Orthopedic Treatment For Kyphosis

by Administrator 26. October 2016 08:42

The spinal cord constitutes cylinder-shaped bones called vertebrae. It provides support and balance to the head and helps to maintain the body’s posture.  In case of Kyphosis, these vertebrae become wedge-shaped and thus lead to deformity such as a Hunch Back or Extreme Curvature. The symptoms of Kyphosis may remain constant over a course of time and may slowly progress to severe complications in some rare cases.

Causes

Listed below are some of the major causes that are responsible:

  • Osteoporosis. It is a bone-thinning disorder that largely affects the older generation. It may lead to crushing/fractures of the vertebrae.
  • Birth Defects. If the spinal cord of a fetus doesn’t fully develop in the womb, it is likely to have deformed vertebrae, causing Kyphosis.
  • Scheuermann’s Disease. This affects growing children, specifically boys before puberty. By the time the child grows completely, the rounding or hunch back may become worse.
  • Disk degeneration. The spinal cord consists of disks that act as a cushion between the vertebrae. As age progresses, these disks may shrink and dry out, thus worsening the condition.
  • Disorders and Syndromes. Children affected by certain disorders, for example Cerebral Palsy may also get affected by Kyphosis.
  • Injury. In certain cases when the spine gets injured or fractured, the spinal cord may get misaligned following the treatment.  
  • Cancer and its treatments.  Spinal cancer and cancer treatments like radiation and chemotherapy may weaken tge vertebra thus increasing chances of fractures.

Symptoms

  • Poor posture. This is by far the most common symptom of Kyphosis. A hump or a hunch appears on the back.
  • Pain and stiffness. Poor posture may be accompanied by back pain, stiffness and fatigue in the muscles.
  • Weakness. In severe cases, the spinal cord may become weak and the patient may experience loss of sensation and bowl/bladder control.
  • Loss of appetite. Due to extreme curvature of the spine, the pressure on the abdomen may increase, leading to reduced appetite.

Diagnosis

The doctor may first examine the curve of the spine, ask about the patient’s family history of Kyphosis and other back and/or neck problems, and the strength and flexibility of the limbs may be assessed. Based on the findings, following tests may be suggested:

  • X-Ray. This helps to reveal the type of Kyphosis the doctor might be dealing with.
  • MRI. It may be recommended in case the X-Ray reveals injured or compressed nerves.
  • Additional tests. Severely affected patients may experience chest pain or shortness of breath. Thus, evaluation of heart and lungs may be required.

Treatment

  • Physical therapy. The doctor may suggest a number of physical exercises to strengthen the muscles.
  • Anti-inflammatory medicines. These medications help relieve inflammation and pain.
  • Braces. Children are recommended to wear races to help support the spinal cord.
  • Surgery. Surgery is opted when the symptoms develop from mild to severe.

For effective treatment of Kyphosis, visit the spine specialists at OrthoTexas, Frisco. You can request an appointment with the surgeons by calling at (214) 618 – 5502.

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Back Spasm: Causes, Symptoms And Treatment

by Administrator 25. October 2016 07:20

Back Spasm refers to a sudden and involuntary tightening of a muscle in response to strain, weakness or overuse. The condition may range from mild discomfort to severe pain which makes walking a difficult task. It commonly occurs in people of all age groups, irrespective of the gender.

Causes:

  • Muscle and back injury
  • Nerve irritation
  • Nerve compression
  • Medical conditions such as Hypocalcaemia, Sciatica, and Osteoarthritis etc.
  • Lack of proper hydration.
  • Overuse or stress in the spinal column.
  • Infection in any part of the spine

Symptoms:

  • Backache
  • Hip pain
  • Curvature of the spine resulting in lack of stability or balance
  • Numbness and tingling sensation in the back and thighs
  • Pain at the back of the head, in some cases
  • Muscle weakness or strain
  • Neck pain and stiffness
  • Shoulder or arm pain

Diagnosis:

A doctor may examine the patient’s medical history along with the symptoms. Factors like the severity of the pain and the frequency of its occurrence are focused upon. A physical examination may be conducted and the spine and limbs are properly analyzed. An X-ray may be performed to look for signs of Arthritis or fracture. An MRI or CT scan may also help in inspecting the muscles and other soft tissues properly along with identifying possible problems with the blood supply to the affected area.

Treatment:

  • Muscle relaxants: There are prescribed medication that give a relaxing effect to the body. They are given in cases of acute pain on a short-term basis.
  • Cold therapy: Applying ice wrapped in a cloth to the affected area or any other cold pack would help in relieving inflammation and pain considerably.
  • Reduced stress on back: Spasms can be treated through appropriate amount of rest. This can be done by laying on the back in bed with upper body supported at a slight incline and pillow under the knees or sitting at an incline in a reclining chair with legs supported and knees slightly bent.
  • Walking a lot: Walking is a great cure to spasms. This can include several short walks for a particular time duration around the house followed by increased walk intensity, as tolerated. Prolonged inactivity will stiffen the muscles and will lead to more pain. Walking is gentle on the back and promotes blood flow enabling speedy recovery.
  • Heating pads and heat therapy: Applying a heating pad to the affected area is also a good method in soothing pain and inflammation.
  • Surgical intervention: It may be required if the condition is caused due to some underlying anatomical disorder, degeneration of the spine, spinal fractures or damage to the discs.

The spine surgeons at OrthoTexas, Frisco offer complete treatment of Back Spasm. To request an appointment, call at (214) 618 – 5502.

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Low Back Pain: Orthopedic Treatment In Frisco

by Administrator 21. September 2016 14:47

Lower back pain is a common ailment which generally affects people between 35 and 60 years of age due to various extrinsic and intrinsic factors. However, people in the younger age group may also be affected. Lower back pain can be limited to a particular portion in the spine or may radiate to other parts of the body, particularly the extremities. It can be physically limiting and should be given timely medical attention.

Causes

  • Poor posture
  • Sitting or standing for too long
  • Herniated Disc
  • Injury or trauma to the spinal cord
  • Degenerative Disc Disease which can damage the intervertebral discs and create instability in the lower spine
  • Strain caused to the ligaments or tendons due to overuse injury or weight lifting
  • Sudden increase in intensity of physical work/exercise
  • Stress caused due to sports injuries or strenuous physical activities
  • Mental or psychological stress can lead to backache
  • Isthmic Spondylolisthesis which involves slipping of a vertebrae in the lower back and consequent compression of the disc or nerve roots below it
  • Arthritis
  • Infrequent or excessive movement of the sacroiliac joint which connects the base of the spine (lower back) to each side of the hip joint
  • Spinal Stenosis
  • Compression fractures of the spine

Symptoms

  • Persistent dull ache to a sudden sharp pain in the lower back
  • Muscle spasms
  • Difficulty in walking, bending or lying down
  • The lower back may feel tender and sore when touched
  • Stopping an activity or changing the position may provide relief from pain
  • Pain may radiate into the hips and legs
  • Numbness and tingling sensation may be felt in the back or legs
  • Change in gait

Diagnosis

  • The movements and activities that aggravate pain may be analyzed
  • Assessment of the medical history and past injuries
  • Tests to evaluate the loss of motion and sensation
  • X-ray imaging to study the bone structure damage
  • MRI or CT scan to evaluate the damage to nerves and soft tissue structures
  • Myelogram test ay be recommended in some cases

Treatment

  • In most cases, the back pain may subside with conservative methods of treatment within 4-6 weeks. In the other cases, surgical intervention may be required.
  • Taking rest for a few days may reduce the stress on the spine as well as help the muscles and tissues recover
  • Heat and ice therapy may be recommended by the doctor to reduce pain and inflammation. They can be used in conjunction or alternately, as advised by the spine specialist
  • Prescription of pain killers or anti-inflammatory medicines
  • Light intensity exercises can be performed as to improve mobility and flexibility
  • Severe cases may require injecting steroids into the spine
  • Surgical fusion of the vertebrae to improve spine flexibility
  • Removal of damaged parts of the bone and soft tissue
  • A soft removable back brace can be worn for added support

The spine specialists at OrthoTexas, Frisco provide surgical and non-surgical treatment for low back pain. Patients in Frisco, TX can call at (214) 618 – 5502 to schedule an appointment with the doctors.

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Spinal Decompression Surgery In Frisco, TX

by Administrator 23. August 2016 14:20

Spinal decompression can be defined as a set of procedures performed to treat nerve compression anywhere along the cervical, thoracic or lumbar spine. The nerves in the spinal cord are responsible for transmitting signals between the brain and body organs. Abnormal spine alignment, Osteoarthritis, Herniated Disc, spine injury, bone spurs etc. can put pressure on the spinal canal and compress the nerves passing through it. Spinal decompression involves reducing pressure from the nerves to relieve the pain, inflammation and other associated symptoms of the condition.

When Is Spinal Decompression Surgery Recommended?

  • Patients with the following symptoms may be advised to undergo spinal decompression surgery:
  • Pain and weakness in the leg or foot
  • Numbness and tingling sensation in the leg
  • Leg pain is severe than back pain
  • Difficulty walking, standing or bearing body weight
  • Non-surgical treatment failed to relieve the symptoms

Spinal Decompression Techniques:

The spine surgeon may use any of the following procedures to perform spinal decompression surgery:

Laminotomy or Laminectomy 

The procedure involves partial or complete removal of the lamina that forms a covering of the spinal cord. This is done to increase the space within the spinal canal and relieve the pinched nerve.

Laminaplasty

It is mainly performed to treat a pinched nerve in the cervical spine. The surgeon may cut the lamina on either side to create more space for the spinal cord and nerves.

Foraminotomy or Foraminectomy

In these, the spine surgeon may remove a bone or soft tissue to expand the nerve root openings. The surgery may be recommended if the nerve compression is caused due to Herniated Disc.

Discectomy

It involves removing a part of the disc to eliminate pressure from the adjacent nerves and nerve roots.

How Spinal Decompression Surgery Is Performed?

Spinal decompression surgery is generally performed under general anesthesia and the patient may be made to lie on his stomach. The surgeon may make an incision over the affected vertebrae in the back as well as move aside the muscles and soft tissues to view the lamina. Next, he may use special instruments to cut or remove lamina, bone spurs and soft tissues to expand the spinal canal as well as decompress the nerve roots.

The spine surgeons at OrthoTexas, Frisco specialize in performing spinal decompression surgery to treat Pinched Nerve. To schedule an appointment with the spine surgeons, you can call at (214) 618 – 5502 or visit 5757 Warren Pkwy, Suite 180, Frisco, TX 75034.

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Spinal Instability: Causes, Symptoms And Treatment

by Administrator 26. July 2016 11:45

The spine is composed of vertebral bones and intervertebral discs held together by spinal muscles. Spine bears most of the body weight and is prone to instability and dislocations. Almost all the injuries or medical conditions of the spine may lead to its instability. Most commonly involved is the lower spine area. Spinal Instability occurs when the vertebrae move abnormally over each other, either due to a dislocated disc or constriction of intervertebral space. This abnormal rubbing causes the bone to degenerate and form bone spurs, which is the main cause of the pain.

Causes:

  • Excessive flexion of the spine
  • Over extension of the spine
  • Intervertebral disc herniation
  • Degenerative disorders like Osteoarthritis
  • Spondylolisthesis
  • Scoliosis
  • Loosened or spastic para-spinal muscles
  • Infectious conditions like Pott’s disease etc.
  • Spinal Stenosis
  • Trauma such as accidents
  • Fractures
  • Spinal deformity

Sign and Symptoms:

  • Pain in the back that may radiate to the lower limbs
  • Numbness and tingling sensation in the legs
  • Weakness of the back muscles and legs
  • Recurrent spasm of para-spinal muscles
  • Restricted range of movement
  • Difficult or painful spinal movements

Diagnosis:

  • Diagnosis is usually based on the medical history of patient and details of physical examination.
  • Radiological investigations may include:
  • X-rays are preliminary investigation performed to check for any disc prolapse or bone deformity.
  • CT-Scan and MRI may reveal the level of disc herniation, extent of infection of spine or any bone deformity.

Treatment:

Non-surgical treatment:

  • Prescription of anti-inflammatory medications
  • Antibiotics may be prescribed in case the condition is a result of an underlying infectious cause.
  • Physiotherapy may be recommended to strengthen the muscles and ligaments in the spine
  • Immobilization or complete bed rest may be advised by the doctor to relieve the pain and avoid any further aggravation of the symptoms.

Surgical treatment:

  • Most patients may respond to the conservative method of treatment. However, in cases of recurrent instability and severe symptoms, surgical treatment may be required. The doctor may perform a spinal fusion or Discectomy to treat the condition. Herniated Disc may be repaired and the pressure on the spinal nerves may be released.
  • Rehabilitation: The patient may be advised to take complete rest for a few days after the surgery. The doctor may suggest avoiding lifting heavy weights, bending down and other activities that may put pressure on the spine. Back strengthening exercises may be recommended to promote a faster and healthier recovery. 

For diagnosis and treatment of Spinal Instability, contact OrthoTexas, Frisco. To schedule an appointment with the spine specialists, you can call at (214) 618 – 5502.

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Sciatica: Orthopedic Treatment In Frisco, TX

by Administrator 21. June 2016 09:11

Sciatica refers to pain in the lower extremity (that includes hip, thigh, leg, ankle and foot) caused due to irritation of the sciatic nerve. The pain originates from the lower back area and may radiate down to the buttock and the large sciatic nerve at the back of each leg. In most cases, the condition affects only one side of the body.

Causes

  • Medical conditions such as Lumbar Herniated Disc, Pinched Nerve, Spondylolisthesis, Degenerative Disc Disease etc.
  • Nerve compression due to a Spinal Tumor
  • Infection in or around the lumbar spine
  • Carrying the weight of the fetus during pregnancy may cause irritation of the sciatic nerve
  • Muscle spasms
  • Being overweight
  • Sedentary lifestyle
  • Wearing high heels
  • Sleeping on too soft mattress

Symptoms

  • Severe pain along the path of sciatic nerve, i.e. from the lower back to the leg
  • Pain may aggravate while coughing or sneezing
  • Burning sensation or inflammation in the lower limb
  • Weakness, numbness or tingling sensation in the foot
  • Difficulty standing up from a sitting position

Diagnosis

The spine specialist may ask the patient to walk on the toes, lift the leg while lying down or stand from a squatting position. This may help to check the reflexes and muscle strength. Imaging tests such as X-ray, MRI, CT scan or EMG may be conducted to identify the underlying medical condition that may be causing pain in the sciatic nerve.

Treatment

  • For acute Sciatica, application of heat pads or ice packs may be helpful in relieving pain
  • Muscle relaxants and anti-inflammatory medications may be prescribed to provide relief from discomfort
  • In case of severe pain, the spine specialist may also recommend administering an epidural injection for immediate relief
  • Once the pain subsides, physiotherapy may help to improve flexibility and strengthen the back muscles.
  • Surgery may be required if the patient is experiencing severe pain, loss of bowel/bladder control or if the condition does not respond to conservative treatment. The spine surgeon may remove the bone spur or Herniated Disc to release compression from the sciatic nerve.

The spine specialists at OrthoTexas, Frisco provide comprehensive treatment for Sciatica. Patients can call at (214) 618 – 5502 to schedule an appointment or visit 5757 Warren Pkwy, Suite 180, Frisco, TX 75034.

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Orthopedic Frisco For Spinal Cord Compression

by Administrator 24. May 2016 17:37

The human spine is made up of nerves, intervertebral discs and small bones called vertebrae; which are supported by a group of muscles as well as ligaments. Damage to any of these parts may result in compression of the spine. This condition is referred to as the Spinal Cord Compression. It can affect any part of the spine – cervical, thoracic or the lumbar area. The condition most commonly afflicts people above the age of 50 years as the spine tends to gradually degenerate due to ageing.

Causes

  • Fracture in the vertebrae
  • Tumor within the spine
  • Abscess
  • Rupturing of intervertebral disc
  • Swelling due to an injury to the spinal cord
  • Blood clots in and around the spinal column
  • Lifting weights or bending in the wrong position may
  • Scoliosis- faulty alignment of the spine
  • Certain infections in the spine may also lead to compression

Symptoms

  • Pain in the neck, back, legs and buttocks
  • Numbness
  • Weakness in the legs, thighs or hands
  • Loss of bladder control
  • Sexual disabilities
  • Development of a limp or foot drop
  • Stiffness
  • Inability to coordinate body movement
  • Cramping
  • Difficulty in walking, standing or getting up from a sitting position

Diagnosis

  • Evaluation of the patient’s medical history and symptoms
  • MRI and CT scans may help to assess damage caused to the nerves, soft tissues and other structures in the spine
  • Myelogram may be conducted to get a better view of the spinal column
  • X-ray imaging may be recommended by the doctor to detect any misalignment of the spine and growth of bone spurs
  • Electromyography (EMG) in which electric currents are used to test muscle activity

Treatment

  • Prescription of anti-inflammatory medicines and pain killers
  • Steroids may be injected directly into the spine in case of severe pain
  • Application of ice or heat packs may help to relieve pain
  • Some patients may benefit from physical therapy which involves strengthening the back muscles
  • Surgical fusion of the vertebrae
  • Surgical removal of bone spurs to relieve pressure
  • Some surgical procedures are conducted to create space between the vertebrae
  • Weight loss may be recommended in case the excessive weight is putting pressure on the back
  • Wearing a soft removable brace or neck collar may help to support the back and relieve the symptoms of Spinal Cord Compression

For diagnosis and treatment of Spinal Cord Compression, visit OrthoTexas, Frisco. To schedule an appointment with our spine specialists, you can call at (214) 618 – 5502.

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Risk Factors For Lower Back Pain: Orthopedic Frisco

by Administrator 23. April 2016 09:47

Back pain can develop at any age and can become a reason for discomfort. Severe back pain can cause gradual weakness and become a hindrance in performing daily activities. It is important to visit an orthopedic doctor to prevent the pain from worsening.

Risk factors associated with lower back pain include:

  • Age: The spine undergoes a lot of wear and tear with aging thereby causing pain in the lower back. Degeneration of the disc and Spinal Stenosis are some of the conditions that can aggravate back pain. Those suffering from Osteoarthritis also have a higher probability of suffering from back pain.
  • Occupational hazards: Repetitive bending and lifting objects increases the risk of developing lower back pain. People in occupations that require repetitive bending, twisting or weight lifting are some of the most common sufferers of lower back pain. Orthopedic doctors recommend providing proper support to the spine all the time, particularly while sitting in front of a computer.
  • Poor posture: Sitting or standing in poor posture can contribute towards lower back pain over a period of time. Also, poor posture can worsen the back pain after an accident or injury where the back has already been strained. Proper alignment of the ears, shoulders and hips is necessary to maintain a good posture.
  • Lack of exercise: Prolonged periods of sitting also increases the risk of getting lower back pain. It is important to do some kind of physical activity regularly so as to keep back pain at bay.
  • Being overweight: Excessive body weight is one of the factors that put pressure on the lower back leading to pain and discomfort. Being overweight also affects an individual’s overall health, leading to weak muscles with decreased flexibility. This also contributes towards pain in the lower back.
  • Pregnancy: Since pregnant women carry excess body weight in the waist region, they are more likely to suffer from lower back pain. The ligaments in the pelvic region become loose to prepare the body for delivery. This can eventually hurt the back and cause pain.
  • Leading a stressful life: Chronic low back pain is mostly a result of a stressful lifestyle. The back muscles tighten under stressful conditions thereby causing uneasiness and pain.

We, at OrthoTexas, Frisco, provide treatment for lower back pain and other spine conditions. To schedule an appointment with our spine surgeons, you can call at (214) 618 – 5502.

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Burst Fracture: Causes, Symptoms And Treatment

by Administrator 26. March 2016 11:08

The spine comprises of seven cervical bones, twelve bones in the thoracic spine and five lumbar spine bones. A burst fracture is a condition which involves crushing of any of these vertebrae due to excessive pressure. The broken pieces may smash into the surrounding tissues and lead to compression of the spinal canal. Burst fractures generally occur between the thoracic and lumbar spine region.

Types of burst fractures:

  • Stable Burst Fracture:  A fracture in which there is no neurologic injury is termed as a stable fracture.
  • Unstable Burst Fracture: It involves damage to nerves and may cause spinal deformity.

Causes

  • Fall from a height: Falling from a great height can cause sudden impact on the spine which can lead to breaking of the vertebra.
  • Motor vehicle accident: Direct trauma to the spine can be caused by motor vehicle accidents.
  • Sports injury: Injury while playing sports such as football, basketball etc. can also cause a burst fracture.

Symptoms

  • Severe back pain
  • Swelling
  • Numbness
  • Weakness
  • Pain in the legs
  • Inability to walk

Diagnosis

The doctor may conduct physical examination by evaluating the symptoms experienced by the patient. Imaging tests such as X-rays, CT scan and MRI may be suggested to determine the severity of the condition. Nerve testing may also be done to assess the movement and motion reflexes of arms as well as legs.

Treatment

Non-surgical Treatment

  • Brace:  The doctor may recommend wearing a brace to prevent rotational movement or bending of the spine. If the fracture does not cause any deformity in the spine, a full body brace may be worn to provide support to the back and reduce pain.
  • Rest: Taking sufficient rest may provide relief from pain and discomfort. Activities that involve strenuous back movements must be avoided.  
  • Physical Therapy: After the cast has been removed, the doctor may recommend physical therapy to strengthen the spine muscles and restore flexibility.
  • Medication: Specific medications may be prescribed by the doctor to relieve pain.

Surgical Treatment

If non-surgical treatment does not provide relief, a surgery may be recommended.

  • Spinal Fusion: It involves fusing two or more vertebrae with the help of a bone graft.  
  • Bone Replacement: In this procedure, the burst vertebra is replaced with an artificial bone.
  • Spine Decompression: It aims at relieving pressure from the spinal nerves.

OrthoTexas, Frisco provides treatment for burst fractures and various other spine conditions. To schedule an appointment with the spine surgeons, you can call at (214) 618 – 5502.

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Spinal Injuries: Treatment In Frisco, TX

by Administrator 24. February 2016 11:50

Spinal injuries occur when damage is caused to the vertebrae, ligaments or discs. These may be a result of falls, accidents, sport injuries and medical conditions such as Polio, Cancer, Arthritis, disc degeneration etc.

There are mainly two types of spinal injuries i.e. complete and incomplete. When the spinal cord is not able to perform its functions, it is known as a complete injury whereas an incomplete injury maintains some movement and sensation in the spine.

Some of the spinal cord injuries are:

  • Anterior Cord Syndrome: When the front of the spinal cord gets damaged, it leads to Anterior Cord Syndrome causing pain and sensations. The condition may occur due to a direct trauma to the aorta i.e. largest artery of the body.  
  • Central Cord Syndrome: Injury to the middle of the spinal cord, known as Central Cord Syndrome may cause loss of movement in arms. It may also affect the brain’s ability to send and receive messages from the body.
  • Posterior Cord Syndrome: When the back of the spinal cord gets injured, it results in Posterior Cord Syndrome. The condition may cause sensory and motor impairments in organs below the site of the injury.
  • Brown Sequard Syndrome: In this condition, one side of the spinal cord may get damaged. It may lead to loss of movement in one side of the body, without affecting the other side.
  • Spinal Contusions: The condition may be characterized by bruising of the spinal cord, causing inflammation and bleeding near the site of injury. It is usually a result of swelling in the spinal canal or pressure due to displaced vertebrae.  The condition may lead to paralysis of arms and legs.    
  • Lumbar Spinal Cord Injury: Damage or stress to the lower back is referred to as Lumbar Spinal Cord Injury. The patient may experience loss of movement in the hips and legs. It may also lead to loss of control over the bladder. Surgery may be required in severe cases.
  • Cervical Spinal Cord Injury: Also known as Tetraplegia, the injury may affect the functionality of the arms and legs. It may be accompanied by loss of physical sensation, bladder dysfunction and sexual problems.
  • Thoracic Spine Injury:  These injuries are less common but can affect the ability of the spinal cord to transmit signals to the back and abdomen muscles. It may also cause bladder, bowel and sexual dysfunctions.
  • Triplegia: In this condition, there is loss of movement in three extremities, both on a single side and one on the other. It is a type of incomplete spinal injury.
  • Sacral Spinal Cord Injury: These types of injuries cause problems in the bowel and may lead to weakness and sexual problems. They may also cause partial paralysis.   

The spine specialists at OrthoTexas, Frisco, provide effective treatment for spinal injuries. To schedule an appointment, call at (214) 618 – 5502 or visit 5757 Warren Pkwy, Suite 180, Frisco, TX 75034.

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