Doctor in Patna spine clinic
Back Pain Treatment
Treatment of Joint Pain
Treatment of Leg Pain
Treatment of Knee Pain
Treatment of Hand Pain
Treatment of Shoulder Pain
Treatment of Foot Pain
Treatment of Lower Back Pain
Treatment of Bone Fracture
Treatment of Arm Pain
Knee Pain Treatment
Treatment of Finger Pain
Treatment of Hip Pain
Treatment of Heel Pain
Spinal Surgery Disorders
Treatment of Elbow Pain
Treatment of Pain in Ribs
Treatment of Spondylitis
Treatment of Strains
Treatment of Slip Disc
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The human spine is endowed with tremendous strength and flexibility, but it is also prone to severe injuries. Due to the presence of a vast network of nerves in the spinal cord, particularly in the lower region, injuries can become gravely complicated with a large scope for permanent damage. Heavy lifting, sudden movements and twisting can lead to spinal injuries and must be avoided while working out in the gym.
There are simple precautions that you can take to protect your spine from accidents and injuries while doing heavy lifts in the gym. Not only will these precautions ensure that your spine is protected from any harm, but they also yield a range of health benefits in the long run.
Following are a few precautions that can be taken from spinal protection:
- Check the object before lifting: It is important that you check the weight of the object before performing the lift. Test it out by pushing it with your hands or your feet very lightly to see how heavy it is and determine whether or not you should be lifting it.
- Perform a warm up exercise: This is one of the most essential factors for preventing exercise-related injuries. Pace around and stretch all your muscles before you start lifting. This will keep your muscles from suddenly stiffening or locking while you do the lift.
- Ensure that the weight is well balanced: Unbalanced weights greatly increase the risk of injury. You should always make sure that the weight you are lifting is evenly balanced on all sides and that the packing is proper so that it does not move around when you lift or have pieces falling off it.
- Maintain proper posture: One of the most important aspects of lifting in the right manner is to maintain proper body posture. You must always avoid arching your back or reaching out while you lift as that will surely lead to injury.
- Move slowly: Sudden jerks and movements are sure to lead to injury when lifting weights in the gym. Slow and smooth movements are recommended as they keep you from straining your muscles. There is no need to rush through your workout. Always avoid twisting while performing a lift.
- Create enough space: There has to be enough room all around you while you are lifting. This will ensure your safety while you are working out. If you wish to discuss about any specific problem, you can consult the doctor and ask a free question.
Osteoporosis is a condition wherein the bones become brittle and weak; so much so that even mildly stressful activities such as coughing, bending over or even a slight fall (such as the one from a high rise chair) can result in fractures. Osteoporosis-related fractures commonly occur in the spine, hip or the wrist. The human body has a continuous mechanism of bone absorption and removal. In case of osteoporosis, the creation of new bones doesn’t happen in accordance with the removal of old bones.
The bones of the spine get extremely vulnerable to breakage and even cracking open. The fractures in the spine, also known as vertebral compression fractures can cause a sharp stinging pain in the back that may make sitting, standing, or even walking a very tardy task.
Abnormally less or high body weight
Menopause or low levels of sex hormones
Gender: This disorder is more likely to affect women as compared to men. Also women, who are above 50 are more likely to suffer from this debilitating disorder.
Race is a significant risk factor of osteoporosis. If you are of Asian descent, you are more likely to be affected by it.
Having a family history of osteoporosis will put you at a greater risk of this disorder.
Fractured or collapsed vertebra causing back pain
A stooped posture
A shrunken appearance (as if one has had loss of height)
Very fragile bones, thus increasing risks of fractures
Severe and sudden pain in the back
Difficulty in twisting or bending the body
Lower spine fractures are way more troublesome as compared to fractures in the upper spine. Fracturing more than a bone in the spine also remains a huge possibility.
Diagnosis and Treatment:
Firstly, an X-ray or a computerized tomography (CT scan) will be done to have a closer look at the bones. A bone density test is another commonly used method of diagnosing osteoporosis.
Steroids and medications: Some medications may be used to prevent or combat osteoporosis. These include alendronate, ibandronate, risedronateand zoledronic acid.
Physical therapy: Just like muscles, bones get stronger too when you exercise. Weight-bearing and muscle- strengthening exercises are the most helpful in this regard and are considered best for the treatment of osteoporosis. Cardiovascular exercises such as walking, jogging or even swimming can prove to be immensely beneficial.
Diet: Make a diet chart that includes high-calcium food items, dairy products such as yogurt, cheese, and low-fat milk, tofu, green vegetables such as collard greens and broccoli, sea fish such as salmon and sardines.
Salt: Limit salt intake
Therapy: Hormone replacement therapy (treatment method consisting of estrogens to alleviate and treat symptoms of osteoporosis) is another method of treatment that can be recommended by the doctor. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
Since the neck region is the most mobile portion of the spinal column, it is also the most vulnerable to various injuries. Dislocation of cervical vertebrae is one of the most common spinal injuries. It can impact daily life and make the affected individual dependent on others. It mostly gets injured in high-impact traumatic events such as automobile accidents, falls, etc.
Such traumatic events can cause displacement of the small bones, called vertebrae, in the neck region of the spine. This can impair the ability of the brain to send signals to different areas of the body. Symptoms may vary depending on the severity of dislocation.
Types of Cervical Vertebrae Dislocation:
● Cervical dislocations are classified according to the location of the injury.
● There are seven vertebrae in the neck region. The injury may occur in the area close to the head or further away from the head.
● The dislocation may be in the occipital-cervical region, which affects the region between the Occipital vertebra and the C2 vertebra.
● The dislocation may also be in sub axial cervical region which affects C3 to C7 vertebrae of the cervical spine.
● Dislocations are further classified according to their exact locations such as Atlanto-Occipital Dislocation, Atlantoaxial Instability etc.
● The most common causes of cervical dislocations are automobile accidents, falls, sports activities etc.
● The trauma can twist the neck in a fraction of a second and can cause rupture of ligaments holding the vertebrae. This gives rise to dislocation of vertebrae.
● One or two or more vertebrae can get displaced from the normal alignment.
● Dislocation can be severe or moderate depending on the damage to the soft tissue surrounding the specific vertebral joint.
● A severe dislocation can damage the spinal cord as well as the neurologic structure encapsulated in it. This may give rise to neurologic problem like paralysis, tremor, etc.
● However, dislocations don’t always result in neurologic problem.
Symptoms of Dislocation of Cervical Vertebrae
● The patient may have significant and localized neck pain and neck stiffness.
● The impact may give rise to an asymmetric and abnormal neck and head position, known as Torticollis.
● The pain may radiate down the arm and shoulders.
● The neck region may feel tender to touch.
● There may also be spasm in the neck muscles
Severe dislocation of cervical vertebrae can result in excruciating pain and neurologic problems. One should keep in mind that such patients should not be moved at all since that may result in more damage. Only paramedics have the means and knowledge to move such persons properly. It is sometimes possible to put the vertebrae in correct alignment without any surgery. However, if such manipulation is unsuccessful, surgery is the only way to go. This should only be tried by an experienced surgeon.
Myelopathy refers to any neurological deficit pertaining to the spinal cord. The three most common types of myelopathy are Cervical myelopathy, Lumbar myelopathy and Thoracic myelopathy. Here are the causes and symptoms of myelopathy.
- Injury: This is a very common cause of myelopathy. Any type of accident or even a traumatic event can cause myelopathy and perhaps even paralysis.
- Spinal stenosis: This is a condition in which the spinal cord narrows and is one of the leading causes of myelopathy.
- Degenerative disc disorders: As you get older, disc disorders are more likely to occur, as well as other conditions which affect the spinal column, such as osteoporosis, etc.
- Tumor: It is a little known fact that tumors very often do cause myelopathy.
- Multiple sclerosis: There are many other diseases, which may cause myelopathy and multiple sclerosis is one of them.
There are many indications that you are suffering from myelopathy and should consult a medical expert. Here are some of them:
- Change in coordination: It refers to the state, wherein, all of a sudden you may find it harder to move certain limbs the way you want to. Sometimes, it may affect your whole body as well.
- Sudden muscle weakness: It is highly likely, that if you have myelopathy then you will experience sudden weakness in your muscles.
- Decreased hand-eye coordination: This is perhaps the biggest indicator of myelopathy since hand-eye coordination is directly linked to your spinal cord and brain and if they are not functioning properly then hand-eye coordination will be affected.
These are just some of the symptoms of myelopathy, however, the doctor cannot diagnose myelopathy until he conduct certain tests. These tests include MRI scans and other tests as well as a regular physical check-up along with a check of your medical history.
If you suffer from persistent backaches and neck pain, you may be diagnosed with spondylitis. Spondylitis refers to degenerative changes of the spine, such as the formation of bone spurs and degeneration of spinal discs. This condition can affect the neck, upper or mid back and lower back. Of these, spondylitis of the neck- cervical spondylitis and lower back- lumbar spondylitis are most common.
Spondylitis is considered to be triggered by age. As a person grows older, the wear and tear of the bones and ligaments of the spinal column can lead to the development of bone spurs and osteoarthritis. Age can also cause the discs between vertebrae to weaken and degenerate leading to bulging discs and herniating spinal discs. Most people experience the first symptoms of spondylitis between the age of 20 and 50. A family history of spondylitis and being prone to injuries also increases a person’s risk of suffering from spondylitis.
Since spondylitis is a degenerative disease, there is no cure for this condition. However, the pain associated with it can be managed. Thus, treatment for spondylitis is very similar to treatment for neck or back pain. This treatment can be in the form of pain medication, exercise, physical therapy and minimally invasive surgery. Depending on the extent of spinal damage the doctor may prescribe steroids that need to be injected directly into the intervertebral spaces. This is also known as epidural injections.
Spondylitis patients are often advised to follow their normal schedule and refrain from bed rest as this can prolong recovery. However, at the same time, you should not undertake any activity that puts additional pressure or stresson the spinal column. Alternating between warm and cold compresses can help relieve the pain associated with spondylitis. Additionally, try sleeping with a pillow between your legs to relieve low back pain.
Special pillows that offer cervical support can help relieve spondylitis of the neck.
Surgery may be considered in cases where this condition causes or worsens nerve damage. Spinal decompression surgery involves relieving pressure on the nerves in the spinal column that may be caused by a herniated disc, spinal stenosis or foraminal stenosis. This surgery can be performed through a laminectomy, discectomy or foraminotomy. Bone spurs in the spinal column or a vertebral disc can also be removed surgically. However, these surgeries are rarely performed as most patients respond well to non-surgical treatments. If you wish to discuss any specific problem, you can consult an orthopedist.
Rheumatoid Arthritis is a degenerative disease that progresses over time. It generally affects the fingers, feet, wrists, and ankles. It causes immobility due to inflammation and stiffness as well as severe pain. This is an autoimmune disease where the body mistakenly ends up attacking the joints instead of attacking bacteria and other substances as it normally should.
Severe cartilage damage can be caused if this condition is not treated on time, which can make the spacing between the bones even smaller than usual.
Let us find out how one can tackle this condition.
- Rest: While there is still no cure for this condition, one can take a number of measures in order to tackle it. One of the foremost ways of managing this condition is with the help of rest and relaxation. It is important to get plenty of sleep so that you can keep the condition from getting worse. There are a number of relaxation exercises that will help you in sleeping better, especially if you have been having trouble sleeping due to the aches and pains.
- Exercise: Depending on the doctor’s recommendations, you will need to exercise on a regular basis so as to keep the motion in your joints intact for as long as possible. Muscle and joint strengthening exercises include swimming, walking, and even gentle stretching that can help in reducing muscle fatigue. This can make your muscles stronger and increase the range of motions as well.
- Ointments and Lotions: One can turn to gels and lotions which can be topically applied. These can be prescribed by the doctor as well, so that the pain is soothed and temporary relief from pain and stiffness may be experienced. These are also available in the form of sprays. These ointments, gels or lotions usually contain camphor, menthol, capsaicin and salicylates.
- Fish Oil Supplements: Pain and stiffness can be significantly reduced with the help of fish oil, as per many medical studies. Before adding fish oil supplements to your food, you will need to talk to your orthopaedic specialist to find out if it may interfere with any medication that you may be taking for the condition or any other related disorder.
- Plant Oils: Plant oils are also known to contain fatty acids known as gamma linolenic acid, which can give much relief when it comes to pain and stiffness, especially in the morning. One must remember, though, that excessive use of this oil can lead to liver damage. So it is imperative to speak with your doctor or therapist before taking any plant oils.
- Medications: Aspirin and other non-steroidal anti-inflammatory drugs can help in containing the pain and inflammation for severe cases.