Strong spine = strong character!

Date added: 15 02 2023

Pain in the neck that radiates to the hands and numbness? Is lumbar pain radiating to the legs, swelling?

Do not postpone a visit to a neurosurgeon, vertebrologist, because these can be the first signs of a serious illness!


neurosurgeon, vertebrologist is a specialist who diagnoses and treats damage to the brain, spinal cord, spine and peripheral nerves.


Treatment methods


A neurosurgeon, vertebrologist consults and treats patients with tingling, pain in the arms and legs, as well as chronic back and head pain. Depending on the degree of nerve damage, the vertebrologist neurosurgeon chooses an appropriate treatment method - (surgical treatment or conservative) drug treatment, blockade or injection therapy (administration of drugs next to the nerve), physiotherapy, physical therapy or surgical treatment.



Vertebrology is a sub-branch of neurosurgery - the science of the spine and its diseases.

Severe headache, stiff and/or painful back, pain when standing up or bending down - these are just some of the symptoms related to spinal disease, which can indicate osteochondrosis, radiculitis, spinal deformity, as well as other, more serious diseases - scoliosis, intervertebral disc herniation, etc. development. Such symptoms indicate the need to visit a neurosurgeon vertebrologist.


Nowadays, more and more people encounter back problems, and their development is facilitated by sedentary work and a sedentary lifestyle. Early diagnosis and treatment of spine diseases by a neurosurgeon - vertebrologist is the basis of effective and fast recovery. In order to prevent the development of spine diseases in time, a consultation with a neurosurgeon - vertebrologist is required.


Diseases and symptoms when you should seek help from a vertebrologist:


  • back pain in the neck, chest, and lumbar region;
  • back pain that radiates to the legs or arms;
  • in case of brain and spinal cord injury (loss of consciousness, tinnitus, coordination disorder, headache and impaired perception of information);
  • trigeminal neuralgia (pain, inflammation) - neurovascular conflict;
  • brain haemorrhages;
  • idiopathic intracranial hypertension;
  • blood clots that can cause a stroke;
  • cerebral vascular neoplasms (aneurysms, arteriovenous malformations, cavernomas, angiomas);
  • brain tumours (gliomas, glioblastomas);
  • pituitary adenoma (tumour);
  • tumours of the covering of the brain (meningiomas);
  • spinal cord or spinal cord tumours, formations;
  • neurinomas of the auditory nerve (Schwannomas);
  • neuralgia;
  • spinal disc herniation;
  • tingling of hands;
  • peripheral neuralgia;
  • carpal tunnel syndrome;
  • normal pressure hydrocephalus, occlusive hydrocephalus, communicating hydrocephalus;
  • compression neuropathies - nerve entrapment syndromes, carpal tunnel, cubital (elbow) tunnel and other nerve entrapment syndromes.



Blockades performed by neurosurgeon vertebrologist - Dr Rihards Ļuļēns:


  • Paravertebral blocks, sacroiliac joint blocks and epidural blocks;
  • Blockades for compression (nerve compression) neuropathies in hands and feet:
    • carpal tunnel syndrome (compression of the median nerve in the basic canal of the wrist),
    • compression of the ulnar nerve in the base of the hand and in the elbow area,
    • tarsal tunnel syndrome,
    • n. peroneus profundus compression neuropathies.

Vertebrologist neurosurgeon Rihards Ļuļēns is a member of the Latvian Society of Neurosurgeons.

MFD Outpatient hospital "Pārdaugava"

Vienības gatve 109, Riga


pardaugava AT mfd DOT lv

MFD Healthcare group began its history more than 50 years ago as an outpatient health care facility. At this moment the MFD is one of the largest multi-profile healthcare company that provides a wide range of health care services to more than 400 000 patients in different locations in Riga and Latvia. By using the latest technologies and excellent medical experience, MFD main objective is to take care of the health of the population by ensuring timely disease prevention, as well as providing effective diagnostic and treatment services.

Previous release Next release

Saskaņā ar Ukrainas civiliedzīvotāju atbalsta likuma 16.panta otro daļu, SIA “Dziedniecība” nodarbinātām Ukrainas ārstniecības personām tiek nodrošināta ārstniecības personas profesionālās darbības veikšanai nepieciešamā saziņa, proti – pēc pacienta pieprasījuma, kā arī vienojoties ar pacientu, pakalpojuma saņemšanas laikā tiek nodrošināta ārstniecības persona, kura var nodrošināt saziņu valsts valodā.