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Thoracic Spine Tips

Do You Know These Things About Your Spine ?

Dr. Niraj Gujarathi 92% (1450 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
Do You Know These Things About Your Spine ?

Spine / backbone / vertebral column is made of 33 individual bones (vertebrae) stacked one on top of the other with intervertebral disc, tendons, ligaments, spinal nerves, muscles to provide main support to the body to allow it to stand upright.

Adult spine has natural "S" shape with 33 number of vertebrates.

1) Cervical spine (neck) = 7

2) Thoracic spine (mid back) =12

3) Lumbar spine (lower back) =5

4) Sacrum coccyx (tail) = 9

Today, cervical - lumbar spine problems have become part of life due to lifestyle.

The time tested complete treatment; cure for spinal problems is in AYURVEDIC THERAPY MEDICINES.

- medicated oil massage steam relieves muscle spasm,stiffness, pain

- medicated oil massage increases the blood flow / circulation to that area which helps in healing and maintaining proper tone of muscles

- medicated steam open the pores so that oil gets deeper to joint articulation to provide lubrication

- steam also helps to detoxify in results to make it feel light free to move

In KATI BASTI / MANYA BASTI oil helps to accumulate osteophytes (tiny bone particles like chalk dust) together .

According to Ayurvedic principles it reduces the VATA in the joint as well in body which is responsible for degeneration, pain, deterioration.

1 person found this helpful

Know Your Back or Lumbar Spine

Dr. Vishwas Virmani 91% (22727 ratings)
MPT, BPT
Physiotherapist, Noida
Know Your Back or Lumbar Spine

If we look at the human backbone or spine , we can see that the  vertebrae rest upon one another similarly to a stack of cotton spools .

The spine is divided into regions. There are seven vertebrae in the cervical region (neck), twelve vertebrae in the thoracic region (upper back), and five vertebrae in the lumbar region (lower back) ..

Beneath the lumbar vertebrae are found the sacrum and the coccyx. It is the lower back or lumbar and sacral regions that concern us most.

Each vertebra has a solid part in front, the vertebral body, and a hole in the back .When lined up as in the spinal column, these holes form the spinal canal. This canal serves as a protected passageway for the bundle of nerves which extends from head to pelvis-the spinal .Special cartilages, called the discs, separate the vertebrae. The discs are located between the vertebral bodies just in front of the spinal cord . Each disc consists of a soft semi-fluid centre part, the nucleus, which is surrounded and held together by a cartilage ring, the annulus or annular ligament.  The discs are similar to rubber washers and act as shock absorbers.  

The are able to alter their shape, thus allowing movement of one vertebra on another and of the back as a whole.The vertebrae and discs are linked by a series of joints to form the lumbar spine or low back. Each joint is held together by its surrounding soft tissues-that is, a capsule reinforced by ligaments. Ligaments can be likened to the stays that hold a mast in place on a sailing ship. If a stay were to give way, the mast will likely fall when subjected to extra strains.

Muscles lie over one or more joints of the low back and may extend upward to the trunk and downward to the pelvis. At both ends each muscle changes into a tendon by which it attaches itself to different bones. 

When a muscle contracts, it causes movement in one or more joints.Between each two vertebrae there is a small opening on either side through which a nerve leaves the spinal canal, the right and left spinal nerve . Amongst other tasks, the spinal nerves supply our muscles with power and our skin with sensation. In other words, it is through the nerves that we can move ourselves and feel temperature, pressure and pain. The nerves are really part of our alarm system: pain is the warning that some structure is about to be damaged or has already sustained some damage.In the lower part of the spine some of these nerves combine on each side to form the right and left sciatic nerves. The sciatic nerves service our legs, and when compressed or irritated, they may cause pain in the leg which often extends below the knee. This is then called sciatica.

Functions of the lumbar spine:

In animals that walk on all fours, the weight of their body is distributed evenly by DISC their four legs. Most of the time the spine is held in aIl more or less horizontal position and the compressive forces that exist in upright man do not occur.

In human beings, the spine is held in a more or vertical position, at least during waking and working hours. When we are upright, , lumbar spine bears the compressive weight of the body above it transmits this weight to the pelvis when sitting and to the feet when  standing, walking and running. Thus the lumbar spine, providing  flexible connection between the upper and lower half of the body protects the spinal cord and also has a greater function in weight  bearing. In the evolution of the horizontal-spine posture of animals to the vertical-spine posture of man, the discs between the vertebrae have adapted to support heavier weights. In addition, the  spinal column has developed a series of curves that ingeniously allow for better shock absorption and flexibility.

3 people found this helpful

Know Your Back or Lumbar Spine

Dr. Vishwas Virmani 91% (22727 ratings)
MPT, BPT
Physiotherapist, Noida
Know Your Back or Lumbar Spine

If we look at the human backbone or spine , we can see that the  vertebrae rest upon one another similarly to a stack of cotton spools .

 The spine is divided into regions. There are seven vertebrae in the cervical region (neck), twelve vertebrae in the thoracic region (upper back), and five vertebrae in the lumbar region (lower back) ..

Beneath the lumbar vertebrae are found the sacrum and the coccyx. It is the lower back or lumbar and sacral regions that concern us most.

Each vertebra has a solid part in front, the vertebral body, and a hole in the back .When lined up as in the spinal column, these holes form the spinal canal. This canal serves as a protected passageway for the bundle of nerves which extends from head to pelvis-the spinal .Special cartilages, called the discs, separate the vertebrae. The discs are located between the vertebral bodies just in front of the spinal cord . Each disc consists of a soft semi-fluid centre part, the nucleus, which is surrounded and held together by a cartilage ring, the annulus or annular ligament.  The discs are similar to rubber washers and act as shock absorbers.  

The are able to alter their shape, thus allowing movement of one vertebra on another and of the back as a whole.The vertebrae and discs are linked by a series of joints to form the lumbar spine or low back. Each joint is held together by its surrounding soft tissues-that is, a capsule reinforced by ligaments.Ligaments can be likened to the stays that hold a mast in place on a sailing ship. If a stay were to give way, the mast will likely fall when subjected to extra strains.

Muscles lie over one or more joints of the low back and may extend upward to the trunk and downward to the pelvis. At both ends each muscle changes into a tendon by which it attaches itself to different bones. 

When a muscle contracts, it causes movement in one or more joints.Between each two vertebrae there is a small opening on either side through which a nerve leaves the spinal canal, the right and left spinal nerve . Amongst other tasks, the spinal nerves supply our muscles with power and our skin with sensation. In other words, it is through the nerves that we can move ourselves and feel temperature, pressure and pain. The nerves are really part of our alarm system: pain is the warning that some structure is about to be damaged or has already sustained some damage.In the lower part of the spine some of these nerves combine on each side to form the right and left sciatic nerves. The sciatic nerves service our legs, and when compressed or irritated, they may cause pain in the leg which often extends below the knee. This is then called sciatica.

FUNCTIONS OF THE LUMBAR SPINE

In animals that walk on all fours, the weight of their body is distributed evenly by DISC their four legs. Most of the time the spine is held in aIl more or less horizontal position and the compressive forces that exist in upright man do not occur.

In human beings, the spine is held in a more or vertical position, at least during waking and working hours. When we are upright, , lumbar spine bears the compressive weight of the body above it transmits this weight to the pelvis when sitting and to the feet when  standing, walking and running. Thus the lumbar spine, providing  flexible connection between the upper and lower half of the body protects the spinal cord and also has a greater function in weight  bearing. In the evolution of the horizontal-spine posture of animals to the vertical-spine posture of man, the discs between the vertebrae have adapted to support heavier weights. In addition, the  spinal column has developed a series of curves that ingeniously allow for better shock absorption and flexibility.

1 person found this helpful

Tuberculosis Of Spine - An Insight!

Dr. Gururaj Sangondimath 86% (24 ratings)
Fellowship in spinal tumor surgery, Fellowship in Cervical spine surgery, FNB Spine Surgery, Fellowship in spinal deformity, fellowship in MInimalli invasive(Keyhole) surgery, CPC paliative care, MS-Orthopaedics, MBBS
Orthopedist, Howrah
Tuberculosis Of Spine - An Insight!

A few decades back, spinal tuberculosis was a dreaded disease. It is not so, anymore. With advancements in the medicinal field, when diagnosed in the early stages, a complete cure is possible.

Tuberculosis of the spine is one of the most common spine ailments in our country. Though there was no treatment when the disease was first reported, recent improvements in medical treatment and surgical procedures have made the condition treatable. In many cases, the disease is cured completely.

Molecular genetic techniques, stronger antibiotics and other medicinal discoveries and inventions have been able to combat the condition, which is resistant to a huge number of drugs. There are many surgical procedures as well, which has changed the way spine TB is looked at. These include extrapleural dorsal spine anterior stabilization, endoscopic thoracoscopic surgeries, single stage anterior and posterior stabilization among others.

How is it caused?
Tuberculosis affects people living in overcrowded, dirty and poorly nourished environments. The aerobic organism that is responsible for this physical condition is Mycobacterium tuberculosis, which grows rapidly in unfavorable conditions. It grows only intermittently or remains dormant for a long period to then re-grow whenever the immunity system of the host weakens.

What are the different types of TB spine?
Spinal tuberculosis takes two forms. In the first case, the symptoms are mild. The infection starts in the anterior part of the disc and slowly spreads to the nearby surface of the body. The neural arches are very rarely involved here. This results in a vertebral collapse. The spine bends forward to produce kyphus. In the second type, several vertebrae are involved, but the disc space might not become narrow.

What are the symptoms of TB spine?
The first symptom is an excessive pain in the back, which manifests as kyphosis increases. Kyphosis is the condition wherein there is an increase in the normal convex curve of the spine. Later, pus forms at the infected vertebrae and this comes down to the tissue planes and forms a cold abscess in uncommon places. This happens in the groin region, and the person may become paraplegic.

In a child, spinal tuberculosis will cause them to constantly complain about back pains. They will not feel well for a long period and will gradually lose weight. They may not want to sit for a long time and resent any physical activity. The child will be vulnerable in the low thoracic or upper lumbar spine and can show any of the above-mentioned signs that are seen in adults.

The most common symptoms of spinal tuberculosis are kyphus, reduction in the movement of the lumbar spine, cold abscesses in the paraspinal area, groin and loin, and sinuses. The doctor always tests the reflexes in the patient’s legs, sensation, power, and tone before diagnosing this condition.

Though a rare disease, tuberculosis in the spine can occur in people from both developed and undeveloped areas. Proper diagnosis and treatment of tuberculosis with or without surgery at the right time is the key to cure the disease.

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

2859 people found this helpful

How To Care Your Spine?

Dr. Chandresh Harisinghani 88% (32 ratings)
Diploma in Pharmacy, BPTh/BPT
Physiotherapist, Pune
How To Care Your Spine?

Approximately 80-90% of the population suffers from spinal pain at some point. A healthy spine is an often overlooked and essential part of a healthy lifestyle. People, who suffer from back pain, particularly if it is long-term, are generally less healthy than those who do not. It’s important for you to try to keep your spine as healthy as possible.

Physiotherapists recommend the following spinal health tips:

  • Standing: When standing, keep one foot slightly in front of the other, with your knees slightly bent. This position helps to take the pressure off your lower back. Do not stand bent forward at the waist for prolonged periods of time. The muscles in your lower back become deconditioned in this position, which may lead to pain.
  • Lifting: At all times, avoid twisting while lifting. Twisting is one of the most dangerous movements for your spine, especially while lifting. If the item is too heavy to lift, pushing it is easier on your back than pulling it. Whenever possible, use your legs, not your back or upper body, to push the item. If you must lift a heavy item, get someone to help you.
  • Sitting: Keep your knees slightly higher than your hips, with your head up and back straight. Avoid rolling your shoulders forward (slouching. Try to maintain the natural curve in your low back.
  • Reaching and bending: When reaching for something above shoulder level, stand on a stool. Straining to reach such objects may not only hurt your mid-back and neck, but it can also bring on shoulder problems. Do not bend over at the waist to pick up items from the floor or a table. Instead, kneel down on one knee, as close as possible to the item you are lifting, with the other foot flat on the floor and pick the item up. Or bend at the knees, keep the item close to your body, and lift with your legs, not your back.
  • Carrying: When carrying objects, particularly if they are heavy, keep them as close to your body as possible. Carrying two small objects—one in each hand—is often easier to handle than one large one.
  • Healthy diet and exercise: The most efficient and effective way to reduce weight is by eating a sensible diet and exercising regularly. Consult with your health professional before beginning any exercise program, particularly if you have a health condition.
  • Sleeping: Placing a pillow under your knees while lying on your back cuts the pressure on your spine roughly in half. Lying on your side with a pillow between your knees may also reduce the pressure on your back. Never sleep in a position that causes a portion of your spine to hurt. Most often, your body will tell you what position is best.

While following these instructions is no guarantee that you’ll be free from back pain for your entire life, it can certainly reduce your risk of developing it. These simple steps will help you keep your spine in good shape, making you a healthier, happier person.

1 person found this helpful

Spine Care

Dr. Hemang S Jani 90% (461 ratings)
Master of Physical Therapy MPT CARDIO, BPTh/BPT
Physiotherapist, Rajkot
Spine Care

Herniated disks or bone spurs in the vertebrae of the neck may become the reason behind severe neck pain. They sometimes take too much space and compress the nerves branching out from the spinal cord.

1 person found this helpful

Knowing Your Spine Is Knowing Your Back Pain

Dr. Vishwas Virmani 91% (22727 ratings)
MPT, BPT
Physiotherapist, Noida
Knowing Your Spine Is Knowing Your Back Pain

WHAT IS A SPINE?

The human spine is an upright bendy column. It consists of 24 separate segments called vertebrae which sit on top of each other in a vertical stack. There are seven in the neck (cervical), twelve in the middle back (thoracic) and five in the low back (lumbar). 

The base of the spine sits on the sacrum, w s a solid triangular block of bone at the back of the pelvis. The sacrum tilts down at the front to an angle of approximately 50 degrees below the horizontal, making a concavity in the low back as the spine arches to compensate.

The spine rises out of the pelvis in three gentle curves like a cobra from a basket. Its “S’’ shape helps hold it upright, and by arching back and forth over a central line of gravity it balances the top-heavy torso over its narrow base. With perfect spinal alignment or posture, a straight line can be drawn through the ear, the tip of the shoulder, the spine at waist level, the knee joint and the back of the ankle.The hollow in the low back is called a lumbar lordosis. This is followed by a gentle hump the other way in the chest region, called the thoracic kyphosis, and another arch in the neck called the cervical lordosis.

The lumbar lordosis lessens with sitting when the pelvis tips backward on the sitting bones (the ischial tuberosities) and increases with standing.Perfect lumbar alignment achieves two important ends: it ensures the correct distribution of body weight through the front and back compartment of the spine, and allows your low back to bow forward slightly to absorb impact during walking. 

As you might imagine, the right amount of lumbar lordosis is an important factor with back pain.The following discussion highlights the anatomy which allows the spine to move in its free-flowing way-guiding it and controlling it so it doesn’t go too far.

1 person found this helpful

What You Can Expect After Undergoing Thoracic Ultrasound?

Dr. Danish Jamal 95% (64 ratings)
MBBS, MD - Pulmonary Medicine
Pulmonologist, Faridabad
What You Can Expect After Undergoing Thoracic Ultrasound?

When your doctor suspects of the presence of extra fluid in your lungs, you might be advised for a thoracic ultrasound. What is a thoracic ultrasound and why do you need it? With a thoracic ultrasound, your doctor will be able to look at everything in the thoracic cavity and can know if your lungs, heart, and other structures in the chest are working fine. The pulmonologists can efficiently determine the lung condition even in critically ill patients using a non-invasive ultrasound technique.

And, since the method is based on sound, there is no risk of exposure to potentially harmful ionizing radiation or nephron-toxic contrast dye in this case. Hence, a thoracic ultrasound has become the most preferred technique for conducting a preliminary examination or to further check and confirm a finding noted using other imaging techniques for thoracic diseases.

Reasons to have a chest ultrasound

  • The doctor usually refer an ultrasound when he or she can feel that there is some extra amount of fluid in your chest. The ultrasound can tell the physician the reason behind the deposition of excess liquid.
  • The ultrasound would help detect the type of fluid that is present in the chest, whether it is exudate that is caused due to inflammation, an infection, or lung cancer, or whether it is transudate that is a leakage from the lymph nodes or the blood vessel. It determines the movement of the diaphragm.
  • Chest ultrasound can be done in conjunction with other examinations like CT scan, MRI to evaluate the condition of the chest.
  • It has to be noted that, in certain circumstances such as severe obesity and barium in your esophagus, the procedure can give an inaccurate result. Hence, it is always advisable to talk with the health care provider and share your complete medical history before undergoing this procedure to prevent such occurrences.

After a Thoracic Ultrasound

  • After the results of the ultrasound are received, the doctor can detect what the condition of your chest is at the moment. Your doctor will also confirm if the lungs have collapsed or if there is water in the lungs, or excess fluid has deposited into the lungs.
  • Ultrasound can also reveal if you have pneumonia. A diagnosis like this does not take a long duration, and thus the ultrasound plays a significant role in expediting the treatment process.
  • There are no hard and fast regulations to follow after the ultrasound. The physician may recommend few instructions depending on your situation. In typical cases, there is no special preparation like fasting is required and you need not be sedated during the ultrasound as well.
  • A safe and painless method to detect the condition of the chest and the respiratory organs and the blood flow through the organs in your chest, a thoracic ultrasound is a preferred procedure that can help your doctor to diagnose your condition and decide upon the treatment method.

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

1830 people found this helpful

5 Spine Strengthening Exercises for Ankylosing Spondylitis in Water/pool

Dr. Vishwas Virmani 91% (22727 ratings)
MPT, BPT
Physiotherapist, Noida
5 Spine Strengthening Exercises for Ankylosing Spondylitis in Water/pool

 Loss of muscle strength is a feature of AS. Muscles weaken owing to postural deformity and inactivity and the associated pain

Strengthening of the anti-gravity muscle groups and abdominal muscles is important to maintain an erect posture, and it enables everyday activities to be undertaken with greater ease. Example of extensor muscle groups are the cervical, thoracic and lumbar  spine extensors and glutei. 

Exercises can be made harder by extending the lever arm using gravity as a resistance or by adding weights. Strengthening of other important muscle groups such as lumbar side flexors and thoracic rotators should not be omitted. 

These particular muscle groups can be effectively strengthened in the hydrotherapy pool. Strengthening exercises are held for several seconds and repeated at least three times.

 STRENGTHENING EXERCISES

1.SUPINE WITH HANDS HOLDING THE RAIL

Make sure that the neck is supported in a neck float and push the occiput into the water during the exercise. Squeeze a medium-sized ring tightly around the hips or have a woggle or polystyrene floats under the buttocks to keep them elevated. 

 Hold the rail to fix the trunk but not so tight that it aggravates the shoulders and neck.

2.LUMBAR HIP EXTENSORS

A.With straight knees, take both heels down towards the bottom of the pool(hip and lumbar spine extension)

B. Put a float behind the heel of one foot and take that foot down in the water until the foot is just under water. Take the other leg down in the water as far as possible and back up. Keep both knees straight.

3. LUMBAR SIDE-FLEXORSS

Wing the legs as far as possible to each side, side-bending at the waist and keeping knees straight and the pelvis in neutral.

4.HIP ABDUCTORS AND ADDUCTORS 

Take the legs apart into abduction and back together again. Keep knees straight.

5.THORACIC ROTATORS

Bend the knees to 90 degrees, put a float under the soles of the feet and

keep hips in neutral. Keep the knees just under the surface of the water, while

swinging the feet up towards the surface of the water to each side.

1 person found this helpful

Thoracic Ultrasound - What You Can Expect After Undergoing It?

Dr. Mool Chand Gupta 91% (35709 ratings)
MD - Pulmonary, DTCD
Pulmonologist, Faridabad
Thoracic Ultrasound - What You Can Expect After Undergoing It?

When your doctor suspects of the presence of extra fluid in your lungs, you might be advised for a thoracic ultrasound. What is a thoracic ultrasound and why do you need it? With a thoracic ultrasound, your doctor will be able to look at everything in the thoracic cavity and can know if your lungs, heart, and other structures in the chest are working fine. The pulmonologists can efficiently determine the lung condition even in critically ill patients using a non-invasive ultrasound technique.

And, since the method is based on sound, there is no risk of exposure to potentially harmful ionizing radiation or nephron-toxic contrast dye in this case. Hence, a thoracic ultrasound has become the most preferred technique for conducting a preliminary examination or to further check and confirm a finding noted using other imaging techniques for thoracic diseases.

Reasons to have a chest ultrasound

  • The doctor usually refer an ultrasound when he or she can feel that there is some extra amount of fluid in your chest. The ultrasound can tell the physician the reason behind the deposition of excess liquid.
  • The ultrasound would help detect the type of fluid that is present in the chest, whether it is exudate that is caused due to inflammation, an infection, or lung cancer, or whether it is transudate that is a leakage from the lymph nodes or the blood vessel. It determines the movement of the diaphragm.
  • Chest ultrasound can be done in conjunction with other examinations like CT scan, MRI to evaluate the condition of the chest.
  • It has to be noted that, in certain circumstances such as severe obesity and barium in your esophagus, the procedure can give an inaccurate result. Hence, it is always advisable to talk with the health care provider and share your complete medical history before undergoing this procedure to prevent such occurrences.

After a Thoracic Ultrasound

  • After the results of the ultrasound are received, the doctor can detect what the condition of your chest is at the moment. Your doctor will also confirm if the lungs have collapsed or if there is water in the lungs, or excess fluid has deposited into the lungs.
  • Ultrasound can also reveal if you have pneumonia. A diagnosis like this does not take a long duration, and thus the ultrasound plays a significant role in expediting the treatment process.
  • There are no hard and fast regulations to follow after the ultrasound. The physician may recommend few instructions depending on your situation. In typical cases, there is no special preparation like fasting is required and you need not be sedated during the ultrasound as well.
  • A safe and painless method to detect the condition of the chest and the respiratory organs and the blood flow through the organs in your chest, a thoracic ultrasound is a preferred procedure that can help your doctor to diagnose your condition and decide upon the treatment method.

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

3701 people found this helpful
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