Don’t Ignore Back Pain - Medx Health Assistance

Don’t Ignore Back Pain

Low back pain is a common middle-age issue with a lifetime prevalence of over 80% and is a vital cause of work absenteeism. About 20% of people suffer from chronic back pain. Low back pain hints at pain below lower rib margins. Sciatica is a state in which one of the lower limbs radiates from this pain. Sciatica occurs due to disc displacement that contributes to nerve fiber compression emerging from the spine. An ominous characteristic of spinal canal narrowing is a pain in the legs aggravated by walking or prolonged standing (neurogenic claudication) and relieved by rest (stenosis).

Many people are misled by inaccurate information and beliefs about low back pain and respond inappropriately to pain, making them depressed or anxious, hence, making it more vital to be aware of this disorder.

Symptoms

  • Feeling of weakness in arms and legs. 
  • A tingling or numb feeling in your arms, legs, chest or abdomen.
  • Pain can maximize suddenly after lifting things or twisting back.
  • Poor posture can result in lower back pain.
  • The pain can go out of control at night, during activities or after sitting in the same position for a very long period without taking a break.
CAUSES
Poor posture for long period
Carrying, pushing, twisting, lifting or pulling incorrectly
Over-stretching
Driving for long period of time without resting or taking a nap
Overstressing the muscles, mainly due to sport or repetitive movements.

 

RISK FACTORS
Pregnancy
Overweight or obese
Weakness bones
Stress
Depression

 

Management 

  1. Pain reliefs. Certain painkillers or NSAIDS (Non-steroidal anti-inflammatory drugs) may help in eliminating the pain.
  2. Cold and hot treatment. Placing hot water bags or hearing belts on the affected area can be effective. 
  3. Take rest.  Resting in appropriate posture and with a comfortable cushion can ease the pain.
  4. Exercise and yoga. There are plenty of exercises or workout sessions that can be performed to ease the pain. Doing yoga can also be helpful in strengthening the muscles and improving the postures.

 

PREVENTIONS  

  • In general, back pain is prevented through regular exercises or yoga. 
  • Standing in appropriate postures, standing upright with one’s head facing forward and back straight.
  • Sitting in a right posture
  • Avoid lifting heavy stuff and sudden movements that can end up giving muscle strains.
  • Stick to a healthy body weight.

TREATMENT 

There is some non-surgical treatment to eliminate back pain:

  • Physical therapy 
  • Swimming 
  • Body movement therapies 
  • Pain medication 
  • Acupuncture 
  • Cycling 
  • Walking 
  • Massage 
  • Posture correction program 

 

Spine surgery might be recommended if non-surgical treatments don’t work effectively and somehow surgery becomes necessary. 

Discectomy treats herniated discs. A soft gel-like material is removed from the disc and compresses a spinal nerve. It relieves the pressure on the nearby spinal nerve after surgery and helps bring the disc back to the normal shape.

Laminectomy (removes the entire lamina) or a laminotomy (extraction of part of the lamina) are the operations done on the patients who suffer from spinal disorders including spondylolisthesis, spinal tumors and spinal stenosis. The lamina is part of each vertebral body, and is a bony plate. Situated at the back of the spine, it covers the spinal canal or the entrance to the spinal cord and other structures of the nerve.

Foraminotomy treats pinched nerves. This operation relieves spinal nerves by increasing the size of the opening where spinal nerves go out the spine. The opening is known as the foramen or neuroforamen. 

Disc Replacement: The injured disc is replaced with an artificial one as an alternative. 

Spinal Fusion: A procedure used to connect two vertebrae in surgery. Use of bone graft with or without instrumentation may involve spinal fusion (e.g., rods, screws). There are various forms of bone graft, such as autografting of one’s own bone and donor bone (allograft).

Spinal Instrumentation 

Blocks, bone screws, rods and interbody devices are examples of spinal instrumentation, although there are other types of devices that your surgeon may recommend in the treatment of your spinal disorder. The purpose of instrumentation is to stabilize or fix in place the spine until solidified by the fusion.

  • An interbody cage is a permanent prosthesis left in place to preserve the height of the foraminal (e.g., gap between two vertebral bodies) and post-operative decompression. 
  • In order to increase the clinical outcome of surgery, interspinous process devices (ISP) minimize the load on the facet joints, restore the foraminal height, and provide stability. An ISP’s benefit is that placement within the spine requires less exposure and is therefore a MISS procedure. 
  • When the fusion is complete, pedicle screws help to hold the vertebral body in position.

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