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Overview

Spondylitis - Symptom, Treatment And Causes

Arthritis of the spine is called Spondylitis. Pain and stiffness that starts from the neck and continues up to the lower back is called spondylitis. It may also result in deformity of the spine leading to a stooped posture. Spondylitis is a condition that is debilitating and prevents one from performing the normal day to day activities.

Spondylitis affects a number of people irrespective of age or gender. Besides the pain, stiffness, bony growths on the spine, pain in ligament and tendons, a person may suffer from other conditions like fatigue, fever, loss of appetite, redness of eyes.

Complications that arise out of spondylitis include uvetis, compression fractures and heart problems. Uvetis is a condition where there is eye pain due to spondylitis, along with decreased vision, blurring, redness and light sensitivity. Compression fractures happen in the vertebrae and they crumble causing difficulty breathing. Heart problems are caused due to spondylitis affecting the aorta or the largest artery in the body and this can affect the aortic valve in the heart.

The cause of spondylitis has not yet been discovered. Yet there is a strong genetic link with the gene HLA – B27. People who have defect in this gene suffer from spondylitis. However, people without any malfunction in the gene also suffer from this condition.

Persons who are suffering from spondylitis can visit an orthopaedic for relief from this condition. Doctors will perform various tests to diagnose the condition. Some of the tests conducted are lab tests, measurement of chest, x-ray of chest and physical examination.

Treatment for spondylitis does not exist, it can only be managed. Patients are prescribed medicines to relieve the pain in the joints and the spine. They are also provided treatment to avoid deformity of the spine, stiffness, and maintain the ability to do day to day activities.

Physical and occupational therapy is provided to patients in the early stages of spondylitis. Exercise is also recommended for patients to remove the stiffness and strengthen the muscles. Swimming is the best form of exercise for spondylitis patients.

In advanced stages surgery is the only option. People who have spondylitis can be treated with knee or hip replacement surgery. These surgeries provide permanent relief to spondylitis patients.

Spondylitis is a disabling condition that needs advanced treatment and medications. Proper diagnosis is necessary to identify the condition and provide relief to the patient as he suffers from pain day in and day out.

Can't be cured Usually self diagnosable Lab test not required Chronic: can last for years or be lifelong Non communicable
Symptoms
Pain in the affected areas Muscle spasms

Popular Health Tips

Ankylosing Spondylitis - What Are The Causes?

Dr. Bharat Singh 84% (10 ratings)
MBBS, MD-Medicine, DM - Clinical Immunology
Rheumatologist, Jaipur
Ankylosing Spondylitis - What Are The Causes?
The human spine has 33 vertebrae. However, some conditions can fuse these vertebrae. Ankylosing Spondylitis is one such condition. This disease may also be known as AS or Bechterew's disease. It is an inflammatory disease that can make the spine less flexible by fusing the vertebrae of the lower back together. In some cases, it can also affect the rib cage and make it difficult to breathe. This disease typically affects more men as compared to women. Most patients begin showing symptoms in early adulthood. Ankylosing Spondylitis affects the sacroiliac joints. These joints are located just above the tailbone. It causes inflammation of the spinal bones that in turn cause pain and stiffness. With time, this inflammation spreads to the entire spine and the vertebrae begin fusing together. This can make movement difficult and painful. In severe cases, it can also lead to the development of a hunchback. This disease also affects the other tissues of the body. For example, it can affect other joints and aggravate arthritis or affect organs such as the kidney, heart, lungs, and eyes. A specific cause has not yet been identified for Ankylosing Spondylitis. However, studies show that genetic factors can be a trigger. In particular, the presence of the HLA-B27 gene increases a person s risk of developing symptoms pertaining to this condition. However, it is important to note that merely the presence of this gene does not make Ankylosing Spondylitis inevitable. Other genes that are associated with this disease are ARTS1 and IL23R. These genes influence the functioning of the immune system. While it can affect people of all ages, adults are at a higher risk of suffering from this condition. In many cases, the initial inflammation of the spine is due to a bacterial infection of microbial infection. Though the infection itself may be treated and cured, it may cause the immune system to react and trigger inflammation. Once activated, if the immune system cannot be turned off, this inflammation will continue and can trigger Ankylosing Spondylitis. In each case, the disease presents a unique pattern of progression. There is presently no cure for this condition, but with an early diagnosis and treatment, the symptoms can be managed and progression can be slowed. This treatment usually takes the form of medication to relieve pain, inflammation and discomfort and physical therapy. Surgery cannot be used to treat Ankylosing Spondylitis but in cases where it has caused severe joint damage, surgery may be advised to replace the damaged joint.
3521 people found this helpful

Non-Surgical Treatments for Ankylosing Spondylitis!

Dr. Gautam Das 92% (1059 ratings)
MD, FIPP
Pain Management Specialist, Kolkata
Non-Surgical Treatments for Ankylosing Spondylitis!
Spondylitis includes swelling of the vertebra. It happens because of wear and tear of the ligament and bones found in your cervical spine, which is in your neck. While it is to a great extent because of age, it can be brought on by other reasons too. Side effects incorporate pain and stiffness starting from the neck to the lower back. The spine's bones (vertebrae) get fused, bringing about an unbending spine. These changes might be mellow or extreme, and may prompt a stooped-over posture. Some of the non-surgical methods to treat spondylitis are as follows- Exercise based recovery/physiotherapy: Your specialist may send you to a physiotherapist for treatment. Non-intrusive treatment helps you extend your neck and shoulder muscles. This makes them more grounded and at last, relieves pain. You may neck traction, which includes using weights to build the space between the cervical joints and decreasing pressure on the cervical disc and nerve roots. Medications: Your specialist may prescribe you certain medicines if over-the-counter medications do not work. These include: Muscle relaxants, for example, cyclobenzaprine, to treat muscle fits Opiates, for example, hydrocodone, for pain relief Epileptic medications, for example, gabapentin, to ease pain created by nerve damage Steroid infusions, for example, prednisone, to decrease tissue irritation and diminish pain Home treatment: In case your condition is less severe, you can attempt a couple of things at home to treat it: Take an over-the-counter pain reliever, for example, acetaminophen or a calming medication, for example, Advil or Aleve. Use a warming cushion or an ice pack on your neck to give pain alleviation to sore muscles. Exercise routinely to help you recover quickly. Wear a delicate neck prop or neckline to get transitory help. In any case, you shouldn't wear a neck brace for temporary pain relief. Acupuncture: Acupuncture is a highly effective treatment used to mitigate back and neck pain. Little needles, about the extent of a human hair, are embedded into particular points on the back. Every needle might be whirled electrically or warmed to improve the impact of the treatment. Acupuncture works by prompting the body to deliver chemicals that decrease pain. Bed Rest: Severe instances of spondylitis may require bed rest for close to 1-3 days. Long-term bed rest is avoided as it puts the patient at danger for profound vein thrombosis (DVT, blood clots in the legs). Support/brace use: Temporary bracing (1 week) may help get rid of the symptoms, however, long-term use is not encouraged. Supports worn for a long time weaken the spinal muscles and can increase pain if not continually worn. Exercise based recovery is more beneficial as it reinforces the muscles. Lifestyle: Losing weight and eating nutritious food with consistent workouts can help. Quitting smoking is essential healthy habits to help the spine function properly at any age.
5376 people found this helpful

Spondylitis In Hindi - जाने क्या है स्पोंडिलोसिस की बीमारी

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri
Spondylitis In Hindi - जाने क्या है स्पोंडिलोसिस की बीमारी
हमारी मॉडर्न लाइफस्टाइल में कुछ बीमारियां ऐसी हैं जो लंबे समय तक हमारा साथ नही छोड़ती। जिनमें से एक है स्पोंडिलोसिस की बीमारी। स्पोंडिलोसिस को हम स्पॉन्डिलाइटिस के नाम से भी जानते है।स्पोंडिलोसिस दो यूनानी शब्द स्पॉन्डिल तथा आइटिस से मिलकर बना है। स्पॉन्डिल का अर्थ है वर्टिब्रा तथा आइटिस का अर्थ सूजन होता है इसका मतलब वर्टिब्रा यानी रीढ़ की हड्डी में सूजन की शिकायत को ही स्पॉन्डिलाइटिस कहा जाता है। इसमें पीड़ित को गर्दन को दाएं- बाएं और ऊपर-नीचे करने में काफी दर्द होता है। स्पोंडिलोसिस की समस्या आम तौर पे स्पाइन यानी रीढ़ की हड्डी को प्रभावित करती है। स्पोंडिलोसिस रीढ़ की हड्डियों की असामान्य बढ़ोत्तरी और वर्टेबट के बीच के कुशन में कैल्शियम की कमी और अपने स्थान से सरकने की वजह से होता है। आमतौर पर इसके शिकार 40 की उम्र पार कर चुके पुरुष और महिलाएं होती हैं। आज की जीवनशैली में बदलाव के कारण युवावस्था में ही लोग स्पॉन्डिलाइटिस जैसी समस्याओं के शिकार हो रहे हैं। विशेषज्ञों का मानना है कि इस समस्या का सबसे प्रमुख कारण गलत पॉश्चर है, जिससे मांसपेशियों पर दबाव पड़ता है। इसके अलावा शरीर में कैल्शियम की कमी दूसरा महत्वपूर्ण कारण है। एक दशक पहले के आंकड़ों से तुलना करें तो इस बीमारी के मरीजों की संख्या तीन गुनी बढ़ी है। वे युवा ज्यादा परेशान मिलते हैं, जो आईटी इंडस्ट्री या बीपीओ में काम करते हैं या जो लोग कम्प्यूटर के सामने अधिक समय बिताते हैं। अनुमानतः हमारे देश का हर सातवाँ व्यक्ति गर्दन और पीठ दर्द या जोड़ों के दर्द से परेशान लोग मिल जाते हैं। स्पोंडिलोसिस के प्रकार शरीर के विभिन्न भागों को प्रभावित करने के आधार पर स्पोंडिलोसिस तीन प्रकार का होता है 1. सर्वाइकल स्पोंडिलोसिस गर्दन में दर्द, जो सर्वाइकल को प्रभावित करता है वह सर्वाइकल स्पोंडिलोसिस कहलाता है। यह दर्द गर्दन के निचले हिस्से, दोनों कंधों, कॉलर बोन और कंधों के जोड़ तक पहुंच जाता है। इससे गर्दन घुमाने में परेशानी होती है और कमजोर मांसपेशियों के कारण बांहों को हिलाना भी कठिन होता है। 2. लम्बर स्पोंडिलोसिस इसमें स्पाइन के कमर के निचले हिस्से में दर्द होता है। 3. एंकायलूजिंग स्पोंडिलोसिस यह बीमारी जोड़ों को विशेष रूप से प्रभावित करती है। रीढ़ की हड्डी के अलावा कंधों और कूल्हों के जोड़ इससे प्रभावित होते हैं। एंकायलूजिंग स्पोंडिलोसिस होने पर स्पाइन, घुटने, एड़ियां, कूल्हे, कंधे, गर्दन और जबड़े कड़े हो जाते हैं। स्पोंडिलोसिस के सिम्पटम्स गर्दन या पीठ में दर्द और उनका कड़ा हो जाना है। यदि आपकी स्पाइनल कोर्ड दब गई है तो ब्लेडर या बाउल पर नियंत्रण खत्म हो सकता है। इस रोग का दर्द हाथ की उंगलियों से सिर तक हो सकता है। उंगलियां सुन्न होने लगती हैं। कंधे, कमर के निचले हिस्से और पैरों के ऊपरी हिस्से में कमजोरी और कड़ापन आ जाता है। कभी-कभी सीने में दर्द होने लगता है और मांसपेशियों में सूजन आ जाती है। स्पोंडिलिसिस का दर्द गर्दन से कंधों और वहां से होता हुआ हाथों, सिर के निचले हिस्से और पीठ के ऊपरी हिस्से तक पहुंच सकता है। छींकना, खांसना और गर्दन की दूसरी गतिविधियां इन लक्षणों को और गंभीर बना सकती हैं। शारीरिक संतुलन गड़बड़ा सकता है और समय बीतने के साथ दर्द का गंभीर हो जाता है। स्पोंडिलोसिस की समस्या होने पर यह सिर्फ जोड़ो तक ही सीमित नहीं रहती। समस्या गंभीर होने पर बुखार, थकान, उल्टी होना, चक्कर आना और भूख की कमी जैसे लक्षण भी दिखाई दे सकते हैं। स्पोंडिलोसिस होने की अहम वजह भोजन में पोषक तत्वों, कैल्शियम और विटामिन डी की कमी के कारण हड्डियों का कमजोर हो जाना हीस्पोंडिलोसिस होने का सबसे बड़ा कारण है। बैठने या खड़े रहने का गलत तरीका आपको स्पोंडिलोसिस की समस्या का सामना करवा सकता है। बढ़ती उम्र भी एक एहम कारण है स्पोंडिलोसिस होने का। मसालेदार, ठंडी या बासी चीजों को खाने से भी स्पोंडिलोसिस हो सकता है। आलस्य से भरी जीवनशैली आपको आगे चलके स्पोंडिलोसिस की परेशानी दे सकती है। लंबे समय तक ड्राइविंग करना भी खतरनाक साबित हो सकता है। महिलाओं में अनियमित पीरियड्स आना भी एक बड़ी वजह बन सकता है स्पोंडिलोसिस होने का। उम्र बढ़ने के साथ हड्डियों का क्षय होना भी एक कारण है ,अक्सर फ्रैक्चर के बाद भी हड्डियों में क्षय की स्थिति होने लगती है। स्पोंडिलोसिस से राहत पाने के आसान तरीके 1. सेंधा नमक सेंधा नमक में मैग्नीशियम की मात्रा ज्यादा होने से यह शरीर के पीएच स्तर को नियंत्रित करता है और गर्दन की अकड़ और कड़ेपन को कम करता है। 2. लहसुन आधे ग्लास पानी में दो चम्मच सेंधा नमक मिला कर पेस्ट बना लें और उसे गर्दन के प्रभावित क्षेत्र में लगाएं, या गुनगुने पानी में दो कप सेंधा नमक डाल कर रोजाना स्नान करें, इन दोनों ही तरीकों से काफी फायदा मिलेगा। 3. लहसुन सुबह खाली पेट पानी के साथ कच्चा लहसुन नियमित खाएं अथवा तेल में लहसुन को पका कर गर्दन में मालिश करें, इससे दर्द में काफी राहत मिलेगी। दरसल लहसुन में दर्द निवारक गुण होता है और यह सूजन को भी कम करता है। 4. हल्दी हल्दी असहनीय दर्द को खत्म करने में सबसे कारगर दवाई साबित हुई है। इतना ही नहीं यह मांसपेशियों के खिचांव को भी ठीक करता है। 5. तिल के बीज तिल के गर्म तेल से गर्दन की हल्की मालिश 5 से 10 मिनट तक करें, फिर वहां गर्म पानी की पट्टी डालें, या आप एक ग्लास गुनगुने दूध में एक चम्मच हल्दी डाल कर पीएं, दर्द से निजात मिलेगी और गर्दन की अकड़ भी कम होगी। तिल में कैल्शियम, मैग्नीशियम, मैगनीज, विटामिन के और डी काफी मात्रा में पाई जाती है जो हमारे हड्डी और मांसपेशियों के सेहत के लिए काफी जरुरी है। स्पांडलाइसिस के दर्द में भी तिल काफी कारगर है। आराम पाने के अन्य तरीके पौष्टिक भोजन खाएं, विशेषकर ऐसा भोजन जो कैल्शियम और विटामिन डी से भरपूर हो। चाय और कैफीन का सेवन कम करें। पैदल चलने की कोशिश करें। इससे बोन मास बढ़ता है और शारीरिक रूप से एक्टिव रहें। नियमित रूप से व्यायाम और योग करें। हमेशा आरामदायक बिस्तर पर सोएं। इस बात का ध्यान रखें कि बिस्तर न तो बहुत सख्त हो और न ही बहुत नर्म। स्पोंडिलोसिस से पीड़ित लोग गर्दन के नीचे या पैरो के नीचे तकिया रखने की आदत से बचें।

Non-surgical Treatment for Cervical Spondylosis - Tips!

Dr. Neeraj Jain 87% (10 ratings)
MBBS, MD, FIMSA, FIPP
Pain Management Specialist, Delhi
Non-surgical Treatment for Cervical Spondylosis - Tips!
Spondylitis includes swelling of the vertebra. It happens because of wear and tear of the ligament and bones found in your cervical spine, which is in your neck. While it is to a great extent because of age, it can be brought on by other reasons too. Side effects incorporate pain and stiffness starting from the neck to the lower back. The spine's bones (vertebrae) get fused, bringing about an unbending spine. These changes might be mellow or extreme, and may prompt a stooped-over posture. Some of the non-surgical methods to treat spondylitis are as follows- Exercise based recovery/physiotherapy: Your specialist may send you to a physiotherapist for treatment. Non-intrusive treatment helps you extend your neck and shoulder muscles. This makes them more grounded and at last, relieves pain. You may neck traction, which includes using weights to build the space between the cervical joints and decreasing pressure on the cervical disc and nerve roots. Medications: Your specialist may prescribe you certain medicines if over-the-counter medications do not work. These include: Muscle relaxants, for example, cyclobenzaprine, to treat muscle fits Opiates, for example, hydrocodone, for pain relief Epileptic medications, for example, gabapentin, to ease pain created by nerve damage Steroid infusions, for example, prednisone, to decrease tissue irritation and diminish pain Home treatment: In case your condition is less severe, you can attempt a couple of things at home to treat it: Take an over-the-counter pain reliever, for example, acetaminophen or a calming medication, for example, Advil or Aleve. Use a warming cushion or an ice pack on your neck to give pain alleviation to sore muscles. Exercise routinely to help you recover quickly. Wear a delicate neck prop or neckline to get transitory help. In any case, you shouldn't wear a neck brace for temporary pain relief. Acupuncture: Acupuncture is a highly effective treatment used to mitigate back and neck pain. Little needles, about the extent of a human hair, are embedded into particular points on the back. Every needle might be whirled electrically or warmed to improve the impact of the treatment. Acupuncture works by prompting the body to deliver chemicals that decrease pain. Bed Rest: Severe instances of spondylitis may require bed rest for close to 1-3 days. Long-term bed rest is avoided as it puts the patient at danger for profound vein thrombosis (DVT, blood clots in the legs). Support/brace use: Temporary bracing (1 week) may help get rid of the symptoms, however, long-term use is not encouraged. Supports worn for a long time weaken the spinal muscles and can increase pain if not continually worn. Exercise based recovery is more beneficial as it reinforces the muscles. Lifestyle: Losing weight and eating nutritious food with consistent workouts can help. Quitting smoking is essential healthy habits to help the spine function properly at any age. ONCE THE CONSERVATIVE TREATMENT FAILS: Early aggressive treatment plan of back & leg pain has to be implemented to prevent peripherally induced CNS changes that may intensify or prolong pain making it a complex pain syndrome. Only approx 5% of total LBP patients would need surgery & approx 20% of discal rupture or herniation with Neurologically impending damage like cauda equina syndrome would need surgery. Nonoperative treatment is sufficient in most of the patients, although patient selection is important even then. Depending upon the diagnosis one can perform & combine properly selected percutaneous fluoroscopic guided procedures with time spacing depending upon patient`s pathology & response to treatment. Using precision diagnostic & therapeutic blocks in chronic LBP , isolated facet joint pain in 40%, discogenic pain in 25% (95% in L4-5&L5-S1), segmental dural or nerve root pain in 14% & sacroiliac joint pain in 15% of the patients. This article describes successful interventions of these common causes of LBP after conservative treatment has failed. NEED FOR NON-SURGICAL OPTIONS: Outcome studies of lumber disc surgeries documents, a success rate between 49% to 95% and re-operation after lumber disc surgeries ranging from 4% to 15%, have been noted. In case of surgery, the chance of recurrence of pain is nearly 15%. In FBSS or failed back surgery the subsequent open surgeries are unlikely to succeed. Reasons for the failures of conventional surgeries are: Dural fibrosis Arachnoidal adhesions Muscles and fascial fibrosis Mechanical instability resulting from the partial removal of bony & ligamentous structures required for surgical exposure & decompression Presence of Neuropathy. Multifactorial aetiologies of back & leg pain, some left unaddressed surgically. EPIDURAL ADENOLYSIS OR PERCUTANEOUS DECOMPRESSIVE NEUROPLASTY is done for epidural fibrosis or adhesions in failed back surgery syndromes (FBSS). A catheter is inserted in epidural space via caudal/ interlaminar/ transforaminal approach. After epidurography testing volumetric irrigation with normal saline/ L.A./ hyalase/ steroids/ hypertonic saline in different combinations is then performed along with mechanical adenolysis with spring loaded or stellated catheters or under direct vision with EPIDUROSCOPE Sciatica gets complicated by PIVD with disco-radicular conflict causing radicular pain sometimes disabling. In this era of minimally invasive surgery lot many interventional techniques have evolved to address the disc pathology. We are still working for the ideal, safe & effective technique to tackle disco- radicular interphase. Here now we have devised a mechanical neuroplasty or foraminoplasty technique using an inflatable balloon tip catheter with guide wire via targeted transforaminal or interlaminar route aided by drugs instillation. Selected patients are procedured fluoroscopic guided with local anesthesia under prescribed sedation aseptically via preselected route depending upon location & type of PIVD causing root insult. First a suitable size needle is placed at desired site confirming with radiolucent dye through which hyaluronidase with saline or LA was injected. A flexible guide wire is passed at selected location & direction on which the inflatable balloon is threaded to the area of interest. Adhesiolysis is achieved mechanically with inflating balloon for 10 seconds at a time & location. We inflated the balloon with contrast agent to have visualization of adhesiolysis & opening up of adhesions or root route. Here the balloon pressure & time has to be kept in minimum to avoid neurological damage, for which we inflate balloon for 10 seconds at a time. Close observation is made to balloon shape, pressure & patient`s response. Once dilatation is done the drug mixture of steroid with LA & or hynidase/ hypertonic saline is instilled over nerve in epidural space. We have logically used same approach for our Balloon Neuroplasty & foraminoplasty as it is safe & targets exactly the area of disco-radicular interphase or conflict. We can manage to address both the exiting and traversing nerve roots with single entry just by manipulating our guide wire to the place of offence. The procedure can be done via transforaminal route at level or level above or below, especially via S1 foramen. Now we are employing this technique for fresh cases coupling with Intradiscal decompression aided by instant disc retrieval by epidural balloon inflation with good results. The IDD is done by Coblation/ Laser/ DeKompressor or RF Biacuplasty. There is scope of coupling this technique with endoscopic spine surgery. By adding Balloon Neuroplasty to the armamentarium of the interventional pain management many patients can be benefited & relieved of previously interventionally unmanageable disco-radicular pain including FBSS sufferers. INTRADISCAL PROCEDURES: PROVOCATIVE DISCOGRAPHY: coupled with CT A diagnostic procedure & prognostic indicator for surgical outcome is necessary in the evaluation of patients with suspected discogenic pain, its ability to reproduce pain(even with normal radiological finding), to determine type of disc herniation /tear, finding surgical options & in assessing previously operated spines. PERCUTANEOUS DISC DECOMPRESSION (PDD): After diagnosing the level of painful offending disc various percutaneous intradiscal procedures can be employed. OZONE-CHEMONEUCLEOPLASTY: Ozone Discectomy a least invasive safe & effective alternative to spine surgery is the treatment of choice for prolapsed disc (PIVD) done under local anaesthesia in a day care setting. This procedure is ideally suited for cervical & lumbar disc herniation with radiculopathy. Total cost of the procedure is much less than that of surgical discectomy. All these facts have made this procedure very popular at European countries. It is also gaining popularity in our country due to high success rate, less invasiveness, fewer chances of recurrences, remarkably fewer side effects meaning high safety profile, short hospital stay, no post operative discomfort or morbidity and low cost. If despite the ozone therapy the symptoms persist, Percutaneous intradiscal decompression can be done via Transforaminal route with Drill Discectomy/ Laser or Coblation Nucleoplasty/ Biacuplasty/ Disc-FX / Endoscopic Discectomy are good alternatives before opting for open surgerical Discectomy; which has to be contemplated in those true emergencies, as mentioned above as the first choice. In Biacuplasty radiofrequency energy is used in bipolar manner heating & shrinking the disc & making it harder as well for weight bearing. It also seals the annular defect & ablates annular nerves relieving back pain. In Laser or Coblation Nucleoplasty energy is used to evaporate the disc thereby debulking it to create space for disc to remodel itself assisted by exercises. DEKOMPRESSOR: A mechanical percutaneous nucleotome cuts & drills out the disc material somewhat like morcirator debulking the disc reducing nerve compression. A mechanical device cuts & drills out the disc material debulking the disc reducing nerve compression curing Sciatica & Brachialgia. It comes in needle size of 17G for lumbar discs & 19 G for cervical discs. In lumbar region postero-lateral approach is used & in cervical discs anterolateral approach is used. DISC-FX & ENDOSCOPIC DISCECTOMY: In this novel technique A wide bore needle is inserted & placed sub-annular in post disc just under the disc protrusion. Disc is then mechanically extracted with biopsy forceps to empty the annular defect. This painful & sensitive annular defect supplied be sinuvertebral nerve is thermo-ablated with radiofrequency which also seals the defect to prevent & decrease recurrences. Next Higher procedure, Endoscopic Discectomy is done with endoscope put through sheath inserted via posterolateral transforaminal or posterior interlaminar approach. Mostly done under local anaesthesia its fast becoming standard of care for disc protrusion & extrusions causing spinal canal stenosis with root or cord compression with leg pain. LASER DISCECTOMY done for closed bulging discs is an outpatient procedure with one-step insertion of a needle into the disc space. Disc material is not removed; instead, nucleus pulposus is debulked by evaporating it by the laser energy. Laser discectomy is minimally invasive, cost-effective, and free of postoperative pain syndromes, and it is starting to be more widely used at various centers. SELD: Epiduroscopic laser neural decompression is considered an effective treatment alternative for chronic refractory low back and/or lower extremity pain, including lumbar disc herniation, lumbar spinal stenosis, failed back surgery syndrome with morbid adhesion neuritis that cannot be alleviated with existing noninvasive conservative treatment. This Procedure is done under vision via an epiduroscope inserted via Caudal canal or Transforaminally employing front or side firing Laser fibers &/or fine instruments.
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Spondylitis - Homeopathic Treatment For It!

Dr. Kanan Khatau Chikhal 92% (85 ratings)
BHMS
Homeopath, Mumbai
Spondylitis - Homeopathic Treatment For It!
Spondylitis, or cervical spondylitis, is a common condition that affects a large section of the adult population. This most common disorder of the cervical spine is a degenerative condition. There are soft disks between the vertebral bones which shrink with age and gets stiff. This leads to formation of small bone spurs. This reduces the space available for the disk to move, causing nerve pinching. Causes: Ageing is the most common cause for spondylitis. Injury, incorrect sleeping posture, and heavy weight-lifting can also cause spondylitis. While earlier it was common in people who were 60-plus, with more people spending more time at their computers and workstations, the onset happens much earlier in 30s and sometimes even in 20s. Symptoms: Most symptoms related to spondylitis are centered on the neck and shoulder regions. There is pain and stiffness in the neck that can extend to the shoulders, nape of the neck, arms, and sometimes even the fingers. In rare cases, the pain can extend into the forehead and back of the head too. Associated symptoms include numbness, weakness, and a pricking sensation in the hands, arms, and sometimes fingers. Is Your Cell Phone Killing Your Back? Millions of people do it throughout the day and are totally unaware that cell phone use can be detrimental to the back. Did you know that cell phone use can double or triple the weight of your head and can strain your neck? If you are reading this article on a cell phone or tablet, you are probably doing it right now: Tilting your head forward and down in order to look at your device. Cell phones and tablets are changing the way we access information and entertainment. The use of these devices influences our posture and body mechanics in unhealthy ways that contribute to neck, upper back, shoulder, and arm pain. Furthermore, poor posture while sitting, standing, walking, or in a static position can lead to more than upper body pain and stiffness poor posture affects other parts of the spine, such as the middle and low back. However, modern life still requires you to check your phone or use your tablet many times a day. How do you do that and safeguard your neck? First, don t use your cell phone or your tablet for extended computer work. Use your desktop or laptop computer for extended work and make sure these devices are arranged ergonomically. When you use a cell phone, instead of bending your head to look down at it, raise your phone. When you are reading the screen, bring the phone up level or just a little below your face.
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Popular Questions & Answers

I am suffering from lumber spondylitis l5 s1 8 mm l4l510, 6 sever back pain now ok by taking medicine from 4 days rejunex cd3 and what else precautions to be taken, I am teacher I have to go for my work please help me.

Dr. Vishwas Virmani 91% (16039 ratings)
MPT, BPT
Physiotherapist, Noida
Postural Correction- Sit Tall, Walk Tall. • Extension Exercises x 15 times x twice daily - lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times. • Bhujang Asana -- Lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily. • Core Strengthening Exercises- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day.
1 person found this helpful

I am 66 years male. I have lumbar spondylitis and gtg sciatica pain. Now the feet also gets numbness and pain. My sugar level and BP is under control. When the lower back pain comes down, numbness also comes down. Shd I start any medication or yoga?

Dr. Julie Mercy J David Raja 90% (3321 ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
If you have low back pain and sciatica you can undergo intermittent pelvic traction where in your half of your body weight will be added in the electronic traction so that that would help you to reduce the pain, along with Interferential therapy stimulations which would help you to get relieved from the radiating pain. Apply ice for the pain to get subsided immediately. If you cannot go immediately for the physiotherapy treatment. Ice can be kept in the low back where you have back pain. It is suggestible to wear Lumbo sacral belt which would help you to build the abdominal muscle tone which itself would make you feel better. You can also wear MCR chappals which would help you to have less weight falling in the painful back. L have a problem of back pain when I am sitting for more than 1 hour at 1 place. Tell me what to do? It looks like you are anaemic. If you have back pain after you sit for long hours then it is due to your haemoglobin levels as it is important to check that. Anaemia always leads to the symptoms of being tired and also having back / leg pain though there may not be any pathological reasons for back pain. The lower end of the vertebral column is inflamed and that bone is called coccyx bone and the condition is called Coccydynia. The conservative management would be to keep ice in that inflamed area during one time in a day and also to sit in a hot water bowl where the penetration of the heat would help to reduce the inflammation. And to reduce the weight falling on the inflammed surface we suggest patients to use air cushion pillow (also called as doughnut pillow) where in the buttock's weight will not fall exactly on the painful tail bone and that would automatically reduce the pain. Back pain / Sciatica: If you have low back pain and sciatica you can undergo intermittent pelvic traction where in your half of your body weight will be added in the electronic traction so that that would help you to reduce the pain, along with Interferential therapy stimulations which would help you to get relieved from the radiating pain. Apply ice for the pain to get subsided immediately. If you cannot go immediately for the physiotherapy treatment. Ice can be kept in the low back where you have back pain. It is suggestible to wear Lumbo sacral belt which would help you to build the abdominal muscle tone which itself would make you feel better. You can also wear MCR chappals which would help you to have less weight falling in the painful back. U have to take vitamin D RICH FOODS. Like milk, cheese,yogurt, brocoli,spinach. U need calcium consumption for increase the bone density.

I am a patient of AS. Sir,do I need to continue my medication or only exercise is enough?

Dr. Julie Mercy J David Raja 90% (3321 ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Ankylosing Spondylitis the best suggestion to do general aerobic exercises which includes breathing and all the other exercises which involves the total movements of the proximal joints ie. Neck, shoulder, elbow in the upper limb and in the lower limbs, trunk, hip, knee movements which will facilitate to improve the normal range of motion of the joints thereby improving the blood circulation. You can also try swimming activity, tread mill, cycling etc.
1 person found this helpful

How to increase vitamin D.i am suffering from severe spine problem, started with spondilyts I am 42 years male. Weight 84 kg,

Dr. Faiyaz Khan Pt 91% (288 ratings)
MPT - Orthopedic Physiotherapy, Fellowship in Orthopaedic Rehabilitation (FOR)
Physiotherapist, Kolkata
Take regular sun bath for 45 minutes tonne hour from any time between 10 am to 2 pm at day. Duration depends upon the skin colour, season, latitude of area. .Make sure you don't have Skin Cancer history in family. Alternatively you can take Vit D3 Supplement as Cholecalciferol daily sublingual route from a brand of trust and international repute. You can contact me for further information. Thanks.
1 person found this helpful

I am suffering from ankylosis spondylitis 17 years pain is back hip two sides I'm very unhappy with disease please help me.

Dr. Julie Mercy J David Raja 90% (3321 ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
For Ankylosing Spondylitis the best suggestion to do general aerobic exercises which includes breathing and all the other exercises which involves the total movements of the proximal joints ie. Neck, shoulder, elbow in the upper limb and in the lower limbs, trunk, hip, knee movements which will facilitate to improve the normal range of motion of the joints thereby improving the blood circulation. You can also try swimming activity, tread mill, cycling etc.

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