Back or neck pain can feel like a mystery when you don’t know the cause. Many patients wonder why the pain keeps coming back, and whether it’s something serious. That’s where accurate diagnosis becomes essential. A skilled spine surgeon doesn’t just rely on symptoms – they use modern tools lipinke X-rays, MRIs, and CT scans to understand what’s happening inside the spine.
Dr. Rakesh Dhake, an experienced spine surgeon in Mumbai, follows a careful and evidence-based approach to identify spinal issues. Understanding how these diagnostic tests work can help you make more informed decisions about your health.
Why Proper Diagnosis Matters
Diagnosing spinal conditions is not just about naming the problem. It’s about finding the exact location and cause of the issue so treatment can be effective.
Without proper diagnosis:
- The treatment may not work
- Pain may return after temporary relief
- You might end up getting procedures that don’t address the real cause
That’s why any trusted spine specialist in Mumbai will begin with a structured diagnosis before jumping to treatment.
Step 1: Listening to the Patient
Before any test is ordered, the spine surgeon starts with a detailed history. This includes:
- Where the pain is located
- Whether it radiates to arms or legs
- What triggers or worsens it
- How long the symptoms have been present
- Any history of injury or previous surgery
This information often gives the first clue about whether the pain is due to a disc issue, nerve compression, arthritis, or even muscle strain.
Step 2: Physical Examination
Once the patient’s history is noted, a clinical examination is done. Dr. Rakesh Dhake usually checks:
- Spinal movement and flexibility
- Muscle strength
- Reflexes
- Sensation in arms and legs
- Balance and walking pattern
These tests help the surgeon decide which part of the spine is likely affected – the neck (cervical), mid-back (thoracic), or lower back (lumbar).
Step 3: When Is an X-ray Advised?
X-rays are often the first imaging test done. They are quick, widely available, and useful for checking:
- Fractures or injuries to bones
- Misalignment of spinal bones
- Age-related wear and tear (degeneration)
- Curves like scoliosis or kyphosis
However, X-rays don’t show soft tissues like discs, nerves, or spinal cord. So if your pain seems nerve-related or doesn’t improve, further tests may be needed.
Step 4: What Does an MRI Scan Show?
MRI (Magnetic Resonance Imaging) is often the most helpful test for spine specialists. It gives a clear view of soft tissues like:
- Spinal discs
- Nerve roots
- Spinal cord
- Ligaments and muscles
- Inflammation or infection
Dr. Rakesh Dhake recommends an MRI when:
- Pain radiates to the arms or legs (nerve signs)
- There is numbness, tingling, or weakness
- Suspected disc bulge or herniation
- Previous surgery site needs assessment
MRI doesn’t use radiation and is painless, but it can take around 20–45 minutes.
Step 5: When Is a CT Scan Needed?
CT scans are ideal when bone details need more clarity. They may be advised when:
- An X-ray shows a fracture that needs better imaging
- A patient has had metal implants or spine surgery
- Detailed planning for surgery is required
- MRI is not possible (e.g. pacemaker)
CT scans use X-ray technology to create 3D images and are often combined with myelograms (injection of contrast dye) to study nerves and spinal fluid pathways.
Comparing the Three: X-ray, MRI, and CT Scan
| Test | What it Shows | Best For |
| X-ray | Bones and alignment | Fractures, spine curve, arthritis |
| MRI | Soft tissues | Discs, nerves, infections, herniations |
| CT scan | Bones in detail | Fractures, surgical planning, implants |
Understanding the purpose of each test helps reduce confusion and builds trust in the treatment plan.
When Should You See a Spine Surgeon?
Most people ignore back or neck pain thinking it will go away. But you should consider meeting a spine surgeon in Mumbai like Dr. Rakesh Dhake if:
- Pain lasts more than 6 weeks
- It affects your sleep or daily activities
- You feel numbness or weakness in limbs
- The pain keeps coming back
- Medicines and rest are not helping
Early diagnosis means faster recovery and lower risk of complications.
Why Patients Prefer Dr. Rakesh Dhake
Dr. Rakesh Dhake is known not just for surgical skill, but also for taking time to educate patients about their condition. He believes in:
- Avoiding surgery when possible
- Using evidence-based scans and diagnostics
- Involving patients in decision-making
- Explaining every step in simple words
Whether you need an MRI for a slipped disc or a CT scan for a fracture, Dr. Rakesh Dhake ensures that you understand why it’s needed not just blindly order tests.
Benefits of Early and Accurate Diagnosis
Timely and correct diagnosis can:
- Prevent nerve damage
- Reduce unnecessary surgeries
- Improve quality of life
- Save costs in the long run
- Help customise non-surgical treatments
Most patients visiting spine surgeons in Mumbai expect a fast fix, but the real answer lies in understanding the problem first.
FAQs
1. What is the best scan for back pain?
MRI is usually the most helpful if the pain involves nerves or discs. X-rays are used for bones, and CT scans for more detail.
2. How do I know if I need an MRI or not?
If your pain radiates to your arms or legs, or there is numbness or weakness, your doctor may advise an MRI.
3. Can X-rays detect slipped discs?
No, X-rays do not show discs or nerves. An MRI is needed to check for disc bulges or herniations.
4. Are these scans painful?
No. All three tests are painless. MRI can be slightly uncomfortable if you’re claustrophobic, but it’s safe and radiation-free.
5. How long do these scans take?
- X-ray: 5–10 minutes
- MRI: 20–45 minutes
- CT scan: 10–15 minutes
6. Is surgery always needed after these tests?
Not at all. In many cases, non-surgical treatments work well once the diagnosis is clear.
7. What are the risks of doing too many scans?
Repeated CT scans use radiation, so they should be done only when necessary. MRI is safe for repeated use.
Conclusion
Living with ongoing back or neck pain can affect your daily life, mood, and ability to work or rest. But guessing the cause rarely leads to lasting relief. A correct diagnosis is the foundation of any effective treatment. Whether it’s a minor muscle strain or a disc-related issue, the right test can uncover the real problem.
Dr. Rakesh Dhake, a trusted spine surgeon in Mumbai, uses a step-by-step approach involving history-taking, physical examination, and appropriate imaging – like X-rays, MRIs, or CT scans – to get to the root of the issue. His focus is always on clear communication and choosing non-surgical options when possible.
If you’ve been struggling with unresolved spine pain, it may be time to understand what’s really going on inside. A proper diagnosis is not about doing more tests, but doing the right ones.
Schedule a consultation with Dr. Rakesh Dhake at Zen Spine and take the first step towards clarity, comfort, and confidence in your spine care.
