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Spinal Therapy Health Feed

Spinal Stenosis - How To Track It?

Dr.Puneet S Shah 85% (12ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - Orthopedics, M.Ch
Orthopedic Doctor, Nashik
Spinal Stenosis - How To Track It?

What is Spinal Stenosis: The narrowing of the gaps in the spine or the backbone is called as Spinal stenosis. This leads to pressure on the nerves and the spinal cord. 5% of cases of spinal stenosis are seen in the low back of the lumbar spine. In some cases the narrowing of the spine leads to the compressing of the nerve root, which leads to pain in the leg.

Causes of spinal stenosis: It can be caused by aging, arthritis, trauma to the spine, spondylolisthesis and tumor of the spine

Symptoms of spinal stenosis: There is constant pain in the back and legs as stenosis pinches the nerve responsible for sensation and muscle power. Other symptoms are numbness and tingling in the legs, frequent falling and pain while walking.

Treatment of spinal stenosis:

-  A routine program with exercises and physical therapy are the best treatment for spinal stenosis. The exercises are not a complete cure but they are beneficial in keeping the patient active. A physical therapy can be supervised and once the period of the same is over people easily transition to the exercise program. The key for exercise is starting slowly in order to build strength.

-  Generally, the patients are counseled not to perform strenuous activities as that might worsen the symptoms of spinal stenosis. In case of lumbar stenosis, patients find it comfortable when they are flexed forward. The doctor might recommend walking while being bent over and leaning when using a walker if not walking upright; sitting in recliners is also recommended instead of straight back chairs.

-  Injections of cortisone are usually given in the epidural space. This is believed to relieve the symptoms of spinal stenosis temporarily. Though there have been studies which question the use of these injections as they lead to the risk of osteoporosis related fractures. This is still being pondered over by the doctors as a suitable treatment option as it has its own benefits and risks.

-  Medications such as the antiinflammatory medicines like ibuprofen or aspirin are helpful in controlling the symptoms of spinal stenosis. Narcotic drugs might also prove to be helpful if used with care and for a short while. This is helpful for severe pain related to the nerves. Muscle relaxants like gabapentins might also be recommended. In some case anti depressants might also be given to provide relief from pain. 

Though side effects are a concern when using these medications and the patient should let the doctor knows about their allergies.

2046 people found this helpful

Spinal Stenosis - What Causes It?

Dr.Kedar Agrawal 86% (17ratings)
MBBS, MS - Orthopaedics
Orthopedic Doctor, Raipur
Spinal Stenosis - What Causes It?

What is Spinal Stenosis: The narrowing of the gaps in the spine or the backbone is called as Spinal stenosis. This leads to pressure on the nerves and the spinal cord. 5% of cases of spinal stenosis are seen in the low back of the lumbar spine. In some cases the narrowing of the spine leads to the compressing of the nerve root, which leads to pain in the leg.

Causes of spinal stenosis: It can be caused by aging, arthritis, trauma to the spine, spondylolisthesis and tumor of the spine

Symptoms of spinal stenosis: There is constant pain in the back and legs as stenosis pinches the nerve responsible for sensation and muscle power. Other symptoms are numbness and tingling in the legs, frequent falling and pain while walking.

Treatment of spinal stenosis:

-  A routine program with exercises and physical therapy are the best treatment for spinal stenosis. The exercises are not a complete cure but they are beneficial in keeping the patient active. A physical therapy can be supervised and once the period of the same is over people easily transition to the exercise program. The key for exercise is starting slowly in order to build strength.

-  Generally, the patients are counseled not to perform strenuous activities as that might worsen the symptoms of spinal stenosis. In case of lumbar stenosis, patients find it comfortable when they are flexed forward. The doctor might recommend walking while being bent over and leaning when using a walker if not walking upright; sitting in recliners is also recommended instead of straight back chairs.

-  Injections of cortisone are usually given in the epidural space. This is believed to relieve the symptoms of spinal stenosis temporarily. Though there have been studies which question the use of these injections as they lead to the risk of osteoporosis related fractures. This is still being pondered over by the doctors as a suitable treatment option as it has its own benefits and risks.

-  Medications such as the antiinflammatory medicines like ibuprofen or aspirin are helpful in controlling the symptoms of spinal stenosis. Narcotic drugs might also prove to be helpful if used with care and for a short while. This is helpful for severe pain related to the nerves. Muscle relaxants like gabapentins might also be recommended. In some case anti depressants might also be given to provide relief from pain. 

Though side effects are a concern when using these medications and the patient should let the doctor knows about their allergies.

4683 people found this helpful

Paralysis - What Are The Types Of It?

Dr.Sankalp Mohan 89% (101ratings)
MBBS, MD - Internal Medicine, Fellow In Pain Management, DM - Neurology
Neurologist, Navi Mumbai
Paralysis - What Are The Types Of It?

As children, you have probably learnt that paralysis is complete inability to move, sense, touch or control other bodily sensations. But little did we know that paralysis comes in many forms depending on the extent to which a person is immobilized. So, what is the difference between partial and total paralysis?

What is Total Paralysis?
Whether temporary or permanent, paralysis is the inability to move part of the body due to nerve damage. However it does not mean that people with total paralysis cannot move any parts of the body – they can still use their faces and necks. The extensive form of paralysis is typically referred to as quadriplegia, which involves diminished or absence of movement in the trunk, arms, legs, hands and feet. Some common symptoms of total paralysis are as follows:

  • Difficulty swallowing
  • Unable to control bowels and bladder
  • Pain anywhere in the body
  • No sensation below the site of injury
  • Difficulty breathing

What is partial paralysis?
A smaller portion of the body is affected by partial paralysis. One of the most common types of partial paralysis is Paraplegia that occurs below the waist. If affects both the legs, hips and other functions. Other forms of partial paralysis can be Monoplegia where a single area like one limb gets affected and Hemiplegia where parts of the body on the same side get affected. Some common symptoms of partial paralysis are as follows:

  • Inability to walk
  • Difficulty with sexual functioning
  • Pain below the site of injury
  • Unable to feel or move your legs or arms

How to Predict the type of paralysis?
The location of the injury or site of nerve damage will usually determine the type of paralysis. Damages in the cervical spinal cord almost inevitably lead to total paralysis associated with quadriplegia. The higher the injury is located, the more extensive the paralysis will be. Lower injuries commonly lead to partial paralysis. The prognosis is generally much better with this type of paralysis. With proper care and therapy, individuals may experience intermittent difficulties with movement and can regain.

Can paralysis be treated?
Whether it is total paralysis or partial paralysis, the positive prognosis is certainly possible, given the condition of the patient and other factors. Physical therapy involves teaching the brain and spinal cord to work around the damage and also aid neuron healing over time. Paralysis can be classified under a number of ways and the most basic classification is that of partial or complete paralysis. Talk to your doctor to understand what type of paralysis you have and adopt a positive outlook to help you towards recovery.

3513 people found this helpful

Spinal Stenosis - How To Treat It?

MBBS, MS - Orthopaedics, M.Ch -orthopaedics
Orthopedic Doctor, Ghaziabad
Spinal Stenosis - How To Treat It?

What is Spinal Stenosis: The narrowing of the gaps in the spine or the backbone is called as Spinal stenosis. This leads to pressure on the nerves and the spinal cord. 5% of cases of spinal stenosis are seen in the low back of the lumbar spine. In some cases the narrowing of the spine leads to the compressing of the nerve root, which leads to pain in the leg.

Causes of spinal stenosis: It can be caused by aging, arthritis, trauma to the spine, spondylolisthesis and tumor of the spine

Symptoms of spinal stenosis: There is constant pain in the back and legs as stenosis pinches the nerve responsible for sensation and muscle power. Other symptoms are numbness and tingling in the legs, frequent falling and pain while walking.

Treatment of spinal stenosis:

-  A routine program with exercises and physical therapy are the best treatment for spinal stenosis. The exercises are not a complete cure but they are beneficial in keeping the patient active. A physical therapy can be supervised and once the period of the same is over people easily transition to the exercise program. The key for exercise is starting slowly in order to build strength.

-  Generally, the patients are counseled not to perform strenuous activities as that might worsen the symptoms of spinal stenosis. In case of lumbar stenosis, patients find it comfortable when they are flexed forward. The doctor might recommend walking while being bent over and leaning when using a walker if not walking upright; sitting in recliners is also recommended instead of straight back chairs.

-  Injections of cortisone are usually given in the epidural space. This is believed to relieve the symptoms of spinal stenosis temporarily. Though there have been studies which question the use of these injections as they lead to the risk of osteoporosis related fractures. This is still being pondered over by the doctors as a suitable treatment option as it has its own benefits and risks.

-  Medications such as the antiinflammatory medicines like ibuprofen or aspirin are helpful in controlling the symptoms of spinal stenosis. Narcotic drugs might also prove to be helpful if used with care and for a short while. This is helpful for severe pain related to the nerves. Muscle relaxants like gabapentins might also be recommended. In some case anti depressants might also be given to provide relief from pain. 

Though side effects are a concern when using these medications and the patient should let the doctor knows about their allergies.

3343 people found this helpful

Spinal Cord Problems - How Pain Management Therapies Can Help?

Dr.Amin A. Khan 91% (271ratings)
MDT(Mc Kenzie) , P.G-Dietitian, N.D.T-( Neuro Development Technic ), Physiotherapist
Physiotherapist, Mumbai
Spinal Cord Problems - How Pain Management Therapies Can Help?

If oral medications are not proving helpful in managing pain for injuries related to the spinal cord, then one must try for pain management therapies as nowadays, they are highly recommended by the doctors. There are three different types of therapies that can reduce pain without the intervention of a surgery

These therapies are provided on a trial basis and if a person responds to any of the trials, then long-term treatment plan is decided by a physiotherapist along with a neurologist. While implantable pain management might not work for everyone, if it does, a person might experience a significant reduction in pain.

Peripheral nerve stimulation and spinal cord stimulation to counter the pain:
Both Peripheral nerve stimulation and spinal cord stimulation are types of electrical stimulation that can be deployed to treat chronic pain.
This is a method wherein, insulated wires that have electrical contacts are inserted near the spinal cord. In case of the peripheral nerve stimulation therapy, the wires are placed beneath the skin. An implanted generator is attached to a wire, in order to send electrical pulses around the affected area of the spinal cord.

During the process of implantation, a patient is awakened, so as to understand whether the pulse is being directed to the right spot or not and also if there is any relief from pain or not. In some cases, patients may need both peripheral nerve field therapy and spinal cord stimulation at the same time. Stimulation does not necessarily eliminate the pain altogether, it, however, can reduce the pain to half, thereby leading to drastic improvement in performing daily activities.

Intrathecal Pain Pump
This is a procedure through which medication is directly delivered to the spinal cord by implanting an intrathecal pain pump. The medication is directly sent to the pain receptors, thereby ensuring that the brain doesn’t get the pain reception from the neuron. This helps in easing the perception of pain.

This is a procedure where a person is given a general anesthesia only to insert a thin catheter into the fluid-filled region of the spinal cord known as the intrathecal space. A doctor implants a small pump in the abdomen and the same is attached to a catheter. This is followed by injecting the medicine into the reservoir of the pump. In these cases, strong painkillers such as morphine are injected into the pumps, these are filled with painkillers once in a month. This mode of treatment is helpful owing to the act that the body has round-the-clock medication at its disposal. There is provision to administer multiple medicines in case of serious pain. Doctors try to target the exact location of the delivery so that small dosage of medicine can relieve the pain without side-effects.

2695 people found this helpful

Spinal Cord Injury - Tips To Help You Recover!

MBBS, MS - General Surgery, Mch - Neuro Surgery
Neurosurgeon, Ghaziabad
Spinal Cord Injury - Tips To Help You Recover!

A spinal cord injury involves damage to the spinal cord either from trauma, loss of the normal blood supply, or compression caused by a tumor or infection. These injuries can either be complete; wherein there is a complete loss of sensation and muscle function in the body, below the level of the injury or incomplete; wherein there is some remaining function below the level of the injury. In most cases, both sides of the body are affected equally.

Classification of the spinal cord injuries

  • High-cervical: It involves the topmost vertebrae in the spinal column, which can result in partial or full paralysis if the spinal cord is severed.
  • Low-cervical: Damage to this area can affect the function of the upper limbs.
  • Thoracic: It involves the center of the spinal column; damage to this area can impact the muscles and nerves of the trunk.
  • Lumbar: It is the commonest site of lower back pain; damage to this area can affect the lower back and limbs.
  • Sacral: Any trauma to the tailbone can cause damage to the nerves in the sacral part of the spine.

Several cases of spinal cord injury are treated with surgery. The two major goals of surgery involve relieving the pressure on the spinal cord and stabilizing the spine.

Quick recovery from spinal cord injuries

Damage to the spinal cord often causes inflammation of the surrounding tissues. A smooth and quick recovery can be achieved by promptly addressing the inflammation post-injury. Following tips can help regain a normal range of motion, promote fast healing, and eliminate pain:

  • Cold therapy: One of the best ways to treat inflammation is with cold application. The lower temperature causes constriction of blood vessels, which reduces the flow of blood to the injured area and helps control swelling. Additionally, a reduced body temperature around an injury slows down cellular metabolism and cell death, minimizing the amount of tissue repair required. Also, pain reduction by a brief deadening of nerve endings and lessening sensation in the affected area is achieved with cold application.
  • Ample rest: Overexertion has to be avoided during the recovery period to ensure that the body gets a lot of rest. Adequate rest needs to be supplemented with a healthy diet to provide the body with all the nutrients it needs for healing.
  • Physical therapy: Physical therapy is an important component of fast recovery in a spinal cord injury. Gentle strengthening and stretching exercises will help an individual regain range of motion, improve flexibility, and build the surrounding muscles to support the spine. It is advised to work closely with a physical therapist and follow their instructions for better results.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3097 people found this helpful

Slip Disc - Why It Happens?

Dr.Pardeep Sharma 90% (39ratings)
MD - Ayurveda
Ayurvedic Doctor, Jaipur
Slip Disc - Why It Happens?

Why Does Disc Slip?
Before we go and look for the treatment of the slip disc (at any region) of the spine, we need to be sure that why discs slip from their places and what are the basic causes behind the slip disc? This will help you to better understand the whole problem and its severity, because understanding your disease and to be educated about the problem is the basic step we need to take for complete cure of the condition.

What this Disc is?
Discs are fluid containing bag like structures which are located between every two vertebrae. These are destined to absorb the shocks while movements of the spine and to ensure the smooth movements of the spine. These are connective tissues which are important to hold the spine together and to for smooth movements of the spine. If there won’t be gaps in between the vertebrae, we won’t be able to move ourselves in any direction and that stiffness will make us like a hard-dried up tree, which can swing on either side but cannot bend properly.
“So this Intervertebral disc is not a hard piece. This is a bag filled with some fluid, which provides cushion to the two bones above and below”.

What does Slip Disc mean?
Slip is a very non-scientific term. There is no medical term like this. This is the protrusion. Dictionary meaning for the protrusion is- something that bulges out or is protuberant or projects from its surroundings!! A protrusion is- hump of a camel. So the fluidic-bag between the two vertebrae protrudes on one side. This condition of PRTRUSION OF INTERVERTEBRAL DISC (PIVD) is known as Slipped disc or slip disc in laymen language.

Why dose disc slip from its actual position?
Discs are held in an alignment between the vertebrae. These are not alone the bones, which held the things together. Muscles surround the bones and ligaments are similarly responsible for holding these in their actual, desired location. These all together- bones, muscles, and ligaments decide the curvature of the spine and this curvature is the most important factor to decide the location of the intervertebral discs.
In most of the cases we have CURED we found that there were two common factors-

Stiffness of the muscles of the back
Loss of normal curvature of the spinal column
We just adjusted these two with the help of Ayurveda-Yoga and Panchakarma and this only ensures us with 95% results at our facilities. Reason is very clear that- WE DO REMOVE THE ROOT CAUSE! We follow the notion of Ayurveda which tells us- “Sanksheptah Kriyayogo Nidan Parivarjanam” which means- remove the causative factors and this is the basic and exact form of treatment. If you wish to discuss about any specific problem, you can consult an Ayurveda.

5804 people found this helpful

Sciatica - How Physical Therapy Can Reduce Pain?

Dr.Krishan Mohan 90% (345ratings)
Bachelor Of Physiotherapy
Physiotherapist, Noida
Sciatica - How Physical Therapy Can Reduce Pain?

Sciatica is a very common neuropathic pain that is caused by damage to the sciatic nerve, a large nerve that runs from the lower back region down the end of each leg. It is the largest single nerve in the body.
This condition affects around 4 out of 10 people at some point of their lives. The nature of the pain varies from a mild ache to a sharp stinging sensation and may cause feelings of numbness and extreme weakness.

Causes of Sciatica
The causes for the onset of Sciatica are numerous. Some of them are as follows:

  • Slipped lumbar disc
  • Muscle inflammation
  • Internal bleeding
  • Pregnancy
  • Obesity
  • Awkward sleeping position
  • Uncomfortable footwear
  • Spinal injury

How can physical therapy help?
There are many ways of treating Sciatica, such as medication, acupuncture and surgery, which can provide relief. The most common and easy treatment method however is physical therapy. A progressive and controlled exercise routine that is specifically tailored to the nature of the condition in consultation with a physical therapist acts as an effective remedy in treating the problem. It alleviates pain and also eliminates the chances of relapse.

Physical therapy exercises used to treat Sciatica are of many types. They are a combination of core strengthening, muscular stretching and aerobic conditioning routines, which aim at correcting the root of the problem.

The different types of exercises employed to treat Sciatica include the following:

  1. Strengthening exercises: These aim at strengthening the spinal column and the pelvic region, which includes the hips and buttocks. They help in making the muscles and ligaments in this region more robust and allow for improved flexibility and support.Lunges and squats are some of the examples.
  2. Stretching exercises: These provide pain relief through improved agility and flexibility. The most important aspect of these routines is stretching and exercising the hamstring. Hamstring, stretches, calf stretches and tricep stretches are a part of stretching exercises.
  3. Aerobic conditioning: These are cardiovascular exercises of low intensity, which provide pain relief through the release of endorphins and the facilitation of fluid and nutrient exchange. Examples of these are swimming and brisk walking.
4743 people found this helpful
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