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

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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.

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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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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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Spondylosis: Orthopedic Frisco, TX

by Administrator 6. January 2016 13:03

Spondylosis, or Osteoarthritis of spine, refers to the condition of degeneration of the spine. It may lead to pain in the neck, shoulder, arms and head. If the problem occurs in the neck it is called Cervical Spondylosis, if it affects the lower back it is termed Lumbar Spondylosis and the Thoracic Spondylosis affects the middle portion of the back. Although Spondylosis can affect anybody irrespective of age and gender, it is more rampant in the old age.

As the human body ages, the discs bones of the spine undergo abrasion, lose the cartilage cushioning as well as fluids. This causes stiffness, pain and lack of mobility. In most cases the symptoms of Spondylosis may get alleviated through conservative therapy and rest. It is rarely degenerative and most people do not require surgical intervention.

Causes

  • Breakdown/wear and tear of cartilage which causes the bones in the spine to grind against each other leading to friction, pain as well as reduced mobility
  • Development of bone spurs which can irritate or impinge upon the nerve endings, ligaments and muscles surrounding the spinal cord
  • Spinal Osteoarthritis which affects the joints at the back of each vertebra
  • Spinal Stenosis causing compression of the nerve root as it moves through the opening (foramina) in vertebra
  • Degenerative Disc Disease
  • Impingement of the vertebral opening (foramina) by a bone spur
  • Thickening of the ligaments with age and they start impinging on the spinal canal which in turn narrows down

Symptoms

  • Inability to bend or rotate the neck
  • Pain that begins in the neck and diffuses upwards into the head
  • Pain may radiate to the shoulder or arms
  • A grinding feel while moving the neck
  • Stiffness
  • Nausea and lack of balance in the body
  • Numbness or tingling sensation in the hands, arms, legs or neck
  • Muscle spasms
  • Bladder continence in severe cases

Diagnosis

  • Physical examination to assess the range of motion of the neck
  • Analysis of the medical history of the patient
  • MRI or CT scan can be used to diagnose the location of pain
  • The doctor may conduct the Cervical Compression Test by applying pressure on the head and flexing the neck manually

Treatment

  • Prescription of anti-inflammatory non-steroidal drugs to alleviate pain
  • Physical therapy to strengthen the core muscles and increase the range of motion
  • Maintaining good physical posture along with some lifestyle modifications
  • Application of alternate cold and heat therapy
  • Mechanical traction to help reduce the pain
  • Decompression therapies which may include manual mobilization or spinal adjustments
  • Wearing a collar
  • Injecting specific drugs into the spine
  • Surgical removal of the intervertebral parts of the disc to ease the pressure on the nerve roots

Visit OrthoTexas, Frisco for diagnosis and treatment of Spondylosis. To schedule an appointment with the spine specialists, you can call at (214) 618 – 5502.

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Spinal Arthritis: Orthopedic Treatment In Frisco

by Administrator 21. December 2015 12:11

One of the most common causes of back pain, Spinal Arthritis is a condition that affects the cartilage present in the facet joint in the back portion of the spine. Also called Osteoarthritis, it is a degenerative condition which gradually wears down the cartilage and may also lead to osteophytes or bone spurs, which may further affect the nerves present around the joint.

Causes:

  • Age: Degenerative Osteoarthritis is more common in people over the age of 50 years. As age progresses, the general deterioration of cartilage and muscles affects the functionality of the joint.
  • Overuse: If one is involved in an occupation or sports activity that involves excessive use of the back, there are higher chances of developing this condition.
  • Obesity: People with excessive weight tend to stress the joints as well as the spine and are more likely to suffer from Spinal Arthritis.
  • Injury or trauma: People recovering from a spine injury or trauma may also lack vital natural lubricants of the joints hence making them more susceptible to Arthritis.
  • Genetic: Certain genetic conditions may also put people at risk for progressive degeneration of cartilage, which may put greater pressure on the bones and joints.

Symptoms:

  • Pain and stiffness in the neck or lower back
  • If nerves have been pressed there may be numbness in the arms or legs
  • Affects normal mobility like walking, bending and lifting heavy objects
  • Crunching sound like a bone is crushing against another

Diagnosis

An orthopedic doctor may conduct a physical examination to determine the extent of numbness and pain in the arms, neck and legs. This may also help to evaluate weakness, reflex changes and loss of sensation in the spine. X-ray may help to provide accurate diagnosis of Osteoarthritis.

Treatment

  • Rest: To relieve the pain, the orthopedic doctor may advise to provide complete rest to the spine. Brace may also be worn to immobilize the back and avoid any stress.
  • Anti-inflammatory medicines: Medication may provide quick relief from pain and inflammation.
  • Compressions: Hot and cold compressions may be advised to the patient depending on kind of severity.
  • Exercise: The doctor may recommend some exercises to strengthen the back muscles and increase the flexibility of the spine.
  • Surgery: The doctor may suggest a surgery in severe cases of Spinal Arthritis. Depending upon the cause of the patient’s condition, the surgeon may recommend spinal fusion or disc replacement arthroplasty procedure.

Visit the spine surgeons at OrthoTexas, Frisco for effective treatment of Spinal Arthritis. To schedule an appointment, call at (214) 618 – 5502 or visit 5757 Warren Pkwy, Suite 180, Frisco, TX 75034.

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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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Scoliosis: Causes, Symptoms And Treatment

by Administrator 12. August 2015 10:54

Scoliosis is a chronic orthopedic condition in which the spine twists or curves abnormally and gets the shape of the alphabet S or C. The condition may range from moderate to severe and is more prevalent in children as well as adolescents during the growth years, just before puberty.

Causes

The causes can be classified according to different types of Scoliosis.

  • Congenital Scoliosis: This type of Scoliosis occurs due to bone abnormality, that is, the spine forms improperly during the development of a child in the womb.
  • Neuromuscular Scoliosis: It occurs because of diseases such as Cerebral Palsy or muscular dystrophy, in which the muscles that support the spine are pulled unevenly.
  • Degenerative Scoliosis: This condition occurs due to trauma, a fracture or illness such as Osteoporosis. A person with previous back surgery is also susceptible to this type of Scoliosis.
  • Idiopathic Scoliosis: This category of Scoliosis is the most common. Although its exact cause is not known, It is believed that Idiopathic Scoliosis is inherited.

Symptoms

  • One shoulder appears lower than other
  • Asymmetrical chest shape or ribcage
  • Rounded shoulder
  • One leg appears shorter than the other
  • Curved spine that sways back
  • Drowsiness
  • Leaning on one side
  • Uneven leg strength
  • Shortness of breath and chest pain, in severe cases

Diagnosis

The orthopedic doctor performs a physical examination of the spine, hips, ribs and shoulder to find any abnormalities. He may recommend imaging scans, such as X-ray, to confirm the diagnosis of Scoliosis and determine the location, shape, direction as well as angle of the curve. He may also recommend MRI or bone scan for further investigations.

Treatment

If Scoliosis is mild, it is necessary for you to monitor the curve after regular time intervals to see if the condition is worsening. For severe cases, the spine specialist may recommend non-surgical or surgical treatment, depending upon the age of the patient, the location of the curve, the severity of spinal curvature and the type of Scoliosis.

Non-Surgical Treatment

In this, the spine is realigned into its normal position using braces which may need to be worn all the time. It will prevent further deterioration of the condition and the need of surgery at the later stage. In children, the cast may need to be changed regularly depending on their physical growth.

Surgical Treatment

In severe cases of Scoliosis, you may be advised to undergo a surgical procedure, called spinal fusion. It helps to reduce the spinal curvature and control the progression of the condition. The spine surgeon may use hooks, metal rods, screws or wires to straighten the spine. It may take a few months to a year to recover completely after the surgery. Physical therapy may be helpful for proper rehabilitation.

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

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Whiplash: Orthopedic Treatment In Frisco, TX

by Administrator 11. June 2015 03:53

Whiplash is an injury to the neck when it is whipped back and forth with a jerk. When intense pressure and force is applied to the muscles and tendons of the neck, Whiplash injury tends to occur. The symptoms of Whiplash cannot be seen right after the accident and may take 12-24 hours to develop.

Causes

  • Auto accidents: Auto accidents like rear-end car collisions can cause rapid movement of the neck which can cause such an injury.
  • Physical abuse: Physical abuse in children, particularly shaking a child can cause Whiplash as well as more serious injuries to the brain or spine.
  • Sports injuries: People who get indulged in sports activities can suffer from Whiplash because of injuries in the neck due to violent movement.
  • Strains: Chronic strain or repetitive stress injuries involving the neck can also be a cause of conditions like Whiplash.

Symptoms

  • Neck pain and stiffness
  • Headaches
  • Tenderness in the back of the neck and shoulders
  • Pain or numbness in the hand
  • Difficulty in flexing or rotating the head
  • Tightness in jaw and difficulty in chewing
  • Dizziness
  • Ringing in the ears
  • Blurred vision
  • Problem in concentration
  • Memory issues
  • Inability to sleep

Diagnosis

The first step that the doctors take for diagnosing Whiplash injuries is by enquiring about how the injury occurred. They also ask questions about the symptoms, when they started developing and the patient’s ability to do everyday tasks. The doctors may also carry out physical examination to confirm the reason of the injury. They may ask the patient to move their neck and describe the pain. The doctors may also take help from imaging tests like X-rays, CT scans or MRI scans to rule out other conditions that could be causing or increasing the neck pain.

Treatment

  • Rest: Rest can be helpful in providing relief from pain during the first 24 hours of the condition.
  • Heat or ice: The doctors may ask the patients to apply heat or ice packs in order to reduce swelling and pain.
  • Medication: The doctors may prescribe anti-inflammatory medicines to minimize pain and reduce stiffness.
  • Exercise and physical therapy: Stretching and movement exercises can be recommended by the doctors to restore motion in the neck. The therapist may suggest additional exercises for building strength in muscles, improving posture and restoring normal movement.
  • Collar: Wearing a foam collar can also be suggested by the doctors in order to limit motion in the neck.

 

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Orthopedic Treatment For Herniated Disc

by Administrator 4. June 2015 10:49

Herniated Disc refers to a condition in one of the discs between the vertebrae, which stack up to make the spine. Discs are rubbery cushion like structures present between the individual bones in the spine. A Herniated Disc, also known as raptured disc or slipped disc, can occur when the disc pushes out through a crack in the outer bone. It can irritate the nearby nerves and cause weakness in arms or legs.

Causes

  • Aging
  • Injury
  • Genetics
  • Lifting weight in an incorrect posture
  • Fall

Symptoms

  • Pain in arm or leg
  • Numbness and tingling sensations
  • Weakness
  • Sharp pain in the neck
  • Back pain
  • Loss of bladder control
  • Risk Factors
  • Weight
  • Occupation
  • Genetics

Diagnosis

  • To determine if the patient has Herniated Disc, the doctors may ask the patient for his complete medical history and may also conduct physical examinations. This examination can include neurological examination in order to detect muscle weakness. The doctor may ask the patient to walk on heels or toes to check their strength. The doctor may also detect the loss of sensation by touching numbness to light touch in the leg and foot. The physical examination may also include a straight leg raise test.
  • To help confirm the diagnosis of a Herniated Disc, the doctor may also ask for X-ray or MRI scan to create clear images of soft tissues. The doctor devises the treatment after determining the cause and extent of the condition.

Treatment

Non-surgical treatment:

  • Rest: Patients suffering from Herniated Disc are usually suggested to take rest for some days. Bed rest can help in reducing pain although the doctor may not advise it for a long time.
  • Anti-inflammatories: The prime motive of treatment of Herniated Disc is to get relief from the pain. The doctor may prescribe anti-inflammatory medication to the patient in order to minimize pain and reduce swelling.
  • Exercises and physical therapy: Various physical therapy exercises can be helpful in decreasing the pain of Herniated Disc. Physical therapists may also suggest the patient to use heat or ice, short term bracing or electrical stimulation.
  • Injections: They can be helpful in minimizing swelling and providing relief from many other symptoms.

Surgical Treatment:

If the non-surgical treatment options do not provide relief the doctor may recommend surgery. It is followed by post-operative care and rehabilitation. It is essential to undergo regular follow check-ups to ensure proper healing.

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