Cervical Neuroplasty in Patna
Targeted fluoroscopic micro-catheter lysis for chronic neck pain, cervical disc herniation & radiating arm pain without open surgery or neck fusion.
Precision Catheter Neurolysis for Pinched Neck Nerves
Cervical Neuroplasty (also known as targeted cervical percutaneous epidural adhesiolysis) is a specialized interventional procedure engineered to relieve chronic neck, shoulder, and radiating arm pain caused by cervical disc prolapse, foraminal stenosis, or post-surgical scar tissue.
When cervical discs bulge or wear down, inflammatory exudates and fibrotic adhesions form around the exiting cervical nerve roots (C5, C6, C7, C8). These tight bands tether the nerve, causing persistent electric shocks, burning pain, and finger tingling. Standard oral tablets and blind injections rarely reach the ventral epidural space where the true nerve compression lies.
Under high-resolution C-Arm Fluoroscopic X-ray guidance, Dr. Shrutika Bhagat introduces a specialized steerable micro-catheter into the cervical epidural space through the upper thoracic window (C7-T1). The catheter navigates directly to the exact site of disc herniation, gently releasing fibrotic bands and infusing targeted anti-inflammatory and enzyme solutions (hyaluronidase) to restore pain-free neck and arm mobility.
Who is a Candidate for Cervical Neuroplasty?
Indicated for patients suffering from persistent neck and arm symptoms who have not found relief from physiotherapy or standard injections.
Cervical Radiculopathy & Arm Pain
Sharp, electric-like nerve pain shooting from the neck into the shoulder blade, biceps, forearm, and fingers (C5-C6, C6-C7 levels).
Cervical Foraminal Stenosis
Narrowing of the nerve exit tunnels caused by uncinate osteophytes and facet hypertrophy, tethering the cervical spinal root.
Hand Numbness & Tingling
Persistent numbness and pins-and-needles in the thumb, index, or middle fingers caused by prolonged mechanical nerve entrapment.
Failed Neck Surgery Syndrome
Persistent or recurrent neck pain after previous anterior cervical discectomy & fusion (ACDF) due to epidural scar fibrosis.
Patients Wanting to Avoid Neck Surgery
Individuals seeking a non-surgical, motion-preserving intervention to avoid major anterior throat incisions and metal fusion hardware.
Failed Simple Steroid Injections
Patients who had short-lived or incomplete relief from standard interlaminar epidural injections due to dense scar tissue barriers.
Cervical Neuroplasty vs. Open ACDF Neck Fusion
| Clinical Parameter | Cervical Neuroplasty (Catheter Lysis) | Open ACDF Neck Fusion Surgery |
|---|---|---|
| Incision Size | Pinhole needle entry (Zero stitches) | 40–60 mm surgical throat incision |
| Neck Mobility | 100% natural cervical range preserved | Permanently fused / stiffened neck segment |
| Implants & Hardware | None (No metal plates or screws) | Titanium plate, screws, and interbody cage |
| Anesthesia Type | Local Anesthesia + Mild Conscious Sedation | Full General Anesthesia with intubation |
| Hospital Stay | Daycare: Walk in 2 hours, home same day | 3 to 5 days hospitalization |
How Cervical Neuroplasty is Performed
MRI Trajectory Planning
3T MRI review identifies the exact compressed cervical disc level (C5-C6 or C6-C7) and the pattern of epidural scar tissue.
C7-T1 Local Numbing
The upper thoracic window is gently numbed with local anesthesia. The patient remains awake, comfortable, and communicative.
Steerable Catheter Placement
Under continuous live C-Arm X-ray guidance, a flexible micro-catheter is advanced up into the cervical ventral epidural space.
Mechanical Adhesiolysis
The catheter tip delicately separates tight fibrotic bands from around the inflamed cervical nerve root without cutting tissue.
Targeted Enzyme Infusion
High-purity Hyaluronidase and concentrated anti-inflammatory agents are washed over the nerve root to dissolve microscopic scar tissue.
Band-Aid & Same-Day Discharge
The catheter is removed and a simple waterproof Band-Aid is applied. The patient rests for 1 hour and returns home the same afternoon.
Cervical Neuroplasty Modalities in Patna
Ventral Epidural Lysis
Catheter navigated into the anterior space directly in front of the spinal cord to target disc prolapses.
Foraminal Neuroplasty
Precise selective cannulation of the lateral neural foramen to release trapped exiting nerve roots.
Hyaluronidase Protocol
Medical enzyme infusion that hydrolyzes ground substance in dense collagenous scar tissue.
Cervical DRG Pulsed RF
Non-thermal pulsed radiofrequency waves applied directly to the dorsal root ganglion to quiet down chronic pain firing.
Dr. Shrutika Bhagat
MBBS, MD, FIRA, FIAPM | Interventional Pain & Spine Endoscopy
Dr. Shrutika Bhagat brings super-specialized training in full-endoscopic spine surgery and image-guided interventional pain management, having successfully treated thousands of patients with severe back pain, disc prolapse, sciatica, nerve compression, and joint arthritis in Patna.
Common Questions on Cervical Neuroplasty
Don't Let Chronic Pain Control Your Life.
Take the first step toward understanding your pain and exploring modern, evidence-based minimally invasive relief with Dr. Shrutika Bhagat.