What is Lumbar Spinal Decompression?

by admin

Lower back pain has long been a prevalent health concern around the world. In 2017, the prevalence of lower back pain was estimated to be approximately 7.5% of the world’s population. This totals about 577 million people.

There are numerous causes of lower back pain, as well as countless treatments that can help relieve it. Lumbar spinal decompression is one treatment strategy for alleviating lower back pain caused by a pinched nerve. 

This article will discuss lumbar spinal decompression, when it’s implemented, and what patients can expect from the procedure. 

Why is Lower Back Pain So Common?

Imagine if the branches of a tree were as large at the top as they are at the bottom. Now, imagine that a heavy load is placed on the ends of the very highest branches. This would put an enormous amount of stress on the lower portion of the tree trunk.

This is comparable to what we experience as humans with our spinal columns. The human spinal column is like the trunk of a tree, but we’re as large on the top of the trunk as we are at the bottom. This puts a high amount of stress on the lower back, which is also called the lumbar region of the spine.  

The strain of lifting objects and twisting the spine over the course of a lifetime is exacerbated by degenerative spinal changes that occur with age. So, it’s not surprising that most of the back problems that bring patients to spinal specialists are centered in the lower, or lumbar, region of the spine.

Lumbar Spine Disorders

The stresses discussed above, along with disease and/or injury, can result in a host of spinal disorders. Bulging or herniated discs, spinal stenosis, and spondylolisthesis are among the most common.

  • Bulging disc

A bulging disc is a spinal disorder that occurs when the exterior of an intervertebral disc weakens, typically from the natural aging process. This can cause the disc to bulge out into one side of the spinal canal. 

  • Herniated disc

A herniated disc is essentially one step further than a bulging disc. It occurs when the soft interior of the disc protrudes out through a crack in the weakened disc exterior. 

  • Spinal stenosis

Spinal stenosis can result from a bulging or herniated disc, as well as a range of other factors. It’s a spinal condition characterized by an abnormal narrowing of the spinal canal.

Reduced space in the spinal canal can place stress on the spinal nerves or the spinal cord. But, decompression for lumbar spinal stenosis can effectively alleviate this stress. 

  • Spondylolisthesis

Spondylolisthesis is a condition that develops when one of the vertebrae is unstable and slips out of its regular position. The displaced vertebra settles on the vertebra beneath it. 

These disorders can place unnatural pressure on the nerves that emanate from the spinal column. This may cause pain, restricted mobility, and other symptoms of a pinched nerve.

What is a Lumbar Decompression Surgery?

Spinal decompression is a method of easing pressure on impinged spinal nerves. It can be performed either non-surgically or surgically. Lumbar spine decompression simply refers to decompression procedures performed on the lower portion of the spine.

The surgical solution for a lumbar pinched nerve involves removing a small amount of tissue from vertebrae in the lumbar region. The surgeon will remove the tissue that’s impinging, or putting pressure, on a nerve. This process is referred to as lumbar spinal decompression surgery.

How is Lumbar Decompression Surgery Performed?

There are various types of lumbar decompression surgery that may be implemented for different spinal disorders. The most common forms of surgical lumbar decompression include:

Laminectomy and Laminotomy

Laminectomy and laminotomy are two surgical methods of lumbar decompression that involve the lamina. The lamina acts like the roof of the spinal canal and protects the spinal cord. 

  • In a laminectomy, the surgeon removes the majority of the lamina at the affected spinal segment. 
  • In laminotomy, the surgeon only removes a small portion of the lamina. 

Laminoplasty

Laminoplasty is a procedure that involves making two cuts in the lamina so that it swings outward, like a door. After creating a hinge with the lamina of the affected vertebra, the spinal surgeon will position small bone wedges to keep the “door” from closing. Commonly referred to as open-door laminoplasty, this procedure can effectively alleviate pressure on the spinal nerves without removing the lamina. 

Foraminotomy

In foraminotomy, the surgeon creates more space around the area where nerve roots exit the spinal canal. This area is known as the intervertebral foramen. It acts as a passageway, linking the spinal canal to the periphery. 

By opening up the intervertebral foramen in foraminotomy, the spinal surgeon can alleviate pressure on the spinal nerves. 

Discectomy

Discectomy is a spinal decompression procedure that involves removing damaged intervertebral disc tissue. The spinal surgeon may remove some or all of the damaged disc, depending on the patient’s needs.

Lumbar Decompression Surgery With Spinal Fusion

Removing tissue in lumbar decompression surgery can lead to spinal instability. So, historically, spinal fusion back surgery has been performed in conjunction with lumbar decompression surgery to stabilize the spine. 

In spinal fusion, the surgeon places bone graft material in between the affected vertebrae. As weeks and months pass after the procedure, the vertebrae will fuse, forming a singular bone. By completely preventing motion in this segment, fusion effectively prevents instability following spinal decompression surgery.  

Unfortunately, lumbar decompression and fusion can have certain negative effects on the body, including:

  • Reduced range of motion

The key downside of spinal fusion is that it prevents all motion in the fused segment. This eliminates the patient’s ability to flex, twist, and bend the spine normally. As a result, patients may no longer be able to partake in their favorite sports and activities after spinal fusion surgery. 

  • Damage to adjacent vertebrae

The spinal segments that are adjacent to the fused vertebrae must undergo additional stress to compensate for the fusion. This can lead to a complication known as adjacent segment disease (ASD), with which the adjacent vertebrae deteriorate at a more rapid rate. ASD can lead to lower back pain, radiating pain, difficulty walking or standing, and neurological symptoms. 

Are Alternatives To Spinal Fusion Available?

Today, the TOPS™ (Total Posterior Spine) System provides an alternative to spinal fusion that preserves the spine’s natural full range of motion. This advanced spinal implant has been shown to provide better outcomes than fusion in clinical studies performed around the world. 

The TOPS™ System provides an important additional treatment option for individuals with moderate to severe pinched nerve symptoms. It can provide a major improvement in lower back pain for patients who don’t respond to non-surgical lumbar spinal decompression therapy.

How Long Does It Take to Recover From Lumbar Decompression Surgery?

The recovery period for lumbar decompression surgery can vary depending on the exact procedure and whether or not spinal fusion is performed. However, patients can generally expect to wait four to six weeks before reaching their expected degree of mobility and returning to work. 

Spinal fusion prolongs the recovery process for lumbar decompression surgery. It can take up to a year to fully recover from fusion. With this in mind, the TOPS™ System can significantly reduce the lumbar decompression surgery recovery time, allowing patients to return to physical activity much sooner.

Is Lumbar Decompression Surgery Serious?

Lumbar decompression surgery is an invasive procedure. So, as with any surgical procedure, it comes with certain risks.

With that said, lumbar decompression is widely performed and considered safe. Advancements in medical technology have even made minimally-invasive lumbar decompression surgery possible. This allows for greater safety and a lower risk of complications. 

If you have symptoms of a pinched nerve, don’t hesitate to talk to your doctor about the complete scope of treatment options available to you. 

Causes of Back Pain in Women

by admin

Back pain is a universal health concern, and it doesn’t discriminate. The factors that trigger back pain are often the same in women and men. However, certain causes of back pain, such as menstruation, pregnancy, and osteoporosis, are either unique to or more prevalent among women.

What Causes Back Pain in Females?

Here, we’ve listed what can cause lower back pain in a woman. 

Menstruation

Menstruation is a key cause of back pain that exclusively affects women. During menstruation, the uterus produces substances known as prostaglandins. Prostaglandins manage muscle contraction, and during menstruation, they send messages to the uterus instructing it to contract. 

These muscle contractions are the direct cause of cramps and back pain during menstruation. Additionally, the cramps associated with menstruation place added stress on the back muscles, potentially leading to back muscle pain.

Pregnancy

Pregnancy often causes back pain, particularly in its later stages. The added weight of carrying the fetus puts significant stress on the spine, as well as the supporting muscles and ligaments. 

Additionally, the ligaments stretch and soften during pregnancy. This is one of the body’s methods of childbirth preparation. Unfortunately, as the ligaments soften, the lower back and pelvis become less supported. This may trigger back pain. 

Also, while being overweight for any reason can cause back pain, the rapid weight gain that occurs during pregnancy compounds the problem.

Stress

Mental stress is known to cause or contribute to back pain, in part because it contributes to the involuntary tightening of muscles in the back. Stress can also cause or exacerbate back pain in pregnancy which, as a major life change, is a time of great psychological stress.

Osteoporosis

Later in life, our bodies’ bone-building process gradually weakens. As a result, calcium is depleted from our bones, and our overall bone mass drops. The bones become more brittle, making them more prone to breakage. This phenomenon, which is referred to as osteoporosis, is more common among women than men. 

If osteoporosis causes spinal fractures (known as compression fractures), it can lead to severe back pain. With a compression fracture from osteoporosis, patients typically struggle to sit, stand, and walk. 

Spinal Conditions

Common spinal conditions, such as degenerative disc disease, herniated disc, spondylolisthesis, and spinal stenosis, affect women, just as they do men. These conditions can lead to chronic back pain. 

What Female Organs Can Cause Lower Back Pain?

Certain internal organs can lead to lower right back pain in female patients. Specifically, organs located in the pelvis, abdomen, and mid-back area may be the root of lower back pain. 

  • Reproductive organs

In women, the reproductive organs in the pelvis can trigger pain in the lower right area of the back. For instance, endometriosis, which typically affects the ovaries and fallopian tubes, can lead to pain that extends to the lower back. 

  • The appendix

The appendix is an organ that’s linked to the large intestine. People who develop appendicitis, which occurs when the appendix becomes inflamed, can develop lower right back pain. 

Appendicitis requires immediate treatment to prevent rupture and complications. In addition to lower right back pain, symptoms may include sudden pain on the right side of the lower abdomen that worsens with abrupt motions, loss of appetite, nausea, and vomiting. 

  • Kidney

The kidneys are organs that remove waste from the blood. Kidney issues, such as kidney stones or a kidney infection, can lead to pain on one side of the lower back. Other symptoms of kidney problems often include pain while urinating, nausea, and vomiting. 

  • Colon

Ulcerative colitis is a condition that’s characterized by inflammation in the colon. It causes repeated cramping in the abdomen that may trigger lower back pain, as well as symptoms including diarrhea, weight loss, and fatigue. 

How Can a Woman Find Out That Their Lower Back Pain is Serious?

Extreme lower back pain can be cause for concern. But, since back pain is a common ailment, it can be difficult to know whether or not your pain requires medical attention. 

As a general rule of thumb, visit your doctor for an evaluation if you experience back pain that persists for longer than two weeks and holds you back from regular activities. If you experience severe back pain, visit a doctor sooner than after two weeks. Additionally, seek out immediate medical care if you have:

  • Fever with back pain
  • Sudden weakness in the arms or legs
  • Unexplained weight loss with back pain
  • Lost bladder or bowel control
  • Back pain following trauma, such as a car accident

Lower Back Pain Treatment For Women

Whatever its origin, there’s no reason to live with back pain, as a variety of treatment options exist for all their causes. Women wondering how to help lower back pain may consider physical therapy, medication, or even lifestyle changes to alleviate back pain caused by spinal conditions.

  • Physical therapy

Physical therapy can help with lower back pain by helping relieve tension in the back muscles. Additionally, physical therapy exercises can target and strengthen the muscles that support the back. 

  • Pain medication

Over-the-counter pain and anti-inflammatory medications may help women manage lower back pain in the short term. These medications can also help alleviate menstrual cramps and the associated back pain.

However, women experiencing back pain caused by more complex conditions, such as endometriosis, should speak with their doctors about the available prescription medications for the condition.  

  • Lifestyle changes

Lifestyle changes may help you naturally achieve relief from lower back pain. For example, in women experiencing back pain in pregnancy, gentle, low-impact exercise may offer relief. Women with back pain caused by cramps during menstruation can consider lifestyle changes including quitting smoking, cutting down on alcohol consumption and adding more high-fiber foods to their diet. Additionally, women with spinal conditions, such as spinal stenosis, may need to modify their activities to avoid straining the spine. 

Spine Surgery For Back Pain in Women

Surgery is rarely required for women with back pain. However, if the back pain doesn’t resolve within six months of conservative treatment, your doctor may recommend spine surgery for lasting pain relief. 

Among women for whom spine surgery is recommended, there are multiple surgical approaches to consider. Thankfully, advanced microsurgical techniques and stabilization systems provide effective treatments for potentially disabling spinal conditions.

Decompression Surgery For Back Pain in Women

Decompression spinal surgery is a commonly performed spinal procedure for conditions including spinal stenosis, spondylolisthesis, and herniated disc. In this procedure, a portion of the vertebra that’s impinging on a spinal nerve is removed. Decompression surgery can have a dramatic and immediate impact on back pain associated with prevalent spinal conditions.

Spinal Fusion

Spinal fusion surgery has traditionally been performed in conjunction with spinal decompression. This process involves fusing adjacent vertebrae at the affected segment to stabilize the spine.

Unfortunately, while spinal fusion may offer pain relief for patients suffering from chronic back pain, it has numerous drawbacks. For one, spinal fusion eliminates the patient’s motion at the affected segment. As a result, the patient loses the ability to bend, twist, and flex that area of the spine. 

Additionally, spinal fusion can lead to adjacent segment disease. This fusion complication occurs when the vertebrae surrounding the fused bone degenerate faster than usual. As a result, the patient may experience back pain, stiffness, and/or neurological symptoms.  

Spinal Fusion Alternatives For Women With Back Pain

Alternatives to spinal fusion are available and can help patients avoid the drawbacks of spinal fusion. The TOPS™ System from Premia Spine, in particular, provides a superior, clinically-proven outcome when compared to spinal fusion back surgery.

Unlike spinal fusion, the TOPS™ System preserves the vertebrae’s range of motion. Having been used since 2005, the system has enabled patients around the world to maintain their full range of activities following decompression surgery. TOPS™ has further advanced the treatment of common but potentially debilitating spinal conditions.

Women experiencing back pain from spinal conditions should consult their doctors to learn about the complete range of spinal treatments available today. 

What Is Back Strain? Symptoms, Causes, Treatment of Back Strains

by admin

What is back strain?

Commonly played down, a back strain can be an extremely painful and demobilizing injury which could require strong painkillers and possible treatment. 

Hearing “It’s just a back strain” may not be very comforting when you’re experiencing severe back pain, and while back strain may sound like a minimal back injury, it can cause you a great deal of discomfort. A back strain can result in sleepless nights, back spasms that can cause severe lower back pain and in some cases, immobility. 

Many people with back strains are forced to go to the emergency room for relief and they are not to be taken lightly. 

What is a back strain?

It can be reassuring to understand what a back strain actually is and what part of the body is damaged to help understand potential treatment options and how to take care of your back in the future. 

When the muscles or ligaments in the lower back are strained or torn, the area around the muscles will likely become inflamed. That back inflammation leads to back spasms that can cause your severe back pain and immobility.

What are the symptoms of a back strain?

Symptoms of back strain may range from a mild ache to sudden, debilitating pain often localized in the lower back. The pain of a back strain is likely to be located in the low back, and not radiate down your leg (as with sciatica.) Your back may be sore to the touch, pain comes on suddenly and strongly, you may have those muscle spasms in your lower back, and you might find standing or walking to be more uncomfortable than resting.

A summary of the potential symptoms caused by a back strain:

  • Pain and demobilizing stiffness in the back
  • Pain which spreads to the buttocks and the top of the legs, often in the back of the thigh. 
  • Pain which increases when a person bends over, stretches, coughs or sneezes. 

What causes a back strain?

“How did this happen to me?” is likely the next question on your mind. Back strains are often the result of a movement or movements that put undue stress on the lower back. Motions like lifting a heavy object, lifting multiple heavy objects (such as with landscaping using large rocks or bricks,) lifting and twisting, a sudden and single twisting motion (like your last golf tee-off of the day,) or a fall are just some of the movements that can cause back strain.

Most lower back pain episodes are caused by damage to the muscles and/ or ligaments in the lower part of the back. When you suffer from back strain, you may have one or both of the following:

  • A muscle strain, caused when a muscle is overstretched or torn, resulting in damage caused to the muscle fibers (also called a pulled muscle).
  • A lumbar sprain, caused when ligaments – the tough fibrous tissues connecting the muscles to the bones and joints — are stretched too far or torn.

Strain and sprain are often used interchangeably, since the treatment and prognosis for both of these are the same. So one is not worse than the other, although the amount of pain you’re experiencing may make you think that what you have is indeed the more severe of the two. Especially since you cannot see inside your back, your imagination may conclude that you have something much worse than a back strain or sprain. Patients experiencing pain can often jump to dramatic conclusions and envision difficult treatments ahead.

Fortunately, there are many simple treatments and lifestyle changes which may help. 

How can a back strain be treated?

With a mixture of painkillers and avoiding strenuous activities a person can manage the pain in their back and significantly reduce the sharp pangs of pain that make a back strain almost unbearable. 

However, a person may still experience lower levels of pain, or flare-up of pain further down the line, lasting for weeks, or even months, depending on how severe the strain was. 

To alleviate this pain, self-care is a must to help those stretched or torn muscles, ligaments heal fully. The average recovery time of a back strain is around three-to-four weeks but this can of course vary depending on a person’s health, age, or general fitness levels. 

To help speed up this recovery, we recommended the following treatment which you can apply yourself, without medical consultation. 

  • Use an ice pack on your back to ease pain and reduce swelling as soon as the strain occurs. You can do this for 20-30 minutes and repeat every 3-4 hours until the pain decreases.
  • After 3-4 days if you are experiencing pain, you may also use a heat pack but this is only advised once the swelling has gone down. A hot bath is also recommended.
  • Take Non-steroidal anti-inflammatory painkillers, examples of these are; Advil, Aleve and Motrin. However, it is important to use these drugs sparingly as there may be some side effects involved.
  • Try physical therapy to keep active and regain strength in your back. This can maintain muscle tone and help build your abdominal and lower back muscles.
  • Avoid bed rest and try to stick to a normal sleeping pattern as lying or sitting down for long periods of time reduces blood circulation in your back, slowing the healing process.
  • Do not turn down medical support, your doctor or physical therapist is a trained professional, so heed their advice even if staying in bed seems like the easier option.

How to avoid back strains in the future?

There are a number of simple measures a person can take to help prevent back strains in the future. 

  • Exercise your back muscles and stretch them regularly as poor fitness and physical conditioning are some of the main causes of back strains.
  • Although exercise is highly recommended it is advised to know your limits. If you have been exercising regularly, or stepping up your workout plan and suddenly feel pain in your back then take a few days off and rest.
  • If you feel any pain in your back during an activity then immediately stop. Do not try to persevere as this could stretch or tear the muscles or ligaments further.
  • Focus on your sleeping positions and avoid lying on your stomach, instead of sleeping on your back, or side. If it helps you could also place a pillow beneath your legs for support. 
  • Always bend at the knees when lifting heavy objects.
  • Maintain a healthy diet to try and keep your weight at a healthy level. 
  • Focus on your posture and avoid slouching, or hunching while working. 

We hope this article has helped to answer any questions you may have had about back strains and how to prevent such issues in the future.

What is a Lumbar Laminectomy?

by admin

Medical terminology doesn’t go out of its way to be complicated or hard to understand. It’s simply that the language has to be very precise, and that much of it comes from Latin. Hence, it can be difficult to decipher some med-speak without a little help. Take the term “lumbar laminectomy,” a fairly common surgical procedure that can help alleviate the pain, mobility limitations, and other symptoms that often accompany medical conditions of the lower spine. Indeed, the word “lumbar” refers to the lower spine. The lumber portion of the spine comprises the lowest five vertebrae of the spinal column, which bear the designation L1 through L5 – “L” standing for lumbar.

Every vertebra in the spinal column is covered in a bony sheath called the lamina, which helps protect

the nerves that run through the spinal column. But sometimes, due to injury, disease, degenerative changes, or other causes, the lamina can put pressure on nerves emanating from the spinal column, a condition referred to as a pinched nerve. Problems within the vertebrae, such as an unnatural narrowing of the spinal canal, a condition called spinal stenosis, can also result in pinched nerves.

When surgery is performed to relieve pressure on a pinched spinal nerve, a procedure called spinal decompression, it requires cutting away the portion of the lamina that is impinging on a nerve or to gain access to the interior of the vertebrae to address a condition such as spinal stenosis. In medicine, the suffix “ectomy” refers to excision or removal. Thus, cutting away a portion of the lamina is a procedure called a laminectomy. So a lumbar laminectomy is an operation in which a portion of the lamina on one of the first five vertebrae is trimmed away. A lumbar laminectomy can achieve dramatic results in alleviating the symptoms of pinched nerves. Traditionally, spinal fusion back surgery was performed in concert with a laminectomy to stabilize the spine at the point of the operation. Now lumbar laminectomy patients have an alternative that provides better outcomes than spinal fusion surgery while preserving the full range of the spine’s motion: The TOPS (Total Posterior Spine) System procedure. If you’re a candidate for a lumbar laminectomy or other spinal decompression procedure, make sure you understand all your treatment options.

What is a Laminectomy 

Lumbar Laminectomy is a spinal surgery involving the removal of the vertebral bone to alleviate symptoms of spinal stenosis. Laminectomy surgery is relatively common for major surgery. Its main function is to reduce spinal pressure on the cord and nerve roots when they are being unnaturally restricted. This surgery is for those suffering from various ailments, including those sustained from past injuries, herniated disks, spinal stenosis, and tumors. While there are alternative methods to try before getting to this point, such as physical therapy, medication, and even injections, some may find this is the only path to relief.

While determining what is a laminectomy, we should deconstruct the name. Lamina is the scientific name for the vertebral bone. This surgery, Lumbar Laminectomy, is the process of removing the vertebral bone to lift pressure surrounding the spinal canal. Pressure is created by things like impacted bone injury, bone overgrowth, or growing tumors. A decompressive laminectomy increases available space and therefore alleviates any pain sufferers may be experiencing. While the surgery itself is great, so are the results. 

What is Spinal Stenosis

If you are considering spinal laminectomy you may likely be suffering from spinal stenosis. Spinal stenosis is one of the most common spinal ailments. Since stenosis means narrowing or restricting, this condition refers to the unnatural narrowing of the spinal canal. This condition often develops for unknown reasons but can be caused by an overgrowth of either bone or tissue. Some cases may be hereditary, while others arise from an unhealthy lifestyle. 

Options Before Surgery

Everyone can benefit from a healthy lifestyle, including those suffering from spinal stenosis or other spine stemming pain. Simple solutions like a healthy diet, regular exercise, and maintaining a healthy BMI can all reduce pain and symptoms. While these are idealistic options, they also are not the solution for everyone. It is possible that someone’s back pain is so great they are limited in the forms of exercise they can partake in.

Physical therapy is another noninvasive option that patients can try before getting a lumbar laminectomy surgery. Because most patients suffer from pain in their back and legs, it can be helpful to have a physical therapist to assist in teaching the body how to move through these debilitating pains in a way that can offer some relief. Physical therapy assigned exercises to have the ability to release pressure similar to surgery, though the effects are often not as long-lasting. 

Medication is also available to those suffering from inescapable pain. Some medications offered can help with both pain and inflammation so that those suffering from spinal stenosis are able to manage their symptoms throughout their day.

While these solutions can help manage and relieve pain, ultimately, they do not offer more stability to a destabilized spine, nor do they permanently create space in the spine where the pressure afflicts. In cases of long-term relief, most find that surgery is necessary to moving forward into a pain-free life.

Laminectomy Surgery

In deciding if surgery is right for you, it helps to know exactly what is to be expected during the procedure. A doctor uses general anesthesia to put the patient under for the duration of the surgery. In the process of the surgery, the surgeon makes a small cut into the back, right over the affected area. They then enter through this cut with small tools to lift the muscle away from the spinal column. The lamina is then removed to create space in the narrowed spinal canal.  In the case of a herniated disk, the doctor can then remove the parts of the disk that have herniated. 

Traditionally after this, the vertebrae would be fused to create stability in the spine to supplement the removed lamina. This is done with either bone graphs, screws, or metal rods. While efficient in rendering the spine functional post-operation, it does create limited mobility that can impede some physical activities.

How to Prepare for Laminectomy Surgery

Laminectomy Surgery is major surgery. Many are intimidated by spinal surgery because it is such a crucial part of our body and people often have a fear of how their life changes after. Here is how to prepare for optimal recovery.

  • Consider your new mobility while you recover. With a limited range of motion, you should consider buying a pair of slip-on shoes to avoid bending down and straining.
  • Ensure frequently used items are in easy-to-access spots. This may look like lowering things from high shelves as well as heightening objects that previously required bending over to reach them. Remember, this is temporary.  Once healed you should be able to reach all these things again without any pain or discomfort. 
  • Do some meal prepping. The less work you have to do while recovering the quicker you heal. This also means you can rely less on others and be more self-sufficient in a time when you may feel dependent on others.
  • Finally, on the day of the surgery, make sure you fast before going in. Like most surgeries that require general anesthesia, you are advised to stop eating and drinking by midnight the night before. Some water is allowed the morning of the surgery, but a full stomach can pose complications once you are under.

Laminectomy Recovery

Once you wake from the surgery your care team checks to ensure everything has gone smoothly and your body has responded well to the spinal laminectomy surgery. While a short hospital stay is typical, some people are released the same day. This means that no matter the case, the comforts of home are not too far away.

Upon returning home, rest! Though it is healing in the long run, your body has just sustained a major injury and needs time and care to recover. Give yourself grace and let people help with things like meals and keeping the house running. Letting yourself rest at this time is crucial for long-term recovery.

It is recommended that you do not work for the first few weeks following a decompressive laminectomy. Those with less physically demanding jobs return to work sooner than those with more labor-intensive jobs. If you have a spinal fusion laminectomy recovery takes longer.

How to Make Spinal Surgery Less Traumatic

The results of lumbar laminectomy, while impressive, may take a while to work. There are records of patients taking up to a full year to complete their laminectomy recovery. Those who do go through with the surgery are also sometimes recommended physical therapy as a part of their recovery process.  This leads to a long and involved path back to normalcy.

If you are looking for a way to make your laminectomy surgery and recovery less traumatic, consider a spinal implant. TOPS system uses an implant after decompression is completed to prevent the necessity for spinal fusion. Where traditionally vertebrae are fused after laminectomy surgery, TOPS implants hold the space where the vertebrae were removed, combining the relief of the surgery with all the mobility and freedom you had before. 

Patients who have had a TOPS System implant report faster and easier laminectomy recoveries than those who received traditional spinal fusions. Because the spine is the foundation of the human body it is important you take the path offering the greatest recovery and mobility post-surgery. Does this look like a spine that has been fused together, or upgraded with an implant?

Life After Laminectomy

While it is a big decision to make, ultimately it comes down to regaining your life. Those who have spinal laminectomy are choosing a life free of debilitating pain and getting back the body they once knew. Lumbar laminectomy patients are often happier and healthier, having chosen the care right for them.

Treatment of Lumbar Spinal Stenosis

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It’s common for office and remote workers to suffer from back pain, and some of them even consider it an inevitable part of their lives. Most people think those problems are just bad posture issues and try to solve them with homemade methods such as using ergonomic chairs or applying ice, but what if the problem is more serious than having a bad posture?

If that was the case, you’d be letting your back problems get worse each day and allowing many other back conditions and illnesses to appear. One of those conditions is lumbar spinal stenosis, which narrows the space within your spinal cord, impeding it and the adjacent nerves to work as they should.  

You must take care of this issue as soon as you notice it, so we are here to provide you with all the information you need to know about the symptoms and available treatments of this condition. Your priority must be your safety, so make sure to learn as much as you can about lumbar spinal stenosis and walking problems!

What Causes Lumbar Spinal Stenosis? 

As we mentioned before, when you talk about lumbar spinal stenosis, you are talking about the compression or narrowing of the space within your spinal cord. However, you must be careful regarding this matter since many things can cause that condition to happen.

To understand the problem and thus how to treat it, you need to understand what produces it, so here is a list of the most common causes of lumbar spinal stenosis:

Spinal Injuries

It’s easy to notice lumbar spinal stenosis if it’s originated from spinal injuries since those problems don’t come from any indirect issue or congenital condition. Direct accidents such as car crashes or any heavy hit you receive that can dislocate your bones, break them, or cause extreme inflammation can damage your spinal canal, putting a lot of pressure on your spinal nerves. 

Thickened Ligaments

Your ligaments are an essential part of your body since they hold your bones together, including, logically, your spinal cord. However, issues such as arthritis can cause your ligaments to thicken and consequently bulge into space within your spinal canal. This issue doesn’t only produce lumbar spinal stenosis but also major walking problems if not treated on time. 

Bone Overgrowth 

If you are having a case of bone spurs and overgrowth of the bones within your spinal cord, you are prone to develop lumbar spinal stenosis. The name of this issue is osteoarthritis, also known as the wear and tear condition, which breaks down the protective covering of your joints and makes your bones rubbing against each other and creating bone spurs. 

Tumors 

Tumors, whether if cancerous or benign, can form within the space in your spinal cord. The abnormal growth of the tumors can limit the space for your nerves and spinal cord, causing this spinal stenosis to happen. You should make a doctor’s appointment as soon as you feel any unusual sensation or pain in the back since it’s not easy to detect those tumors without realizing the corresponding tests. 

What Are the Symptoms of Lumbar Spinal Stenosis? 

The best way to prevent major issues that can be detrimental to your health is to detect their symptoms on time and treat them properly. However, it’s not that easy to recognize which illness or condition the symptoms correspond to since many diseases share the same symptoms, so you have to notice more than one.

Lumbar spinal stenosis is a dangerous matter that you have to identify as soon as you can, so here is a list of the primary symptoms to help you check if you have any of them:

  • Lower back pain.
  • Neck pain.
  • Numbness in your legs. 
  • Pain in your legs after standing for long periods. 
  • Feet weakness. 
  • Bladder or bowels inconsistencies. 
  • Pain in your buttocks and legs is known as sciatica. 
  • Leg cramping. 
  • Burning sensation in your lower back

There are two more types of spinal stenosis: cervical and thoracic spinal stenosis. Both of them have different symptoms that help you notice them. Since all three diseases are directly related and can affect one another, here are the symptoms of thoracic and cervical spinal stenosis:

Thoracic Spinal Stenosis

  • Tingling, weakness, numbing, or pain in your stomach 
  • Balance problems. 

Cervical Spinal Stenosis

  • Tingling, numbness, or weakness in your legs, arms, or hands. 
  • Neck Pain.
  • Bladder or bowel dysfunction. 
  • Balance problems. 

What Is the Best Treatment for Spinal Stenosis?

When suffering from this condition, you can ask yourself: what’s the best treatment for spinal stenosis? Or what’s the latest treatment to solve it? Our primary condition is your safety, so you can read this article as an objective information page to help you ease your pain and eliminate your back problems.

The most effective solution to spinal stenosis is spinal surgery since it can address all the issues occurring within the space of your spinal cord and even related problems that you didn’t consider when asking for surgery. Look at the best and latest treatments for spinal stenosis:

Medications: Such as opioids, anti-depressants to reduce chronic pain, and pain relievers can help you to ease the pain and sensations caused by this condition. 

Physical Therapy: Since it helps you stay active. Commonly, spinal stenosis patients tend to be less active and weak to the pain and lack of mobility, but if you ask your doctor to help you arrange physical therapy, you can maintain and improve your flexibility, endurance, and balance. 

Applying heat/Cold: This is one of the most common alternatives for people who want to try self-help remedies. Applying heat to the areas where you feel the most pain relaxes your muscles and helps your broken joints while improving your blood flow. If the heat doesn’t work, try ice, which significantly alleviates inflammations, tenderness, and swelling. 

Decompression Procedure:  This procedure is only available for patients who have lumbar spinal stenosis caused by thickened ligaments. Doctors don’t need to apply anesthesia nor stitches to complete this procedure, since it consists of making a little incision to remove the thickened parts of the ligaments to make more space for the spinal cord, decompressing nerve roots. 

Steroids Injections: It’s not recommended that you apply this method very often, since you can only use it to ease inflammation and pain for a limited time. The treatment consists of injecting corticosteroids in the area where the nerve roots are to reduce inflammation and pain, but that’s its only effect and it cannot eliminate spinal stenosis by itself. 

Surgery: Patients ask for surgery when they can’t stand the pain anymore, and the disease is becoming a setback to realize daily activities. This method is delicate and has to be done very carefully, but it’s highly effective to free yourself from spinal stenosis. There are many surgeries regarding this matter, so here is the primary one:

  • Cervical Laminoplasty: This process is for patients suffering from cervical spinal stenosis, and it’s to remove the pressure on the neck part of your spinal cord. To do that, surgeons make an incision in the back of your neck and liberate space from the spinal canal by creating a hinge on the lamina.
  • Laminotomy: Laminotomy is performed in other parts of your spinal cord, differing from cervical laminoplasty. This surgery is simple in theory since the surgeons just have to make an incision that is of the size needed to relieve enough pressure from the spinal cord.

Conclusion

Your spinal cord is an essential part of your body and you have to take special care of it since if damaged, it can be the reason why you suffer from highly dangerous conditions and illnesses in the future. If you feel or notice any of the symptoms you read in this article, get a doctor’s appointment as soon as possible to make sure the problem doesn’t progress, and you can treat it on time. 

Reuters reports on Premia Spine’s TOPS System and farmer Yehuda Schwartz

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Common Questions About Back Pain: What are the Different Types of Back Surgery

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Back Surgery Can Potentially Cure Your Pain

There are several different types of back surgery proving successful at resolving patients’ back pain issues, each involving the highest level of surgical technology available today, as well as the skill of a board-certified spinal surgeon. If your spinal specialist advises back surgery, you’ll embark upon a learning process about the different available back surgery procedures – guided by your physician. You always want to get your information directly from your spinal surgeon, since back surgery information online can be outdated or incorrect, and Googling back surgery topics can sometimes cause unnecessary anxiety.   The best course of action for researching back surgery procedures is to prepare a list of questions for your surgeon, and request all of the back surgery literature possible that your doctor can provide you with so that you can fully understand what will be done during your surgical procedure.

Overall, back surgery can accomplish several different pain-relieving goals, including removing portions of the bone to widen the narrowed area in your vertebrae, which can cause back pain. Your spinal surgeon may remove the gel-like middle section of a ruptured disc to relieve pressure on pinched nerves in the back. And sometimes, the damage to a disc is so severe, your doctor has to remove the entire disc and then fuse together the remaining discs.

Below is a list of some of the different types of back surgery that may be the customized choice for your back damage or condition:

  • Discectomy. In this type of back surgery, your spinal surgeon will remove the herniated portion of a disc to relieve irritation and inflammation of a nerve.
  • Laminectomy. This back surgery procedure involves removing the bone overlying the spinal canal, which then enlarges the spinal canal to relieve nerve pressure caused by spinal stenosis.
  • Fusion. Spinal fusion permanently connects two or more bones in your spine. When the vertebrae are fused, you get added stability to your spinal movements, or relief of pain from a spinal fracture. Occasionally, spinal surgeons will opt for spinal fusion to eliminate painful motion between vertebrae that can result from a degenerated disc or injured disc.
  • Vertebroplasty. During this type of back surgery, your surgeon will inject bone cement into compressed vertebrae to stabilize fractures or compressed vertebrae, which can relieve pain. A balloon-like method may be used to expand the vertebrae area, allowing your surgeon to inject the bone cement into the treatment area for optimal results.
  • Artificial discs. Your spinal surgeon may find that your discs are in an advanced stage of degeneration, and that implanted artificial discs are necessary for the creation of a spine that functions better and without compression to the nerves. Artificial disc technology is advancing every day through rigorous studies and testing, and your surgeon can introduce you to the materials and information about having new discs implanted for your spinal pain relief.
  • TOPS (Total Posterior Spine) System.  A mechanical implant device that stabilizes the spine without eliminating the independent motion of the individual vertebrae, as spinal fusion does.

Since back surgery is a complex procedure, work with your spinal surgeon to explore all your options.  Every situation is different and you need to feel secure that you have fully researched which type of back surgery would be best for you, and if back surgery is necessary at all. And of course, your doctor will guide you through all the information you need regarding recovering from back surgery and what you can expect for your post-surgery lifestyle.

reference: www.mayoclinic.com

Back Pain and Steroid Injections

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Back Pain and Steroid Injections

Epidural injections of steroids have often been the treatment of choice for patients with a pinched nerve in the back whose symptoms did not respond to simple exercise, physical therapy, or other more conservative approaches. Steroid injections have also been offered to patients with spinal stenosis whose back pain was unrelieved by less invasive therapy. But the results of a new research study hint that injections of steroids for back pain may be less beneficial than believed. The study is small, but it still bears consideration, as the findings are statistically valid and underscore why healing is as much an art as a science.

The study of the efficacy of steroid injections for back pain examined more than 270 patients, aged 53 to 75 years old, culled from the ranks of a larger study of individuals with spinal health problems. The research subjects were followed for four years. Sixty-nine of these patients had epidural injections and 207 did not, but otherwise the patients’ symptoms were primarily the same in terms of severity, as measured by well-established scales used to measure pain in the leg and lower back. Using these scales, researchers found less improvement among those who had epidural injections than among patients who did not have injections.

Several caveats must be offered when considering the results of this research. First, as the authors readily acknowledge, factors that the researchers didn’t account for and couldn’t control may have affected or skewed the results. Nonetheless, we are seeing fresh thinking and new techniques improving outcomes for many spinal patients. For example, patients who elected to have spinal decompression surgery to relieve symptoms of pinched nerves typically opted for a spinal fusion back surgery in tandem, in order to stabilize the spine. Today, a growing number are opting for TOPSTM – the Total Posterior Solution – System, instead of spinal fusion. The TOPS system, unlike spinal fusion, preserves complete independent motion of the individual vertebrae. This is one more way that fresh thinking, and new technologies and procedures are transforming the care and treatment of back problems.

Recovering from Lumbar Spinal Stenosis

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Lumbar Spinal Stenosis

Lumbar spinal stenosis, a common medical problem, denotes an unnatural narrowing of the spinal canal, the center of the spinal column housing the spinal nerves that relay sensorial information to the brain and control the movements of our muscles. The term stenosis comes from Latin, and means a narrowing. When a portion of the spinal canal narrows unnaturally, it can put pressure on the spinal nerves, and these pinched nerves in turn can cause pain and limit mobility.

The good news is that a variety of treatment options are available that have been proven effective in helping individuals recover from or ameliorate the symptoms of spinal stenosis. Conservative, non-invasive therapies include simple lifestyle changes, medications, physical therapy, and injections of anti-inflammatory agents. For patients with spinal stenosis, there’s no way of knowing which of these approaches will be most successful, so physicians may simply prescribe one of these treatments as a first step, and monitor the results to see how the patient responds. If the first method selected doesn’t achieve the results of helping the patient recover from spinal stenosis, the next option may be tried, and so on.

For patients with moderate to severe spinal stenosis who do not respond to conservative treatments, surgery may be recommended. In this form of spinal decompression surgery, the surgeon trims away excess bone in the narrowed center of the affected vertebra, relieving pressure on the compressed nerve or nerves. Historically, a spinal fusion back surgery operation has been performed in conjunction with surgery to relieve spinal stenosis, in order to stabilize the region of the spine where the operation was performed. Today there’s an important, and better alternative to spinal fusion. The TOPS (Total Posterior Spine) System procedure provides better clinical outcomes than spinal fusion surgery. The TOPS solution has the added benefit of preserving the spine’s full range of motion, unlike spinal fusion, which permanently fuses adjacent vertebrae. TOPS also offers a much quicker recovery from surgical treatment for spinal stenosis than spinal fusion. If you’re a candidate for spinal stenosis surgery, make sure you understand all the advanced surgical solutions available today, and what impact each will have on your recovery from this condition.

Back Treatment Options

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Spinal fusion

In our previous blog we discussed the tremendous stresses borne by the lumbar, or lower portion of the spine comprising the five lowest vertebrae. In fact, lumbar back pain is a significant health issue, affecting about 70 to 85 percent of Americans at some point in their lives, according the National Institutes of Health (NIH). Among the most common causes of lumbar spinal problems is the degeneration of bones and tissue in the spine that occur as a normal part of aging. But one doesn’t have to be older to have lumbar spinal problems. Back pain is the most frequent cause of activity limitation in people under the age of 45, according to the NIH. Trauma or injury, poor posture and biomechanics, genetics, obesity and poor muscle tone can all result in lumbar spinal problems that cause pain, limit mobility, and have other serious health consequences. These conditions include spinal stenosis, bulging disc, herniated disc, slipped disc, radiculopathy and spondylolisthesis.

A variety of treatment options are available for individuals affected by conditions causing lumbar back pain. Individuals with moderate to severe cases of these conditions who do not respond to conservative treatment options such as medication, physical therapy and lifestyle changes, may opt for a surgical solution. Frequently this involves cutting away portions of a lumbar vertebra that is impinging, or putting pressure on a nerve emanating from the spinal column. Such spinal decompression surgery can have a dramatic impact on relieving pain and restoring mobility. However, removing bony elements also weakens and destabilizes the spine, so historically a procedure known as lumbar fusion, or lumbar spinal fusion has been performed in conjunction with spinal decompression back surgery of the lower spine. In this procedure the vertebra from which tissue was removed is fused to an adjacent vertebra. This stabilizes and strengthens the spine, but lumbar fusion eliminates the natural flexion and independent motion of the fused vertebrae. Today lumbar decompression surgery patients have an alternative to lumbar fusion: the TOPS™ (Total Posterior Spine) System. TOPS preserves the full range of the spine’s natural motion, and has been shown to provide better outcomes than fusion in clinical studies performed around the world. If you are considering surgery for a lumbar spinal problem, ask your physician about all your surgical options.