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 Recommended/best orthopedic specialist in KL/S'gor, Spinal Disc Herniation (slipped disc)

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TSwireshark
post Jan 7 2011, 11:29 AM, updated 15y ago

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Hi,

My friend is having some back problem since 2/3 years ago and his condition getting worse day by day.
He has met a few orthopedic specialist in a different hospital in order to get different opinion and they advise him to do an operation after he did a MRI scan.

I’ve looked at his MRI scan and it looks like exactly like pictures below:
user posted image

user posted image

user posted image

Therefore, I would appreciate if anyone knows who is the recommended / best orthopedic surgeon / specialist in KL / Selangor area so I can suggest to him.

I've made a research about this and below are a few orthopedic specialist that I found. Which one is the best and I would appreciate if you can share any good/bad experiences with them.

1. Dr. Chan Kin Yuen from SJMC and Gleneagles Intan Medical Centre
» Click to show Spoiler - click again to hide... «


2. Datuk Dr. Mohd Asri Abd Ghapar from Prince Court Medical Centre
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3. Dr. Deepak Ajit Singh from Prince Court Medical Centre
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4. Dr. Badrul Shah Badaruddin from Prince Court Medical Centre
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5. Dr. Abdul Malik Mohamed Hussain from Damansara Specialist Hospital
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6. Dr Ali Noor Ghani from Ampang Puteri Hospital
» Click to show Spoiler - click again to hide... «

Reference:
http://en.wikipedia.org/wiki/Spinal_disc_herniation
TSwireshark
post Jan 7 2011, 06:31 PM

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QUOTE(Syd G @ Jan 7 2011, 12:51 PM)
Try Dr Northeen Mustafa, Pantai KL
*
You mean Dr. Mohamed Northeen A. Mustafa? There is not much information on him on the internet.

http://www.google.com.my/search?q=Dr+Northeen+Mustafa
http://www.google.com.my/search?q=Dr+North...fa%2C+Pantai+KL
http://www.google.com.my/search?q=Dr.+Moha...heen+A.+Mustafa

QUOTE
Dr. Mohamed Northeen A. Mustafa
MBBS (Mal), FRCS (Edin)
Hospital  :  Pantai Hospital Kuala Lumpur
Suite / Floor No.  :  B512
Phone / Extension No.  :  603-2296 0461
Email Address  : 
Specialty  :  Orthopaedic Surgeon

http://www.pantai.com.my/doctor_details.php?id=60
TSwireshark
post Jan 8 2011, 07:39 AM

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QUOTE(tingginya @ Jan 7 2011, 12:46 PM)
For lumbar disc herniation,
Looks like we have a doctor/someone with medical background here smile.gif. I really appreciate your opinion and advise in this. Thanks Dr. Tingginya (how high are you? tongue.gif).

Yes, you're right. It's a lumbar disc herniation or specifically problem at L4, L5 and S1 (based on the doctor report after he did an MRI scan). He also experience pain in the lower back and part of his left leg.

user posted image

http://www.backpain-guide.com/Chapter_Fig_...r/Sciatica.html

Added on January 8, 2011, 7:47 am
QUOTE(tingginya @ Jan 7 2011, 12:46 PM)
depending on the direction of the herniation (usually posterior-laterally)
He is not sure about this. How to know whether he is having anterior or posterior lumbar disc herniation?

user posted image
http://catalog.nucleusinc.com/generateexhi...D=10523&TC=&A=2

Added on January 8, 2011, 9:24 am
QUOTE(tingginya @ Jan 7 2011, 12:46 PM)
a Neurosurgeon can do what is called microdiscectomy (removing the herniated disc with help of microscope)...incision is smaller, not much retraction on paraspinal muscles...outcom should be faster...
Neurosurgeon? I thought only Orthopedic Surgeon can do this.
http://en.wikipedia.org/wiki/Orthopedic_surgery
http://en.wikipedia.org/wiki/Neurosurgery

Thanks for the suggestion about microdiscectomy.

QUOTE
microdiscectomy or microdecompression spine surgery, a small portion of the bone over the nerve root and/or disc material from under the nerve root is removed to relieve neural impingement and provide more room for the nerve to heal.

A microdiscectomy is typically performed for a herniated lumbar disc and is actually more effective for treating leg pain (also known as radiculopathy) than lower back pain.
user posted image
http://www.spine-health.com/treatment/back...n-spine-surgery

Added on January 8, 2011, 9:29 amHow about DIAM technique. What do you think about it?

user posted image
Fig. 1: Basic anatomy of a spinal motion segment

user posted image
Figure 2. The X-STOP device made of titanium.

user posted image
Figure 3. The Wallis device includesa ribbon looped around the spinous processes.

user posted image
Figure 4. The DIAM device has a silicon “H-shaped” buffer in a polyester jacket. As noted, the Diam is made of silicon and uses a cord rather than a ribbon (as the Wallis construct does) to secure it to the spinous processes above and below.

user posted image
Figure 5. The Coflex device, formerly called the Interspinous U.

http://www.spine-health.com/treatment/spin...process-spacers

This post has been edited by wireshark: Jan 8 2011, 09:29 AM
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