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Back issue Bangkok

Featured Replies

Can someone recommend a private hospital/clinic that deals with spine back issues in Bangkok

My regular hospital is Phyathai.

I'm located in Phra Rham 9 area.

I have compromised L3 and L4 and had a fall 4 days ago.

If anything things seem to be getting worse..

Would be challenging to get into taxi however may be possible.

54 minutes ago, DrJack54 said:

Can someone recommend a private hospital/clinic that deals with spine back issues in Bangkok

Doctor Wichan at BNH has been suggested on other threads. The hospital claims to have a full complement of experts that co ordinate with each other to decide on the best course of action. Sheryl will know more.

  • Popular Post

By far the best spine specialost in Thailand is

https://www.bnhhospital.com/search-doctor/entry/4093/

https://www.bnhhospital.com/doctorsstory-th/dr-wicharn-yingsakmongkol

While you’re waiting to see the doctor it might be worth considering anti-inflammatory medication, if you can stomach it - Ibuprofen, Diclofenac etc .. I recently suffered a wedge fracture at T12 following a fall and while an early x-ray was required to ascertain the damage, much of the pain and lack of mobility in the first few weeks was caused by swelling/inflammation. Wishing you well.

  • Author
17 minutes ago, LisuLover said:

and while an early x-ray was required to ascertain the damage, much of the pain and lack of mobility in the first few weeks was caused by swelling/inflammation.

Thank you. Right now I'm taking ibuprofen 400mg to assist as anti inflammatory + osteomol 655 paracetamol to assist with pain.

As you would be aware it's first thing in the morning that comes with most discomfort.

Thanks for advice.

Aside: Looking ahead I've now seen first hand how vulnerable we are in Thailand without a partner or couple of close friends.

When this is over I plan to look into support services (paid for)

Simple things such as food etc can be very difficult.

7 minutes ago, DrJack54 said:

Thank you. Right now I'm taking ibuprofen 400mg to assist as anti inflammatory + osteomol 655 paracetamol to assist with pain.

As you would be aware it's first thing in the morning that comes with most discomfort.

Thanks for advice.

Aside: Looking ahead I've now seen first hand how vulnerable we are in Thailand without a partner or couple of close friends.

When this is over I plan to look into support services (paid for)

Simple things such as food etc can be very difficult.

Sticking my oar in because I was blown away by the effect of Naproxen.

I had a bout of trochanteric bursitis.....agony for days, couldn't move or sleep. Took one tablet and was bouncing around like a spring lamb......probably not the clever thing to do.

With back problems it's best to go with what Sheryl says or the best specialist around not just for the op but for any follow up.

Unfortunately for carlyai (living in an area of Thailand where everything is heavy and difficult).

Went for our usual 6km walk and returning to the house there was a struggling bird in the pool which I bent down and helped out, then CRACK. I knew I'd done something to my lumbar back.

Back overseas I saw my specialist on Tuesday and he confirmed I'd broken both titanium rods in my lumbar spine.

This is the first time these rods have both been broken he said and everyone was amazed that I managed to do that. I know rods do break but where these broke at the L4/5 area is sort of unheard of.

So Monday I am the first cab of the rank for vascular surgeon to move all my arteries, stomach etc out of the way for my nack surgeon to go in and install a much stronger cage in that area, then turn me over and replace the broken rods with thicker stronger metal, sow me up, smack me on the bum and off I go, nearly.

So just saying you pick who you consider the best specialist and hospital and then if something does go wrong you can get it fixed quickly.

The good news is that the discs above the complete lumbar pelvis fusion still look good so hopefully no more discs breaking.

Pick the best spinal doctor. :)

  • Author
5 hours ago, carlyai said:

So just saying you pick who you consider the best specialist and hospital and then if something does go wrong you can get it fixed quickly.

Thanks for advice.

Admire your positive attitude in your current situation. Many do not have that.

Good luck with your op and recovery.

  • 2 weeks later...
  • Author

@Sheryl thanks for already provided advice

I'm at bit of a loss right now.

Went to Phyathai 1 for MRI.

Previously aware of degenerative L3 and L4 issues.

Recent fall onto rear has caused issue with L5.

Now to my confusion... The doctor is talking about pain management vs surgery.

Understand that... however the surgery suggested is disc implant.

At 72 and back issues I would have thought fusion would have been suggested.

Yes folk may say get another opinion however with severe back pain (even with medication is not easy.

Added note for anyone the disc replacement would be approx 700k

Sorry about that, but really keep the meds up, don't let the pain get too bad before you hit it.

Palexia is what I take, but don't think you can get it in Thailand.

I had my op on Monday and out of hospital Thursday and flying to our house over here now, at the airport.

I broke both my steel rods in my back so dr installed different material (more flexible) and thicker rods and screws plus 3 rods. Also removed L5S1 fusion and installed a stronger cage.

I would get another opinion if possible.

It's a difficult decision.

You can always install pain management and remove it if it does not work...I did that long time ago. The new generation Spinal Chord Stimulators are supposed to be good.

I don't know but you need to have confidence in your surgeon.

Sorry not much help. :(

  • Author
17 minutes ago, carlyai said:

Sorry not much help. :(

Not at all. Thanks for the helpful advice.

I note you had fusion. Ta.

Currently taking Duocetz which has a tramadol and while it does provide pain relief the side effects.. nausea and dizziness is unpleasant

1 minute ago, DrJack54 said:

Not at all. Thanks for the helpful advice.

I note you had fusion. Ta.

Yes, but initially when I had my work accident they only did fusions, if necessary as artificial discs weren't available.

If your dr is confident in a replacement disc, then this would be a better option than fusion. But as you have multilevel trouble, Don't know.

I'd go see another best dr recommendation. :)

Sitting on the plane delayed 50 mins.

Let's have a look at your pain management. (Just on my experience).

Hot and cold packs help, 20min then change.

I think the strongest pain medicine over there is Tramadol, so what ever is the strongest, take every 4 hours. If you take strong pain killers then you need to stop from getting constipated so Senna tabs and Coloxican power mixed with water, so keep your bowls open and drink plenty of water.

Take an anti inflammatory strongest and you may need tabs to stop acid reflux in your stomach, I do.

Also you can get creams for inflammation to rub on your back.

Get a local dr to keep a check on your liver and kidney functions to make sure the strong medicines are not doing too much damage.

If you start to get liver trouble there are some pills you can take, I forget the name, they're a root plant, I'll let you know later what they are If you need them.

Tumeric, plus juices that are antiinflamatory are also good, intact an anti inflamatory diet will also help.

Try and get on top of the pain will help. Also I have an app called Headspace, a meditation app, great and developed by a young English guy who spent many years in a monastery.

One of the programs is pain management, great.

It's a holistic approach to defeat pain.

This is just with my experience.

Also in my opinion you won't become a drug addiction as as soon as your pain is managed you don't take the strong painkillers.

When you can try for slow walking in a pool.

Again if I can help I will be in contact. :))

Just remembered: if your body gets itchy from the pain medicine get some antihistamine tabs, non drowsy that last 24 hours.

Also for nightie sleeping when need Canibus oil mixture. I can recommend a Dutch guy in Isaan who has a legal farm and has back issues so he mixes good stuff when needed. :)

  • Author

@carlyai thanks. Very helpful.

The pain meds are doing a good job.

The worst side effect is nausea and light headed

Maybe eat food before taking pain meds might help the nausea.

On 3/15/2026 at 5:37 AM, DrJack54 said:

@Sheryl thanks for already provided advice

I'm at bit of a loss right now.

Went to Phyathai 1 for MRI.

Previously aware of degenerative L3 and L4 issues.

Recent fall onto rear has caused issue with L5.

Now to my confusion... The doctor is talking about pain management vs surgery.

Understand that... however the surgery suggested is disc implant.

At 72 and back issues I would have thought fusion would have been suggested.

Yes folk may say get another opinion however with severe back pain (even with medication is not easy.

Added note for anyone the disc replacement would be approx 700k

Frankly there are only a handful of spine specialists here who know with real expertise.

Pkease consult Prof. Wicharn as previously advised. Bring DVD of the MRI with you.

Artificial disk implant is a (costly) alternative to fusion. Only real advantage is that it preservlves more flexibility.. ..but this is mainly an issue if fusion would be multi level. And even then depends on lifestyle/age/activity level.

  • Author
19 minutes ago, Sheryl said:

Only real advantage us that it preservlves more flexibility.. ..but this is mainly an issue if fusion would be multi level. And even then depends on lifestyle/age/activity level.

Thanks @Sheryl

Fact is my mobility is very compromised prior to this fall.

I would understand the thinking if I was a typical 72 yr old and still actively walking etc.

I don't think flexibility is the key goal but rather less pain/discomfort.

I'm a bit more confident that in a week I may be able to book appointment with the surgeon you have mentioned.

Thank you

On 3/16/2026 at 12:49 PM, DrJack54 said:

Thanks @Sheryl

Fact is my mobility is very compromised prior to this fall.

I would understand the thinking if I was a typical 72 yr old and still actively walking etc.

I don't think flexibility is the key goal but rather less pain/discomfort.

I'm a bit more confident that in a week I may be able to book appointment with the surgeon you have mentioned.

Thank you

From what you describe no reason yo consider artificisk disc even if surgery is necessary . IF surgery is necessary then depending on specifics of your problem options would be fusion or possibly less extensive decompression. Both can be performed with minimally invasive/endoscopic approach.

  • Popular Post

I suffered for quite a long time in my younger ages on L5S2, disc hernia and the sciatic nerve pain along the left leg. Most of the surgeons I met, said it was a "pity" to operate at my young age of the time 40 something.

I went through time with lots of physiotherapy, Brufen's and mainly those Flector patches that have an anti inflamatory substance. I also went through physiotherapy that helped in time and of course...NO WEIGHTS to be carried, even a bag of groceries over say 1 kg,

The movement that saved my life practically was standing up and twerking back and forth as if you were banging somebody !!!. moving the hip front and back standing up)..with the arms on the hips. I did this movement for say 10 mins every 2 days and till today when it hurts, it still works. And I avoided the operation, till this day.

(sorry please don't mind the graphic words as I did not know how to be more descriptive).

  • Author
2 minutes ago, Sigmund said:

The movement that saved my life practically was standing up and twerking back and forth as if you were banging somebody

No offense taken and actually did explain it perfectly. Have no idea what twerking means.

Thanks for this tip.

I will give it a try..

Edit: tried to twerk however definitely not possible at this stage

  • Author

Huge shout out to @Sheryl

So last night saw the doctor you recommended in this thread.

What a wonderful physician/expert he is.

So thank you for encouraging me to seek his opinion.

I will attach long boring email I just sent to Sis for anyone that faces back issues.

It can be mentally draining with added lack of sleep.

Thanks also to others for encouragement.

This cut/paste is for anyone with back issue

"Good morning. 

Yes things went well. The doctor surgeon was such a wonderful guy. 

Complete opposite to my experience at previous hospital. 

He pointed to a fractured vertebrae at L2

I then went for X Ray to compare to X ray done week ago to see if things were improving or becoming worse. 

His opinion is that surgery is NOT required and that treatment involves some medicine + rest etc. 

I have a nasal spay (yes sounds ridiculous) that apparently promotes bone growth in spine. 

I'm to see him in one month. 

Bit surprised that he told me not to take  pain relief prior to sleep and only take when I actually have pain. 

Fact is went to bed at 11pm and typing this now at 3.40am.

Yes great news from this doctor but reality is it's a long haul. 

However 4 hours sleep is a positive. 

The saying "positive is a virtue" doesn't help a lot. 

I wanted to point out that the doctor at my hospital had completely different prognosis. 

I outlined it and in a very measured way pointed out that doctor was wrong. 

He asked me if that doctor had identified the fractured vertebrae. 

He had not. 

Bottom line surgery was not the correct pathway. 

There are concerns re future falls and pointed to my being overweight etc. 

However also pointed to improvement shown in the X ray he had me do. 

Having Bell organize a driver and he waited at hospital for to 2 hour process was a godsend. 

The XRay on stomach + other positions was a challenge and again painfully however I'm now typing this and pain free. 

Just discomfort. 

All in all its a great result. 

I might sound flat... I'm not it's just I know this is no magic bullet. 

There is a process ahead and some plans for future need some need exactly that... PLANNING. 

Thank you Janine and Kim for putting up with my moaning. 

Embarrassed is perhaps being harsh on myself but mentally had couple of bad spots early. 


Also Sis thanks for pushing me to find best spine doctor in Bangkok and seek expert advice. 

Have a great week 

🤗🤗🤗😘

  • Popular Post

Thanks for the update. Goes to show how essential choice of doctor is.

I have total confidence in Prof. Wicharn. World class expert with many decades of experience specifically in spine

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