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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

Popular Health Tips

Spondylolysthesis - A Condition Which Affects Your Spinal Bones!

MBBS, MS - Orthopaedics, Clinical Fellowship In Adult & Peadiatric Spine Surgery
Orthopedist, Kanpur
Spondylolysthesis - A Condition Which Affects Your Spinal Bones!

Spondylolisthesis refers to the condition which affects your spinal bones or lower vertebrae. Due to this condition one of the lower vertebrae overlaps the bone directly beneath it. Although a painful condition, it can certainly be treated with both surgical and therapeutic methods.

People with spondylolisthesis often find it difficult to perform routine activities. They usually encounter symptoms such as- persistent pain in the pelvic region, lower back; stiffness in the legs, hamstrings and hip muscles.

What causes spondylolisthesis?
The causes of spondylolisthesis can vary with lifestyle, heredity and age. Children may develop this condition due to an injury or birth defect. Nevertheless, people belonging to all age groups are susceptible to spondylolisthesis if the condition is genetic.

Over exercise or strenuous physical activities can cause spondylolisthesis because over stretching and carrying heavy weight or strain puts too much stress on the lower back.

Participating in sports like football, gymnastics, weightlifting are likely to trigger spondylolisthesis.

Spondylolisthesis can also be triggered due to sondylolysis. The vertebrae safeguard the spinal cord and work with tendons, ligaments, joints and muscles to provide flexibility, structure and support to the neck. Any sort of damage or wear and tear in the protective cartilage and bones in the neck can lead to cervical spondylosis, which in turn leads to spondylolisthesis.

What is the treatment for spondylolisthesis?
Treatment of spondylolisthesis depends on the severity of the pain. While non-surgical methods help ease the pain, a surgery is recommended when the bone has slipped to such an extent that your spine doesn’t respond to medications.

Non-surgical treatment includes the following-

  1. Taking anti-inflammatory drugs like ibuprofen to ease pain.
  2. Practicing a few physiotherapy exercises to reduce lower back pain.
  3. Use of minimally invasive Epidural Steroid Injections (EPIs) to get relief from lower back pain and pelvic pain caused by inflamed spinal nerves. When over-the-counter medications fail to treat tSpondylolysthesishe condition or ease the symptoms, then a surgery is inevitable.
  4. Discectomy- It is a surgical procedure that makes small incisions to remove a part of the damaged disc to relieve pressure from the surrounding spinal cord or nerve root.
  5. Laminotomy- This refers to a minimally invasive procedure that removes a part of the lamina which is the upper surface of the vertebra. This process is used to create more space within the spinal canal.
  6. Foraminotomy- With this method excess bone tissues are removed so that they don’t make the foramen narrow and compress the nerve root. Removing these extra tissues reduce back pain and ease symptoms triggered by nerve compression.

Medical attention is crucial for countering symptoms of spondylolisthesis. Although this condition may not seem life-threatening, if left untreated, it can lead to chronic, persistent pain and permanent nerve damage.

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

3535 people found this helpful

Cervical Spondylosis - Causes + Treatment

MS - Orthopaedics, MBBS
Orthopedist, Delhi
Cervical Spondylosis - Causes + Treatment

The difficulties associated with cervical spondylosis go far beyond spelling it correctly! The problem of cervical spondylosis can be extremely painful making it difficult to sit or walk. As if cervical spondylosis alone was not enough to put up with, it can often be accompanied by severe headaches. Bone spurs can be said to be a rather unusual phenomena but they can be one of the causes of cervical spondylosis is quite a few cases. This occurs when an extra bone grows to make the body stronger.

What causes cervical spondylosis?
While the causes of cervical spondylosis may vary, few causes are just as direct as injury is. A fall, or an accident can hasten the process of ageing and bring on cervical spondylosis sooner than what would have been usual. Sometimes, the nature of work can also lead to cervical spondylosis, as is the case with a lot of construction workers who suffer from it. Generally, as a person gets older, he or she can expect to suffer from cervical spondylosis. As a matter of fact, it affects about eighty five per cent of people over the age of sixty! One good thing though, is the fact that only in certain, chronic cases is the condition life altering, as most people are able to get on with their normal lives after taking some measures.

How to treat it?
In order to ease the pain, it is a good option to make use of some muscle relaxants, which can go a long way. Also, in case the pain is really bad, there are steroid injections which are available which reduce the tissue inflammation. For this same purpose, a person suffering can also make use of a narcotic such as hydrocodone. One solution which usually is not required in the case of cervical spondylosis is surgery. The surgeries for the issue are usually to correct the form of the bone structure, basically to remove spurs and create more room. However, doctors usually recommend this sort of solution when the pain is excruciating and persistent in nature.

Usually, muscles of those who suffer due to cervical spondylosis can get very sore. A simple but also a surprisingly effective remedy for this is to use a heating pack or a cold gel pack on one’s neck. Shot in the arm solution and a neck brace can an effective temporary solution. However, wearing a neck brace for too long can lead to weaker muscles, which will worsen the problem.

Cervical spondylosis is essentially a pain in the neck, but it is a manageable one! If you wish to discuss any specific problem, you can consult an orthopedist.

4228 people found this helpful

Lower Back Pain - Do I Need Physical Therapy?

MD, FIPP
Pain Management Specialist, Kolkata
Lower Back Pain - Do I Need Physical Therapy?

Lower back pain is fast becoming an epidemic not just among elderly, but across all age groups. Primary causes of back pain are quite a few including lumbar hernia, disc degenerative disease (DDD), spondylosis etc., but the symptoms are usually the same excruciating pain in the lower region of the spine, followed by stiffness. Since back pain is caused due to a number of spinal problems, it manifests differently in different patients. The pain may be dull, burning or sharp. It could also be felt at a single point or over a broad area and could be accompanied by muscle spasms or stiffness or even shooting pain in one or both legs.

Back pain can also be differentiated according to time period:

  1. Acute: Pain lasts for less than three months.
  2. Recurrent: Acute symptoms reoccur over time.
  3. Chronic: Pain lasts longer than three months.

Sometimes symptoms resolve on their own, but in many cases conservative treatment, such as physiotherapy, which often work better than surgery, becomes essential. Alternate therapies like surgery, acupressure, acupuncture as well as yoga and Ayurveda also help.

Physiotherapy - Exercises that work
Since the reason for low back pain is not always same, a patient’s treatment too should be tailored for his specific symptoms and condition. This is what the physiotherapist will do design an exercise plan based on the patient’s specific problem and its cause.


Physiotherapy treatments may include:

  1. Manual therapy, which includes direct spinal manipulation aimed at improving the mobility of joints and soft tissues
  2. Strengthening and flexibility exercises
  3. Education about what do and what not to do
  4. Training for proper sleeping positions, lifting, bending, and sitting as well as for working at home and at work
  5. Use of heat/cold treatments or electrical stimulation to help relieve pain

Physiotherapy exercises help support the back and strengthen muscles so that the spine is cushioned properly. This is why physiotherapy is relevant as a treatment for backache. Treatments like traction help in lengthening the spine and relieving compression of nerves that cause sciatica, radiating pain into legs largely due to lumbar herniation. If back pain is extreme, a patient will require physical therapy along with medication, which will help in managing pain and bringing inflammation down. But in the long term, being physically active, going for walks, sitting properly and maintaining a good posture will help the most. If you wish to discuss about any specific problem, you can consult a physiotherapist.

3793 people found this helpful

Cervical Spondylitis

BHMS
Homeopath, Haridwar
Cervical Spondylitis

Cervical spondylosis is a general term for age-related wear and tear affecting the spinal disks in your neck. As the disks dehydrate and shrink, signs of osteoarthritis develop, including bony projections along the edges of bones (bone spurs).

Cervical spondylosis is very common and worsens with age. More than 85 percent of people older than age 60 are affected by cervical spondylosis. Symptoms for most people, cervical spondylosis causes no symptoms. When symptoms do occur, they typically include pain and stiffness in the neck.

Sometimes, cervical spondylosis results in a narrowing of the space needed by the spinal cord and the nerve roots that pass through the spine to the rest of your body. If the spinal cord or nerve roots become pinched, you might experience:

  • Tingling, numbness and weakness in your arms, hands, legs or feet
  • Lack of coordination and difficulty walking
  • Loss of bladder or bowel control

For its managment do regular exercise and take homoeopathic medicines with proper case taking for your complete cure.

Best Homeopathic Treatment For Cervical Spondylosis And Neck Pain

B.Sc, BHMS
Homeopath, Lucknow
Best Homeopathic Treatment For Cervical Spondylosis And Neck Pain

Best Homeopathic Treatment  for Cervical Spondylosis and Neck Pain
Homeopathic medicines can work wonders in cervical spondylosis cases. Homeopathic medicines provide symptomatic relief in cervical spondylosis. The medicines are selected as per individual symptom presentation and manage symptoms of pain, stiffness in neck, numbness/tingling in upper limbs and vertigo with excellence. These medicines also halt further progression of the degenerative process in the spine from cervical spondylosis. On the huge list of Homeopathic medicines for cervical spondylosis, the more effective ones include Rhus Tox, Bryonia Alba, Paris Quadrifolia, Kalmia Latifolia and Cimicifuga Racemosa.

Homeopathic Medicines for Cervical Spondylosis and Neck Pain
Rhus Tox – Top grade Homeopathic medicine for cervical spondylosis
Rhus Tox is one of the top grade Homeopathic medicines for cervical spondylosis. The indicating features for using Rhus Tox are pain and excessive stiffness in the neck. A person in need of Rhus Tox may get relief from warm applications on the neck. Neck massage may provide relief in some cases. Rhus Tox is also one of the well indicated Homeopathic medicines for cervical spondylosis complaint arising after injury to the neck. Neck pain from over straining or overuse also makes a strong case for use of Rhus Tox.​
Bryonia Alba – Homeopathic medicine for cervical spondylosis that worsens with movement
Bryonia Alba is another majorly indicated Homeopathic medicine for cervical spondylosis. The person needing Bryonia Alba experiences pain and stiffness in the neck that worsen with motion. Taking rest relieves the symptoms.​

Hypericum Perforatum – Best Homeopathic medicine for cervical spondylosis from injury
In addition to Rhus Tox, Homeopathic medicine Hypericum Perforatum is a very significant medicine for cervical spondylosis resulting from injury. Major symptoms deciding on Hypericum Perforatum as the best prescription are neck pain that may radiate to the shoulders and a spine that is extremely sensitive to the touch. Tingling, burning, numbness in hands may also be present.
Gelsemium – Top rated Homeopathic medicine for cervical spondylosis with vertigo
Gelsemium is a very useful Homeopathic medicine for cervical spondylosis with vertigo episodes. The vertigo episodes occur mostly while walking. Movement of the head may also lead to vertigo. Blurring of vision may occur during the vertigo episodes.
Silicea – Effective Homeopathic medicine for cervical spondylosis with neck pain radiating up the head
Silicea is one of the majorly indicated Homeopathic medicines for cervical spondylosis where pain from the neck radiates upwards to the head. Pain from the neck extends to either the occiput (back of head) or the entire head. In some cases, the neck pain radiates to the head and settles over the eyes. This may be accompanied by vertigo in some cases. Vertigo mainly arise from looking upwards.

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Popular Questions & Answers

Sir mujhe cervical spondylosis he. To maine MRI bhi karvaya he. Report normal he phir bhi mujhe neck hota he. Sir cervical pillow use kiye to usse kuch fark padta he kya. Aur kuch solution hai?

DNB (Orthopedics), M Ch. Ortho, Diploma In Orthopaedics (D. Ortho)
Orthopedist, Delhi
Just using a cervical pillow will not help Though I have not seen your MRI but you should visit a physiotherapy Center nearby and do SWD/ IFT and neck isometric exercises Do these for 2 weeks Hopefully you should improve If no relief consult.
1 person found this helpful

I have cervical problem I took lot of medicines but I didn't relief from this pain What can I do Pleasa suggest me good medicine for this pain.

MBBS DA FIPM
Pain Management Specialist, Jabalpur
Cervical pain is very common in persons who drive two wheeler for more then 10 to 15 km per day. You need to go through investigation s like blood picture X-ray cervical spine and if needed MRI cervical facet arthropathy is prevalent in about 40% population The long term pain in neck can because of arthritis. Evaluation of problem is required.

I have vision problem What is the relationship between neck pain and vision problem. I am suffering from cervical spondylosis also. please advice me.

DNB Ophtalmology, MS - Ophthalmology, MBBS, Fellowship in Medical Retina, Fellowship in IOL & Cataract Microsurgery
Ophthalmologist, Faridabad
One plausible cause is high usage of media...Mobile or tablets or laptops etc u have to elaborate more on vision problem to be able to help u.

I have been suffering from cervical spondylosis for a long tym. What are the tests to be taken for this. How can I get free from my neck pain. please suggest me good treAtment for this.

MS Orthopaedics
Orthopedist, Panchkula
Every neck pain is not spondylosis.you are young and working on computer or bad sleeping posture can give you neck pain. The best treatment is gradual neck exercise twice a day with moderate heat on the back of your neck

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
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Know More About Cervical Spondylosis
Ways to Manage Cervical Spondylosis
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Cervical Spondylosis
Hello friends, I am physiotherapist, Dr Anjana Gupta. I did my studies from SMS medical college, Jaipur in 1986. After completing my studies, I joined government job in JP Pant Hospital, attached to Molana Azad Medical College. I served the government of India for almost 12 years. Now I am practising in Greater Kailash 2. There I had enough experience in Orthopaedics and neurological cases. Today I am going to discuss Cervical Spondylosis neck pain.

The most common cause of the neck pain is our daily lifestyle itself. Spending 8-10 hours in front of computer in an incorrect posture can lead to muscle spasm. A patient has acute onset of pain and the condition can be so painful that the range of moment of the patient can be restricted, there could be a sudden restriction of a neck or sudden restriction of a muscle. The muscles get strained and the pain can go to the head, shoulders and arms.

Another cause of neck pain is an accident or an injury to the neck that can involve the muscle or the disc surrounding the bones.

The radiculopathy gives the symptoms of numbness, the tingling sensation in the arms or the area around the shoulders.

The Degenerative diseases can also involve the nerve in the arm and give rise to nerve symptoms.

Treatment of the Cervical Spondylosis depends on the complete assessment, thorough examination by physiotherapist which check the trigger points. The trigger points are the very acute painful areas present in the muscles. The trigger points can be in the bicepes, or the scapular area, or it could radiate in the hands causing the Carpal Tunnel syndrome.

After the examination, we plan the protocol to relieve the patient from the pain. The main aim of the therapist is to relieve the acute pain the patient is suffering from. Our treatment plans are to relieve the patient from the pain and put him on a regular graded exercises for the strengthning of the neck or shoulder muscles.

We have different modalities in the physiotherapy. The modalities could be ultrasonic, Inter Ferential Therapy (IFT), Infrared and the numerous modalities. Or it can be the simple ice packs that can reduce the pain and the acute spasm in the patients suffering from pain.

I am practising in Greater Kailash, part-2. I have got my own Physiotherapy clinic. My clinic staff is well trained and is equiped with various physiotherapy equipments with the latest state of art equipments, we are here to serve the community, we are here to serve the people suffering from pain. I can just say to come in the clinic and give us the chance to serve.

Thank you.
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