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Overview

Spondylosis - Treatment, Procedure And Side Effects

What is the treatment?

Spondylitis is a chronic condition that causes severe back pain, damages the nerves and can even lead to degenerative neurological symptoms. Doctors rarely resort to surgery for the treatment of spondylitis. But in certain cases, spinal surgery for spondylitis becomes essential. Some of the symptoms of spondylitis include chronic back pain, leg pain and in some cases, difficulty in walking.

If other methods of treatment such as injections, physical therapy, and medications have been proven ineffective, then the doctor will suggest surgery. There are many types of surgeries for the treatment of spondylitis. The two main types of surgery are for decompression and stabilization. The decompression method involves removal of the tissue that is causing the pain while the stabilizing surgery fuses the spinal cord in order to grant more control over movement.

The surgery procedures that are available for the treatment of spondylitis include; laminectomy, facetectomy, foraminotomy, discectomy and many others.

The main surgery that is used in the treatment of spondylitis is called a laminectomy. The procedure involves removal of nerves and bones from the spine in order to enlarge the spinal column. This relieves the pressure and also helps to alleviate the pain.

Laminectomy decreases the pressure from the spinal cord by removing some part of the lamina. The lamina is the bony plate that covers the spinal canal and cord. In spondylitis, the lamina could be pressing against the spine, and this pressure leads to severe pain and other symptoms.

How is the treatment done?

A laminectomy is one of the most common surgeries performed on the spine. It is a decompression surgery that helps create space in the spinal canal. The doctor might ask you to avoid eating or drinking for a few hours before the surgery.

For the procedure of laminectomy, the surgeon will administer the patient with general anesthesia. This ensures that the patient is unconscious during the procedure and does not feel the pain. The patient will be able to breathe with the help of a breathing machine.

First, the surgeon will make an opening in the back to expose the spine. The surgeon will then remove parts of the spinal cord such as the vertebra, lamina, and ligaments that are causing the compression of the spine. Once the surgeon creates this space, the spinal canal will be enlarged allowing the process of decompression.

In some cases, the surgeon may have to remove a herniated disc or fuse the spine together using a special implant. This fusion process enables stabilization of the spine and involves widening the openings in the spinal canal for the nerves to exit. However, this is only required for some patients.

Once this process is completed, the surgeon stitches the incision over the spine and closes the wound. When the surgery is over, the anesthesia is switched off and the breathing machine is removed.

Who is eligible for the treatment? (When is the treatment done?)

People who are eligible for a laminectomy would include:

  • People who suffer from arthritis of the spine which can lead to spondylosis.
  • Patients who have a herniated disc in the vertebrae.
  • People who have severe back pain and find it difficult to walk due to the condition of spondylosis.

Who is not eligible for the treatment?

People who might not be eligible for a laminectomy surgery could be:

  • People who suffer from other severe health conditions such as diabetes or hypertension; therefore, it is advisable for them not to undergo this surgery unless it is absolutely essential.
  • Patients who are older might not be eligible for this surgery since it can lead to several health complications.

Are there any side effects?

There are a few health complications and risks that could result from a spinal surgery like a laminectomy. However, some of these side effects might not affect all patients. The possible side effects are as follows:

  • Bleeding and infection
  • Trouble while urinating
  • Swelling of the veins in the leg
  • Nerve damage and spinal cord damage
  • Herniated disc
  • Heart attack or stroke
  • Quadriplegia or paraplegia
  • The condition does not improve

What are the post-treatment guidelines?

There are certain guidelines that a patient should follow after the spinal surgery. After the surgery, the patient is kept under observation for a period of 1 to 5 days. The vitals of the patient are monitored, and any improvement or deterioration is observed.

The patient will experience pain in the back and the affected area for some time. The doctor will prescribe certain medication to relieve this pain. These medications are strong. Hence, it is advisable not to undertake any activity like driving a vehicle, traveling in a plane or riding a bike for a few weeks after the laminectomy.

The patient should keep the incision wound clean and go for a follow up two weeks after the surgery. The doctor will then remove the stitches.

How long does it take to recover?

The recovery process for spinal surgeries is slow; it is better to be patient and wait for your body to heal. Rushing the recovery process might aggravate the condition. It might take a few weeks or even up to several months to fully recover. The patient might not feel any improvement just after the operation. The wound from the incision will take a week or two to heal.

What is the price of the treatment in India?

The treatment for spinal surgery in India is very affordable. The price for a laminectomy surgery in India would range from Rs 5,500 to Rs 10,000.

Are the results of the treatment permanent?

In most cases, the patient does get relief from the chronic back pain. The symptoms of spondylosis are alleviated. However, the symptoms may recur after a period of time. There are some cases in which the condition does not improve and can even deteriorate. The results and improvement are discernible only six weeks after the treatment.

What are the alternatives to the treatment?

The alternative procedures to a laminectomy are cervical laminoplasty, cervical disc replacement surgery or laser spine surgery.

Safety: Medium Effectiveness: Medium Timeliness: High Relative Risk: High Side Effects: High Recovery Time: High Price Range: Rs. 5,500 - Rs. 10,000

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Know More About Cervical Spondylosis

MD- Alternative Medicine, BHMS, Theoritical & Practical Application Training In Ozonotherapy, DIploma In Chiropractic, Certificate of Sujok Therapy, WHARF/HMI/HIV/AIDS Basic Training Programme, Certificate of Chelation Therapy
Alternative Medicine Specialist, Mumbai
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Ways to Manage Cervical Spondylosis
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Cervical Spondylosis And Its Effects With Homeopathy Efficacy!

Dr. Sai Vivek Areti 86% (10 ratings)
MBBS, MF- Homeopathy
Homeopath, Secunderabad
Cervical Spondylosis And Its Effects With Homeopathy Efficacy!
Cervical spondylosis is a medical term that indicates the wear and tear of the spinal discs of the neck. With the shrinkage and dehydration of the discs, evident signs of osteoarthritis develop in an individual. Visible bony projections of the edges of the bones also become conspicuous. This condition is extremely common and deteriorates with age. It is estimated that an average of 85 percent of people has crossed the age of 60 is affected by cervical spondylosis. While most patients fail to identify any symptoms, but those who do reports pain, stiffness, uneasiness, numbness etc. What are the possible causes of cervical Spondylosis? Dehydrated discs: Discs are the cushions between the vertebrae and the spine. Once a person reaches the age of 40, through natural progression, the spiral discs start shrinking and drying up. This allows more bone-to-bone interaction between the vertebrae. Herniated discs: Age plays a crucial role and affects the outer covering of the spinal discs. Cracks become visible leading to a condition known as the herniated discs. This condition can press the nerve roots and the spinal cord. Bone Spurs: Disc degeneration leads to the production of extra bone to support and strengthen the spine. This is a misguided effort that can affect the nerve root and the spinal cord. Stiff ligaments: Ligaments are tissue cords that connect bones. The ligament can become stiff after attending a certain age. Some of the typical symptoms of this condition include loss of bowel movement, numbness of the hands, feet, arms etc, lack of coordination and difficulty in walking. What is the homeopathy approach? Homeopathy takes a holistic approach towards treatment. The remedy selection is based on the individualization theory and the specific symptoms encountered by the patient. The aim of homeopathic treatment is to ensure that cervical spondylosis is eradicated from its root rather than just eliminating the symptoms. Before prescribing a medicine, a homeopathic expert considers various aspects such as the location of pain, basic cause of the current condition, extension and modality of the pain. Some of the important medicine that can treat this condition are mentioned below: LachnanthesTinctoria: This medicine is prescribed to those who are suffering from a still neck and a dislocated pain. There is a feeling of chilliness in between the shoulders and the pain increases while lying down. Phosphoric acid: This medicine is prescribed when the pain is boring in nature. The lifting of objects sharply increases the pain and the patient suffers from occasional nerve exhaustion. The condition improves after a nap. Paris Quadrifolia: This medicine is prescribed when the pain moves downwards. There is a feeling of ache, bruising and stiffness in the arms and the shoulders.

Marma Chikitsa

Dr. Shilpa Benade 92% (504 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS), diploma in anorectal disease , master in ayurveda
Ayurveda, Kolhapur
Marma Chikitsa
Kshipra marma point stimulation is useful in thyroid, diabetes, cervical spondylosis.

Cervical Osteoarthritis - Physical Therapy Treatment For It!!

Dr. Mahesh G 85% (10 ratings)
BPTh/BPT, PGDPV
Physiotherapist, Bangalore
Cervical Osteoarthritis - Physical Therapy Treatment For It!!
Cervical osteoarthritis is also known as cervical spondylosis. It is a medical condition which involves changes in the joints of neck, bones and discs. This is generally caused due to the deterioration of the muscles owing to old age. With age, the cervical spine breaks down and loses all its fluids. This leads to stiffness in the spine. It occurs usually in middle aged and old aged people. This causes stiffness and severe neck pain. Corrective surgery is helpful to cure Cervical Osteoarthritis. Symptoms of Cervical Osteoarthritis: Pain and stiffness in the neck. Headache which usually emerges from the neck. Severe pain in the arms and shoulder. Not being able to turn the head or neck fully while driving. Muscle spasm and abnormal reflexes. Grinding sensation or noise caused while bending the neck. Cervical Osteoarthritis can be cured by physiotherapy in the following ways: Heat modalities- In this method the pain and stiffness is reduced by putting heat on the affected area. This type of therapy is called heat therapy. Neck exercise- Regular stretching and bending exercises for the neck can reduce pain and stiffness Manipulating therapy- This form of therapy is used by massage therapists. They massage and manipulate the joints so that the muscles can function smoothly. Hydrotherapy- This therapy involves exercising in a pool. Hydrotherapy is extremely beneficial for people having severe joint pain and stiffness. Cervical traction- This is a common non-surgical treatment which cures pain in the neck by opening the cervical foramen (hole or passage). Physiotherapy is the most natural and safe way of curing cervical osteoarthritis. If you are diagnosed with cervical spondylosis, you should start physiotherapy as soon as possible.
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Ways To Treat Degenerative Disc Disease And Spondylosis!

Dr. Gautam Das 92% (1261 ratings)
MD, FIPP
Pain Management Specialist, Kolkata
Ways To Treat Degenerative Disc Disease And Spondylosis!
It is important for you to know about degenerative disc disease (DDD) and spondylosis. Spondylosis is an umbrella term for spine pain, which occurs because of degenerative conditions. Spondylosis refers to several conditions. They include spinal stenosis, which is the abnormal narrowing of the spinal canal, leading to leg pain, degeneration due to DDD and degenerative arthritis or osteoarthritis involving the spine. It may also include cervical osteoarthritis or neck arthritis. Spondylosis is a common condition, which is age related. The joints and discs present in the neck are specifically affected as a result of this condition. It commonly develops on account of the wear and tear of the cartilage and bones present in the neck. This condition, in spite of being common, worsens with age. In many patients, symptoms are not observed externally, but pain and muscle spasms are experienced. Many people with spondylosis do not undertake treatment in spite of suffering from the symptoms and pain. In case the symptoms are prevalent over a long time and tend to worsen, you have several modes of treatment to choose from. They may include medicines, corticosteroid injections, physical therapy and even surgery in some extreme cases. How does DDD or spondylosis occur? DDD is a spinal condition. It is caused due to the breakdown of the intervertebral discs. With ageing, the spine starts to show signs of wearing and tearing. This happens on account of the discs drying out and shrinking. All these age-related changes are responsible for arthritis, spinal stenosis and disc herniation. Because of these factors, pressure is likely to fall on your nerves and spinal cords, which may further cause back pain. DDD or spondylosis also develops on account of these factors. Treatment for DDD and spondylosis There are various modes of treatment, which are available for you to choose from in order to get relief from the symptoms and pain associated with DDD or spondylosis. It can be medicines. You may be prescribed typical painkiller medications, such as non- steroidal anti-inflammatory drugs or NSAIDS, muscle relaxants, oral steroids,etc, It can be physical therapy like ultrasound and massage, transcutaneous electrical nerve stimulation (TENS) etc. When above modalities fails interventional pain management may do miracles. There are few interventional procedures like epidurals, Rami communicantes fibre RF, or some intradiscal procedures. Rarely these patients needs surgery. Every mode of treatment has got its own benefits, but has its limitations as well.

Popular Questions & Answers

I have been affected by spinal angioma at d10-l1 with complete paraplegia with rigid painful kyphoscoliosis. I take trigabantin 300 regularly twice a day. I have diabetes also will you please suggest me something I lead wheel chair life since last 28 years.

Dr. Shivram Sinwar 94% (4156 ratings)
M.D.(Ayu.) Basic Principles, B.A.M.S.
Ayurveda, Ajmer
Hi Lybrate User Use can use oil Dhanvantaram for massage and hot water fomentation to get rid of stiffness. Use cap spondylon two capsule two times a day. Use cap sachardi oil 101 aavarati two times a day with milk. Use Tablet madhumehkusmakar ras 1 tablets two times a day. Tc Thank Regards.
7 people found this helpful

I am 30 year old I have problem of mild posterior disc bludge C4-5 & C5-6 level indenting thecal sac problem identify cervical radiculopathy C6 treatment under progress since 2 months. I have pain in shoulder, movement of neck ,chest .any suggestion for quiq relief. Can I GO TO work those condition.

Dr. Pankaj Das 92% (99 ratings)
Master of Physiotherapy, Bachelor in Physiotherapy
Physiotherapist, Guwahati
Hi lybrate-user posterior disc bulge c4-5-6 with radiculopathy treatment depends on which nerve is involved. Shoulder neural mobilization will give good relief. Take hot water pack for 10 mins start with selective stretching of the muscles. Than strengthening of muscles. Take one week rest. Visit a physiotherapist and start doing neural mobilization exercise n depending on the assessment the cure will be based on relieving the symptoms. Regards.
1 person found this helpful

I feel like I need to put some efforts in keeping my neck straight. Should I try neck gourd for some day for better posture.

Dr. Julie Mercy J David Raja 90% (4158 ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
This is cervical pain (neck pain) and that's the reason the pain radiates until the shoulder blades. If you keep ice that would help and along side you can do hot water fermentation. You shall use cervical collar which would help you to reduce the radiating pain ie. Due to the nerve compression. This is due to the improper posture as while sitting in front of the computer and it leads to neck pain and thereby it leads to shoulder pain.
1 person found this helpful

Doctor, My age is 35 years and my weight is 97k and height is 6 ft I am suffering from cervical spondylosis and sinus. I want to loss minimum 10 kg weight Please guide me.

Dr. Jayvirsinh Chauhan 95% (6026 ratings)
MD - Homeopathy, BHMS
Homeopath, Vadodara
Hi Prem.. you may need to consult for proper regime with medicines... as there are lots of factors need to be considered.... You can consult me through lybrate.. Till then start with Nux Vomica 30 one dose... (homoeopathic).
1 person found this helpful

My wife age 31 is suffering from hand pain (jhan jhan aahat) since six month. Her sugar test and thyroid test are normal. In x- ray report cervical spondylosis detected. She is under going physiotherapy. But not getting relaxed. Please suggest what can I do.

Dr. Faiyaz Khan Pt 90% (319 ratings)
MPT - Orthopedic Physiotherapy, Fellowship in Orthopaedic Rehabilitation (FOR)
Physiotherapist, Kolkata
The (Jhan-Jhhanaahat) is called as Paraesthesia in medical language. It can be due to different reasons: Endocrine issue like Thyroid, Diabetes, acromegaly, myxodema etc. It can be due to any trauma at hand After pregnancy it happens in some females. It can be due to Median Nerve compression at Carpal tunnel or Forearm or at Scalene muscle or at the Brachial plexus, the nerve root responsible for it may be (C5-C6 ), or (C6-7) or (C6-8, T1) Consult with me for detailed questions about the problem so that I can refer you to the most appropriate Specialist. Good luck!

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