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Intradural Extramedullary Spinal Tumour - In Depth!

MBBS, MS - General Surgery, MCh - Neuro Surgery, FESBS
Neurosurgeon, Mumbai
Intradural Extramedullary Spinal Tumour - In Depth!

Extramedullary intradural tumours are a rarity. Of all the tumours of the nervous system, fewer than 15% are of the spine. And around 45% of them are intradural. And 40% of intradural tumours are extramedullary.

What are some common Intradural Extramedullary Spinal Tumours? 

Some forms of intradural extramedullary spinal tumours are-

  • Schwannomas

  • Meningiomas

  • Gliomas

  • Neurofibromas

What are the Symptoms of Intradural Extramedullary Spinal Tumours?

Some symptoms of this condition are-

  • Back pain

  • Cramps

  • Loss of feeling along the back

  • Loss of spinal flexibility

  • Weakness of the limbs

  • Slight degrees of paralysis

  • Hunched-over spine

If treatment is not sought immediately, the effect of the tumours would penetrate all levels of the spine and may lead to complete paralysis.

How are Intradural Extramedullary Spinal Tumours diagnosed?

A basic physical examination will reveal that there are tumours on the spine. Before treatment commences, the person will have to opt for these tests-

Treatment of Intradural Extramedullary Spinal Tumours diagnosed?

Doctors do not usually suggest surgery right away. They will first try to vanquish the tumours with chemotherapy and radiation therapy. Sometimes a combination of both might be required.

If therapy does not work, surgery will be suggested. During the surgery, resection is done with the aim to assuage pain and stabilize the spine. Preoperative embolization is performed. A catheter is inserted into a vessel of the groin and directed to the tumour. Then a glue-like agent is administered to the vessels that carry blood to the tumour. When this supply is cut off, the tumour will shrink.

After the surgery, a person will be required to stay on in the hospital for a couple of weeks after which rehabilitation may be required to help the patient get back to a normal lifestyle.

Spinal tumours can be fatal. That is why it is important to pay heed to the symptoms and consult a doctor right away.

1905 people found this helpful

Low Back Pain - Should Know!

Bachelor of physiotherapy
Physiotherapist, Gurgaon
Low Back Pain -  Should Know!

Chronic and acute low back pain is a common problem which occurs in 80% young and old people. Low back pain outcome from damage to structures in the back such as muscles, ligament, disc, nerves and bone. Back pain commonly occurs following relatively simple movement such as bending forward or twisting through the spine. Low back pain can also occur through more complex and forceful movement of lower spine. 
Low back pain is experienced as pain from the lower back. This is often dull or strong ache, which is made worse by movement. Pain may be central in the back, to one side or on both sides of the spine. It may also radiates down into the buttocks, back of the thigh or lower leg.
Low back pain is usually aggravates by activity, particularly activities that involve extension or arching of the back, so you shouldn't continue with activities which aggravate your pain by making it worse.
Diagnosis and treatment of back pain becomes important to prevent long term dysfunction and pain. 80% patients after being diagnosed can be treated with simple exercises and rehabilitation programmes. Back pain recovery usually takes place in a number of weeks. However, in some cases, this period may be long.
The treatment for low back pain is to avoid activities which aggravate your pain by making it worse such as forward bending, gymnastics, dance, rowing, weightlifting or twisting the spine.
Activity modification, medication, spinal traction, electrotherapy treatment, or taping of the lower back may be helpful in your low back pain recovery.
When your pain has settled sufficiently, the sports medicine physician or sport's physiotherapist will be able to provide you with a series of stretching and strengthening exercises designed to return you to your normal life and sport activity.

3 people found this helpful

Back Pain - Can Homeopathy Treat it Effectively?

Dr.Soumalya Golder 91% (270ratings)
Dip. IACH (GREECE), BHMS, Att. Cert. of B.A.M.I (Kolkata), C.S.D (Mumbai), D.N.H.E, Post Graduate Diploma in Counselling (PGDC, 1st class, CU), P.G. Hom (LONDON), Att. Cert. of A.C.H (London)
Homeopathy Doctor, Kolkata
Back Pain - Can Homeopathy Treat it Effectively?

No matter what is the cause of a backache, a combination of core strengthening exercises, activity and physical therapy can help lessen the pain. A backache can be caused by something as simple as bending the wrong way. Hence, the first step towards dealing with a backache is to pay attention to daily movements. Homeopathy effectively deals with back pain, though it takes some time for the pain to subside.

Top homeopathic medicines for curing back pain are:

  1. Rus Tox: If you want to stop chronic condition of your back pain, then nothing can be the best option other than this medicine. Most of the homeopathic practitioners are now strongly recommending this medicine for severe cases. Only limited dosage of this medicine taken in a consistent manner can offer you more relief from your back pain and you can get greater relaxation.
  2. Bryonia: There are some prominent symptoms of back pain and they can be easily and efficiently alleviated by this medicine. If you have become pretty tired of trying homemade therapies, then you can try out this solution. This medicine can reduce your pain and inflammation within a few hours and you can get back to your daily activities with great energy. Apart from taking this medicine, you have to take enough rest so that your back can get relaxed. Your back motion can be smoothened and made flexible by taking the medicine.
  3. Arnica: Injured back often leads to severe back pain and it can be well treated by this homeopathic medicine. Both recent and past back-injuries can be treated using this medicine. This medicine is absolutely safe and thus you will not face any side-effects at all. Unwanted back stiffness and soreness within back muscles can also be minimized to a great extent with the consistent application of this medicine. Back motions can be made much more flexible by curtailing restlessness.
  4. Kali carb: This medicine is the best back-pain solution for females. Those females who have severe back pain immediately after delivery can get greater relief from this medicine. In this case, back muscles often develop cramping pains and these pains are very much irritating and thus you might feel disturbed. This is the reason doctors often recommend taking this medicine to fix the problem.
1510 people found this helpful

How To Prevent Back And Neck Pain During Quarantine?

BPTh/BPT, MPT-Cardio pulmonary conditions
Physiotherapist, Mumbai
How To Prevent Back And Neck Pain During Quarantine?

Quarantine has left us with a lot of free time in hand. Some of us are utilising it by working from home, or learning some new skill online or trying something new in the kitchen or going back to old hobbies like painting, music or watching tv / Netflix and if nothing else then by catching up on our dearest sleep. 

Well, as much as we love doing all of the above activities, one problem that's commonly associated with it is back pain. 

What causes back pain?
- lack of exercise & movement
- the weakness of core muscles 
- lack of blood circulation
- weight gain/ unhealthy diet habits 
- wrong lifting/bending techniques
- prolong sitting
- faulty posture while sitting 

What do we do to avoid back pain?

- move more & get up frequently
- sit less than 30 minutes at a time 
- walk in the house 
- strengthen core muscles 
- increase the flexibility of muscles 
- learn good posture techniques while sitting for work
- learn ergonomics: how to sit in front of computer/ laptop, screen height, bending & lifting techniques
- step-up / down exercise
- drink more water 
- get enough sleep for 6-8 hours

If you do this, back pain will never trouble you again.

1 person found this helpful

Back Pain - Know Common Treatment For It!

Orthopedic Doctor, Jaipur
Back Pain - Know Common Treatment For It!

Lower back pain is a very common discomfort causing condition that occurs anywhere on the back below the ribs and above the legs. The pain is very common and is faced by most individuals at least once during their lifetime.
The most basic measures to cure your lower back pain are exercising well, eating healthy and maintaining a good body posture at all times.

Here are some of the common treatment options for reducing back pain. 

1. Spinal Manipulation - It refers to an ancient form of therapy in which your back pain is treated externally. This form of treatment is quite similar to a massage treatment and helps to relax the muscles in the lower back area, thereby reducing the pain. It is usually done by osteopathic physicians, chiropractors, occupational therapists and physical therapists.

2. Neurostructural integration technique (NST) - The main role of this type of treatment is to naturally reset the affected area of the body in order to allow it to regain its normal form. The results usually begin to appear after at least 2 sessions of the therapy and the effects are long-lasting in nature.

3. Acupuncture - This is an old technique which uses small needles at strategic locations on your skin. The main aim of the acupuncturists is to re-balance the flow of energy in your body and to ensure that you have an optimal level of energy in all parts of your body. This, in turn, helps to regain the normal state of your lower back if the right points on the body are targeted.

4. Other measures - Some preventive measures which ensure that the lower back pain once gone does not reappear are as follows:

  • Keep your spine straight and posture correct
  • Avoid excessive bending, stretching or weight lifting
  • Avoid heavy physical activities like sprinting
  • Regular and light exercising
1030 people found this helpful

Back Pain - What Can Cause It During Your Pregnancy?

Dr.Chitrangada Gupta 87% (15ratings)
MS - Obstetrics and Gynaecology, MBBS, Fellowship In Reproductive Medicine
Gynaecologist, Lucknow
Back Pain - What Can Cause It During Your Pregnancy?

Pregnancy is not always a breeze and is associated with few to many problems. One of the common problems is the back pain, and statistics report that about half of all pregnancies are coupled with severe back pain.

Many women complain of terrible back pain while pregnant, and the pain may become so severe that it can also interfere with one’s ability to work or carrying out normal day to day activities. Here is an account of the possible causes and risk factors of back pain during pregnancy-

  1. Some key factors that are associated with developing lower back pain include having a history of low back pain before conceiving, lifting and bending, and undertaking physically strenuous work.
  2. When it comes to the causes of back pain during pregnancy, malfunction of the sacroiliac joint is the most common. Though it tends to be immensely painful, it can be treated and tends to get better after the delivery of the child.
  3. The sacroiliac joint is the functional unit of the pelvis which contributes to the normal alternating movement while walking. With the advancement of pregnancy, the alterations of the hormonal level prepare the pelvis to deliver the child by gradually loosening the ligaments that are in charge of these joints. The associated rise in motion, as well as instability around the sacroiliac joint, often leads to pain in this region.

Some other causes of back pain during pregnancy include:

  1. Gain in body weight: At the time of a healthy pregnancy, the backbone has to support and carry around 25 to 35 additional pounds. It can lead to pain in the lower back region. Also, the weight of the growing baby, as well as the mother’s uterus, exert pressure on the nerves and blood vessels in the back area and the pelvis.
  2. Changes in posture: Pregnancy invariably shits a woman’s centre of gravity. This can gradually and unconsciously lead to adjustment of body posture along with the way she moves. As a result, a woman may suffer from lower back pain and strain.
  3. Alterations in hormone levels: At the time of pregnancy, the body produces a hormone known as relaxin that causes the ligaments present in the pelvic region to relax while the joints become looser in order to prepare the body for the process of delivery. This hormone can also lead to the loosening of the ligaments supporting the spine and therefore cause back pain.
  4. Separation of the muscle: With the expansion of the uterus, two sheets of muscles running parallel from the rib cage to the pubic region may start separating from the centre beam thus causing intolerable back pain.

Though back pain is quite common when you are pregnant, it is advisable to consult an expert to be assured that you are not heading for any risk or complication that may be detrimental to the baby.

1322 people found this helpful

Lower Back Pain - How Ayurveda Can Subdue It?

Ayurvedic Doctor, Chennai
Lower Back Pain - How Ayurveda Can Subdue It?

Back pain is one of the most common problems of old age and a sedentary lifestyle. Blame it on the computer screens or the idiot box, the problem of back pain has increased to a large extent among people across the globe. Researchers believe it is not just old age, but a sedentary lifestyle is responsible for chronic back pain. While there are painkillers available in the drug stores that provide quick relief for the time being, Ayurvedic treatment of the pain is better. Painkillers provide relief only for a shorter period and there is a high chance of re-occurrence of the pain. Back pain needs prolonged treatment. Hence, dependence on allopathic drugs for a longer period can have side-effects on other organs. Ayurvedic remedies are harmless and are effective in eradicating the pain completely. However, one must have the patience to continue the Ayurvedic treatment and have faith in it for the ultimate benefits.

As per Ayurveda, due to a sedentary lifestyle and unhealthy or wrong diet regimen results in poor metabolism, which produces undigested food toxins. Higher accumulation of these toxins into the body plays a major role in Backache.

Ayurveda is one of the oldest sciences of healing and treatment. It helps to achieve longevity. There are two types of treatment procedure in Ayurveda, palliative and purificatory. Ayurvedic practitioners believe that a balanced state of body, mind and consciousness is essential for good health. It can be achieved by purificatory therapy. It refers to the cleansing of the body by removal of toxins or Panchakarma. Kativasti is a procedure that is done prior to Panchakarma. This treatment is very good for backache.

The word Kati refers to the lower abdomen area or the waist. The process of holding warm oil in the region that has been affected is known as vasti. Therefore, Kativasti refers to the process of applying warm Ayurvedic oil on the waist area or other portions of the spine. In this process, the patient is asked to lie down on the bed and then the oil is applied on the affected part, especially the lumbosacral region. Thereafter, a reservoir is built around the affected area. The reservoir is of black gram dough. Medicinal oil is poured into it. The temperature of the oil is kept constant and it is made to pour on the body for some 30-40 minutes. Finally, the oil is gently massaged over the body.

Advantages of Kativasti:

1. It provides strength to the back muscles and joints and maintains the normal curve of the spine.
2. It is effective for any kind of back pain or spine related disorders.|
3. It increases blood circulation in the region.
4. It removes pain related to fractures, dislocation and tumours.

3904 people found this helpful

Bad Posture & Pain - Know How To Correct Both!

Reliva Physiotherapy & Rehab 90% (22ratings)
Physiotherapist, Hyderabad
Bad Posture & Pain - Know How To Correct Both!

A significant number of people suffer from the adverse consequences of bad posture and yet do not alter the factors of their lives which cause them the problem. In fact, researchers believe that positioning your body poorly while standing, sitting, or during rest is a significant contributor to a whole host of back problems and other muscle and joint-related issues. Good posture is essential for keeping fit, and if you have not paid attention to any of your posture problems, it's high time you did.

How poor posture is defined? 
Poor posture is described as a situation where our spine is positioned irregularly, emphasizing the curves. This results in poor extended positioning that places stress on your vertebrae, muscles, and joints. Over time, this stress may severely weaken the very foundation of the body, and as a result, you may be plagued by a plethora of health problems.

Problems that arise from poor posture - 
Body pains and aches including upper or lower back pain, arm pain, and shoulder pain are widespread problems that arise from poor posture. Other possibilities include lower limb pain including hip and leg pain, ankle or knee pain, headaches and muscle fatigue, due to a buildup of the tension in the upper back, neck, and shoulders. A person who suffers from poor posture is seen to have symptoms such as rounded shoulders, hunchback, slouched structure, bent knees with head tilted forward.

Physiotherapy - A perfect cure for posture problems -
A skilled physiotherapist can evaluate and diagnose your postural traits and help you grow a proper stance in which your back is straight, the chest is up and out, and your abdomen is perfectly tucked in.
A few strategies used by physiotherapists to improve poor posture are manual therapy and soft tissue massage, postural education and training, joint mobilization, pilates, and corrective exercises to improve flexibility and strength.

Exercises that can help -
Specific physiotherapy posture exercises will help you develop proper posture. A few exercises that you can do every day are:

  1. Shoulder Blade Squeeze: Start standing tall with your neck and back straight. Clutch your shoulder blades together as much as possible. Stay for 5 seconds and repeat ten times for three to five times daily provided the exercise is pain-free
  2. Cervical Retraction: Begin by seizing a chair and sitting straight with your feet reaching the floor. Raise your chin to the ceiling without nodding after a few deep breaths. Hold for 5 seconds and repeat ten times for three to five times daily.
  3. Chin Tucks: Begin standing tall or sitting with your back and neck straight. Shoulders should be slightly laid back. Tuck in your chin with no more than a mild to moderate stretch. Keep your nose and eyes facing forward. Hold for a few seconds and repeat the same.

Walking or running every day too helps to correct posture. Standing tall and facing the world confidently indeed gives pleasure. Why wait? Reach out to a physiotherapist, and face the world with confidence.

6061 people found this helpful

Back Pain - Know Forms Of It!

MBBS, Diploma in Orthopaedics, DNB - Orthopedics, Fellowship in Joint Replacement Surgeon
Orthopedic Doctor, Mumbai
Back Pain - Know Forms Of It!

Back pain is a very common and largely uncomfortable symptom of daily life. It affects a lot of people, and the cause can vary from neurological to orthopaedic. The related problems that back pain can cause include pain along your spine extending to your other muscles, impairment of movement, or difficulty carrying about daily tasks like walking or lifting objects.

The causes of each type of back pain are different, and there are different doctors you should see for each of these. The common types are:

• If you have pain that seems to travel outward from your back to your legs and maybe even your arms, you may have a slipped disc. This disease is not too infrequent, especially among older people. It is caused when a vertebra leaves its rightful anatomical place and settles somewhere else impairing normal bodily functions. Since this is a disorder of both the spine and the skeletal system, you can see either a spine specialist or an orthopaedic for a remedy.

• If you have a persistent pain in your buttocks or your legs that do not go away even after persistent effort, and if you get slight relief every time you lean your whole body forward, you may have spinal stenosis. It is the constricting of the spinal canal at the base, which causes severe pain and discomfort. This condition may be caused by either age or genetic factors and is an ailment of the spine. Therefore, you should visit a spine surgeon for a cure.

• If you have pain that originates in the buttocks but has spread to the whole leg in such proportions that normal walking and standing have become difficult, you may have sciatica. This is a nerve disorder wherein a herniated disc puts pressure on a nerve until there is persistent pain surrounding the nerve. This condition is a nerve problem, and hence visiting a neurologist will offer the perfect solution.

Leg pain has become an indispensable part of the daily millennial's life, thanks to sedentary lifestyles and poor ergonomics. If left untreated, it can give rise to such chronic pain that you may become permanently unable to stand up. Therefore, you need to visit a doctor as soon as symptoms show. Watch out for the symptoms above and visit a specialist accordingly.

1986 people found this helpful

Lower Back Pain - Have Ayurveda At Your Rescue!

Dr.Ankit Agarwal 88% (50ratings)
BAMS, Bachelor in Acupressure & Healing Science, Foundation Course In Yoga Science (FCYS)
Sexologist, Dehradun
Lower Back Pain - Have Ayurveda At Your Rescue!

Lower back pain is characterized by a constant feeling of pain in the lower back region. There are various Ayurvedic remedies that are used in treating lower back pain. Ayurveda is based on the belief that the body is composed of five elements; air, water, ether, fire and earth. The Ayurvedic remedies help in balancing the various constituents, thus reducing the pain.

The various Ayurvedic remedies for lower back pain are:

  1. Limit intake of spices: Various spices, especially the pungent ones, such as chillies tend to have a drying effect on the body. Excessive dryness in the body leads to an imbalance of the 'doshas', thus resulting in pain.
  2. Stay warm: It is recommended to stay warm in cold weather as the joints in the lower back region may be inflamed due to the cold.
  3. Focus on a proper Diet: Make sure the foods you consume are warm as cold foods can create imbalances in the body. Eating warm foods allows for proper excretion of bodily wastes. Also, include natural foods such as vegetables and fruits in your diet.
  4. Avoid junk food: It is advised to avoid junk food at all costs; eating processed foods leads to toxin accumulation in the body that result in various complications. Thus, try and eat whole foods such as rice, nuts and legumes.
  5. Oil massage: Oiling your body with sesame oil helps in preventing dryness of the body and also enhances blood circulation. It also improves the health of the skin; making it young, supple and fresh.
  6. Exercise regularly: Exercise on a regular basis to keep your muscles and joints healthy. Postures such as the plank and the bridge help in strengthening various muscles of the lower back. The 'Cat cow' is another position that helps in relaxing the nerves of the back.
  7. Pranayama: Alternate nostril breathing techniques help in reducing aches in the body. It also revitalizes and increases energy levels in the body. Try and get into the habit of breathing from deep within the stomach in order to avail of the benefits of pranayama.
1348 people found this helpful

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