My mother has been diagnosed with spine tuberculosis. She is having persistent pain in back. Is this normal? How long will this pain stay? What is course of treatment and precautions to be taken?
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Spinal tuberculosis is a destructive form of tuberculosis. It accounts for approximately half of all cases of musculoskeletal tuberculosis. Spinal tuberculosis is more common in children and young adults. Characteristically, there is destruction of the intervertebral disk space and the adjacent vertebral bodies, collapse of the spinal elements, and anterior wedging leading to kyphosis and gibbus formation. The thoracic region of vertebral column is most frequently affected. Formation of a ‘cold’ abscess around the lesion is another characteristic feature. The incidence of multi-level noncontiguous vertebral tuberculosis occurs more frequently than previously recognized. Common clinical manifestations include constitutional symptoms, back pain, spinal tenderness, paraplegia, and spinal deformities.The most important factor in SCI rehabilitation programme is early rehabilitation. The positioning in the acute phase, early starting of passive, active-assisted and active exercises will greatly contribute standing of the patient earlier and to mobilize. Standing and mobilization are not recommended in the acute period for these patients. Generally, standing and ambulation are recommended during the subacute period. Patients with spinal tuberculous, bracing with a conforming orthosis (plaster or molded thermoplastic) has been used in combination with antituberculous drugs as initial treatment. Bracing is continued 3 mo after the first radiologic sign of bony fusion[37]. The onset of pain or increase in pain during exercise programs in the early period should be evaluated carefully. Pain aggravating exercises should be avoided and the exercise program should be discontinued if there is a significant increase in pain intensity disturbing the patient following the rehabilitation program. The patient should not be exhausted during exercise and mobilization and should have adequate resting after exercise. High calorie diet regimens should be provided since metabolic requirements are increased during both disease and the rehabilitation period.
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