Chiari decompression surgery removes a small piece of bone at the back of the skull, and sometimes the back of the first neck bone, to give the crowded brain tissue room and let spinal fluid flow again. It is done for symptoms such as severe head and neck pain, not for a scan finding alone.

A surgical treatment for Chiari malformation, where the lower part of the brain extends into the spinal canal. The surgery alleviates pressure and restores normal cerebrospinal fluid flow.
Comparing endoscopic and microdiscectomy, or comparing surgeons? Send your reports on WhatsApp and ask directly which approach fits your scan. A straight answer is faster than another week of searching.
Ask which fits my scanParalysis is not what this operation usually risks. The surgeon works on bone at the back of the skull and the covering of the brain, not inside the brain or the spinal cord itself. Real risks are fluid leak, infection, and a stiff sore neck for some weeks. Ask your surgeon to explain your own scan and your own risk before you sign.
Often not. Many people are told about tonsillar descent on an MRI done for some other reason and never develop trouble. Surgery is considered when there are symptoms that fit, such as a headache brought on by coughing or straining, swallowing or balance problems, or a fluid cavity in the spinal cord. A scan finding alone is not a reason to operate.
Massage and mild painkillers will not harm most people, but strong neck manipulation, cracking the neck, or traction is not a good idea when the space at the base of the skull is already tight. The bigger risk is delay. If your headache comes on with coughing or sneezing, or a hand is going numb or weak, get an MRI of the brain and spine reviewed.
Cost depends on the hospital, the room, the length of stay, and what is used in theatre, so ask for a written quote in PKR before you decide. Ask what the quote does not include, such as tests, medicines after discharge, and follow up scans. Families travelling from Sargodha, Jhang or Sahiwal should ask about doing the consultation and scan review on one day.
Most people spend a few days in hospital after this operation, longer if there is a fluid leak or another problem. The neck feels stiff and sore for several weeks, and headaches can take months to settle fully. Office work usually restarts sooner than heavy lifting or riding a motorcycle on rough roads. Ask for a timeline based on your own scan and symptoms.
Ask about your own scan. Send your MRI or X-ray on WhatsApp and get a straight answer on whether surgery is needed at all.
Dr. M. Abdur Rehman is a consultant neurosurgeon in Faisalabad. Send your scan on WhatsApp and ask what it actually shows.
Two clinics in Faisalabad, each with its own timing. Mujahid Hospital, Madina Town, Susan Road, Faisalabad: 4:00 PM to 7:00 PM. IDC, 563-B, Satiana Road, Faisalabad: 8:00 PM to 9:00 PM. Message before travelling to check availability on the day.