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Spine Injury Tips

Lower Back Pain - Can Physiotherapy Help Control It?

Dr. Rajesh Pal 86% (55 ratings)
BPTH/BPT, MPTH/MPT-Orthopedic Physiotherapy, Post Graduate Diploma In Ergonomics (PGDHSC - Ergonomics)
Physiotherapist, Gurgaon
Lower Back Pain - Can Physiotherapy Help Control It?

Low back pain is one of the most common medical problems and occurs due to injury associated with the nerves, bones, and muscles of the back. The pain can vary from a sharp shooting pain that happens at various intervals to a gnawing pain that can last for weeks on end. While the former can go away with some muscle relaxant, the latter may need a combination of medications and exercise.

Common reasons include improper sleeping posture, lifting, fracture, lack of exercise, disk injuries, arthritis, and many more. Most of these instances would lead to medium to long term pain that will not subside on its own. Physiotherapy has been proven to provide very good relief and render it pain-free.

The aim of physiotherapy is 3-fold - reduce pain, improve movement, and maintain the spinal function in the long run. Most often, the therapy sessions would last for about 4 weeks when the regular course of medications have not helped much.

The nerves, muscles, bones, and disks of the low back are supported by the abdominal muscles and the back muscles. The intent of the exercise is to strengthen these two sets of muscles so that the spine/low back per se is not very susceptible to injury.  The exercises would be a combination of stretching followed by strengthening and conditioning, all aimed at these two sets of muscles.

Some common exercises include bottom to heels stretch, knee rolls, back extensions, deep abdominal strengthening, and pelvic tilts.

In addition to being used a sole means of treatment, physiotherapy also is used in back pain to treat severe cases both pre and post surgically. What is corrected by surgery needs to be enhanced by the regular exercises as prescribed by the doctor.

One disclaimer that a doctor might want to give is that the physiotherapy may not be beneficial if exercises are not done properly or if the patients don't adhere to the scheduled prescription. The long-term success depends not just on getting the relief but on following the maintenance exercises that are prescribed. This is more important and helps avoid relapse of the back pain.  A good posture and improved core stability with ongoing exercises is the key to success of physiotherapy in low back pain. 

While most people consider low back pain as a chronic condition, it can be managed effectively. It is important to realize that there is no overnight cure and that it may not get better on its own. Physiotherapy is a very good intervention; however, it will depend on the severity of pain and how it affects the patient's lifestyle. 

3 people found this helpful

Benefits of Minimally Invasive Spine Surgery!

Dr. Akhlaq Ahmed 85% (10 ratings)
Diploma in Orthopaedics, MBBS
Orthopedist, Gurgaon
Benefits of Minimally Invasive Spine Surgery!

The spine plays a very crucial role, both from a person’s movement and sensation point of view. It carries the nervous supply for a lot of internal organs and the lower body. By virtue of its structure, it also helps in movement through the disks. Due to various reasons, spinal injury is common, causing pain along the back, lower extremities, neck etc.

Medicines and exercise are the first line of treatment for most spinal injuries. The issue, however, is that these only provide relief from the pain and the medicines, but do not actually ‘rectify’ the underlying problem. Whether it is a herniated disk or a pinched nerve, the medicines and exercise can relieve the symptoms, but the disk continues to be herniated and the nerve continues to be pinched. Definite treatment is in the form of surgery, and with recent advancements in the field of spinal surgery, there are minimally invasive surgical options, which provide complete cure with minimal recovery time. Some of the benefits of this are listed below-

  1. Smaller incision compared to traditional surgical procedures, where only the injured area is accessed

  2. The surrounding tissues are untouched, unless they are injured and require repair

  3. Lesser bleeding compared to earlier techniques

  4. Lesser painful procedure

  5. Reduced hospitalization period

  6. Quicker recovery and return to normal activities

The question, however, is whether this is indicated in everybody. A detailed discussion with your surgeon keeping the below points in mind will help identify the answer for this. The main driver should be the answer to the question – will the surgery be able to effectively relieve you of the pain and symptoms? Additionally, the following factors help in getting better results out of a minimally invasive spinal surgery.

  1. Presence of symptoms relating to nerve compression, including pain from the spine down the leg.

  2. Recent onset of symptoms, with pain starting days to months before seeing the doctor. This indicates the condition is relatively new and so damage is minimal, indicating favorable outcome. Chronic pain conditions take slightly longer time compared to recent injuries.

  3. People with active lifestyle who engage in regular physical exercise are likely to have better benefits from the minimally invasive procedure.

  4. Smoking reduces blood flow to the spine, leading to disk degeneration and weakening of bones. Healing is highly slowed down and recovery is overall delayed.

  5. Excessive weight puts strain on the back, and so healing can be delayed or badly affected with more complications. It is not a contraindication, but be prepared for a longer recovery period.

Talk to your doctor keeping these points in mind, and you can bid farewell to your back pain forever. If you wish to discuss about any specific problem, you can consult an Orthopedist.

3420 people found this helpful

Spinal Cord Injury: Know How To Prevent It!

Dr. Satyajit Das 88% (70 ratings)
DNB NEUROSURGERY, M.B.B.S.
Neurosurgeon, Durgapur
Spinal Cord Injury: Know How To Prevent It!

The spinal cord is like a cable consisting of millions of nerves that transmit messages in the form of electrochemical signals from the brain to the rest of the body, and also sensations from the body back to the brain. We are able to perceive pain and move our limbs because of messages sent through the spinal cord. 

The spinal cord is soft and vulnerable to injury. It is protected by the bony structure of the vertebral column. A spinal cord injury can happen if there is a fracture of the spine. Sometimes, even if the vertebral column is intact, violent shaking can cause cord contusions. It’s an extremely serious type of injury that is likely to have a lasting and significant impact on most aspects of daily life. 

If the spinal cord sustains an injury, some or all of these impulses may get blocked. The result is a loss of sensation and mobility below the level of injury. A spinal cord injury closer to the neck will typically cause paralysis throughout the body, while one in the lower back may affect the legs but spare the hands. 

Causes: 

A spinal cord injury is often the result of violent trauma. Events like spontaneous hemorrhage, infection, tumors or autoimmune diseases can also cause spinal cord damage. Some causes of traumatic injury to the spinal cord are : 

  • trauma during a car accident (specifically, trauma to the face, head and neck region, back, or chest area) 
  • falling from a significant height 
  • head or spinal injuries during sporting events 
  • electrical accidents 
  • a violent attack such as a stabbing or a gunshot 
  • Diving head first into water that’s too shallow and hitting the bottom

Symptoms-

Some symptoms of a spinal cord injury include: 

  • Neck or back pain 
  • Pain radiating along limbs, or numbness/ pins and needles sensation along the arms or legs. 
  • Weakness of particular muscle groups in focal injury, to complete paralysis in severe injury. 
  • Clumsiness during finer actions using the hands. 
  • Unsteadiness or loss of balance while walking. 
  • Loss of control of the bladder or bowels You must take immediate precautions 

If there is the slightest suspicion that someone has a back or neck injury: 

  • Call 911 or your local emergency medical assistance number 
  • Do not move the injured person – permanent paralysis and other serious complications may result. 
  • Place heavy towels on both sides of the neck or hold the head and neck to prevent them from moving until emergency care arrives •    Provide basic first aid, such as stopping any bleeding and making the person comfortable, without moving the head or neck 
  • If movement is absolutely necessary, arrange a cervical collar, then log-roll onto a stiff spine board or flat surface, taking care that all parts of the body move together and that any relative movement between one part of the spine to the next is avoided. 

Prevention- 
Because spinal cord injuries are often due to unpredictable events, the best you can do is reduce your risk. Some risk-reducing measures include: 

  • always wearing a seatbelt while in a car 
  • wearing proper protective gear while playing sports 
  • never diving into water unless you’ve examined it first to make sure it’s deep enough and free of rocks 
  • increase protective measures to avoid falls from height 

Treatment: 
Seek the opinion of a Neurosurgeon or an Orthopedic spine surgeon as soon as possible. X-rays, CT scan or MRI scans may be advised for assessing bony or soft tissue injuries of spine. Minor injuries require only immobilization and rest. Severe injuries, however, may require steroid injections and surgical intervention. Time is of essence, and an early surgery in certain situations may save a limb that would otherwise be paralyzed for life.

3185 people found this helpful

Spinal Cord Injury - Common Factors That Can Lead To It!

Dr. Savitr Sastri 87% (73 ratings)
MS - General Surgery, MBBS, MCh - Neuro Surgery
Neurosurgeon, Hyderabad
Spinal Cord Injury - Common Factors That Can Lead To It!

A spinal cord injury is a damage to the spinal cord. It’s an extremely serious type of physical trauma that’s likely to have a lasting and significant impact on most aspects of daily life.

The spinal cord is responsible for sending messages from the brain to all parts of the body. It also sends messages from the body to the brain. We are able to perceive pain and move our limbs because of messages sent through the spinal cord.

If the spinal cord sustains an injury, some or all of these impulses may not be able to ‘get through’. The result is a complete or total loss of sensation and mobility below the injury. A spinal cord injury closer to the neck will typically cause paralysis throughout a larger part of the body than one in the lower back area.

Causes

A spinal cord injury is often the result of an unpredictable accident or violent event. The following can all result in damage to the spinal cord:

  • a violent attack such as a stabbing or a gunshot
  • diving into water that’s too shallow and hitting the bottom
  • trauma during a car accident (specifically, trauma to the face, head and neck region, back, or chest area)
  • falling from a significant height
  • head or spinal injuries during sporting events
  • electrical accidents
  • severe twisting of the middle portion of the torso

Symptoms

Some symptoms of a spinal cord injury include:

  1. problems walking
  2. loss of control of the bladder or bowels
  3. inability to move the arms or legs
  4. feelings of spreading numbness or tingling in the extremities
  5. unconsciousness
  6. headache
  7. pain, pressure, stiffness in the back or neck area
  8. signs of shock
  9. unnatural positioning of the head

If you suspect that someone has a back or neck injury:

  • Don’t move the injured person – permanent paralysis and other serious complications may result
  • Call 911 or your local emergency medical assistance number
  • Keep the person still
  • Place heavy towels on both sides of the neck or hold the head and neck to prevent them from moving until emergency care arrives
  • Provide basic first aid, such as stopping any bleeding and making the person comfortable, without moving the head or neck

Prevention

Because spinal cord injuries are often due to unpredictable events, the best you can do is reduce your risk.

 Some risk-reducing measures include:

  1. always wearing a seatbelt while in a car
  2. wearing proper protective gear while playing sports
  3. never diving into water unless you’ve examined it first to make sure it’s deep enough and free of rocks. If you wish to discuss about any specific problem, you can consult a Neurosurgeon.
2651 people found this helpful

Spinal Cord Injury - Physical Therapy Treatments For It!

Dr. Mohd Alim 90% (1095 ratings)
M.P.T. (Neuro), BPTh/BPT
Physiotherapist, Lucknow
Spinal Cord Injury - Physical Therapy Treatments For It!

A spinal cord injury is damage to the spinal cord. It’s an extremely serious type of physical trauma that’s likely to have a lasting and significant impact on most aspects of daily life.

The spinal cord is responsible for sending messages from the brain to all parts of the body. It also sends messages from the body to the brain. We are able to perceive pain and move our limbs because of messages sent through the spinal cord.

If the spinal cord sustains an injury, some or all of these impulses may not be able to ‘get through’. The result is a complete or total loss of sensation and mobility below the injury. A spinal cord injury closer to the neck will typically cause paralysis throughout a larger part of the body than one in the lower back area.

Causes-

A spinal cord injury is often the result of an unpredictable accident or violent event. The following can all result in damage to the spinal cord:

  • a violent attack such as a stabbing or a gunshot
  • diving into water that’s too shallow and hitting the bottom
  • trauma during a car accident (specifically trauma to the face, head and neck region, back, or chest area)
  • falling from a significant height
  • head or spinal injuries during sporting events
  • electrical accidents
  • severe twisting of the middle portion of the torso

Symptoms -

Some symptoms of a spinal cord injury include:

  1. problems walking
  2. loss of control of the bladder or bowels
  3. inability to move the arms or legs
  4. feelings of spreading numbness or tingling in the extremities
  5. unconsciousness
  6. headache
  7. pain, pressure, stiffness in the back or neck area
  8. signs of shock
  9. unnatural positioning of the head

If you suspect that someone has a back or neck injury:

  • Don’t move the injured person – permanent paralysis and other serious complications may result
  • Call 911 or your local emergency medical assistance number
  • Keep the person still
  • Place heavy towels on both sides of the neck or hold the head and neck to prevent them from moving until emergency care arrives
  • Provide basic first aid, such as stopping any bleeding and making the person comfortable, without moving the head or neck

Treatment

Treatment should be focused upon that individual and tailored specifically to their condition. A treatment programme is formulated following a thorough physical assessment which might include:

  1. Stretching activities to maintain muscle and tendon length and reduce or keep muscle spasms/spasticity to a minimum.
  2. Flexibility and strengthening exercises for the whole body.
  3. Breathing exercises to maximise lung function and prevent chest infection.
  4. Balance and posture exercises which can help to reduce pain associated with poor posture and balance impairment and ensure correct transfer techniques (in/out of wheelchair, bed, toilet/bath, car etc.)
  5. Functional activities to improve fundamental movement patterns such as rolling over and sitting up, and standing where appropriate.
  6. Walking re-education, if there is sufficient muscle activity and power in the legs.

Your physiotherapist might also be able to advise an individual on use of appropriate equipment such as wheel-chairs and pressure releasing cushions, exercise equipment and electrical muscle stimulators.

Prevention

Because spinal cord injuries are often due to unpredictable events, the best you can do is reduce your risk.

 Some risk-reducing measures include:

  1. Always wearing a seatbelt while in a car
  2. Wearing proper protective gear while playing sports
  3. Never diving into water unless you’ve examined it first to make sure it’s deep enough and free of rocks

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

3280 people found this helpful

Spinal Cord Injuries

Dr. Gaurav Tyagi 92% (134 ratings)
BPT, MPT- Ortho
Physiotherapist, Delhi
Play video

Hello, I am Dr Gaurav. I am senior Physiotherapist and HOD in Anaath Clinic. I have worked in different multi speciality Hospitals and and clinic before. I have around 10 years of experience. I this time, I have seen many kinds of cases. Today, I will discuss Spinal cord injury.

In Spinal cord Injury, patients generally do not go to Physiotherapist for a longer duration or they just go for few days in the starting injury phase. At that time they are not able to walk or depending upon their level of injury and everything. They might not able to take care of themselves also. But here we try to make them independent as much as they can to help them move their body accordingly. We try to make them stand. We try to focus on their sitting and their walking also. So, it will be more of the confidence increasing for those kinds of patients.

We generally prescribe patients to do movements and increase their strength and motivations. In this condition, if they do not move, there might be different kinds of serious problems like bed su, the stiffness of the joints which will again lead to major issues which will hinder their improvement and progress. So, we prescribe our patients to move as much as they can to help them and gain their mobility soon.

In our clinic, we are just not focusing to maintain the range of motion in their body. We focus to make them motivated, to help gain them the confidence so that they will be able to do their own work.

For any query or treatment, you can contact me through Lybrate.

Spine Injuries

Dr. Gaurav Tyagi 92% (134 ratings)
BPT, MPT- Ortho
Physiotherapist, Delhi
Play video

Hi, I am Dr Gaurav Tyagi. I am HOD of Physiotherapy in Anath Multispeciality Clinic, Phase-3, Gurgaon.

Today I am going to discuss the major things which nowadays every person is experiencing in their life. Because of the busy schedule, the work culture, the diet and the environment, everyone is facing issues of the spine injuries. It might be their neck pain, or it might be their back pain or anything regarding this.

But it happens mainly because of their body posture. Bad posture leads to weakness of the muscle and that lead to pain and dysfunction of the joints which will hinder their movement, give irritation, pain, inflammation or inability to move their body or to perform certain activities.

Here, we focus on maintaining and gaining the strength of the muscle so that the weakened muscle can be improved and help gain their mobility and to help do the routine work easily. For that, we have different techniques, different exercises and some kind of modality also. But e generally do it, manually. The modality does not go for long, it will help the muscle to get stronger and is better for a longer duration.

For any query, you can contact me through Lybrate.

Muscular and Spinal Problems

Dr. Ayur Marma 87% (229 ratings)
Ayurveda Clinic
Ayurveda, Navi Mumbai
Play video

Ayurvedic Treatment for Muscular and Spinal Problems

3124 people found this helpful

Spine Health - 8 Everyday Activities That Are Actually Harming It!

Dr. Rajesh Jain 94% (12465 ratings)
MBBS
General Physician, Jalgaon
Spine Health - 8 Everyday Activities That Are Actually Harming It!

With changing lifestyles, the small household chores have become the workouts for most of us. When not done properly, however, these cause more harm than good. The spine often bears the brunt of this damage. Read on to know if you are damaging your spine on a daily basis. If yes, time to change the way you do these activities.

  1. Carrying shopping bags: While two bags might look more expensive, carrying one bag tilts the weight to one side and causes the spine to bend. Instead, opt for two small bags, and this weight distribution is friendly on the spine.
  2. Cleaning the floor: Either sit down completely or stand and use a mop. Never bend down and try to clean the floor with a cloth. The spine posture created during this is very unhealthy and puts pressure on the spine.
  3. Tying up shoe laces: While it is difficult to sit down and tie the shoe laces, it is definitely worth the effort. Bending down and tying is harmful to the spine posture, and when repeatedly done, can be damaging in the long run.
  4. Washing vessels: Bending and washing vessels is a strict no-no. It puts too much pressure on the back and the disk wears out faster. Try standing and keep a stool at knee level, on which you can rest the knee. Take turns to do this on the right and left knee.
  5. At the washbasin: Bending down to brush the teeth or wash face is bad on the spine. Over a long period, this can put lot of strain on the spine. Try to rest your hand on the wall or the sink and see the pressure on the spine reduce.
  6. Office/school bags: It is very easy to sling a bag onto the shoulder and go on. The bag could contain books of a school kid or laptop of an office goer, whatever may be the situation, this puts uneven pressure on the back and can cause shoulder and spine issues. Always try to put the bag on both your shoulders. This distributes the weight and makes it easy on your shoulders and spine. Especially for people who are going to do some walking with the bag, it is definitely not advisable to carry it on one side.
  7. Sitting: For those who end up sitting for long hours, there is too much stress on the back and so support is advisable. Take short breaks and avoid sitting for more than an hour at a stretch.
  8. Bad mattress: While a soft mattress is very inviting, it does not support the spine and does not leave you fresh in the morning. Choose a mattress that supports the spine and see the difference. If you wish to discuss about any specific problem, you can consult a General Physician.
9974 people found this helpful

Spinal Cord Injury: Know Its Causes & Symptoms!

Dr. Parimal Tripathi 85% (113 ratings)
FRCS - Neurosurgery(UK), M.Ch - Neuro Surgery, MS - General Surgery, MBBS
Neurosurgeon, Ahmedabad
Spinal Cord Injury: Know Its Causes & Symptoms!

A spinal cord injury is a damage to the spinal cord. It’s an extremely serious type of physical trauma that’s likely to have a lasting and significant impact on most aspects of daily life.

The spinal cord is responsible for sending messages from the brain to all parts of the body. It also sends messages from the body to the brain. We are able to perceive pain and move our limbs because of messages sent through the spinal cord.

If the spinal cord sustains an injury, some or all of these impulses may not be able to ‘get through’. The result is a complete or total loss of sensation and mobility below the injury. A spinal cord injury closer to the neck will typically cause paralysis throughout a larger part of the body than one in the lower back area.

Causes-

A spinal cord injury is often the result of an unpredictable accident or violent event. The following can all result in damage to the spinal cord:

  • a violent attack such as a stabbing or a gunshot
  • diving into water that’s too shallow and hitting the bottom
  • trauma during a car accident (specifically, trauma to the face, head and neck region, back, or chest area)
  • falling from a significant height
  • electrical accidents
  • severe twisting of the middle portion of the torso

Symptoms-

Some symptoms of a spinal cord injury include:

  1. Problem in walking
  2. Loss of control of the bladder or bowels
  3. Inability to move the arms or legs
  4. Feelings of spreading numbness or tingling in the extremities
  5. Unconsciousness
  6. Pain, pressure, stiffness in the back or neck area
  7. Signs of shock
  8. Unnatural positioning of the head

If you suspect that someone has a back or neck injury:

  • Don’t move the injured person – permanent paralysis and other serious complications may result
  • Keep the person still
  • Place heavy towels on both sides of the neck or hold the head and neck to prevent them from moving until emergency care arrives
  • Provide basic first aid, such as stopping any bleeding and making the person comfortable, without moving the head or neck

Prevention-

Because spinal cord injuries are often due to unpredictable events, the best you can do is reduce your risk.

 Some risk-reducing measures include:

  1. always wearing a seatbelt while in a car
  2. wearing proper protective gear while playing sports
  3. never diving into water unless you’ve examined it first to make sure it’s deep enough and free of rocks. Consult an Expert & get answers to your questions!
1726 people found this helpful