scoliosis surgery height
2008
Back and spine noninvasive MINIMALY PAIN MANAGEMENT SURGICAL
Back and spine noninvasive MINIMALY PAIN MANAGEMENT SURGICAL
Pain of Back
Dr. (MAJ) Pankaj N Suranga
MBBS, MD, FIP
Treatment of pain and spine specialist
Back pain is a problem that is often faced by all human resources be at least once in their life. This pain, if not taken seriously can become a deadly disease that can put your life at stake.
Some important facts about back pain
• Low back pain is the most common musculoskeletal complaint, with potentially devastating consequences.
• 90% of patients with acute low back pain require surgery. Most scholars agree that the lack of surgical treatment should be tried first.
• Surgery as first line therapy is indicated only in a few cases selected. It is a medical emergency, such as a broken neck or if you have symptoms such as leg weakness that progressively worsens and / or bladder and / or fecal incontinence caused by a back problem.
• The incidence of back pain is highest between the ages of 35 and 55.
• Disc not always the culprit. Joints of the spine are small the source of pain in most patients.
• Pain in combination with depression and anxiety in long-term cases places suffering at risk of suicide.
• People who work in sedentary occupations have a higher disk injury risk than those who do moderate amounts of physical labor.
• Up to 85 percent of people with back pain I can not remember a specific incident that caused them pain.
• Early intervention therapies in the management of back pain were found to return patients to work and normal activities more quickly than past conservative therapies.
• Early intervention reduces unnecessary chronic pain, long-term treatments and disabilities.
• Heat and massage therapy can not cure the disease. These do not offer long-term solutions to problems back. These are mainly used to control pain during the recovery period.
Other important causes back pain
The most common causes of back pain are:
• Injury or overuse of muscles, ligaments, joints, and the sacroiliac joints.
• Pressure on the nerve roots in the spinal canal. Nerve root compression can be caused by:
or a herniated disc, often caused by repeated vibration or motion (as during machine use or sport activity, or when lifting improperly), or a sudden pressure or increased pressure in the lower back.
or osteoarthritis (degeneration of the joint), which normally develops with the age. When osteoarthritis affects the small joints of the spine, can lead to back pain. Osteoarthritis in joints such as hips, you can that lameness or to change the way you walk. This can also lead to back pain.
spondylolysis and spondylolisthesis, vertebra defects that can allow one vertebra to slip over another when aggravated by certain activities.
Or spinal stenosis, or narrowing of the spinal canal, which normally develops with the age.
fractures of the vertebrae caused by significant force, like a car or a bicycle accident, a direct blow to the spine, or compression of the spine by falling on the buttocks or head.
or spinal deformities, including curvature problems such as severe scoliosis or kyphosis.
• Compression fractures. Compression fractures are more common among postmenopausal women with osteoporosis, or men or women after long term corticosteroid use. In a person with osteoporosis, even a small amount of force put on the spine, from a sneeze can cause a fracture compression.
Less common conditions the spine that can cause back pain include:
• Ankylosing spondylitis, a form of inflammation of joints (arthritis) that most often affects the spine.
• Bacterial infection. Bacteria are usually carried across the backbone the bloodstream from an infection elsewhere in the body or intravenous drug use. However, bacteria can enter the spine directly during surgery or injection treatments, or as a result of the injury. Back pain can be the result of a bone infection (osteomyelitis) in the spinal discs, or spinal cord.
• Spinal tumors, or tumors that develop in the bones and ligaments of the spine, spinal cord, or roots nerve.
• Paget's disease, which causes abnormal bone growth most often affects the pelvis, spine, skull, chest and legs.
• Scheuermann's disease, in which one or more bones of the spine (vertebrae) develop a wedge-shaped deformities. This makes the curvature of the spine (rounding of the back, or kyphosis), most commonly in the chest region
Recent developments and understanding in the Management of back pain
A wide range of available treatment for low back pain, depending on what is causing the pain and how long it lasts. Most people find that her back pain improves within a few weeks. It is likely that the pain will go away soon with some basic self-care.
• If you have recently developed low back pain, staying active and consider the adoption of over-the-counter medications pain.
• Staying active is better for you than the rest in bed. In fact, stay in bed more than 1 or 2 days can actually worsen your pain and lead to other problems such as stiffness and muscular weakness.
• If your back pain has lasted more than 3 months, you will probably benefit from more intensive treatment.
• I have to go and Interventional Pain Specialist the spine: —
• If you experience moderate to severe back pain that lasts more than a few days;
• If you have symptoms of back or legs which have worsened;
• If your symptoms have not disappeared after 2 weeks of home treatment;
• or if the symptoms improved burst again.
• An examination by the pain specialist and possibly an image (x-ray/MRI) test can yield new information about their condition and help guide treatment decisions.
• Physical Therapy: TENS, ultrasound, heat and cryotherapy
These arrangements or always should be a complement a program of active treatment in the management of acute low back pain.
o They should never be used as the sole method of treatment.
Interventions: minimally invasive nonsurgical procedures for management of back pain
For those who suffer from back pain, interventional techniques pain management may be particularly useful. In addition to a complete medical history and physical examination, doctors of interventional pain management have a wide range of treatments that may be used including the following:
Epidural injections (in all areas of the spine):
The use of medications and anti-inflammatory anesthetic injected into the epidural space to relieve pain or diagnose a specific disease.
Nerve, median root and branch blocks:
Injections of fact to determine whether a particular spinal nerve root is the source of pain. The blocks also can be used to reduce inflammation and pain.
Facet joint injections:
An injection to determine if the joints are the source of pain. These injections can also provide pain relief.
Discography:
"From Inside" search the records to determine if they are the source of the pain of a patient. This procedure involves using a dye that is injected into a disc and then examined using X-ray or CT computed.
Pulsed Radiofrequency Neurotomy (PRFN):
A minimally invasive procedure that disables the spinal nerves and impedes the transmission of pain signals to the brain.
Rhizotomy:
A procedure in which pain signals is "off" through the use of heating electrodes are applied to specific nerves that carry pain signals to the brain.
S Pinal stimulation of bone:
The use of electrical impulses that are used to block pain from being perceived in the brain.
Pumps intrathecal:
A surgically implanted pump that delivers pain medication to the precise location in the spine where the pain.
Percutaneous discectomy Nucleoplasty:
A minimally invasive procedure childcare in which tissue is removed the disc with the aid of a pressure through a hole minute to decompress and relieve pressure on spinal nerves.
Ozoneucleolysis or ozone discectomy:
It has emerged as an affordable alternative, less invasive method and costs of 2 / 3 the price of conventional surgery. Ozone injected into the affected intervertebral disc under C-arm guidance, the causes of the contraction disk, thus reducing the volume and decrease pressure on nerves.
Intradiscal Electrothermoplasty (IDET)
This procedure involves inserting a needle into the affected disc with guidance from a machine X-ray A wire is threaded through the needle and the disk until it lies along the inner wall of the ring. The wire is heated, which destroys nerve fibers grown on small cracks and have invaded the degenerated disc.
These techniques are very interesting. They offer the possibility of treating back pain and sciatica with much less trauma and the risk of surgery.
Quick tips to a healthy back
• After a period of prolonged inactivity, begin a regular exercise program of low impact.
• Speed walking, swimming or riding a stationary bike 30 minutes a day can increase muscle strength and flexibility.
• Yoga can also help stretch and strengthen muscles and improve posture
• Always stretch before exercise or strenuous physical activity.
• Do not slouch when standing or sitting. When standing, keep your weight balanced on their feet. Your back supports weight most easily when curvature is reduced.
• At home or work, make sure your work surface is at a height comfortable for you.
• Sit in a chair with good lumbar support and proper position and height for the task. Keep your shoulders back. Change often sitting positions and periodically walk around the office or gently stretch muscles to relieve tension. A pillow or rolled towel placed behind the lower back can provide some lumbar support. If you have to sit for an extended period of time, rest your feet on a stool or a stack of books.
• Wear low-heeled shoes.
• Sleep on your side to reduce any curve in your spine. Always sleep on a firm surface.
• Ask for help when transferring a family member is ill or injured from a reclining to a sitting position or when moving the patient from a chair to a bed.
• Do not try to lift objects too heavy for you. Lift with your knees, pull in your stomach muscles, and keep your head down and in line with your back straight. Keep the object close to your body. Do not twist when lifting.
• Maintain proper nutrition and diet to reduce and prevent overweight, especially around the waist of burden that taxes the muscles of the lower back.
• If you smoke, quit. Smoking reduces blood flow to the bottom of the spine and causes degeneration of spinal discs.
About the Author
dr pankaj nsurange is an Interventional Anesthesiologist and practicing interventional pain management.
special interest in spine interventions and chronic pain management
KARMA Medical’s ergonomic wheelchair (S-Ergo 305) was on Discovery Channel
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