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Patient Guide

Common Spine Problems and When to See a Spine Surgeon

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Dr. Nitish Agrawal • January 10, 2026 • Patient Guide
Common Spine Problems and When to See a Spine Surgeon

Nearly 80% of adults experience significant back or neck pain at some point during their lives. Because backache is so widespread, many individuals delay seeking medical care, assuming the ache will simply fade away with over-the-counter pain pills or rest. However, ignoring progressive neurological signs can lead to irreversible nerve damage.

The Top 5 Common Spine Disorders

  • Lumbar Herniated Disc (Slipped Disc): Inner disc material leaks out and pinches lumbar nerve roots, causing severe sciatica.
  • Cervical Spondylosis & Radiculopathy: Degeneration of the neck spine leading to neck stiffness, shoulder ache, and tingling down into the fingers.
  • Spinal Canal Stenosis: Narrowing of the spinal canal causing leg heaviness and inability to walk continuous distances.
  • Spondylolisthesis: Slippage of one vertebra over another, creating spinal instability and pinching spinal nerves.
  • Tuberculosis of Spine (Pott’s Spine): Bacterial infection causing vertebral bone erosion and risk of deformity if untreated.

When Must You Consult a Spine Surgeon?

A consultation with Dr. Nitish Agrawal is strongly advised if you experience any of the following "red flag" symptoms:

Pain radiating past your knee or elbow: Indicates direct nerve root irritation rather than simple muscular strain.
Progressive weakness: Difficulty lifting your foot while walking, stumbling on level ground, or dropping coffee mugs from clumsy hands.
Night pain: Back pain that is unrelenting and consistently wakes you from deep sleep.
Loss of bowel or bladder control: This is a true surgical emergency (Cauda Equina Syndrome) requiring urgent intervention.

Seeing a spine specialist does not mean you will be rushed into surgery. At Agarwal Spine Clinic, our primary goal is an accurate diagnostic workup to help you achieve long-term, drug-free pain relief through conservative methods whenever possible.

Dr. Nitish Agrawal

Dr. Nitish Agrawal

Director & Senior Spine Surgeon – Agarwal Spine Clinic, Pune

MBBS, MS (Orthopaedics), Specialized Spine Fellowship. Dedicated to minimally invasive spine surgeries, microscopic discectomies, and conservative spine pain solutions.