Spine – Orthopaedics International https://www.drabhishekortho.com/blog Dr. Abhishek Kumar Mishra Wed, 11 Mar 2020 10:53:51 +0000 en-US hourly 1 https://wordpress.org/?v=5.3.6 Artificial Disc Replacement For Neck & Spine Injury https://www.drabhishekortho.com/blog/artificial-disc-replacement-for-neck-spine-injury/ Fri, 28 Feb 2020 10:34:00 +0000 https://www.drabhishekortho.com/blog/?p=215 Millions of individuals across the globe have back or neck problem and in many such cases, the doctor might conclude that the pain is the result of injury to the discs in your spine? When treatments such as anti-inflammatory medicines and physical therapy aren’t sufficient, then the doctor may advise surgery. Artificial disc replacement is ...

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Millions of individuals across the globe have back or neck problem and in many such cases, the doctor might conclude that the pain is the result of injury to the discs in your spine? When treatments such as anti-inflammatory medicines and physical therapy aren’t sufficient, then the doctor may advise surgery. Artificial disc replacement is one possibility to explore.

After all, having medicine is a big deal, and you want to be fully notified when making your decision. We’d like to help you with that.

Cervical discs are the pads or shock absorbers between the ossein (vertebra) of the neck (cervical spine). Discs that become contaminated either through injury or degeneration can be a cause of pain. If part of a disc propels out of its normal status it can cause stress on the central spinal cord or on the specific nerve roots that exit from the spinal canal at particular vertebral level.

Over time, the body’s stability towards interrupted disc is the formation of bone spurs called osteophytes which can also generate pressure on the spinal cord or nerve roots. Disc disorder and degeneration can be a root of neck pain as well as cause neurologic signs which may include pain, paralysis or weakness that spreads from the neck into one or both forelimbs.

The Basics Of Artificial Disc Replacement In Neck And Spine Injury

In between each of the bones in the spine are your intervertebral discs, often simply attributed to as discs. Made up of a hard-outer layer encasing a jelly-like inner cover, your discs operate as shock absorbers, preserving the bones and tissues in your spine as you walk. Injury repeated stress on the spine, and even just getting older all these are all involved in your discs wear down over the period. As your discs deteriorate, they provide less cushioning among the bones in the neck and back, or they can protrude out of place. The injured disc can induce pain at its location and can also aggravate your spinal nerves, leading to indications such as pain, weakness, or numbness shooting down the arms or legs.

Artificial disc replacement removes your damaged disc and replaces it with a man-made disc. The artificial disc role is just like your natural disc and allows for normal movement. The procedure also alters the proper spacing within the bones of your spine and helps take the pressure off your spinal nerves.

A More Extensive Look Into Artificial Disc Replacement

To further support your decision-making process, you could peep into the following common topics about artificial disc replacement. The advantages of artificial disc replacement are best experienced when compared to a medical technique known as spinal fusion. Spinal fusion has long been a conventional treatment for degenerative or herniated discs, but artificial disc replacement is now often favored.

Disc replacement is only approved for use at one cervical level and is not recommended for use next to a previous cervical fusion. The procedure should not be conducted in children or when there is abnormal movement or instability at the hit level. Advanced degenerative variations are known as spondylosis hitting the facet joints in the back of the spine at the affected level also restrains the use of a disc replacement equipment.

Reference

If you are looking for a disc replacement procedure you should meet a qualified spine surgeon like Dr. Abhishek Mishra, the best orthopedic surgeon in Delhi.

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Telling Farewell To Cervical Radiculopathy https://www.drabhishekortho.com/blog/telling-farewell-to-cervical-radiculopathy/ Fri, 11 Oct 2019 11:46:20 +0000 https://www.drabhishekortho.com/blog/?p=162 Are you frustrated by neck pain that spreads down the arm? Even after specific neck movement practices still, the discomfort persists and it becomes more serious. Or, perhaps you’re concerned about that painful stiffness or needle sensation in the shoulder, arm, or hand. If so, then you may be experiencing cervical radiculopathy. This neurological disease ...

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Are you frustrated by neck pain that spreads down the arm? Even after specific neck movement practices still, the discomfort persists and it becomes more serious. Or, perhaps you’re concerned about that painful stiffness or needle sensation in the shoulder, arm, or hand. If so, then you may be experiencing cervical radiculopathy. This neurological disease can be induced by variations in the spine occurring from aging, damage, or broken discs.

You’re presumably wondering what should be done for cervical radiculopathy. Is surgery needed or can traditional treatments really help. There’s lots of good knowledge. Cervical radiculopathy therapy may not require surgery. Providing the body time to heal and using established, traditional treatments may be all you require. This, of course, depend on the underlying cause of your neck pain and the severity of your symptoms. Let’s take a more intimate look at why you are experiencing these symptoms.

Understanding The Central Nervous System And Cervical Radiculopathy

The brain sends information everywhere in the body with the help of the spinal cord and a network of nerves. On Analyzing the neck, it has been found to be the part of the cervical spine and it bridges between the brain and the rest of the body.

A line of seven vertebrae begins at the base of the skull and attaches to the thoracic spine or the upper back) area. The cervical spine serves to protect the spinal cord and also supports the head. In addition, nerve root branches out from these vertebrae through openings identified as foramina. Within each of these vertebrae, flexible discs stay, assimilating the shock of our daily actions.

Now the question arises that how do all of these intricate structures add to the radiculopathy pain. Scientifically it has been discovered that cervical radiculopathy is generated by a compressed or disturbed nerve. Seldom, deemed as pinched nerve, this squeezing normally occurs where a nerve root branches out from the spinal column. Skeletal changes altering the spine can injure a nerve and provoke radiating pain as well as other problems.

Common Reasons Of Structural Nerve Compression

Degenerative Variations In The Spine: As we grow, the backbone changes because of wear and tear, individual habits, and illness. Sometimes, the discs preserving the spine can lose their shape and composition. Additionally, osteoarthritis can create bone spurs to grow in or around the foramina. Foraminal stenosis is a cover term for variations in the cervical spine that include the narrowing of the foramina. It is the most frequent cause of cervical radiculopathy.

Herniated Disc: on events, the inner layer of a disc can tear and push through its tough outer layer. It can be due to renewed, strenuous activity, a car collision, or other damage. The damaged disc can then thrust against a nerve causing radiculopathy.

Less Frequent Causes: Fractures to the spine—such as spondylolisthesis tumors, or illness may also damage the nerves exiting the spinal cord.

Cervical Radiculopathy Symptoms

A neck injury can result from a variety of factors. Cervical radiculopathy, however, has some tell-tale indications. These usually depend on the particular nerve root which is affected. Here’s what you should look for: Diverse levels of pain, commencing at the neck and spreading into the shoulders, arms, hands, or fingers. Pain may be slow and aching or sharp and intense. Dullness or reduced feeling in the neck, arm, and fingers. Seldom, this can be encountered as “pins and needles” feeling.

Muscle deficiency or reduced coordination in the arms or hands, variations in how you react to hot and cold provocations. Variations in your reflexes when the doctor uses a rubber mallet and signs when your pain diminishes when hands are placed on the top of the head.

Reference

Please Consult Dr. Abhishek Mishra the best orthopedic surgeon in Delhi if you observe symptoms which are related to cervical radiculopathy.

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Whiplash: A Cervical Spine Injury https://www.drabhishekortho.com/blog/whiplash-a-cervical-spine-injury/ Fri, 09 Aug 2019 11:05:51 +0000 https://www.drabhishekortho.com/blog/?p=141 Whiplash is a cervical spine injury and generally impacts the most general areas of the spine which includes the neck and middle of the spine. If we check about the signs and symptoms of a cervical spinal injury after an accident, it may include extreme back pain or pressure in the neck, head or back. ...

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Whiplash is a cervical spine injury and generally impacts the most general areas of the spine which includes the neck and middle of the spine. If we check about the signs and symptoms of a cervical spinal injury after an accident, it may include extreme back pain or pressure in the neck, head or back. Other signs may involve, weakness, incoordination or paralysis in any part of your body. There are even cases wherein numbness, tingling or loss of sensation in the hands, fingers, feet or toes occurs.

Whiplash A Post Accidental Cervical Spine Injury

We’ve all learned about a cervical spine injury and whiplash is one such form which is highlighted weekly in both TV and film. In many of these serials and films, the actors are usually associated with some sort of minor car accident and instantly expect a big insurance payout. But for many individuals, this is where their information about whiplash ends. To completely understand this prevalent condition, we are going to look at specifically what occurs when there is a whiplash injury.

How Whiplash Injury Happens?

It happens when the head is suddenly thrust forward at a great speed and then stopped abruptly. The mechanics of this change is not unlike the cracking of a whip, which is where the ailment gets its name. But in contrast to other parts of our bodies, our necks seldom, if ever, move at this level of speed, or so suddenly, and are not well-prepared to deal with a movement like this.

In more critical cases, the tissues or tendons can be torn completely. Those who believe that the muscles are like an elastic band, stretching them too far may not induce it to break, but you can certainly see and feel that it has been destroyed. This is essentially what happens when a person suffers from whiplash.

What Is The Cause Of Pain In Such Injury?

The exact cause of pain linked with whiplash is a tense neck. Please don’t get it confused with neck sprains, which is when the ligaments joining bones get torn. Neck strains happen when the muscles in the neck, or the tendons joining those muscles to the bones, are damaged. These can be overstretched, which induces tiny tears of the microfibers that include the muscles, destroying its overall integrity and health, and commencing to pain.

Do I Need Whiplash Treatment?

After an injury, one may start to notice whiplash signs after around a day. These indications can diversify dramatically from patient to patient, but common indications include dizziness, pain or stiffness in the neck and decreased movement in the neck.

There are even cases where the patient may notice blurred vision, irritability, forgetfulness, depression, and lack of concentration. So, once you have been hit in a motor vehicle collision or have suffered from an injury you need to meet your doctor and get your whiplash injury treated.

Treatment Plan

Most of the Orthopedic doctor will create a tailored treatment plan that targets the precise symptoms you’re experiencing from. This may involve muscle stimulation or relaxation, manipulation, and at-home exercises. To try and remove the restrictive feeling you have within your neck and to promote ease of movement, the orthopedic will try to ease the neck and back muscles. The long term mechanical and emotional consequences of whiplash can become chronic, disintegrating a victim’s state of life.

The treatment alternatives which are normally sought include chiropractic, pain medications, non-steroidal anti-inflammatory drugs, anti-depressants, ice/heat application, muscle relaxants, and physical therapy. Chiropractic arrangements are especially beneficial because they can revive normal joint movement lost after the accident, check scar tissue formation, and hasten healing time.

Reference

There are usually various perspectives involved in whiplash treatment, but by visiting Dr. Abhishek Mishra The best Orthopedic surgeon in Delhi at Ortho International clinic will detail which treatments are most suited to your case and why.

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The Closely Associated Lumbar Herniated Disc & Sciatica Pain https://www.drabhishekortho.com/blog/the-closely-associated-lumbar-herniated-disc-sciatica-pain/ Wed, 17 Jul 2019 11:51:30 +0000 https://www.drabhishekortho.com/blog/?p=128 Men have approximately twice the risk for lumbar herniated discs when matched with women. Especially those engrossed in physically demanding work requires heavy lifting and other physical labor and they are more prone or at a greater risk of developing a lumbar herniated disc. What Is Sciatica Pain And How It Flares Up? A herniated ...

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Men have approximately twice the risk for lumbar herniated discs when matched with women. Especially those engrossed in physically demanding work requires heavy lifting and other physical labor and they are more prone or at a greater risk of developing a lumbar herniated disc.

What Is Sciatica Pain And How It Flares Up?

A herniated lumbar disc when presses on the nerves in the spine generate pain, numbness, tingling or weakness of the leg ends up as ‘sciatica.’ Sciatica hits about 1-2% of all population normally between the ages of 30 and 50.

Talking about the sciatic nerve, it begins as a bundle of nerve fibers in the lumbar region of the spine and these nerve fibers, or roots, leave the spinal canal through openings in the bones called the foramen at each level of the lumbar spine. These nerve roots then join collectively to form one large nerve called the sciatic nerve.

When observed it has been deduced that the cases of sciatica are because of an underlying lower back condition, which ends in the inflammation or compression of one or more of sciatic nerve roots. The sciatica symptoms generally flare-up as the gel-like interior inside the lumbar disc which contains inflammatory proteins generally leak out and finally aggravate the sciatic nerve roots.

Treatment For Sciatica

Non steroidal anti-inflammatory medications (NSAIDs) are analgesics are useful for reducing swelling and inflammation that occur as a result of disc herniation. These include aspirin, ibuprofen, naproxen and a variety of prescription drugs. When the doctor prescribes the anti-inflammatory medications, there are many side effects like stomach upset or bleeding which pops out. Chronic use of prescription or over-the-counter NSAIDs should be monitored by the physician for the development of any potential problems.

The treatment alternatives for sciatica because of a lumbar herniated disc which can help you find relief from the sciatica symptoms produced by a lumbar herniated disc include walking.

The sciatica symptoms might imply otherwise, but a low-impact aerobic activity like walking is better for sciatica than taking rest. Walking can relieve the sciatic pain in part by stimulating the release of pain-fighting endorphins into the system.

The heat therapy: Heat therapy excites the sensory receptors in the skin and by applying this heat to the lower back it hinders the transmission of the pain signals to the brain. An excellent choice for applying heat therapy is to lie on an electric heating pad for 15-20 minute.

About The Lumbar Region & It’s Significance

The lumbar region of the spine, generally referred as the lower back, is composed of five vertebrae, and within each vertebra are spinal discs. These discs cushion the joints the spine and contribute the much-needed assistance.

Each of the discs is built up of a strong outer ring also termed as the annulus which contains the nucleus pulposus, or a gel-like interior. The lumbar spine adds a notable amount of weight and is constantly in motion, and this can create the outer ring of one of the discs to bulge, crack, or tear. This, in turn, enables the gel-like interior to herniate or eject through the outer ring ultimately ending up in sciatica pain as seen in many of the cases.

Reference

The most notable sign of sciatica is pain that radiates from your lower back into the back or side of the legs. It can range from a mild ache to sharp, grinding pain. If you are noticing any kind of numbness, tingling, and weakness in the leg or foot meet Dr Abhishek Mishra for the best spine surgery treatment in Delhi.

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Cervical Disc Disorder: The Most Commonly Observed Neck Disorder https://www.drabhishekortho.com/blog/cervical-disc-disorder-the-most-commonly-observed-neck-disorder/ Fri, 28 Jun 2019 11:33:24 +0000 https://www.drabhishekortho.com/blog/?p=119 Cervical disc disorder may be the most constant cause of neck pain. It’s created by an irregularity in one or more discs and may be in the pads that lie between the neck bones. Actually they get badly impacted. Generally when a disc is injured, normally due to wear or tears degeneration or due to ...

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Cervical disc disorder may be the most constant cause of neck pain. It’s created by an irregularity in one or more discs and may be in the pads that lie between the neck bones. Actually they get badly impacted. Generally when a disc is injured, normally due to wear or tears degeneration or due to disc herniation, it can head to neck pain from inflammation or muscle spasms. In critical cases, pain and numbness can happen in the arms from nerve irritation or injury from pressing a nerve. Your doctor may initially prescribe pain relievers, physical therapy or neck traction whichever suits you the most.

Some Basic Home Remedies To Treat Cervical Pain

In cases of cervical disc disease, neither heat nor winter is going to pierce deeply enough to really relieve the swelling, so use whichever seems best. Regardless of whether you choose cold or heat, put it on for only about 20 minutes at a time and then remove it for at least 40 minutes. Cover the ice or heat source in a towel. Never put it immediately against the skin or you could wind up with a critical burn.

If you’re living with cervical disc disease and have increased neck pain, it’s crucial to momentarily ease back on strenuous activities. While you are relaxing, find a comfortable position — one that produces the least measure of neck pain. You can place a folded up towel or a pillow beneath the neck to help prevent the neck in a neutral position. Resting doesn’t mean creeping into bed and settling ideally still, however. Staying motionless for more than a day or two actually can be dangerous because it can decondition the muscles that support the neck and increase neck pain.

A Brief On Cervical Spine And Its Cause Of Aging

The cervical spine comprises of seven vertebrae at the top of the neck and the cushioning discs within them which support the neck to move freely. These sections of the spine also create a shielding tunnel for the spinal cord to pass through, sharing spinal nerves through the openings connecting the cervical vertebrae. These nerves give the upper body the desired sensation and movement. Due to the normal wear and tear that follows aging, a cervical disc may cause to degenerate, allowing herniation against the nerves or spinal cord.

Symptoms Of Cervical Disc Degeneration

There are various cervical disc degeneration and disease which may involve neck pain and/or stiffness, clumsiness or problems with balance, pain that radiates to the shoulders or arms, weakness in the shoulders, arms, hands, or legs, and dullness or tingling in the arms.
Many Individuals who experience neck pain are able to get relief from their pain through intensive rehab and therapies. Yet, when conventional treatments haven’t solved the pain, specialists may advise cervical artificial disc replacement surgery.

Cervical Artificial Disc Replacement

Cervical artificial disc replacement is a comparatively new process requiring the removal of a diseased cervical disc and substituting it with a synthetic one, as well as excluding any residual disc parts or bone spurs. The disc space is sustained at its healthy height in order to help alleviate pressure on the spinal nerves.

Disc replacement is a motion-preservation procedure and not a motion-creation procedure. This signifies that a patient should not expect the procedure to increase the neck’s range of motion. Even though a new artificial disc has been inserted, a stiff or arthritic joint that did not move before disc replacement is not likely to move afterward.

Reference

With increasing work levels there are increases in stress in all the areas and it even impacts our posture. So if you are looking to get your neck pain to get resolute try meeting DR Abhishek Mishra for the best Spine surgery treatment in Delhi.

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