Want a second opinion for your spine problem? Pls consult Dr Ajay Kothari consultant Spine, Scoliosis, Endoscopic Spine Surgeon Spine Unit head Sancheti Hospital Pune India
Back pain is no longer just a physical issue—it is deeply connected to stress and modern lifestyle patterns. This article highlights how increasing stress levels are contributing significantly to chronic low back pain, stiffness, and reduced quality of life.
From prolonged sitting and poor posture to mental fatigue and inadequate physical activity, the mind-body connection plays a crucial role in spinal health. Recognizing early symptoms, managing stress effectively, and incorporating simple lifestyle changes like regular exercise, proper ergonomics, and mindfulness can make a meaningful difference.
As healthcare professionals, it is important for us to address not just the structural causes, but also the psychological factors influencing pain. A holistic approach is key to better outcomes and long-term well-being.
My article in Sakal newspaper today about weakness of #bones and #spine Please read and understand why bones become weak, and why there are more prone for #fractures#backpain#neckpain
Back pain is increasingly being seen in school-going children, and one important reason is heavy school bags. When children carry bags that are too heavy for their growing spine, it puts extra stress on the muscles, joints, and posture.
Experts recommend that a school bag should not exceed 10% of a child’s body weight. Carrying heavier loads regularly can lead to back pain, shoulder pain, poor posture, and fatigue.
✅ Simple prevention tips: • Use backpacks with wide, padded straps • Always carry the bag on both shoulders • Pack only necessary books • Encourage schools to adopt lighter schedules or lockers
Protecting spinal health in childhood is essential for a healthy spine in adulthood.
👍 If you found this useful, share it with parents and educators to spread awareness.
Honored to have been invited as Faculty at the Spine Deformity Course at All India Institute of Medical Sciences, New Delhi (AIIMS).**
It was a privilege to engage with esteemed colleagues and young spine surgeons from across the country and also several international spine surgeons from across the world in an academically stimulating environment.
I had the opportunity to participate in a focused debate on the role of Detethering prior to scoliosis correction, discussing indications, biomechanics, and decision-making strategies in complex deformity cases. Such academic discussions are essential to refine our perspectives and improve patient outcomes.
Additionally, I presented a surgical video demonstrating the technique of costoplasty, highlighting key steps, technical nuances, and strategies to optimize correction while maintaining safety.
Grateful for the enriching exchange of ideas and the collaborative spirit that continues to drive advancements in spine deformity surgery. Thanks Dr Bhavuk Garg Dr Nishank Mehta for the opportunity
Proud to share my recent article published in The Times of India — “Medical tech innovations should be accessible to all.”
Medical technology is transforming healthcare at an unprecedented pace — from AI-driven diagnostics to advanced surgical navigation and robotics. However, innovation must not remain confined to a few centers of excellence. The true success of medical advancement lies in ensuring that it reaches every patient, across urban and rural India alike.
Affordability, infrastructure development, training, and ethical implementation are essential to bridge this gap. Technology should reduce healthcare disparities — not widen them.
Let us work towards a future where cutting-edge healthcare is not a privilege, but a right.
Wrong exercises and improper form are a common cause of back pain.
In today’s fitness-driven world, many people focus on lifting heavier weights without paying attention to technique. Poor form during deadlifts, squats, overhead presses, and other workouts can lead to serious spine issues.
✔ Focus on correct form ✔ Strengthen your core ✔ Increase weights gradually ✔ Prioritize recovery and proper nutrition
Remember: Smart training is more important than heavy training.
Management of Delayed Cervical Spine Fracture–Dislocation with Severe Myelopathy in an Ankylosed Spine Using Navigation-Assisted Long-Segment Fixation Cervical spine fracture–dislocation with delayed presentation and advanced myelopathy remains one of the most challenging scenarios in spine trauma. Neurological compromise, instability, and distorted anatomy significantly increase surgical risk. A 56-year-old male presented 10 days after a slip and fall with severe neck pain and rapidly progressive weakness of all four limbs. He was unable to stand or walk. Neurological examination showed marked quadriparesis with hyperreflexia and features of cervical myelopathy (modified Nurick grade 5). Bowel and bladder functions were preserved. Radiological evaluation revealed a C6–C7 fracture dislocation with critical spinal canal compromise and cord compression. Given the delayed presentation, poor neurology, and cervico-thoracic instability, surgical goals were clear: • Adequate neural decompression • Restoration of alignment • Rigid and durable stabilization A posterior decompression and long-segment stabilization from C4 to T2 was planned. The cervico-thoracic junction, altered anatomy, and need for precise screw placement made accuracy critical. To enhance safety and precision, intraoperative navigation with O-arm imaging was employed. Navigation assisted: • Accurate pedicle and lateral mass screw placement • Real-time verification of trajectory and depth • Intraoperative CT confirmation of decompression and construct integrity Post-fixation imaging confirmed satisfactory alignment, optimal hardware positioning, and effective decompression. The procedure was completed without intraoperative complications. This case highlights the importance of: • Early surgical intervention even in delayed presentations • Long-segment stabilization in unstable cervical injuries • Navigation-assisted techniques to improve accuracy and confidence in complex spine trauma Advanced intraoperative imaging has become a valuable ally in managing high-risk cervical spine injuries, enabling safer execution of demanding procedures and improving overall surgical reliability #SpineSurgery#CervicalSpine#SpineTrauma#Myelopathy#OArmNavigation#ComplexSpine#PatientCare#PrecisionSurgery#medtronics
DR AJAY KOTHARI SPINE SPECIALIST PUNE INDIA
Back pain is no longer just a physical issue—it is deeply connected to stress and modern lifestyle patterns. This article highlights how increasing stress levels are contributing significantly to chronic low back pain, stiffness, and reduced quality of life.
From prolonged sitting and poor posture to mental fatigue and inadequate physical activity, the mind-body connection plays a crucial role in spinal health. Recognizing early symptoms, managing stress effectively, and incorporating simple lifestyle changes like regular exercise, proper ergonomics, and mindfulness can make a meaningful difference.
As healthcare professionals, it is important for us to address not just the structural causes, but also the psychological factors influencing pain. A holistic approach is key to better outcomes and long-term well-being.
#BackPain #StressManagement #SpineHealth #HolisticCare #Healthcare #Orthopaedics #drajaykothari #sanchetihospital
2 days ago | [YT] | 14
View 1 reply
DR AJAY KOTHARI SPINE SPECIALIST PUNE INDIA
My article in Sakal newspaper today about weakness of #bones and #spine
Please read and understand why bones become weak, and why there are more prone for #fractures #backpain #neckpain
2 weeks ago (edited) | [YT] | 14
View 0 replies
DR AJAY KOTHARI SPINE SPECIALIST PUNE INDIA
🎒 Heavy School Bags & Back Pain in Children
Back pain is increasingly being seen in school-going children, and one important reason is heavy school bags. When children carry bags that are too heavy for their growing spine, it puts extra stress on the muscles, joints, and posture.
Experts recommend that a school bag should not exceed 10% of a child’s body weight. Carrying heavier loads regularly can lead to back pain, shoulder pain, poor posture, and fatigue.
✅ Simple prevention tips:
• Use backpacks with wide, padded straps
• Always carry the bag on both shoulders
• Pack only necessary books
• Encourage schools to adopt lighter schedules or lockers
Protecting spinal health in childhood is essential for a healthy spine in adulthood.
👍 If you found this useful, share it with parents and educators to spread awareness.
#BackPain #ChildHealth #SpineHealth #SchoolBag #HealthyKids 🎒#backpain #neckpain #drajaykothari #spinesurgeonpune
3 weeks ago | [YT] | 0
View 0 replies
DR AJAY KOTHARI SPINE SPECIALIST PUNE INDIA
Honored to have been invited as Faculty at the Spine Deformity Course at All India Institute of Medical Sciences, New Delhi (AIIMS).**
It was a privilege to engage with esteemed colleagues and young spine surgeons from across the country and also several international spine surgeons from across the world in an academically stimulating environment.
I had the opportunity to participate in a focused debate on the role of Detethering prior to scoliosis correction, discussing indications, biomechanics, and decision-making strategies in complex deformity cases. Such academic discussions are essential to refine our perspectives and improve patient outcomes.
Additionally, I presented a surgical video demonstrating the technique of costoplasty, highlighting key steps, technical nuances, and strategies to optimize correction while maintaining safety.
Grateful for the enriching exchange of ideas and the collaborative spirit that continues to drive advancements in spine deformity surgery.
Thanks Dr Bhavuk Garg Dr Nishank Mehta for the opportunity
#SpineSurgery #SpineDeformity #Scoliosis #AIIMS #kyphosis
1 month ago | [YT] | 45
View 6 replies
DR AJAY KOTHARI SPINE SPECIALIST PUNE INDIA
Proud to share my recent article published in The Times of India — “Medical tech innovations should be accessible to all.”
Medical technology is transforming healthcare at an unprecedented pace — from AI-driven diagnostics to advanced surgical navigation and robotics. However, innovation must not remain confined to a few centers of excellence. The true success of medical advancement lies in ensuring that it reaches every patient, across urban and rural India alike.
Affordability, infrastructure development, training, and ethical implementation are essential to bridge this gap. Technology should reduce healthcare disparities — not widen them.
Let us work towards a future where cutting-edge healthcare is not a privilege, but a right.
#HealthcareInnovation #MedTech #AccessibleHealthcare #EquityInHealthcare #DigitalHealth #SpineSurgery #sanchetihospital
1 month ago | [YT] | 16
View 4 replies
DR AJAY KOTHARI SPINE SPECIALIST PUNE INDIA
Wrong exercises and improper form are a common cause of back pain.
In today’s fitness-driven world, many people focus on lifting heavier weights without paying attention to technique. Poor form during deadlifts, squats, overhead presses, and other workouts can lead to serious spine issues.
✔ Focus on correct form
✔ Strengthen your core
✔ Increase weights gradually
✔ Prioritize recovery and proper nutrition
Remember: Smart training is more important than heavy training.
Protect your spine. Train safely.
— Dr. Ajay Kothari
Consultant Spine Surgeon
#SpineHealth #BackPain #SafeWorkout #CoreStrength #FitnessAwareness
1 month ago | [YT] | 18
View 0 replies
DR AJAY KOTHARI SPINE SPECIALIST PUNE INDIA
Management of Delayed Cervical Spine Fracture–Dislocation with Severe Myelopathy in an Ankylosed Spine Using Navigation-Assisted Long-Segment Fixation
Cervical spine fracture–dislocation with delayed presentation and advanced myelopathy remains one of the most challenging scenarios in spine trauma. Neurological compromise, instability, and distorted anatomy significantly increase surgical risk.
A 56-year-old male presented 10 days after a slip and fall with severe neck pain and rapidly progressive weakness of all four limbs. He was unable to stand or walk. Neurological examination showed marked quadriparesis with hyperreflexia and features of cervical myelopathy (modified Nurick grade 5). Bowel and bladder functions were preserved.
Radiological evaluation revealed a C6–C7 fracture dislocation with critical spinal canal compromise and cord compression. Given the delayed presentation, poor neurology, and cervico-thoracic instability, surgical goals were clear:
• Adequate neural decompression
• Restoration of alignment
• Rigid and durable stabilization
A posterior decompression and long-segment stabilization from C4 to T2 was planned. The cervico-thoracic junction, altered anatomy, and need for precise screw placement made accuracy critical.
To enhance safety and precision, intraoperative navigation with O-arm imaging was employed. Navigation assisted:
• Accurate pedicle and lateral mass screw placement
• Real-time verification of trajectory and depth
• Intraoperative CT confirmation of decompression and construct integrity
Post-fixation imaging confirmed satisfactory alignment, optimal hardware positioning, and effective decompression. The procedure was completed without intraoperative complications.
This case highlights the importance of:
• Early surgical intervention even in delayed presentations
• Long-segment stabilization in unstable cervical injuries
• Navigation-assisted techniques to improve accuracy and confidence in complex spine trauma
Advanced intraoperative imaging has become a valuable ally in managing high-risk cervical spine injuries, enabling safer execution of demanding procedures and improving overall surgical reliability
#SpineSurgery #CervicalSpine #SpineTrauma #Myelopathy #OArmNavigation #ComplexSpine #PatientCare #PrecisionSurgery #medtronics
1 month ago | [YT] | 18
View 2 replies
DR AJAY KOTHARI SPINE SPECIALIST PUNE INDIA
@Sanchetispinepune
My article in #sakal about growing #spine problems in #females
#treatment #prevention
1 month ago | [YT] | 12
View 0 replies
DR AJAY KOTHARI SPINE SPECIALIST PUNE INDIA
#spine #patient #happy #gratitude #healing #cure #compassion #empathy #blessed
1 month ago | [YT] | 11
View 0 replies
DR AJAY KOTHARI SPINE SPECIALIST PUNE INDIA
1 month ago | [YT] | 22
View 0 replies
Load more