Relief For Back Pain

Sciatica Treatment–The Alexander Technique

admin — Fri, 11 Jun 2010 23:26:00 +0000

Sciatica treatment is most commonly administered to sufferers who have for many years been bending badly in the wrong places. In this article, you will read about how various habits can stress the spine, and how you can avoid the problem completely just by adjusting your daily habits.

The shooting pain known as sciatica happens when the sciatic nerve has pressure applied to it. This usually happens when an intervertebral disc becomes prolapsed, known as a slipped disc. When the discs of the spine bulge, they often press on the static nerve where it exits from the spine. This is commonly felt as a numbness in the buttock and down the leg, and sometimes stretching all the way down to the foot.

Discovering the underlying cause of sciatica is the very best way to figure out how to treat the problem with long-term success. Thus it is necessary to understand how a disc becomes prolapsed in the first place. For the most part, prolapsed discs happen from years of moving, and bending in the wrong way. Whilst most doctors don t address this root cause, Alexander technique teachers do, and they have a fantastic track record in overcoming long-term sciatica.

The Alexander technique was founded over a century ago, however up until recent years it had very little scientific study conducted on it, so there wasn’t much to back it up. The British medical Journal in August 2008 conducted a study of the technique and concluded that it was a viable solution to back pain in general, including sciatica.

In an Alexander technique lesson you can expect no brutal manipulation of joints, but gentle movements that guides the body towards less stressful postures in order to release muscle tension. Most people who suffer from back pain have some pretty ingrained postural habits that have ended up doing physical damage over the course of many many years and decades. To reverse these habits, and retain our natural healthy posture, the student has to take a certain amount of responsibility to make this happen. In this way, it has been said that the Alexander principle is more like teaching maths to small children than the usual approach of western countries, which is to prescribe medicine to patients.

In order to become free of the terrible symptoms that sciatica inflicts on its victims, takes a small amount of time, but it is not rocket science. It doesn’t entail any strange stretches or using any strange contraptions, it is really just applied common sense. For instance, it is common for someone to glance themselves in a shop window reflection as they walk down the street and be surprised at how hunched their posture is. This surprise is caused because the way that we feel in our bodies doesn t match up to the image that we see in our reflection. The founder of the Alexander technique, FM Alexander, called this phenomenon faulty sensory perception.

In order to get a first-hand experience of faulty sensory perception all you need to do is to fold your arms. Now without thinking just go ahead and fold your arms the other way. 90% of people will remark that folding the arms the opposite way doesn’t feel quite right, although they won’t always be able to tell you why. The truth is that we never fold their arms in any other way so we have an ingrained habit. In a similar way, everyone’s posture at whether right or wrong feels normal to the individual. A lot of the time one Alexander technique teacher corrects posture, the student remarks that is it feels wrong, like they’re leaning backwards. Yet looking in the mirror confirms that their posture is completely different to what their body is telling them.

With sciatica, the ingrained habits that are resulting in the pressure on the sciatic nerve feel perfectly normal to the sufferer, however this is the one thing that is causing them their pain.Making the connection between a postural habit and the pain of statica is a crucial first step towards freeing yourself of pain forever.

Now, the chances are that as you have been going through this text you will have been pulling your shoulders back to try and correct your rounded shoulders. Nice try. Unfortunately, all you have been doing is partaking in a game of tag on war between your muscles. What I mean by this is that when you pull your shoulders back you are effectively tensing up one muscle in order to compensate for a different tensed muscle that is in opposition. The result is that after five minutes your muscles become tired and you will revert back to your original slumped posture.

At in order to solve this problem thoroughly, you need not to increase the amount of tension in your body, but to actually reduce the excess tension you had originally. And that is what an Alexander technique teacher can help you to do.

I hope this has been of some help to those who are in desperate need of sciatica treatment. For more interesting information on this subject please visit the Sciatica Treatment Blog.

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Best Back Pain Mattress

admin — Tue, 01 Jun 2010 21:37:00 +0000

When it comes to to your health, the most important piece of furniture you own is your mattress. You spend approximately one third of your life in bed. An uncomfortable mattress can have a negative effect on the quality and amount of your sleep. This is particularly true for the millions of back pain sufferers who have been ill advised over the last several decades that a firm mattress is best for them.

In actuality there are several factors to consider when choosing the best back pain mattress

for you, including: the type of back problem you are experiencing, your sleep position, mattress support, and your comfort preference.

It would be nice if there was a simple anser to the question of "what is the best back pain mattress?" but like so much in life there isn’t an easy answer. It depends on a lot on these factors.

Type of Back Problem

Different types of mattresses help alleviate pain for different types of back problems and symptoms. People with lumbar disc problems, for example, have symptoms that include a shooting pain in one leg from the top of the buttock to the lower leg or foot accompanied by numbness, or that tingley feeling, or leg weakening. Those suffering from this condition would benefit from a firm mattress as a bending or flexing mattress can be very uncomfortable.

Spinal stenosis sufferers, on the other hand, experience pain, cramping or numbness in the back, arms, legs, and shoulders and are more comfortable in a flexed or loose position. Therefore, a slightly softer mattress works better for them.

The most common type of back pain is lower back pain. Usually people experience an aching dull pain in the center of the lower back. A recent clinical study out of Spain showed that a medium firm mattress is generally better at relieving chronic back pain than a firmer model. However, there isn’t one single type of mattress that works best for everyone with lower back pain.

Sleeping Position

In addition to the type of back pain you suffer from, another factor to consider is the position in which you sleep. If you have a lumbar disc problem, then sleeping on your stomach with a flat pillow under your stomach and hips is probably the most comfortable position for you because it reduces stress on the degenerated disc in your lower back. A firmer mattress is best for sleeping on your stomach while a softer mattress will cause an uncomfortable arch in your back that will worsen your condition.

People with spinal stenosis are most comfortable sleeping on their side in the fetal position with a pillow between their knees. A medium firm or firm mattress is good for this sleeping position but most people prefer a thicker padding to reduce pressure on their hips and shoulders. Finally, those suffering from lower back pain should sleep lying on their back with a pillow under their knees to relieve pressure from the lower back. There is no single mattress style that works for all people with back pain, but people with lower back pain should choose a mattress that offers support, comfort, and ultimately, a good night’s sleep.

Back Support

Another major factor in choosing a mattress is the support that mattress provides. A supportive mattress will offer the right balance of support and flexibility to allow the spine to align naturally. There are several components of the mattress that contribute to how supportive a mattress set is. First, mattress springs and coils are the most important features of a mattress that provide back support. The coil gauge of mattress denotes how stiff or firm a mattress is. The lower the gauge of the coil, the thicker and stiffer the wire, thus, the firmer the mattress. Furthermore, the higher the coil count of a mattress, the better the quality. However, a higher coil count does not necessarily mean a more comfortable or supportive mattress.

There is a whole school of thought within the back pain medical field that feels that spring-coil mattresses put pressure on sensitive areas of the back and actually aggravate back pain for some sufferers. This tends to be truer for lower-quality spring coil mattresses.This alternative school of thinking feels that memory foam or visco elastic mattresses are better for most back pain sufferers. These types of mattresses allow your body to sink into them and actually take on the shape of your body, so there is no tension on your spine that results in back pain.

Foundation Or Boxspring

The next element of a mattress set that affects back support is the foundation, or boxspring. The foundation/boxspring absorbs weight for the mattress. If you want this type of mattress set, it is important to purchase the boxspring designed to match your mattress because manufacturers design both pieces to work together. A mismatched set may adversely affect the longevity of your mattress and the level of support the mattress provides.

Individual Comfort

Finally, the most important key to mattress buying is to buy what is comfortable for you. No two of us are the same when it comes to what we need from our mattress. Therefore, it is important to take time to actually try the mattress out, especially if you suffer from chronic back problems. It is suggested that you spend at least ten minutes on several different mattresses. Turn over from side to side and make sure that mattress provides enough support to allow the spine to rest in its natural state. The mattress quilt and just beneath the quilt, in the middle of mattress, consist of mattress padding made of polyurethane foams, puffed up polyester, and cotton batting. These materials affect the firmness of the mattress. Generally, people find that mattresses with more padding are more comfortable.

Even better than this is that most reputable manufacturers of mattresses will offer you a money back guarantee for as long as 60 or 90 days in some instances, so you can try the mattress out in your home or apartment to see if it actually helps reduce your back pain. Many retailers will include free shipping and pickups if you want to return the mattress. You really have no risk in this instance, which is good because good mattresses don’t come cheap, so you won’t take a financial hit if your new mattress doesn’t meet your needs.

Finding the right back pain mattress for you, one that really reduces or eliminates your back pain, can be a godsend. Think about it. Imagine waking up without morning back pain. Or even better, imagine getting a solid eight hours of sleep at night. A good, effective mattress that delivers in this regard would be worth the price!

Overall, when choosing a mattress, consider all of the factors mentioned above. Ultimately, the best mattress for your back pain is the one you find most comfortable for you and your sleep preferences.

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My husband has been in pain for quite some time due to the accident we were in in 1999 along with other things he has done. I need help in picking the right.

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Important Issues About Chiropractic Professionals And Their Healing Art

admin — Tue, 01 Jun 2010 18:27:11 +0000

An expected part of the chiropractic visit may be the correction of any misaligned vertebrae which could possibly in turn be causing lots of soreness and over-all suffering. There are various myths associated with the specific adjustment of the spine that takes plac and it’s essential to understand that there is a huge body of research and a substantial amount of knowledge that goes into each and every therapeutic touch from your Chiropractor. While you may be somewhat uncomfortable about the experience the first time you go to a chiropractic doctor, it is worth remembering that he or she went through years of training in order to perfect her or his expertise and skill. So, you are not dealing with somebody who is apprehensive about adjusting your spine and you’ll be taken care of by a healthcare professional who has an intimate knowledge of the treatment and knows exactly how much pressure to utilize at what location of the body.

Sometimes patients report that while their spinal column was being realigned they felt or heard a distinctive pop. This might scare you simply because it might seem like something burst. Yet the fact is, these popping noises and sensations are little more than pockets of gas that are being released when your joint is moved. It sounds alarming but there is no threat or ill effect connected with it.

Of course the primary important fact about chiropractic doctors and their healing art rests in the duration of the healing results. Frequently patients will pay a visit to a health care provider expecting the effects of their therapy to last permanently. While this might be an acceptable expectation to have of a operating specialist who operates on the body to remove something or to surgically knit something together, it is vital to realize that because your spinal column undergoes so much work and pressure each and every day, there are no guarantees about how long the realignment will last. Occasionally it only takes one wrong move to undo an individual’s previous chiropractic adjustment although in other cases you can go for a four weeks without needing to have your chiropractor do any additional manipulations.

Although this may not sound like much, keep in mind that injuring your spinal column by every day life style choices is quickly done and just as readily repaired. With the commencing of your treatment relationship you might pay a visit to your chiropractic specialist a number of times to affect the recovery you’re searching for while following the initial treatments have taken good hold, you will only have to visit on an as required basis or maybe on a maintenance basis. Discuss this matter with your chiropractor so that you will fully grasp how the adjustments will affect your overall health and how often they may need to be repeated in order to take hold more completely. In addition, talk to your chiropractic doctor in relation to issues you might have about your daily activities and just how they might be impacting your musculoskeletal health. Keep in mind that your chiropractic doctor is a holistic healer who not only cares about your spinal column but also about your entire system and how it is affected by daily living! Visit chiropractor Sutherland for your personalised and caring chiropractic wellness program.

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Choosing A Good Chiropractor

admin — Thu, 25 Mar 2010 15:06:00 +0000

When you are in need of a Chiropractor for your back pain, here are some tips to help you select the right one:

Is The Chropractor Licensed?

Check that your prospective chiropractor has a valid license. This may seem obvious, but in any profession that requires licensure, instances of people claiming to be something they are not are more common than you think. The way to check a if a chiropractor is licensed is through your local health department health care provider lookup. In my opinion, if choosing between two chiropractors, and one has a full license and one does not, you have to opt for the one with the full, unrestricted license.

What Techniques Will Be Used?

Have an understanding of the chiropractic techniques that the chiropractor will employ. There are many types of techniques a chiropractor can utilize when adjusting a patient. A chiropractor should use the one that is best suited to your physical condition, health goals, and also your age. The problem ends up being what your expectation of what a chiropractor does, and it might be an idea to familiarize yourself with the description of the technique on the considered chiropractors website, or calling the office to know which technique may be utilized.

Get Good Recommendations

Ask your family and friends for recommendations for a good chiropractor. Read reviews but proceed with caution. There is little better then a personal recommendation from a friend, family member, or a knowledgeable person in the community. If no-one can give you one, it is great to go to local community review sites and forums, and quite possibly sites like Google and Yelp. Review sites are wonderful, and they are always just a few clicks of the mouse away. I have found that is pretty easy to distinguish

legitimate reviews from reviews made by those business owners with a vested interest. The same rules apply for all professional health providers.

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This article was written by Dr. Graeme Gibson. You can learn more about him by clicking here: Queen Anne chiropractor

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Inversion Therapy Benefits For Back Pain

admin — Sat, 27 Feb 2010 15:21:00 +0000

Inversion therapy could be a therapeutic intervention, principally practiced for treatment of back pain. Beneath this therapy, the patient hangs upside down or in an inverted position (against gravity). The degree of the inversion angle depends upon the approach for undergoing the therapy and the health condition of the patient.

Inversion therapy advantages are mainly stressed on correcting the issues of the spinal column, which occur because of injury, dislocations and aging. The therapist could suggest appropriate inversion therapy exercises for overcoming pain in the back. Browse a lot of on back pain relief.

Inversion Therapy Advantages

Inversion therapy for back pain could be a popularly discussed topic. As per the proponents, it is effective in decompressing the spine and relaxing muscles and ligaments. Special equipment called inversion tables and gravity boots are used for performing inversion therapy. The former permits inverting at variable angles, while the latter is supposed for a right away the wrong way up position. Hence, the benefits of inversion tables and gravity boots depend upon the approach for that you’re using the equipment. Some of the inversion therapy advantages include:

1) Decompress Spine – When speaking concerning inversion therapy for a spine drawback, it helps to decompress the spine and relieves pain by reducing pressure on the nerves and spinal discs.
2) Correct Body Posture – Inversion therapy aids in reversing the process of aging in the spine. As it realigns the spinal column to its original form, it aids in maintaining body posture.
3) Increase Flexibility – It’s quite obvious that after decompression of the spine and relieving pain, the flexibleness and body movement is increased to a sure extent.
4) Promote Blood Circulation – Undergoing regular sessions of inversion therapy promotes blood circulation to the upper organs, so increasing oxygen and nutrient provide to these body parts. This indirectly helps in quick healing of the inflamed and injured tissue.
5) Improve Lymphatic System – Inversion therapy improves the lymphatic system and promotes higher circulation of the essential nutrients to the body organs. This in turn helps in body detoxification and proper coordination of the body metabolic processes.
6) Eliminate Constipation – The inversion therapy edges conjointly embrace simple bowel movements and relieving constipation. Because the body remains the other way up, the pressure of a arduous stool is decreased, permitting straightforward passage.
7) Relieve Stress – The proponents of inversion therapy are of the opinion that it helps in proper stress management. However, guarantee that you just follow the therapist’s advice for a suitable position.

Inversion Therapy Risks

The therapeutic benefits of inversion therapy is controversial. Specifically, this therapy isn’t applicable for patients who have back pain along with other medical conditions. Dangers of inversion therapy embody blood infusion in the head portion. Considering this, folks with high blood pressure, heart problems, glaucoma and eye diseases ought to ask for advice from their concerned physician prior to indulging in inversion therapy. Conjointly, pregnant girls ought to refrain from this kind of therapy, as it will cause sure complications, both for the mother and therefore the baby.To learn more about back pain causes, visit here: back pain causes.

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Inversion Therapy Benefits

Inversion Therapy Risks– The therapeutic advantages of inversion therapy is controversial. To be more precise, this therapy isn’t applicable for patients who have back pain together with alternative medical conditions.

Spinal Decompression for Herniated Discs

Other forms of less technological spinal decompression include traditional medical traction, Cox Technic chiropractic and inversion therapy. Spinal decompression works by gently stretching the spine and creating a vacuum effect in the … The risks are low and the relief is real. Best of all, there are none of the unpleasantries, functional limitations or tissue damage enacted by surgical interventions. To learn more about spinal decompression, contact a qualified …

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Cortisone Injections For Back Pain

admin — Fri, 26 Feb 2010 04:03:00 +0000

What Is Cortisone?

The adrenal glands in our body releases a hormone referred to as cortisone when it is under stress, that helps to regulate and cut back inflammation in the body naturally.

Cortisone injections used for back pain conjointly serve the identical purpose. Cortisone injections are a kind of steroids and are created synthetically. Most of the causes of back pain are associated with swelling of the muscles, nerve roots, tendons or joints for one reason or the other. For that reason, doctors administer cortisone injections for back pain. Thus, the pain subsides among a couple of minutes providing mobility to the painful back.

Types of Cortisone Injections

There are three different types of cortisone injections for back pain. They’re facet joint injection, nerve root block injection and epidural steroid injection. Aspect joint injections are given when the tissues round the spines are laid low with inflammation, and the injection is given into a facet joint situated at the rear of the vertebral bones. This is often one of the most in style cortisone injections for neck pain. Nerve root block injections are given in the world close to the spinal nerve roots to bring about improvement in the back pain. This is often one among the most effective cortisone injections for lower back pain.

Among the cortisone injections, the epidural steroid injection is mostly used for the treatment of back pain. There’s a membrane referred to as dura membrane which provides a covering to the spine and also the underlying nerve roots of the neck area. The regions round the dura membranes is also referred to as epidural area and several nerves travel through this area towards the neck shoulder and arms. Swelling or irritation in these nerves provide rise to neck pain, shoulder pain, and higher back pain. Thus, patients who are administered with cortisone injections for higher back pain or cortisone injections for shoulder pain, are sometimes recipients of epidural cortisone injections.

Procedure for Cortisone Injections

The procedure for cortisone shots could vary in step with the condition of the patient. Here we tend to are going to speak concerning the general procedure for administering epidural cortisone injections. The patient is positioned on the x-ray table in such a manner that the doctor can visualize the x-ray of the patient’s back for guidance. The skin of the back is cleansed with the assistance a sterile scrub. A tiny space of the back near the spine is anesthetized with medicines to create it numb. After some seconds, when the world becomes numb, the doctor directs a needle into the epidural house concerning the live x-ray. Once the needle is placed, a tiny amount of dye is injected in order to substantiate that the needle is rightly placed. Then the correct dose of cortisone resolution is pushed into the back. The patient is monitored for the next fifteen-twenty minutes and is then allowed to go home. Some patients might get soreness at the location of injection and therefore the pain could increase for a temporary period of time.

Drawbacks of Cortisone Injections

The result of cortisone injections varies from person to person. Some people get substantial back pain relief whereas others might not get any quite positive response when the shots. The result of the injection could last for one week or up to at least one year. In different words, it heals quickly to induce rid of the swelling but does not cure the pain. It does not address the foundation explanation for the problem. The disadvantage of the cortisone injections is that it tends to prevent the healing process to some extent and hence it has to be repeated once more and again. It’s a kind of catabolic steroid, which suggests that it destroys the connective tissue in order to bring down the swelling. During this way it is causing injury to our body. Different aspect effects of cortisone injections that are observed after prolonged use are weight gain, decrease in bone density and increase in blood pressure. Read more on cortisone facet effects.

Cortisone injections for back pain will provide a lot of relief from the back pain however it could not be appropriate for all. Pregnant women, patients with bleeding disorders, people who are stricken by any systemic infection or allergic to cortisone ought to not take cortisone injections. If the center condition of the patient isn’t smart, cortisone injections should be strictly avoided.

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Why do I get joint pain after laying down or sitting for a long

As the condition progresses there may be a throbbing pain after getting off your feet or there may be soreness that radiates up the back of the leg. Pain may also radiate into the arch of the foot. … The next phase of treatment might consist of continued calf muscle stretching exercises, cortisone injections and orthopedic taping of the foot to support the arch. If this treatment fails, or if there is reoccurrence of the heel pain, then functional foot orthot…

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Dr. Schnee, Cold Laser Expert in Irving Texas, compares and contrasts Synvisc Shots to Cortisone shots for your knee pain. … At the DFW Spine & Joint Center we also have programs available that can help most musculoskeletal conditions such as low back pain, neck pain, shoulder pain, sciatica, disc and nerve problems, hip, ankle foot, hand and wrist pain, etc… Dr. Robert Hanson, an associate at the DFW Spine & Joint Center, offers a very successful non-surgical program …..

To learn more about back pain causes, visit here: back pain causes and find the best back pain causes sites for you!

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Spinal Fusion Options

admin — Fri, 19 Feb 2010 22:56:00 +0000

Spinal fusion has become a very common surgical procedure in the United States over the past 10 years. There are many diagnoses that range from fractures of the spine to severe degenerative disc disease that prevent patients from being able to stand or walk are best treated with a surgical remedy. This article is intended to provide a basic review of the many spinal fusion options that are available.It is best to talk to a fellowship-trained spine surgeon who will be able to give you a complete picture of all of the devices available that are recognized for quality and reliability or to help you rule out those that are not advisable.

As the number of spinal fusions has increased, the variety of procedures and hardware alternatives that are available has also increased. It may be easier to understand why there are so many types of fusions if you consider how fractures need to be fixed with fusion. With broken bones, there is usually little question about the wisdom of providing casts or plates and screws to stabilize bones that need to be realigned or stabilized. Spinal fusion provides the same stability for the spine as is used for other fractured bones. What is a spinal fusion? Screws and rods in the spine are used to keep bones from moving as the bone graft that is placed allows the stabilized bones to form a connection across a previously mobile disc space. The growth of bone between 2 previously mobile bones is called fusion.

Standard Fusion Technique

Initially, fusion of the vertebral bones was done by laying bone graft between the bones, to provide a scaffolding across which the native bone cells could grow. As the patient s bone cells move across the bone graft, they are able to incorporate the bone graft into the patient s own bone structure, forming a complete connection called a fusion. Bone graft is of primary importance in allowing the vertebral bones to fuse across a previously mobile segment. Studies of patient s with fusions done with bone graft alone have shown a relatively good rate of incorporation when patients are placed in back braces for 3 months or more. Because of the inconvenience and discomfort of the bracing, pedicle screws and rods have been added to provide an internal support that obviates the need for external supports. Internal screws and rods have increased successful fusion rates, as well as allowed patients to become mobile very quickly after the spinal fusion.

Interbody Fusion Cages

As the skill of the surgeon s has grown when applying screws and rods to the spine, we have looked for better ways to gain improved results.Now, it is possible to put bone graft around the back of the spine, as well as into the disc spaces. With these improved grafting methods, we are able to safely access the lumbar disc from the back of the spine. Adding bone graft to the disc increases the surface area for healing and should improve the overall success rate of the spinal fusion. Interbody grafting can be done from several different approaches, as access to the disc space can be achieved from multiple directions.

XLIF

This acronym stands for extreme lateral interbody fusion. XLIF is a newer device designed to provide a carrier for bone graft and support to the disc space. It is placed through an incision on the patient s flank. By making an incision on the patient s side, the abdominal contents can be moved out of the way for a good view of the spine. Unfortunately, there are some significant nerves in the front of the spine that are very sensitive to being moved. This type of access to the spine can lead to weakness in one leg because of the sensitivity of these nerves.At this time, there are no long-term studies that demonstrate that this procedure is a success.

AxiaLif

This is another fusion device that has received some attention, due to its being touted as the least invasive spine fusion .This device is placed across the lowest disc space by access from the front of the sacrum (a large, triangular bone at the base of the spine, wedged between the two hip bones). By placing instruments through a small incision near the rectum towards the spine, the disc is accessed through a series of cannulas (hollow surgical tubes) and drills. This allows the disc material to be removed from the disc space. After the disc material is removed, bone grafting can be placed into the hole that is created. This disc space is then supported by a tapered screw placed into the bones. So far, this device has had minimal post-surgical study and is most likely best done in conjunction with standard screw and rod fusion techniques.

Flexible Rods

There has been some recent excitement around rod and screw systems that are so-called non-fusion fusion devices. This confusing name infers that, although the intent of the screws and rods is for the bones to not move, these devices are designed to allow some movement. As was discussed earlier in this article, fusion is the solid connection of bones that had previously moved.The idea of these flexible rods is to provide enough stability to allow the bones to fuse together, but not enough to change the spinal forces. This is termed a soft-fusion .At this point, there is no concensus as to how much or how little support is needed to achieve this. It is known that current screw and rod systems provide enough support to allow a fusion to occur while providing complete immobility of the vertebrae. Other than this complete connection, the amount of support less than complete immobility has not been defined and at this point is still under investigation.

Disc Replacement

Disc replacement was developed as an alternative to fusion and is suggested for those discs that have ruptured, but in which the bone structure is still good. If only the disc has gone bad, removal of the disc leaves a space that we normally fill with bone graft to promote fusion in the neck or lower back. With the development of the disc replacement, the space that is left from disc removal can be filled with a device that allows motion, rather than fusion. This is a complete reversal in the approach to disc removal; from complete immobility to complete mobility. Disc replacement is intended to maintain the motion in the spine. This reconstruction of the spine should maintain the forces across the discs in the spine to prevent the other discs from deteriorating any more rapidly than their normal degenerative process. Disc replacement in the lumbar spine has met with some success in well-selected patients. It has not been a panacea for all patients with low back pain or degenerative disc disease.Disc replacement in the cervical spine has had good success, as most neck fusions are done for bad discs with the bones still in good condition.

Improved training, including advanced specialty training in fellowship programs, as well as improved implants, has decreased most surgical procedure times to 2 hours or less. Historically, older techniques have been known to take 4-6 hours for the operation alone. By decreasing operative times, surgeons have seen decreased complications from the anesthesia, as well as decreased risks of infection and blood loss. Most surgeries under 2 hours will not require a blood transfusion.

A well-informed patient, who understands the benefits and the risks of their surgery, can fully participate in the choices that need to be made about their surgery. If you have been told that you need a spine fusion, ask questions and do your research. It is appropriate to ask your surgeon about their experience performing spinal fusions, how many of the fusion procedures they perform, how long the operation will take and the likelihood of needing a blood transfusion. Selecting a well-qualified surgeon can help ensure the best outcome for you and the success of your spinal fusion.

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Back Pain and Spinal Stenosis

admin — Mon, 08 Feb 2010 03:04:00 +0000

A recent study published by Boston University has found out that lumbar spinal stenosis affects 4.71% of the general population, wihch seems like a very low number. However, 47.2% of individuals in the 60-69 age group have lumbar spinal stenosis on their MRI scan, which is a significant number. The individuals that actually are diagnosed with severe stenosis will approach 20%. These patients with significant spinal stenosis have a 3 times higher incidence of back pain than the general population. As our population continues to live longer, stenosis of the spine will certainly be a significant health problem.

Spinal stenosis is the progression of arthritis in the spine occurring in the neck, as well as in the lower back. As we age, the cartilage in the discs of our spine will lose their ability to hold water. The water in the discs is what helps the disc move and remain flexible to bending and compression. As the discs lose their water content, they become more fragile.If the brittle cartilage breaks, the condition is called degenerative disc disease.As discs degenerate, they will begin to expand and put pressure on the spinal canal and nerve roots. This disc bulging will decrease the diameter of the spinal canal,a condition referred to as spinal stenosis. This slows the information that flows between the brain and the extremities. The arms will be affected by spinal stenosis in the neck and the legs will be affected by lower back (lumbar) spinal stenosis.

Patients with lumbar spinal stenosis will feel back pain, as well as leg pain or fatigue. Because of the fatigue in the legs, patients will have to sit frequently during walks.Lumbar spinal stenosis will also cause patients to find benches in the mall and grab the cart at the grocery store, in order to make it through their errands due to the fatigue. Some patients may attribute their fatigue to age and as they continue to remain active later in life, this may severely limit their ability to join in their families activities.The leg fatigue can cause significant pain and cramping during activity, but is lessened when the patient sits down. The act of sitting opens the spinal canal by decreasing the curve in the lower back,which also occurs while the patient is leaning on the grocery cart.

Spinal stenosis in the neck may cause more severe symptoms. The cervical spine protects the spinal cord as it descends from the base of the brain.Because spinal stenosis in the neck puts pressure on the spinal cord, the disc pressure will cause symptoms related to the area. These include a decrease in the ability to walk as well as problems with the hands.Patients may find they tend to stumble, as it becomes harder to control the feet and legs as the disease progresses. They may also find their handwriting getting severely worse and that they have difficulty differentiating the size and feel of coins or shirt buttons.

Spinal stenosis is usually treated with physical therapy and anti-inflammatory medications. Physical therapy is intended to help position the spine and open the spinal canal. With better posture and stronger core muscles, patients may find their leg symptoms and fatigue improve. They may find they are able to walk farther or faster. Oral anti-inflammatory medications are a first-line option for improving the inflammation related to the degenerating discs. When physical therapy and oral medications no longer provide relief, injections of steroid around the discs and nerves may decrease the pain and symptoms related to the nerve pressure. Some patients are able to tolerate their symptoms with a few injections per year.

When all of these efforts fail, surgery becomes an option for improving the patient s pain.Surgery is aimed toward relieving the pressure from the arthritis on the spinal canal and nerves.The mechanical pressure can only be alleviated by physically removing the bone spurs or disc protrusions. The surgical procedures involve removal of bone and disc, as well as protecting the nerve roots. Fellowship-trained orthopaedic spine specialists have undergone the most intense training available in the treatment of the spine and are uniquely qualified to treat patients with spinal stenosis.

Dr. Jeffrey R. Carlson is a doctor at the Orthopaedic and Spine Center, a leading provider of Hampton Roads orthopedics services such as Hampton Roads spine surgery, Hampton Roads custom fit knee replacement, and many other services. The Orthopaedic and Spine Center can be found online at: OSC-Ortho.com

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Upper Back and Neck Pain: Causes and Treatment

admin — Fri, 25 Dec 2009 19:40:00 +0000

The upper back and neck is the most intricate aspect of the human body. The reason for the high level of complexity is due to the number of joints in this area of the body. In order for everything to function properly, these joints all must work together. Common problems that affect the neck as well as shoulder include pulled muscles, disc ailments, as well as arthritis. Lower back pain makes it difficult to retain normal mobility; but, upper back pain prevents you from performing your daily routine activities such as brushing your teeth or driving your automobile.

What Are The Causes?

Upper back and neck pain is generally caused on account of muscular imbalances and traumas, with the former being the cause for a condition known as postural dysfunction. When a person develops dysfunctions in their posture, it causes the head and shoulders to lose their proper alignment. This causes unnecessary joint, muscle, as well as ligament wear and tear that then leads to experiencing upper back and neck pain.

Other than when caused by trauma, upper back and neck pain does not occur out of the blue. It can actually develop gradually until the unnoticeable symptoms start becoming apparent, which then turn out to be very problematic. In case you notice symptoms of upper back and neck pain, then you will need to immediately get these symptoms diagnosed by a physical therapist, MD, or even by a chiropractor. To get a more comprehensive assessment of your condition, you might even need to show yourself to a person that is an expert in upper back and neck pain.

Treatment

There are various ways to treat upper back and neck pain, including using the most common option which is being injected with cortisone. In addition, you can try taking medications that help to relax the muscles and even take non-steroidal anti-inflammatory drugs, or NSAIDs, which has proven to be effective. To get relief you will also need to take bed rest.

A chiropractor can help you overcome upper back and neck pain. Physical therapy is another option worth considering, as well as the use of hot packs, electric stimulations, ultrasound and also therapeutic exercises all of these have provided adequate relief from upper back and neck pain.

Surgery is often the last resort that is recommended if all other forms of upper back and neck pain treatments have been tried without success. Joint dysfunctions and myofascial irritation are two of the primary causes of upper back muscle pain. Each needs to be assessed and treated differently.

See Also: Upper Left Back Pain

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Spinal Fusion Treatment

admin — Sat, 05 Dec 2009 20:23:00 +0000

Spinal fusion is a surgical procedure that many back pain sufferers don’t understand. Many people have heard horror stories about people who have had back surgery and never recovered.

Many patients think a spinal fusion will cause their spine to become completely rigid, and they envision a future of pain and stiffness and being unable to bend their backs or touch their toes, afterwards. Over the past decade, spinal fusion has also had a less than bright reputation as a treatment for pain. Given the overall perception that fusion of the spine is a delicate surgery with questionable outcomes, patients are quite concerned about proceeding with a fusion. This article will help to dispel many of the misconceptions that surround this treatment and why it is important to understand the procedure, when it should be performed and who might benefit from a spinal fusion.

What is Spinal Fusion?

Spinal fusion is a surgical procedure designed to provide stability to an area of the spine that has too much movement or movement that causes pain, tingling, numbness or weakness in the arm or leg. The object of a spinal fusion is to connect the bones (vertebrae) that were previously too mobile and form a connection of bone in the spine that is more rigid.

A History Lesson

Orthopaedic surgeons have long applied casts to broken bones to provide support to fractures and allow the bones to heal. This external support keeps the bones from moving. Why is this important? When there is too much movement between broken bones or bone fragments, the repair cells are prevented from being able to connect the bone fragments together, so their process of healing will stop.

As orthopaedic surgeons have progressed in the use of technology, plates and screws, called internal fixation devices, are now applied to fractured bones. These rigid internal fixation devices are stronger, and they add more support to the fractured bone. Plates and screws have been able to replace bulky external casting in a large group of fracture types.

The same treatment principles are used by the orthopaedic spine surgeon. There was a time when fusions were supported with external bracing. This external support, provided by casting or rigid bracing, has been replaced with internal rods and screws. Using these internal supports provides stronger bone connections that decrease motion even more. As a result, the number of successful fusions has increased. The internal support of the spine is stronger, allowing patients to get up and out of bed and walk the day of surgery and to return to their usual activities in 6 weeks. This is a far cry from the days of original spinal fusions that were supported with a cumbersome hard plastic brace or cast, leaving patients with limited mobility or bed rest for many months.

Spine surgeons are now better able to determine which patients will be helped with a spinal fusion. Advanced imaging studies, including MRI and bone scans, as well as the use of diagnostic injections, help today s spine specialist more accurately diagnose patients who would benefit from spinal fusion. Advances in surgical techniques and components, including the development of better screws and rods, also have greatly improved patient results. Improved diagnostic and surgical training, including advanced training in spine fellowship programs, has helped spine surgeons interpret and use these advances in technology to obtain better outcomes for patients.

Who Needs a Spinal Fusion?

As with all surgeries, there are proper uses that will result in good outcomes for patients with spinal fusion.

In patients where the spinal bones have begun to slip and cause pressure on the spinal nerves (spondylolisthesis), this excessive movement may need to be stopped to prevent worsening of the nerve pressure. During surgery, these patients will have the bone spurs and disc protrusions removed from around the nerve roots and spinal cord, which may destabilize the bones of the spine and cause the bones to slip more. Inserting screws and rods in these bones will prevent the bones from slipping any further after surgery and also may be used for correction of the original slippage.

Use of screws and rods can also provide stability and correction for patients with scoliosis. Scoliosis is the bending of the spine in an abnormal direction. The curve of the spine may increase with time or may be painful as the curvature of the spine increases. If the patient has a large curve or the curve is continuing to get worse, screws and rods are used to correct the position of the spine and prevent the curve from worsening.

In patients with obvious bone destruction from fracture, tumor or infection, stabilizing the bones with screws and rods will provide the support that is needed so the underlying disease can be addressed. The structure of the spine can be improved while the patient receives chemotherapy or radiation. By removing the tumor in the spine, the back pain related to an expanding tumor can be relieved and the patient can remain mobile, which helps to prevent pneumonia and blood clots. Being ambulatory, while receiving chemotherapy and radiation, also improves the patient s mood and outlook while coping with their disease.

Who is Not a Candidate for Spinal Fusion?

Most patients with disc herniations or pinched nerves will not need a spinal fusion. These conditions can be treated with simpler procedures that allow the removal of pieces of discs or bone spurs that do not increase the movement in the bones.

The more difficult indication for spinal fusion is in the patient with severe pain in the back. Degenerative disc disease is the leading cause of back pain in the United States, but back pain can have many underlying causes. One of the reasons that spinal fusion developed a bad reputation is that they were performed as a remedy for back pain that did not respond to other forms of treatment. Older fusion methods and inadequate diagnostic approaches left surgeons with few options for treating these patients, so some patients were given fusions as a last attempt to improve their pain . Most patients with lower back pain and degenerative disc disease will not need a spinal fusion.

What To Expect From Spinal Fusion?

It is expected that most patients will be back to their usual state of health and activity at approximately 6-8 weeks after their fusion surgery. Most patients will be pain-free after their spinal fusion. It is important to choose a well-trained surgeon to make educated decisions about your diagnosis and treatment. With the combination of the proper diagnosis and properly applied spinal fusion most patients will have successful outcomes.

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