Часто задаваемые вопросы
Lumbar Disc Herniation and Endoscopic Treatment
Can a herniated disc resolve without surgery?
In many patients symptoms improve with conservative treatment; surgery is considered in selected patients.
When will I walk after endoscopic surgery?
In suitable cases, mobilisation is targeted the same or the next day; the exact timing varies individually.
Is there a risk of recurrence?
Recurrence at the same level can occur at a low rate; risk factors are assessed individually at examination.
How does the process work if I need to come to Türkiye?
You send your MR images via WhatsApp; after a suitability assessment, the date, accommodation and process are planned together.
Spondylolisthesis (Slipped Vertebra)
Does every slip need surgery?
No. Low-grade slips without instability are usually managed conservatively and followed.
Do I definitely need screws?
Screws and fusion are added when there is instability or progressive slippage; the decision is individual.
Will it slip further over time?
Some slips stay stable, others progress; they are followed with periodic check-ups and X-rays.
How does the process work if I come to Turkey?
You send your MRI on WhatsApp; after evaluation, dates, accommodation and the process are planned together.
Brain Tumor Surgery
Does every brain tumor need surgery?
No. For some tumors surgery is the first choice; others are watched, irradiated, or managed with biopsy and systemic therapy.
What is awake surgery?
For tumors near speech or movement areas, the patient may be partly awakened so function can be monitored while the tumor is removed.
Is Gamma Knife an alternative to surgery?
For selected small or deep lesions radiosurgery may be an alternative; suitability is assessed individually.
How does the process work if I come to Turkey?
You send your MRI on WhatsApp; after a multidisciplinary review, dates, accommodation and the process are planned.
Cervical Disc Herniation (Neck Hernia) and Its Treatment
Can a neck hernia resolve without surgery?
In many patients symptoms improve with conservative care; surgery is for selected patients.
Disc replacement or fusion — which is better?
Replacement preserves motion at the level; fusion is more stable. The choice is individual to the case.
Is surgery near the spinal cord risky?
It is done under microscope magnification with monitoring; risks are assessed and explained before surgery per case.
How does the process work if I come to Turkey?
You send your MRI images on WhatsApp; after a suitability review, dates, accommodation and the process are planned together.
Endoscopic Discectomy in Turkey
What is endoscopic discectomy?
Removal of the herniated disc fragment pressing on the nerve through a small entry point under endoscopic guidance. The incision is smaller and surrounding tissue is generally less disturbed than in open surgery.
Can it be applied to everyone?
No. The location, type, additional spinal issues and the patient's general condition determine suitability. The decision is made after examination and imaging.
When can I stand up after surgery?
In suitable cases many patients stand up the same or next day. The exact time depends on the technique and individual recovery.
Facet Joint Pain and Radiofrequency (RF) Denervation
Is facet pain the same as a herniated disc?
No. It is mechanical pain from the small joints behind; a herniated disc compresses the nerve and radiates more into the leg.
Is there an incision with RF?
No. It is a needle procedure under imaging guidance, with no surgical incision.
How long does the effect last?
The effect can last months; if pain returns, the procedure can be repeated.
How does the process work if I come to Turkey?
You send your MRI on WhatsApp; after evaluation your suitability becomes clear and the process is planned.
Pituitary Adenoma (Pituitary Gland Tumor)
Is there a head incision?
No. The standard approach is through the nose (endoscopic transsphenoidal), with no external head incision.
Is it always treated with surgery?
No. Prolactinomas are often treated with medication; small asymptomatic adenomas can be watched.
Will it affect my vision?
The goal is the opposite — to relieve the optic nerves; in many patients vision improves after surgery.
How does the process work if I come to Turkey?
You send your MRI and hormone tests on WhatsApp; after evaluation, dates and the process are planned.
Spinal Canal Stenosis (Lumbar Stenosis)
Why does my leg hurt when walking but ease when sitting?
Because sitting widens the canal and relieves nerve pressure — this is typical of stenosis.
Do I definitely need screws?
No. Fusion with screws is added only for instability; many patients are treated with decompression alone.
Do injections help?
Epidural injections may give temporary relief and are part of conservative care in selected patients.
How does the process work if I come to Turkey?
You send your MRI on WhatsApp; after evaluation, dates, accommodation and the process are planned together.
Cauda Equina Syndrome (Emergency)
Is cauda equina an emergency?
Yes. It is a surgical emergency; delay can leave permanent bladder and leg damage.
What are the main signs?
Loss of bladder/bowel control, 'saddle' numbness and weakness in both legs — they require immediate evaluation.
Should I wait or go to the ER?
Do not wait. Go to the nearest emergency department immediately for MRI and evaluation.
Can I contact you for non-emergency issues?
Yes; for non-urgent spine problems you can send your MRI on WhatsApp for evaluation.
Meningioma (Brain Membrane Tumor)
Is meningioma cancer?
Most are benign (not cancer) and grow slowly; a minority are atypical or malignant and are watched more closely.
Does it always need surgery?
No. Small, asymptomatic meningiomas are usually followed with periodic MRI.
Gamma Knife or surgery?
It depends on size and location; both can be suitable and are assessed individually.
How does the process work if I come to Turkey?
You send your MRI on WhatsApp; after evaluation, dates, accommodation and the process are planned.
Sacroiliac Joint Pain
Is sacroiliac pain from a herniated disc?
Not necessarily. It comes from the joint connecting the spine to the pelvis and is often confused with a disc; specific tests distinguish it.
Is there an incision with injection or RF?
No. They are needle procedures under imaging guidance, with no surgical incision.
How long does the effect last?
The effect can last months; the procedure can be repeated or combined with physiotherapy.
How does the process work if I come to Turkey?
You send your MRI on WhatsApp; after evaluation the source of pain becomes clear and the process is planned.
Trigeminal Neuralgia (Facial Pain)
Is trigeminal neuralgia dangerous?
It is not life-threatening, but the pain can be very severe and seriously affect quality of life; it is treatable.
Does it always need surgery?
No. Many patients are controlled with medication; procedures are considered when medication is not enough.
Will my face go numb?
MVD aims to preserve sensation; some percutaneous procedures may leave numbness — this is discussed before deciding.
How does the process work if I come to Turkey?
You send your MRI on WhatsApp; after evaluation, dates, accommodation and the process are planned.
Vertebral Hemangioma
Is a vertebral hemangioma cancer?
No. It is a benign (non-cancerous) lesion of blood vessels; most are entirely harmless.
Does it need treatment?
In most cases no. Treatment is discussed only if it causes persistent pain or weakens the vertebra.
What is vertebroplasty?
Injecting bone cement to strengthen the vertebra and relieve pain, with minimal tissue damage.
How does the process work if I come to Turkey?
You send your MRI on WhatsApp; after evaluation it becomes clear whether treatment is needed and the process is planned.