Tuesday, 28 June 2016

All About Vertebral Compression Fracture

Understanding Vertebral Compression Fracture

A vertebral compression fracture (VCF) is a breakage in a part of the vertebra. These fractures mainly occur in the middle (thoracic) and lower (lumbar) regions of the spine. Patients may experience mild to severe fractures.





Causes of Vertebral Compression Fracture

One of the major causes of VCF is osteoporosis, a condition that results in weak and brittle bones. Weaker bones are more prone to fractures during activities such as sneezing, coughing, bending forward, standing suddenly from a seated position, etc. Sometimes spinal injuries can be caused by a vehicle accident, a fall, or even when playing sports. Spinal conditions such as an infection, cancer, or vascular necrosis weakens bones and leads to fractures.

Signs and Symptoms


  • Back pain that occurs all of a sudden and is sharp and severe
  • Back muscle spasms
  • Back pain that gets worse when you stand or walk
  • Trouble urinating
  • Problems with bowel movements
  • Sudden weakness in legs or arms

Diagnosis

The healthcare provider will assess the past history of injuries and diseases. He / she will also conduct a physical exam and examine the spine. The diagnosis process may include some tests such as X-rays, MRI, or CT scans.

The Treatment

For Mild Fractures – Doctors suggest bed rest for a short time period. Patients may also require wearing a back brace for around 8 to 12 weeks. It helps in reducing pain and facilitate vertebral healing. The following treatment measures may also be suggested for relief:

Medicines such as NSAIDs, are prescribed to decrease swelling, pain, and fever. Calcitonin and Bisphosphonates may be prescribed to strengthen bones.

Physical and occupational therapy is prescribed to enhance movement and strength of bones and reduce pain.

For Severe Conditions – Doctors suggest surgery in cases where pain, weakness, or numbness does not go away with medications, rest, bracing, and physical exercises. Surgery provides more stability to  the spine and decreases pressure on spinal nerves caused due to fracture. The surgical options include:

Vertebroplasty – The procedure involves placing of bone cement into the fractured vertebrae.

Kyphoplasty - A balloon is used to allow space in the fractured vertebrae. The space is filled with bone cement.

Open Surgery – It helps bones to take the right place. Wires, plates, screws and pins are used to hold bones together.

Emergency Treatment – When to Rush to a Doctor

When you experience the following symptoms, it is time to rush to a doctor for immediate treatment:


  • Coughing up blood
  • Light-headedness, short of breath, and chest pain
  • Problems urinating
  • Arm or leg feels warm, tender, and painful
  • Sudden numbness in legs
  • Leg / arm appear red and swollen
  • Troubles with bowel movements
  • Severe back pain after sneezing, falling, coughing, or bending forward
  • Sudden trouble moving legs / legs 


Speak to the Doctor

As a patient, you hold the complete right towards owning a care agreement. The authorities have a responsibility towards you. Ample care should be given to you in a timely manner. Also learn more about your health condition from an experienced doctor and understand various ways to treat it.

It is crucial to have a clear discussion about various treatment options available for your condition. As a patient, you always have the right to refuse treatment. Medical advice from experienced nurses, doctors or specialists prior to following a treatment is very important.

You want to know more about various treatment so visit the following link : www.spinecentermiami.com

Wednesday, 4 May 2016

Understanding Sciatic Nerve Pain and its Causes

What is Sciatic?

Sciatica is a condition that give rise to pain, tingling, or numbness due to an irritation of the nerve roots. This leads to sciatic nerve. The sciatic nerve is formed by nerve roots emerging out of the spinal cord towards lower back. These nerve roots travel down through the buttock. The branches extend down towards the back part of the leg and move to ankle and foot.

Causes of Sciatica

A ruptured or bulging disc (herniated disc) is the most common cause of sciatica. This spinal disc presses against the nerve roots leading to the sciatic nerve.

Sometimes sciatica can also be a symptom of other conditions affecting spine, such as bone spurs caused by arthritis, spinal canal narrowing, nerve root compression etc.

Sciatica may also be caused due to non-spinal conditions such as pregnancy or tumours. This occurs in rare cases.

Signs and Symptoms

The major symptom of sciatica is pain. It starts in the back or buttock and gradually travels down the leg. Sometimes, it may also move into foot. Other symptoms for the condition include weakness, numbness or tingling in the leg may also occur.

Patients may experience severe pain while sitting, standing for a long time. Movements leading to flexing of the spine can make symptoms worse. Light movements such as walking and lying down will relieve symptoms by extending the spine may relieve symptoms.

Diagnosis

Sciatica is usually diagnosed by a specialist through thorough assessment of medical history. A detailed physical exam is also done to understand the level of severity. Doctors will also suggest X-rays and a variety of other tests including magnetic resonance imaging (MRI) in order to discover the root cause of the sciatica.

The Treatment for Sciatic Nerve Pain

In most cases, sciatica improves and go away with time. Hence, initial treatment options mainly emphasises on medications and certain exercises to help relieve pain. It is possible to relieve pain by the following treatment methods:


  • Avoiding sitting for a long time
  • Alternating lying down with short walks
  • Gradually increase walking distance
  • Medications such as Acetaminophen (Tylenol)
  • Nonsteroidal anti-inflammatory drugs (NSAIDs)
  • Ibuprofen (Advil)
  • Naproxen (Aleve)
  • Use of a heating pad every 2-3 hours
  • A warm shower
  • Ice pack for 10 to 15 minutes every 2 to 3 hours


Other treatment options depends completely on the precise cause of  nerve irritation. In the event your symptoms do not improve with time and the above mentioned tips, speak to your doctor. The health expert will suggest you a combination of physical therapy, medications, injections etc. Depending on your condition, the doctor will also suggest steroids, muscles relaxants and opiates. Surgery may also come as the last option for severe cases.

This article is particularly written for Sciatic Nerve Pain. If you want to treat Sciatic Nerve Pain so visit here : www.spinecentermiami.com/specialties/