Back pain that has outlasted every home remedy. A tingling sensation that runs down the arm into the fingers, making it difficult to grip a pen or hold a cup steady. Legs that feel heavy and uncooperative after walking only a short distance. These are more than everyday aches. They can be signs that the spine is placing pressure on nerves or becoming unstable in ways the body can no longer compensate for. At Manipal Hospital Millers Road, the Spine Care Department cares for patients who have often tried physiotherapy, medications, rest, or other conservative treatments before seeking specialist evaluation. As a trusted spine hospital in Millers Road, Bangalore, we provide a structured assessment that identifies the precise cause of pain before recommending treatment. Our focus is always on finding the most appropriate solution, whether that involves non-surgical care or advanced spine surgery.
Our Spine Care Specialities


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Why Manipal Hospitals?
Our spine specialists begin with a careful history and a focused neurological examination, testing strength, sensation, and reflexes to localise the likely level of involvement. Imaging is then ordered to confirm what the examination suggests, not as a fishing expedition. When surgery is genuinely needed, the approach is chosen to minimise disruption to surrounding muscles and ligaments. Our standing as a trusted spine center in Millers Road, Bangalore, comes from a team that treats surgery as a last resort, not a first response. The trust patients place in us rests on:
- Spine surgeons with fellowship training in both conventional open procedures and minimally invasive techniques, allowing them to choose the approach that fits the pathology rather than defaulting to a single method.
- A diagnostic process where the MRI or CT scan is always correlated with the clinical findings, because a scan that shows a disc bulge does not automatically mean that disc is the cause of the pain.
- Image-guided injection therapies, including epidural steroids and nerve root blocks, that serve both as diagnostic tools and as treatments that can avoid surgery altogether.
- Microscopic and endoscopic surgical techniques that use smaller incisions, cause less muscle damage, and allow patients to go home sooner than traditional open approaches.
- A physiotherapy team integrated into the spine service, providing preoperative conditioning and postoperative rehabilitation that is specific to the surgery performed.
- Honest preoperative counselling where the surgeon explains what surgery can realistically achieve, what it cannot, and what the recovery will actually feel like week by week.
Spine Care Department
The Spine Care Department at Manipal Hospital Millers Road provides comprehensive care for conditions affecting the cervical, thoracic, and lumbar spine. We evaluate and treat individuals with disc herniations, spinal stenosis, spondylolisthesis, degenerative disc disease, vertebral compression fractures, spinal deformities including scoliosis, spinal tumours, and infections of the spine. Our team also manages spinal trauma and provides second opinions for patients who have been advised surgery elsewhere. People looking for a spine hospital in Millers Road, Bangalore, find a department that respects how much the back influences every movement of daily life.
Services Offered
The Spine Care Department offers a complete range of non-surgical and surgical services, with treatment decisions made collaboratively after conservative options have been given a fair trial:
- Detailed clinical assessment with neurological examination to localise the level of spinal pathology
- MRI and CT imaging with standardised reporting protocols that describe the exact nature and extent of nerve compression
- Fluoroscopy-guided epidural steroid injections for radicular pain from disc herniations and foraminal stenosis
- Selective nerve root blocks that confirm the symptomatic level and provide therapeutic relief
- Microdiscectomy for lumbar and cervical disc herniations with nerve root compression
- Endoscopic discectomy for selected patients with contained disc herniations
- Laminectomy and foraminotomy for central and lateral recess stenosis
- Spinal fusion with instrumentation for instability, spondylolisthesis, and deformity correction
Facilities and Services
At Manipal Hospital, Millers Road, the spine care setup supports accurate localisation, safe intervention, and structured recovery:
- High-resolution 1.5 Tesla MRI with dedicated spine coils for detailed imaging of discs, neural foramina, and the spinal cord
- CT scanner with multiplanar reconstruction for bony anatomy assessment and surgical planning
- Fluoroscopy suite for image-guided spinal injections with real-time needle visualisation
- Operating theatre equipped with surgical microscope and endoscopic spine surgery systems
- Intraoperative neuromonitoring capability for complex instrumented procedures
- Physiotherapy unit with spinal rehabilitation protocols for post-surgical and non-surgical patients
- Private consultation rooms where imaging can be reviewed with patients on a large screen
- Integrated records that track pain scores, functional status, and neurological findings over time

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Frequently Asked Questions
Pain that persists beyond four to six weeks despite conservative care, pain that radiates into an arm or leg, any numbness or weakness in a limb, and any change in bowel or bladder function all warrant specialist evaluation. Red flags like fever, unexplained weight loss, or a history of cancer also require urgent assessment.
Most disc bulges improve with time, physiotherapy, and activity modification. Surgery is considered when there is significant nerve compression causing progressive weakness, unbearable pain that has not responded to conservative treatment, or cauda equina syndrome with bowel or bladder involvement.
Most patients go home the same day or the next morning. Walking is encouraged immediately. Desk work can often resume in two to three weeks. Heavy lifting and strenuous activity are restricted for six to eight weeks to allow the annulus to heal. Physiotherapy begins early and continues for several weeks postoperatively.
Mild to moderate stenosis often responds to physiotherapy, activity modification, and epidural steroid injections. Surgery becomes a consideration when walking distance is severely limited, when leg pain is constant, or when neurological deficits like foot drop or weakness appear.
The goal of fusion is to create a solid bony bridge between two or more vertebrae, eliminating motion at that segment. Once fusion occurs, it is permanent. The hardware is there to hold things steady while the bone heals. Adjacent segment disease, where the level above or below a fusion develops problems later, is a known long-term possibility that your surgeon will discuss with you.



