*Archived from the email edition sent to subscribers in March 2026. Published here
so the issue has a permanent link. Content is reproduced as it was sent; links
have been updated to the current domain.*
Welcome to the inaugural edition of NeuroHyderabad Insights — a monthly digest
of practical neurosurgical guidance from Dr. Sayuj Krishnan, Consultant
Neurosurgeon at Yashoda Hospital, Malakpet.
Every month we share practical health guidance, answer common patient questions,
and cover developments in spine and brain care.
Same-day discharge after spine surgery — is it safe?
One of the most common questions patients ask: *"Can I really go home the same day
after spine surgery?"*
With full-endoscopic spine surgery, the answer is yes for a large majority of
suitable patients. The procedure uses a 6–8 mm incision, preserves muscle and
bone, and most patients walk within about three hours of surgery.
Key points:
- Performed under local anaesthesia with sedation — general anaesthesia is not
usually required
- Return to desk work commonly in one to two weeks
- Covered by most insurance plans, with cashless available at Yashoda
Eligibility is not universal, and it is decided case by case.
Read the full eligibility guide →
Three signs you should see a neurosurgeon, not just a physiotherapist
Leg weakness or foot drop. If you are tripping, dragging your foot, or cannot
stand on your toes, this suggests nerve compression that needs prompt evaluation.
Loss of bladder or bowel control. This is an emergency — possible cauda equina
syndrome. Go to the emergency department immediately.
Pain that has not improved after six weeks of physiotherapy. Persistent
sciatica despite proper conservative treatment may indicate a structural problem
that warrants surgical assessment.
When to worry about back pain →
Patient spotlight
"I had been suffering from severe sciatica for four months. After endoscopic discectomy by Dr. Sayuj, I walked out of the hospital the same evening."
Individual results vary; this reflects one patient's experience and is not a
prediction of outcome.