Spinal Infections & Tuberculosis

Spinal infection is an infection of the spine bones, discs or the space around the spinal cord. It can be caused by bacteria, TB germs or, rarely, fungi. In India, the most common type is spinal tuberculosis, also known as Koch’s spine or Pott’s spine. India carries the highest TB burden in the world, and the spine is the most common site of bone TB, making up about half of all bone and joint TB cases. Other spinal infections can happen after an infection elsewhere in the body, after spine surgery or injections, or in people with low immunity.

Spinal infections often start slowly with back pain, fever and weight loss, and are easily mistaken for regular back pain. If not treated in time, the infection can damage the spine bones, cause a hump or collapse, and press on the spinal cord, leading to weakness or even paralysis. Dr. Tanmay Avhad has a strong clinical and research interest in spinal TB. He has published and presented work on drug resistant spinal TB, CT guided biopsy for diagnosing Koch’s spine, and cost effective fixation for spinal TB with paralysis. At SpineArc, he focuses on early and accurate diagnosis, the right medicines and timely surgery when needed.

Symptoms

The symptoms of spinal infection may start slowly and increase over weeks. Common symptoms include:

Constant back or neck pain that is worse at night and does not ease with rest.

Fever, especially in the evening, along with night sweats.

Weight loss, loss of appetite and tiredness.

Stiffness and tenderness over a part of the spine.

A visible hump or bend in the back in advanced spinal TB.

Weakness, numbness or tingling in the legs, or loss of bladder or bowel control, which needs urgent care.

Causes

Spinal infections happen when germs reach the spine through the blood or directly. Some of the most common causes are:

Tuberculosis bacteria that spread from the lungs or another part of the body to the spine.

Drug resistant TB, where the TB germs do not respond to the usual medicines.

Bacterial infections that spread through the blood from the skin, urine, lungs or teeth.

Infection after spine surgery, spine injections or other procedures.

Epidural abscess, a collection of pus near the spinal cord.

Low immunity due to diabetes, HIV, kidney disease, cancer treatment or long term steroids.

Intravenous drug use, which can carry germs directly into the blood.

Diagnosis & Treatment

To treat spinal infection the right way, the exact germ, the damage to the spine and the nerve involvement must be found. At SpineArc, diagnosis and treatment follow a step by step approach:

  1. Detailed physical and neurological check to assess pain, spine deformity, leg strength, sensation and bladder function.
  2. Blood tests like ESR, CRP, blood count and blood cultures to look for infection and track progress.
  3. MRI and CT scan to see how many levels are involved, pus collections, bone damage and pressure on the spinal cord.
  4. CT guided biopsy, to take a small sample from the infected area safely and test it for TB (including GeneXpert for drug resistance), bacteria and other causes. This helps choose the right medicines.
  5. Medical treatment, including a full course of anti TB medicines or targeted antibiotics, along with a spine brace and good nutrition. Drug resistant TB is treated with special medicine plans and close monitoring for side effects.
  6. Endoscopic or minimally invasive procedures, in selected patients, to drain pus, clean the infected area and relieve nerve pressure through small cuts.
  7. Decompression and fixation surgery when there is spinal cord pressure, paralysis, severe bone damage, instability or deformity.

Risk Factors

Some people are more likely to get spinal infections. Knowing these factors can help you take early care:

TB exposure

Living with or near someone who has TB, or a past history of TB.

Low immunity

Office work and long driving put steady pressure on the lower back and nerves.

Poor nutrition

Weak nutrition lowers the body's ability to fight infection.

Recent procedures

Spine surgery or injections can rarely lead to infection.

Incomplete TB treatment

Stopping TB medicines early increases the risk of drug resistant TB.

You Deserve Timely Care for Spinal Infection

Get the right diagnosis and advanced spinal infection and spinal TB treatment in Mumbai from Dr. Tanmay Avhad at 4 hospitals across the city. Available 6 days a week, book your consultation today.

GOT QUESTIONS?

Frequently Asked Questions

Everything you need to know about spinal infection and spinal TB treatment in Mumbai, answered simply by Dr. Tanmay Avhad.

What is spinal TB?

Spinal TB, also called Koch’s spine or Pott’s spine, is a tuberculosis infection of the spine bones and discs. It can cause back pain, fever, weight loss and, if untreated, deformity or paralysis.

Is spinal TB curable?

Yes. Spinal TB can be cured with a full course of anti TB medicines, usually taken for many months. Some patients also need surgery. Completing the full course is very important.

Why is a biopsy needed for spinal infection?

A biopsy confirms whether the infection is TB, bacterial or something else, and tests if the germs are resistant to medicines. This helps choose the right treatment from the start.

When is surgery needed for spinal TB?

Surgery is needed if there is weakness or paralysis, a large pus collection, severe bone damage, spine instability, deformity, or if the infection does not improve with medicines.

Can spinal TB spread to others?

Spinal TB on its own usually does not spread from person to person. But if the patient also has TB in the lungs, it can spread through coughing, so a chest check is important.

How can I book an appointment for spinal infection treatment?

You can call +91 79779 26003 or +91 99203 97922, send a WhatsApp message, or fill the form on this website. Our team will call you to confirm your time and hospital.

Where does Dr. Tanmay Avhad consult in Mumbai?

Dr. Tanmay consults at 6 hospitals in Mumbai:

  • Sphere Multispeciality Clinic, Dadar East, Mumbai (Mon, Wed & Fri – 6:00 PM to 7:00 PM)
  • Aryan Multispeciality Hospital, Kalachowki (Mon, Wed & Fri – 5PM to 6PM)
  • Life Care Hospital, Sion (Tue, Thu & Sat – 5PM to 6PM)
  • Lion Tarachand Bapa Hospital, Sion, Mumbai (Tue, Thu & Sat – 6:30PM to 7:30PM)
  • Sushrut Hospital and Research Centre, Chembur (Tue, Thu & Sat – 8PM to 9PM)
  • Gleneagles Hospital, Parel