Spine Pain Treatment

Welcome to our Interventional Spine and Pain Clinic, where we redefine pain management with our advanced interventional spine treatment methods. At our clinic, precision and innovation are at the forefront of our commitment to patient care. Utilizing cutting-edge techniques we directly target the sources of spine-related pain with minimally invasive procedures such as endoscopic spine surgery, spinal cord stimulator, percutaneous spine fusion. What sets us apart is our dedication to individualized treatment plans, ensuring effective and lasting relief for our patients. From herniated discs to spinal stenosis, our expert team employs state-of-the-art methods that prioritize not only immediate relief but also long-term results. Choose our clinic for an unparalleled experience in advanced interventional spine pain treatment, where expertise and innovation converge to set new standards in care.

Book An Appointment

Fill out the form below or call us at +971 50 480 4987 or email us at [email protected] to book an appointment with us.

    Spine Pain Treatment

    BOOK AN APPOINTMENT

    Some of conditions causing spine pain. We strictly advise to take spine & pain specialist opinion on diagnosis & treatment.

    Spondylosis

    Spondylosis is a broad term that simply refers to some type of degeneration in the spine. Most often, the term spondylosis is used to describe osteoarthritis of the spine, but it is also commonly used to describe any manner of spinal degeneration. As with many other terms to describe spinal problems, spondylosis is more of a descriptive term than it is a clinical diagnosis.

    The patient may have pain from facet joint osteoarthritis, spinal stenosis (an abnormal narrowing of the spinal canal, which is creating leg pain when the patient walks) or could be caused by degenerative disc disease, in which a degenerated disc that becomes dehydrated and loses some of its function. The degenerated disc can cause low back pain or neck pain, and possibly leg pain or arm pain.

    Slip Disc / Disc Herniation

    Although people often refer to a disc herniation as a slipped disc, the disc doesn’t actually slip out of place. Rather, the term herniation means that the material at the center of the disc has squeezed out of its normal space. Herniation occurs when the nucleus in the center of the disc pushes out of its normal space. The nucleus presses against the annulus, causing the disc to bulge outward. Sometimes the nucleus herniates completely through the annulus and squeezes out of the disc.

    Sciatica / Lumbar Radiculopathy

    The term sciatica describes the symptoms of leg pain—and possibly tingling, numbness, or weakness—that originate in the lower back and travel through the buttock and down the large sciatic nerve in the back of each leg.Sciatica is not a medical diagnosis in and of itself—it is a symptom of an underlying medical condition. Common lower back problems that can cause sciatica symptoms include a lumbar herniated disc, degenerative disc disease, spondylolisthesis, or spinal stenosis.

    Disc Degenerative Disease

    Disc degenerative disease refers to symptoms of back or neck pain caused by wear-and-tear on a spinal disc. In some cases, degenerative disc disease also causes weakness, numbness, and hot, shooting pains in the arms or legs (radicular pain). Degenerative disc disease typically consists of a low-level chronic pain with intermittent episodes of more severe pain. Painful disc degeneration is common in the neck (cervical spine) and lower back (lumbar spine). These areas of the spine undergo the most motion and stress, and are most susceptible to disc degeneration.

    Spinal Stenosis

    In the medical field, stenosis means the abnormal narrowing of a body channel. When combined with the word spinal, it defines a narrowing of the bone channel occupied by the spinal nerves or the spinal cord. Some people are born with a congenital form, but most develop spinal stenosis as part of the degenerative cascade. A few do not feel any effects of the narrowing, but as part of the aging process, most people will eventually notice radiating pain, weakness, and/or numbness secondary to the compression of the nerves or spinal cord. While the narrowing may occur at different parts of the spine, the symptoms of nerve compression are often similar. That is why specialists often will perform testing to determine the cause and location of the narrowing.

    Pain after spinal surgery/Failed back surgery syndrome

    Failed back surgery syndrome (FBSS), also known as post-laminectomy syndrome, describes a chronic, painful condition that some patients after undergoing back surgery, specifically a laminectomy or microdiscectomy. Failed back surgery syndrome Syndrome is not a diagnosis, but rather a general term to describe a variety of chronic pain syndromes experienced by patients as they emerge from back surgery. The exact cause of FBSS is unknown, however one prominent theory points to epidural fibrosis, in which the development of scar tissue during post-surgical healing compresses nearby nerve roots and causes pain.

    Spondylolysis/Spondylolisthesis

    Spondylolysis is a crack or stress fracture in one of the vertebrae, the small bones that make up the spinal column. The injury most often occurs in children and adolescents who participate in sports that involve repeated stress on the lower back, such as gymnastics, football, and weight lifting. In some cases, the stress fracture weakens the bone so much that it is unable to maintain its proper position in the spine—and the vertebra starts to shift or slip out of place. This condition is called spondylolisthesis. Patients who have persistent back pain or severe slippage of a vertebra, however, may need surgery to relieve their symptoms and allow a return to sports and activities.

    Spinal Compression Fractures

    The type of fracture in the spine that is typically caused by osteoporosis is generally referred to as a compression fracture. A compression fracture is usually defined as a vertebral bone in the spine that has decreased at least 15 to 20% in height due to fracture.These compression fractures can occur in vertebrae anywhere in the spine, but they tend to occur most commonly in the upper back (thoracic spine), particularly in the lower vertebrae of that section of the spine (e.g. T10, T11, T12). They rarely occur above the T7 level of the spine. They often occur in the upper lumbar segments as well, such as L1.

    Cervical Radiculopathy

    Cervical radiculopathy is the clinical description of pain and/or neurological symptoms resulting from any type of condition that irritates a nerve in the cervical spine (neck). When any nerve root in the cervical spine is irritated through compression or inflammation, symptoms of pain, tingling, numbness, and/or weakness can radiate anywhere along that nerve’s pathway into the shoulder, arm, and/or hand. A cervical disc is herniated when its jelly-like inner layer, the nucleus pulposus, leaks out through a tear in the disc’s protective outer layer. This could result from an injury or aging.A herniated disc may press against or pinch a cervical nerve, or the inflammatory proteins of the nucleus pulposus may come close enough to a nerve to cause irritation.

    Cervical Disc Bulge

    If the inner material of the cervical disc leaks out and inflames or impinges the adjacent nerve, it can cause cervical radiculopathy. If a younger person (20s or 30s) has cervical radiculopathy, the most likely cause is a herniated disc. When a disc in the cervical spine degenerates, the disc becomes flatter and stiffer and does not support the spine as well. In some people this degenerative process can lead to inflammation or impingement of the nearby nerve root. Cervical degenerative disc disease is a common cause of radiculopathy in people over age 50.

    Cervical Facetal Arthritis

    When the cartilage in a cervical facet joint wears down enough, it can lead to cervical osteoarthritis, also known as cervical spondylosis. Rather than having the facet joints move smoothly along cartilage as intended, they might grind bone on bone. The joint could become enlarged from inflammation and bone spur growth, causing a nearby nerve to become pinched or pressed. Sometimes confusion is created when general terms are used interchangeably to refer to cervical osteoarthritis, including cervical spondylosis, degenerative joint disease, or simply neck arthritis.

    Sacroiliac Joint Pain

    The term sacroiliitis is used to describe any inflammation in the sacroiliac joint, which is located on either side of the sacrum (lower spine) that connects to the iliac bone in the hip. Sacroiliitis is often found as part of a feature of inflammatory conditions of the spinal column. As a group, these conditions and diseases are termed a “spondyloarthropathy” and include conditions such as ankylosing spondylitis, psoriatic arthritis, and reactive arthritis, among others. Sacroiliitis is also a term that is sometimes used interchangeably with the term sacroiliac joint dysfunction, as technically either term can be used to describe pain that stems from the sacroiliac joint (or SI joint).

    Piriformis Syndrome

    Piriformis syndrome is a condition in which the piriformis muscle, located in the buttock region, spasms and causes buttock pain. The piriformis muscle can also irritate the nearby sciatic nerve and cause pain, numbness and tingling along the back of the leg and into the foot (similar to sciatic pain).

    Trapezitis

    Trapezitis is an inflammation caused in the trapezius muscles which further leads to pain and spasm in the neck. It is increasingly becoming common among people working at desk, using computers and also those who do physical labor or use their neck and back muscles a lot. It is necessary to know the causes and symptoms of trapezitis in addition to the treatment guidelines to be able to manage the condition well.

    Consult Spinomax Pain & spine Center to find out best spine pain treatment for you.

    Dr. Manish Raj

    MD, DA(Gold Medal), FENDS, FIAPM, FISP, FPM

    MEET YOUR DOCTOR

    Read Our Patient Opinion

    Jacob Thompson
    Jacob Thompson
    2024-03-06
    I currently do not live in Dubai, but I got referred to Dr Manish after I have had back pain for many years. From the first introduction when I arrived and spoke with Dr Manish, I was blown away at his extensive experience, knowledge, and explanation of a plan forward. I only had 7 days here in Dubai, and Dr Manish ensured I had all procedures completed before I had to fly out. There was no rush with these either. He took his time during the whole process. His care and compassion for patients is more than I have ever experienced. During every procedure, he wanted to make sure I was well informed, comfortable, and relaxed. He guided me through every step of the process. He truly went above and beyond. Dr Manish will be my spine doctor from here on out!
    Afsar Husain
    Afsar Husain
    2024-02-22
    I can not express enough gratitude for the exceptional care I received from Dr.Manish Raj suffering from back pain, I finally found relief under his expert guidance. His thorough evaluation and personalized treatment plan, including interventional procedures, significantly improved my quality of life. Dr.Manish Raj demonstrated not only expertise in his field but also genuine compassion for my well-being. I highly recommend him to anyone seeking relief from spine and pain issues. Thank you, Dr.Manish Raj, for your outstanding care
    Gilberto Gastelum
    Gilberto Gastelum
    2024-02-15
    Very good and empathic doctor. Explains the situation and the science, and cares about his patients. Helped my headaches and neck pain after many other doctors couldnt, and although the process was not always easy, he makes patients feel heard and understood. Strongly recommend.
    jaswin kaur
    jaswin kaur
    2024-02-13
    Dr. Manish’s composed, calm demeanor coupled with his detailed explanations of treatment methods are truly remarkable. Each interaction with him fills me with confidence and optimism for my recovery journey. His interventions (Epidural Steroid Injection), advice, and guidance have played a pivotal role in alleviating over a year of pain, enabling me to resume walking and jogging with considerably less discomfort with a better quality of life. With his expert care, I am now hopeful and motivated to aim for participation in a marathon next year. My deepest gratitude goes to Dr. Manish Raj for his exceptional dedication and expertise ????
    Rukmani Jha
    Rukmani Jha
    2024-01-14
    Honest and rational advise given by him. Got endoscopic spine surgery done after being in pain for 2 yes.may God bless him
    Dr. Alaaeldin Noufal
    Dr. Alaaeldin Noufal
    2023-12-29
    Very good doctor with amazing knowledge. He is very kind and will listen to you very well . Thank you Dr. Manish for helping my daughter with her pain ( Manar )
    Vivek Anand
    Vivek Anand
    2023-12-07
    I underwent treatment for my backache with Dr. Manish Raj. My experience with him was very good. He was very knowledgeable and understanding. He patiently listened to all my issues and answered all my queries. He is the best Endoscopic Spine Surgeon and helped me navigate the treatment journey with his expertise and utmost care. Thank you Dr Manish Raj ????????
    RS
    RS
    2023-12-07
    Best Endoscopic Spine specialist in Dubai. I highly recommend treatment from him .
    Varsha Anand
    Varsha Anand
    2023-12-07
    Dr Manish Raj is my pain healer ! Being a doctor myself, I went to many doctors for my neck pain . But no one has given me a definitive answer and treatment. My active lifestyle was getting impacted and i was getting depressed.Finally i met Dr manish and underwent procedure. It was a miracle for me to not experience pain after the procedure. After suffering for so many years I finally got relieved. Now i can feel NORMAL!! I would recommend him to everyone suffering from pain . He is very polite and patient and listens to each and every thing a patient has to say . Very meticulous in his treatment.
    MANISH Nagariya
    MANISH Nagariya
    2023-12-05
    Dr Manish Raj is one of the best spine pain specialists in dubai and india. He treated my family after she had undergone big spine surgery with bad results. He implanted the spinal cord stimulator in her, and she is pain-free for the first time in 5 years. blessings to this professional.

    OUR AFFILIATIONS

    Question Marks on Brown Surface

    STILL HAVE QUESTIONS?

    We’ve Got Answers

    Spine pain can be caused by various factors including muscle strains or sprains due to overuse or injury, herniated discs where the soft inner material leaks out and irritates nearby nerves, degenerative disc disease which involves the breakdown of discs between the vertebrae, osteoarthritis resulting in the degeneration of cartilage in the joints of the spine, spinal stenosis which is the narrowing of the spinal canal putting pressure on the nerves, scoliosis involving abnormal curvature of the spine, fractures due to trauma or weakened bones, and infections such as spinal epidural abscess or vertebral osteomyelitis. Identifying the specific cause often requires a thorough evaluation by a healthcare professional through physical examination, imaging studies, and sometimes laboratory tests.

    Yes, specific diagnostic tests such as imaging studies (X-rays, MRI, CT scans) may be necessary to determine the underlying cause of spine pain, as they can provide detailed information about the structure of the spine and identify any abnormalities or conditions contributing to the pain.

    The available treatment options for back pain depend on the underlying cause, severity, and individual factors such as overall health and medical history. Some common treatment options and their likelihood of success include:

    1. Conservative treatments:

    • Rest: Resting for a short period may help relieve acute back pain caused by muscle strains or sprains.
    • Physical therapy: Physical therapy exercises and techniques can improve strength, flexibility, and posture, reducing pain and preventing future episodes.
    • Pain medications: Over-the-counter or prescription pain medications such as nonsteroidal anti-inflammatory drugs (NSAIDs), acetaminophen, or muscle relaxants can provide relief from back pain.
    • Heat or ice therapy: Applying heat or ice packs to the affected area may help reduce inflammation and alleviate pain.
    • Lifestyle modifications: Maintaining a healthy weight, practicing good posture, and avoiding activities that exacerbate back pain can help manage symptoms.

    2. Minimally invasive procedures:

    • Epidural steroid injections: Injecting corticosteroids into the epidural space around the spinal nerves can reduce inflammation and relieve pain.
    • Facet joint injections: Injecting a combination of local anesthetic and corticosteroids into the facet joints can alleviate pain caused by inflammation or arthritis.
    • Radiofrequency ablation: This procedure uses heat generated by radio-frequency waves to disrupt nerve signals responsible for transmitting pain, providing long-term pain relief.
    • Endoscopic Spine Procedure: An endoscopic spine procedure is a minimally invasive surgical technique used to diagnose and treat spine conditions. It involves inserting a thin tube with a camera and surgical instruments through a small incision in the skin to access and treat the spine, allowing for visualization and treatment of spinal structures while minimizing tissue damage and recovery time compared to traditional open surgery.
    • Spinal cord Stimulator -A spinal cord stimulator (SCS) is a device implanted near the spine that delivers electrical impulses to the spinal cord to alleviate chronic pain. It works by interrupting pain signals before they reach the brain, thereby reducing the sensation of pain. SCS is often used to treat chronic back or limb pain that has not responded to other treatments. It can significantly improve quality of life for individuals with chronic pain conditions.
    • Reactive Multifidus muscle stimulator- The Reactiv8 Multifidus Stimulator is a medical device designed to target and stimulate the multifidus muscle, which supports the spine’s stability. It aims to improve back pain and function by restoring the multifidus muscle’s activation and function.
    • Sacroiliac joint fusion – SI joint fusion is a surgical procedure that aims to stabilize the sacroiliac joint (SI joint) by fusing the bones together using implants or bone grafts. It is typically performed to alleviate chronic SI joint pain caused by degeneration, injury, or instability.
    • Indirect spine fusion – Indirect spine fusion refers to minimally invasive technique where fusion of spinal bones is achieved without directly placing bone grafts or implants between the vertebrae. Instead, bone growth is stimulated by placing materials such as bone graft substitutes, proteins, or scaffolds around the spine to encourage natural fusion over time.

    3. Open Surgical interventions:

    • Discectomy: Surgical removal of a herniated disc or portion of a damaged disc to relieve pressure on spinal nerves.
    • Spinal fusion: Joining two or more vertebrae together with bone grafts or metal hardware to stabilize the spine and reduce pain caused by spinal instability.
    • Decompression surgery: Removing bone or tissue that’s compressing spinal nerves to relieve pain and improve mobility.

    The likelihood of success with each treatment option varies depending on factors such as the specific cause of back pain, the patient’s overall health, and individual response to treatment. In many cases, conservative treatments and minimally invasive procedures are effective in providing relief from back pain without the need for surgery in more than 90% of the cases. It’s essential to work closely with a healthcare provider to determine the most appropriate treatment plan tailored to your specific needs and preferences.

    Yes, non-surgical approaches such as interventional pain procedures (e.g., epidural steroid injections, nerve blocks, radiofrequency ablation) and medications (e.g., nonsteroidal anti-inflammatory drugs, muscle relaxants, neuropathic pain medications) are often recommended as first-line treatments for spine pain before considering more invasive options. These approaches aim to provide relief from pain and improve function while minimizing the need for surgery and potential risks associated with invasive procedures.

    Potential surgical options for spine pain include discectomy (removal of herniated disc material), laminectomy (removal of the lamina to relieve pressure on the spinal cord or nerves), spinal fusion (joining vertebrae together to stabilize the spine), and artificial disc replacement (replacing a damaged disc with an artificial one). The expected outcome of surgery depends on factors such as the underlying cause of spine pain, the specific procedure performed, and individual patient factors. Surgery may provide relief from pain, improve function, and prevent further progression of spine-related symptoms, but success rates vary, and outcomes can be influenced by factors such as patient age, overall health, and adherence to post-operative care.

    Yes, red flags or warning signs that should prompt immediate medical attention for spine pain include severe or worsening pain, numbness or weakness in the legs or arms, difficulty walking or standing, loss of bowel or bladder control, fever, chills, or unexplained weight loss. These symptoms may indicate serious underlying conditions such as spinal cord compression, infection, or tumor, requiring prompt evaluation and treatment by a healthcare professional.

    The long-term prognosis for a spine condition depends on the specific diagnosis, severity of symptoms, and individual factors such as overall health and adherence to treatment recommendations. Steps to maintain spine health include regular exercise to strengthen the core muscles, practicing good posture, maintaining a healthy weight, avoiding smoking, lifting heavy objects properly, and using ergonomic furniture and tools to reduce strain on the spine. Regular medical check-ups and prompt treatment of any new symptoms or changes in existing symptoms can also help manage spine conditions and prevent complications.