Spinal surgery becomes inevitable when back pain cannot be managed with medications and/or exercise. This is a major decision and requires planning for many things before, during, and after the surgery.

Before a spinal surgery- This preparation will help in smooth recovery, especially if you do not have a full-time caretaker.

Discontinue pain killers: Discontinue pain killers at least 10 to 14 days before surgery. These are blood thinners and can prolong bleeding during the surgery.

Prepare for blood loss: Most people experience some blood loss, but not excessive.

Use a toilet seat raiser: Sitting and getting up from the toilet seat may be difficult. The seat raiser is used to increase the height, making this movement easy.

Enable easy access to common items: Before heading for the surgery, keep things which are commonly used within easy reach. This will help reduce movement and avoid searching (especially if someone else is going to be doing it).

Stock it up: Cooking may not be feasible during the initial postop period, and so it is advisable to stock up food items (ready to eats, fruits, soups, etc.) which will come in handy.

Slip-ons: Bending down and tying shoes may not be easy, so slip-ons can be used.

Caregiving: It is always advisable to have someone stay over with you during the initial postop days. They could help with regular household chores, cooking, etc.

Lifestyle changes: Ensure you eat well in the days before surgery, quit smoking, quit/use moderate amounts of alcohol, and exercise as advised by your surgeon.

After Surgery- Post surgery, there will be some pain and limitation of movement. It is important to understand that adherence to post-op instructions will improve the success rate of the surgery. Also, recovery time for spine surgery is slightly longer and affects overall quality of life, so psychological preparation is required.

Postoperative medications: These will be given to control infection and pain in the immediate postop period, and should be taken without fail

Rehab: The surgeon will recommend physical therapy and rehab exercises which need to be followed. Complete recovery may take anywhere between 3 to 12 months. During this time, care should be taken to avoid repeat injury.

Support: Adequate back support should be provided using lumbar support and ergonomic chairs, and the right posture should be maintained. Ensure there is no undue strain on the back muscles.

Weight management: With excess weight, there is too much strain on the lower disks. Therefore, weight should be managed to reduce this strain.

Smoking and alcohol should be completely stopped, as healing can be hampered.

With some preparation, spinal surgery can be sailed through smoothly.

What To Expect Before and After Spine Surgery?

Arthritis is a disease that affects the joints, muscles and soft tissues, which cause stiffness, disability and pain. It is one of the complex conditions and has also been discovered in the remains of people living more than 500,000 years ago.

Although it is usually found in people above 50 years, in rare cases, it can affect younger generations as well. The three most common forms are osteoarthritis, fibromyalgia and rheumatoid arthritis. The symptoms of some arthritis, such as rheumatoid arthritis, include the following:

Joints turning red, warm, swollen
Painful joints
Unexplained fever
Fatigue
Weight loss
Swollen lymph glands
These symptoms typically last more than two weeks.

Few facts about arthritis
Most people, even though diagnosed with arthritis, are unaware of the following facts:

Snakes, bees, and ants: After years of treatment, some people have turned to specific natural therapies that come from snakes, bees and ants. As per a study by researchers in Brazil, bee sting venom helps reduce the symptoms of arthritis.
Gout is a form of arthritis: Repeated flare-ups, pain and swelling are the result of uric acid, built around the joints. This can be due to genetic predisposition, some diseases and consumption of excess meat, seafood, fructose-sweetened drinks or alcohol. The bunion joint that connects the big toe to the foot is often affected first in people who have gout.
Children get arthritis too: Juvenile rheumatoid arthritis is the most common amongst children and affects kids between the ages of 1 - 3 or 8 - 12 years. It strikes girls about twice as often as boys. As per a recent survey, 1 in every 250 children globally suffers from arthritis.
Injuries increase the risk of arthritis: Injured joints are prone to develop osteoarthritis (OA). People with knee injuries have six times the chance, while those with hip injuries are three times more likely to develop OA.
Climate cannot cure: People have a misconception that wet, cold climates cause arthritis rather than a warmer climate. Unfortunately, that's not the case. Orthopaedics confirmed the same frequency for both warm and cold climates. However, sore joints find warm atmosphere more soothing.
Obesity increases the risk: Excess weight is one of the primary causes of osteoarthritis, especially for weight-bearing joints like knees, and to less extended hips. But there is also a higher risk to joints like ankles, back, big toes and hands.
Animals can also develop: Not only humans but animals like dogs, cats and others can also develop osteoarthritis. The symptoms are almost the same as the ones faced by a human. It can also lead to a loss of appetite, which can cause weight loss.
Race counts: Both whites and African Americans experience arthritis at similar rates. However, blacks have higher chances of severe joint pain and limitations in activity as compared to whites.
Women are prone to arthritis: Statistics show that women have a significantly higher risk for all types of arthritis except gout. As per the Arthritis Community, Research & Evaluation Unit, women are twofold more prone to arthritis than men.

9 Amazing Facts About Arthritis!

The spinal cord is indispensable to your body. It supports your head, keeps your posture erect, and helps you walk. Ailments of the spine are extremely painful to remedy and throw a lot of your other organs in trouble as well. Therefore, it follows that you should take the best care of your spine possible.

While there are a number of ways you can do that, some stand out from the rest. They are:

  Do your exercises properly: there are umpteen ways you can work out and get results that are harmful to your spine. You may easily lift something too heavy for your constitution, or the angle at which the object is placed may be too high for all your muscles to coordinate and work properly. Be aware, and avoid these mistakes. If you feel like the object is too heavy, refrain from lifting it. Even when lifting, make it such that the muscles of your lower body have to do the maximum work.

  Move on: Physical movement is the first commandment of having your spine fit and in a peak condition. This movement can be trivial and every day, like daily walks in the park or going to walk your pet. However, a sustained movement like that is very important, combined with stretching or aerobic exercises.

  Work smart: There are several ways you can avoid injuring your spine at the workplace. You should choose a chair that is adjusted according to your height and supports your lower back well. Your feet should be able to reach the floor properly and well. You should also avoid unhealthy conveniences like holding your phone between your ear and shoulders to keep your hands free.

  Go for daily checks: You should keep daily tabs on what is happening to your spine. Go for daily checks, and immediately check with your doctor if you experience symptoms like back pain without any evident disease, or if discomfort persists even after medication.

The spine is integral to the proper functioning of your whole body, and shouldn t be ignored even for a day. There are exercises you can do to keep it in good shape, and those that you can avoid. There are also triggers after which you should check with your doctor as well. Here s wishing you good spinal health.

The spine is an integral part!

Ways To Keep Your Spine Happy!

Scoliosis is the abnormal twisting and curvature of the spine. It is usually first noticed by a change in appearance of the back. There are several types of scoliosis based on the cause and age when the curve develops; the majority of patients have no known cause.

Typical signs include:
1. Visibly curved spine
2. One shoulder being higher than the other
3. One shoulder or hip being more prominent than the other
4. Clothes not hanging properly
5. A prominent ribcage
6. A difference in leg lengths

Back pain is common in adults with scoliosis. Young people with scoliosis may also experience some discomfort, but it's less likely to be severe. Seeking medical advice If you or your child has signs of scoliosis, make an appointment to see your spine specialist. They can examine your back and can refer you for an X-ray for confirmation. If you or your child are diagnosed with scoliosis, it is important to see a scoliosis specialist to talk about treatment options.

What causes scoliosis?
In around eight out of every 10 cases, a cause for scoliosis is not found. This is known as idiopathic scoliosis. A small number of cases are caused by other medical conditions, including:
1. Congenital scoliosis: Caused by birth defects.
2. Neuromuscular scoliosis: Common conditions are
- cerebral palsy
- a condition associated with brain damage
- muscular dystrophy
- a genetic condition that causes muscle weakness
- marfan syndrome
- a disorder of the connective tissues
3. Idiopathic Scoliosis: What causes idiopathic scoliosis is still unknown.
4. Adult scoliosis: In adults, age related changes in the discs and joints of the spine and a reduction in bone density may cause scoliosis. Adults can also experience worsening over time of previously undiagnosed or untreated scoliosis.

Diagnosing scoliosis
Scoliosis can usually be diagnosed after a physical examination of the spine, ribs, hips and shoulders. You may be asked to bend forward to see if any areas are particularly prominent. For example, one of your shoulders may be higher than the other or there may be a bulge in your back. Scans The specialist will take an X-ray to confirm the diagnosis of scoliosis.The X-ray images will also help determine the shape, direction, location and angle of the curve. The medical name for the angle the spine curves is known as the Cobb angle.In some cases, scans such as a magnetic resonance imaging (MRI) scan or a computerised tomography (CT) scan may also be recommended. Treating scoliosis in children If your child has scoliosis, their treatment will depend on their age and how severe it is. The main treatment options are:
- observation
- casting
- bracing
- surgery

Observation treatment is not always necessary for very young children because their condition often corrects itself as they grow. However, if the curve does not correct itself, it can reduce the space for the internal organs to develop in, so careful monitoring by a specialist is important. Casting in some cases affecting young children, the spine may need to be guided during growth in an attempt to correct the curve.

In a child aged under two years of age, this can sometimes be achieved by using a cast. A cast is an external brace to the trunk made out of a lightweight combination of plaster and modern casting materials. The cast is worn constantly and cannot be removed, but is changed regularly to allow for growth and remodelling. Bracing If the curve of your child's spine is getting worse, your specialist may recommend they wear a back brace while they are growing.

A brace cannot cure scoliosis or correct the curve, but it may stop the curve from getting worse. If a brace is used, it will need to be carefully fitted to your child's spine. Braces are often made of rigid plastic, although flexible braces are sometimes available. In general, modern back braces are designed so they are difficult to see under loose fitting clothing. It's usually recommended that the brace is worn for 23 hours a day, and is only removed for baths and showers.

However, it should be removed during contact sports and swimming. Regular exercise is important for children wearing a brace.The brace will usually have to be worn for as long as your child's body is still growing. For most children, this will mean they can stop wearing it when they are around 16 or 17 years old. Surgery is recommended, if your child scoliosis is severe and in case, other treatments have been unsuccessful, corrective surgery may be recommended. They type of surgery will depend on your child's age.

Surgery in children for younger children, generally those under the age of 8 to 9, an operation may be carried out to insert growing rods. These rods aim to allow for continued controlled growth of the spine while partially correcting the scoliosis. After surgery to insert the rods, your child will need to return to their specialist every 4 to 6 months to have the rods lengthened to keep up with the child's growth. In some cases, rods that can be lengthened using external magnets during an outpatient appointment may be used.

Surgery in teenagers and young adults operation where the spine is straightened using metal rods attached with screws, hooks, and/or wires, and bone grafts are used to fuse the spine in place. This metalwork will usually be left in place permanently, unless they cause any problems. After the operation, most children can return to school after a few weeks and can play sports after a few months. Possible complications of scoliosis Physical complications of scoliosis are rare, although serious problems can develop if it's left untreated.

Emotional issues having a visibly curved spine or wearing a back brace may cause problems related to body image Lung and heart problems In particularly severe cases of scoliosis the rib cage can be pushed against the heart and lungs, causing breathing problems and making it difficult for the heart to pump blood around the body. Nerve compression In some cases of scoliosis, particularly those affecting adults, the bones in the spine compress nearby.

All About Scoliosis

Spine surgeries are complicated and have serious repercussions if the procedure doesn t go as planned. Probing your doctor is therefore very critical to ensure a safe operation and early post-op recovery. Questions can range from the type of treatment chosen for speedy recovery to side effects. Here is a list of questions that you need to ask your spine surgeon:

1. Why is the surgery recommended?
Typically, there could be more than one treatment option for a particular problem. Your doctor should be able to tell you very precisely as to why the surgery is recommended and how it is going to address the problem.

2. Is there any non-surgical option?
Many spine related issues can be treated with medicines and physiotherapy. Ask your doctor if such options exist.

3. Explain the surgical procedure in detail
Your doctor should explain the whole surgical procedure, explaining the minute details and help will help you to understand the implications.

4. What is the duration of the surgery?
Spine surgeries do not take more than 2 hours. It, however, depends on the procedure that is being performed.

5. How will the surgery address the pain?
It is important to know the source of the pain. Exploratory surgeries are not performed on the spine. Ask your doctor how he intends to address the pain through the surgery.

6. What are the risks involved?
Risks and side effects vary from patient to patient. For instance, a person with obesity, spondylitis and smoking has greater chances of complications associated with the operation.

7. Will the doctor perform the whole procedure or he will use practicing surgeons and intern for the job?
Many senior surgeons use interns and junior surgeons to perform a minor procedure. Get a clear understanding of the role of the doctor and his assistants. It is a good idea to know the background if the surgical team who is going to perform the procedure.

8. What is the success rate of the doctor for the procedure he is going to perform?
A successful spine surgeon should be able to give you valid data on his/her success rate and the overall success rate of surgeons all across the country.

9. How many days do you need to spend in hospital?
Your hospital stay is directly related to your insurance. It is essential to get a clear picture on the same.

10. Whether a back brace is necessary after surgery?
Limiting the spine movement speed the process of healing. Most Doctors suggest braces after a spine surgery.

11. What is the time required for recovery?
The recovery greatly varies from patient to patient. What you should ask your Doctor is the expected time required for you to join your job/school.

12. Will there be any physical limitation after the operations?
Many spine surgeries require you to refrain from strenuous jobs for a while. For instance, certain surgeries require you to stay away from driving for a while. Address all these apprehensions from your doctor.

12 Questions You Must Ask Your Spine Surgeon

The spine plays a very crucial role, both from a person s movement and sensation point of view. It carries the nervous supply for a lot of internal organs and the lower body. By virtue of its structure, it also helps in movement through the disks. Due to various reasons, spinal injury is common, causing pain along the back, lower extremities, neck etc.

Medicines and exercise are the first line of treatment for most spinal injuries. The issue, however, is that these only provide relief from the pain and the medicines, but do not actually  rectify  the underlying problem. Whether it is a herniated disk or a pinched nerve, the medicines and exercise can relieve the symptoms, but the disk continues to be herniated and the nerve continues to be pinched. Definite treatment is in the form of surgery, and with recent advancements in the field of spinal surgery, there are minimally invasive surgical options, which provide complete cure with minimal recovery time. Some of the benefits of this are listed below-

Smaller incision compared to traditional surgical procedures, where only the injured area is accessed

The surrounding tissues are untouched, unless they are injured and require repair

Lesser bleeding compared to earlier techniques

Lesser painful procedure

Reduced hospitalization period

Quicker recovery and return to normal activities

The question, however, is whether this is indicated in everybody. A detailed discussion with your surgeon keeping the below points in mind will help identify the answer for this. The main driver should be the answer to the question   will the surgery be able to effectively relieve you of the pain and symptoms? Additionally, the following factors help in getting better results out of a minimally invasive spinal surgery.

Presence of symptoms relating to nerve compression, including pain from the spine down the leg.

Recent onset of symptoms, with pain starting days to months before seeing the doctor. This indicates the condition is relatively new and so damage is minimal, indicating favorable outcome. Chronic pain conditions take slightly longer time compared to recent injuries.

People with active lifestyle who engage in regular physical exercise are likely to have better benefits from the minimally invasive procedure.

Smoking reduces blood flow to the spine, leading to disk degeneration and weakening of bones. Healing is highly slowed down and recovery is overall delayed.

Excessive weight puts strain on the back, and so healing can be delayed or badly affected with more complications. It is not a contraindication, but be prepared for a longer recovery period.

Talk to your doctor keeping these points in mind, and you can bid farewell to your back pain forever.

Is Minimally Invasive Spine Surgery Right For You?

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