Spine surgery is conventionally performed as  open surgery , which means the region being worked on is opened with a long entry point to permit the surgeon to view and access the area. Technical and scientific advances have permitted more back and neck conditions to be treated with a less obtrusive surgical technique. The minimal invasive spine surgery (MISS) does not include a long cut, and it prevents causing damage to the muscles around the spine. As a rule, this causes less pain after the surgery and a speedier and healthy recovery.

Spine surgery is normally suggested when non-surgical treatments like medicinal or exercise based methods have not helped in lessening the excruciating symptoms of your back problem. Moreover, surgery is just considered if your doctor can pinpoint the correct reason of your pain, for example, a herniated circle or spinal stenosis. 

MISS is also called less obtrusive spine surgery. In these procedures, surgeons utilise particular instruments to get to the spine through little cuts. The surgery process is as follows:

During the surgery, a little entry point is made and the tubular retractor is embedded through the skin.
It is also inserted into the delicate tissues down to the spinal cord.
This makes a passage to the little range where the problem exists in the spine.
The tubular retractor holds the muscles open and is set up all through the surgery.
The surgeon gets to the spine utilising the little instruments that fit through the focal point of the tubular retractor.
Any bone or disk material that is expelled goes out from the retractor.
Any gadgets needed for the fusion process, for example, screws or rods, are embedded through the retractor.
A few surgeries require more than one retractor.
Keeping in mind the end goal to see where to put the entry point and embed the retractor, the surgeon is guided by fluoroscopy.
This strategy shows ongoing X-ray pictures of the patient's spine on a screen throughout the surgery.
The surgeon additionally utilises a microscope to enlarge the view through the retractor.
Towards the end of the procedure, the tubular retractor is expelled and the muscles come back to their original position.
This restrains the muscle damage that is more ordinarily found in open surgeries.
It is very important to talk about these risks with your doctor before your surgery or procedure.

Infection: Antibiotics are consistently given to the patient some time before, during, and regularly after the surgery to reduce the danger of infections.
Bleeding: A specific measure of bleeding is normal; however, this is not commonly dangerous.
Pain in the grafted area: Some patients will encounter surgical pain at the bone joint site.
Recurring symptoms: A few patients may encounter a repeat of their side effects.
Pseudarthrosis: Patients who tend to smoke are more prone to pseudarthrosis. This is a condition wherein there is insufficient bone formation. In case that this happens, a minor surgery may be required.
Nerve damage: It is possible that the nerves or veins might be harmed during these operations. These complications are extremely uncommon.
Blood clots: Another complication is blood clots in the legs. This poses a threat because these clots can break off and settle in the lungs.

Minimally Invasive Spine Surgery - A Guide On What To Expect?

Disc prolapse   or what is popularly known as a herniated disc   occurs when the soft, rubbery tissues of the spinal discs push through a crack in the tougher exterior casing. It usually results from wear and tear of the spinal discs over time.

Risk Factors-
The following factors may put you at risk of a disc prolapse  
  Genetics   You may have a tendency towards developing a disc prolapse
  Occupation   People who are engaged in physically demanding jobs are more likely to develop back pain
  Weight   Excessive body weight puts pressure on the discs in the lower back

Signs to Watch Out for-
Signs and symptoms of disc prolapsed may include the following  
  Pain in the legs, particularly in the calf, thigh, and buttocks
  Pain in the arms and shoulder that intensify when you sneeze, cough, or even move your spine into certain positions
  Tingling or numbness in the affected areas
  Muscle weakness
  Inability to hold an object

If the pain deteriorates i.e. if the pain shoots down from your back or neck to the extremities, consult a doctor immediately.

Acupuncture for Disc Prolapse-
Although there are certain non-surgical and surgical treatment methods, many healthcare professionals and doctors nowadays recommend acupuncture as an alternative cure.

Acupuncture is an ancient Chinese practice that believes that people possess  Chi  or an energy force. When the force is unbalanced or blocked, your body becomes susceptible to illness and pain. Traditional acupuncturists strive to free up these energy channels (known as meridians) by inserting needles into specific points in your body. It activates the release of endorphins in your blood, which acts as natural pain relievers and reduces pain.
The process involves inserting multiple needles, depending on your diagnosis. Most people do not feel pain when the needles are inserted. In fact, they feel relaxed or energized. The acupuncturist will leave the needles in for about 20-40 minutes   this may cause temporary soreness but do not pose serious complications.
Acupuncture can help relieve pain associated with bulging, herniated disc. If you are considering this option, you should visit a complementary and alternative medicine practitioner.

Disc Prolapse - Know How Acupunture Can Help!

Pain related sleep disruption has affected a large number of people around the globe. Statistics has it that, in India, about 25% of the population suffers from pain-related sleep deprivation. Studies call it  the vicious cycle of pain and sleep  as pain affects your ability to sleep and lack of sleep makes the pain even worse.

Back pain and arthritis are examples of some common pain-related medical disorders. People with these types of chronic pains have reported persistent sleeplessness or have had immense trouble falling asleep.

The following are the primary sleep disorders associated with chronic pain:

Insomnia: It is a medical condition that is characterized by an inability to fall asleep no matter how physically exhausted you are. Insomnia can be acute (lasting for one night to a week) or chronic (that lasts for more than 3 weeks).
Hypersomnia: It is a condition wherein you tend to sleep excessively; in this condition, you will have trouble being awake throughout the day or can fall asleep at any point of time.
Sleep Apnoea: This is a sleep disorder wherein breathing pauses and resumes repeatedly. Risk factors include obesity, age and gender; it is more commonly observed in men. This condition can be chronic with symptoms such as snoring loudly or feeling very tired even after one has had a night s sleep.
Restless leg syndrome: It is a sleep disorder wherein you continuously move your legs while sleeping. However, this condition can also cause you to move your legs even if you aren t sleeping.
Some of the causes of sleep disorders due to chronic pain are:

Pain
Worry and anxiety
Sweating at night
Depression and other mental disorders
Treatment

A pain and sleep disorder should be simultaneous as both the components of it, pain and sleep, are interrelated. Some of the ways people with chronic pain can still have a good night s sleep are:

Limiting caffeine intake
Abstaining from alcohol and smoking, as these disrupt the sleep cycles, thus aggravating the existing pain.
Practicing meditation and other relaxation techniques
Pain killers or sleeping pills can be administered, but only with the doctor s advice.
Hot water fomentation over painful area during night, for better sleep.

Back Pain and Bad Sleep

The world celebrates World Pneumonia Day on 12 November. As we all know, pneumonia, the world's greatest killer of children under five, is a respiratory illness. Pneumonia is a type of lung infection that may affect one or both lungs. In this condition, the air sacs, also known as alveoli, fill with pus or fluid, which makes it difficult to breathe. Moreover, pneumonia is known to cause inflammation in the air sacs. This disease may range from mild to life-threatening and the severity depends on the cause of inflammation, the organism fostering your infection, your age and general health. 

Symptoms:

Most common symptoms associated with the condition are:

Chest pain
Difficulty in breathing
Shaking chills
Rapid heartbeat
Fever
Rapid breathing
Dry cough
Vomiting
Wheezing
Nausea 
Muscle aches
Bluish skin tone due to oxygen deficiency 
Blood in sputum that is coughed up mucus
Labored breathing
Confusion 
High fever
Causes: 

Bacteria: One of the most common causes of pneumonia is the bacteria named as Streptococcus pneumoniae. This type of pneumonia may occur after you have had flu or a cold or maybe even on its own. Moreover, it may affect only one part of the lung i.e. the lobe and is also known as lobar pneumonia. 
Viruses: Viruses are one of the main reasons why children below 5 years of age suffer from pneumonia. Viruses that cause pneumonia may also cause cold or flu. Viral pneumonia is usually mild and may be treated at home itself. However, in some cases, it may be very severe and life-threatening. 
Mycoplasmas: Mycoplasma is a type of bacteria that doesn't have a cell wall around the cell membrane which is why they are usually unaffected by most antibiotics which target cell wall synthesis. The symptoms of pneumonia caused by mycoplasmas are mild and the patient does not require bed rest. This type of pneumonia is known as 'Walking Pneumonia'. 
Fungi: People with weakened immune systems or chronic health problems usually develop pneumonia due to fungi. You may also develop fungal pneumonia by inhaling large doses of it mainly found in soil or bird droppings.
Prevention against Pneumonia

It is important for all of us to prevent ourselves from pneumonia and for that we can follow the below mentioned steps:

Know about the symptoms of pneumonia first: It is difficult to detect or diagnose pneumonia, especially in people over the age of 65. In older patients, the common symptoms such as fever, chills, cough may not be experienced. You should watch out for non-respiratory symptoms like weakness, dizziness, delirium and confusion. It is even more difficult to diagnose pneumonia in people who are suffering from preexisting conditions.
Practice good hygiene: Common respiratory Infections, influenza and cold may cause pneumonia. You should follow hygienic habits. Wash your hands regularly before meals and use hand sanitizers in order to prevent the illness from spreading. You should also maintain proper oral hygiene as several oral infections may also lead to pneumonia. You should also keep away from people who are affected by pneumonia or any other illness like flu, cold and serious diseases such as measles or chicken pox. All these factors may cause pneumonia.
Get vaccinated: It is recommended for people of all ages who may be at a risk of getting pneumonia to get vaccinated and immunized against pneumonia causing virus called pneumococcal pneumonia. This is a one-time vaccine, which prevents and reduces the severity of pneumonia. A booster vaccine after every five years may also be prescribed. Elderly people should be vaccinated against all diseases which cause pneumonia.
Quit smoking: Smoking accounts for being a major cause or risk factor for pneumonia. It increases a person s chance of getting pneumonia as the lungs  ability to defend themselves from the infection is reduced. By quitting smoking, you will be able to prevent pneumonia.
Maintain a good general health: Maintaining an overall good health and following healthy habits will help you in preventing pneumonia. This is because your immune system stays strong and is able to fight efficiently against pneumonia-causing infections. A proper diet with all essential nutrients is also recommended along with regular physical exercise and proper rest.
Severe cases of pneumonia are capable of making you suffer and you may be admitted to a hospital. According to studies, it has been estimated that more than 60% of people over the age of 65 need to be hospitalised because of pneumonia. If you wish to discuss about any specific problem, you can consult a pulmonologist.

World Pneumonia Day - How Best Can You Prevent Yourself?

Fractures are simply a break in a bone. They can be caused due to injury, (traumatic fractures) or a pre-existing condition like osteoporosis that causes weakening of bones (pathologic fractures). There are many ways to classify fractures. All fractures fall into the major categories of simple and compound fractures. Simple fractures are fractures where bones remain inside the skin and don t jut out. They are also called closed fractures.

Compound fractures, also called open fractures, are broken bones that penetrate through the skin. These types expose the bone and deep tissues to the environment. Compound fractures are more serious of the two. The healing here may be affected due to deep infections for which antibiotics need to be used. There are many different sub types of fractures and we re only going to skim through them here.

Comminuted fractures: Severe fractures in which a bone breaks into several smaller pieces.
Avulsion fractures: A small piece of bone is completely torn off from the main bone due to fierce pulling off a part of the body.
Other types of fractures are characterised by the many different angles the bone breaks into like transverse, oblique and spiral fractures.

Diagnosis
When a bone is broken there are symptoms like swelling that doesn t subside on its own and pain. In such a case it s imperative that one goes to a doctor for a diagnosis. Doctors can usually recognise most fractures by examining the injury and taking an X-ray. The X-ray also provides a clear idea about the type of fracture and the degree of displacement of the bone. And, it s important that the patient doesn t wait too long before approaching a doctor. This is because bones begin to heal very quickly after a fracture and the bone tissue will heal using any tissue available. This can lead to a misalignment of broken pieces of bone and cause disability and loss of function.

There are cases when X-ray may not show a fracture. This is especially common in fractures in the hip and wrist in older people. For diagnosing these, doctors will get some other tests done such as a computed tomography (CT) scan, magnetic resonance imaging (MRI), or a bone scan.

Treatments
Fractures have to be treated by doctors. The doctors set the fractured bones in their proper place and hold them there so that they can heal. Setting a bone is called "reduction." Reduction without surgery is called "closed reduction." But if the fracture is serious, it s going to require surgery with bone repositioning, called open reduction.

In extreme cases, pins, plates, screws, rods, or glue are used to hold the fractured bones in place, inside the body. Once the bone abutment has been treated, the bone is immobilised to allow the broken pieces to heal. In most cases, the fractured part is set in a rigid cast. The fractured ends of the bone can be fixed into place using metal pins connected to an external frame. This is removed after the bone has healed.

Fractures - How To Diagnose Them?

For most people, the screen of a cell phone is the first thing they see in the morning and the last thing they see before going to bed. Nobody can deny the fact that living without a cell phone today is extremely difficult but must we be so glued to them? Staring into a phone or tablet screen, before going to sleep affects your sleep as well as impacts your health. Here's how:

It is harder to fall asleep

We feel sleepy when the brain releases a hormone called melatonin. This release is determined by the body's circadian rhythm which is controlled by light exposure. The blue light of a cell phone screen interferes with this rhythm and tells the brain not to secrete melatonin. This makes it harder to fall asleep even after you have switched off your phone.

It hampers the quality of your sleep

A direct effect of sleeping late is a reduced amount of sleep. On top, that, using a cell phone before going to bed also hampers the quality of your sleep. When an office email or a text message is the last thing you see before going to sleep, your brain cannot completely shut off. This makes you tense even in your sleep.

It lowers your attention span

When you wake up from a restless night's sleep, your productivity suffers. Not getting enough sleep is known to hamper your decision-making skills, impairs both long term and short term memory and make you distracted. This leads to unnecessary stress and anxiety.

It increases the risk of weight gain

The body is more likely to feel hungry when you don't have enough sleep. This is because sleep-deprived people have a lower metabolism. Thus using a cell phone before sleeping also increases your chances of snacking on something unhealthy to get through the day and in turn you put on weight.

It weakens your immune system

The body's immune system produces antibodies that fight infections while we are asleep. Depriving the body of the sleep it needs weakens the immune system by not giving it enough time to build its forces. Not only does this increase the risk of falling ill it also slows down recovery from illnesses.

It damages your skin

Sleeping late at night and not getting enough sleep can cause dark circles, puffy eyes and fine lines across the face. The blue light of a cell phone screen also tells the body to secrete cortisol which makes the skin less elastic and smooth.

Thus, even if you look at a phone screen for just five minutes every night before going to bed, the side effects last much longer and affect your mental and physical health as well as your looks.

Browsing on the Phone Before Sleep: Effects on Health

Don't wait any longer, manage your Somnologist online with a Lybrate doctor today

Consult for Somnologist - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES