Archive for the ‘Back / Spine’ Category

Will Surgery Help My Back Pain?

Saturday, September 1st, 2007

Everyone experiences back pain at some time in their life. In fact, it is in the top three complaints that people bring to the doctor’s office.

In most cases there is soft tissue inflammation, muscle spasms, or degenerative arthritis. These respond well to conservative treatments such as anti-inflammatory medicines, stretches, and osteopathic manipulative therapy. Physical modalities such as heat or cold, massage, and acupuncture are also helpful.

So when should you worry? Any loss of bowel or bladder control needs immediate attention. Surgery can release the pressure on the nerves and full function usually returns.

The longer the loss of bladder or bowel control continues without treatment, the higher the risk of permanent damage. This also includes weakness of any muscles in the legs or feet. Plus you can reduce the risks of falls and fractures.

Contrary to popular opinion, a thorough history, neurological and structural exams, plus basic X-rays of the spine can diagnose the problem 80-90% of the time. Expensive MRI studies certainly can be helpful looking at the cross-sections of the spine into the discs and spinal cord. But, in most cases it will not change the eventual conservative treatment anyway.

Consider an MRI if surgery is likely. Certainly if there is no improvement in your symptoms after several weeks or there is worsening of your pain.

Besides the obvious causes of low back pain from muscle spasms, degenerative discs and osteoarthritis, chronic structural imbalances play a major role. Wear and tear to the spine from old trauma, sports, and obesity cause the discs to lose their cushioning ability. They also may bulge or protrude backwards.

Over 50 years of age almost everyone has changes I the discs loosing height and acquiring some bone spurs. However, not everyone has pain. Again, unless the nerve root coming out of the spinal cord or the spinal cord itself is squeezed, surgery will not help. Even radiating leg pain called sciatica along with numbness and tingling in the legs can go away over time with proper treatment that includes osteopathic manipulation therapy.

Studies show that back pain sufferers who have surgery have no better pain relief or function than those who didn’t have surgery after five years passed. Certainly if surgery is recommended it is wise to get a second opinion.

Non-Surgical Treatments For Back Pain

Saturday, September 1st, 2007

If you suffer from severe back pain and fear that surgery may be necessary, or if surgery has been recommended and you question the wisdom of it, you may want to try some non-surgical physical treatments first.

Unless your back pain is due to an infection, malformation of the back, or tumor, some type of physical treatment can probably help it. Let’s look at a few of the more popular and effective types of treatment.

Chiropractic Therapy

Chiropractic treatment has been shown to be most effective when applied within 2 months of the onset of back pain. Chiropractors realign the spine, increase the range of motion in back muscles, increase the flexibility of spinal soft tissue, break down scar tissue, and reduce pressure from constricted and misaligned spinal joints, all of which help to relieve pain. Usually treatment takes around 15 minutes 3 times a week at first. Over a few weeks sessions decrease until you are on a maintenance program of once a month or even “come come only if it hurts.”

Acupuncture

Studies by the National Institutes of Health show that acupuncture is very effective in treating back pain. According to the theory of acupuncture, energy (known as chi) flows through the body along pathways called meridians. If the flow of chi is interrupted, pain or illness can result.

An acupuncturist uses very thin needles inserted into the skin along the meridians to correct the flow of chi. You may be surprised to learn that acupuncture is rarely described as painful. In fact, many people find it relaxing and even fall asleep during treatment.

Physical Therapy

A good physical therapist will combine passive and active treatments, since exercise is essential to the long term imporvement in back pain.

Active therapy involves the patient’s participation. The therapist will determine which exercises are best for a particular condition, and supervise you in those exercises to ensure that you are doing them correctly. They will include:

* stretching
* strength building exercises
* aerobic exercise.

Passive therapy is done on you, usually while you are relaxing, and includes:

* heat or cold therapy
* electrical stimulation
* ultrasound
* massage
* iontophoresis (inserting a drug through intact skin using an electric current).

Other Alternatives to Surgery

In addition to these 3 modalities, many other non-surgical treatments exist for back pain, among them massage, and the use of herbs and natural supplements.

Spondylolisthesis

Saturday, September 1st, 2007

Spondylolisthesis, a condition that can affect athletes in all sports that require a wide range of movement and flexibility, is a degeneration of the exterior portion of the vertabrae in the spine, reducing not only its integrity, but support, flexibility, and strength.

No matter how severe the condition, a patient may experience extreme discomfort, lack of mobility, or even the loss of sensation in an extremity, typically the leg. Adolescents suffering from this condition may often exhibit few symptoms or no symptoms at all.

Spondylolisthesis tends to cause great discomfort in patients and is usually brought on by physical accidents, such as falls or even automobile accidents. While it can occasionally be a pre-existing condition, but it is often worsened because of the accident.

In the highest levels of discomfort, it may be necessary to treat with what is known as spinal fusion, a treatment in which the lower vertebrae of the spine is fused to the affected vertebrae and held in place with titanium screws and rods or, at times, a plate. This surgery can take a maximum of four hours and can be extremely painful for the patient. While recovering, the pain can be terribly severe and requires mobility assistance and physical therapy.

While spinal fusion is painful and can take up to twelve months for recovery to take place, the success rate of this form of surgery is eighty percent, making spinal fusion the prime option of treatment for both patients and their doctors. When paired with special exercise, physical therapy, and changes in daily routine, spinal fusion can assist in alleviating Spondylolisthesis effectively.

This condition is curable and can be treated if detected early enough. Speaking to your physician and an orthopedic surgeon is key, as left untreated, Spondylolisthesis can lead to loss of sensation and bone degeneration. Your health is important and if you find yourself experiencing discomfort in the back, especially the lower back, after an accident or a fall, you should speak to an orthopedic surgeon immediately about testing and possible treatment.

Early detection can save both your health and your bones. Leaving it untreated is risky - a risk you should not be willing to take.

Demystifying Sciatica

Saturday, September 1st, 2007

What is sciatica? Sciatica is the official name given to a pain in the leg, foot, or buttock, brought on by a form of irritation to the sciatic nerve, the longest nerve in the entire body.

Sciatica is most commonly caused by a slipped disc in the lower back, some form of arthritis, or a pinched nerve. It begins with back pain, followed by calf or hamstring pain, and sometimes included numbness in the toes. Forms of sciatica, resulting from inflammation get better with time, healing themselves. However, bed rest is not the best way to treat sciatica. It is shown that remaining active and performing exercises that are not weight bearing can help. Given time, even herniated spinal discs can heal.

Treatment for sciatica is varied. It is only possible to find out what treatment is best for you by going to your doctor for an accurate diagnosis. Your doctor may order an MRI to conclude the exact cause of sciatic pain, although many physicians can determine the cause through physical examination alone.

Proper stretching and exercising, combined with over-the-counter pain medications can assist on the road to recovery. If your pain is not relieved by the milder pain medications, your doctor may prescribe a naroctic analgesic. However be advised that these medications can cause nausea, dizziness, and drowsiness, and may result in dependency if taken over long periods of time. In extreme cases, surgery may be required to remove fragment of the disc.

It is important to stay active. Do exercises that develop muscles in your back and stomach. This helps to stablilize your spine. It is also important to maintain a reasonable body weight. Ensure that you practice good posture, and sleep on a mattress that is neither too hard or too soft. You should always discuss health matters with your physician, especially if you suffer progressive weakness, as this may constitute a medical emergency. The problem thought to be something easily treated may be a serious condition caused by the compression of the nerve roots in the lower end ofthe spinal canal, which requires immediate medical attention.

The Cause of Back Pain

Saturday, September 1st, 2007

While there are many factors that can contribute to back pain, one of the most common problems is poor posture. Some people get into the habit of sitting or standing improperly, and over time this contributes to pain in their backs. Understanding the causes of back pain will allow you to avoid it, and will lead to a healthier and more active lifestyle.

When someone first begins feeling pain in their back, they can easily correct it by improving their posture. However, if you don’t correct your posture your joints will eventually begin to wear out over time. Studies have shown that in the long term, the ageing of joints in your back can be just as extreme as the effects of suffering a back injury.

People who continue to have poor posture will eventually feel the effects of ageing. Their poor joints will force them to stoop over, and their mobility will be greatly decreased. With the rising costs of healthcare, it will be expensive to correct such problems, if it is even possible to correct them at all. Is it not better to correct your posture while you still have the chance?

The vast majority of the deformities seen in the elderly are a result of poor posture. Often, other parts of the body are affected such as the lungs, which will not be able to get a proper amount of oxygen due to the upper body being bent over. This may also eventually cause problems with your stomach and other organs.

While many people consider weak back joints to be just a normal part of ageing, by taking a few simple steps everyday people can avoid back problems in the long term. By standing up at least once a day and bending backward, people can avoid back pain.

Doing this simple routine on a daily basis can keep your from being impaired when you get older. Walking or running can help people to relieve pain in their lower backs. Because most people drive or work in an office, they have less time for running or walking. Exercising is an important part of keeping both your back and the rest of your body healthy.

Back pain is something that millions of people suffer from, and there is not reason for them to continue. By exercising and sitting correctly, many of these problems can be avoided. Getting treatment for the problem once it has become out of control will be costly. It is much less expensive to just practice good posture and exercise on a regular basis.

Sitting improperly is one of the leading causes for back pain. Once you begin having problems in your lower back, sitting improperly will exacerbate the problem. It is also important to stand up and lay down properly also. You may find that you suffer pain in your lower back only at certain times, such as when you sleep or stand for extended periods of time. If this is the case, it can be easily corrected by practicing good posture.

Treatments For Lower Back Pain

Saturday, September 1st, 2007

If you are feeling persistent pain in your lower back, the first thing you want to do is visit your doctor in order to get a diagnosis for the problem. After your diagnosis has been completed you will then want to look over the different types of treatments available for back pain.

Most problems involving back pain can be treated in a moderate way, while certain conditions may require you to have surgery. Most patients suffering from back pain will begin feeling relief two weeks after beginning treatment.

Some of the methods used in correcting back pain are very basic. You may only be required to rest or exercise while undergoing physical therapy. More advanced treatments may include acupuncture or chiropractic help. Your doctor will be able to give you a list of treatments for different types of back pain.

Despite this, doing your own research will allow you to better understand the types of treatments available. Different methods of correcting back pain have both advantages and disadvantages. The most important factor in treating your back pain is to be in control of your treatments.

When you have pain in your back, you should be able to get pain relief. Many doctors prescribe medications to their patients in order to reduce pain. Pills taken orally such as aspirin and other medication which don’t require prescriptions are often used.

If this isn’t strong enough, doctors will often begin prescribing opioids. These usually add to the medicine you’re already taking, and are usually ingested in the form of codeines. Sometimes stronger opioids such as morphine are used. Sometimes patients may experience undesireable side effects when taking medications for back pain.

Patients with severe back pain may also need to undergo physical therapy. Some forms of physical therapy are more passive thant others. Getting back massages and applying heat are cold objects to the back generally only work the first few weeks after suffering a back injury. After this patients begin doing active forms of physical therapy such as correcting their posture and other forms of exercise.

Another important treatment for back pain is psychological therapy. Back pain often causes large amounts of stress due to the fact people suffering aren’t able conduct everyday activities. Some people may not be able to work and be employed in the types of jobs they enjoy doing. Psychologists will often counsel patients in order to help them cope with and manage the stress they have.

Low Cost Ways of Reducing or Preventing Back Pain

Saturday, September 1st, 2007

The vast majority of people will experience some sort of back pain throughout their lives. When most people think of back pain treatments, they often think of expensive medications and surgical procedures.

However, many would be surprised to learn that low cost methods for treating back pain are available which are quite effective. Several studies have been conducted which show that getting a good amount of cardiovascular exercise on a regular basis is very effective at stopping back pain.

Many of these methods are low cost, such as hiking, swimming, or jogging. Cardiovascular exercises have been shown to be just as effective for treating and preventing back pain as many physical therapies. These activities are fun to do, and will keep both your back and the rest of your body healthy.

Some of you reading this article may be under the impression that this advice is common sense. In reality, many people don’t know how to properly exercise their backs, and give up easily when things become tough. Some are already unhealthy and overweight, and have developed bad habits which are difficult to break.

It is important to change your mindset. Instead of looking at cardiovascular exercise as a chore, incorporate it into your everday activities. If you have a job which is close to your home, start riding a bike to work once a week. Start small and work your way up.

Exercise is important for your spine and back. Humans aren’t designed to spend hours sitting in front of a computer or in traffic. We are supposed to work out our bodies, and when we don’t, problems like chronic back pain develop over time.

When people suffer from back pain, they often stop exercising entirely. They are under the false impression that exercising their backs will put them in even more pain. This is certainly true if they don’t exercise properly. The muscles surrounding the spinal column support your body, and need to be strong.

The weaker they are, the more pain you will experience. By exercising, you strengthen these muscles in your back, and they will become strong enough to support your body, relieving you of pain. You don’t want to wait until the problem becomes so severe that you need medical treatment.

The costs of healthcare are increasing, and people are finding it hard to afford care. The best type of treatment you can give yourself is prevention by exercising properly and keeping both your back and the rest of your body healthy.


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