According to what was stated, surgery on the spine For chronic back pain caused by falcons.
Jessica Stark explained, the spine surgeon at Uthealth Houston. This slipping occurs, which is a sequel of arthritis, often in the cotton spine and can press the nerves around the spine.
Stark told “Stark”: “The back of the joints can really have varying degrees from the spine throughout the spine, just because the joints have become enlarged and retreated in different locations,” Stark told Stark. MedPage today.
Pain levels depend on the degree of slip and how the vertebral vertebra has become. When patients come with this condition, Stark begins to evaluate the degree of severity and the amount of the condition that affects the patient’s life. It benefits many back, leg pain or numbness.
Stark said: “I always tell the pain that the pain is a kind of nerve pressure warning, but this numbness and weakness is actual nerve damage,” Stark said. “When we really get weak when we start anxiety, because this is when that nerve is severely damaged and sometimes, especially with some nerves, as soon as they are subjected to great pressure on them, you become so weak that the nerve cannot heal itself anymore.”
She indicated that people can develop the spine for various reasons.
The degenerative spine, the most common shape, occurs from corrosion and tears in the bones that rub each other over time. Most of this time is offered at the age of 50 or greater. Some people, such as those who do manual work or play on sport, affect them, have more weariness on their bodies of these high -impact activities, and they are likely to have arthritis or early hernia tablets as well as the development of the spine. African women and Americans are likely to organize more, according to the American Academy of Orthopedic Surgeons.
Those who are born with defects or prominent congenital fractures – deformities in the back of the spine that keeps the joints in place – their bones may slip at an early age, and perhaps even in adolescence. Painful fractures, which often stem from vehicle accidents or fall, can lead to spinal involvement.
“It is clear that acute injuries, such as shocks, suffer from greater injuries in their nerves because they occur suddenly, and their nerves did not extend for a long time so that they do not have this type of healing the protective nervous root that occurs slowly,” Stark explained.
Physiotherapy often begins with the basic strengthening of reducing pressure on the spine, long anti -inflammatory drugs such as silicoxib (Celebrex) or meurbrex or meurbrex or meurxicam, and possibly muscle comfort or neurological pain such as Gabapentin (Neurontin). For some, this level of intervention is sufficient.
But if the condition does not improve or exacerbate in 6 weeks, the next step is the injection every few months. Stark said this usually includes cotton steroid injections that have anti -inflammatory effects with dowdocaine to relieve numbness in the short term. Like other similar injection, the cotton steroid injection works better in the first time and becomes less effective with each injection.
Fix the spine with four screws and bars is the last resort and the final treatment. Stark said that most surgeons also clean the disk and put “a type of device, meaning the cage, in the disk space to allow the front melting as well, because it is a lot of pressure on these screws, on the bars, and this can fail over time.” She explained that this gives intervention a better chance to keep it.
After the stability of the vertebrae, the first point of the movement of the spine is the highest level, which slightly increases the risk of arthritis at this level. After about 20 years of surgery, some people need a second over the first level.
Stark said that the silver lining into a difficult condition is that some of the most effective treatments are relatively new.
“I can fix this with a small incision less than an inch,” she said. “I think it is good to be able to do this – and this was not an option 10 years ago.”