Spine

Spine

Spine care at UMC Hospitals

UMC Hospitals, Navi Mumbai provides comprehensive, consultant-led spine care for neck and back conditions, combining precise diagnosis, evidence-based non-surgical management, advanced minimally invasive surgery, and structured rehabilitation for faster, safer recovery.

Why choose UMC

  • Consultant-led, multidisciplinary spine team with clear, stepwise pathways from conservative care to complex reconstruction.
  • Minimally invasive techniques, day-care options where appropriate, and enhanced-recovery protocols to reduce pain, complications, and hospital stay.
  • Integrated imaging, anesthesiology, ICU, physiotherapy, pain services, and rehabilitation for end-to-end care and predictable outcomes.

Conditions Treated

  • Degenerative: cervical and lumbar spondylosis, disc herniation, spinal stenosis, facet arthropathy, spondylolisthesis.
  • Deformity: scoliosis, kyphosis, flat-back, adult spinal deformity.
  • Trauma and fractures: osteoporotic compression fractures, traumatic instability.
  • Infections and tumors: spinal infections (including TB), primary and metastatic tumors.
  • Nerve-related pain: radiculopathy, sciatica, neurogenic claudication, cervical radiculopathy.
  • SI joint dysfunction and mechanical back/neck pain after appropriate evaluation.

Diagnostics

  • Imaging: digital X-ray and CT for bony detail; MRI arranged as clinically indicated for nerve and soft-tissue evaluation.
  • Neurophysiology: nerve conduction studies and EMG to localize and characterize nerve and muscle involvement.
  • Functional assessment: posture, gait, core stability, and activity tolerance to guide targeted therapy plans.

Non-surgical care first

  • Targeted medications and protocolized pain management with safety checks and taper plans when appropriate.
  • Physiotherapy: core strengthening, flexibility, posture retraining, and ergonomics coaching.
  • Bracing and activity modification strategies to protect healing and reduce flare risk.
  • Interventional pain options (as indicated): epidural steroid injections, selective nerve root blocks, facet joint injections, and medial branch blocks.

Minimally Invasive Spine Surgery

  • Cervical procedures: ACDF (anterior cervical discectomy and fusion), cervical disc replacement (select cases), posterior foraminotomy.
  • Lumbar procedures: microdiscectomy, decompression (laminotomy/laminectomy), minimally invasive TLIF/PLIF fusion for instability.
  • Motion-preserving and targeted options where appropriate to maintain function while relieving nerve compression.
  • Endoscopic spine surgery for select disc and stenosis cases to minimize tissue trauma and speed recovery.

Vertebral Fracture and Stabilization

  • Vertebroplasty and kyphoplasty for painful osteoporotic compression fractures with rapid pain relief in suitable candidates.
  • Short- or long-segment instrumentation for traumatic or pathologic instability based on deformity and bone quality.

Deformity, Infection, and Tumor care

  • Multidisciplinary planning for scoliosis/kyphosis correction with neurological monitoring and staged rehab.
  • Infection pathways with debridement, stabilization when needed, and coordinated antimicrobial therapy.
  • Oncologic spine pathways for decompression, stabilization, and pain control with oncology collaboration.

Rehabilitation and Recovery

  • Early mobilization, breathing exercises, and progressive ambulation aligned with procedure and baseline fitness.
  • Core and paraspinal strengthening, balance training, and graded return-to-work or sport plans.
  • Home exercise programs, fall-risk reduction, and ergonomic modification to prevent recurrence.

Technology and Safety

  • Checklist-driven perioperative workflows, infection prevention, anticoagulation management, and pain protocols.
  • Neuromonitoring and image guidance where indicated to enhance precision and protect neurologic function.
  • Enhanced Recovery After Surgery (ERAS) to minimize nausea, pain, and length of stay while supporting early mobility.

The Care Journey

  • First Visit: comprehensive evaluation with focused exam, targeted imaging/tests, and a clear plan with goals and timelines.
  • Treatment: conservative therapy first when effective; escalation to injections or surgery based on defined indications.
  • Follow-up: structured reviews for wound care (if applicable), pain control, rehab milestones, and durable return to routine.

Preparing for Consultation

  • Bring previous X-rays/MRI/CT, nerve tests, operative notes (if any), and a current medication list.
  • Keep a simple diary of pain scores, aggravating/relieving factors, activity limits, and any red-flag symptoms.
  • Share work or sport goals to tailor the plan and recovery timeline.

Red flags that need Urgent Review

  • New or worsening limb weakness, bowel/bladder control issues, saddle anesthesia, high fever with back pain, or severe night pain.

FAQs

  • Are all back or neck pains surgical? Most improve with structured conservative care; surgery is for clear indications or failed non-surgical therapy.
  • How soon can normal activity resume? Light desk work often restarts within days after minor procedures; timelines vary with surgery type and recovery.
  • Are minimally invasive surgeries safe? They are designed to reduce tissue trauma and pain; candidacy depends on anatomy and disease pattern.
  • Will pain go away completely? Most patients achieve substantial relief; outcomes depend on diagnosis, nerve recovery, rehab, and comorbidities.
  • Is long-term follow-up needed? Periodic reviews help sustain gains, prevent recurrence, and optimize spine health.

Team and Support

  • Spine surgeons, anesthesiologists, radiologists, physiotherapists, pain specialists, ICU and nursing teams, and care coordinators work together to deliver seamless, individualized care.

Book an Appointment

For a spine consultation, second opinion, or a tailored rehab plan at UMC Hospitals, Navi Mumbai, request a call-back or schedule a visit; the team will guide evaluation, preparation, and next steps.

Clinical Team

Dr. Rohan Gala

Dr. Rohan Gala

Consultant Spine & Scoliosis Surgeon

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