Featured Speaker Physiotherapy Now

Dr. Ramesh Sahjpaul

MD, MSc, FRCSC Neurosurgeon Vancouver, BC

Dr. Ramesh Sahjpaul, MD, MSc, FRCSC, Neurosurgeon, discusses post spinal surgery recovery.

BIO: Physiotherapy Now

Dr. Ramesh Sahjpaul is currently a neurosurgeon and Chief of Surgery at Lions Gate Hospital, with a focus on complex spine disorders. He is also Clinical Associate Professor, Division of Neurosurgery, University of British Columbia.

Dr. Sahjpaul obtained his medical degree at the University of Toronto, completing a two-year internship at Queen’s University in Kingston, Ontario. He completed his neurosurgical training at the University of Western Ontario, followed by a one-year fellowship in Epilepsy Surgery at UWO.

Dr. Sahjpaul was a staff neurosurgeon and Assistant Professor of Neurosurgery at London Health Sciences Centre, University of Western Ontario from 1996 to 2001, during which he completed a Masters degree in Clinical Epidemiology there.

In 1999 Dr. Sahjpaul completed additional training in Complex Spine Surgery and Minimally Invasive Spinal Surgery at the University of Tennessee. Following his training he joined the Vancouver General Hospital Combined Neurosurgical and Orthopaedic Spine Program.

Dr. Sahjpaul is involved in clinical research and is an associate member of ICORD (International Collaboration on Repair Discoveries). His areas of interest include spinal instrumentation, epilepsy surgery and brain mapping, and clinical epidemiology.

( Dr. Ramesh Sahjpaul, Neurosurgeon, Vancouver, BC ) is in good standing with the College of Physicians and Surgeons. Now Health

Post Spinal Surgery Recovery

A good surgical result can be ruined by improper care of your back after surgery, and the role of physiotherapy is crucial. Well, typically patients will experience significant improvement in their symptoms immediately after the surgery.

However, it’s not uncommon to experience some degree of ongoing symptoms especially some incisional pain, or sometimes some nerve pain. It’s usually fairly mild and can be managed conservatively or with over-the-counter medications.

It often requires some reassurance, but the important thing is that the relief from the surgery is fairly significant and fairly quick. However, that does require some compliance from patients post-operatively as far as doing some physiotherapy, some stretching exercises that are provided to them.

Physiotherapy really becomes important at approximately six weeks after surgery, and at that time the patient then learns proper lifting techniques, avoidance of prolonged sitting because we know that sitting tends to aggravate lumbar pain.

And there may be some situations in which individuals may have to make some changes in their workplace for ergonomic improvements to try to prevent further back pain episodes or further recurrent disc herniations.

Even though disc surgery is very successful, it’s important to recognize that there is a small but definite chance of running into problems down the road. So patients can sometimes experience recurrent disc herniation and may require further treatment sometimes surgical.

However, with appropriate physiotherapy, back care, back exercises, strengthening exercises, especially things such as core strength done with a guidance of appropriate individuals, the risk of running into problems in the future can be kept at an absolute minimum.

Presenter: Dr. Ramesh Sahjpaul, Neurosurgeon, Vancouver, BC

Local Practitioners: Neurosurgeon

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