Spinal fusion is a surgery in which two or more vertebrae in the vertebral column or back are fused or joined to treat a slew of spinal problems and diseases, which cause debilitating back pain. This surgery helps to remove bone and tissue that are narrowing the spinal canal, squeezing the spinal cord and nerves, reducing pain and improving function.

There are many different causes of back pain like injury, poor posture, age, osteoarthritis, herniation of disc between two vertebrae, degenerative disc disease, narrowing of spine called stenosis, and spondylosis or lessening of space between the vertebrae- most of these can be treated using spinal fusion.

All of these causes put tremendous pressure on the vertebrae and pinch spinal nerves that pass through the back and radiate out into the arms, legs and torso. Apart from the pain, patients experience nerve and muscle weakness and irreversible damage affecting normal life.

Spinal fusion started off as just a treatment for fractures but now it has become the surgery of choice for a number of spine problems. Though it can be done anywhere in the spine, it is very effective when done in the lower part of the spine called lumbar spinal fusion or arthrodesis.

Spinal fusion is done by forming a direct bony connection between the vertebrae surrounding the painful discs, the cushioning between the vertebrae. Pain is stopped by stopping the motion of the painful discs.

There are different methods of spinal fusion each with its own advantages and limitations.

Techniques include fusion approached from the front, the back, or both of the vertebral column. Sometimes surgeons decide to use intervertebral cages or metal screws to provide internal structural support while the bone fuses. These cages may be placed between the vertebrae and packed with bone graft material taken from the patient or constructed out of synthetic materials.

What to expect?
Spinal fusion is not a risk-free procedure. It is a major surgery lasting several hours and carrying a number of risks like-

Failure of the vertebral fusion and breaking of metal implants
The vertebrae above and below the fusion can wear away aggravating problems
Blood clots may be formed that can travel to lungs causing embolism
Injury to spinal nerves causing permanent weakness in legs and problem with bladder and bowel function
Infections and blood loss
Heart attack or stroke during surgery
The patient has to be kept in hospital for a couple of days for post-operative care after which he will have to undergo rehabilitation for months. Hence, one should really think before going for spinal fusion. And when it is recommended, seek a second opinion before making a decision. 

Spinal Fusion Surgery - What To Expect?

Like other knee injuries, the torn meniscus can be painful and debilitating. But unfortunately, it is quite common. In fact, a torn meniscus is one of the most frequently occurring cartilage injuries of the knee.

What is Meniscus? 

A meniscus is a C-shaped piece of cartilage present in the knee that acts as a cushion and stabilizes the joint. Its function is to protect the knee from wear and tear. Two menisci are present in each of the knee joints. They can get damaged or torn during activities, which puts pressure on the knee joint or may rotate it.

What causes a meniscus to tear? 

A quick stop or vigorous twist may force the femur to crumble into the top of the tibia. It may potentially tear out the cartilage of the meniscus. It may also occur while doing deep squats or kneeling, especially while lifting a heavyweight. Athletic activities often result in this knee injury, particularly in the sportspersons such as footballers and hockey players. Sports that involve sudden stopping and pivoting such as tennis and basketball may also result in the torn meniscus. Meniscus tears are a special risk in elder people as the cartilage weakens and wears thin over time. As the age progresses, worn tissues become more prone to tears. Just a clumsy twist while getting up from the bed or chair is sometimes enough to cause a tear in case of weakened menisci due to aging.

Symptoms of a meniscus tear: One may hear a popping sound around the knee joint when a meniscus tear occurs. Initially, the pain may not bad but once the inflammation sets in, the knee starts hurting quite a bit. The knee may get stiff or locked. It may become difficult to move the knee in a full range of motion.

Diagnosis of a Meniscus Tear: Diagnosis of a meniscus tear starts with the patient s history and a physical examination. The doctor inspects, palpates, and applies specific diagnostic maneuvers to diagnose a torn meniscus. The McMurray test is used to make the clinical diagnosis of a meniscus tear. The doctor flexes the knee, then straightens and rotates it to put tension on a torn meniscus. The movement will cause a clicking sound if a meniscus tear is present in the knee. A magnetic resonance imaging (MRI) scan is the preferred choice to diagnose the torn meniscus. This technique allows the doctor to evaluate the knee cartilage in a more detailed way.

Treatment of Torn Meniscus: The treatment of a torn meniscus depends on the severity and the location of the tear. If the size of the tear is small and the location is on the outer end of the meniscus, a surgical repair is usually not required. Give rest to your knee as much as possible. The doctor may advise using crutches to avoid putting weight on the legs. Icing the knee every three to four hours for 30 minutes is recommended for this injury. You may use compress bandage to reduce the inflammation. Try to keep the knee in an elevated position to reduce the swelling. NSAIDs may be prescribed to get relief from pain and inflammation. If the symptoms persist, the doctor may advise for an arthroscopic surgery.

Torn Meniscus - What Exactly Is It? 

The spinal cord houses the most important nerves in the body. Therefore, any disease or disorder affecting the area can be difficult to manage and live with. A spinal cord tumour is a common occurrence and makes life difficult for patients. However, the treatment for tumours on the spinal cord differs based on the region that it affects and other factors.

Types of spinal cord tumours:

Tumours near the spine region can be classified into three types, based on the area that it grows.

  Inside the spinal cord - When a tumour grows inside the spinal cord, it is known as intramedullary. These types of tumours are the rarest. If a tumour affects your cervical spinal cord, it is likely to be intramedullary.

  Outside the spinal cord - A tumour may also grow outside the spinal cord, but still be inside the sac protecting the cord. This kind of spinal tumours is known as intradural/extramedullary.

  Outside the protective sac of the spinal cord - Lastly, the tumour may grow just outside the protective sac of the spinal cord. This is the most common type of a spinal tumour and is known as extradural. A tumour in this region can be malignant or benign.

Symptoms of spinal tumours:

Spine tumours may be difficult to diagnose because the associated symptoms are easily mistaken as other minor disorders or conditions. Here are some common symptoms of a spinal tumour-

  Extreme back pain is common for spinal tumours. This pain grows worse at night. Patients are unable to find relief from the pain even after rest.
  Numbness in the legs and arms
  Inability to walk or severe difficulty in certain movements
  Reduced sensitivity to stimuli, such as pain, heat and cold
  Loss of bowel and bladder control

Treatment for spinal tumours:

Treatment for a tumour depends on the kind of a tumour that affects the patient along with the region of growth. Some tumours may not cause any major difficulty in your quality of life. Doctors will recommend monitoring the growth in such a case. Treatment may not be needed.

In the case of benign tumours, surgery is recommended.

  Surgery - This is the most common form of treatment for benign tumours. If the doctor feels that a tumour is at a location where he/she can perform a safe surgical procedure to remove it, surgery is the best treatment option. However, such surgery can lead to minimal nerve damage.

In the case of cancerous tumours, the treatment is different.

  Radiation therapy - Radiation therapy is necessary to destroy the cancer cells in a tumour. Generally, radiation therapy is useful in cases, where surgery is impossible, due to the location of a tumour.

  Chemotherapy - Doctors may use medications to limit the growth of cancer. In such a case, the drugs help put your cancer in remission. However, the side effects of chemotherapy are severe.

If you experience back pain, visit your doctor. It may be spinal cord cancer. Early detection greatly helps in the treatment of the disease.

Spinal Tumours - Types, Symptoms & Treatment!

The temporary inability to move one s own limbs or speak is known as paralysis. Paralysis is triggered by problems with the body s nervous system and affects the functioning of muscles all over the body. This condition can affect a single limb, the right or left side of the body, or the complete body. A paralytic attack is often caused by a stroke or damage in the nervous system. It can also be caused by exposure to radiation or toxins, autoimmune diseases, tumours and spinal cord trauma. Recovery from a paralytic attack depends on the causes and the extent of the injury that triggered it. With some types of paralysis, partial or even complete, recovery is possible.

Ayurveda is an alternative system of medicine that can be quite effective when it comes to treating paralysis. Ayurveda has negligible side effects and hence can be used to treat adults and children alike. This system of medication does not look only at the physical symptoms but also the mental and spiritual well-being of the patient as well. Some ways to treat paralysis with Ayurveda are as follows:

Vata-pacifying diet: Eat light meals that are easily digestible and pick warm foods over cold food. Avoid barley, rye and millet and include plenty of vegetables like asparagus, beets, okra and carrots in your diet. Also avoid bitter and pungent flavours, but pick food that is sweet, sour or salty to balance the body s vata.
Ayurvedic massage: Warm herbal oils are sued for Ayurvedic massages. These oils and the action of massaging them into the skin have a number of health benefits associated with it, including the treatment of paralytic attacks. Some Ayurvedic massages that could be beneficial to paralysed patients are abhyanga Ayurvedic massages, padabhyanga and pizhichil.
Medication: Along with lifestyle changes, Ayurvedic medication also plays a role in the treatment of paralysis. Some popular Ayurvedic remedies for paralysis are rasnadi quath, medicated castor oil, pippali mula, vatavidhwamsana rasa, chopcheeni churna, ashwagandha churna, brihat vatachintamani rasa, ashwagandha churna and rasaraja. While some of these medicines are to be taken orally, others may need to be administered through the nostrils as part of nasyam Ayurvedic treatments and others via an enema as part of sneha vasti. Drinking 20 40 ml of radish oil twice a day and a mixture of black pepper powder, sunti and honey is also said to be beneficial in treating paralysis. However, one must keep in mind that recovery from paralysis is very slow and hence patience is a must.

Paralysis - How Ayurveda Remedies Helps In Treating It!

Fibromyalgia is a condition characterised by extreme muscle pain that is followed by weakness, fatigue and issue with the state of mind. It is believed that fibromyalgia causes painful sensations by affecting the way your mind forms pain signals.

Indications now and then start after a physical injury, surgery, disease or critical mental anxiety. In different cases, side effects progressively show after some time with no single occasion that triggers it.

Here are some coping methods you can use to help yourself live well with fibromyalgia:

Minimize stress and tension in your life. Stress may play an essential part in activating fibromyalgia side effects and its symptoms. Many individuals with fibromyalgia tend to feel on the edge, anxious, and inactive around the time when the side effects fibromyalgia flare up.

Exclude yourself from unpleasant circumstances. People tend to amplify issues, making them appear to be far more prominent than they are. When you think of something to be a last chance situation, despite the fact that in reality, it is not, your body responds as though you are at risk. Work at treating your feelings as problems come by.

Make worksite adjustments. To continue working full-time, you should stay rationally and physically ready to handle your employment obligations. To keep away from stress and tension, you may need to give additional time during the day to complete your personal needs and sort out your problems. Converse with your manager and work out a timetable that allows you to manage your time.

Coordination. Coordination is important with an unending condition like fibromyalgia. Transparent conversations diminish the problems amongst you and your companion, family, friends and colleagues.

Figure out how to say no. Failing to say no to excessively numerous requests will make you overburdened. That will add to your anxiety level. To help yourself say  no  to a convincing companion, consider the circumstance before you reply and also think about the time you will be saving.

Keep a diary. Writing in a diary consistently can turn into a great channel for analyzing yourself and your situation. A few people can also figure out when their fibromyalgia symptoms started. That can help them see how and when the symptoms began.

Take a hot shower. Take a hot shower, a hot tub bath, or a steam bath. To begin with, it will help you to unwind the muscles that are tense. It will also decrease the pain and make your muscles more flexible and effortless to move.

Exercise frequently. As per physiotherapists, exercising routinely is vital to get rid of fibromyalgia. In light of the pain, delicate muscles, continuous weakness, and stiffness felt by individuals with fibromyalgia, many have turned out to be physically unfit. Hence, all of the above-mentioned treatments are very important in order to stay fit.

How To Deal With Fibromyalgia?

A broken bone is medically termed as a fracture.Fractures are linked with age as bones tend to become weak as one ages, so, the chances of a fracture occurring also increases. Fractures are usually classified into four types-
1. Closed fracture - In this type of fracture, the breaking of the bone does not result in an open wound
2. Open fracture- The opposite of closed fracture, the bone breaks through the skin. This may result in infections
3. Non-displaced fracture - in this type of fracture, the bone cracks but is not shifted out of its regular position.
4. Displaced fracture - A displaced fracture occurs when the affected bone is shifted out of its natural position.

Causes
Fractures can be caused by a number of factors, they are
1. Road accidents
2. When someone falls from a height
3. When the bone is directly exposed to a strong blow
4. When the bone is exposed to a repetitive force from activities such as sprinting
5. Osteoporosis, which is a condition where the bones become weak
6. The bones in the body tends to weaken with age, so at this time they become highly susceptible to fractures

Symptoms
1. Swelling in the area accompanied by pain
2. Limited movement of the affected joint
3. Muscle spasms
4. The affected area may also become numb

Diagnosis
The first step to diagnose a fracture is the knowing about the medical history of the patient and conducting a physical exam. The diagnosis is further confirmed by using imaging tests such as -
1. Magnetic resonance imaging (MRI) - In this procedure, images of internal body parts are taken with the help of a magnetic field and pulses of radio energy. MRIs can pick up signs of fractures very quickly, that is within the first week of injury. It is also easier to distinguish fractures from other related injuries in case of MRI.
2. X-rays -X-rays are a procedure that involves sending x-ray particles through an area to detect a fracture. Signs of a fracture may take several weeks to show up in x-rays.
3. Bone scan - In bone scans, some radioactive material is put inside the body through intravenous methods. These material tend to accumulate in the fractured area which then shows up in the images as a bright spot. If you wish to discuss about any specific problem, you can consult an Orthopedist.

How Is A Fracture Diagnosed?

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