7 Common Spine Conditions

by Administrator 19. September 2017 09:06

Tags: ,

Degenerative Disc Disease

by Administrator 29. August 2017 09:44

Tags:

Spinal Stroke: Treatment In Frisco, TX

by Administrator 25. August 2017 09:04

The spinal cord connects the brain (central nervous system) to the rest of the body and it in turn, depends on a constant supply of blood to continue working. Disruption in the supply of the blood to the spine may result in injury to the soft tissues, nerves and stops the conduction of messages to the body parts. This condition is termed as Spinal Stroke. It is a rare condition that comprises of only 12.5 percent of the reported cases of strokes. The spinal cord gets blood from the anterior and the posterior spinal artery and it is the anterior artery that gets affected the most. The blood supply gets disrupted due to the following causes listed below.

Causes

  • Formation of blood clots in the artery- ischemic strokes
  • Excessive bleeding from the artery or blood vessel that may burst within the artery- haemorrhagic spinal strokes
  • The arteries may thicken or become narrow (atherosclerosis) which affects the blood supply. This happens due to the process of ageing, deposition of cholesterol and lifestyle habits like smoking and drinking
  • Diabetes increases the chances of stroke
  • High blood pressure
  • Lack of physical exercise
  • Development of benign blood vessel tumors
  • Abnormally tangled blood vessels- Arteriovenous Malformations
  • Spinal tuberculosis
  • Past history of abdominal surgery

Symptoms

  • Severe pain in the neck and back
  • Weakness in lower extremities
  • Some unusual sensation may occur in the lower body
  • Loss of control over the bladder and bowel movement
  • The stroke may set in within a few hours or minutes
  • As soon as the blood supply is severed, a tight band like formation may  be felt around the waist or upper part of the body
  • Muscle weakness may progress to Paralysis
  • Muscle spasms
  • Burning or tingling sensation
  • Numbness
  • The patient may be not be able to differentiate between hot and cold

Diagnosis

  • Details of the medical history will be taken
  • Thorough physical examination of the patient
  • A spinal stroke is diagnosed using an MRI scan in most cases as it gives a detailed picture of the spine

Treatment

  • Prescription of blood thinners and anticoagulant
  • Prescription of anti-platelet medicines to reduce the incidence of blood clotting
  • Medicines to control blood pressure and high sugar levels
  • Smoking and alcohol should be avoided
  • Healthy diet and regular exercise needs to be followed
  • Maintain healthy weight
  • Physical therapy and occupational therapy sessions are highly recommended to regain normal functioning of the spinal cord and affected body parts post stroke

Tags: ,

Treatment For Back Pain

by Administrator 26. July 2017 10:59

Tags: ,

Spine Trauma: Causes, Symptoms And Treatment

by Administrator 17. July 2017 10:22

Any injury/damage to the vertebrae, spinal cord or both is termed as Spine Trauma. The medical condition is also variously known as Spinal cord Injury, Compression of the Spinal Cord, etc.

Spine Trauma may result from direct or indirect injury as well as other indirect stress factors like diseases of neighboring structures (e.g. Herniated Disc), tissues etc. Injuries to the vertebrae may result in fractures of the vertebral bones and other structures, dislocation (involving the facet joints) or subluxation (which is injury to the ligaments without concomitant injury to the bony structures).

Vertebral injuries may be stable or unstable. Stable vertebral injuries are fairly less complicated. In unstable vertebral injuries, bones and ligaments are injured substantially resulting in free movement of the vertebrae that can compress the spinal cord apart from disrupting the flow of blood. Unstable vertebral injuries are usually very painful and affect the nerves substantially resulting in pain, paralysis etc. Spinal cord may be traumatized by even a small injury. Diseases like Rheumatoid Arthritis and Osteoporosis can render the spinal cord liable to easy injury. Spinal cord may be injured in the case of Spinal Stenosis where the spinal canal through which the cord passes becomes very narrow in older people.

Causes

  • Physical assault –  injuries caused by knives or gunshots
  • Violent falls on hard surfaces
  • Diving into shallow waters with a hard surface underneath – as in swimming pools
  • Slipping on the floor, vehicular accidents
  • Sudden twisting of the head, neck or back during sports/athletics
  • Broken vertebrae with protruding bone fragments may damage the spinal cord
  • Simple falls involving relatively minor injuries may also cause spinal trauma in older people

Symptoms:

  • Weakness
  • Pain
  • Shooting pain down the extremities
  • Impaired movement of arms, legs, hands, and fingers
  • Numbness and loss of sensation in the area near and below the site of injury
  • Muscular weakness or loss of muscular strength
  • Paralysis
  • Breathing problems
  • Loss of Control on bowel and/or bladder movement – resulting in incontinence, etc.
  • Loss of sexual function
  • Internal bleeding
  • Sweating
  • dema of the spinal cord
  • Hypothermia/hyperthermia

Diagnosis

  • Physical examination
  • CT Scan
  • MRI of the spine
  • Spinal X-ray
  • Myelogram – an examination of the spine through x-ray after injecting a contrast dye

Treatment

  • Analgesics  or painkillers may be prescribed by the spine surgeon
  • Muscle-relaxants may be helpful
  • Surgical realignment of vertebrae may be an option
  • Surgical removal of bone fragments resulting from the injury
  • Surgical fusion of vertebrae
  • Spinal braces to restrict  movement
  • Decompression Laminectomy- Remove fluid or tissue that presses on the spinal cord
  • Bed-rest may be advised for some time depending on the condition
  • Spinal traction for a fairly extended duration
  • Physiotherapy is helpful in most cases

Tags: ,

Discogenic Low Back Pain: Treatment In Frisco, TX

by Administrator 26. May 2017 09:23

Discogenic low back pain is the most common type of chronic back pain. It is a degenerative condition in which the pain arises from one or more intervertebral discs. However, all the degenerated discs are not a cause of pain. Patients can benefit from conservative modes of treatment if the condition is diagnosed in the initial stages.

Causes

  • Progression of age
  • Nutritional deficiencies
  • Poor posture over a long period of time
  • Severe pain associated with sprains and strains

Symptoms

  • Dull pain in the lower back
  • Pain may radiate to the legs, hips and feet
  • Prolonged sitting may worsen the pain
  • Discomfort after waking up in the morning
  • Loss of bladder and bowel control may occur in extreme cases

Diagnosis

  • The orthopedic doctor may first note down the symptoms seen in the patient and also ask questions regarding the history of associated pain
  • A thorough physical examination of the spine may be conducted to check for areas of tenderness or pain
  • Imaging tests such as Magnetic Resonance Imaging (MRI) may help to reveal degenerative disc changes
  • A provocative discogram or may also be conducted by the doctor if he suspects one or more spinal discs as the source of pain
  • During this procedure, a contrast dye may be injected into the suspected discs to make them visible under fluoroscopy

Treatment

The treatment method for discogenic low back pain is determined on the basis of severity of the problem. The main aim of the treatment is to reduce discomfort and provide relief from low back pain and leg pain.

Non-surgical treatment

  • Non-steroidal anti-inflammatory medication might be recommended by the orthopedic doctor to reduce pain
  • Stretching and strengthening exercises may be advised to the patient so as to attain flexibility in the lower back
  • Passive therapies such as ultrasound, transcutaneous nerve stimulation (TENS) and massage therapy can be recommended depending on the condition of the patient
  • Corticosteroid injections can be administered in the facet joints or around the nerves of the back to reduce the discomfort associated with discogenic low back pain
  • Braces or orthoses can provide support to the lower back and prevent extremely painful conditions
  • Lifestyle modification might be required depending on the individual patient’s condition

Surgical treatment

  • Surgery may be recommended in case all the above mentioned modes of treatment fail to show positive results
  • Minimally invasive techniques may be used to treat Herniated Discs or correct Scoliosis that may be causing low back pain
  • Spinal fusion is another surgical treatment option that can be utilized by the orthopedic doctor

In case you suspect Discogenic Low Pain, consult the spine specialists at OrthoTexas, Frisco for diagnosis and treatment. To schedule an appointment, call at (214) 618 – 5502.

Tags: ,

Back Pain In Children And Teens

by Administrator 25. April 2017 08:39

Back pain is not a common cause of worry in children and teenagers as their bodies are more flexible as compared to adults. However, children may get affected by back pain due to some underlying disorder that needs to be treated immediately. Any kind of back pain in children and teens that is severe or does not go away for a long time warrants medical attention.

Causes

  • Overuse injury
  • Injury during an athletic event
  • Carrying a heavy backpack
  • Spondylolysis or a defect of the joint between vertebral bones
  • Slipping of one vertebra over another or Spondylolisthesis
  • Disc injuries
  • Vertebral fractures during skateboarding or biking
  • An infection of the spine or a tumor
  • A rounded spine

Symptoms

  • Extreme pain in the back that worsens with certain activities
  • Trouble in walking
  • Bowel or bladder issues
  • Weakness or numbness in back, hips and legs

Diagnosis

  • The doctor may conduct a thorough physical examination of the child and note down the visible symptoms
  • The medical history of the child may be noted and specific questions regarding pain may  be asked by the doctor
  • The Spine may also be examined to look for abnormalities and mobility problems
  • The posture and walking gait may be analyzed by the doctor
  • The doctor my check the nerve stimulation in the back along with the reflexes of the legs.
  • He may conduct other tests to check for balance, flexibility and muscle strength
  • Imaging tests such as X-Rays, bone scans, CT scans or MRI scans may be suggested to have a detailed look at the bone and nerve structures

Treatment

In most of the children and teens, back pain tends to be short-lived if caused by strain or overuse. It resolves after a few months on its own. However, other cases require adequate treatment.

Non-surgical treatment

  • Pain medications might may be recommended by the doctor to reduce the discomfort in the back.
  • Application of heat packs during the first few days after a back injury may also prove to be helpful
  • Rest may be advised if back pain is caused by over exertion
  • The doctor may advise some patients to remain active, in order to
  • The doctor may advise some patients
  •  to remain active in order to avoid weakening of muscles
  • Stretching and strengthening exercises may be recommended to reduce pain
  • Low-impact activities such as swimming, cycling and walking may also be suggested to improve the condition
  • The doctor may ask the patients to avoid activities that cause pain like twisting, bending, etc.  

Surgical treatment

  • Surgical intervention may be necessary if the back pain is caused by a serious underlying medical condition such as scoliosis or a herniated disc etc.

For complete treatment of back pain, visit OrthoTexas, Frisco. To schedule an appointment with the orthopedic surgeon, call at (214) 618-5502.

Tags: ,

Kinked Neck: Orthopedic Treatment In Frisco, TX

by Administrator 27. March 2017 11:13

Neck pain and injuries can occur as a result of daily wear and tear of bones that happens over a period of time. A kinked or stiff neck is one of the most common problems associated with the neck. The pain can range from minor to severe and even spread to other body parts such as shoulders and arms.

Causes

  • Improper neck position while watching TV or working on a laptop
  • Daily lifestyle stress and anxiety
  • Minor neck injury
  • Sports related injuries
  • Major trauma or accident that causes a direct blow to the neck
  • Sleeping on an improper pillow that is too high or too low
  • Sleeping on the stomach with the neck in a twisted position
  • Holding the neck in an abnormal position for prolonged periods
  • An underlying disorder of the cervical spine such as degenerative disc disease

Symptoms

  • Soreness in the neck
  • Difficulty in making neck movements
  • Discomfort while trying to turn the head on one side
  • Headache and shoulder or arm pain
  • Pain becomes worse after any strenuous activity

Diagnosis

  • The spine doctor will conduct a thorough physical examination of the patient’s neck and associated structures
  • The patient’s history of discomfort along with symptoms is noted down
  • The doctor will also ask the patient to perform certain neck movements to check the extent of discomfort
  • Imaging tests such as X-Rays or CT scans might be ordered to have a clear picture of the neck and cervical spine

Treatment

Most of the patients with a kinked neck benefit from conventional forms of treatment. Surgery is required in extreme cases where the cause of a stiffed neck is a disorder in the spine or spinal cord.

Non-surgical treatment

  • The patient is advised to take complete rest so as to reduce stiffness associated with a kinked neck
  • All physical activities that require twisting of head need to be completely avoided for few days
  • Application of ice packs can help in reducing inflammation caused by a kinked neck
  • Alternately, using heat packs can also promote healing
  • Non-steroidal anti-inflammatory drugs may be recommended by the spine doctor to reduce inflammation
  • Gradually the patient is advised to perform stretching exercises to regain normal range of motion of the neck
  • Low-impact aerobic activities such as walking are also recommended at a later stage of healing

Surgical treatment

  • Surgical intervention is required if all the above treatment methods fail to provide any relief
  • The most common surgical procedure is Anterior cervical discectomy and fusion (ACDF) in which the specialist doctor removes the problem-causing disc in the cervical spine
  • Another surgery to regain neck flexibility is known as cervical artificial disc replacement. The procedure involves removal of the damaged disc causing neck pain and replacing it with an artificial disc

Tags: ,

Tailbone Pain: Causes, Symptoms And Treatment

by Administrator 24. February 2017 16:41

Tailbone or coccyx is a triangular, curved bone at the lower end of the spine. It is made up of four bones connected by ligaments and the vestigial disc. Pain in this part of the spine is medically referred to as Coccydynia. Tailbone pain is often misunderstood as lower back or butt pain and may not get diagnosed in the first place. This condition is observed to affect women more as they have a broader pelvis that gives more exposure to the coccyx.

Causes

  • Childbirth is a physically stressful process that may press or irritate the tailbone when the head of the baby passes out of the mother’s body
  • Falling on the back may damage the tailbone. Elderly are more prone to such injuries
  • Slipping on a hard surface may injure the bone
  • Spinal Tumor or infection
  • Sitting for prolonged periods may lead to tailbone pain
  • Injury while participating in recreational and sports activities such as skiing, football, skate boarding
  • Osteoporosis- weakening of the bones with age may make an individual prone to tailbone pain
  • Inflammation due to Arthritis

Symptoms

  • Constant, intense pain in the tailbone and buttocks
  • The pain may worsen upon sitting
  • Pain may radiate to the thighs and legs
  • Sitting on padded surface may increase the pain as it exerts upward pressure on the tailbone
  • Sudden shift from a sitting to standing position aggravates the pain
  • Bowel movements can be painful
  • Women may have painful menstrual cycles
  • Tenderness in the affected area
  • Visible bruising

Diagnosis

  • The patient’s medical history, frequency and symptoms may be noted
  • A detailed physical evaluation of the patient’s rectum and pelvis may be required
  • Neurological tests may be conducted in some cases
  • X-ray imaging may be done to analyze changes in the bone structure and diagnose fractures of the tailbone, if any
  • MRI scan may be required to detect spinal infections or tumors that may have affected the tailbone

Treatment

  • Prescription of non-steroidal anti-inflammatory medicines
  • Heat or ice packs may provide relief from pain
  • In case the pain is severe and persistent, cortisone injections may be injected directly into the affected part
  • The patient may be advised to sit on a special donut shaped pillow (coccyx cushion) to eliminate pressure from the tailbone
  • Ultrasound therapy may be helpful in controlling the pain
  • Physical therapy may be recommended
  • Coccygectomy- A surgical procedure that involves extracting the affected part of the tailbone.

For treatment of tailbone pain and other spine conditions, visit OrthoTexas, Frisco. To schedule an appointment with the orthopedic surgeons in Frisco, TX, you can call at (214) 618 - 5502.

Tags: ,

Fixed Sagittal Imbalance: Orthopedic Frisco

by Administrator 24. January 2017 19:44

Fixed Sagittal Imbalance (FSI) is a medical condition that affects the spine. Sagittal refers to the anteroposterior (front and back) view of the spine when observed from the side. The normal human spine has a slight curve which gives it an ‘S’ shape. The forward bend in the upper spine is called Kyphotic and the inward bend in the lower spine is called lordotic. These curves help in maintaining spinal balance besides positioning the center of gravity above the pelvis and hips. In some cases, either of the two curves may be exaggerated, causing the individual to bend either forward or backwards. This condition is termed as Fixed Sagittal Imbalance, implying that the sagittal balance is not correct and prohibits the individual from standing upright.

The condition can be categorized as follows:

  • Flatback Syndrome - In this case, the lower back loses the inward curve and the thoracic spine stands out prominently. This results in forward shifting of the center of gravity.
  • Kyphosis - It is characterized by an increase in the thoracic curve leading to the development of a hunch back

Causes

  • Osteoporosis- Weakening of the bones may affect spinal shape and stability
  • Surgical fusion of the lumbar vertebrae may result in FSI
  • Chronic Degenerative Disc Disease may result in loss of spine height and is a potential cause of Lordosis
  • Ankylosing Spondylitis is an inflammatory disease that makes the spine stiff and increases the risk for Kyphosis
  • Congenital defects in the spine
  • Direct trauma
  • Spinal implants such as rods used to correct problems like Scoliosis
  • Neuromuscular disorders such as Cerebral Palsy

Symptoms Of Fixed Sagittal Imbalance

  • Difficulty in standing straight
  • Daily activities may be hampered due to loss of balance
  • Shoulder and head may lunge forward
  • Hips may be pushed backwards while moving or standing
  • Abnormal gait
  • Pain may be felt in the lower back
  • Fatigue sets in easily
  • Numbness in the limbs as the spinal nerves may get stressed

Diagnosis Of Fixed Sagittal Imbalance

  • X-ray imaging to analyze the changes in the spine
  • MRI may be done to evaluate the soft tissue structures and degree of curvature
  • CT scans may be required to check for infections in the spine and get a detailed image of the anatomical structures
  • Physical examination may be conducted to assess the loss of function, change in gait and posture
  • The patient’s medical history may be taken into consideration to confirm the diagnosis

Treatment For Fixed Sagittal Imbalance

  • Osteotomy or surgical removal of a piece of bone to improve the flexibility of the spine
  • Spinal instrumentation- Surgery may be done to stabilize the spine using a bone graft and promote stability
  • Screws, rods and pins may be inserted surgically to hold the spine in correct position. This is called spinal fixation
  • Physical therapy may be recommended post-surgery to help the patient regain spine movement and flexibility as well as strengthen the supporting muscles.

For treatment of Fixed Sagittal Imbalance, visit OrthoTexas, Frisco. To schedule an appointment with the spine specialists, you can call at (214) 618 - 5502.

Tags: ,