Jump to content
BANGKOK
ThaiPauly

Spinal Specialist in Chiang Mai

Recommended Posts

An MRI has revealed that my wife has some severe problems with the disks at the top of her spine and is in great pain at the moment apart from the mornings. The pain gets worse as the day progresses

After initially being diagnosed with Fybromyalga by her doctor at Klaimore Hospital where she was admitted for 3 days, it would appear that after a consultation with a spine specialist  Dr Sutiphas ( that is my wife's interpretation of his name from Thai- I think it could be Suttipat) at Sriphat hospital this morning that she really needs an operation to insert some new titanium disks in her neck. She has a pinched nerve which is giving her radiated pain down into her hand , legs and feet. It has taken months to get this far with some kind of diagnosis, though we can't think why her doctor at Klaimore did not pick up on it, he was the first to see the MRI, and we have got to this doctor by chance, he wanted her to see a pain specialist at Nakorn Ping. I wanted her to see Dr Pasakorn at Sriphat as he had helped me many years ago. He said there was nothing he could do and passed us on to this doctor.

 

My question is does anyone know of any other spine specialists in CM

 

It's not that we don't like him , I certainly think he is more than capable, he is also the orthopedic doctor at Bangkok Hospital.

 

 

Anyway, as it is such a serious operation  we would like a second opinion,  and/or an endorsement of this doctor from anyone that might have had any interaction with him.

 

Cost is not the issue, He is quoting 200,000-300,000. I don't know if that is cheap or expensive but (as he says) the operation is quite serious

but not dangerous as I was concerned that if he made a mistake she would never be able to walk again. He assures me that is not the case.

Although I was quite alarmed when he said that the operation requires an entry incision in the neck to do the job. I am no doctor but I thought you would enter through the back. He also says he will need to take some bone from her back. Not sure why? We did not get that far in the half an hour we spent with him which is much longer than most people get.

 

Going to Bangkok is not out of the question so any recommendations from there would also be useful.

 

Thanks you for taking the time to read this

 

TP.

Share this post


Link to post
Share on other sites

If willing to go to Bangkok, can't beat Dr. Wicharn

 

https://www.bnhhospital.com/find-doctor/search-result/?dname=Wicharn

 

and also at Bangkok Christian Hospital  but website is in Thai only. Prof. Wicharn is there on Saturdays, he comes at 2 PM but you should get there long before. No appointment needed but call to make sure he will be there.

 

https://www.bch.in.th/find-doctor/

 

The surgery will cost less at BCH than at BNH

 

From what you describe it does not sound like there is a plan to put "titanium disks" in her spine but rather do a fusion which entails some titanium screws.

 

 

  • Like 2

Share this post


Link to post
Share on other sites

So sorry to hear this & hope things get better.

 

If I may suggest an alternative to you it would be Mungkala clinic in ChiangMai

 

It is something that you could try & see what your wife thinks. Both Mr & Mrs Pawaradhisan are long time acupuncture practitioners

 

 

 

 

Edited by meechai
  • Like 1

Share this post


Link to post
Share on other sites

Yes, we plan to do acupuncture for the next two weeks

 

Do you happen to have a phone number?

 

Thank you

  • Like 1

Share this post


Link to post
Share on other sites

I cannot help about CM.

 

1. It is unusual to have pain in arm AND leg/feet from a pinched nerve in the neck. Reconsider diagnosis.

 

2. I would rather go to Bangkok 

 

Before an operation, i would try 

- physical therapy. It should be manual therapy,  not ultrasound,  not laser, not traction by machine, not Thai massage

- medication: tolperisone, oral steroids under medical supervision, maybe NSAID

- consider epidural steroid injection under fluoroscopy (Dr Nut in Bumrungrad, Dr Pisit in Bangkok Pattaya Hospital) IF the diagnosis is correct

- consider facet joints as the reason for the symptoms (talk to Dr Marvin, Bangkok Hospital)

- get a second opinion from another surgeon

- ask, whether an artificial disc is indicated ( it's not titanium) or just screws and plates

 

The operation is serious. 

It is usually done from the front of the neck. 

NB 200,000 to 300,000 is not expensive. 

 

Edited by uhuh
  • Like 1

Share this post


Link to post
Share on other sites
1 hour ago, ThaiPauly said:

Yes, we plan to do acupuncture for the next two weeks

 

Do you happen to have a phone number?

 

Thank you

Hi yes

053 278 494

 

I believe they open at 9am everyday except Sunday

  • Thanks 1

Share this post


Link to post
Share on other sites
1 hour ago, saengd said:

I've had lower back disc problems for over thirty years and have refused a discectomy twice, the outcome is just not reliable, chiropractics can work but you need to be careful in your choice of chiropractor - I personally would not consult with one in Thailand under any circumstances. Most recently I had an MRI and saw a consultant orthopedic surgeon at the John Radcliffe in Oxford, despite severe numbness in the thighs and toes, tripping and an inability to sit comfortably for more than fifteen minutes, he declared there was no neurological deficit, to say otherwise would mean disk fusion and as he put it, it's the devil you know versus the one you don't. He told me they would entertain disc fusion in the case of severe and constant pain but only after physical therapy, medication, traction, injections and anything else they could think of had failed. Just remember, if you have that op., you can't reverse it.

I here you, 2 of my kids were born at The John Radcliffe. If we lived in the UK that's where we would be going. It's a fantastic hospital. My kids still live in the Witney region and I still have two properties there. Love Witney. But as far as medical problems are concerned and my wife being Thai right now, we are stuck in Chiang Mai.

Share this post


Link to post
Share on other sites
1 hour ago, saengd said:

I've had lower back disc problems for over thirty years and have refused a discectomy twice, the outcome is just not reliable, chiropractics can work but you need to be careful in your choice of chiropractor - I personally would not consult with one in Thailand under any circumstances. Most recently I had an MRI and saw a consultant orthopedic surgeon at the John Radcliffe in Oxford, despite severe numbness in the thighs and toes, tripping and an inability to sit comfortably for more than fifteen minutes, he declared there was no neurological deficit, to say otherwise would mean disk fusion and as he put it, it's the devil you know versus the one you don't. He told me they would entertain disc fusion in the case of severe and constant pain but only after physical therapy, medication, traction, injections and anything else they could think of had failed. Just remember, if you have that op., you can't reverse it.

That's a scary post. But I appreciate your honesty. Truth often hurts

 

Have tried physical therapy..they havegiven up and said they can do no more

Have tried a chiropractor. The best from the UK who has a clinic in CM and visits a few times a year

He says he cannot help and we would be wasting our money having him try more.

Have tried injections...of course they work when they pump you full of steroids or Tramadol but only for a short time, then it's back to constant pain . She had an injection that consisted of 3 different drugs at 11am. It's now 6pm and they have all worn off and she is in a lot of pain again

Have tried Acupuncture. Outcome of that was positive and we will continue that for longer and see what happens, but I won't be holding my breath. Another poster has recommended another one and we shall try to get the best we can

Edited by ThaiPauly

Share this post


Link to post
Share on other sites
2 hours ago, uhuh said:

I cannot help about CM.

 

1. It is unusual to have pain in arm AND leg/feet from a pinched nerve in the neck. Reconsider diagnosis.

 

 

True but from what he says surgery was recommended only for cervical spine.

 

 

  • Thanks 1

Share this post


Link to post
Share on other sites

I have been studying a website dedicated to spine health and there maybe a couple of alternatives to the full  operation.

Cervical Epidural Injection

Cervical Selective Nerve Root Block.

 

Has anyone got any knowledge of these procedures and know if either are a credible alternative to surgery?

 

My wife is scared to death by some horrible stories she has heard from friends about back operations going wrong.

Many thanks

Share this post


Link to post
Share on other sites
3 hours ago, ThaiPauly said:

I have been studying a website dedicated to spine health and there maybe a couple of alternatives to the full  operation.

Cervical Epidural Injection

Cervical Selective Nerve Root Block.

 

Has anyone got any knowledge of these procedures and know if either are a credible alternative to surgery?

 

My wife is scared to death by some horrible stories she has heard from friends about back operations going wrong.

Many thanks

Neither of these are curative they just temporatily reduce or relieve pain.

 

If there is nerve compression in the cervical spine the next question is the cause as some can improve with time while others will not. If the compression is due to insufficient space for the nerve root to exit then surgery is inevitable. If on the other hand it is due to pressure from a bulging disk this may retract with time and conservative measures may suffice.

 

She has been given conflocting and unclear diagnoses and I think it is premature to talk about trreatments. She needs to see a good spine specialist to determine whether the cause is in the spine and if so from what exactly.

 

I have given you the name of a top jotch spinal specialist. Take her MRI, Xrays etc and consult him.

  • Like 2

Share this post


Link to post
Share on other sites

We have been dragging our feet a bit over the last couple of days as we want to exhaust all options in CM before going down to Bangkok to stay until we get somewhere with Doctors down there.

I had a quote for the same operation from Bumrungrad Spinal Centre as in Shriphat Chiang Mai and they are quoting about the same amount as you would pay in a hospital in the US, around 720-750,000 baht.

Shriphat wanted 200,00-300,000, but I have the money saved so can afford any amount, I just want the best outcome for her.

 

We are going to try acupuncture, she received one session from a Doctor at Shriphat and it helped for a short while  could this help long term? Chinese Acupuncture Specialists reckon you need about 20 sessions with long needles to have any effect, but they claim they can get results in helping the problem. We have an an initial consultation with them tomorrow. A poster on here on this thread recommended them.

 

If we get nowhere on this front we will go to BCH as Sheryl recommends and will stay down in Bangkok until we get a resolution to the problem. If we don't get answers there Uhuh has recommended many more.

 

Uhuh are you a doctor? You seem to have a fantastic grasp of our situation, for which I am very grateful to hear your suggestions and observations, some of which are a bit hard to understand but I am getting there. I have never had to delve into spinal problems before, but spending 6 hours a day on-line I am learning.

 

Thank you for your help people

Share this post


Link to post
Share on other sites

Whether accupuncture will help depends entirely on the cause of the problem whuch remains unknown.

 

In my opinion your focus at this stage  should be on diagnosis not trial and error treatments.

  • Like 1

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Recently Browsing   0 members

    No registered users viewing this page.

×
×
  • Create New...