
• Eye level
• Bifocals
• Watch your
wrists!!
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
What Kind of Bed Is Ideal?
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
What Is the Ideal Position to
Sleep?
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
How NOT to Sleep!
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
How to Lift up a Weight
From the Ground?
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
How to Stand
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
Standing for a Long Time
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
Sitting With Legs Hanging Down
Sattvik Spie Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
Sitting on a Couch
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
Driving a Car
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
Give your back a break!!!
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
Traveling
Like a hammer hitting on your spine!!!
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
Smoking
Interferes with the
nutrition of the
intervertebral
disc
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
Does
Body
Weight
Affect
the
Spine?
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
Stress Can Lead to Back
and Neck Pain
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
Back and Neck Are the
Mirrors of the Mind!
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
How Does One Strengthen
the Spine?
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
How Does One Strengthen
the Spine?
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
Alarm Bells!!
• Pain radiating
into the
hands or legs
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
 Persistent back pain
Degenerative disk disease Spondylolisthesis
See Video
Alarm Bells!!
See Video
See Video
 Weakness or numbness in a selective pattern over the limbs
Pain at rest / at night
Pain in the calf/
buttocks on walking/
standing for some
time
SPINAL CANAL
STENOSIS
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
• Unsteadiness
while walking
• Relegated to old-
age changes
• CERVICAL/
THORACIC
MYELOPATHY
PreopPostop
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
•History of
malignancy
elsewhere in the
body
•Unexplained
weight loss
SPINAL
METASTASES/
MALIGNANCY
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
• Pain in children
• SCHEUERMANN’S
DISEASE
• TETHERED CORD
• NONIDIOPATHIC
SCOLIOSIS
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
Fever,
tuberculosis,
tuberculosis
contact
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
•Early morning
joint stiffness,
lasting >30
minutes and
present
continuously
for at least 6
weeks
•ANKYLOSING
SPONDYLITIS
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
Spinal Deformity
• Incidence of 3-5 per 1000
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
Simple Screening Can
Avoid Major Deformities
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
Early Intervention => Successful Outcome
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
Neglected
Deformities
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
Neglected Deformities
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
Neglected Deformities
5 years age 8 years age 13 years age
Spinal Trauma
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
No one can be a real
exception!
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
Urgent Referral
• Hemodynamic stabilization
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
Is Spine Surgery Safe?
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
Misconceptions
Galore! •What if I get
paralysed?
•Will I be able to
walk again?
•What if I lose
control over my
urination/ bowel
motion?
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
Imaging Facilities
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
Is Spine Surgery Safe?
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
Is Spine Surgery Safe?
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
International Frontiers in
Training
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
Everything in life comes
with an element of risk
Benefits
outweigh the
risks by a factor
of 10:1
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block,
080 42068257/ 9880659652/ 9341394471
Dr. Yogesh Pithwa
Email: info@spine-surgeon.org/
yogeshkp1974@gmail.com
Website: www.spine-surgeon.org

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Tackling Back and Neck Pain in Day to Day Life

  • 1. Tackling Back and Neck Problems in Day-to-day Life Dr. Yogesh K. Pithwa, Fellowship in Advanced Spine Surgery and Spinal Deformity Correction, USA, FRANCE, JAPAN FNB Spine Surgery, MS Ortho GOLD MEDAL, DNB Ortho, MNAMS Ortho, D. Ortho, MBBS Visiting Surgeon: Washington University, St. Louis, USA; Institut Calot, Berck, FRANCE; Tohoku University, Sendai, JAPAN; Hokkaido University, Sapporo, JAPAN Consultant Spine Surgeon, Sattvik Spine Foundation, Jayanagar, HOSMAT Hospital
  • 2. He Is the BACKBONE of Our Organization! Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 3. Bombing of Hiroshima and Nagasaki BROKE THE BACK of the Japanese Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 4. You Are Only As Strong As Your Back Is! Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 5. • 80% of the adult population suffers from back pain and • 40% suffers from neck pain at least once in lifetime Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 6. Know Your Spine! Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 7. Multiple Bones Stacked One on Top of Another! Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 8. The Spine Does Not Have Stability of Its Own! Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 9. Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 10. Most Spinal Problems Relate to Life-style Factors Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 11. What is an ideal type of chair? Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 12. Working on a Computer • Eye level • Bifocals • Watch your wrists!! Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 13. Working on a Computer • Eye level • Bifocals • Watch your wrists!! Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 14. Working on a Computer • Eye level • Bifocals • Watch your wrists!! Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 15. What Kind of Bed Is Ideal? Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 16. What Is the Ideal Position to Sleep? Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 17. How NOT to Sleep! Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 18. How to Lift up a Weight From the Ground? Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 19. Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 20. How to Stand Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 21. Standing for a Long Time Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 22. Sitting With Legs Hanging Down Sattvik Spie Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 23. Sitting on a Couch Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 24. Driving a Car Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 25. Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 26. Give your back a break!!! Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 27. Traveling Like a hammer hitting on your spine!!! Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 28. Smoking Interferes with the nutrition of the intervertebral disc Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 29. Does Body Weight Affect the Spine? Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 30. Stress Can Lead to Back and Neck Pain Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 31. Back and Neck Are the Mirrors of the Mind! Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 32. How Does One Strengthen the Spine? Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 33. How Does One Strengthen the Spine? Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 34. Alarm Bells!! • Pain radiating into the hands or legs Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 35. Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471  Persistent back pain Degenerative disk disease Spondylolisthesis See Video Alarm Bells!! See Video See Video  Weakness or numbness in a selective pattern over the limbs Pain at rest / at night
  • 36. Pain in the calf/ buttocks on walking/ standing for some time SPINAL CANAL STENOSIS Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 37. • Unsteadiness while walking • Relegated to old- age changes • CERVICAL/ THORACIC MYELOPATHY PreopPostop Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 38. •History of malignancy elsewhere in the body •Unexplained weight loss SPINAL METASTASES/ MALIGNANCY Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 39. • Pain in children • SCHEUERMANN’S DISEASE • TETHERED CORD • NONIDIOPATHIC SCOLIOSIS Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 40. Fever, tuberculosis, tuberculosis contact Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 41. •Early morning joint stiffness, lasting >30 minutes and present continuously for at least 6 weeks •ANKYLOSING SPONDYLITIS Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 42. Spinal Deformity • Incidence of 3-5 per 1000 Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 43. Simple Screening Can Avoid Major Deformities Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 44. Early Intervention => Successful Outcome Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 45. Neglected Deformities Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 46. Neglected Deformities Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 47. Neglected Deformities 5 years age 8 years age 13 years age
  • 48. Spinal Trauma Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 49. No one can be a real exception! Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 50. Urgent Referral • Hemodynamic stabilization Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 51. Is Spine Surgery Safe? Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 52. Misconceptions Galore! •What if I get paralysed? •Will I be able to walk again? •What if I lose control over my urination/ bowel motion? Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 53. Imaging Facilities Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 54. Is Spine Surgery Safe? Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 55. Is Spine Surgery Safe? Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 56. International Frontiers in Training Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 57. Everything in life comes with an element of risk Benefits outweigh the risks by a factor of 10:1 Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 58. Sattvik Spine Foundation, Jayanagar 4th ‘T’ Block, 080 42068257/ 9880659652/ 9341394471
  • 59. Dr. Yogesh Pithwa Email: info@spine-surgeon.org/ yogeshkp1974@gmail.com Website: www.spine-surgeon.org