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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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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Degenerative Disc Disease: Causes, Symptoms And Treatment

by Administrator 23. November 2015 11:48

Degenerated Disc Disease (DDD) occurs due to the normal ageing process of the spine. The gradual wear and tear may result in pain, weakness and numbness in the lower back (Lumbar) or neck (Cervical). The condition can put pressure on the nerves and spinal cord, thus causing pain or potential nerve damage.

Causes:

  • Like all other joints, the spine and its discs are also cushioned with cartilage. As we age, the water and protein content of this cartilage lessens causing the discs to degenerate.
  • Trauma and injury may also result in this condition.

Symptoms:

  • Lower back pain or neck pain is a consistent complaint by people suffering from Degenerative Disc Disease. Other symptoms include:
  • The pain may flare up while performing strenuous activities and reduce when the back is at rest. The intensity of the pain could vary from patient to patient. While some may experience slight irritation, the pain could become severe and disabling in other cases.

Certain positions, like sitting, bending or lifting heavy objects, can make the pain worse. In some types of Degenerative Disc Disease, even lying down triggers the pain and walking or standing may provide relief.

Treatment:

  • Pain Management: Anti-inflammatory medicines, hot and cold compression and resting the back are beneficial in controlling the pain.
  • Exercise: Exercises are mainly recommended to prevent damage to the disc and control symptoms. Certain stretching exercises may promote the release of endorphins, the body’s natural pain relievers.
  • Reforming posture: Lifestyle changes like, improving one’s posture and reducing pressure on the spinal cord, may help in reducing pain. The patient must make sure to use correct ergonomics or suitable sitting/walking/standing posture to keep the back properly aligned all the time.
  • Surgery: In extreme cases, the damaged disc may be needed to replace with an artificial implant to relieve pain.

A timely visit to an orthopedic doctor can help to cease the progression of Degenerative Disc Disease. Imaging tests may be conducted to determine the severity of the condition so that the orthopedic surgeon can prescribe effective treatment to prevent further damage to the disc.

OrthoTexas, Frisco provides complete diagnosis and treatment for Degenerative Disc Disease (DDD). To schedule an appointment with the spine specialists, you can call at (214) 618 – 5502 or visit 5757 Warren Pkwy, Suite 180, Frisco, TX 75034

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