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Vertebroplasty Tips

Vertebroplasty - How It Can Help Manage Pain?

Dr. K J Choudhury 89% (191 ratings)
MBBS, MD, M.N.A.M.S(Anaesthesiology), FWACS
Pain Management Specialist, Delhi
Vertebroplasty - How It Can Help Manage Pain?

Vertebroplasty means shaping the backbone i.e. vertebra for backbone and plasty is related to shape. This is an outpatient procedure done to treat compression fractures of the spinal cord. The backbone is made up of multiple small bones which are stacked one on top of the other with a filling material in between that is known as vertebrae. The stack of bones are held in place by the soft, elastic vertebral material.

Vertebroplasty & similar procedure called kyphoplasty is a non-surgical procedure where collapsed vertebrae is brought back to shape by injecting medical bone cement under fluroscopy / image intensifier in OT, thereby relieving pressure on the spinal cord or spinal nerves with special canula directed to the core of vertebral body. Indicated in osteoporotic vertebrae, spinal fracture, metastatic tumour or primary tumour of spine. This technique has replaced major surgery done earlier to reshape & fix vertabrae.

Technique: Bone cement, in a semisolid state, is injected into the weakened or fractured bone space. Once this solidifies, it provides additional support to the spine, enabling normal movement. It also helps in reducing the pain significantly and improves the overall mobility.

Procedure:

In what takes about an hour, the following steps are done. Earlier, a few decades ago, this would be an open surgical procedure. However, with advance technology, now it is done using a small incision

  • Local anesthesia is given in the area that needs to be operated
  • A biopsy needle is inserted into the fractured space with the help of an X-ray
  • The acrylic bone cement is injected into the bone space with a needle to fill up the space, once it solidifies, it stabilizes the vertebral space
  • The needle is removed and the incision is covered with a bandage
  • Usually the patient is sent home in an hour’s time unless the overall condition is really bad
  • There could be some soreness at the site where injection is given, but one can notice a significant reduction in pain from the day of the procedure
  • There is also improvement in mobility while doing daily chores
  • The pain relief can last up to 3 years after the procedure
  • Returning back to normal activities takes about 3 to 4 days after the procedure

When to use this procedure?

Vertebroplasty is usually done in case of non-radicular pain that is intractable. In most cases, they do not respond to traditional therapies including physiotherapy, pain medications and even surgery. The pain could be due to:

Benefits of using vertebroplasty for managing pain 

  1. Minimally invasive
  2. Effective way to get relief
  3. Improves mobility
  4. Cost-effective
  5. Reduces need for long-term use of painkillers
  6. Stabilizes the spine and prevents further collapse

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

4143 people found this helpful

Vertebroplasty (PVP) / Kyphoplasty - Approach To Management Of Vertebral Body Fractures!

Dr. Neeraj Jain 85% (19 ratings)
MBBS, MD, FIMSA, FIPP
Pain Management Specialist, Delhi
Vertebroplasty (PVP) / Kyphoplasty - Approach To Management Of Vertebral Body Fractures!

As life expectancy is increasing so is the incidence of vertebral body (VB) fractures now being the commonest fracture of the body. PVP is an established interventional technique in which bone cement is injected under local anaesthesia via a needle into a fractured VB with imaging guidance providing instant pain relief, increased bone strength, stability, decreasing analgesic medicines, increased mobility with improved quality of life and early return to work in days.

In this era of minimally access surgery replacing open surgeries, PVP is a novel procedure & should be in the first line of management in place of conservatism or major spine surgery for painful uncomplicated compression fracture spine.

Morbidity & consequences of spinal fracture:

  • Traumatic VB is a painful condition requiring bed rest restricting daily activities markedly
  • Left untreated it can cause DVT, increase osteoporosis, loss of VB height, respiratory & GI disturbances, emotional & social problems secondary to unremitting pain, loss of independence with high cost of rehabilitation.
  • High risk of primary or consequential damage to neural, bony or disc element
  • Increased wedging, deformity & increase incidence of adjacent VB
  • Chronic pain of altered spine mechanics
  • Uncomfortable braces & sleep disturbance because of pain & discomfort with its sequels.
  • Cost of surgery and hospital treatment
  • Cost of implants
  • Phobia of surgery
  • Prolonged recovery period & Extensive rehabilitation
  • Changed spinal mechanics & transition syndrome
  • Major surgery & anesthesia with its own complications

Results / Outcome

  • PVP is a novel procedure with high benefit to risk ratio, which is highly underutilized in relation to the high prevalence of the vertebral.
  • Different studies show an immediate pain relief in (85 – 90)% of patients with low complication rate ranging from (1-5)% depending upon the type of lesion.
  • PVP does augment height of VB but ideal would be kyphoplasty
  • Patient is either off medicine or on reduced doses.
  • Patient feels so well that he almost forgets if he had VB
     

Percutaneous Vertebroplasty (PVP) is an emerging interventional technique in which surgical polymethyl methacrylate bone cement is injected under local anaesthesia via a large bore needle into a vertebral body (VB) under imaging guidance providing increased bone strength, stability, pain relief, decreased analgesics, increased mobility with improved QOL and early return to work. Started in 1984 by Galibert PVP is done in host of indications.

Senile osteoporotic compression remains the commonest Indication. Other indications are  Metastatic VB,  Multiple myeloma VB, VB haemangioma,  Vertebral osteonecrosis & for strengthening VB before major spinal surgery. The benefit has been extended to the traumatic stable uncomplicated VB compression (VCF)   which is commoner in younger age group with active life profile and prime of their career where strict bed rest and acute or chronic pain are unacceptable and they are more demanding for proactive treatment approach so as to be back to work ASAP.

Discovering the fact that VB is the commonest of body, its incidence >the hip, it becomes imperative to take it more seriously. With increasing life-span there is more of aged osteoporotic population, more so due to sedentary indoor lifestyle and post menopausal osteoporosis.  Diabetics, smokers & alcoholics are at higher risk of developing osteoporosis. I have seen such alcoholic patient developing six spine fractures in just three months time from a single fracture being on complete bed rest.

Quick fix of fracture spine makes patient walk back same day instead of bed rest of months together avoiding morbidity & mortality of prolonged bed rest, making bedridden patient walk, in a way bringing patient  back to normal life.

In this era of MAS replacing open surgeries, PVP is a novel procedure & should be in the first line of management in place of conservatism or major spine surgery for painful uncomplicated compression.

Morbidity & consequenses of spinal 

  • Traumatic VB is a painful condition requiring bed rest restricting daily activities markedly.
  • Left untreated it can cause DVT, increase osteoporosis, loss of VB height, respiratory &
  • GI disturbances, emotional & social problems secondary to unremitting pain, loss of independence with high cost of rehabilitation.
  • High risk of primary or consequential damage to neural, bony or disc elements.
  • Increased wedging, deformity & increase incidence of adjacent VB
  • Chronic pain of altered spine mechanics.
  • Uncomfortable braces & sleep disturbance because of pain & discomfort with its sequels.

Morbidity and complication of spinal surgery 

  • Cost of surgery and hospital treatment
  • Cost of implants
  • Phobia of surgery
  • Prolonged recovery period & Extensive rehabilitation
  • Changed spinal mechanics & transition syndrome
  • Major surgery & anesthesia with its own complications

Preparation & Procedure:
X-ray spine in a/p & lat view. CT is more informative of bone & morphology. MRI is good for soft tissue injuries. Ask for pedicle size in all dimensions and construct a 3D image aiming needle placement and cement filling in scan room itself as rehearsal of PVP. This reduces operative time & gives better results. Conventionally PVP is done by hammering the vertebroplasty needle through the bone. Here we use light weight drill to bore through the vertebra. It is important to set the needle at exact entry site & side with right trajectory aiming the defects.

In lateral view needle should go through middle of the pedicle going up to anterior 1/3 of VB. In P/A view the needle can be in midline or paramedian depending upon & if uni/bipedicular approach is planned. Approach varies as per location of vertebra, anterolateral in cervical, costotransverse/parapedicular in thoracic & transpedicular in lumbar vertebra.

Do bone biopsy if there is any doubt about lession. Do dye test (vertebral venography). Make cement more radiopaque by adding barium /or tungsten. Inject cement with 1or2 ml luerlock syringes strictly under fluoroscope in lateral view & cross checking in P/A view. Stop injecting either there is adequate filling or at the first sight of ectopic cement leak. Keep sample cement to see for hardening. Remove needle with rotational movement before cement hardens.

Pain relief is by virtue of different mechanisms postulated :

  • Cementing of fragments.
  • Thermal neurolysis of VB nerve ending due to heat of polymerization.
  • Washing away of nociceptor chemicals.
  • Neurolytic action of liquid monomer.
  • By allowing early ambulation decreasing pains of immobility & bed rest.

Complications 

  1. PVP is generally safe with low risk.
  2. Ectopic cement leak is frequent but generally inconsequential.

Outcome 

  1. PVP is a novel procedure with high benefit to risk ratio, which is highly underutilized in relation to the high prevalence of the vertebral
  2. Different studies show an immediate pain relief in (85 – 90)% of patients with low complication rate ranging from (1-5)% depending upon the type of lesion.
  3. PVP does augment height of VB but ideal would be kyphoplasty.
  4. Patient is either off medicine or on reduced doses.
  5. Patient feels so well that he almost forgets if he had VB

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

4342 people found this helpful

Osteoporotic Vertebral Fracture - What Causes It?

Dr. Harpreet Singh 85% (10 ratings)
MBBS, MS - Orthopaedics, Clinical Fellowship In Adult & Peadiatric Spine Surgery
Orthopedist, Kanpur
Osteoporotic Vertebral Fracture - What Causes It?

Osteoporotic vertebral fracture, also known as compression fracture, is a condition of the spine. The simplest way to detect the issue is by visiting a doctor when you feel pain in the back. Usually this pain is limited to the lower back, but with time, the discomfort may spread upward. Here is a look at some of the things you should know about the condition, if you have been diagnosed with the same.

Causes of Osteoporotic Vertebral Fracture
Several things may cause the condition. For instance, osteoporosis is a major contributing factor for such a fracture. Other causes for the disease include underlying conditions that can affect proper development of the bone. Furthermore, accidents are often responsible for such fractures. With age, men and women begin to lose bone density and end up with osteoporosis. At this stage of the condition, the bones become hollow and thus, they have a greater chance of fracture than a healthy bone.

Symptoms
Since it is a spinal fracture, affliction with such a condition will mean that much of your mobility and ability to do work diminishes. Here are some common symptoms of osteoporotic vertebral fracture aside from back pain-

  1. Pain increases when you walk or stand
  2. Such a fracture may decrease your height
  3. Trouble having to bend down and twist the body.
  4. Shoulders may stoop.
  5. Strain on the spine will increase the pain experienced and even lifting relatively lightweight objects may become difficult
  6. Lifting heavy items can be difficult and the pain may become too much to bear.

Treatment
Treatment depends on the cause of the condition. For instance, if the compression fracture results from osteoporosis, doctors will prescribe medication for the pain and the underlying osteoporosis as well. The pain can last for anywhere between a few weeks to a month or even longer. Certain medications are used to provide relief from some of the pain.

Apart from the medication, doctors may also advice certain lifestyle changes. For instance, bed rest is recommended to patients during such a fracture. However, osteoporosis patients should ensure not to stay in this inactive state for a long period, as their condition may worsen.

In acute cases of compression fractures in the spine, patients may need to undergo a surgical procedure in order to find relief from the discomfort and pain. Vertebroplasty, spinal fusion surgery and kyphoplasty, are the three common surgeries used to rectify the compression fracture. While Kyphoplasty and Vertebroplasty are minimally invasive procedures, spinal fusion surgery is a complicated treatment, which is usually the last resort.

Spinal Compression Fracture - How It Can Be Treated?

Spine and Pain Management
Pain Management Specialist, Hyderabad
Spinal Compression Fracture - How It Can Be Treated?

What is spinal compression fracture?
Spinal compression fractures are getting frequent due to the many lifestyle changes which we undergo. The body should not be made to be put use in a certain way like posture, lifting heavy weights, etc. However, prolonged and repeated usage affects the spine directly and results in compression fractures. Though the condition looks, gratifying, modern science has advanced to levels where the fractures can be addressed very effectively, and the pain symptoms can be eradicated almost completely. Let us have a summary about the treatment methods.

The treatment
The treatment plan of any spinal compression fracture should effectively highlight the pain, the factors leading to the pain and lastly the fracture itself. Our body has been designed in such a way that the spine can withstand an amount of pressure and force. As a result of it, it is one of the strongest parts of the human body. Hence most the fractures heal with pain medications and strength exercises. These activities can be embraced as a permanent one- thus eradicating the pain altogether.

Pain killers are administered gradually for a few weeks along with rest and once the pain subsidises strength exercises are imparted as a part of the treatment plan. In few cases, anti-inflammatory drugs and antidepressants can also help in relieving the nerve related pain. A back brace like an easily removable cast can also be put when doing the usual activities. This, directly stiffness the spine and provides it with support. The pressure to the spine can be greatly relieved due to the back brace.


Surgery for Spinal compression fractures
As stated, most of the spinal pain can go away with certain lifestyle changes and medications. However, in some extreme cases even after putting all the effort the pain does not go, then a surgical treatment has to be performed to correct the fractures. There are two minimally invasive procedures namely Vertebroplasty and Kyphoplasty and one complicated procedure known medically as the Spinal fusion surgery. In vertebroplasty and kyphoplasty, bone cement is spread across in layers to the affected region.

These blocks of cement have a tendency to get strong in a matter of minutes, thus relieving the pressure immediately. Spinal fusion surgery is done in extremely rare cases where two or more vertebras are connected together using metal screws. Sometimes even a bone graft is affixed to provide support to the fractured region. Doctors, however, do not go for it usually as the procedure causes extreme inconvenience even after the treatment.

Prevention
Spinal compressions are a frequent occurrence nowadays, and as good physician would suggest prevention is better than cure. Making the much-needed changes to life and the activities we perform can drastically reduce the chances of getting a spinal compression fracture.

11 people found this helpful

Interventional Radiology - All You Need To Know About It!

MBBS ,MD ,DNB (Radiodiagnosis), Fellowship In Interventional Radiology
Radiologist, Mumbai
Interventional Radiology - All You Need To Know About It!

Interventional radiology is a subspecialty of radiology that involves targeted, minimally invasive treatments. Intervention radiologists use their knowledge of examining X-rays, ultrasound and medical images, to assist doctors in guiding instruments. Catheters and other medical instruments are thus guided to treat the condition.

Common Interventional Procedures-

  1. Angiography is an X-ray of the blood vessels. It helps diagnose any possible blockages or infections in the arteries and veins. It employs a catheter to introduce a contrast dye into the blood vessels to produce an X-ray image of them.
  2. Balloon Angioplasty is employed by interventional radiologists to open clogged arteries in different parts of the body. It inserts an extremely small balloon into the blood vessel and inflates it, thereby unblocking narrow and blocked blood vessels.
  3. Vertebroplasty is used to treat fractures and spinal column lesions. It provides rapid pain relief and protection from possible future fracture or damage.
  4. Varicocele embolization is used to treat enlarged blood vessels of the scrotum. These, if left untreated, might cause infertility and extreme pain.
  5. Uterine fibroid embolization shrinks enlarged, painful, benign tumors present in the uterus.
  6. Uterine artery embolization is used to control postpartum bleeding and helps prevent a hysterectomy.
  7. Stenting involves using a small mesh tube to open ducts which have been blocked and drain bile from the liver.
  8. Chemoembolization is used to deliver cancer-fighting agents directly to the cancerous tumor. This is the most advanced form of treatment for cancers affecting the endocrine system, melanoma, and liver cancer.

Advantages of Interventional Radiology
The many advantages of Interventional Radiology include-

  1. Minimally invasive- With the use of interventional radiology, surgical incisions can be kept small and extremely precise. The procedures which use these techniques are minimally invasive and do not tax the patient’s health.
  2. Less use of anesthesia- The use of general anesthesia is more often than not required in these procedures. This significantly reduces the possible complications that are associated with the use of anesthesia.
  3. Shorter Recovery period- Since these procedures are minimally invasive, the recovery period is extremely short. And the patient can return to his daily routine within a few days itself.
  4. Cost-efficient- These procedures are also less expensive than open surgeries, making them extremely cost-efficient.

Interventional Radiology is a fast developing area of medical science and provides multiple advantages that traditional medicine does not.

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

4486 people found this helpful

ARE YOU WALKING AROUND WITH FRAGILE BONES?

MBBS, MS, DNB, FNB (SPINE SURGERY)
Orthopedist, Chennai
ARE YOU WALKING AROUND WITH FRAGILE BONES?
ARE YOU AT HIGH RISK OF DEVELOPING A FRACTURE IN YOUR SPINE OR HIP? Read on to know more about OSTEOPOROSIS.
There is another silently progressing, common disease other than diabetes and hypertension that can cause potentially serious risk to your health in old age. Osteoporosis meaning “porous bones” indicates a condition where your bones become more porous, thinner and weaker due to accelerated loss of bone or reduced bone formation or both. It is most evident in the vertebrae of spine, hip bones and in the wrists.
Thin and porous vertebrae fracture easily. They crumble on their own or due to minor stresses during daily activities like coughing, sneezing, bending forwards. These fractures can be painless and go unnoticed in multiple levels till the spine develops a forward bend and a noticeable loss of height. Or it can cause significant pain and disability, limitation in daily activities and increased dependence on others. A simple slip and fall at home can cause a fracture in the hip bones that can make the patient completely bed ridden. These situations commonly cause depression and general deterioration of health and leads to other risky complications in old age.
Though it is most common women after menopause, it also happens in men above age of 65 years and in those with certain risk factors like liver or kidney disease, thyroid or parathyroid disorders, and certain tumours. Smoking has been proven to cause osteoporosis. Long term steroid intake given for various conditions and medications given for seizure disorders also can cause osteoporosis.
Osteoporosis can be detected easily by a screening test called the DEXA scan. Any one above the age of 50 years should consult an orthopaedic surgeon to know if they are at risk of osteoporosis and whether he/she needs a DEXA scan. If the DEXA scan reveals that you have osteoporosis, you must be evaluated by an orthopaedic surgeon and an endocrinologist to look for other treatable conditions that can cause osteoporosis. There are medications that are prescribed to strengthen the bones and reduce the risk of fractures in future. Diet rich in calcium and vitamin D and supplementary calcium and vitamin D medications are also an essential part of treatment.
Although the vertebral osteoporotic fractures commonly heal in a few weeks with bed rest and medications, some of them may not heal in time or cause severe pain and disability. These patients might need surgical intervention. Vertebroplasty is a procedure that involves injection of bone cement into the broken vertebra and can give immediate pain relief. Kyphoplasty is a similar procedure that can restore the height of the fractured vertebral body and reduce the forward stoop in the spine. Open surgery might be required sometimes if the collapsed vertebra causes a compression of the spinal cord or nerves in the spine. Osteoporotic hip fractures and wrist fractures often need surgical treatment for fixation.
Prevention of osteoporosis should begin in childhood. Growing bones accumulate calcium and the calcium in bones reaches a peak at around age of 26 to 30 years. After that age, there is a slow decline in the bone calcium, which accelerates in old age especially in women after menopause. So those who reach a lower peak of calcium in bones by the age of 30 are at a higher risk of developing osteoporosis in old age. This means that adequate intake of dietary calcium, vitamin D and adequate exercise from young age is very important to prevent osteoporosis.
Prevention of falls and resultant fractures in those who are osteoporotic is an important aspect of treatment. This needs modification of their living spaces to remove the risks of a slip and fall. Routine exercises and an active lifestyle load the bones and make them stronger and it is a must for all those with osteoporosis and those at risk of developing osteoporosis.
7 people found this helpful

Know More About Osteoporosis!

Dr. Phani Kiran S 92% (10 ratings)
MBBS, MS - Orthopaedics, DNB - Orthopedics
Orthopedist, Chennai
Know More About Osteoporosis!

Are you at high risk of developing a fracture in your spine or hip? read on to know more about osteoporosis.

There is another silently progressing, common disease other than diabetes and hypertension that can cause potentially serious risk to your health in old age. Osteoporosis meaning “porous bones” indicates a condition where your bones become more porous, thinner and weaker due to accelerated loss of bone or reduced bone formation or both. It is most evident in the vertebrae of spine, hip bones and in the wrists.

Thin and porous vertebrae fracture easily. They crumble on their own or due to minor stresses during daily activities like coughing, sneezing, bending forwards. These fractures can be painless and go unnoticed in multiple levels till the spine develops a forward bend and a noticeable loss of height. Or it can cause significant pain and disability, limitation in daily activities and increased dependence on others. A simple slip and fall at home can cause a fracture in the hip bones that can make the patient completely bed ridden. These situations commonly cause depression and general deterioration of health and leads to other risky complications in old age.

Though it is most common women after menopause, it also happens in men above age of 65 years and in those with certain risk factors like liver or kidney disease, thyroid or parathyroid disorders, and certain tumours. Smoking has been proven to cause osteoporosis. Long term steroid intake given for various conditions and medications given for seizure disorders also can cause osteoporosis.

Osteoporosis can be detected easily by a screening test called the dexa scan. Any one above the age of 50 years should consult an orthopaedic surgeon to know if they are at risk of osteoporosis and whether he/she needs a dexa scan. If the dexa scan reveals that you have osteoporosis, you must be evaluated by an orthopaedic surgeon and an endocrinologist to look for other treatable conditions that can cause osteoporosis. There are medications that are prescribed to strengthen the bones and reduce the risk of fractures in future. Diet rich in calcium and vitamin d and supplementary calcium and vitamin d medications are also an essential part of treatment.

Although the vertebral osteoporotic fractures commonly heal in a few weeks with bed rest and medications, some of them may not heal in time or cause severe pain and disability. These patients might need surgical intervention. Vertebroplasty is a procedure that involves injection of bone cement into the broken vertebra and can give immediate pain relief. Kyphoplasty is a similar procedure that can restore the height of the fractured vertebral body and reduce the forward stoop in the spine. Open surgery might be required sometimes if the collapsed vertebra causes a compression of the spinal cord or nerves in the spine. Osteoporotic hip fractures and wrist fractures often need surgical treatment for fixation.

Prevention of osteoporosis should begin in childhood. Growing bones accumulate calcium and the calcium in bones reaches a peak at around age of 26 to 30 years. After that age, there is a slow decline in the bone calcium, which accelerates in old age especially in women after menopause. So those who reach a lower peak of calcium in bones by the age of 30 are at a higher risk of developing osteoporosis in old age. This means that adequate intake of dietary calcium, vitamin d and adequate exercise from young age is very important to prevent osteoporosis.

Prevention of falls and resultant fractures in those who are osteoporotic is an important aspect of treatment. This needs modification of their living spaces to remove the risks of a slip and fall. Routine exercises and an active lifestyle load the bones and make them stronger and it is a must for all those with osteoporosis and those at risk of developing osteoporosis.

2 people found this helpful

3 Best Exercises/Yoga Poses for Dowager's Hump

Dr. Vishwas Virmani 92% (23078 ratings)
MPT, BPT
Physiotherapist, Noida
3 Best Exercises/Yoga Poses for Dowager's Hump

What is a dowager's hump?
The term dowager's hump is a more casual term for the medical condition referred to as kyphosis. It is the uncommon curvature of the thoracic vertebrae of the upper part of the back in an outward direction.

It is most commonly seen in women than in men. When the front part of the vertebrae becomes involved and gets compressed due to osteoporosis, it will later on result to the spine bending forward and producing a hump at the upper back portion.

What causes a dowager's hump?
The hump can be caused by other conditions and these should be determined in order to get the correct treatment. Based on the research of the university of maryland medical center, this kyphosis problem can be caused by genetic abnormalities.

The disfiguration in the patient's genes can result to the inappropriate growth of the vertebral column. Other conditions linked with other congenital problems could also cause this hump.

It is also been mentioned in some studies that it can also be due to wedge fractures wherein the front part of a vertebra collapses causing the spine to be misaligned a little. The above part of the fracture tips forwards and creating a slight back curve.

As the vertebra over the wedge fracture is tipped forward, it puts pressure on other vertebrae that could lead to developing a wedge fracture in another vertebra. The more wedge fractures are occurring; the back gets more bowed. In severe cases, a person's back can be extremely bent over.

How is a dowager's hump treated?
There are several ways to treat dowager's hump. The main goal of treatment for this condition is by preventing bone loss, although it can also be utilized as a management which is beneficial for patients who experience pain resulting from vertebral fractures.

The procedure is called vertebroplasty, where bone cement is injected to stabilize the vertebrae. Another procedure for this condition is performing kyphoplasty for individuals with compression fractures in the bottom half of the spine.

Exercises for dowager's hump
Based on some research studies in the medical society, yoga exercises can be a great contribution in treating dowager's hump. The upper spine curvature of individuals who did yoga for six months reduced the back problem by about five percent compared to those who did not.

Here are some 5 easy poses that can be done to straighten the spine:

Seated mountain
Sit straight at the front edge of the chair with the butt firm and flat. Secure the feet on the floor by steadying it there. Inhale and stretch out the spine upward. Bring the shoulders down along with the head placed over the spine, then breathe uniformly keeping the posture for about 30 seconds to 1 minute.

Henpecking
Sit in the same seated mountain position then pull the head backward as if making a double chin. Do it again for 6 to 10 times. Do not lift or jut the chin in a forward manner. Focus on the backward movement with the shoulder rolled and lifted when inhaling, then compress the shoulder blades together at the back when exhaling. Do it 6 to 10 times in full circles.

Seated superman
Sit tall. Inhale while clasping the hands behind the back. Hold the arms away from the body when exhaling. Do it all over for 3 to 6 times. Remain in the same pose by continuously breathing if desired.

Rocking horse
Sit tall as above. Keep the fit firm on the floor and draw the head back. Stay in this posture, and then bend forward by not rounding the spine. The muscles in the abdomen should remain firm and shoulders should be square. Bend back as far as possible with the feel still planted on the floor. Go through again for 10 to 20 times.

Methods of prevention for dowager's hump
Preventive measures must be taken to avoid this condition. Tips that can prevent dowager's hump include:

Daily doses of vitamins c and d
Exercise
Work-outs for coordination and balance in order to prevent spine fractures
Eat a healthy and balanced diet
Sleeping practices
Training for strength and weight.

2 people found this helpful
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