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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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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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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Spinal Stenosis: Orthopedic Treatment In Frisco, TX

by Administrator 23. October 2015 13:48

Spinal Stenosis is a degenerative medical condition that involves narrowing of the space between the discs, which exerts pressure on the spinal cord and nerves. The condition often results due to compression of the nerve roots and may affect the adjacent structures in the spinal column, causing the ligaments to thicken. In some cases, the vertebra may even slip out of its place.

Causes

  • Age related changes in the spine
  • Overgrowth of the bone or tissues
  • Nerve compression
  • Rheumatoid Arthritis or Osteoarthritis of the spine
  • Congenital deformities in the spine structure
  • Spondylolisthesis
  • Spinal instability
  • Tumor or abnormal growth of soft tissues
  • Dislocation of vertebra due to trauma or fracture

Symptoms

  • Lower back pain that may radiate to legs
  • Inability to walk
  • Reduced or loss of sensation in the legs
  • Tingling sensation
  • Numbness
  • Muscle cramps after long periods of standing or walking
  • Falling frequently
  • Weakness

Diagnosis

Diagnosing Spinal Stenosis is often difficult as the symptoms are usually associated with other age related back problems. The spine specialist may recommend imaging tests such as, X-ray, CT scan or MRI, to determine the exact cause and severity of the symptoms.

Treatment

  • Postural Changes: The doctor may suggest the patient to flex the spine by leaning forward while walking. This may help to relieve pain and ease the symptoms of the condition. Lying with the knees drawn up to the chest can also be helpful.
  • Rest: The patient may be advised to take proper rest and avoid indulging in any activities that aggravate the symptoms. Performing light aerobic activity, such as bicycling, may also be recommended.
  • Medication: The spine specialist may prescribe non-steroidal, anti-inflammatory medicines to provide relief from pain. Muscle relaxants can also be recommended to soothe the cramps that may occur with Spinal Stenosis.
  • Steroid Injections: If the patient is experiencing severe pain due to irritated or swollen nerve roots, injecting a steroid medication directly into the affected area may provide relief.
  • Surgery: If non-surgical treatment does not provide relief, surgery may be required. It aims to increase the space in the spinal canal and relieve compression on the nerves. Following the surgery, the patient may have to undergo proper rehabilitation program to recover completely and resume daily activities.

We, at OrthoTexas, Frisco, provide comprehensive diagnosis and treatment for Spinal Stenosis. To schedule an appointment with our spine surgeons, you can call at (214) 618 – 5502 or visit 5757 Warren Pkwy, Suite 180, Frisco, TX 75034.

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