Disc Problems
Disc problems usually refer to conditions affecting the soft, cushion-like discs between the bones (vertebrae) of your spine. These discs help absorb shock and allow the spine to move.
Dr. Sanjeev Srivastava specializes in the management and surgical treatment of acute and chronic spinal disc conditions using both minimally invasive and motion-preserving techniques.
Core Disc Conditions Treated
Herniated / Bulging Discs (Cervical, Thoracic & Lumbar): Displacement of the inner nucleus pulposus through a tear in the outer annulus fibrosus, causing direct neural compression, severe back or neck pain, and radiculopathy (sciatica).
Degenerative Disc Disease (DDD): Progressive dehydration, height loss, and wear-and-tear of intervertebral discs over time, leading to local inflammation, mechanical spinal instability, and chronic localized pain.
Spinal Stenosis (Secondary to Disc Degeneration): Narrowing of the central spinal canal or neural foramina driven by bulging discs, facet joint hypertrophy, and thickened ligaments, compressing the spinal cord or exiting nerve roots.
Cervical Radiculopathy & Myelopathy: Severe neural compression in the neck due to herniated discs or spondylotic osteophytes, causing arm numbness/weakness or spinal cord dysfunction.
Treatment Approaches for Disc Conditions
| Condition | Minimally Invasive / Advanced Technique | Primary Operational Objective |
| Lumbar Disc Herniation | Tubular Microdiscectomy / Endoscopic Discectomy | Muscle-sparing removal of herniated disc fragment to relieve nerve compression. |
| Cervical Disc Herniation | Cervical Artificial Disc Replacement (ADR) | Motion-preserving replacement of the damaged disc with a prosthetic device to avoid fusion. |
| Multilevel Disc Degeneration | Anterior/Lateral Lumbar Interbody Fusion (ALIF/XLIF) | Restoration of disc height and spinal alignment via minimally invasive corridors. |
| Spinal Canal Stenosis | Minimally Invasive Decompression (Laminectomy) | Targeted micro-resection of hypertrophied tissue and disc bone spurs to widen canal space. |
Procedural Workflow (Minimally Invasive Disc Management)
Initial Clinical & Diagnostic Assessment
Comprehensive physical examination, neurological testing, and high-resolution 3T MRI mapping to identify exact disc pathology
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Conservative Care Trial
Targeted physical therapy, activity modification, anti-inflammatory pharmacotherapy, or selective epidural steroid injections
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Surgical Planning & Navigation
Selection of muscle-sparing approaches (e.g., microdiscectomy or motion-preserving artificial disc replacement) guided by 3D navigation
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Targeted Decompression & Rapid Recovery
Precise micro-resection of offending disc material, followed by early mobilization and fast-track rehabilitation