412913?1213498587
Prem Pillay, MD  
Male
Singapore, Singapore

Specialties: laser surgery, microsurgery, Low back pain

Interests: spine, neuro, degenerative disc disease
My Posts
Dec 21, 2009 in the Back & Neck Pain Expert Forum - 2
Your symptoms are common in those with a slipped disc. This could be at the lowest lumbar disc called the L5-S1 disc. I would suggest that you see a neurosurgeon for a spine evaluation and an MRI of the lumbar-sacral spine area + X-rays. Dr Prem Pillay www.spine-neuro.org
Dec 21, 2009 in the Back & Neck Pain Expert Forum - 3
To sort out your back and leg pain you may also need a spine evaluation and an MRI of the lumbar/sacral spine area. Can your GP coordinate the specialist care that you need?
Aug 24, 2009 in the Back & Neck Pain Expert Forum - 6
If you have severed recurrent pain I would recommend that you get an MRI of that region : Cervical spine and Skull Base. I just saw a lady with similar symptoms who has a large cyst causing pressure in the base of the skull. She did well after surgery. It is better of find the root of the problem and deal with it then to only treat the symptoms like pain o...
Jun 11, 2009 in the Back & Neck Pain Expert Forum - 5
I would recommend trying to reconstruct the bone first. If this does not work then a partical excision may be necessary. Dr Prem Pillay Director of Spine and Pain Services Neuro Spine and Pain Center
Jun 11, 2009 in the Back, Spine & Neck Surgery Expert Forum - 2
I would suggest physio and epidural blocks initially. If this is not working then there are several options. If you are looking at no surgery options then I would suggest the X-stop or the newer percutaneous interspinouse devices. This can be done under local anesthesia. If he is fit for surgery then another option is Keyhole microsurgery with microsurgica...
Jun 11, 2009 in the Back & Neck Pain Expert Forum - 1
I would suggest that you do get an MRI of your cervical spine. You may want to see a physio and see whether he can help relieve your symptoms.
Jun 11, 2009 in the Back & Neck Pain Expert Forum - 1
I would not worry too much about this as it is often mild. You should get a reading of the degree of the curvature. You may have had it since childhood. Bracing can help in the growth years. For adult scoliosis, physio may help. For some info on scoliosis: www.spine-neuro.org Dr Prem Pillay Director of Spine and Pain Services Neuro Spine and Pain Cen...
Jun 11, 2009 in the Back & Neck Pain Expert Forum - 3
You may want to look at artificial disc replacement instead of fusion. Clinical trials have shown that it is superior to fusion in selected patients. If you fit the profile it may be the better option for you. You can check out the animations on the procedure at www.spine-neuro.org Dr Prem Pillay Director of Spine and Pain Services Neuro Spine and Pain C...
May 10, 2009 in the Back & Neck Pain Expert Forum - 1
I would recommend that you see a physio for thoracic spinal mobilization and exercises. You should try some NSAIDs and muscle relaxants. If the pain persists then you can also add on Lyrica. Dr Prem Pillay Neuro Spine and Pain Center
May 10, 2009 in the Back & Neck Pain Expert Forum - 5
It does not sound like anything serious. Its either a bony prominence of the cricoid cartilage which is below the jaw or a muscle spasm in that area. Dr Prem Pillay www.spine-neuro.org