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I am Waqqas Mahmood, I have pain in my back some times on upper back bone, sometimes on the both side of upper back bone and some times of lower side of back bone. But specially on the right side of lower back bone specially in night. Please guide me. Thank You.
I propose that a simple back pain develops when an intervertebral disc (the fibrous pillow between the vertebrae) loses water content and stiffens. This can be caused by several factors, not least small-scale injury-either across or through the length of the spine-once the spine has become compressed. Then one of two things can happen for the problem to get worse: you can develop more serious trouble from the front compartment of the spine as the disc breaks down further. Or you can develop trouble from the back compartment as strain translates across to the facet joints. Worse still, you can get pain from both compartments at the same time. Finally, the whole sale destruction of both compartments can cause the vertebrae to jump around, in what is called segmental instability.The sequential disorder in the route of breakdown is as follows:
Stage 1: A STIFF SPINAL SEGMENT
An intervertebral disc between two vertebrae cases to be a buoyant pillow and becomes like a layer of compressed carpet. The vertebrae on top lose mobility and the segment becomes like a stiff link in the spinal chain. As it retires from activity the disc shrinks because it cannot generate sufficient suction to feed itself. Eventually, the flattening can be picked up on X-ray, but well before this point, the condition can be painful in what I believe is the most common spinal disorder.
Stage 2: ARTHRITIS OF THE FACET JOINTS
As a disc at the front of the spine drops in height it causes overriding of the bone-to-bone junctions (called the facet joints) at the back of the spine. The upper vertebrae settle down on the one below, causing bony rub between parts of the spine which could only have fleeting contact. Early on, this simply inflames the soft tissues around the facet joints but eventually, it causes arthritic change as it erodes the cartilage covering the bone. Facet joint trouble also is a relatively common form of low back pain.
Stage 3: AN ACUTE LOCKED BACK
This is a fluke incident when you are caught halfway through a movement by a pain like an electric cleaver going through your back. It makes moving in any direction excruciating and the body locks itself rigid. Although there never appears to be any warning, the problem usually has its origins in incipient disc breakdown.
All spines, even healthy ones, must brace themselves as they pass through a vulnerable part of the range at the beginning of a bending movement.If a disc between two vertebrae has flattened through the degenerative process, it may be unable to generate sufficient springing-apart tension to keep its segments stable as the spine goes over.
The top vertebrae can jump imperceptibly out of joint at one of the facets, and the muscles develop instantaneous protective spasm to stop the vertebrae going any further. As a disc progressively loses its stuffing, it bulges like a perishing car tyre whenever it takes the weight. The fibrous disc wall takes most of the strain, and in some cases, it can perish at the points of greatest duress- usually one of the back corners.
At the same time, the centre of the disc (called the nucleus) loses cohesion, after which excessive twisting and lifting activity can make it extrude through a fissure in the wall where it is weak. Sometimes the displaced nucleus lodges on a nearby spinal nerve and causes pain.
Dear Sir. I am karthik. Some times I am getting right hand shoulder pain. Why I am getting that pain. Please tell me some solution. Thank you.
My mother is suffering rhemo arthritis from last 2 years. Doctors are suggesting for knee replacement. Please share your positive as well as negative experiences and reviews. And suggest some good surgeons in lucknow.
A few decades back, spinal tuberculosis was a dreaded disease. It is not so, anymore. With advancements in the medicinal field, when diagnosed in the early stages, a complete cure is possible.
Tuberculosis of the spine is one of the most common spine ailments in our country. Though there was no treatment when the disease was first reported, recent improvements in medical treatment and surgical procedures have made the condition treatable. In many cases, the disease is cured completely.
Molecular genetic techniques, stronger antibiotics and other medicinal discoveries and inventions have been able to combat the condition, which is resistant to a huge number of drugs. There are many surgical procedures as well, which has changed the way spine TB is looked at. These include extrapleural dorsal spine anterior stabilization, endoscopic thoracoscopic surgeries, single stage anterior and posterior stabilization among others.
How is it caused?
Tuberculosis affects people living in overcrowded, dirty and poorly nourished environments. The aerobic organism that is responsible for this physical condition is Mycobacterium tuberculosis, which grows rapidly in unfavorable conditions. It grows only intermittently or remains dormant for a long period to then re-grow whenever the immunity system of the host weakens.
What are the different types of TB spine?
Spinal tuberculosis takes two forms. In the first case, the symptoms are mild. The infection starts in the anterior part of the disc and slowly spreads to the nearby surface of the body. The neural arches are very rarely involved here. This results in a vertebral collapse. The spine bends forward to produce kyphus. In the second type, several vertebrae are involved, but the disc space might not become narrow.
What are the symptoms of TB spine?
The first symptom is an excessive pain in the back, which manifests as kyphosis increases. Kyphosis is the condition wherein there is an increase in the normal convex curve of the spine. Later, pus forms at the infected vertebrae and this comes down to the tissue planes and forms a cold abscess in uncommon places. This happens in the groin region, and the person may become paraplegic.
In a child, spinal tuberculosis will cause them to constantly complain about back pains. They will not feel well for a long period and will gradually lose weight. They may not want to sit for a long time and resent any physical activity. The child will be vulnerable in the low thoracic or upper lumbar spine and can show any of the above-mentioned signs that are seen in adults.
The most common symptoms of spinal tuberculosis are kyphus, reduction in the movement of the lumbar spine, cold abscesses in the paraspinal area, groin and loin, and sinuses. The doctor always tests the reflexes in the patient’s legs, sensation, power, and tone before diagnosing this condition.
Though a rare disease, tuberculosis in the spine can occur in people from both developed and undeveloped areas. Proper diagnosis and treatment of tuberculosis with or without surgery at the right time is the key to cure the disease.
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