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Treatment of Spondylitis
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Osteoporotic vertebral fracture, also known as compression fracture, is a condition of the spine. The simplest way to detect the issue is by visiting a doctor when you feel pain in the back. Usually this pain is limited to the lower back, but with time, the discomfort may spread upward. Here is a look at some of the things you should know about the condition, if you have been diagnosed with the same.
Causes of Osteoporotic Vertebral Fracture
Several things may cause the condition. For instance, osteoporosis is a major contributing factor for such a fracture. Other causes for the disease include underlying conditions that can affect proper development of the bone. Furthermore, accidents are often responsible for such fractures. With age, men and women begin to lose bone density and end up with osteoporosis. At this stage of the condition, the bones become hollow and thus, they have a greater chance of fracture than a healthy bone.
Since it is a spinal fracture, affliction with such a condition will mean that much of your mobility and ability to do work diminishes. Here are some common symptoms of osteoporotic vertebral fracture aside from back pain-
- Pain increases when you walk or stand
- Such a fracture may decrease your height
- Trouble having to bend down and twist the body.
- Shoulders may stoop.
- Strain on the spine will increase the pain experienced and even lifting relatively lightweight objects may become difficult
- Lifting heavy items can be difficult and the pain may become too much to bear.
Treatment depends on the cause of the condition. For instance, if the compression fracture results from osteoporosis, doctors will prescribe medication for the pain and the underlying osteoporosis as well. The pain can last for anywhere between a few weeks to a month or even longer. Certain medications are used to provide relief from some of the pain.
Apart from the medication, doctors may also advice certain lifestyle changes. For instance, bed rest is recommended to patients during such a fracture. However, osteoporosis patients should ensure not to stay in this inactive state for a long period, as their condition may worsen.
In acute cases of compression fractures in the spine, patients may need to undergo a surgical procedure in order to find relief from the discomfort and pain. Vertebroplasty, spinal fusion surgery and kyphoplasty, are the three common surgeries used to rectify the compression fracture. While Kyphoplasty and Vertebroplasty are minimally invasive procedures, spinal fusion surgery is a complicated treatment, which is usually the last resort.
Adolescent idiopathic scoliosis or AIS is a spinal disorder that leads to a curvature of the spine. As the name of the condition suggests, it is diagnosed during late childhood or early adolescent. However, there is a possibility of it occurring till the age of 18. Even though some of the curvature remains constant throughout life, others may progress as the patient ages.
Causes of AIS
The exact cause for AIS is not known and neither can the condition be connected to other underlying abnormalities. The term ‘idiopathic’ refers to a condition, which is mysterious. However, the scientific community agrees that a combination of factors including
- Hormonal problems
- Abnormal growth of the bone and muscle
- Genetic predisposition
- Nervous symptom abnormalities
It is common for people with family history of the condition to be affected. Almost 30 percent of AIS patients have a genetic predisposition to the condition. Both men and women can be affected by the disease, but girls are at a higher risk of developing greater curves on the spine over time.
Extreme pain is often not one of the symptoms related to adolescent idiopathic scoliosis. Here is a look at some of the more common symptoms associated with the condition.
- Asymmetrical shoulder height- AIS and the resulting deformation of the spine often causes one shoulder to droop lower than the other one.
- Tilted shoulder blades- Aside from the differing height in shoulders, one shoulder blade may be tilted forward, while the other blade may be positioned normally.
- Rib protrusion- As the name suggests, AIS may cause one rib to protrude from the back. This can be easily visible from behind the patient.
- Torso Lean- This symptom is common in people where the AIS affect the middle or lower back. In such a case, the upper body may seem to be leaning to any one side, and one side of the hip may seem to be higher than the other one.
Treatment is divided into surgical and non-invasive. While in the beginning, the non-invasive procedure, such as medication may be used, surgery may be required if all other remedies fail. However, treatment of some kind is essential as ignoring the problem can severely restrict movement and may even lead to other severe issues. Some minimally invasive procedures have also been developed, which can help treat the condition. In case you have a concern or query you can always consult an expert & get answers to your questions!
Spinal stenosis is a condition where a part of the spinal column becomes narrow. There are generally two types of spinal stenosis- lumbar stenosis and cervical stenosis. Lumbar stenosis is the form of the condition that affects the lower back. It is also the most common type of spinal stenosis.
Common Causes of Lumbar Spinal Stenosis
Some people may be born with a narrow spinal canal, but in most cases the condition is caused post birth. Here is a look at some of the most common causes for the spinal stenosis.
- Overgrowth of bone- Osteoarthritis can sometimes cause bone spur formation, which in turn can lead to the stenosis at the lumbar region of the spine. This usually occurs in adults, as osteoarthritis is common after a certain age.
- Herniated discs- A soft cartilage exists between the vertebrae, which cushions any impact on them. However, this cartilage dries up over time, and with age may lead to formation of crack on the exterior, which in turn causes suppression of the inner soft material and nerves of the spine.
- Stiffened ligaments- The ligaments in the spine may become thick and stiffened over time and age. Due to the thickness of the ligaments, a bulge may occur in the spinal column and lead to lumbar spinal stenosis.
- Injuries to the spine- Lumbar spinal stenosis may often be brought on by an injury to the spine. A spinal fracture resulting from an accident may narrow down the spine, which can cause the issue.
- Tumours- A tumour may affectumbar Canal Stenosis anyone at any point of time. These tumours may occur between the spinal cord and the vertebrae or between two bones in the vertebrae.
Symptoms of Lumbar Spinal Stenosis
Often the spinal stenosis may lie dormant and not produce any noticeable symptoms. However, it can still be diagnosed using an MRI or CT scan. However, all forms of the condition gradually progress and produce severe symptoms. This is why the treatment should be started as soon as the lumbar spinal stenosis is diagnosed, for the best result.
Here are common symptoms associated with the disorder
- Numbness and tingling in the leg and foot.
- Pain in the back
- Leg cramps after long spells of standing or walking.
- Weakness in the legs and feet.
If you observe any of the symptoms mentioned above, make sure that you visit an orthopaedist, so that the condition can be diagnosed and treatment can be initiated at soon as possible. In case you have a concern or query you can always consult an expert & get answers to your questions!
Spondylolisthesis refers to the condition which affects your spinal bones or lower vertebrae. Due to this condition one of the lower vertebrae overlaps the bone directly beneath it. Although a painful condition, it can certainly be treated with both surgical and therapeutic methods.
People with spondylolisthesis often find it difficult to perform routine activities. They usually encounter symptoms such as- persistent pain in the pelvic region, lower back; stiffness in the legs, hamstrings and hip muscles.
What causes spondylolisthesis?
The causes of spondylolisthesis can vary with lifestyle, heredity and age. Children may develop this condition due to an injury or birth defect. Nevertheless, people belonging to all age groups are susceptible to spondylolisthesis if the condition is genetic.
Over exercise or strenuous physical activities can cause spondylolisthesis because over stretching and carrying heavy weight or strain puts too much stress on the lower back.
Participating in sports like football, gymnastics, weightlifting are likely to trigger spondylolisthesis.
Spondylolisthesis can also be triggered due to sondylolysis. The vertebrae safeguard the spinal cord and work with tendons, ligaments, joints and muscles to provide flexibility, structure and support to the neck. Any sort of damage or wear and tear in the protective cartilage and bones in the neck can lead to cervical spondylosis, which in turn leads to spondylolisthesis.
What is the treatment for spondylolisthesis?
Treatment of spondylolisthesis depends on the severity of the pain. While non-surgical methods help ease the pain, a surgery is recommended when the bone has slipped to such an extent that your spine doesn’t respond to medications.
Non-surgical treatment includes the following-
- Taking anti-inflammatory drugs like ibuprofen to ease pain.
- Practicing a few physiotherapy exercises to reduce lower back pain.
- Use of minimally invasive Epidural Steroid Injections (EPIs) to get relief from lower back pain and pelvic pain caused by inflamed spinal nerves. When over-the-counter medications fail to treat tSpondylolysthesishe condition or ease the symptoms, then a surgery is inevitable.
- Discectomy- It is a surgical procedure that makes small incisions to remove a part of the damaged disc to relieve pressure from the surrounding spinal cord or nerve root.
- Laminotomy- This refers to a minimally invasive procedure that removes a part of the lamina which is the upper surface of the vertebra. This process is used to create more space within the spinal canal.
- Foraminotomy- With this method excess bone tissues are removed so that they don’t make the foramen narrow and compress the nerve root. Removing these extra tissues reduce back pain and ease symptoms triggered by nerve compression.
Medical attention is crucial for countering symptoms of spondylolisthesis. Although this condition may not seem life-threatening, if left untreated, it can lead to chronic, persistent pain and permanent nerve damage.
In case you have a concern or query you can always consult an expert & get answers to your questions!