Lumbar Vertebrae
Spinal Cord
Decompression, Surgical
Laminectomy
Carotid Stenosis
Aortic Valve Stenosis
Injections, Epidural
Spinal Cord Injuries
Radiculopathy
Ligamentum Flavum
Spinal Fusion
Intervertebral Disc Displacement
Sciatica
Spinal Nerve Roots
Spinal Cord Compression
Polyradiculopathy
Myelography
Low Back Pain
Intermittent Claudication
Spondylosis
Pyloric Stenosis
Pain Measurement
Treatment Outcome
Mitral Valve Stenosis
Disability Evaluation
Constriction, Pathologic
Pulmonary Valve Stenosis
Back Pain
Injections, Spinal
Cervical Vertebrae
Steroids
Anesthetics, Local
Orthopedic Procedures
Failed Back Surgery Syndrome
Magnetic Resonance Imaging
Sacrum
Cauda Equina
Prostheses and Implants
Follow-Up Studies
Spinal Nerves
Prospective Studies
Spinal Cord Diseases
Dura Mater
Surgical Procedures, Minimally Invasive
Retrospective Studies
Severity of Illness Index
Tomography, X-Ray Computed
Spinal Cord Neoplasms
Chronic Pain
Saline Solution, Hypertonic
Internal Fixators
Postoperative Complications
Thoracic Vertebrae
Betamethasone
Intervertebral Disc Degeneration
Pain
Nerve Compression Syndromes
Renal Artery Obstruction
Recovery of Function
Orthopedic Fixation Devices
Triamcinolone
Aortic Stenosis, Subvalvular
Achondroplasia
Diskectomy
Osteoarthritis, Spine
Diagnostic Techniques, Neurological
Aortic Stenosis, Supravalvular
Post-Dural Puncture Headache
Lidocaine
Spinal Osteophytosis
Lipomatosis
Walking
Intervertebral Disc
Stents
Coronary Angiography
Zygapophyseal Joint
Outcome Assessment (Health Care)
Carotid Artery, Internal
Predictive Value of Tests
Lordosis
Endarterectomy, Carotid
Angioplasty, Balloon
Ultrasonography, Doppler, Duplex
Laryngostenosis
Aortic Valve
Muscular Atrophy, Spinal
Tricuspid Valve Stenosis
Weight-Bearing
Discrete Subaortic Stenosis
Magnetic Resonance Angiography
Spinal Cord Ischemia
Reproducibility of Results
Ganglia, Spinal
Pain Management
Blood Patch, Epidural
Observer Variation
Arterial Occlusive Diseases
Determining the sagittal dimensions of the canal of the cervical spine. The reliability of ratios of anatomical measurements. (1/503)
The ratio of the sagittal diameter of the cervical canal to the corresponding diameter of the vertebral body has been described as a reliable means for assessing stenosis of the canal and detecting those at risk of cervical neuropraxia. The use of ratio techniques has the advantage of avoiding variation in magnification when direct measurements are made from plain radiographs. We examined the reliability of this method using plain lateral radiographs of unknown magnification and CT scans. We also assessed other possible ratios of anatomical measurements as a guide to the diameter of the canal. Our findings showed a poor correlation between the true diameter of the canal and the ratio of its sagittal diameter to that of the vertebral body. No other more reliable ratio was identified. The variability in anatomical morphology means that the use of ratios from anatomical measurements within the cervical spine is not reliable in determining the true diameter of the cervical canal. (+info)The assessment of appropriate indications for laminectomy. (2/503)
We have developed criteria to determine the appropriate indications for lumbar laminectomy, using the standard procedure developed at the RAND corporation and the University of California at Los Angeles (RAND-UCLA). A panel of five surgeons and four physicians individually assessed 1000 hypothetical cases of sciatica, back pain only, symptoms of spinal stenosis, spondylolisthesis, miscellaneous indications or the need for repeat laminectomy. For the first round each member of the panel used a scale ranging from 1 (extremely inappropriate) to 9 (extremely appropriate). After discussion and condensation of the results into three categories laminectomy was considered appropriate in 11% of the 1000 theoretical scenarios, equivocal in 26% and inappropriate in 63%. There was some variation between the six categories of malalignment, but full agreement in 64% of the hypothetical cases. We applied these criteria retrospectively to the records of 196 patients who had had surgical treatment for herniated discs in one Swiss University hospital. We found that 48% of the operations were for appropriate indications, 29% for equivocal reasons and that 23% were inappropriate. The RAND-UCLA method is a feasible, useful and coherent approach to the study of the indications for laminectomy and related procedures, providing a number of important insights. Our conclusions now require validation by carefully designed prospective clinical trials, such as those which are used for new medical techniques. (+info)Surgical treatment of lumbar canal stenosis in the elderly. (3/503)
The effectiveness of spinal surgery for lumbar canal stenosis was investigated in the elderly. 164 patients with lumbar canal stenosis were surgically treated over 8 years. 125 patients were followed up by letter questionnaire. The outcome and patient satisfaction with the surgical procedures were compared between the 73 younger patients (< or = 64 years of age) and the 52 elderly patients (> or = 65 years of age). Intermittent claudication was satisfactorily improved in both the younger and the elderly groups. Both simple laminectomy and laminectomy with fusion could equally improve the symptoms of intermittent claudication. Although statistically not significant, there was tendency that laminectomy plus fusion effectively improved the symptoms of back pain and leg pain in both groups. 75% of the younger patients and 67% of the elderly were pleased with the outcome. The present study shows that elderly patients with lumbar canal stenosis should be actively considered for surgical treatment. (+info)MR imaging of a hemorrhagic and granulomatous cyst of the ligamentum flavum with pathologic correlation. (4/503)
Cysts of the ligamentum flavum are uncommon causes of neurologic signs and symptoms and usually are seen in persons over 50 years of age. We report a case of an epidural cyst located in the ligamentum flavum, which contributed to spinal stenosis in a 30-year-old man. Radiologic features were similar to those of a synovial cyst, but synovium was not identified histologically. The imaging and pathologic features were unusual, including hemorrhage and a fibrohistiocytic reaction with giant cells. (+info)Histology of the ligamentum flavum in patients with degenerative lumbar spinal stenosis. (5/503)
The degree of calcification as well as the structural changes of the elastic fibres in the ligamentum flavum in patients with degenerative lumbar spinal stenosis were evaluated and the results were compared to those of patients without spinal stenosis. In 21 patients (13 male, 8 female) with lumbar spinal stenosis the ligamentum flavum was removed, histologically processed and stained. The calcification, the elastic/collagenous fibre ratio as well as the configuration of the fibres were evaluated with an image analyzing computer. As a control group, 20 ligaments of 10 human corpses were processed in the same way. The results were statistically analysed using the Mann-Whitney-Wilcoxon test (alpha = 0.05) and the t-test (alpha = 0.05). Nearly all the ligaments of patients with lumbar spinal stenosis were calcified (average 0.17%, maximum 3.8%) and showed relevant fibrosis with decreased elastic/collagenous fibre ratio. There was a significant correlation between age and histological changes (P<0.05). In the control group we only found minimal calcification in 3 of 20 segments (average 0.015%). No relevant fibrosis was found and the configuration of elastic fibres showed no pathologic changes. The results of this study illustrate the important role of histological changes of the ligamentum flavum for the aetiology of lumbar spinal stenosis. (+info)The placement of lumbar pedicle screws using computerised stereotactic guidance. (6/503)
Computer-assisted frameless stereotactic image guidance allows precise preoperative planning and intraoperative localisation of the image. It has been developed and tested in the laboratory. We evaluated the efficacy, clinical results and complications of placement of a pedicle screw in the lumbar spine using this technique. A total of 62 patients (28 men, 34 women) had lumbar decompression and spinal fusion with segmental pedicle screws. Postoperative CT scans were taken of 35 patients to investigate the placement of 330 screws. None showed penetration of the medial or inferior wall of a pedicle. Registration was carried out 66 times. The number of fiducial points used on each registration averaged 5.8 (4 to 7) The mean registration error was 0.75 mm (0.32 to 1.72). This technique provides a safe and reliable guide for placement of transpedicular screws in the lumbar spine. (+info)Motor conduction alterations in patients with lumbar spinal stenosis following the onset of neurogenic claudication. (7/503)
The pathogenesis of neurogenic claudication is thought to lie in relative ischemia of cauda equina roots during exercise. In this study we will evaluate the effect of the transient ischemia brought on by exercise on motor conduction in patients suffering from lumbar spinal stenosis (LSS). We will also evaluate the sensitivity of motor evoked potentials (MEPs) in detecting motor conduction abnormalities before and after the onset of neurogenic claudication. Thirty patients with LSS and 19 healthy volunteers were enrolled in the study. All LSS patients had a history of neurogenic claudication and the diagnosis was confirmed with a CT myelogram. Both groups underwent a complete electrophysiological evaluation of the lower extremities. The motor evoked potential latency time (MEPLT) and the peripheral motor conduction time (PMCT) were measured. The subjects were asked to walk on a flat surface until their symptoms were reproduced. A new set of electrophysiological tests was then performed. Exercise did not produce claudication in any of the control group subjects. Twenty-seven patients did have claudication. The pre-exercise MEPLT and nerve conduction studies in the control group fell within the normal range. In the patient group, 19 patients had increased baseline values for MEPLT to at least one muscle. There was a significant difference between the MEPLT and the PMCT values measured before and after exercise in the patients with signs of neurological deficit. This difference was not found to be significant in patients without neurological deficits (t-test P < 0. 05). It may be concluded that exercise increases the sensitivity of MEPs in detecting the roots under functional compression in LSS. (+info)Medical versus surgical treatment for low back pain: evidence and clinical practice. (8/503)
CONTEXT: Although low back pain is one of the most common health problems, it is still difficult to choose between surgical and medical treatment. OBJECTIVE: To examine the evidence of the efficacy of surgical and medical treatment of the two most common indications for spinal surgery for low back pain--lumbar disc herniation and spinal stenosis--and to assess geographic variation in the use of surgery for these conditions in the United States. METHODS: The MEDLINE database (1966-1999) was searched for all studies that compared surgical and medical treatments for low back pain. Data from the Health Care Financing Administration were used to examine geographic variation in spinal surgery rates for patients enrolled in Medicare (1996-1997). RESULTS: Eight observational studies and one randomized clinical trial were identified. In general, these studies suggest better short-term outcomes (e.g., functional status and employability) with surgery than with medical approaches, but they indicate that long-term results are similar with both types of treatment. Methodologic flaws in the observational studies, particularly selection bias, preclude definitive conclusions about relative efficacy. In 1996 and 1997, more than 98,000 Medicare enrollees had surgery for disc herniation or spinal stenosis. Among hospital referral regions, rates of surgery for disc herniation varied 8-fold, from 0.24 to 1.96 per 1000 Medicare enrollees, and rates of surgery for spinal stenosis varied 12-fold, from 0.29 to 3.34 per 1000 Medicare enrollees. CONCLUSIONS: The literature comparing the efficacy of surgical and medical treatment for low back pain is limited. Not surprisingly, the use of surgery for low back pain varies widely across the United States. To establish clinical consensus, we need better evidence about the efficacy of surgery. (+info)Symptoms of spinal stenosis may include:
* Pain in the neck, back, or legs that worsens with walking or standing
* Numbness, tingling, or weakness in the arms or legs
* Difficulty controlling bladder or bowel functions
* Muscle weakness in the legs
Treatment for spinal stenosis may include:
* Pain medications
* Physical therapy to improve mobility and strength
* Injections of steroids or pain relievers
* Surgery to remove bone spurs or decompress the spinal cord
It is important to seek medical attention if symptoms of spinal stenosis worsen over time, as untreated condition can lead to permanent nerve damage and disability.
Symptoms of spondylolisthesis may include:
* Back pain
* Stiffness and limited mobility in the lower back
* Pain or numbness in the buttocks, thighs, or legs
* Difficulty maintaining a straight posture
* Muscle spasms
Spondylolisthesis can be diagnosed through physical examination, imaging tests such as X-rays or MRIs, and other diagnostic procedures. Treatment for the condition may include:
* Conservative methods such as physical therapy, exercise, and pain management
* Medications such as muscle relaxants or anti-inflammatory drugs
* Spinal fusion surgery to stabilize the spine and correct the slippage
* Other surgical procedures to relieve pressure on nerves or repair damaged tissue.
It is important to seek medical attention if you experience persistent back pain or stiffness, as early diagnosis and treatment can help to manage symptoms and prevent further progression of the condition.
There are two main types of carotid stenosis:
1. Internal carotid artery stenosis: This type of stenosis occurs when the internal carotid artery, which supplies blood to the brain, becomes narrowed or blocked.
2. Common carotid artery stenosis: This type of stenosis occurs when the common carotid artery, which supplies blood to the head and neck, becomes narrowed or blocked.
The symptoms of carotid stenosis can vary depending on the severity of the blockage and the extent of the affected area. Some common symptoms include:
* Dizziness or lightheadedness
* Vertigo (a feeling of spinning)
* Blurred vision or double vision
* Memory loss or confusion
* Slurred speech
* Weakness or numbness in the face, arm, or leg on one side of the body
If left untreated, carotid stenosis can lead to a stroke or other serious complications. Treatment options for carotid stenosis include medications to lower cholesterol and blood pressure, as well as surgical procedures such as endarterectomy (removing plaque from the artery) or stenting (placing a small mesh tube in the artery to keep it open).
In conclusion, carotid stenosis is a serious medical condition that can lead to stroke and other complications if left untreated. It is important to seek medical attention if symptoms persist or worsen over time.
Aortic valve stenosis can be caused by a variety of factors, including aging, calcium buildup, or congenital heart defects. It is typically diagnosed through echocardiography or cardiac catheterization. Treatment options for aortic valve stenosis include medications to manage symptoms, aortic valve replacement surgery, or transcatheter aortic valve replacement (TAVR), which is a minimally invasive procedure.
In TAVR, a thin tube is inserted through a blood vessel in the leg and guided to the heart, where it delivers a new aortic valve. This can be performed through a small incision in the chest or through a catheter inserted into the femoral artery.
While TAVR has become increasingly popular for treating aortic valve stenosis, it is not suitable for all patients and requires careful evaluation to determine the best course of treatment. It is important to discuss the risks and benefits of TAVR with a healthcare provider to determine the appropriate treatment plan for each individual patient.
There are several different types of spinal cord injuries that can occur, depending on the location and severity of the damage. These include:
1. Complete spinal cord injuries: In these cases, the spinal cord is completely severed, resulting in a loss of all sensation and function below the level of the injury.
2. Incomplete spinal cord injuries: In these cases, the spinal cord is only partially damaged, resulting in some remaining sensation and function below the level of the injury.
3. Brown-Sequard syndrome: This is a specific type of incomplete spinal cord injury that affects one side of the spinal cord, resulting in weakness or paralysis on one side of the body.
4. Conus medullaris syndrome: This is a type of incomplete spinal cord injury that affects the lower part of the spinal cord, resulting in weakness or paralysis in the legs and bladder dysfunction.
The symptoms of spinal cord injuries can vary depending on the location and severity of the injury. They may include:
* Loss of sensation in the arms, legs, or other parts of the body
* Weakness or paralysis in the arms, legs, or other parts of the body
* Difficulty walking or standing
* Difficulty with bowel and bladder function
* Numbness or tingling sensations
* Pain or pressure in the neck or back
Treatment for spinal cord injuries typically involves a combination of medical and rehabilitative therapies. Medical treatments may include:
* Immobilization of the spine to prevent further injury
* Medications to manage pain and inflammation
* Surgery to relieve compression or stabilize the spine
Rehabilitative therapies may include:
* Physical therapy to improve strength and mobility
* Occupational therapy to learn new ways of performing daily activities
* Speech therapy to improve communication skills
* Psychological counseling to cope with the emotional effects of the injury.
Overall, the prognosis for spinal cord injuries depends on the severity and location of the injury, as well as the age and overall health of the individual. While some individuals may experience significant recovery, others may experience long-term or permanent impairment. It is important to seek medical attention immediately if symptoms of a spinal cord injury are present.
There are several types of radiculopathy, including:
1. Cervical radiculopathy: This type affects the neck and arm region and is often caused by a herniated disk or degenerative changes in the spine.
2. Thoracic radiculopathy: This type affects the chest and abdominal regions and is often caused by a tumor or injury.
3. Lumbar radiculopathy: This type affects the lower back and leg region and is often caused by a herniated disk, spinal stenosis, or degenerative changes in the spine.
4. Sacral radiculopathy: This type affects the pelvis and legs and is often caused by a tumor or injury.
The symptoms of radiculopathy can vary depending on the location and severity of the nerve compression. They may include:
1. Pain in the affected area, which can be sharp or dull and may be accompanied by numbness, tingling, or weakness.
2. Numbness or tingling sensations in the skin of the affected limb.
3. Weakness in the affected muscles, which can make it difficult to move the affected limb or perform certain activities.
4. Difficulty with coordination and balance.
5. Tremors or spasms in the affected muscles.
6. Decreased reflexes in the affected area.
7. Difficulty with bladder or bowel control (in severe cases).
Treatment for radiculopathy depends on the underlying cause and severity of the condition. Conservative treatments such as physical therapy, medication, and lifestyle changes may be effective in managing symptoms and improving function. In some cases, surgery may be necessary to relieve pressure on the nerve root.
It's important to seek medical attention if you experience any of the symptoms of radiculopathy, as early diagnosis and treatment can help prevent long-term damage and improve outcomes.
The severity of coronary stenosis can range from mild to severe, with blockages ranging from 15% to over 90%. In mild cases, lifestyle changes and medication may be enough to manage symptoms. However, more severe cases typically require interventional procedures such as angioplasty or bypass surgery to improve blood flow to the heart.
IVDD can occur due to various factors such as trauma, injury, degenerative disc disease, or genetic predisposition. The condition can be classified into two main types:
1. Herniated Disc (HDD): This occurs when the soft, gel-like center of the disc bulges out through a tear in the tough outer layer, putting pressure on nearby nerves.
2. Degenerative Disc Disease (DDD): This is a condition where the disc loses its water content and becomes brittle, leading to tears and fragmentation of the disc.
Symptoms of IVDD can include:
* Back or neck pain
* Muscle spasms
* Weakness or numbness in the legs or arms
* Difficulty walking or maintaining balance
* Loss of bladder or bowel control (in severe cases)
Diagnosis of IVDD is typically made through a combination of physical examination, medical history, and imaging tests such as X-rays, CT scans, or MRI. Treatment options for IVDD vary depending on the severity of the condition and can range from conservative approaches such as pain medication, physical therapy, and lifestyle modifications to surgical interventions in severe cases.
In summary, Intervertebral Disc Displacement (IVDD) is a condition where the soft tissue between two adjacent vertebrae in the spine is displaced or herniated, leading to pressure on nearby nerves and potential symptoms such as back pain, muscle spasms, and weakness. It can be classified into two main types: Herniated Disc and Degenerative Disc Disease, and diagnosis is typically made through a combination of physical examination, medical history, and imaging tests. Treatment options vary depending on the severity of the condition and can range from conservative approaches to surgical interventions.
Some common types of spinal diseases include:
1. Degenerative disc disease: This is a condition where the discs between the vertebrae in the spine wear down over time, leading to pain and stiffness in the back.
2. Herniated discs: This occurs when the gel-like center of a disc bulges out through a tear in the outer layer, putting pressure on nearby nerves and causing pain.
3. Spinal stenosis: This is a narrowing of the spinal canal, which can put pressure on the spinal cord and nerve roots, causing pain, numbness, and weakness in the legs.
4. Spondylolisthesis: This is a condition where a vertebra slips out of place, either forward or backward, and can cause pressure on nearby nerves and muscles.
5. Scoliosis: This is a curvature of the spine that can be caused by a variety of factors, including genetics, injury, or disease.
6. Spinal infections: These are infections that can affect any part of the spine, including the discs, vertebrae, and soft tissues.
7. Spinal tumors: These are abnormal growths that can occur in the spine, either primary ( originating in the spine) or metastatic (originating elsewhere in the body).
8. Osteoporotic fractures: These are fractures that occur in the spine as a result of weakened bones due to osteoporosis.
9. Spinal cysts: These are fluid-filled sacs that can form in the spine, either as a result of injury or as a congenital condition.
10. Spinal degeneration: This is a general term for any type of wear and tear on the spine, such as arthritis or disc degeneration.
If you are experiencing any of these conditions, it is important to seek medical attention to receive an accurate diagnosis and appropriate treatment.
The most common cause of sciatica is a herniated disc, which occurs when the gel-like center of a spinal disc bulges out through a tear in the outer disc. This can put pressure on the sciatic nerve and cause pain and other symptoms. Other possible causes of sciatica include spondylolisthesis (a condition in which a vertebra slips out of place), spinal stenosis (narrowing of the spinal canal), and piriformis syndrome (compression of the sciatic nerve by the piriformis muscle).
Treatment for sciatica depends on the underlying cause of the symptoms. Conservative treatments such as physical therapy, pain medication, and anti-inflammatory medications are often effective in managing symptoms. In some cases, surgery may be necessary to relieve compression on the sciatic nerve.
The term "sciatica" is derived from the Latin word "sciare," which means "to shoot." This refers to the shooting pain that can occur in the lower back and legs when the sciatic nerve is compressed or irritated.
Tracheal stenosis can be caused by a variety of factors, including:
* Inflammation or infection of the trachea (such as from allergies or bacterial infections)
* Scar tissue or tumors in the trachea
* Trauma to the neck or throat
* Previous surgery or radiation therapy to the head and neck
* Congenital conditions, such as a narrow or malformed trachea
Symptoms of tracheal stenosis can vary depending on the severity of the condition, but may include:
* Difficulty breathing or shortness of breath
* Wheezing or stridor (a high-pitched sound when breathing in)
* Coughing or choking sensation
* Fatigue or weakness from difficulty breathing
* Blue tinge to the skin (cyanosis)
If you suspect you or someone else may have tracheal stenosis, it is important to seek medical attention as soon as possible. A healthcare provider can diagnose tracheal stenosis through a physical examination and imaging tests such as X-rays, CT scans, or endoscopy.
Treatment for tracheal stenosis depends on the cause and severity of the condition, but may include:
* Medications to reduce inflammation or open up the airways (such as inhaled steroids or bronchodilators)
* Surgery to widen or bypass the narrowed section of the trachea (such as a tracheostomy or laser therapy)
* Oxygen therapy to help improve oxygen levels in the blood
Early diagnosis and treatment are important to prevent complications of tracheal stenosis, such as respiratory failure, pneumonia, or other infections. With appropriate treatment, many people with tracheal stenosis can experience improvement in their symptoms and quality of life.
There are several types of spinal cord compression, including:
1. Central canal stenosis: This occurs when the central canal of the spine narrows, compressing the spinal cord.
2. Foraminal stenosis: This occurs when the openings on either side of the spine (foramina) narrow, compressing the nerves exiting the spinal cord.
3. Spondylolisthesis: This occurs when a vertebra slips out of place, compressing the spinal cord.
4. Herniated discs: This occurs when the gel-like center of a disc bulges out and presses on the spinal cord.
5. Bone spurs: This occurs when bone growths develop on the vertebrae, compressing the spinal cord.
6. Tumors: This can be either primary or metastatic tumors that grow in the spine and compress the spinal cord.
7. Trauma: This occurs when there is a direct blow to the spine, causing compression of the spinal cord.
Symptoms of spinal cord compression may include:
* Pain, numbness, weakness, or tingling in the arms and legs
* Difficulty walking or maintaining balance
* Muscle wasting or loss of muscle mass
* Decreased reflexes
* Loss of bladder or bowel control
* Weakness in the muscles of the face, arms, or legs
* Difficulty with fine motor skills such as buttoning a shirt or typing
Diagnosis of spinal cord compression is typically made through a combination of physical examination, medical history, and imaging tests such as X-rays, CT scans, or MRI scans. Treatment options for spinal cord compression depend on the underlying cause and may include medication, surgery, or a combination of both.
In conclusion, spinal cord compression is a serious medical condition that can have significant impacts on quality of life, mobility, and overall health. It is important to be aware of the causes and symptoms of spinal cord compression in order to seek medical attention if they occur. With proper diagnosis and treatment, many cases of spinal cord compression can be effectively managed and improved.
There are several types of polyradiculopathy, including:
1. Cervical polyradiculopathy: This type affects the neck and can cause pain, numbness, and weakness in the arms, hands, and fingers.
2. Thoracic polyradiculopathy: This type affects the chest area and can cause pain, numbness, and weakness in the arms, hands, and fingers.
3. Lumbar polyradiculopathy: This type affects the lower back and can cause pain, numbness, and weakness in the legs, feet, and toes.
4. Sacral polyradiculopathy: This type affects the pelvis and can cause pain, numbness, and weakness in the legs, feet, and toes.
Polyradiculopathy can be caused by a variety of factors, including:
1. Herniated discs: When the gel-like center of a spinal disc bulges out through a tear in the outer layer, it can put pressure on the nerve roots and cause polyradiculopathy.
2. Degenerative disc disease: As we age, the spinal discs can break down and lose their cushioning ability, which can cause pressure on the nerve roots and lead to polyradiculopathy.
3. Spondylosis: This is a condition where bone spurs form on the vertebrae and can put pressure on the nerve roots, leading to polyradiculopathy.
4. Spinal stenosis: This is a condition where the spinal canal narrows, which can put pressure on the nerve roots and cause polyradiculopathy.
5. Inflammatory diseases: Conditions such as rheumatoid arthritis and ankylosing spondylitis can cause inflammation in the spine and compress the nerve roots, leading to polyradiculopathy.
6. Trauma: A sudden injury, such as a fall or a car accident, can cause polyradiculopathy by compressing or damaging the nerve roots.
7. Tumors: Tumors in the spine can compress or damage the nerve roots and cause polyradiculopathy.
8. Infections: Infections such as meningitis or discitis can cause inflammation and compression of the nerve roots, leading to polyradiculopathy.
9. Vitamin deficiencies: Deficiencies in vitamins such as B12 and vitamin D can cause nerve damage and lead to polyradiculopathy.
The symptoms of polyradiculopathy can vary depending on the location and severity of the compression. Common symptoms include:
1. Pain: Pain is the most common symptom of polyradiculopathy, and it can occur in the back, legs, feet, and toes. The pain can be sharp, dull, or burning, and it can be exacerbated by movement or coughing.
2. Numbness and tingling: Compression of the nerve roots can cause numbness and tingling sensations in the legs, feet, and toes.
3. Weakness: Polyradiculopathy can cause weakness in the muscles of the legs, feet, and toes, making it difficult to walk or perform daily activities.
4. Muscle spasms: Compression of the nerve roots can cause muscle spasms in the back, legs, and feet.
5. Decreased reflexes: Polyradiculopathy can cause decreased reflexes in the legs and feet.
6. Difficulty with balance: Compression of the nerve roots can cause difficulty with balance and coordination.
7. Bladder and bowel dysfunction: In severe cases, polyradiculopathy can cause bladder and bowel dysfunction.
The diagnosis of polyradiculopathy typically involves a combination of physical examination, medical history, and diagnostic tests such as:
1. Physical examination: A thorough physical examination can help identify the presence of numbness, weakness, and other symptoms in the legs and feet.
2. Medical history: A detailed medical history can help identify any underlying conditions that may be contributing to the polyradiculopathy, such as diabetes or thyroid disorders.
3. Imaging tests: Imaging tests such as X-rays, CT scans, and MRI scans can help identify any structural problems in the spine that may be compressing the nerve roots.
4. Electromyography (EMG): An EMG can help identify any damage to the muscles and nerves in the legs and feet.
5. Nerve conduction studies: Nerve conduction studies can help identify any damage to the nerve roots and their function.
Treatment for polyradiculopathy depends on the underlying cause and severity of the condition. Some common treatments include:
1. Medications: Pain medications, muscle relaxants, and anti-inflammatory drugs can help manage symptoms such as pain, numbness, and tingling.
2. Physical therapy: Physical therapy can help improve mobility, strength, and flexibility in the affected limbs.
3. Lifestyle modifications: Maintaining a healthy weight, exercising regularly, and avoiding activities that exacerbate symptoms can help manage the condition.
4. Surgery: In some cases, surgery may be necessary to relieve compression on the nerve roots or repair any structural problems in the spine.
5. Alternative therapies: Alternative therapies such as acupuncture and chiropractic care may also be helpful in managing symptoms.
The causes of LBP can be broadly classified into two categories:
1. Mechanical causes: These include strains, sprains, and injuries to the soft tissues (such as muscles, ligaments, and tendons) or bones in the lower back.
2. Non-mechanical causes: These include medical conditions such as herniated discs, degenerative disc disease, and spinal stenosis.
The symptoms of LBP can vary depending on the underlying cause and severity of the condition. Common symptoms include:
* Pain that may be localized to one side or both sides of the lower back
* Muscle spasms or stiffness
* Limited range of motion in the lower back
* Difficulty bending, lifting, or twisting
* Sciatica (pain that radiates down the legs)
* Weakness or numbness in the legs
The diagnosis of LBP is based on a combination of medical history, physical examination, and diagnostic tests such as X-rays, CT scans, or MRI.
Treatment for LBP depends on the underlying cause and severity of the condition, but may include:
* Medications such as pain relievers, muscle relaxants, or anti-inflammatory drugs
* Physical therapy to improve strength and flexibility in the lower back
* Chiropractic care to realign the spine and relieve pressure on the joints and muscles
* Injections of corticosteroids or hyaluronic acid to reduce inflammation and relieve pain
* Surgery may be considered for severe or chronic cases that do not respond to other treatments.
Prevention strategies for LBP include:
* Maintaining a healthy weight to reduce strain on the lower back
* Engaging in regular exercise to improve muscle strength and flexibility
* Using proper lifting techniques to avoid straining the lower back
* Taking regular breaks to stretch and move around if you have a job that involves sitting or standing for long periods
* Managing stress through relaxation techniques such as meditation or deep breathing.
The term "intermittent" indicates that the symptoms do not occur all the time, but only during certain activities or situations. This condition can be caused by a variety of factors, such as peripheral artery disease (PAD), arterial occlusive disease, or muscle weakness.
Intermittent claudication can have a significant impact on an individual's quality of life, making it difficult to perform everyday activities like walking or climbing stairs. Treatment options may include medications, lifestyle changes, or surgery, depending on the underlying cause of the condition.
There are different types of spondylosis, including:
1. Cervical spondylosis: affects the neck area
2. Thoracic spondylosis: affects the chest area
3. Lumbar spondylosis: affects the lower back
4. Sacroiliac spondylosis: affects the pelvis and lower back
Spondylosis can be caused by a variety of factors such as:
1. Aging - wear and tear on the spine over time
2. Injury - trauma to the spine, such as a fall or a car accident
3. Overuse - repetitive strain on the spine, such as from heavy lifting or bending
4. Genetics - some people may be more prone to developing spondylosis due to their genetic makeup
5. Degenerative conditions - conditions such as osteoarthritis, rheumatoid arthritis, and degenerative disc disease can contribute to the development of spondylosis.
Symptoms of spondylosis can vary depending on the location and severity of the condition, but may include:
1. Pain - in the neck, back, or other areas affected by the condition
2. Stiffness - limited mobility and reduced flexibility
3. Limited range of motion - difficulty moving or bending
4. Muscle spasms - sudden, involuntary contractions of the muscles
5. Tenderness - pain or discomfort in the affected area when touched
Treatment for spondylosis depends on the severity and location of the condition, but may include:
1. Medications - such as pain relievers, anti-inflammatory drugs, and muscle relaxants
2. Physical therapy - exercises and stretches to improve mobility and reduce pain
3. Lifestyle changes - such as regular exercise, good posture, and weight management
4. Injections - corticosteroid or hyaluronic acid injections to reduce inflammation and relieve pain
5. Surgery - in severe cases where other treatments have not been effective.
It's important to note that spondylosis is a degenerative condition, which means it cannot be cured, but with proper management and treatment, symptoms can be effectively managed and quality of life can be improved.
The symptoms of pyloric stenosis may include:
1. Vomiting, which may be projectile and forceful
2. Abdominal pain, often located in the upper abdomen
3. Dehydration, as vomiting can lead to a loss of fluids and electrolytes
4. Hunger and irritability due to poor feeding
5. Fever
Pyloric stenosis is usually diagnosed through a combination of physical examination, medical history, and diagnostic tests such as an ultrasound or endoscopy. Treatment for pyloric stenosis typically involves surgery to widen the pylorus and allow for easier digestion. In some cases, medications may be used to help manage symptoms until surgery can be performed.
It's important to seek medical attention if you or your child experiences any of these symptoms, as pyloric stenosis can lead to complications such as dehydration and malnutrition if left untreated. With prompt treatment, however, most people with pyloric stenosis can expect a full recovery.
Mitral valve stenosis can be caused by a variety of factors, including:
* Calcification of the mitral valve due to aging or rheumatic fever
* Scarring of the mitral valve due to heart disease or injury
* Birth defects that affect the development of the mitral valve
* Rheumatoid arthritis, which can cause inflammation and scarring of the mitral valve
Symptoms of mitral valve stenosis may include:
* Shortness of breath
* Fatigue
* Swelling in the legs, ankles, and feet
* Chest pain
* Dizziness or lightheadedness
* Palpitations
If you suspect you or someone else may have mitral valve stenosis, it is important to seek medical attention as soon as possible. A healthcare provider can perform a physical examination and order diagnostic tests such as an echocardiogram or electrocardiogram to confirm the diagnosis and determine the severity of the condition. Treatment for mitral valve stenosis may include medications to manage symptoms, lifestyle changes, or surgery to repair or replace the mitral valve. With timely and appropriate treatment, many people with mitral valve stenosis can lead active and fulfilling lives.
Some examples of pathologic constrictions include:
1. Stenosis: A narrowing or constriction of a blood vessel or other tubular structure, often caused by the buildup of plaque or scar tissue.
2. Asthma: A condition characterized by inflammation and constriction of the airways, which can make breathing difficult.
3. Esophageal stricture: A narrowing of the esophagus that can cause difficulty swallowing.
4. Gastric ring constriction: A narrowing of the stomach caused by a band of tissue that forms in the upper part of the stomach.
5. Anal fissure: A tear in the lining of the anus that can cause pain and difficulty passing stools.
Pathologic constrictions can be caused by a variety of factors, including inflammation, infection, injury, or genetic disorders. They can be diagnosed through imaging tests such as X-rays, CT scans, or endoscopies, and may require surgical treatment to relieve symptoms and improve function.
There are several causes of PVS, including:
1. Congenital heart defects: PVS can be present at birth due to abnormal development of the pulmonary valve or other structures near the valve.
2. Rheumatic fever: This is an inflammatory disease that can damage the heart valves, including the pulmonary valve.
3. Endocarditis: This is an infection of the heart valves, which can cause scarring and narrowing of the pulmonary valve.
4. Heart disease: PVS can be a complication of other heart conditions, such as hypertension or coronary artery disease.
5. Calcification: Over time, deposits of calcium can accumulate on the valve leaflets, causing them to become stiff and narrow.
Symptoms of PVS may include:
1. Shortness of breath (dyspnea)
2. Fatigue or weakness
3. Chest pain (angina)
4. Swelling in the legs, ankles, or feet (edema)
5. Palpitations or irregular heartbeat
If PVS is suspected, a healthcare provider may perform several tests to confirm the diagnosis, including:
1. Echocardiogram: This is an ultrasound test that uses sound waves to create images of the heart and its valves.
2. Cardiac catheterization: A thin tube (catheter) is inserted into a blood vessel in the arm or leg and guided to the heart to measure pressure and oxygen levels in the chambers.
3. Chest X-ray: This test can help identify any enlargement of the heart or lungs that may be indicative of PVS.
4. Electrocardiogram (ECG): This test measures the electrical activity of the heart and can help identify irregular heart rhythms or other signs of PVS.
Treatment for PVS may include:
1. Medications to manage symptoms, such as diuretics to reduce fluid buildup in the body, and ACE inhibitors or beta blockers to lower blood pressure.
2. Lifestyle changes, such as a healthy diet, regular exercise, and stress reduction techniques.
3. Valve repair or replacement surgery: In severe cases of PVS, surgery may be necessary to repair or replace the affected valve.
If you suspect you may have PVS, it is important to seek medical attention as soon as possible to receive an accurate diagnosis and appropriate treatment. With prompt and proper treatment, many people with PVS are able to manage their symptoms and improve their quality of life.
There are many different types of back pain, including:
1. Lower back pain: This type of pain occurs in the lumbar spine and can be caused by strained muscles or ligaments, herniated discs, or other factors.
2. Upper back pain: This type of pain occurs in the thoracic spine and can be caused by muscle strain, poor posture, or other factors.
3. Middle back pain: This type of pain occurs in the thoracolumbar junction and can be caused by muscle strain, herniated discs, or other factors.
4. Lower left back pain: This type of pain occurs in the lumbar spine on the left side and can be caused by a variety of factors, including muscle strain, herniated discs, or other factors.
5. Lower right back pain: This type of pain occurs in the lumbar spine on the right side and can be caused by a variety of factors, including muscle strain, herniated discs, or other factors.
There are many different causes of back pain, including:
1. Muscle strain: This occurs when the muscles in the back are overstretched or torn.
2. Herniated discs: This occurs when the soft tissue between the vertebrae bulges out and puts pressure on the surrounding nerves.
3. Structural problems: This includes conditions such as scoliosis, kyphosis, and lordosis, which can cause back pain due to the abnormal curvature of the spine.
4. Inflammatory diseases: Conditions such as arthritis, inflammatory myopathies, and ankylosing spondylitis can cause back pain due to inflammation and joint damage.
5. Infections: Infections such as shingles, osteomyelitis, and abscesses can cause back pain by irritating the nerves or causing inflammation in the spine.
6. Trauma: Traumatic injuries such as fractures, dislocations, and compression fractures can cause back pain due to damage to the vertebrae, muscles, and other tissues.
7. Poor posture: Prolonged sitting or standing in a position that puts strain on the back can lead to back pain over time.
8. Obesity: Excess weight can put additional strain on the back, leading to back pain.
9. Smoking: Smoking can reduce blood flow to the discs and other tissues in the spine, leading to degeneration and back pain.
10. Sedentary lifestyle: A lack of physical activity can lead to weak muscles and a poor posture, which can contribute to back pain.
It is important to seek medical attention if you experience any of the following symptoms with your back pain:
1. Numbness or tingling in the legs or feet
2. Weakness in the legs or feet
3. Loss of bladder or bowel control
4. Fever and chills
5. Severe headache or stiff neck
6. Difficulty breathing or swallowing
These symptoms could indicate a more serious condition, such as a herniated disc or spinal infection, that requires prompt medical treatment.
The symptoms of FBSS can vary depending on the underlying cause, but they often include chronic low back pain, numbness, tingling, weakness in the legs, and difficulty walking or standing. Diagnosis is typically made through a combination of medical history, physical examination, imaging studies such as X-rays or MRI scans, and other diagnostic tests.
Treatment for FBSS often involves a multidisciplinary approach that may include physical therapy, pain management, and other interventions to help manage symptoms and improve quality of life. In some cases, additional surgery may be necessary to address the underlying cause of the failed back surgery.
It is important for patients who have undergone back surgery and are experiencing persistent pain or disability to discuss their symptoms with their healthcare provider, as early diagnosis and treatment can help improve outcomes and reduce the risk of further complications.
Examples of how 'Tissue Adhesions' is used in the medical field:
1. In gastrointestinal surgery, tissue adhesions can form between the intestines and other organs, leading to bowel obstruction, inflammation, or other complications.
2. In cardiovascular surgery, tissue adhesions can form between the heart and surrounding tissues, causing impaired heart function and increasing the risk of postoperative complications.
3. In gynecological surgery, tissue adhesions can form between the uterus and other pelvic organs, leading to pain, bleeding, and infertility.
4. In oncologic surgery, tissue adhesions can form between cancerous tissues and surrounding normal tissues, making it difficult to remove the tumor completely.
5. In chronic diseases such as endometriosis, tissue adhesions can form between the uterus and other pelvic structures, leading to pain and infertility.
6. Tissue adhesions can also form within the skin, causing keloids or other types of scarring.
Treatment options for tissue adhesions depend on the location, size, and severity of the adhesions, as well as the underlying cause. Some common treatment options include:
1. Surgical removal of adhesions: This involves surgically removing the fibrous bands or scar tissue that are causing the adhesions.
2. Steroid injections: Injecting steroids into the affected area can help reduce inflammation and shrink the adhesions.
3. Physical therapy: Gentle stretching and exercise can help improve range of motion and reduce stiffness in the affected area.
4. Radiofrequency ablation: This is a minimally invasive procedure that uses heat to break down and remove the fibrous bands causing the adhesions.
5. Laser therapy: Laser therapy can be used to break down and remove the fibrous bands causing the adhesions, or to reduce inflammation and promote healing.
6. Natural remedies: Some natural remedies such as turmeric, ginger, and omega-3 fatty acids have anti-inflammatory properties and may help reduce inflammation and improve symptoms.
Preventing tissue adhesions is not always possible, but there are some measures that can be taken to reduce the risk of their formation. These include:
1. Proper wound care: Keeping wounds clean and dry, and using sterile dressings can help prevent infection and reduce the risk of adhesion formation.
2. Minimizing trauma: Avoiding unnecessary trauma to the affected area can help reduce the risk of adhesion formation.
3. Gentle exercise: Gentle exercise and stretching after surgery or injury can help improve range of motion and reduce stiffness in the affected area.
4. Early mobilization: Early mobilization after surgery or injury can help reduce the risk of adhesion formation.
5. Avoiding smoking: Smoking can impede wound healing and increase the risk of adhesion formation, so avoiding smoking is recommended.
6. Using anti-adhesive agents: Applying anti-adhesive agents such as silicone or hydrogel to the affected area after surgery or injury can help reduce the risk of adhesion formation.
It's important to note that the most effective method for preventing or treating tissue adhesions will depend on the specific cause and location of the adhesions, as well as the individual patient's needs and medical history. A healthcare professional should be consulted for proper evaluation and treatment.
Some common examples of spinal cord diseases include:
1. Spinal muscular atrophy: This is a genetic disorder that affects the nerve cells responsible for controlling voluntary muscle movement. It can cause muscle weakness and wasting, as well as other symptoms such as respiratory problems and difficulty swallowing.
2. Multiple sclerosis: This is an autoimmune disease that causes inflammation and damage to the protective covering of nerve fibers in the spinal cord. Symptoms can include vision problems, muscle weakness, balance and coordination difficulties, and cognitive impairment.
3. Spinal cord injuries: These can occur as a result of trauma, such as a car accident or a fall, and can cause a range of symptoms including paralysis, numbness, and loss of sensation below the level of the injury.
4. Spinal stenosis: This is a condition in which the spinal canal narrows, putting pressure on the spinal cord and nerve roots. Symptoms can include back pain, leg pain, and difficulty walking or standing for long periods.
5. Tumors: Benign or malignant tumors can grow in the spinal cord, causing a range of symptoms including pain, weakness, and numbness or tingling in the limbs.
6. Infections: Bacterial, viral, or fungal infections can cause inflammation and damage to the spinal cord, leading to symptoms such as fever, headache, and muscle weakness.
7. Degenerative diseases: Conditions such as amyotrophic lateral sclerosis (ALS) and primary lateral sclerosis (PLS) can cause progressive degeneration of the spinal cord nerve cells, leading to muscle weakness, twitching, and wasting.
8. Trauma: Traumatic injuries, such as those caused by sports injuries or physical assault, can damage the spinal cord and result in a range of symptoms including pain, numbness, and weakness.
9. Ischemia: Reduced blood flow to the spinal cord can cause tissue damage and lead to symptoms such as weakness, numbness, and paralysis.
10. Spinal cord infarction: A blockage in the blood vessels that supply the spinal cord can cause tissue damage and lead to symptoms similar to those of ischemia.
It's important to note that some of these conditions can be caused by a combination of factors, such as genetics, age, lifestyle, and environmental factors. It's also worth noting that some of these conditions can have a significant impact on quality of life, and in some cases, may be fatal.
Benign spinal cord neoplasms are typically slow-growing and may not cause any symptoms in the early stages. However, as they grow, they can compress or damage the surrounding healthy tissue, leading to a range of symptoms such as pain, numbness, weakness, or paralysis.
Malignant spinal cord neoplasms are more aggressive and can grow rapidly, invading surrounding tissues and spreading to other parts of the body. They can cause similar symptoms to benign tumors, as well as other symptoms such as fever, nausea, and weight loss.
The diagnosis of spinal cord neoplasms is based on a combination of clinical findings, imaging studies (such as MRI or CT scans), and biopsy. Treatment options vary depending on the type and location of the tumor, but may include surgery, radiation therapy, and chemotherapy.
The prognosis for spinal cord neoplasms depends on the type and location of the tumor, as well as the patient's overall health. In general, benign tumors have a better prognosis than malignant tumors, and early diagnosis and treatment can improve outcomes. However, even with successful treatment, some patients may experience long-term neurological deficits or other complications.
There are many different types of chronic pain, including:
1. Musculoskeletal pain: This type of pain affects the muscles, bones, and joints, and can be caused by injuries, arthritis, or other conditions.
2. Nerve pain: This type of pain is caused by damage or irritation to the nerves, and can be burning, stabbing, or shooting in nature.
3. Chronic regional pain syndrome (CRPS): This is a chronic pain condition that typically affects one limb and is characterized by burning, aching, or shooting pain.
4. Neuropathic pain: This type of pain is caused by damage or irritation to the nerves, and can be burning, stabbing, or shooting in nature.
5. Cancer pain: This type of pain is caused by cancer or its treatment, and can be severe and debilitating.
6. Postoperative pain: This type of pain is caused by surgery and can vary in severity depending on the type of procedure and individual's response to pain.
7. Pelvic pain: This type of pain can be caused by a variety of factors, including endometriosis, adhesions, or pelvic inflammatory disease.
8. Headache disorders: This type of pain can include migraines, tension headaches, and other types of headaches that are severe and recurring.
Chronic pain can have a significant impact on an individual's quality of life, affecting their ability to work, sleep, and participate in activities they enjoy. It can also lead to feelings of frustration, anxiety, and depression.
There are many treatment options for chronic pain, including medication, physical therapy, and alternative therapies like acupuncture and massage. It's important to work with a healthcare provider to develop a personalized treatment plan that addresses the underlying cause of the pain and helps improve function and quality of life.
1. Infection: Bacterial or viral infections can develop after surgery, potentially leading to sepsis or organ failure.
2. Adhesions: Scar tissue can form during the healing process, which can cause bowel obstruction, chronic pain, or other complications.
3. Wound complications: Incisional hernias, wound dehiscence (separation of the wound edges), and wound infections can occur.
4. Respiratory problems: Pneumonia, respiratory failure, and atelectasis (collapsed lung) can develop after surgery, particularly in older adults or those with pre-existing respiratory conditions.
5. Cardiovascular complications: Myocardial infarction (heart attack), cardiac arrhythmias, and cardiac failure can occur after surgery, especially in high-risk patients.
6. Renal (kidney) problems: Acute kidney injury or chronic kidney disease can develop postoperatively, particularly in patients with pre-existing renal impairment.
7. Neurological complications: Stroke, seizures, and neuropraxia (nerve damage) can occur after surgery, especially in patients with pre-existing neurological conditions.
8. Pulmonary embolism: Blood clots can form in the legs or lungs after surgery, potentially causing pulmonary embolism.
9. Anesthesia-related complications: Respiratory and cardiac complications can occur during anesthesia, including respiratory and cardiac arrest.
10. delayed healing: Wound healing may be delayed or impaired after surgery, particularly in patients with pre-existing medical conditions.
It is important for patients to be aware of these potential complications and to discuss any concerns with their surgeon and healthcare team before undergoing surgery.
Types of Spinal Neoplasms:
1. Benign tumors: Meningiomas, schwannomas, and osteochondromas are common types of benign spinal neoplasms. These tumors usually grow slowly and do not spread to other parts of the body.
2. Malignant tumors: Primary bone cancers (chordoma, chondrosarcoma, and osteosarcoma) and metastatic cancers (cancers that have spread to the spine from another part of the body) are types of malignant spinal neoplasms. These tumors can grow rapidly and spread to other parts of the body.
Causes and Risk Factors:
1. Genetic mutations: Some genetic disorders, such as neurofibromatosis type 1 and tuberous sclerosis complex, increase the risk of developing spinal neoplasms.
2. Previous radiation exposure: People who have undergone radiation therapy in the past may have an increased risk of developing a spinal tumor.
3. Family history: A family history of spinal neoplasms can increase an individual's risk.
4. Age and gender: Spinal neoplasms are more common in older adults, and males are more likely to be affected than females.
Symptoms:
1. Back pain: Pain is the most common symptom of spinal neoplasms, which can range from mild to severe and may be accompanied by other symptoms such as numbness, weakness, or tingling in the arms or legs.
2. Neurological deficits: Depending on the location and size of the tumor, patients may experience neurological deficits such as paralysis, loss of sensation, or difficulty with balance and coordination.
3. Difficulty with urination or bowel movements: Patients may experience changes in their bladder or bowel habits due to the tumor pressing on the spinal cord or nerve roots.
4. Weakness or numbness: Patients may experience weakness or numbness in their arms or legs due to compression of the spinal cord or nerve roots by the tumor.
5. Fractures: Spinal neoplasms can cause fractures in the spine, which can lead to a loss of height, an abnormal curvature of the spine, or difficulty with movement and balance.
Diagnosis:
1. Medical history and physical examination: A thorough medical history and physical examination can help identify the presence of symptoms and determine the likelihood of a spinal neoplasm.
2. Imaging studies: X-rays, CT scans, MRI scans, or PET scans may be ordered to visualize the spine and detect any abnormalities.
3. Biopsy: A biopsy may be performed to confirm the diagnosis and determine the type of tumor present.
4. Laboratory tests: Blood tests may be ordered to assess liver function, electrolyte levels, or other parameters that can help evaluate the patient's overall health.
Treatment:
1. Surgery: Surgical intervention is often necessary to remove the tumor and relieve pressure on the spinal cord or nerve roots.
2. Radiation therapy: Radiation therapy may be used before or after surgery to kill any remaining cancer cells.
3. Chemotherapy: Chemotherapy may be used in combination with radiation therapy or as a standalone treatment for patients who are not candidates for surgery.
4. Supportive care: Patients may require supportive care, such as physical therapy, pain management, and rehabilitation, to help them recover from the effects of the tumor and any treatment-related complications.
Prognosis:
The prognosis for patients with spinal neoplasms depends on several factors, including the type and location of the tumor, the extent of the disease, and the patient's overall health. In general, the prognosis is better for patients with slow-growing tumors that are confined to a specific area of the spine, as compared to those with more aggressive tumors that have spread to other parts of the body.
Survival rates:
The survival rates for patients with spinal neoplasms vary depending on the type of tumor and other factors. According to the American Cancer Society, the 5-year survival rate for primary spinal cord tumors is about 60%. However, this rate can be as high as 90% for patients with slow-growing tumors that are confined to a specific area of the spine.
Lifestyle modifications:
There are no specific lifestyle modifications that can cure spinal neoplasms, but certain changes may help improve the patient's quality of life and overall health. These may include:
1. Exercise: Gentle exercise, such as yoga or swimming, can help improve mobility and strength.
2. Diet: A balanced diet that includes plenty of fruits, vegetables, whole grains, and lean protein can help support overall health.
3. Rest: Getting enough rest and avoiding strenuous activities can help the patient recover from treatment-related fatigue.
4. Managing stress: Stress management techniques, such as meditation or deep breathing exercises, can help reduce anxiety and improve overall well-being.
5. Follow-up care: Regular follow-up appointments with the healthcare provider are crucial to monitor the patient's condition and make any necessary adjustments to their treatment plan.
In conclusion, spinal neoplasms are rare tumors that can develop in the spine and can have a significant impact on the patient's quality of life. Early diagnosis is essential for effective treatment, and survival rates vary depending on the type of tumor and other factors. While there are no specific lifestyle modifications that can cure spinal neoplasms, certain changes may help improve the patient's overall health and well-being. It is important for patients to work closely with their healthcare provider to develop a personalized treatment plan and follow-up care to ensure the best possible outcome.
Symptoms of Intervertebral Disc Degeneration may include:
* Back pain
* Neck pain
* Stiffness in the back and neck
* Limited range of motion
* Muscle spasms
* Tingling or numbness in the arms or legs
Treatment for Intervertebral Disc Degeneration can vary depending on the severity of the condition and may include:
* Conservative treatments such as physical therapy, pain medication, and lifestyle changes
* Injections of corticosteroids or hyaluronic acid to reduce inflammation and relieve pain
* Surgery to remove the damaged disc and fuse the adjacent vertebrae together.
It's important to seek medical attention if you experience any symptoms of Intervertebral Disc Degeneration, as early diagnosis and treatment can help to manage the condition and prevent further damage.
There are several different types of pain, including:
1. Acute pain: This type of pain is sudden and severe, and it usually lasts for a short period of time. It can be caused by injuries, surgery, or other forms of tissue damage.
2. Chronic pain: This type of pain persists over a long period of time, often lasting more than 3 months. It can be caused by conditions such as arthritis, fibromyalgia, or nerve damage.
3. Neuropathic pain: This type of pain results from damage to the nervous system, and it can be characterized by burning, shooting, or stabbing sensations.
4. Visceral pain: This type of pain originates in the internal organs, and it can be difficult to localize.
5. Psychogenic pain: This type of pain is caused by psychological factors such as stress, anxiety, or depression.
The medical field uses a range of methods to assess and manage pain, including:
1. Pain rating scales: These are numerical scales that patients use to rate the intensity of their pain.
2. Pain diaries: These are records that patients keep to track their pain over time.
3. Clinical interviews: Healthcare providers use these to gather information about the patient's pain experience and other relevant symptoms.
4. Physical examination: This can help healthcare providers identify any underlying causes of pain, such as injuries or inflammation.
5. Imaging studies: These can be used to visualize the body and identify any structural abnormalities that may be contributing to the patient's pain.
6. Medications: There are a wide range of medications available to treat pain, including analgesics, nonsteroidal anti-inflammatory drugs (NSAIDs), and muscle relaxants.
7. Alternative therapies: These can include acupuncture, massage, and physical therapy.
8. Interventional procedures: These are minimally invasive procedures that can be used to treat pain, such as nerve blocks and spinal cord stimulation.
It is important for healthcare providers to approach pain management with a multi-modal approach, using a combination of these methods to address the physical, emotional, and social aspects of pain. By doing so, they can help improve the patient's quality of life and reduce their suffering.
There are several types of nerve compression syndromes, including:
1. Carpal tunnel syndrome: Compression of the median nerve in the wrist, commonly caused by repetitive motion or injury.
2. Tarsal tunnel syndrome: Compression of the posterior tibial nerve in the ankle, similar to carpal tunnel syndrome but affecting the lower leg.
3. Cubital tunnel syndrome: Compression of the ulnar nerve at the elbow, often caused by repetitive leaning or bending.
4. Thoracic outlet syndrome: Compression of the nerves and blood vessels that pass through the thoracic outlet (the space between the neck and shoulder), often caused by poor posture or injury.
5. Peripheral neuropathy: A broader term for damage to the peripheral nerves, often caused by diabetes, vitamin deficiencies, or other systemic conditions.
6. Meralgia paresthetica: Compression of the lateral femoral cutaneous nerve in the thigh, commonly caused by direct trauma or compression from a tight waistband or clothing.
7. Morton's neuroma: Compression of the plantar digital nerves between the toes, often caused by poorly fitting shoes or repetitive stress on the feet.
8. Neuralgia: A general term for pain or numbness caused by damage or irritation to a nerve, often associated with chronic conditions such as shingles or postherpetic neuralgia.
9. Trigeminal neuralgia: A condition characterized by recurring episodes of sudden, extreme pain in the face, often caused by compression or irritation of the trigeminal nerve.
10. Neuropathic pain: Pain that occurs as a result of damage or dysfunction of the nervous system, often accompanied by other symptoms such as numbness, tingling, or weakness.
Renal artery obstruction can be caused by a variety of factors, including:
1. Atherosclerosis (hardening of the arteries): This is the most common cause of renal artery obstruction and occurs when plaque builds up in the arteries, leading to narrowing or blockages.
2. Stenosis (narrowing of the arteries): This can be caused by inflammation or scarring of the arteries, which can lead to a decrease in blood flow to the kidneys.
3. Fibromuscular dysplasia: This is a rare condition that causes abnormal growth of muscle tissue in the renal arteries, leading to narrowing or blockages.
4. Embolism (blood clot): A blood clot can break loose and travel to the kidneys, causing a blockage in the renal artery.
5. Renal vein thrombosis: This is a blockage of the veins that drain blood from the kidneys, which can lead to decreased blood flow and oxygenation of the kidneys.
Symptoms of renal artery obstruction may include:
1. High blood pressure
2. Decreased kidney function
3. Swelling in the legs or feet
4. Pain in the flank or back
5. Fatigue
6. Nausea and vomiting
7. Weight loss
Diagnosis of renal artery obstruction is typically made through a combination of physical examination, medical history, and diagnostic tests such as:
1. Ultrasound: This can help identify any blockages or narrowing in the renal arteries.
2. Computed tomography (CT) scan: This can provide detailed images of the renal arteries and any blockages or narrowing.
3. Magnetic resonance angiogram (MRA): This is a non-invasive test that uses magnetic fields and radio waves to create detailed images of the renal arteries.
4. Angiography: This is a minimally invasive test that involves inserting a catheter into the renal artery to visualize any blockages or narrowing.
Treatment for renal artery obstruction depends on the underlying cause and severity of the condition. Some possible treatment options include:
1. Medications: Drugs such as blood thinners, blood pressure medication, and anticoagulants may be prescribed to manage symptoms and slow the progression of the disease.
2. Endovascular therapy: This is a minimally invasive procedure in which a catheter is inserted into the renal artery to open up any blockages or narrowing.
3. Surgery: In some cases, surgery may be necessary to remove any blockages or repair any damage to the renal arteries.
4. Dialysis: This is a procedure in which waste products are removed from the blood when the kidneys are no longer able to do so.
5. Kidney transplantation: In severe cases of renal artery obstruction, a kidney transplant may be necessary.
It is important to note that early detection and treatment of renal artery obstruction can help prevent complications and improve outcomes for patients.
Symptoms include chest pain, shortness of breath, fainting, and fatigue. Diagnosis is made through echocardiography or cardiac catheterization. Treatment options range from medications to manage symptoms, balloon dilation or surgical replacement of the aortic valve.
In summary, subvalvular aortic stenosis is a rare type of aortic stenosis that affects the area below the aortic valve and can cause various symptoms due to reduced blood flow and increased pressure in the left ventricle.
The diagnosis of achondroplasia is typically made based on physical examination, medical history, and imaging studies such as X-rays or CT scans. There is no cure for achondroplasia, but treatment may include physical therapy, occupational therapy, and surgery to correct associated health problems such as spinal curvature or bowed legs.
The prognosis for individuals with achondroplasia varies depending on the severity of the condition and the presence of any associated health problems. With proper medical care and support, many individuals with achondroplasia can lead active and fulfilling lives. However, they may face challenges related to social stigma, access to education and employment, and other aspects of daily life.
The prevalence of achondroplasia is estimated to be about 1 in 25,000 to 1 in 40,000 births. It affects both males and females equally, and there is no known ethnic or racial predilection. There is a high risk of recurrence in families, with a 50% chance that an affected parent will pass the mutated gene to each child.
In conclusion, achondroplasia is a rare genetic disorder that affects the development of cartilage and bone, leading to short stature and characteristic physical features. While there is no cure for the condition, proper medical care and support can help individuals with achondroplasia lead fulfilling lives. With increased awareness and understanding of the condition, more individuals with achondroplasia are able to access education, employment, and other resources that support their well-being and independence.
The prevalence of OAS increases with age, affecting approximately 60% of people over the age of 65. The condition can be caused by a variety of factors, including genetics, obesity, joint injuries, and degenerative conditions such as scoliosis or spondylolisthesis.
The symptoms of OAS can vary depending on the severity of the condition and the specific location of the affected joints. Common symptoms include:
Back pain: Pain in the back, which can radiate to the buttocks, thighs, or arms
Stiffness: Limited mobility and rigidity in the spine
Limited range of motion: Decreased flexibility and ability to move the spine
Muscle spasms: Involuntary contractions of the muscles in the back
Decreased height: Compression fractures or loss of disc height can cause the spine to curve or shrink, leading to a decreased height.
The diagnosis of OAS is typically made through a combination of physical examination, medical history, and imaging tests such as X-rays or MRIs. Treatment for OAS typically focuses on managing symptoms and slowing the progression of the condition. Conservative treatments may include:
Medications: Pain relievers, anti-inflammatory drugs, and muscle relaxants
Physical therapy: Exercise and stretching to improve flexibility and strength
Lifestyle modifications: Maintaining a healthy weight, bracing, and good posture
Injections: Corticosteroid injections or platelet-rich plasma (PRP) therapy
Surgery: In severe cases, surgical intervention may be necessary to relieve pressure on the spine, stabilize the joints, or fuse vertebrae together.
It is essential to seek medical attention if you experience any symptoms of OAS, as early diagnosis and treatment can help manage symptoms and slow the progression of the condition.
Echocardiography is an essential tool in the diagnosis of SVAS, as it allows for visualization of the aortic valve and the supravalvular aorta. The ultrasound images can help to identify any narrowing or blockage in the aorta and can also assess the function of the left ventricle.
Treatment options for SVAS vary depending on the severity of the condition, but may include medications such as beta blockers to slow the heart rate and reduce blood pressure, and surgery to repair or replace the narrowed or blocked section of the aorta. In some cases, a balloon dilation procedure may be performed during which a balloon is inserted through a catheter into the narrowed section of the aorta and inflated to widen the passage.
The prognosis for individuals with SVAS depends on the severity of the condition and the presence of any other heart defects. In some cases, SVAS may be a mild condition that does not require treatment, while in more severe cases, it can lead to serious complications such as heart failure or stroke if left untreated.
In summary, supravalvular aortic stenosis is a congenital heart defect that occurs when there is narrowing or blockage of the supravalvular aorta, leading to reduced blood flow from the left ventricle into the aorta and downstream vessels. Echocardiography is an essential tool in the diagnosis of SVAS, and treatment options may include medications, surgery, or balloon dilation. The prognosis for individuals with SVAS depends on the severity of the condition and the presence of any other heart defects.
Post-dural puncture headaches are usually characterized by a severe, throbbing pain that is often worse when standing up or bending forward. They can also be accompanied by nausea, vomiting, and sensitivity to light and sound. In some cases, the headache may be accompanied by a feeling of stiffness in the neck or back.
The symptoms of a post-dural puncture headache typically begin within 24 hours of the procedure and can last for several days. Treatment for this type of headache usually involves medication, such as pain relievers or anti-inflammatory drugs, and fluid replacement to help restore the balance of CSF in the body. In severe cases, a blood patch may be necessary to seal the puncture site and prevent further leakage of CSF.
The condition can occur anywhere along the spine, but it is most common in the neck (cervical spine) and lower back (lumbar spine). Spinal osteophytosis can put pressure on surrounding nerves and the spinal cord, leading to pain, numbness, or weakness in the arms or legs.
There are several risk factors for developing spinal osteophytosis, including:
* Age (as wear and tear on the spine increases with age)
* Genetics (some people may be more prone to developing bone spurs due to their genetic makeup)
* Injury or trauma (a sudden injury can cause bone growths to form in response)
* Degenerative conditions (such as osteoarthritis or rheumatoid arthritis)
Symptoms of spinal osteophytosis can include:
* Back pain that worsens with activity and improves with rest
* Pain, numbness, or weakness in the arms or legs
* Limited range of motion in the neck or lower back
* Difficulty walking or maintaining balance
Treatment for spinal osteophytosis depends on the severity of the condition and can include:
* Medications (such as pain relievers or anti-inflammatory drugs)
* Physical therapy (to improve flexibility and strength)
* Injections (such as steroids or pain medication)
* Surgery (in severe cases, to remove the bone growths or to fuse vertebrae together)
It is important to seek medical attention if symptoms persist or worsen over time, as untreated spinal osteophytosis can lead to chronic pain and limited mobility.
While lipomatosis is not a life-threatening condition, it can cause discomfort and pain due to the size and location of the lipomas. In some cases, lipomatosis may also lead to other health problems, such as obesity, joint pain, and sleep apnea.
There are several risk factors for developing lipomatosis, including:
* Genetics: Lipomatosis can be inherited from one's parents.
* Obesity: Excess weight is a major risk factor for developing lipomatosis.
* Hormonal changes: Changes in hormone levels, such as those that occur during pregnancy or menopause, can increase the risk of developing lipomatosis.
* Age: Lipomatosis is more common in adults over the age of 40.
* Gender: Women are more likely to develop lipomatosis than men.
There are several treatment options for lipomatosis, including:
* Liposuction: A surgical procedure that removes excess fat cells.
* Medications: Certain medications, such as corticosteroids and antidepressants, can help reduce the size of lipomas.
* Diet and exercise: Maintaining a healthy diet and exercise routine can help reduce body weight and alleviate symptoms of lipomatosis.
It is important to note that while lipomatosis is not a life-threatening condition, it can have a significant impact on a person's quality of life. If you suspect you may be experiencing symptoms of lipomatosis, it is important to consult with a healthcare professional for proper diagnosis and treatment.
Symptoms of lordosis may include back pain, stiffness, and difficulty standing up straight. In severe cases, it can also lead to nerve compression and other complications.
Treatment for lordosis typically involves a combination of physical therapy, bracing, and medication to address any associated pain or discomfort. In some cases, surgery may be necessary to correct the underlying structural issues.
There are several types of spinal fractures, including:
1. Vertebral compression fractures: These occur when the vertebrae collapses due to pressure, often caused by osteoporosis or trauma.
2. Fracture-dislocations: This type of fracture occurs when the vertebra is both broken and displaced from its normal position.
3. Spondylolysis: This is a type of fracture that occurs in the spine, often due to repetitive stress or overuse.
4. Spondylolisthesis: This is a type of fracture where a vertebra slips out of its normal position and into the one below it.
5. Fracture-subluxation: This type of fracture occurs when the vertebra is both broken and partially dislocated from its normal position.
The diagnosis of spinal fractures typically involves imaging tests such as X-rays, CT scans, or MRI to confirm the presence of a fracture and determine its severity and location. Treatment options for spinal fractures depend on the severity of the injury and may include pain management, bracing, physical therapy, or surgery to stabilize the spine and promote healing. In some cases, surgical intervention may be necessary to realign the vertebrae and prevent further damage.
Overall, spinal fractures can have a significant impact on an individual's quality of life, and it is important to seek medical attention if symptoms persist or worsen over time.
Symptoms of spinal injuries may include:
* Loss of sensation below the level of the injury
* Weakness or paralysis below the level of the injury
* Pain or numbness in the back, arms, or legs
* Difficulty breathing or controlling bladder and bowel functions
* Changes in reflexes or sensation below the level of the injury.
Spinal injuries can be diagnosed using a variety of tests, including:
* X-rays or CT scans to assess the alignment of the spine and detect any fractures or dislocations
* MRI scans to assess the soft tissues of the spine and detect any damage to the spinal cord
* Electromyography (EMG) tests to assess the function of muscles and nerves below the level of the injury.
Treatment for spinal injuries depends on the severity and location of the injury, and may include:
* Immobilization using a brace or cast to keep the spine stable
* Medications to manage pain, inflammation, and other symptoms
* Rehabilitation therapies such as physical therapy, occupational therapy, and recreational therapy to help restore function and mobility.
In summary, spinal injuries can be classified into two categories: complete and incomplete, and can be caused by a variety of factors. Symptoms may include loss of sensation, weakness or paralysis, pain, difficulty breathing, and changes in reflexes or sensation. Diagnosis is typically made using X-rays, MRI scans, and EMG tests, and treatment may involve immobilization, medications, and rehabilitation therapies.
The symptoms of laryngostenosis may include:
1. Hoarseness or a raspy voice
2. Difficulty speaking or swallowing
3. Pain when speaking or swallowing
4. Breathing difficulties
5. Chronic cough
6. Feeling of a lump in the throat
Laryngostenosis can be diagnosed through various tests such as laryngoscopy, CT scan, or MRI. Treatment options for this condition depend on the underlying cause and may include antibiotics, steroids, or surgery to widen the airway. In some cases, vocal rest or speech therapy may also be recommended to help improve voice quality.
It is important to seek medical attention if you experience persistent hoarseness or difficulty speaking or swallowing, as these symptoms can indicate a more serious underlying condition such as laryngostenosis. Early diagnosis and treatment can help prevent complications and improve outcomes for patients with this condition.
There are different types of SMA, ranging from mild to severe, with varying degrees of muscle wasting and weakness. The condition typically becomes apparent during infancy or childhood and can progress rapidly or slowly over time. Symptoms may include muscle weakness, spinal curvature (scoliosis), respiratory problems, and difficulty swallowing.
SMA is caused by a defect in the Survival Motor Neuron 1 (SMN1) gene, which is responsible for producing a protein that protects motor neurons from degeneration. The disorder is usually inherited in an autosomal recessive pattern, meaning that a person must inherit two copies of the defective gene - one from each parent - to develop the condition.
There is currently no cure for SMA, but various treatments are available to manage its symptoms and slow its progression. These may include physical therapy, occupational therapy, bracing, and medications to improve muscle strength and function. In some cases, stem cell therapy or gene therapy may be considered as potential treatment options.
Prognosis for SMA varies depending on the type and severity of the condition, but it is generally poor for those with the most severe forms of the disorder. However, with appropriate management and support, many individuals with SMA can lead fulfilling lives and achieve their goals despite physical limitations.
The symptoms of TVS may include:
1. Shortness of breath
2. Fatigue
3. Swelling in the legs, ankles, and feet
4. Chest pain
5. Dizziness or lightheadedness
6. Pale or blue-tinged skin
7. Fast or irregular heartbeat
If TVS is suspected, a doctor may perform a physical examination, take a medical history, and order diagnostic tests such as:
1. Chest X-ray
2. ECG (electrocardiogram)
3. Echocardiogram (echo)
4. Cardiac MRI
5. Cardiac catheterization
Treatment options for TVS may include:
1. Medications to manage symptoms and slow disease progression, such as diuretics, beta blockers, and ACE inhibitors.
2. Balloon valvuloplasty or valve replacement surgery, which can help to widen the tricuspid valve and improve blood flow.
3. Heart transplantation, which may be considered for patients with severe TVS who are not candidates for other treatments.
It is important to note that TVS is a relatively rare condition compared to other cardiac conditions, but it can be associated with other congenital heart defects or acquired heart diseases. A thorough evaluation by a cardiologist or cardiac surgeon is necessary for proper diagnosis and treatment.
Source:
MedicineNet. (n.d.). Discrete Subaortic Stenosis. Retrieved from
Symptoms of Spinal Cord Ischemia may include weakness, paralysis, loss of sensation, and loss of reflexes in the affected area. Diagnosis is typically made through a combination of physical examination, imaging studies such as MRI or CT scans, and laboratory tests.
Treatment for Spinal Cord Ischemia depends on the underlying cause and may include medications to dissolve blood clots, surgery to repair arterial damage, or supportive care to manage symptoms and prevent further damage. In severe cases, Spinal Cord Ischemia can lead to permanent neurological damage or death.
Spinal Cord Ischemia is a serious medical condition that requires prompt diagnosis and treatment to prevent long-term neurological damage or death.
Types of Arterial Occlusive Diseases:
1. Atherosclerosis: Atherosclerosis is a condition where plaque builds up inside the arteries, leading to narrowing or blockages that can restrict blood flow to certain areas of the body.
2. Peripheral Artery Disease (PAD): PAD is a condition where the blood vessels in the legs and arms become narrowed or blocked, leading to pain or cramping in the affected limbs.
3. Coronary Artery Disease (CAD): CAD is a condition where the coronary arteries, which supply blood to the heart, become narrowed or blocked, leading to chest pain or a heart attack.
4. Carotid Artery Disease: Carotid artery disease is a condition where the carotid arteries, which supply blood to the brain, become narrowed or blocked, leading to stroke or mini-stroke.
5. Renal Artery Stenosis: Renal artery stenosis is a condition where the blood vessels that supply the kidneys become narrowed or blocked, leading to high blood pressure and decreased kidney function.
Symptoms of Arterial Occlusive Diseases:
1. Pain or cramping in the affected limbs
2. Weakness or fatigue
3. Difficulty walking or standing
4. Chest pain or discomfort
5. Shortness of breath
6. Dizziness or lightheadedness
7. Stroke or mini-stroke
Treatment for Arterial Occlusive Diseases:
1. Medications: Medications such as blood thinners, cholesterol-lowering drugs, and blood pressure medications may be prescribed to treat arterial occlusive diseases.
2. Lifestyle Changes: Lifestyle changes such as quitting smoking, exercising regularly, and eating a healthy diet can help manage symptoms and slow the progression of the disease.
3. Endovascular Procedures: Endovascular procedures such as angioplasty and stenting may be performed to open up narrowed or blocked blood vessels.
4. Surgery: In some cases, surgery may be necessary to treat arterial occlusive diseases, such as bypass surgery or carotid endarterectomy.
Prevention of Arterial Occlusive Diseases:
1. Maintain a healthy diet and lifestyle
2. Quit smoking and avoid exposure to secondhand smoke
3. Exercise regularly
4. Manage high blood pressure, high cholesterol, and diabetes
5. Avoid excessive alcohol consumption
6. Get regular check-ups with your healthcare provider
Early detection and treatment of arterial occlusive diseases can help manage symptoms, slow the progression of the disease, and prevent complications such as heart attack or stroke.
Spinal stenosis
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Spinal Stenosis: What is It, Symptoms, Causes, Treatment & Surgery
Surgical versus nonsurgical therapy for lumbar spinal stenosis - PubMed
Cervical Spinal Stenosis | Kaiser Permanente
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Research Review: Non-surgical Treatment vs. Self-directed Care to Improve Walking in Lumbar Spinal Stenosis - ACA Today
Lumbar Spinal Stenosis - Symptoms & Causes | Mount Elizabeth Hospitals
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mild® Procedure Doctors in Lynchburg, VA | Spinal Stenosis Specialists
Lumbar spinal stenosis: patient characteristics at inclusion in the cohort study - Zurich Open Repository and Archive
M48.062 Spinal stenosis, lumbar region with neurogenic claudication - ICD-10-CM Diagnosis Codes
Spinal Stenosis in Dogs | Pets on Mom.com
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spinal stenosis
Spinal Stenosis - Main Line Spine
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Spinal Stenosis - Wyoming Spine Institute
Spine35
- Your spine, or backbone, protects your spinal cord and allows you to stand and bend. (medlineplus.gov)
- Spinal stenosis causes narrowing in your spine. (medlineplus.gov)
- Younger people with a spine injury or a narrow spinal canal are also at risk. (medlineplus.gov)
- [ 10 ] Because of the variable causes of spinal stenosis, imaging of the spine remains central to the diagnosis and the presurgical and postsurgical management of the patient with symptomatic back pain. (medscape.com)
- Spinal stenosis, a narrowing of the spaces in your spine, can compress your spinal cord and nerve roots exiting each vertebrae. (clevelandclinic.org)
- Spinal stenosis is the narrowing of one or more spaces within your spine. (clevelandclinic.org)
- Less space within your spine reduces the amount of space available for your spinal cord and nerves that branch off your spinal cord. (clevelandclinic.org)
- Normal spine with no narrowing of the space around the spinal cord or nerve roots exiting the spinal column. (clevelandclinic.org)
- Other conditions that affect the spine, such as scoliosis , or injury to the spine can put you at risk for developing spinal stenosis. (clevelandclinic.org)
- Your spine supports your body's weight and protects your spinal cord. (clevelandclinic.org)
- What they share in common is that they change the structure of the spine, causing a narrowing of the space around your spinal cord and nerves roots that exit through the spine. (clevelandclinic.org)
- Squeezing the nerves and cord in the cervical spine can change how the spinal cord functions and cause pain, stiffness, numbness, or weakness in the neck, arms, and legs. (kaiserpermanente.org)
- If your symptoms are severe, you have progressive weakness of your muscles, or the pictures of your spine show that your spinal cord or nerves are being tightly squeezed, your doctor is likely to recommend decompressive surgery to relieve the pressure. (kaiserpermanente.org)
- The spinal stenosis patient may feel more comfortable by leaning or bending forward as this posture opens the holes in the spine (the foramen), taking pressure off the nerves. (oaklandchiropractor.net)
- Spinal Stenosis can occur anywhere in the spine but the most common presentation occurs in the lumbar spine (low back) and next most commonly in the cervical spine (neck). (massagebyben.com)
- The MIST Guidelines: the Lumbar Spinal Stenosis Consensus Group guidelines for minimally invasive spine treatment. (vertosmed.com)
- Spinal stenosis - depending on location along the spine - can cause a variety of symptoms, even paralysis. (pain-relief-centers.com)
- Between the spinal bones are protective disks that cushion the spine and act as shock absorbers. (medicalnewstoday.com)
- Spinal stenosis is a condition where there is a narrowing in one or more areas in the spine. (webdicine.com)
- Spinal stenosis is the narrowing of one or more areas in the spine - most often in the upper or lower back. (michiganspineandpain.com)
- The providers at Michigan Spine & Pain use a variety of methods to diagnose a patient with spinal stenosis, such as medical history, a complete physical exam, x-rays, MRI, CT scan, electrodiagnostics, bone scans , discography and many other methods. (michiganspineandpain.com)
- Spinal stenosis most commonly affects the cervical and lumbar regions of the spine. (ruralspine.com)
- The bones of the spine (vertebrae) form the spinal canal, which houses the spinal cord and nerves. (painscale.com)
- Inflammation caused by spinal osteoarthritis can also contribute to narrowing of space within the spine. (painscale.com)
- Ligaments, which help hold the bones of the spine together, may become thick over time and bulge into the spinal canal. (painscale.com)
- Spinal injuries can occur for various reasons, such as car accidents or trauma to the spine. (painscale.com)
- Inside your spine, you have natural small spaces between the vertebrae and canal that runs the length of the spine that holds all of your spinal nerves. (fayettevilleaccident.com)
- Conditions like herniated disks, tumors, thickened ligaments, and injuries to the spine cause stenosis. (fayettevilleaccident.com)
- Most times, we will utilize a combination of spinal adjustments to realign the spine and open that canal a bit, chiropractor Dr. Thieroff says. (fayettevilleaccident.com)
- This can put pressure on the spinal cord and the nerves that travel through the spine. (integrativewellness.com)
- The most common cause of spinal stenosis is wear-and-tear changes in the spine related to arthritis. (integrativewellness.com)
- (4) It is fully outlined in the algorithms of decision making that guide our Cox Technic system of spine pain management and lumbar spinal stenosis . (spengelchiropractic.com)
- Spinal Radiology associated with Redundant Nerve Roots of cauda equina in lumbar spine stenosis. (bvsalud.org)
- The working group recommends to assess the stability of the lumbar spine in patients with lumbar recommendation spinal stenosis. (bvsalud.org)
- It presents images and case reports related to the degenerative disorders of the spine (syringomyelia, syringomyelia traumatic and post traumatic, spondylolisthesis, and stenosis). (bvsalud.org)
Numbness7
- Spinal stenosis can cause both numbness and pain in the arms and legs. (mountelizabeth.com.sg)
- Symptoms of Spinal Stenosis include neck or back pain, numbness in the extremities, pain in the extremities, muscular weakness, and cramping. (massagebyben.com)
- Once the diagnosis of Spinal Stenosis is made, all symptoms of cramping, pain, numbness, and weakness are usually assumed to stem from the condition. (massagebyben.com)
- This can lead to pain, weakness or numbness in the back, neck, legs, shoulders or arms - depending on which part of the spinal cord is affected. (uvmhealth.org)
- Spinal stenosis can also cause numbness or cramping pain in the lower back and legs. (medicalnewstoday.com)
- The nerves affected may differ from one patient to another but generally, spinal stenosis can cause numbness or pain in the back, arms, shoulders and legs. (webdicine.com)
- If a spinal nerve or the spinal cord becomes compressed, pain, numbness, muscle weakness, or tingling may occur. (painscale.com)
Osteoarthritis6
- Bony growths or bone spurs, which form in response to the wear and tear from osteoarthritis, which grow into the spinal canal. (mountelizabeth.com.sg)
- Spinal Stenosis may be caused by osteoarthritis or Paget's Disease or by a traumatic injury to the spinal column that causes pressure on the nerve roots or the spinal cord itself. (massagebyben.com)
- When due to osteoarthritis or Paget's Disease, Spinal Stenosis most often affects middle-aged or elderly people. (massagebyben.com)
- In most cases, Spinal stenosis is caused by osteoarthritis-related bone damage. (michiganspineandpain.com)
- Spinal osteoarthritis can cause bone spurs to grow into the spinal canal, placing pressure on the nerves. (painscale.com)
- Osteoarthritis most significantly contributes to spinal stenosis. (fayettevilleaccident.com)
Degenerative8
- Central spinal stenosis most commonly results from a developmental or degenerative narrow spinal canal. (medscape.com)
- Additionally, a study by Abbas et al indicated that persons with degenerative lumbar spinal stenosis tend to have wider pedicles at all lumbar levels than do members of the general population. (medscape.com)
- The NORDSTEN (Norwegian Degenerative Spinal Stenosis) trial included 437 patients scheduled to undergo surgical decompression for lumbar spinal stenosis, with the following MRI findings being evaluated before surgery: morphologic (Schizas) and quantitative (cross-sectional area) grade of stenosis, disc degeneration (Pfirrmann), facet joint tropism, and fatty infiltration of the multifidus muscle. (medscape.com)
- Lumbar spinal stenosis (LSS) is caused by age-related degenerative changes in older adults and is a leading cause of pain, disability and loss of independence. (acatoday.org)
- 1,2 These degenerative changes lead to narrowing of the spinal canal, resulting in compression and diminished blood supply to spinal nerve roots. (acatoday.org)
- Degenerative disc disease occurs when spinal discs lose hydration and begin to flatten. (painscale.com)
- Patients , aged 18 or above, undergoing decompressive spinal surgery due to degenerative Lumbar Spinal Canal Stenosis (LSCS) in 2015 were included. (bvsalud.org)
- BACKGROUND: Transforaminal lumbar interbody fusion (TLIF) is an effective and popular surgical procedure for the management of various spinal pathologies, especially degenerative diseases. (bvsalud.org)
Neck7
- Neck (cervical spinal stenosis). (clevelandclinic.org)
- Cervical spinal stenosis is the narrowing of the spinal canal in the neck. (kaiserpermanente.org)
- If cervical spinal stenosis is suspected, your doctor will recommend imaging tests of your neck and back to confirm the diagnosis and to see what is causing the narrowing of the spinal canal. (kaiserpermanente.org)
- Spinal stenosis most often results in lower back pain and neck pain. (uvmhealth.org)
- Although spinal stenosis in the neck (cervical) is less common, it is more dangerous because it involves compression of the spinal cord. (ruralspine.com)
- Spinal stenosis most often occurs in the lower back (lumbar stenosis) or neck (cervical stenosis). (painscale.com)
- It usually occurs in the neck, known as cervical stenosis, and in the lower back, known as lumbar stenosis, which is the most common kind according to Mayo Clinic . (fayettevilleaccident.com)
Cases of spinal stenosis2
- In mild cases of spinal stenosis, symptoms can usually be controlled with medicine to relieve pain, exercise to maintain strength and flexibility, and physical therapy. (kaiserpermanente.org)
- Only in the most serious cases of spinal stenosis do Physicians recommend surgical procedures. (michiganspineandpain.com)
Suffer from spinal stenosis2
- If you suffer from spinal stenosis and its associated symptoms and walking limitations, PLEASE consider chiropractic not only as an option but perhaps as this study points out, the BEST option! (oaklandchiropractor.net)
- At Fayetteville Accident and Injury Center, we are here to help holistically treat your pain, so if you suffer from spinal stenosis or are noticing some symptoms, stop in our office, call us at (910) 484-2001 or visit our website to make an appointment today! (fayettevilleaccident.com)
People with spinal stenosis1
- Most people with spinal stenosis are over 50. (integrativewellness.com)
Patient with spinal stenosis1
- Listen in to a PODCAST about a patient with spinal stenosis helped with Cox Technic. (spengelchiropractic.com)
Symptoms of spinal7
- If you feel that you have the symptoms of Spinal Stenosis please see your physician for a proper diagnosis and plan of treatment which may include massage therapy and bodywork. (massagebyben.com)
- Mild symptoms of spinal stenosis are often helped by pain relievers, physical therapy or a supportive brace. (michiganspineandpain.com)
- It is only when the narrowing compresses the spinal column or spinal nerves that a person usually starts to experience the signs and symptoms of Spinal stenosis. (michiganspineandpain.com)
- What are the symptoms of spinal stenosis? (ruralspine.com)
- Symptoms of spinal stenosis vary depending on the location and the nerves affected. (painscale.com)
- Symptoms of spinal stenosis of the upper/middle back (thoracic stenosis) are not well known as the condition is rare. (painscale.com)
- Other symptoms of spinal stenosis are pain and muscle weakness in the extremities, Mayo Clinic says. (fayettevilleaccident.com)
Diagnosis6
- A diagnosis of cervical spinal stenosis usually is based on your history of symptoms and a physical exam. (kaiserpermanente.org)
- It is not meant to provide a medical diagnosis, only a licensed physician may diagnose Spinal Stenosis. (massagebyben.com)
- Through all stages of your treatment for spinal stenosis - from diagnosis to surgery to rehabilitation - we provide a caring, personalized approach that puts patients at the center of everything we do. (uvmhealth.org)
- First, it is important to get a firm diagnosis of spinal stenosis through an MRI or CT scan, Mayo Clinic says. (fayettevilleaccident.com)
- If you have symptoms or a diagnosis of spinal stenosis, you can do a lot to relieve pain and make the most of your health potential. (easternoklahomachiropractic.com)
- It is assessed that decompression may be offered to patients with symptoms consistent with the recommendation diagnosis of lumbar spinal stenosis in case of significant disability and if the diagnosis is supported by relevant diagnostic imaging. (bvsalud.org)
Treat spinal stenosis2
- Spinal stenosis rates and the money spent to treat spinal stenosis and back pain have increased. (medscape.com)
- At The University of Vermont Medical Center, our highly-trained neurology team uses sophisticated technology and minimally invasive surgical techniques to diagnose and treat spinal stenosis. (uvmhealth.org)
Tumors2
- In some cases, spinal stenosis may be caused by spinal tumors such as a meningioma or the less common osteochondroma . (medscape.com)
- Although uncommon, tumors or cysts can form inside the spinal canal between the spinal cord and vertebrae or within the membranes that cover the spinal cord. (painscale.com)
Narrow spinal canal1
- Younger people who are born with a narrow spinal canal can also have spinal stenosis. (clevelandclinic.org)
Vertebrae8
- Narrowing of the spinal canal usually occurs due to changes associated with aging that decrease the size of the canal, including the movement of one of the vertebrae out of alignment. (clevelandclinic.org)
- Each vertebrae has a round front portion (the body), a central ring-shaped opening (the spinal canal), flat bony areas (facet joints) where one vertebrae comes into contact with others above and below it, and bone sections along the sides (transverse processes) and back (laminae). (clevelandclinic.org)
- Nerves roots are the initial segment of a bundle of nerve fibers that come off the spinal cord and exit the spinal column through side spaces between the vertebrae called the neural foramen. (clevelandclinic.org)
- The spinal canal is the open area in the bones (vertebrae) that make up the spinal column . (kaiserpermanente.org)
- This position can put stress on the lower back and may displace the vertebrae, or spinal bones, making lower back pain worse. (medicalnewstoday.com)
- Spinal stenosis is most commonly caused by the degeneration of intervertebral discs between the vertebrae. (ruralspine.com)
- Spinal discs, which act as shock absorbers between the vertebrae, often dry and crack with age, allowing the soft inner material to escape and put pressure on the spinal cord or nerves. (painscale.com)
- If a spinal injury involves fractured or dislocated vertebrae, displaced bone can cause damage to the contents of the spinal canal. (painscale.com)
Arthritis2
- Diseases such as arthritis and scoliosis can cause spinal stenosis, too. (medlineplus.gov)
- Arthritis , or degeneration of a joint, is the most common cause of spinal stenosis. (mountelizabeth.com.sg)
Decompression4
- Functional and patient-reported outcomes in symptomatic lumbar spinal stenosis following percutaneous decompression. (vertosmed.com)
- Long-term safety and efficacy of minimally invasive lumbar decompression procedure for the treatment of lumbar spinal stenosis with neurogenic claudication: 2-year results of MiDAS ENCORE. (vertosmed.com)
- 8) Consider offering decompression surgery to patients with lumbar spinal stenosis if previous non-surgical treatment has proved inadequate. (bvsalud.org)
- 9) Fusion surgery should only be used as an add-on to decompression for patients with lumbar spinal stenosis upon due consideration, since the beneficial effect is uncertain. (bvsalud.org)
Canal becomes narrower1
- When the spinal canal becomes narrower (stenosis), the spinal cord and/or nerve roots get squeezed. (kaiserpermanente.org)
Occurs6
- Spinal stenosis occurs mostly in people older than 50. (medlineplus.gov)
- Spinal stenosis is a progressive narrowing of the spinal canal that occurs most commonly in the cervical and lumbar areas. (medscape.com)
- Lumbar spinal stenosis occurs when the space around the spinal cord narrows. (mountelizabeth.com.sg)
- Spinal stenosis most often occurs in the lumbar region (lower back). (ruralspine.com)
- While some people are born with a small spinal canal, spinal stenosis most often occurs after the age of 50 due to narrowing of the spinal canal. (painscale.com)
- Though some people are born predisposed to the condition because they were born with a small spinal canal, spinal stenosis mostly occurs when something happens to the spinal column. (fayettevilleaccident.com)
Narrows3
- In cervical spinal stenosis, the spinal canal narrows and can squeeze and compress the nerve roots where they leave the spinal cord , or it may compress or damage the spinal cord itself. (kaiserpermanente.org)
- The Mayo Clinic notes that spinal stenosis can result from wear-and-tear that narrows the spinal disks. (oaklandchiropractor.net)
- Back pain could be spinal stenosis, a condition where the spinal canal - the protective area that houses the spinal cord - narrows, placing pressure on the spinal cord or spinal nerves. (uvmhealth.org)
Treatments2
- Vertos Medical Inc. is a medical device company committed to developing innovative, minimally invasive treatments for lumbar spinal stenosis (LSS). (vertosmed.com)
- A comparison of surgical and conservative treatments of spinal stenosis demonstrates that conservative care leads in outcomes. (spengelchiropractic.com)
Nerve8
- Spinal stenosis is a narrowing of space around the spinal cord itself and the nerve roots that branch off your spinal cord. (clevelandclinic.org)
- The narrowing of the spinal canal or the side canals that protect the nerves often results in a pinching of the nerve root of the spinal cord. (clevelandclinic.org)
- The spinal cord and/or nerve roots become compressed or pinched, which causes symptoms, such as low back pain and sciatica. (clevelandclinic.org)
- Spinal Stenosis is the name of a painful condition, in which the spinal cord and/or nerve roots are placed under abnormal pressure by narrowing of the spinal canal. (massagebyben.com)
- The improvements in posture, often through the use of Ortho-Bionomy or Myoskeletal Alignment Therapy, could provide a slight decrease in pressure on the spinal cord and nerve roots. (massagebyben.com)
- Other risks include infection and bleeding, spinal cord and nerve injury that can, in rare instances, cause paralysis. (vertosmed.com)
- If the pain stops, your doctor can confirm the root of your pain is some sort of spinal nerve compression. (pain-relief-centers.com)
- This reduced nerve space can occur within the spinal cord or where the spinal nerves exit the spinal canal. (painscale.com)
Affects3
- Lumbar spinal stenosis affects over 100 million persons worldwide, and approximately 600,000 surgical procedures are performed in the United States each year for the condition. (medscape.com)
- Strangely, spinal stenosis typically affects those without a pre-existing (or diagnosed) back condition. (pain-relief-centers.com)
- Spinal Stenosis is a condition that typically affects people later. (spinalstenosistips.com)
Pressure on the spinal cord1
- Also, back surgery can cause acute inflammation in nearby tissues, which places pressure on the spinal cord or nerves. (painscale.com)
Known as cervical1
- Spinal stenosis may result in a condition known as cervical myelopathy. (mountelizabeth.com.sg)
Severe2
- Walking distance in the treadmill exercise test in patients with moderate and severe spinal stenosis. (medscape.com)
- When symptoms are persistent, severe and intolerable, surgery is often recommended to relieve pressure on spinal nerves or spinal cord. (ruralspine.com)
Weakness1
- A person with spinal stenosis may observe weakness of the limbs, loss of sensation in major extremities and problems in the bowel or bladder. (webdicine.com)
History of spinal1
- Because spinal stenosis is a condition caused by wear-and-tear, some individuals may be at more risk than others, especially those with a history of spinal/disk injury, heavy labor, poor nutrition, or obesity. (oaklandchiropractor.net)
Diagnose2
- Doctors diagnose spinal stenosis with a physical exam and imaging tests. (medlineplus.gov)
- Experienced team - Our fellowship-trained neurologists work with neuroradiologists to quickly and precisely diagnose your spinal stenosis. (uvmhealth.org)
Minimally invasive1
- mild ® , its proprietary technology, is a safe and minimally invasive outpatient procedure designed to restore space in the spinal canal through an incision smaller than the size of a baby aspirin. (vertosmed.com)
Epidural3
- In a 2019 randomized trial involving 259 seniors with spinal stenosis, researchers compared the effectiveness of three approaches: medical care (including epidural steroid injections), group-based exercise, or manual therapy (spinal mobilization performed by a doctor of chiropractic) with individualized exercise (stretches and strength training). (oaklandchiropractor.net)
- Preoperative evaluation included electromyography to confirm the presence of a herniated disc, myelography to discount spinal stenosis and spinal cord tumor, epidural venography, and prognostic psychometric testing. (cdc.gov)
- It presents images and a case report related to spinal infection (epidural abscess). (bvsalud.org)
Surgical6
- The good news is that patients with spinal stenosis can benefit from non-surgical approaches! (oaklandchiropractor.net)
- Surgeons and medical device companies seek surgical means to reduce spinal stenosis and open the spinal canal area. (spengelchiropractic.com)
- At 6 months post-care - surgical or non-surgical - no significant differences are reported in the spinal stenosis patients. (spengelchiropractic.com)
- At 12 and 24 months post-care, the surgical spinal stenosis patients report higher disability scores. (spengelchiropractic.com)
- Surgical spinal stenosis patients underwent higher complication rates than the conservative care spinal stenosis patients. (spengelchiropractic.com)
- Based on their reviews of the published data, the researchers still don't feel that there is decisive proof to endorse surgical or non-surgical care to lumbar spinal stenosis sufferers. (spengelchiropractic.com)
Surgery4
- LSS is the most common reason for spinal surgery in older adults. (acatoday.org)
- Back pain could be spinal stenosis, which we treat with robotic surgery for less pain and a quicker recovery at The University of Vermont Medical Center in Burlington, VT. (uvmhealth.org)
- 10) Consider offering supervised rehabilitation to patients who have undergone surgery for lumbar spinal stenosis, due to the general beneficial effects of training and the lack of known adverse effects. (bvsalud.org)
- However, there is recommendation no evidence of a beneficial effect of supervised rehabilitation after surgery for lumbar spinal stenosis. (bvsalud.org)
Neurogenic3
- This randomized controlled trial was designed to compare the effectiveness of a structured, comprehensive, conservative treatment program with a focus on self-management and improved walking ability (including exercise, education and manual therapy, specifically lumbar spinal manipulation) to a self-directed program in improving walking ability in patients with neurogenic claudication due to LSS. (acatoday.org)
- mild ® is an effective treatment for lumbar spinal stenosis with neurogenic claudication: MiDAS ENCORE Randomized Controlled Trial. (vertosmed.com)
- Spinal manual therapy is not recommended for the treatment of neurogenic pain. (bvsalud.org)
Supravalvular1
- echocardiogram showed supravalvular pulmonary stenosis and patent ductus arteriosus. (cdc.gov)
Pain13
- The narrowing puts pressure on your nerves and spinal cord and can cause pain. (medlineplus.gov)
- A tightened space can cause the spinal cord or nerves to become irritated, compressed or pinched, which can lead to back pain and sciatica. (clevelandclinic.org)
- Presenting with a gradual onset and typically affecting those around the age of 50, spinal stenosis can cause intermittent pain in the lower back and legs. (pain-relief-centers.com)
- Those with spinal stenosis typically first visit their doctor for trouble walking, not back pain. (pain-relief-centers.com)
- If you've had a history of intermittent back pain over the years, that is typically the first sign indicating spinal stenosis. (pain-relief-centers.com)
- Though your pain may be intermittent, relatively mild during the onset and in your legs of all places, spinal stenosis is a serious condition that can cause some serious issues down the road. (pain-relief-centers.com)
- If you have lower back pain and are over the age of 50, you could have spinal stenosis. (uvmhealth.org)
- So if your spinal stenosis is caused by a herniated disc, we focus on holistically treating that herniated disc to alleviate your pain and symptoms. (fayettevilleaccident.com)
- Chiropractic care is a solution for many spinal stenosis pain patients. (spengelchiropractic.com)
- OrthoIllinois Chiropractic offers gentle, evidence-based chiropractic care in the form of Cox Technic to help control and relieve back pain due to spinal stenosis . (spengelchiropractic.com)
- Any condition that shrinks the spinal canal area that allows less space for the spinal nerves and other elements may bring about spinal stenosis and pain. (spengelchiropractic.com)
- OrthoIllinois Chiropractic offers experience in relieving McHenry back pain because of spinal stenosis. (spengelchiropractic.com)
- In case of recommendation concomitant back pain, spinal manual therapy may be used. (bvsalud.org)
Commonly2
- The prevalence of lumbar spinal stenosis in US adults is about 11% and increases with age, with people in their 60s and 70s most commonly affected. (medscape.com)
- Stenosis can develop as a person ages, and is most commonly reported in patients over the age of 50. (michiganspineandpain.com)
Neurologic1
- In an international Delphi study by Tomkins-Lane et al that identified important diagnostic tests to confirm lumbar spinal stenosis, the authors' recommendations included 3 core diagnostic tests (neurologic examination, MRI/CT, and walking test with gait observation) and 3 "rule out" tests (foot pulses/ABI [ankle brachial index], hip examination, and test for cervical myelopathy). (medscape.com)
20201
- Spinal stenosis implants market is calculated to register a CAGR of over 5.8% during the forecast period of 2020 to 2027. (futurewiseresearch.com)
Puts2
- This condition puts excessive pressure on the spinal nerves and on the spinal cord. (webdicine.com)
- The pressure Stenosis puts on the spinal cord may affect the nerves that control balance. (michiganspineandpain.com)
Myelography1
- Morgalla et al measured the sagittal diameters of the lumbar spinal canal from L1 to S1 in 50 patients (mean age, 70 yr) with lumbar spinal stenosis using MRI, functional myelography, and postmyelography CT. (medscape.com)
Patients11
- The selection of an initial screening examination in patients who are suspected of having spinal stenosis depends on the age of the patient. (medscape.com)
- Spinal stenosis, which is the irregular narrowing of the spinal canal, is prominently observed in elderly patients. (futurewiseresearch.com)
- Many patients that are diagnosed with spinal stenosis are effectively treated with traditional methods. (michiganspineandpain.com)
- In some cases, a small percent of patients, OrthoIllinois Chiropractic may see a McHenry spinal stenosis patient daily in the beginning. (spengelchiropractic.com)
- OrthoIllinois Chiropractic takes good care of our McHenry lumbar spinal stenosis patients! (spengelchiropractic.com)
- Patients were divided in groups as per presence of RNR and assessed for spinal morphometric parameters . (bvsalud.org)
- The guideline concerns patients over the age of 65 years with lumbar spinal stenosis and significant self-rated disability. (bvsalud.org)
- 1) Consider offering supervised training to patients with lumbar spinal stenosis due to the general beneficial effects of training on health and the lack of known adverse effects. (bvsalud.org)
- 2) Spinal manual therapy should not be used routinely for patients with lumbar spinal stenosis, since the beneficial effect is uncertain. (bvsalud.org)
- 3) It is good practice to avoid use of paracetamol in patients with lumbar spinal stenosis, since the beneficial effect is uncertain and undocumented. (bvsalud.org)
- 5) Opioids should only be used for patients with lumbar spinal stenosis upon due consideration, since the beneficial effect is uncertain and there is a risk of adverse reactions. (bvsalud.org)
Occur1
- Where does spinal stenosis occur? (clevelandclinic.org)
Bulge2
- Thickening of ligaments, which happens over time, can bulge and intrude on the spinal canal. (mountelizabeth.com.sg)
- Lumbar spinal stenosis may result from any of a number of issues like a disc herniation , disc bulge or contained disc , synovial cyst. (spengelchiropractic.com)
Narrowing5
- Lumbar canal stenosis is the narrowing of the spinal canal or the tunnels through which nerves and other structures communicate with that canal. (clevelandclinic.org)
- Many people older than age 50 have some narrowing of the spinal canal but do not have symptoms. (kaiserpermanente.org)
- Hansson T, Suzuki N, Hebelka H, Gaulitz A. The narrowing of the lumbar spinal canal during loaded MRI: the effects of the disc and ligamentum flavum. (vertosmed.com)
- Spinal stenosis is a narrowing in some parts of the spinal column. (webdicine.com)
- Spinal stenosis is a narrowing of (or an intrusion into) these openings. (ruralspine.com)