Dr. Sadaiq Pasha

There are many structures in the lumbar spine that can cause pain. Any kind of trouble to the nerves and veins that goes through the spine, joint issues, the disks themselves, the bones and the muscles - would all be able to act as a cause behind the pain.

Numerous lumbar spine conditions are interrelated. For instance, an unstable joint can lead to disk degeneration, which can put weight on the nerve roots and cause the disk to collapse at times. The following are the main reasons behind the lumbar disk pain:

1. Problems in the muscles: The biggest reason behind lumbar disk pain is muscle strain or other muscle issues. Strain because of truly difficult work, twisting, or different activities that can put pressure on your spine like heavy lifting, cause the disk to rupture or slip at times.
2. Disk degeneration: Intervertebral disks are pads that are spongy and act as shock absorbers. This can cause pain in your disk. This condition can be referred to with many names, however, is famously known as degenerative disk disease.
3. Lumbar Disk Herniation: Herniated disks are most common reasons behind the lumbar disk pain. A herniated disk may be caused all of a sudden because of damage to the spine or truly difficult work or happen gradually as a form of general wear and tear in the spine. Leg pain (sciatica) is the most widely recognized symptom of a herniated disk.
4. Sacroiliac Joint Dysfunction: The sacroiliac joint, which attaches to the base of the lumbar spine and the tip of the tailbone, can cause lumbar disk pain or even sciatic pain if there is any kind of fracture in the joint that allows for movement or rather, limits any particular movement.
5. Spondylolisthesis: Spondylolisthesis happens when one vertebra slips behind the other or underneath it. The slip most normally happens in the lower lumbar vertebrae (e.g. L4 –L5 or L5 – S1). In case that the slipped vertebra presses the nerve root at that point, it can bring about shooting leg pain and gradually foot pain as well.

There are certain ways in which this problem can be treated to a certain extent. These methods are as follows:

1. Common medications: Muscle relaxants. This solution works as an anti-depressant of the nervous system and expands as well as relaxes the tense muscles, easing pain from muscle stiffness or fits
2. Back supports: A few patients find that a back support can be used to bring comfort and gradually diminish the pain. There is some proof that using a brace every day, can speed up the healing process and lessen the pain. A back support may likewise be useful after back surgery.
3. Back Braces: Epidural steroid infusion. This infusion includes a steroid inserted specifically into the external piece of the dural sac, which surrounds the spinal chord. An x-ray, called fluoroscopy, is utilized to control the needle in the right area. The objective of the infusion is to soothe the pain by decreasing irritation around a compressed nerve root. If you wish to discuss about any specific problem, you can consult an Orthopedist.

Symptoms and Treatment for Chronic Pain

Hi. I am Dr. Shantanu Mullick from Navi Mumbai, Pain Clear Clinic. Today, the whole world is suffering from chronic pain.

Million patients they are suffering from different types of chronic pain like back pain, neck pain and cervical spondylosis. Mainly, due to their lifestyle disorders but they are also suffering from different complicated pains like cancer pain, but most of the patients they are suffering from chronic pain with frozen shoulder, knee pain, back pain. They are going for surgery but many times these surgeries may not help in that way. That is why this newer therapy, intreventional pain therapy which is nowadays throughout the world and very much effective to support this kind of chronic pain to rule out the disease as well as to treat the level of the root cause.

Normally, the patients who are suffering from the back pain, many times I have seen that after regular therapy , physiotherapy, exercise, they are not getting relief and they are going for the surgery. In those cases, interventional pain therapy will help the to rule out the cause. We do treat these patients according to MRI reports but all these treatments are done without surgery. So many times, surgery may not help these kind of back pains and in cervical pains. So in those pains, interventional pain therapy, without damaging the anatomy helps a lot. So if you see the pain where we can see the patient is suffering from disc pain. We can see here the nerve root coming there and the disc is bulge and we commonly call it as slip disc problem or disc hernation. In those cases, the surgeons are getting the bones, there is a lamenectomy but without doing surgery as per MRI report we are under forescopic guidance in the operation theatre we are going inside the disc and treating them without any surgery and day care.

So patients automatically get very good relief and after that we are able to support the patients with physiotherapy exercises and this way we can help different types of patients suffering with back pain, neck pain. On the other hand, in case of cancer pain also when the patients are not getting relief with the morphine or from very strong pain killers, we can support them with interventional pain therapy to block their pains permanently working in the spinal cord.

Another, dreadful pain condition is trigeminal neuralgia where patient is suffering from pain in the face usually the pain comes where patients complain of sharp shooting, electric shock kind of pain. It will appear on one side of the face. Actually the trigeminal nerve is coming from the brain and it is supplying the nerves of the face in three ways. Usually it happens in one side and those patients initially are treated with medical therapy and any times they are not getting support in those cases we are treating with radiofrequency ablation therapy. So different types of new treatments have for this chronic pain where patients without knowing their disease, they keep on taking pain killers and damaging their other organs of the body so that is why pain management nowadays is a very very effective subject and separate speciality to support the chronic pains those who are suffering from long types of disease.

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