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Facet Joint Health, Low Back Pain and Upper Back Pain review by KBNI Houston, Kingwood, Spring, Sugarland, Katy, Pearland, Baytown, Beaumont, Clear Lake, Memorial City, the Woodlands

facet joint, low back pain, back pain, physical therapy, spinal column, spondylolisthesis, spinal

facet joint, low back pain, back pain, physical therapy, spinal column, spondylolisthesis, spinal

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Facet Joint Health, Low Back Pain and Upper Back Pain

Simply put, the facet joint links the vertebrae of the human spinal column and allow for the articulation of the spine. When they facet joints are not functioning properly, or when they become degenerated, develop arthritis, or slip, they may be the cause of low back pain and upper back pain.  In addition to providing mobility, the facet joints also help stabilize the spinal column by being oriented in such a way that they decrease the chances of preventing forward vertebral slippage (spondylolisthesis). The ends of the facet joints are covered in cartilage, which allows for pain-free operation over a normal range of motion (bending, twisting, lifting, sitting, standing, etc.). While the cartilage does break down naturally over time (in this manner resembling cartilage in other parts of the body), the facet joints are still quite durable if direct physical trauma (such as from an accident) is not an issue. The condition known as spondylolisthesis exists when one vertebral body is slipped forward upon the vertebral body below.  This is also known as anterolisthesis.  When the vertebral body is slipped backward upon the vertebral body below, the condition is known as retrolisthesis.  Spondylolisthesis may occur as a result of degenerative changes of the facet joint.  When a patient has a condition known as spondylolysis, the patient is prone to develop spondylolisthesis.  Spondylolysis is a condition where there is a gap in what may be considered the roof over the spinal canal.  It may occur from an injury, or a person may be born with it.  When this condition occurs, the facet joint is no longer able to help support the vertebral bodies from slipping forward upon each other, and instead, all of this burden is placed upon the intervertebral disc, which separates two adjacent vertebral bodies.  Spondylolisthesis, whether anterolisthesis or retrolisthesis, may be related to low back pain or upper back pain, as it relates to possible instability of the spinal column.

facet joint, low back pain, back pain, physical therapy, spinal column, spondylolisthesis, spinal

facet joint, low back pain, back pain, physical therapy, spinal column, spondylolisthesis, spinal

 

With all of these essential functions, the facet joints are a little-known but important means to preventing low back pain and upper back pain. These joints, along with spinal discs (the shock-absorbing pads between our vertebrae) help relieve pressure on the spinal nerves during routine motion, lowering the incidence of nerve compression (and accompanying sharp low back pain). Over time, however, the facet joints begin to break down just like any other mechanical component in the human body. Repetitive bending, lifting, and twisting can all accelerate the natural degenerative processes in the human spinal column, and the facet joints are no exception. The cartilage on the ends of the joints breaks down as spinal discs become thinner, harder, and less capable of bearing shock as we grow older. All of this leads to higher incidence of compressed (pinched) spinal nerves, which in turn can cause muscle weakness, numbness, low back pain, upper back pain, and decreases in overall mobility.

facet joint, low back pain, back pain, physical therapy, spinal column, spondylolisthesis, spinal, Houston, Pearland, Galleria, Beaumont, Baytown, Clear Lake, Port Arthur, Katy, the Woodlands, Spring, Memorial City, Humble, Kingwood, Conroe, Tomball, Missouri City, Texas City, TMC, Texas Medical Center

facet joint, low back pain, back pain, physical therapy, spinal column, spondylolisthesis, spinal, Houston, Pearland, Galleria, Beaumont, Baytown, Clear Lake, Port Arthur, Katy, the Woodlands, Spring, Memorial City, Humble, Kingwood, Conroe, Tomball, Missouri City, Texas City, TMC, Texas Medical Center

 

As such, maintaining the health of our facet joints as we age should be a priority for everyone. Patients with chronic low back pain and upper back pain are advised to explore the option of physical therapy or chiropractic designed specifically for the spine. Typically, spine-specific physical therapy programs use a regimen of core-strengthening exercises to build muscles along the spinal column and throughout the torso. Stronger core muscles are more capable of relieving load-bearing stress on other degenerated portions of the spine, such as the discs and facet joints. Continuing physical therapy at home will also help back pain patients maintain optimal muscle mass as they age, which will in turn lower the incidence of injury, low back pain  and increase overall mobility. Patients are advised to consult their physicians prior to beginning any physical therapy regimen to ensure they do not have any structural deformities that would be exacerbated by an exercise program. Imaging tests (x-rays, magnetic resonance imaging (MRI) ) may be necessary to confirm this, depending on the physician’s findings during your physical exam.  Standing low back x rays in flexion and extension will show whether spondylolisthesis is stable, or whether it moves.

facet joint, low back pain, back pain, physical therapy, spinal column, spondylolisthesis, spinal, Houston, Pearland, Galleria, Beaumont, Baytown, Clear Lake, Port Arthur, Katy, the Woodlands, Spring, Memorial City, Humble, Kingwood, Conroe, Tomball, Missouri City, Texas City, TMC, Texas Medical Center

facet joint, low back pain, back pain, physical therapy, spinal column, spondylolisthesis, spinal, Houston, Pearland, Galleria, Beaumont, Baytown, Clear Lake, Port Arthur, Katy, the Woodlands, Spring, Memorial City, Humble, Kingwood, Conroe, Tomball, Missouri City, Texas City, TMC, Texas Medical Center

 

Low back pain is one of the most common reasons for individuals to visit their doctor, and for loss of work.  Finding the source of the low back pain is important, before the low back pain can be addressed, and treatment begun.  Causes of low back pain include the facet joint, the spinal disc itself, the ligaments attached to the low back spinal column, the nerves leaving the spine in the low back, and the muscles which attach to, and create movement in the low back.

 

 

The Kraus Back and Neck Institute (KBNI) in Houston TX takes care of patients in Houston and the surrounding areas, including Pearland, Galleria, Beaumont, Baytown, Clear Lake, Port Arthur, Katy, the Woodlands, Spring, Memorial City, Humble, Kingwood, Conroe, Tomball, Missouri City, Texas City, and Texas Medical Center (TMC)

 

Patients suffering from a low back pain or neck pain, or who have been told they may require a low back surgery or neck sugery, can

contact the Kraus Back and Neck Institute at

…….  281-713-6296

…….  Or visit www.SpineHealth.com to schedule an appointment online

……. KBNI VIDEO on Back and Neck Pain Treatment : Don’t Live in Fear and Pain

 

 

Keywords: facet joint, low back pain, back pain, physical therapy, spinal column, spondylolisthesis, spinal, Houston, Pearland, Galleria, Beaumont, Baytown, Clear Lake, Port Arthur, Katy, the Woodlands, Spring, Memorial City, Humble, Kingwood, Conroe, Tomball, Missouri City, Texas City, TMC, Texas Medical Center

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Reducing Arthritis-related Joint Degeneration review by KBNI Houston, Katy, Woodlands, Sugarland, Spring, Tomball, Pearland, Memorial City, TMC, Beaumont

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Reducing Arthritis-related Joint Degeneration

 

back pain, arthritis, osteoarthritis, spinal column, facet joints, Houston

back pain, arthritis, osteoarthritis, spinal column, facet joints, Houston

Arthritis encompasses a wide variety of diseases causing swelling, pain, stiffness, and tenderness in the joints. One of arthritis’s most common forms, degenerative arthritis (osteoarthritis), wears down the cartilage that covers the ends of our joints, eventually causing bone-on-bone contact. As one might expect, bones rubbing together creates extreme pain and inflammation in the body, leading to restricted mobility. Within the context of the spine, osteoarthritis attacks the cartilage at the ends of our facet joints (the joints that link our vertebrae) causing inflammation and back pain all along the spinal column. Nearby spinal nerves are also at risk, as the inflammation may compress them and further restrict mobility while producing sharp back pain.

back pain, arthritis, osteoarthritis, spinal column, facet joints, Houston

back pain, arthritis, osteoarthritis, spinal column, facet joints, Houston

Normally, osteoarthritis occurs as a result of age, though young people may get it from genetic defects within their cartilage, trauma to a joint, or other conditions that deform joints. Obesity also puts people at a higher risk, as well as those who, through their recreational or professional activity, place heavy repetitive stress on their joints.

Though osteoarthritis may have serious cumulative degenerative effects on the spinal column, there are several measures people can take to reduce the damage. Proper weight management and healthy dieting with proper nutrition will lower stresses placed on joints during routine movement. Avoiding foods that produce high amounts of uric acid as the body breaks them down will prevent the resulting crystal deposits from making their way to the joints and worsening back pain. These foods include mushrooms, asparagus, sardines, and dried beans. While dietary changes will not cure osteoarthritis, they can reduce flare-ups.

 

back pain, arthritis, osteoarthritis, spinal column, facet joints, Houston, Woodlands, Sugarland, Katy, Memorial City, Kingwood, Pearland, Spring, Texas Medical Center, Conroe, Beaumont, Port Arthur

back pain, arthritis, osteoarthritis, spinal column, facet joints, Houston, Woodlands, Sugarland, Katy, Memorial City, Kingwood, Pearland, Spring, Texas Medical Center, Conroe, Beaumont, Port Arthur

Over-the-counter non-steroidal anti-inflammatory drugs (NSAIDs) help to relieve extreme back pain and reduce inflammation around the facet joints, allowing patients more mobility and an opportunity to pursue other avenues of treatment. Aerobics, stretching, and light strength training can all be helpful in restoring mobility. These exercises develop muscles around the spinal column, allowing them to assist the facet joints and spinal disks in routine movement.

If your course of treatment for osteoarthritis includes regular physical therapy, your doctor may insist on several additional check-ups to re-evaluate your progress. Imaging tests (magnetic resonance imaging, x-rays) are also used to supplement the doctor’s evaluation of possible damage done to your facet joints. Depending on your lifestyle and occupation, you may need to take measures to ensure that your spine is not placed under continual stress, since even sitting for long periods of time can raise pain levels significantly in patients with osteoarthritis.

 

back pain, arthritis, osteoarthritis, spinal column, facet joints, Houston, Woodlands, Sugarland, Katy, Memorial City, Kingwood, Pearland, Spring, Texas Medical Center, Conroe, Beaumont, Port Arthur

back pain, arthritis, osteoarthritis, spinal column, facet joints, Houston, Woodlands, Sugarland, Katy, Memorial City, Kingwood, Pearland, Spring, Texas Medical Center, Conroe, Beaumont, Port Arthur

Physician experts at the Kraus Back and Neck Institute (KBNI) in Houston, TX have great experience in treating patients with arthritis and osteoarthritis resulting in low back pain, neck pain, and pain to other portions of the spine.

 

Patients suffering from neck pain or lower back pain, or who have been told they may require a spine surgery, can contact the Kraus Back and Neck Institute at

…….  281-713-6296

…….  Or visit www.SpineHealth.com to SCHEDULE AN APPOINTMENT ONLINE

……. KBNI VIDEO on Back and Neck Pain Treatment : Don’t Live in Fear and Pain

 

 

Keywords: back pain, arthritis, osteoarthritis, spinal column, facet joints, Houston, Woodlands, Sugarland, Katy, Memorial City, Kingwood, Pearland, Spring, Texas Medical Center, Conroe, Beaumont, Port Arthur

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Back Braces review by KBNI Houston, Woodlands, Sugarland, Katy, Memorial City, Kingwood, Pearland, Spring, Texas Medical Center

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Back Braces Review

 

spinal discs, spinal column, back brace, rigid braces, Houston

spinal discs, spinal column, back brace, rigid braces, Houston

Occasionally, physical trauma compromises the stability of the spinal column and causes extreme spine pain and back pain. Accidents, fractures, and degeneration in the spinal discs (shock-absorbing pads between our vertebrae) can all cause destabilization in the spinal column. Destabilization generally has serious consequences for patient mobility given that we depend on pain-free articulation of the spine for almost all of our routine daily movement (sitting, standing, bending, twisting, lifting, etc.). Destabilization represents a serious health risk to the long-term mobility of patients, as nearby spinal nerves may be compressed or lacerated from shards of vertebrae or spinal discs damaged by trauma. Vertebral bone must be given time enough to heal within a framework of relative immobility.

spinal discs, spinal column, back brace, rigid braces, Houston

spinal discs, spinal column, back brace, rigid braces, Houston

Back braces provide this framework during the post-operative course of treatment and give patients the stability they need for their bodies to re-fuse portions of the spinal column. Generally, back braces are divided into two principal categories: corset braces (also known as elastic braces) and rigid braces. Corset braces are on occasion recommended after spinal fusion surgery to limit a patient’s motion by not allowing them to bend forward. They are also sometimes used by workers who regularly engage in heavy lifting on the job. Under such conditions, corset braces help reduce the likelihood of trauma to spinal disks (slipped or herniated disks) and torn muscles along the spinal column.

spinal discs, spinal column, back brace, rigid braces, Houston, Woodlands, Sugarland, Katy, Memorial City, Kingwood, Pearland, Spring, Texas Medical Center, Conroe

spinal discs, spinal column, back brace, rigid braces, Houston, Woodlands, Sugarland, Katy, Memorial City, Kingwood, Pearland, Spring, Texas Medical Center, Conroe

Rigid braces, on the other hand, are contoured to the patient’s body and limit at least 50% motion of the spinal column. Rigid braces are hotter, more unwieldy, and more uncomfortable than corset braces. Both kinds of brace operate on the principle that bone grows best when little movement is involved, allowing our osteoblasts (bone tissue-generating cells) to bridge the fracture gap with as little interruption and difficulty as possible. Based on the patient’s individual healing progress as well as the nature of the trauma to the spinal column, decisions to employ back braces are typically made on a case-by-case basis.

spinal discs, spinal column, back brace, rigid braces, Houston, Woodlands, Sugarland, Katy, Memorial City, Kingwood, Pearland, Spring, Texas Medical Center, Conroe

spinal discs, spinal column, back brace, rigid braces, Houston, Woodlands, Sugarland, Katy, Memorial City, Kingwood, Pearland, Spring, Texas Medical Center, Conroe

While both rigid braces and corset braces are effective at minimizing motion during the healing process, they are by no means the only avenue of physical rehabilitation in which a patient should engage. Consult your physician regarding physical therapy or chiropractic rehabilitation to re-develop muscles along the spinal column. Developing strong core muscles throughout the torso will assist degenerated or destabilized spinal disks in managing the body’s weight distribution during routine movement. Frequent checkups with your physician will allow individualized adjustments to your course of treatment.

Physician experts at the Kraus Back and Neck Institute (KBNI) in Houston, TX have great experience in treating patients with low back pain, neck pain, and injuries to the neck and low back.  In the majority of cases, surgery can be avoided.

 

Patients suffering from neck pain or lower back pain, or who have been told they may require a spine surgery, can contact the Kraus Back and Neck Institute at

…….  281-713-6296

…….  Or visit www.SpineHealth.com to SCHEDULE AN APPOINTMENT ONLINE

……. KBNI VIDEO on Back and Neck Pain Treatment : Don’t Live in Fear and Pain

 

 

Keywords: spinal discs, spinal column, back brace, rigid braces, Houston, Woodlands, Sugarland, Katy, Memorial City, Kingwood, Pearland, Spring, Texas Medical Center, Conroe, Galveston

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Lower Back Pain, Neck Pain and Disc Myths by by KBNI Houston, Katy, Spring, Kingwood, Conroe, Woodlands, Sugarland, Memorial City, Texas Medical Center TMC

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Lower Back Pain, Neck Pain and Disc Myths, Houston

lower back pain, neck pain, disc, Houston

lower back pain, neck pain, disc, Houston

Lower back pain and neck pain are incredibly common afflictions in the modern workplace, but many members of the public entertain harmful myths about how to treat them. For example, a large portion of the public believes that rest is the most effective way to treat chronic lower back pain or neck pain. While rest is definitely a component of the solution, long periods of sedentary activity can actually lengthen recovery time and reduce long-term mobility. Most mild to moderate lower back pain and neck pain is more effectively mediated by exercise.

lower back pain, neck pain, disc, Houston

lower back pain, neck pain, disc, Houston

Part of the rest myth may stem from yet another myth perpetuated about the spine: that it is weak or somehow fragile. In truth, the spine is an incredibly strong, durable part of the body that hosts a complicated system of muscles, ligaments, bones, and spinal disc (the shock-absorbing pads between our vertebrae). Rather than be compromised by exercise, the spine thrives on it. We need regular cardiovascular exercise, stretching, and strength conditioning in order to optimally maintain our spinal column as we age, given that we undergo a number of natural degenerative processes as we grow older. The cartilage on the ends of our facet joints (the joints that link our vertebrae and allow for the articulation of the spinal column) naturally degrades in quality, and this process is accelerated by extra weight and lack of exercise. Our spinal disc become thinner, harder, drier, and less capable of bearing stress during our routine movements. Both of these changes contribute to an increased incidence of compressed spinal nerves, which can cause severe lower back pain and compromise mobility.

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lower back pain, neck pain, disc, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Humble, Kingwood, Port Arthur, Galveston, Texas, TX, Dallas, Fort Worth, San Antonio, Austin

Due to these natural degenerative processes, many people may feel that a decline in their mobility is inevitable and that severe lower back pain and neck pain must correlate with severe structural damage in the spinal column. Fortunately, chronic lower back pain and neck pain most often does not necessarily mean that a patient’s spine is severely damaged. Some patients may have relatively little damage within the spinal column but still suffer from debilitating pain because of higher sensitivity to pressure placed on the spinal nerve roots. For example, if the tough exterior of a spinal disc wears to the point where a bit of the soft inner material of the disc protrudes through a hole in the exterior (hernia), patients will have a wide variety of responses based on individual pain tolerance as well as sensitivity of the spinal nerves themselves. Seek a full physical examination from a medical profession to confirm the source of your back pain and begin an effective course of treatment.

Physicians at the Kraus Back and Neck Institute (KBNI), located in Houston, TX, specialize in treating patients with lower back pain and neck pain.  The majority of patients can be treated, and achieve significant improvement in their lower back pain and neck pain, without the need of an operation.  When surgery on the disc or spine is needed, neurosurgeons at the Kraus Back and Neck Institute offer the most current and advanced techniques in minimally invasive spine surgery.

lower back pain, neck pain, disc, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Humble, Kingwood, Port Arthur, Galveston, Texas, TX, Dallas, Fort Worth, San Antonio, Austin

lower back pain, neck pain, disc, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Humble, Kingwood, Port Arthur, Galveston, Texas, TX, Dallas, Fort Worth, San Antonio, Austin

The Kraus Back and Neck Institute (KBNI) in Houston TX cares for patients in Houston and the surrounding areas, including Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center  (TMC) and other Texas TX cities including Dallas, Fort Worth, San Antonio and Austin.

Patients suffering from neck pain or lower back pain, or who have been told they may require a spine surgery, can contact the Kraus Back and Neck Institute at

…….  281-713-6296

…….  Or visit www.SpineHealth.com to schedule an appointment online

……. KBNI VIDEO on Back and Neck Pain Treatment : Don’t Live in Fear and Pain

Keywords: lower back pain, neck pain, disc, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Humble, Kingwood, Port Arthur, Galveston, Texas, TX, Dallas, Fort Worth, San Antonio, Austin

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Epidural Injections, Epidural Steroid Injections, ESI by KBNI Houston, Katy, Woodlands, Sugarland, Memorial City, Texas Medical Center TMC

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Epidural Steroid Injections

epidural injections, epidural steroid injections, ESI, Houston

epidural injections, epidural steroid injections, ESI, Houston

Epidural Injections, also known as epidural steroid injections or ESI injections, are often utilized in the management of low back pain, neck pain, or leg or arm pain.  They may be used before or after other treatments have been tried.  When conservative treatments (over-the-counter anti-inflammatory drugs, physical therapy, rest) have failed to adequately mediate a patient’s back pain, physicians may then turn to other means. Epidural injections are one such measure, depending on the location, severity, duration, and root cause of a patient’s back pain. In order to perform an epidural injection, however, the presiding physician (typically a pain specialist, neurosurgeon, orthopedic spine surgeon,  interventional radiologist, anesthesiologist, or physiatrist) will need to narrow the possible causes of a patient’s back pain through extensive imaging tests (x-rays, magnetic resonance imaging, etc.). Epidural steroid injections can be used in the lumbar spine and epidural injections can also be used in the cervical spine.

epidural injections, epidural steroid injections, ESI, Houston

epidural injections, epidural steroid injections, ESI, Houston

During the epidural injection procedure itself, the patient is face-down on a special table. Occasionally a mild sedative may be necessary, but most back pain patients do not require it. The physician then cleans and numbs the injection sites around the spine (these normally correspond to the most damaged parts of the spinal column, though not always), utilizing sterile technique.  After the injection sites have been prepared, the physician utilizes a fluoroscope, which is a type of x-ray procedure that produces live video, allowing the physician to respond in real-time to the structures inside the spinal column. This reduces the incidence of physician error as well as provides the physician with visual information regarding the most effective injection sites to help preserve a patient’s long-term mobility in addition to lowering back pain levels.

Epidural injections / epidural steroid injections / ESI may be given traditionally through two different routes in the lumbar spine (understanding the spine and lumbar anatomy is important). One route of the epidural steroid injection is known as a translaminar ESI.  During the translaminar epidural steroid injection, the needle is placed between the lamina (covering of the spinal canal) into the epidural space.  This is typically done using what is know as a “ loss of resistance technique.” During this technique, the physician pushes air or liquid (using a low resistance syringe known as a pulsator syrings) as he / she advances the needle, under fluoroscopic guidance, between the spinal lamina, and into the epidural space.  Once this space is reached, the physician will aspirate (pull back on the syringe) to make sure that no cerebrospinal (CSF) fluid is withdrawn, which would indicate a cerebrospinal fluid leak.  Assuming this is negative, the physician then injects contrast dye around the thecal sac, and it this shows a good image, he / she places the anesthetic and steroid agent around the spinal dural canal, and removes the needle.

epidural injections, epidural steroid injections, ESI, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Humble, Kingwood, Port Arthur, Galveston

epidural injections, epidural steroid injections, ESI, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Humble, Kingwood, Port Arthur, Galveston

Another type of epidural injection / epidural steroid injection / ESI may be given through what is known as the transforaminal approach.  During this approach, the physician advances a needle, under fluoroscopic guidance, past the neural foramen through which the nerve leaves the spinal canal, and into the space known as Kambin’s triangle.  In Kambin’s triangle, the exiting nerve of the lumbar spine can be found.  Again, after aspirating the needle, and finding no return of cerebrospinal fluid (CSF), dye is instilled around the nerve to confirm proper epidural flow, and then the anesthetic agent and steroid are instilled around the nerve root.

Sometimes epidural injections are necessary given the physical changes in the spinal column as we grow older. Our spinal discs (the shock-absorbing pads between our vertebrae) gradually become thinner, harder, and less capable of bearing the stresses of everyday motion. This shrinks the distance between the vertebrae in our spinal column, increasing the chances for compressed spinal nerves. Since our spinal nerves are located very near the discs and vertebrae, patients with advanced degeneration in their spinal discs often have a smaller range of motion in order to avoid repeated nerve compression, which causes extreme back pain.

epidural injections, epidural steroid injections, ESI, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Humble, Kingwood, Port Arthur, Galveston

epidural injections, epidural steroid injections, ESI, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Humble, Kingwood, Port Arthur, Galveston

Sometimes epidural injections may be supplemented with nerve block injections in order to give the physician more information about what may be causing the patient’s back pain. During a nerve block injection, specific nerves are targeted with anesthetics and steroids. If the patient experiences complete relief from their back pain, the doctor knows that the correct group of spinal nerves has been targeted. From there, physicians can make inferences about the best site for long-term anti-inflammatory drug injections. If none of these procedures provide the patient with meaningful relief from their back pain, physicians may then consider back surgery as a corrective measure.

Physicians at the Kraus Back and Neck Institute (KBNI) (located in Houston TX)  have significant expertise at performing spinal epidural steroid injections.  They incorporate a philosophy of practice which tries to treat a patient with conservative approaches whenever possible, frequently helping patients to avoid the need of surgery.  When a surgery is needed to help pain, neurosurgeon experts at the KBNI have the latest skills in minimally invasive microneurosurgery of the spine.

The Kraus Back and Neck Institute (KBNI) in Houston TX takes care of patients in Houston and the surrounding areas, including Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center  (TMC) and other Texas TX cities including Dallas, Fort Worth, San Antonio and Austin.

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Holistic Acupuncture and Back Pain by KBNI Houston, Katy, Woodlands, Sugarland, Memorial City, Texas Medical Center TMC

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acupuncture, holistic, back pain, Houston

acupuncture, holistic, back pain, Houston

Holistic Acupuncture and Back Pain in Houston

Acupuncture is longstanding tradition in Eastern medicine.  Acupuncture is considered holistic medicine.  An acupuncture expert (acupuncturist)  inserts several thin needles just under the surface of the patient’s skin in various pre-determined positions. These positions correspond to the 2,000+ pressure points that acupuncturists believe correspond to 20 primary pathways (called meridians in the theory of acupuncture). The basic principle of holistic acupuncture is that the body has several natural energy pathways (meridians) and if one or more of these pathways are blocked, qi (life-force) cannot flow properly and a variety of negative conditions result. In traditional Eastern medicine, qi’s proper flow can be restored through stimulating key points on the body with acupuncture needles.  Holistic acupuncture has been used to treat low back pain.

acupuncture, holistic, back pain, Houston

acupuncture, holistic, back pain, Houston

As one might imagine, the efficacy (ability of a treatment or drug to achieve a positive result on a consistent basis in many patients) of holistic acupuncture has not been proven in Western evidence-based medicine. Healthcare in the Western world is organized around the principle of treating specific conditions with specific treatments and / or drugs. Doctors first conduct physical exams to narrow possible causes (such as for the origin of a patient’s back pain) and then, if necessary, additional specialist opinions or additional testing confirms or reassesses the diagnosis. From that point, a patient receives a specific course of treatment designed to cure him or her of the condition.

Acupuncture, on the other hand, takes a holistic approach. Rather than focus on treating a specific condition in an exact, proven way, holistic acupuncture stimulates the central nervous system in hopes that nerve activity will have a positive effect on personal well-being. While these claims have not been proven by evidence-based medicine, acupuncture does succeed in stimulating the central nervous system. Many patients have given reports of feeling energized and relaxed as the needles stimulate activity in the brain and spinal cord. This practice may be effective for some back pain patients who suffer from increased muscle tension throughout the neck, shoulders, and spinal column. Stimulating nerves along tensed muscles can promote blood flow, which brings much-needed oxygen and nutrition as well as helps to prevent muscle spasms.

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acupuncture, holistic, back pain, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Humble, Kingwood, Port Arthur, Galveston, Texas, TX, Dallas, Fort Worth, San Antonio, Austin

Though the holistic claims made for acupuncture by Eastern medicine may be tempting to take at face value, patients are advised to conduct further testing to ensure they do not have a more serious condition. Back pain patients who experience relief from holistic acupuncture are not likely to have a severe structural defect within the spinal column, but it is important to confirm the diagnosis of back pain with a complete physical exam by a Western physician. Additional imaging tests (x-rays, magnetic resonance imaging, CT scans, x rays) can reveal if there are underlying structural issues which need to be addressed with more serious treatment.

There is no question that the ability to treat back pain, neck pain, and other types of pain with a variety of modalities is beneficial to the patient.  Although traditional Western Medicine is often very beneficial, a more holistic Eastern Medicine approach has a  role in the health care system.  At the Kraus Back and Neck Institute (KBNI) in Houston, TX, a variety of modality and treatment options are available to help patients suffering from low back pain, neck pain, and other pain disorders affecting the body.  Expert neurosurgeons at the KBNI utilize non-surgical options when appropriate, often keeping surgical intervention as a measure of last resort, when other conservative methods fail.

The Kraus Back and Neck Institute (KBNI) in Houston TX takes care of patients in Houston and the surrounding areas, including Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center  (TMC) and other Texas TX cities including Dallas, Fort Worth, San Antonio and Austin.

acupuncture, holistic, back pain, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Humble, Kingwood, Port Arthur, Galveston, Texas, TX, Dallas, Fort Worth, San Antonio, Austin

acupuncture, holistic, back pain, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Humble, Kingwood, Port Arthur, Galveston, Texas, TX, Dallas, Fort Worth, San Antonio, Austin

 

Keywords: acupuncture, holistic, back pain, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Humble, Kingwood, Port Arthur, Galveston, Texas, TX, Dallas, Fort Worth, San Antonio, Austin

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Proper Lifting, Posture and Low Back Pain review by KBNI Houston, Katy, Woodlands, Sugarland, Memorial City, Texas Medical Center TMC

 

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spine, low back pain, proper lifting, posture,  Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center

spine, low back pain, proper lifting, posture, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center

Proper Lifting, Posture and Low Back Pain review by KBNI Houston, Katy, Woodlands, Sugarland, Memorial City

Patients with low back pain worldwide can, following their injuries, attest to the importance of lifting correctly and using good posture of the body and of the spine. Improper lifting technique typically results in three different types of injury to the lumbar spine: 1) muscle injury, which can tear muscle tissue and affect mobility, 2) spinal disc injury, in which the shock-absorbing capability of the disc between our vertebrae is compromised, and 3) joint injury, in which repetitive load-bearing stress can wear out the pliable cartilage which covers the end of each spinal joint.  Keeping the spine and body in a proper posture will decrease strain on the muscles, joints and discs of the spine.  This will help to decrease the incidence or prevent low back pain.

spine, low back pain, proper lifting, posture,  Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center

spine, low back pain, proper lifting, posture, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center

The key to avoiding spinal injuries while lifting is proper lifting technique and posture. First, be certain to keep the chest forward while bending at the hips, rather than at the lumbar spine. Bending over at the lumbar spine and lifting will dramatically increase intraspinal pressure, which increases incidence of muscle tears and herniated (ruptured) spinal discs. Bending at the hips, on the other hand, keeps the weight close to the body’s center of gravity and does not raise intraspinal pressure to nearly the same levels. Secondly, torsional movement (twisting) while lifting even small objects can produce a serious spinal injury relatively quickly. For larger objects that are too wide to grasp fully and keep close to the body, obtain the help of another person to minimize risk. Always keeping in mind proper posture is important.

After lifting and moving all of the requisite objects, low back pain may occur as a result of muscle fatigue. Be certain to give your back adequate time, rest, and healthy fuel to recover. If low back pain levels in or around the spinal column have not subsided within three days, medical consultation is advised. Physicians will typically conduct a series of physical tests designed to determine a patient’s range of motion. If mobility is compromised or if the patient’s range of motion is otherwise reduced, these tests will help lower the number of causes for the specific variety of spinal injury in question. Physicians may also require imaging tests (X-Rays, CT scans, and magnetic resonance imaging) to confirm their diagnosis, and to prescribe an accurate, effective course of treatment.

spine, low back pain, proper lifting, posture,  Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Humble, Kingwood, Port Arthur, Galveston, Texas, TX, Dallas, Fort Worth, San Antonio, Austin

spine, low back pain, proper lifting, posture, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Humble, Kingwood, Port Arthur, Galveston, Texas, TX, Dallas, Fort Worth, San Antonio, Austin

Chiropractors and physical therapists can help patients with education on the proper techniques for lifting and exercising, to prevent or treat low back pain.  Both chiropractors and physical therapists are experts in posture and biomechanics of the body, and injury prevention.  Chiropractors and physical therapists are experts in not only rehabilitating and strengthening the spine after an injury, but also in using good posture and biomechanics to prevent an injury to the spine.

Physician experts at the Kraus Back and Neck Institute (KBNI) in Houston TX have significant experience treating patients who have suffered an injury to the spine, and also in advising on the proper biomechanics and posture of the spine and body to prevent injuries to the spine and low back pain or neck pain.  They offer a wide range of treatment options for treating spine injury, and neck and low back pain.

The Kraus Back and Neck Institute (KBNI) in Houston TX takes care of patients in Houston and the surrounding areas, including Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center  (TMC) and other Texas TX cities including Dallas, Fort Worth, San Antonio and Austin.

Patients suffering from neck pain or back pain, or who have been told they may require a spine surgery, can contact the Kraus Back and Neck Institute at

…….  281-713-6296

…….  Or visit www.SpineHealth.com to schedule an appointment online

……. KBNI VIDEO on Back and Neck Pain Treatment : Don’t Live in Fear and Pain

Keywords: spine, low back pain, proper lifting, posture, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Humble, Kingwood, Port Arthur, Galveston, Texas, TX, Dallas, Fort Worth, San Antonio, Austin

 

spine, low back pain, proper lifting, posture,  Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Humble, Kingwood, Port Arthur, Galveston, Texas, TX, Dallas, Fort Worth, San Antonio, Austin

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Osteoporosis vs Osteopenia review KBNI Houston, Katy, Sugarland, Woodlands, Memorial City, Texas Medical Center TMC

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osteoporosis, osteopenia, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center

osteoporosis, osteopenia, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center

Osteoporosis vs Osteopenia review KBNI Houston

Osteoporosis (low bone density) is a disease that saps bones of their strength by reducing their density, producing a higher incidence of fractures. Since peak bone density usually occurs somewhere around age 25, older adults are at a higher risk for developing osteoporosis and the dangerous fractures that may accompany it. Over time, our osteoblasts (bone-creating cells that generate bone tissue) are gradually reduced relative to our osteoclasts (bone-eating cells that consume old bone tissue). As the balance between osteoblasts and osteoclasts changes, bones become weaker and more prone to fractures and osteoporosis.  Osteopenia is weakening of the bone which has not yet progressed to osteoporosis.

osteoporosis, osteopenia, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center

osteoporosis, osteopenia, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center

Osteoporosis (and osteopenia) has particularly negative repercussions for the spine. As with other key joints in the body, such as the hip joints, the integrity of spinal joints is essential for continued mobility and a high quality of life. Our spinal discs (the shock-absorbing pads between our vertebrae) degenerate naturally over time, and as we grow older our soft tissues (such as the muscles, ligaments, and tendons in the torso which help support the spinal column) become less effective at regeneration post-stress, just like bone tissue. Cartilage on spinal joints also wears down, increasing the likelihood of compressed spinal nerves, nerve pain, and decreased mobility. Low bone density can magnify all of these programs by destabilizing the spinal column.

Fortunately, there are several ways in which the incidence of osteoporosis (and osteopenia) may be reduced. Proper care begins with preventative lifestyle choices: nutritional supplements and a healthy diet will help maintain bone density at near-peak levels. Avoiding smoking is also enormously important, as nicotine has been shown to be highly toxic to bone regeneration, contributing to osteoporosis. Nicotine kills off osteoblasts while leaving osteoclasts intact, which means that the body’s natural balance of bone tissue regrowth and bone tissue consumption is thrown out of balance. More bone is consumed than can be regenerated, gradually making bones weaker.  Anti gravity exercises and resistance exercises may help strengthen bone, and reduce osteoporosis.  It is important to note that for even the short time that astronauts are in a weightless environment in space, they lose bone density.  Medications known as bisphosphonates are commonly used to treat osteoporosis.  They are commonly known as Fosamax, Actonel, Boniva, Reclast and Zometa.  In women, estrogen helps to maintain bone strength.  After menopause, estrogen levels drop, and loss of bone density increases, increasing the risk of osteoporosis.

osteoporosis, osteopenia, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Humble, Kingwood, Port Arthur, Galveston, Texas, TX, Dallas, Fort Worth, San Antonio, Austin

osteoporosis, osteopenia, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Humble, Kingwood, Port Arthur, Galveston, Texas, TX, Dallas, Fort Worth, San Antonio, Austin

Imaging exams (such as X-rays) will help monitor the progression of osteoporosis so that the most effective course of treatment can be found. Patients can experience compression fractures of the spine, typically in the thoracic or lumbar spine, as a result of osteoporosis.  When a compression fracture of the spine occurs, a patient may experience significant pain localized to that area of the spine.  A procedure known as a kyphoplasty or vertebroplasty may be used to inject cement into the fractured vertebral body.    DEXA scans (dual energy x ray absorptiometry) can show the bone density on a quantitative basis.  Results called “T scores” are generated.  A T score compares the patient’s bone density with that of a healthy young adult.  The T score is the number of standard deviations that the patient’s T score is above or below that of the healthy young adult.  A T score of > -1 is normal.  A T score between -1 and -2.5 is considered osteopenia, which is a condition of low bone density which may lead to full osteoporosis.  A T score of -2.5 and below indicates osteoporosis.  Physicians may recommend structural changes within the home, such as the installation of shower bars and stepping stools for the bedroom.

When compression fractures of the spine occur due to osteoporosis, a kyphoplasty or vertebroplasty may be performed.  During kyphoplasty, the spine surgeon places a needle (Jamshidi needle) percutaneously through the skin, through the pedicle of the vertebral level, into the vertebral body which has suffered a compression fracture due to osteoporosis.  A kyphoplasty is typically performed bilaterally, which means on both sides of the vertebral body, through the right and left pedicles.  A kyphoplasty then involves placing a balloon through the Jamshidi needle, and expanding the balloon to try to expand the portion of the vertebral body which is collapsed as a result of osteoporosis.  After the height of the vertebral body is raised, bone cement (methyl methacrylate) is pushed through the Jamshidi needle into the expanded cavity in the bone, under low pressure.  The question of what is the difference between kyphoplasty vs vertebroplasty can be answered as follows:  during a kyphoplasty, a balloon is used to expand the compression fracture, and the methyl methacrylate cement is instilled into the osteoporosis fracture cavity under a low pressure; during a vertebroplasty, the methyl methacrylate bone cement is pushed through the needles into a nonexpanded compression fracture, under a higher pressure. Depending upon surgeon preference, kyphoplasty or vertebroplasty may be used, with kyphoplasty giving the added advantage of not only strengthening the bone, but trying to restores some of the height of the vertebral body, and lordotic curve of the spine.

Physician experts at the Kraus Back and Neck Institute (KBNI) in Houston, TX, have significant experience in treating osteoporosis and osteopenia as it affects the spine.  The neurosurgeons have vast experience in treating spine fractures, both through conservative approaches which may include bracing, and through the surgical approach, often with a kyphoplpasty.

The Kraus Back and Neck Institute (KBNI) in Houston TX takes care of patients in Houston and the surrounding areas, including Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center  (TMC) and other Texas TX cities including Dallas, Fort Worth, San Antonio and Austin.

Patients suffering from neck pain or back pain, or who have been told they may require a spine surgery, can contact the Kraus Back and Neck Institute at

…….  281-713-6296

…….  Or visit www.SpineHealth.com to schedule an appointment online

……. KBNI VIDEO on Back and Neck Pain Treatment : Don’t Live in Fear and Pain

 

Keywords: osteoporosis, osteopenia, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Humble, Kingwood, Port Arthur, Galveston, Texas, TX, Dallas, Fort Worth, San Antonio, Austin

 

osteoporosis, osteopenia, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Humble, Kingwood, Port Arthur, Galveston, Texas, TX, Dallas, Fort Worth, San Antonio, Austin

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Magnetic Resonance Imaging MRI and Herniated Disc by KBNI Houston, Katy, Woodlands, Spring, Sugarland, Memorial City, Texas

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MRI, herniated disc, Houston, Woodlands, Katy, Memorial City, Sugarland

MRI, herniated disc, Houston, Woodlands, Katy, Memorial City, Sugarland

Magnetic Resonance Imaging MRI and Herniated Disc by KBNI Houston, Katy, Woodlands, Spring, Sugarland, Memorial City, Texas

Patients often wonder what the best test is to determine whether they have a herniated disc in the spine.  Without a doubt, magnetic resonance imaging MRI has revolutionized the imaging field of medicine, and allowed immense clarity and accuracy when trying to diagnose a herniated disc.  There are several different primary imaging exams that physicians use to aid in making an accurate diagnosis. When it comes to the spinal column anatomy, an incredibly complex system of powerful load-bearing bones and facet joints all working in conjunction with spinal discs and nerves, making an accurate diagnosis can be difficult. Typically, physicians will begin with a series of physical exams that test a patient’s mobility and back pain levels. Based on these findings, physicians will have a much better approximation of the possible causes for the patient’s back pain. Consequently, a series of spinal imaging exams may be recommended to confirm the diagnostics. X-rays are normally used when spinal fracture is suspected, but if soft tissue damage (such as spinal nerve compression) is the main cause of a patient’s back pain, magnetic resonance imaging MRI is used to gain an accurate estimate of the damage.

MRI, herniated disc, Houston, Woodlands, Katy, Memorial City, Sugarland

MRI, herniated disc, Houston, Woodlands, Katy, Memorial City, Sugarland

Magnetic resonance imaging MRI uses powerful magnetic fields and radio wave energy to map the body’s soft tissue systems. This information is then relayed to a computer so that different systems can be studied in more detail. Magnetic resonance imaging MRI also has the advantage of remote viewing, where clinics that have access to other physicians’ MRI recordings can make recommendations based on samples that have been relayed electronically. MRI scans can be done on what is known as a closed machine or magnet, or an open machine or magnet.  Typically, for patients who have difficulty with claustrophobia, an open magnet or machine may be easier to tolerate.  For patients with claustrophobia, a mild oral sedative or an intravenous ( IV ) sedative may help them to tolerate the machine.  Most patients are able to have their MRI scan done on a closed machine, with accommodations made, even if they have mild claustrophobia.

MRI, herniated disc, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Humble, Kingwood, Port Arthur, Galveston, Texas, TX, Dallas, Fort Worth, San Antonio, Austin

MRI, herniated disc, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Humble, Kingwood, Port Arthur, Galveston, Texas, TX, Dallas, Fort Worth, San Antonio, Austin

Different MRI sequences on the MRI scan can help the radiologist and spine surgeon (neurosurgeon or orthopedic spine surgeon) to help determine whether the herniated disc is more acute or chronic in nature.  In addition, MRI images can be taken in different planes.  This means that the orientation of the images of the spine can be seen in sagittal (as if looking from the side), coronal (as if looking from the front of the body) or axial (as if looking from the feet with the patient lying on their back) views.  With a high quality MRI scan, individual nerve roots can be seen in cross section, and a herniated disc which compresses the nerves can usually be easily visualized.  Typically, an MRI scan of the cervical spine shows the spine from the skull base to the top of the thoracic spine.  A cervical herniated disc can be easily seen in cross section or sagittal views on a cervical MRI.  A thoracic spine MRI scan typically shows the spine from the bottom of the cervical spine to the top of the lumbar spine.  A thoracic herniated disc can be seen on axial and sagittal MRI views.  A lumbar MRI scan usually shows the spine from the bottom of the thoracic spine to the sacrum, which lies below the lumbar spine.  An axial or sagittal MRI scan will usually show a lumbar herniated disc.  A spine surgeon finds that an MRI scan provides critical information for a herniated disc surgery.

Within the spinal column, magnetic resource imaging MRI allows for complete renditions of the spinal discs (herniated disc) , which help in determining conditions like advanced disc degeneration, herniated disc, cartilage degeneration between the facet joints, and integrity of the spinal canal that houses the central nervous system’s spinal nerves. MRI scans can also be used as a secondary imaging exam if the results of an X-ray or CT scan (computerized tomography) are inconclusive. MRI scans are not always able to pinpoint the origin of a patient’s back pain, however, due to the fact that some patients may exhibit extreme pain while showing relatively few signs of soft tissue degeneration. Other patients may show much more degeneration in the spinal column, facet joints, or spinal disks, but have much lower levels of back pain during routine movement. As with other imaging exams, MRIs are used in conjunction with other imaging exams to ascertain whether more serious methods of treatment (such as back surgery) are necessary.

MRI, herniated disc, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Humble, Kingwood, Port Arthur, Galveston, Texas, TX, Dallas, Fort Worth, San Antonio, Austin

MRI, herniated disc, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Humble, Kingwood, Port Arthur, Galveston, Texas, TX, Dallas, Fort Worth, San Antonio, Austin

When a patient is not able to undergo an MRI scan, possibly due to an implanted pacemaker or spinal cord stimulator, they can undergo a myelogram. A myelogram is a study in which a spinal tap is performed, usually in the lumbar spine, and a water soluble iodine dye is placed into the spinal canal.  This iodine dye shows up on x ray and CT scans of the spine.  After the myelogram is performed, with iodine dye in the spinal canal, a CT scan of the spine is performed to show an outline of the spinal nerves, and determine whether there is pressure upon the nerves.  In this manner, a herniated disc in the lumbar, thoracic or cervical spine can be seen.  The CT scan will also who any hard bone spurs or calcium within the herniated disc.

Neurosurgeon spine experts at the Kraus Back and Neck Institute (KBNI) in Houston, TX, have expertise in using MRI scans to evaluate the cervical, thoracic and lumbar spine, and diagnose a herniated disc, among other spinal disorders.  With accurate scanning and imaging techniques, KBNI physician experts can help to diagnose the cause of pain or weakness in the neck, back, arms and legs, and to find a treatment strategy which will help the patient recover.  In the majority of cases, patients will achieve good relief of pain without the need of a spine surgery.  When surgery on the spine is needed, neurosurgeons at the KBNI utilize the latest techniques in minimally invasive spine surgery techniques, when appropriate.

The Kraus Back and Neck Institute (KBNI) in Houston TX takes care of patients in Houston and the surrounding areas, including Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center  (TMC) and other Texas TX cities including Dallas, Fort Worth, San Antonio and Austin.

Patients suffering from neck pain or back pain, or who have been told they may require a spine surgery, can contact the Kraus Back and Neck Institute at

…….  281-713-6296

…….  Or visit www.SpineHealth.com to schedule an appointment online

……. KBNI VIDEO on Back and Neck Pain Treatment : Don’t Live in Fear and Pain

Keywords: MRI, herniated disc, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Humble, Kingwood, Port Arthur, Galveston, Texas, TX, Dallas, Fort Worth, San Antonio, Austin

 

herniated disc, mri, houston

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Foraminotomy vs Laminectomy vs Discectomy by KBNI Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center, Spring, Seal, Baytown, Pearland, Beaumont, Port Arthur

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foraminotomy, laminectomy, discectomy, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center, Spring

foraminotomy, laminectomy, discectomy, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center, Spring

Foraminotomy vs Laminectomy vs Discectomy Houston, Woodlands, Katy, Sugarland, Spring

A foraminotomy is a surgical procedure designed to lower pressure within the spinal canal by enlarging the passageway through which a spinal nerve root branches from the spinal canal. A laminectomy is a procedure to remove a greater portion of the bone (lamina) covering the roof of the spinal canal.  A discectomy is a procedure to remove a portion of a herniated disc in the spine, which is bulging and pushing on a nerve. Understanding spine anatomy is important to understanding the difference between the different procedures to relieve pain.  The sensitive spinal nerve roots are responsible for transmitting signals for voluntary muscle control as well as relaying sensory information for most of the rest of the body. The spinal discs (shock-absorbing pads between our vertebrae) give the spinal nerve roots enough room to exit the spinal canal. Sometimes, however, impact trauma, daily stress on the spinal discs, bone growths, or tumors may create an obstruction for the spinal nerve roots. Patients may experience extreme low back pain and / or decreased mobility if the pathways for the spinal nerve roots are compromised, or if the nerves themselves become compressed due to trauma and disk degeneration.  A foraminotomy focuses more on removing a smaller portion of bone where the nerve root leaves the spinal canal.  The opening in the spine through which the nerve root leaves is known as the neural foramen, and opening of this area is thus known as a foraminotomy.  A laminectomy is a more extensive removal of a greater portion of bone covering the spinal canal.  Of note, the neural foramen is an opening created by a roof of the superior articular facet of the vertebral body below, and the inferior articular facet of the vertebral body above.  A discectomy is performed by making an opening in the lamina, in order for the spine surgeon to gain access to the disc space, where the herniated or bulging disc is situated, in order to perform a discectomy, free up the nerve root, and alleviate the pain resulting from nerve compression.

foraminotomy, laminectomy, discectomy, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center, Spring

foraminotomy, laminectomy, discectomy, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center, Spring

There are several different spinal conditions that may prompt a physician to consider a foraminotomy. Degenerative disc disease, a condition in which the natural degeneration of spinal discs is accelerated by other factors, is a possible cause. Herniated (displaced or ruptured) spinal discs, bone spurs, spondylosis / spinal stenosis are all also conditions that may necessitate larger passageways for spinal nerve roots. When there is a more diffuse narrowing of the spinal canal, as is the case with spinal stenosis, a foraminotomy may not be sufficient to decompress the nerves, and a laminectomy may be required.  When the source of compression is located centrall within the spinal canal, and is caused by a focal disc bulge or herniation, rather than a diffuse central canal compression, then a discectomy may be a good option.  In summary,  back surgeries that may be effective for relieving pressure on the spinal nerves are foraminotomies, laminotomies and discectomies, as well as laminectomies.

foraminotomy, laminectomy, discectomy, Houston

foraminotomy, laminectomy, discectomy, Houston

Since back surgery is often a costly procedure with a lengthy period of post-operative care, patients are advised to seek thorough medical consultation prior to any procedure that may have implications for the spinal canal. If patients are experiencing muscle weakness, sharp or shooting pains down one or both legs, numbness in the extremities, or if their low back pain is not resolved by core strengthening exercises and weight management, physicians will typically recommend a series of spinal imaging tests. X-rays, magnetic resonance imaging, and CT scans may all be used to determine whether the integrity of the spinal canal is at risk. Post-imaging, physicians will be much better equipped to make an accurate diagnosis and prescribe a course of treatment. Post-operative care will normally include physical therapy that focuses on core strengthening exercise, building the muscles in the torso to assist in managing the stresses of everyday movement.

Physician experts at the Kraus Back and Neck Institute (KBNI) in Houston TX have significant experience at taking care of patients with back problems, back injuries and other sources of back and neck pain, arm and leg pain.  They frequently see patients who are suffering from the symptom of neck pain, low back pain, and mid back pain, and have never received imaging studies of the spine.  The physicians have expertise on spine surgery including foraminotomy and laminectomy and discectomy.  Physicians at the KBNI will order the appropriate spinal imaging studies of the cervical, thoracic or lumbar spine as needed, and review the results with the patient.

The Kraus Back and Neck Institute (KBNI) in Houston TX takes care of patients in Houston and the surrounding areas, including Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center  (TMC) and other Texas TX cities including Dallas, Fort Worth, San Antonio and Austin.

REFERENCE SITES

www.SpinePain.com

www.SpineSurgery.com


Patients suffering from neck pain or back pain, or who have been told they may require a spine surgery, can contact the Kraus Back and Neck Institute at

…….  281-713-6296

…….  Or visit www.SpineHealth.com to schedule an appointment online

……. KBNI VIDEO on Back and Neck Pain Treatment : Don’t Live in Fear and Pain

 

foraminotomy, laminectomy, discectomy, Houston

Keywords: foraminotomy, laminectomy, discectomy, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Texas, TX, Dallas, Fort Worth, San Antonio, Austin

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Spinal Imaging Cervical Thoracic Lumbar Spine with MRI and CT by KBNI Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center

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Spinal, Imaging, Cervical, Thoracic, Lumbar, Spine, MRI, CT, KBNI,Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center

Spinal, Imaging, Cervical, Thoracic, Lumbar, Spine, MRI, CT, KBNI,Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center

Spinal Imaging Cervical Thoracic Lumbar Spine with MRI and CT by KBNI Houston

Spinal imaging tests of the cervical, thoracic, and lumbar spine are essential for correctly diagnosing spinal deformities, injuries, and other related problems. Physicians normally start with a patient history and a physical exam to test the patient’s mobility, range of motion, and look for points of tenderness. Based on the findings, physicians can then make recommendations for the best course of treatment. Minor injuries such as muscle pulls may be treated with pain relievers, anti inflammatory medications and rest, and core strengthening exercises. If the patient’s neck or back (cervical, thoracic or lumbar spine) pain is not mediated by these measures, however, then a physician may recommend a series of spinal imaging tests to determine whether the problem is structural.  Spine imaging can consist of X ray,MRI or CT scans of the anatomy of the cervical, thoracic or lumbar spine.

Spinal, Imaging, Cervical, Thoracic, Lumbar, Spine, MRI, CT, KBNI,Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center

Spinal, Imaging, Cervical, Thoracic, Lumbar, Spine, MRI, CT, KBNI,Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center

X ray, CT scans and MRI scans of the cervical, thoracic and lumbar spine show the physician different information about the body.  X ray of the spine shows alignment very well, as well as fractures of the vertebral bodies.  They can show collapse of the disc spaces (disc degeneration), and slippage of the bones (vertebral bodies) upon each other, known as spondylolisthesis.  X rays do not show herniated discs pushing into the spinal canal, unless the disc is calcified, in which case the calcium in the bone spur may show up on x ray.  X ray is good for showing the placement of hardware for spinal fusion (such as pedicle screws in the lumbar spine, and anterior cervical plates in the cervical spine) in the spine.  Bone growing between vertebral bodies and between transverse processes of a spinal fusion are also well seen on X ray and CT scans.

myelogram, cervical,  thoracic,  lumbar, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center, Spring

myelogram, cervical, thoracic, lumbar, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center, Spring

CT scans of the cervical, thoracic or lumbar spine anatomy show very detailed views of the cross sectional anatomy of the spine.  The images are taken as cross sections of the body, and these thin slices of information can be processed by the imaging computer, and reconstructed to show the spine as seen in the sagittal plane (from the side) or coronal plane (as seen from the front).  A CT scan of the cervical, thoracic or lumbar spine can show fractures very well.  They also show the placement of screws into the spine, after surgery, very well.  CT scans of the spine do not show great detail of the soft tissues of the spine, such as the nerve roots passing through the spine, of the spinal cord running through the spine.  If a CT scan of the spine is performed after the patient undergoes a myelogram, the spinal nerves and spinal cord can be better visualized.  A myelogram is performed when a radiologist performs a spinal tap on a patient, by placing a spinal needle into the lumbar spine.  Even though this sounds like a difficult procedure, it is generally accompanied with minimal pain.  After the needle is in the spinal sac, or dural sac, the next step is to place a dye (which can be seen on CT scan) or contrast agent within the thecal sac.  Once this is completed, a CT scan is done through the appropriate portions of the spine (cervical, thoracic or lumbar), and the contrast dye shows up as white on the CT scan, while the nerve roots or spinal cord show up as dark shadows against the bright spinal fluid.  The myelogram procedure can accurately show disc herniations into the nerve roots or spinal cord.

MRI, scan, cervical,  thoracic,  lumbar, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center, Spring

MRI, scan, cervical, thoracic, lumbar, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center, Spring

MRI scan of the cervical, thoracic or lumbar spine shows soft tissue, such as disc bulges (which may cause sciatica), spinal stenosis, spinal cord and nerve roots, very well.  It can also be used to see areas of contusion within the spinal cord.  It shows images in the axial plane (cross sections through the spine or body), as well as the coronal and sagittal planes.

Magnetic resonance imaging (MRI), for example, is often used when the physician suspects damage to the soft tissues around the spinal cord. The spinal cord runs most of the length of the spinal column and houses the central nervous system’s spinal nerves, which are responsible for transmitting sensory information to the brain in addition to signals for voluntary muscle control. Physicians can use magnetic resonance imaging to see if these nerves or other soft tissues have been damaged by spinal fracture, impact trauma, or otherwise compromised by spinal deformities. CT scans (computerized tomography) and X-rays do not produce detailed images of soft tissue, so physicians typically do not require them to analyze soft tissue damage in the spine—unless that damage is suspected to be the result of a damaged vertebra. Magnetic resonance imaging can also reveal spinal abscesses and spinal tumors before they have a chance to compress spinal nerves, which often causes extreme pain.

If spinal fracture is suspected, physicians may require CT scans and X-rays to determine the extent of the fracture’s damage, as well as a magnetic resonance imaging exam to ensure the integrity of the spinal cord. Patients may think that these tests are excessive given that many spinal fractures occur during everyday motion (such as picking up a bag of groceries), but physicians must be absolutely certain that the soft tissues of the spinal cord are not compromised. Spinal column integrity greatly reduces the chances of the spinal nerves becoming compressed by nearby vertebrae, though the spinal disks (shock-absorbing pads between the vertebrae) can still degenerate to the point where compressed spinal nerves are a significant problem. All of these imaging exams serve to ensure that patients make safe recoveries.

Summary of Uses of Various Spinal Imaging Modalities:

X Ray: useful for evaluating curvature of spine, such as scoliosis; fractures; spinal alignment; instrumentation placed in the spine (pedicle screws, rods, plates); fusion between adjacent vertebral levels

CT scan of cervical, thoracic or lumbar spine: useful for evaluating fractures of spine; alignment of spine; bone spurs in cervical thoracic and lumbar spine

CT with myelogram: useful for evaluating nerve roots in cervical, thoracic and lumbar spine; spinal stenosis; fusion between adjacent vertebral levels (often used instead of MRI if patient has a pacemaker or implanted spinal cord stimulator)

MRI scan of cervical, thoracic or lumbar spine: useful for evaluating herniated disc, spinal stenosis, spondylolisthesis

Physician experts at the Kraus Back and Neck Institute (KBNI) in Houston TX have significant experience at taking care of patients with back problems, back injuries and other sources of back and neck pain.  They frequently see patients who are suffering from the symptom of neck pain, low back pain, and mid back pain, and have never received imaging studies of the spine.  Physicians at the KBNI will order the appropriate spinal imaging studies of the cervical, thoracic or lumbar spine as needed, and review the results with the patient.

The Kraus Back and Neck Institute (KBNI) in Houston TX takes care of patients in Houston and the surrounding areas, including Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center  (TMC) and other Texas TX cities including Dallas, Fort Worth, San Antonio and Austin.

REFERENCE SITES

www.SpinePain.com

www.NeckPain.com

www.SurgerySpine.com


Patients suffering from neck pain or back pain, or who have been told they may require a spine surgery, can contact the Kraus Back and Neck Institute at

…….  281-713-6296

…….  Or visit www.SpineHealth.com to schedule an appointment online

……. KBNI VIDEO on Back and Neck Pain Treatment : Don’t Live in Fear and Pain

Keywords: spinal, imaging, cervical,  thoracic,  lumbar, spine, MRI , CT, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Texas, TX, Dallas, Fort Worth, San Antonio, Austin

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Spine Health Core Strengthening with Spine KBNI Houston, Katy, Woodlands, Sugarland, Memorial City, Texas Medical Center TMC

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spine health, core strengthening, spinal health, Houston, Sugarland, Woodlands, Katy

spine health, core strengthening, spinal health, Houston, Sugarland, Woodlands, Katy

SPINE HEALTH CORE STRENGTHENING HOUSTON

Spine health maintenance is imperative for a healthy body.  A number of factors are important for maintaining proper spine health.  Proper posture, core strengthening, rest, nutrition, cessation of smoking, and proper shoes are a good foundation.  The spine is integral to all of our routine movement. Even when we are standing still or simply sitting, the spine is still responsible for bearing much of the stresses placed on the body. Like other parts of the body, the spinal column is a collection of ligaments, muscle tissue, tendons, articulated vertebrae (the bones of our spine), and spinal discs (shock-absorbing pads that are between vertebrae and assist in load-bearing stress and movement). With so many components in constant use, it is easy to see why spine health is essential to a high quality of life.

The spinal column also protects the spinal cord, which in turn houses the central nervous system’s spinal nerves, which wind through the vertebrae and transmit sensation and signals for voluntary muscle control to the rest of the body. Protecting these sensitive spinal nerves from trauma is crucial for high function. This involves proper hydration and nutrition for the spinal disks, as well as core strengthening exercises to build the support network of ligaments, tendons, and muscles in the torso to assist the spinal discs in bearing the stresses of movement. Core strengthening will thusly decrease wear on the spinal disks, which significantly reduces the possibility of the vertebrae compressing spinal nerves and causing extreme pain.  Core strengthening exercises can be done alone, or with the expert guidance of a physical therapist for physical therapy, or a chiropractor for chiropractic training.  These experts will also guide patients in the proper use of good body mechanics for bending, lifting and twisting.

spine health, core strengthening, spinal health, Houston, Sugarland, Woodlands, Katy

spine health, core strengthening, spinal health, Houston, Sugarland, Woodlands, Katy

Choosing comfortable, well-fitted shoes is another simple way of maintaining spine health. Shoes are so common they are often overlooked as a source of pain, but improperly fitted or worn shoes are much less effective at providing shock absorption for the body. Spinal joints and discs, as a consequence, receive more load-bearing stress in all daily movements. A healthy, varied diet, nutritional supplements, and proper weight management will all also aid the spinal column in managing the stress of everyday movement. Excessive weight can actually displace disks within the spinal column, causing them to rupture or compress nearby spinal nerves. Through weight management, a healthy diet, and a regimen of core strengthening exercises, patients can maximize spine health while minimizing pain levels and wear on the spinal column.

spine health, core strengthening, spinal health, Houston

spine health, core strengthening, spinal health, Houston

Physician experts at the Kraus Back and Neck Institute (KBNI) in Houston TX have significant experience at taking care of patients with back problems, back injuries and other sources of back and neck pain.  Many times, proper guidance from an expert as to body mechanics, posture, core strengthening and nutrition may improve spine health and reduce spine pain.

The Kraus Back and Neck Institute (KBNI) in Houston TX takes care of patients in Houston and the surrounding areas, including Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center  (TMC) and other Texas TX cities including Dallas, Fort Worth, San Antonio and Austin.

REFERENCE SITES

www.SpinePain.com

www.NeckPain.com

www.SurgerySpine.com


Patients suffering from neck pain or back pain, or who have been told they may require a spine surgery, can contact the Kraus Back and Neck Institute at

…….  281-713-6296

…….  Or visit www.SpineHealth.com to schedule an appointment online

……. KBNI VIDEO on Back and Neck Pain Treatment : Don’t Live in Fear and Pain

spine health, core strengthening, spinal health, Houston

spine health, core strengthening, spinal health, Houston

Keywords: spine health, core strengthening, spinal health, Houston, Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center, TMC, Texas, TX, Dallas, Fort Worth, San Antonio, Austin

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Recover from Spinal Fusion discussion by KBNI Houston, Katy, Woodlands, Sugarland, Galveston, Texas Medical Center

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spinal fusion, recover, Houston, Sugarland, Woodlands, Katy

spinal fusion, recover, Houston, Sugarland, Woodlands, Katy

Spinal fusion is a back or neck surgery in which vertebrae within the spinal column are fused together to eliminate movement at points of articulation (joints) between them. This can lower spinal mobility overall, but often spinal fusion can have a net positive effect for a patient due to decreased pain levels and increased spinal stability. When a spinal fusion is performed in the cervical spine (neck), it is known as a cervical fusion.  When the spinal fusion is performed in the lumbar spine (low back), it is called a lumbar fusion.  It can take some time to recover after this type of surgery.

To recover from a spinal fusion can be difficult based on the invasiveness of the surgery itself and the length of the post-operative care period. To recover, patients may need to make significant lifestyle changes in order to aid recovery and ensure that a stable fusion takes place as the bones of the spinal column grow back together. Eliminating smoking entirely is absolutely essential. Cigarettes contain elevated levels of nicotine, which is a chemical shown to be highly toxic to bone growth. Nicotine kills the body’s osteoblasts (bone-growing cells), while leaving our bone-eating cells (osteoclasts) alive. Spinal fusion patients who smoke during post-operative recovery are much less likely to maintain a stable spinal column, and may restrict bone growth while extending their less successful recovery by several months. If a patient wants a stable spinal fusion that minimizes the possibility of subsequent corrective surgeries, eliminating smoking is possibly the single greatest factor that aids recovery.

spinal fusion, recover, Houston, Sugarland, Woodlands, Katy

spinal fusion, recover, Houston, Sugarland, Woodlands, Katy

To recover, patients must also be certain to follow guidelines regarding physical therapy, exercise, and motion during their post-operative care period. Core strengthening exercises can be guided by a chiropractor or physical therapy. Physical therapy or chiropractic guidance and education can also help to teach about how to prevent future spine injuries.  Spinal fusion is one of the more intensive varieties of back surgery, and physicians must document the recovery process accurately to ensure that the patient’s spinal column is stable enough for everyday motion. This requires subsequent visits for imaging tests (typically X-rays, in the case of spinal fusion) to monitor bone growth. There may be strict guidelines for the amount a patient can lift or the length of time in which the patient may stand, sit, or walk during the course of their daily routines.  The amount of time needed to recover may vary widely depending on how old the patient is (younger patients generally re-grow bone more quickly than older patients) as well as the physical requirements of their occupation.

spinal fusion, recover, Houston, Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center, TMC, Texas, TX, Dallas, Fort Worth, San Antonio, Austin

spinal fusion, recover, Houston, Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center, TMC, Texas, TX, Dallas, Fort Worth, San Antonio, Austin

In some cases, the physician who performed the spinal fusion may have the patient wear an external brace to help recover.  This will help support the body, and reduce movement of the fused area of the spine, while new bone is attempting to grow, and accomplish the spinal fusion.

Some patients may wear an external bone growth stimulator, if prescribed by their doctor.  The bone growth stimulator provides an electric current around the body, which stimulates bone growth.

Physician experts at the Kraus Back and Neck Institute (KBNI) in Houston TX have significant experience at taking care of patients and helping them to recover after undergoing spinal fusion.  Many times, surgery can be avoided, but when necessary, the neurosurgeons at the KBNI have the most current techniques in minimally invasive spine surgery available when appropriate.

The Kraus Back and Neck Institute (KBNI) in Houston TX takes care of patients in Houston and the surrounding areas, including Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center  (TMC) and other Texas TX cities including Dallas, Fort Worth, San Antonio and Austin.

REFERENCE SITES

www.SpinePain.com

www.NeckPain.com

www.SurgerySpine.com


Patients suffering from a cervical stenosis or lumbar stenosis, or who have been told they may require a lumbar laminectomy or  cervical laminectomy, can contact the Kraus Back and Neck Institute at

…….  281-713-6296

…….  Or visit www.SpineHealth.com to schedule an appointment online

……. KBNI VIDEO on Back and Neck Pain Treatment : Don’t Live in Fear and Pain

Keywords: spinal fusion, recover, Houston, Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center, TMC, Texas, TX, Dallas, Fort Worth, San Antonio, Austin

 

spinal fusion, recover, Houston, Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center, TMC, Texas, TX, Dallas, Fort Worth, San Antonio, Austin

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Lumbar Stenosis, Cervical Stenosis, Arthritis, Spinal Stenosis and Effects of Aging on Spine discussion KBNI Houston, Katy, Woodlands, Sugarland, Beaumont, Texas Medical Center TMC

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lumbar stenosis, cervical stenosis, spinal stenosis, arthritis, Houston, Sugarland, Woodlands, Katy, Spring

lumbar stenosis, cervical stenosis, spinal stenosis, arthritis, Houston, Sugarland, Woodlands, Katy, Spring

As the body and spine age, degenerative changes of arthritis and spinal stenosis can affect the spine.  When this occurs in the cervical spine (neck) , it is known as cervical stenosis, and when it occurs in the lumbar spine (low back) , it is called lumbar stenosis.  Aging typically has an impact on every aspect of daily life, and movement of the spine is no exception. The spine is involved in almost every kind of routine movement: twisting, standing, sitting, walking, and running included. Aging can lower mobility, endurance, strength, and balance, but certain exercises and lifestyle choices help to prolong (and even counteract) some effects of aging, particularly in the case of the spine. The network of muscles, ligaments, and tendons in the torso begins to lose mass as we grow older (as do all muscles in the body), and it becomes more difficult to build muscle mass due to our cells not reproducing as vigorously as they do while we are young. Water loss in tendons (which attach muscles to bones) also makes these tendons stiffer and less capable of managing load-bearing stress. A regimen of core strengthening exercises can prolong torso strength, as well as assist in managing the body’s weight distribution. Regular core strengthening will also help reduce wear on the spinal disks (shock-absorbing pads between our vertebrae) by reducing stress placed upon the spinal column during movement.

lumbar stenosis, cervical stenosis, spinal stenosis, arthritis, Houston, Sugarland, Woodlands, Katy, Spring

lumbar stenosis, cervical stenosis, spinal stenosis, arthritis, Houston, Sugarland, Woodlands, Katy, Spring

The lumbar spine anatomy and the cervical spine anatomy consist of vertebral segments, which are held together by ligaments, which cross over the disc spaces, and over the facet joints (which separate one vertebral level from the next).  There is ligament in front of the vertebral body known as the anterior  longitudinal ligament.  The ligament behind the vertebral body is called the posterior longitudinal ligament.  The ligaments around the facet joints are the capsular ligaments.  The ligament between the spinous processes is the interspinous ligament, and the ligament between the transverse process is the inter transverse ligament.  Of particular importance for the aging spine is the ligamentum flavum, which is a ligament which is found on the inside of the spinal canal, just under the lamina (which is the back roof of the spinal canal).  As the spine ages, this ligament can become thickened, and compress upon the nerves of the spinal canal, a condition known as spinal stenosis (cervical stenosis, lumbar stenosis) .  When this occurs, patients may experience pain in the neck or low back, or arms or legs.  When the spinal stenosis occurs in the neck, it is cervical stenosis. When the spinal stenosis occurs in the low back, it is lumbar stenosis.

lumbar stenosis, cervical stenosis, spinal stenosis, arthritis, Houston, Sugarland, Woodlands, Katy, Spring

lumbar stenosis, cervical stenosis, spinal stenosis, arthritis, Houston, Sugarland, Woodlands, Katy, Spring

Arthritis also affects the aging spine.  Arthritis is inflammation of the joints.  The spine has many joints, and these can become inflamed, resulting in pain and stiffness.  There are two major typed of arthritis, osteoarthritis and rheumatoid arthritis.  Osteoarthritis is a result of normal aging or wear and tear upon the spine.  Rheumatoid arthritis is a result of an autoimmune disorder.  Generally, the goal of arthritis treatment is to improve quality and function of live.  When the spine undergoes arthritis, bone spurs can grow inside of the spine and outside of the spine. The facet joints can become thickened and overgrown, and the arthritis can result in bone overgrowth and compression upon nerve roots.  The nerve compression from arthritis can affect the spinal nerves in the central canal (where all of the nerves of the spine pass as they traverse the distance from the brain to the rest of the body) and the arthritis can affect the nerves as they leave the spinal canal through the neural foramen, which are openings in the side of the spinal canal located just next to the facet joints.

Our spinal disks, along with our spinal joints, help our spine articulate, but they also gradually wear down and undergo disc degeneration. They can become thinner, causing a loss in height, as well as a rupture (herniated disc )as a result of regular load-bearing stress, sudden impact trauma (such as a fall), or due to increased body mass. Proper hydration, healthy weight management, a varied and nutritious healthy diet, nutritional supplements, and regular rest will all help prolong the effects of aging on the spinal disks, in addition to maintaining bone density at near-optimal levels. High bone density means less incidence of osteoporosis (low bone density), and a much lower probability of bone density-related spinal fractures (osteoporotic compression fractures). Vertebral compression fractures can press upon the nerves of the spine.   Smoking can also have an adverse effect on overall spine health.

lumbar stenosis, cervical stenosis, spinal stenosis, arthritis, Houston, Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center, TMC, Texas, TX, Dallas, Fort Worth, San Antonio, Austin

lumbar stenosis, cervical stenosis, spinal stenosis, arthritis, Houston, Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center, TMC, Texas, TX, Dallas, Fort Worth, San Antonio, Austin

Our heart muscle gradually loses efficiency, meaning that on a year-by-year average, we are less capable of pumping blood in a given amount of time. This means we get tired more quickly and our muscles take longer to recover from stress. For the spine, this means that the support network of bones, ligaments, and muscles around the spine receive less and less nutrition, especially during periods of load-bearing stress. Regular cardiovascular exercise, proper hydration, and a healthy diet as well as weight management will help maintain heart muscle as we age.

In summary, the aging process can take a severe toll upon the spine.  Arthritis in the spine can develop, and along with this, the ligaments can become firm and thickened, resulting in spinal stenosis, lumbar stenosis and cervical stenosis.  Proper physical activity, proper nutrition, core strengthening exercises, sciatica exercises, and stretching can help to slow down and even reverse the aging process, as it relates to the spine.

Spine experts at the Kraus Back and Neck Institute (KBNI) in Houston TX have expertise at taking care of patients with aging symptoms of the spine, in particular arthritis, and spinal stenosis including lumbar stenosis and cervical stenosis.  In the majority of cases, patients may undergo a treatment course and improve without the need of an operation.  When surgery is necessary, Neurosurgeons at the KBNI utilize the most advanced techniques in minimally invasive spine surgery when it is appropriate.

The Kraus Back and Neck Institute (KBNI) in Houston TX takes care of patients in Houston and the surrounding areas, including Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center  (TMC) and other Texas TX cities including Dallas, Fort Worth, San Antonio and Austin.

REFERENCE SITES

www.SpinePain.com


Patients suffering from a cervical stenosis or lumbar stenosis, or who have been told they may require a lumbar laminectomy or  cervical laminectomy, can contact the Kraus Back and Neck Institute at

…….  281-713-6296

…….  Or visit www.SpineHealth.com to schedule an appointment online

……. KBNI VIDEO on Back and Neck Pain Treatment : Don’t Live in Fear and Pain

Keywords: lumbar stenosis, cervical stenosis, spinal stenosis, arthritis, Houston, Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center, TMC, Texas, TX, Dallas, Fort Worth, San Antonio, Austin

 

lumbar stenosis, cervical stenosis, spinal stenosis, arthritis, Houston, Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center, TMC, Texas, TX, Dallas, Fort Worth, San Antonio, Austin

lumbar stenosis, cervical stenosis, spinal stenosis, arthritis, Houston, Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center, TMC, Texas, TX, Dallas, Fort Worth, San Antonio, Austin

lumbar stenosis, cervical stenosis, spinal stenosis, arthritis, Houston, Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center, TMC, Texas, TX, Dallas, Fort Worth, San Antonio, Austin

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Laminectomy, Lumbar Laminectomy, Cervical Laminectomy for Lumbar Stenosis, Cervical Stenosis in Houston, Katy, Woodlands, Sugarland, Beaumont, Texas Medical Center TMC

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laminectomy, lumbar laminectomy, cervical laminectomy, lumbar stenosis, cervical stenosis, Houston, West Houston, Sugarland, Woodlands, Katy, Memorial City, Spring

laminectomy, lumbar laminectomy, cervical laminectomy, lumbar stenosis, cervical stenosis, Houston, West Houston, Sugarland, Woodlands, Katy, Memorial City, Spring

A laminectomy is a spinal procedure designed to lower pressure within the spinal canal (spinal stenosis). When it is performed in the low back region for lumbar stenosis, it is known as a lumbar laminectomy, and when in the neck region for cervical stenosis, it is a cervical laminectomy.  During a lumbar laminectomy or cervical laminectomy, the back region of the vertebra, called the lamina, is removed to expand the spinal canal and relieve pressure on the spinal cord (cervical stenosis in the cervical spine), or the nerve roots ( lumbar stenosis in the lumbar spine). Spinal discs (the shock-absorbing pads in between the vertebrae) may rupture or otherwise become displaced. This can raise pressure within the spinal canal or even compress the spinal cord, causing extreme pain and possibly a loss of mobility. As the spinal canal houses the spinal nerves that run through the spinal column, any bone growths, spurs, or herniated disks have the potential to compress these spinal nerves or spinal cord, depending on the level of the spine where the compression occurs. Thickened ligament in the spine may also compress the nerves in the lumbar spine, or the spinal cord in the cervical spine, because the spinal cord travels through the cervical spine, but ends at the top of the lumbar spine, below which only the spinal nerves run within the lumbar spine.  The ligament which often thickens with aging, is known as the ligamentum flavum.  Depending upon where the source of compression of the spinal canal occurs, the surgeon can approach the spine from the front or the back.  When the decompression is from the back, to remove the lamina of the spine, the procedure is known as a laminectomy.

laminectomy, lumbar laminectomy, cervical laminectomy, lumbar stenosis, cervical stenosis, Houston, West Houston, Sugarland, Woodlands, Katy, Memorial City, Spring

laminectomy, lumbar laminectomy, cervical laminectomy, lumbar stenosis, cervical stenosis, Houston, West Houston, Sugarland, Woodlands, Katy, Memorial City, Spring

Most commonly, a laminectomy is performed on patients who suffer from spinal stenosis, a condition in which the spinal canal at certain points is narrower than normal. Symptoms vary widely, with some patients reporting extreme pain and a loss of mobility from compressed spinal nerves or spinal cord.  In a much less common situation, bladder problems can occur from pressure placed on spinal nerves (lumbar stenosis) in the lumbar spine on the cauda equina nerves traveling to internal organs. Patients with cervical stenosis may experience neck pain, or pain in the upper extremities, or in more severe cases, may experience partial or complete paralysis.  When patients with cervical stenosis suffer an injury, they may experience trauma to the cervical spinal cord, resulting in a spinal cord injury.  This could result in paralysis below the level of injury of the spinal cord, or another type of cord injury in which the arms are weak, but the legs are strong (known as central cord syndrome).  Other patients’ quality of life may be relatively unchanged, although if sufficient pressure is placed on the cervical spinal cord, a posterior cervical laminectomy may be recommended to reduce the chances of further trauma.

laminectomy, lumbar laminectomy, cervical laminectomy, lumbar stenosis, cervical stenosis, Houston, West Houston, Sugarland, Woodlands, Katy, Memorial City, Spring

laminectomy, lumbar laminectomy, cervical laminectomy, lumbar stenosis, cervical stenosis, Houston, West Houston, Sugarland, Woodlands, Katy, Memorial City, Spring

Depending on the extent of the pressure placed on the spinal canal, the surgeon may remove parts of the lamina on both sides of the spinal column, in addition to any fragments of bone or disk that are causing the obstruction. Spinal fusion, a procedure in which vertebrae are fused together to ensure stability, may be necessary depending on the total bone loss sustained during the laminectomy, and any foreseen instability of the spine resulting from extensive bone removal. At times, the degeneration of the spine and overgrowth of bone spurs is so severe, that in order to fully decompress the spinal cord in the neck (cervical stenosis) with a cervical laminectomy, or the spinal nerves in the lumbar spine (lumbar stenosis) with a lumbar laminectomy, part or all of the facet joints (which connect the vertebral body above with the one below) may need to be removed.  When this occurs, the spine may become unstable at that segment, and a spinal fusion at that segment may be considered.

laminectomy, lumbar laminectomy, cervical laminectomy, lumbar stenosis, cervical stenosis, Houston

laminectomy, lumbar laminectomy, cervical laminectomy, lumbar stenosis, cervical stenosis, Houston

Patients who are experiencing numbness or pain down one or both legs are advised to seek medical attention. Although there are several different possible causes for the compression of spinal nerves, symptoms may not fully indicate the seriousness of the condition. Continued compression can eventually cause permanent loss of sensation, as well as paralysis of the extremities. Paralysis of the legs, from lumbar stenosis, is very uncommon, but in rare situations, can occur, particularly is the lumbar stenosis is sudden and severe in onset, such as a severe and large herniated disc, or a spine injury fracture.  Patients who experience numbness or pain down one or both arms are also advised to seek medical attention.  If a patient feels a “electric shock” traveling down the spine, known as  a Lhernitte sign, the patient may be suffering from spinal cord compression in the neck (cervical spine).  In this situation, the patient should definitely make an urgent appointment to see a spine surgeon.  Following a cervical laminectomy or lumbar laminectomy, a physical therapy regimen to maintain mobility and strengthen the core will give patients the best chance at restoring stability to their spinal columns.  Core strengthening can be accomplished with physical therapy or by chiropractic treatment with a chiropractor.

Expert neurosurgeons at the Kraus Back and Neck Institute (KBNI) in Houston, TX, have significant experience in treating cervical stenosis and lumbar stenosis.  At times, they are able to treat patients and improve their symptoms without the need for surgery.  When the cervical stenosis or lumbar stenosis is moderate or severe, or the symptoms the patient experiences are unrelenting, a lumbar laminectomy or cervical laminectomy may be performed.  The KBNI neurosurgeons utilize minimally invasive spine surgery techniques when appropriate.

The Kraus Back and Neck Institute (KBNI) in Houston TX takes care of patients in Houston and the surrounding areas, including Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center  (TMC) and other Texas TX cities including Dallas, Fort Worth, San Antonio and Austin.

Patients suffering from a cervical stenosis or lumbar stenosis, or who have been told they may require a lumbar laminectomy or  cervical laminectomy, can

contact the Kraus Back and Neck Institute at

…….  281-713-6296

…….  Or visit www.SpineHealth.com to schedule an appointment online

……. KBNI VIDEO on Back and Neck Pain Treatment : Don’t Live in Fear and Pain

Keywords: laminectomy, lumbar laminectomy, cervical laminectomy, lumbar stenosis, cervical stenosis, Houston, Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center, TMC, Texas, TX, Dallas, Fort Worth, San Antonio, Austin

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Spine Anatomy, Lumbar Spine, Cervical Spine, Thoracic Spine discussion KBNI Houston, Katy, Woodlands, Sugarland, Texas Medical Center TMC

 

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spine, lumbar spine, cervical spine, thoracic spine, Houston, Sugarland, Woodlands, Katy, Spring

spine, lumbar spine, cervical spine, thoracic spine, Houston, Sugarland, Woodlands, Katy, Spring

The anatomy of the spine is varied and complex, with strong bones working in tandem with discs (shock-absorbing pads between the vertebrae), as well as flexible ligaments, tendons, and muscles. The lumbar spine, cervical spine and thoracic spine each have their own very unique structure, allowing for different stresses and strains to be supported, and allowing for very different ranges of motion.  A large collection of very sensitive nerves also dwells in the spinal column, transferring sensory information and motor control from the central nervous system to other parts of the body. There are eight different nerves associated with the cervical spine, twelve with the thoracic spine, and five with the lumbar spine.  The nerves from the cervical spine generally supply movement and sensation to the arms.  The nerves from the thoracic spine are mainly sensory, and supply sensation to the chest and back.  The nerves from the lumbar spine mainly supply motor and sensory function to the legs.

As described above, when talking about the spine, it is generally  divided into three primary regions: the lumbar spine (lower back), thoracic spine (middle back), and cervical spine (neck), while the base of the spine sits on a triangular bone called the sacrum. Each vertebra in the spine also has several parts. For example, vertebrae are divided into the body, which supports the weight of the spinal column, as well as the lamina, which covers the opening that would otherwise allow direct access to the spinal cord. Facet joints (one pair facing upward and one facing downward) link each vertebra in the spinal column and provide articulation points for movement. Repetitive load-bearing stress, poor weight management, and physical trauma can degrade the cartilage on the facet joints to the point where vertebrae are at risk for compressing nearby spinal nerves.

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At times, generally from trauma or degenerative changes (wear and tear on the body), intervertebral discs located between the vertebral bodies, may herniated, and may push against the nerves leaving the cervical spine, lumbar spine, or thoracic spine.  Disc herniations causing symptoms are much more frequent in the cervical spine and lumbar spine than they are in the thoracic spine.  This is because the cervical and lumbar spine are subject to much movement, while the thoracic spine is held in a more rigid position as it is supported by the rib cage.  A herniated disc in the lumbar spine may cause pain in the leg, and weakness of the leg.  A herniated disc in the cervical spine may cause pain in the arm, or weakness of the arm.  When a herniated disc in the cervical spine compresses the cervical spinal cord, it may result in a spinal cord injury and possibly partial or complete paralysis, from the level of the spinal cord compression and below.  For example, if there is severe pressure on the spinal cord at the level of C5/6, a patient may have good strength in the deltoid muscles at the shoulders, but be otherwise paralyzed in the more distal arms and legs.  A herniated disc in the thoracic spine may cause pain around the chest and rib cage, but when pressing on the thoracic spinal cord, may also cause partial or complete paralysis from the level of the compression and down.

Spinal nerves are particularly susceptible to injury, given that they do not regenerate once they have endured sufficient physical trauma. This is why conditions that threaten the integrity of the spinal cord—such as spinal tumors, bone spurs, and spinal fractures—must be diagnosed and treated as soon as possible. Physicians often require several imaging exams, such as CT scans, X-rays, and magnetic resonance imaging, to determine whether there are any structural problems within the spinal column that may compromise the spinal cord.

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From an anatomical perspective, many patients who suffer from low back pain and strains and sprains often simply need to develop their torso through a series of core strengthening low back strengthening exercises. Increased blood flow will help aid the network of ligaments, tendons, and muscles that assist the spinal column of the lumbar spine in distributing the body’s weight. Back pain, when understood and treated, can be improved without surgery.  As such, core strengthening is often a hallmark of physical therapy regimens for patients who have undergone spinal procedures.  The same can be said for neck pain.  Strengthening of the neck and paraspinal muscles adjacent to the cervical spine may help with neck pain.  Strengthening of the muscles surrounding the thoracic spine may also help with mid back thoracic pain.

Spine experts at the Kraus Back and Neck Institute (KBNI) in Houston TX treat disorders of the cervical spine, thoracic spine and lumbar spine.  Many patients are seen after experiencing years of spine pain, or after having suffered a car or truck accident.  Regardless of the cause or duration of pain, physicians at the KBNI obtain the appropriate imaging studies and nerve studies to look for the source of the pain.  After the source of pain is localized, treatment can begin to attempt to treat and improve the pain.  Neurosurgeons at the KBNI have found that the majority of patients suffering from pain do not need an operation on the spine, but when surgery is needed, they have the ability to perform the spine surgery using the latest techniques in minimally invasive spine surgery when appropriate.

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The Kraus Back and Neck Institute (KBNI) in Houston TX takes care of patients in Houston and the surrounding areas, including Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center  (TMC) and other Texas TX cities including Dallas, Fort Worth, San Antonio and Austin.

Patients suffering from a herniated disc can contact the Kraus Back and Neck Institute at

…….  281-713-6296

…….  Or visit www.SpineHealth.com to schedule an appointment online

……. KBNI VIDEO on Back and Neck Pain Treatment : Don’t Live in Fear and Pain

Keywords: spine, lumbar spine, cervical spine, thoracic spine, Houston, Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center, TMC, Texas, TX, Dallas, Fort Worth, San Antonio, Austin

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Herniated Disc Houston, Herniated Disc Surgery Houston review by KBNI Houston, Katy, Woodlands, Sugarland, Beaumont, Baytown, Memorial City, TMC Texas Medical Center

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herniated disc, herniated disc surgery, herniated disc Houston, Houston, Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Beaumont

herniated disc, herniated disc surgery, herniated disc Houston, Houston, Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Beaumont

A herniated disc is an extremely common problem and diagnosis in the United States, leading many to consider herniated disc surgery. The spinal discs are flexible pads that sit between each of our vertebrae and act as shock-absorbers for the spine and body. Each spinal disc is composed of a tough exterior (annulus fibrosus) wrapped around a softer, jelly-like interior nucleus pulposus). Over time, our spinal discs naturally degenerate, becoming thinner, harder, and less capable of absorbing the stresses of everyday movement. This condition is known as degenerative disc disease.  Excessive wear and tear (such as from bending and twisting or repetitive heavy lifting) will accelerate the natural wearing process and increase the chances of compressed spinal nerves and severe back pain or leg pain (sciatica) or arm pain  . Normally, we are able to weather the changes in our spine as we age without severe pain, but sometimes this is not the case. Certain structural problems, like herniated discs, can reduce mobility significantly.

A herniated disc occurs when a disc is damaged to the point that some of the soft inner material of the disc protrudes through a hole in some of the disc’s tough exterior. Holes may occur in many different ways, including age or sudden physical trauma. After the protrusion occurs, the disc is now displaced in the spinal column and may impinge on nearby spinal nerves, causing extreme back pain or leg pain (sciatica) or arm pain. This is not the case for all herniated disc patients, however. Sometimes the injury is gradual and patients do not feel as much pain, even though their spinal discs may have suffered serious trauma. If a spinal herniated disc problem is suspected, patients should seek immediate medical attention. Your doctor will give you a complete physical examination to narrow the possible causes for your back pain or sciatica. Imaging tests (x-rays, magnetic resonance imaging) will help determine if the soft tissues of the spinal discs and nerves has been damaged and to what extent.

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herniated disc, herniated disc surgery, herniated disc Houston, Houston, Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Beaumont

Fortunately, in most cases it is possible for herniated disc patients to preserve their mobility and improve  their pain levels. Physical therapy or chiropractor treatment designed to strengthen core muscles in the torso and along the spinal column will help patients immeasurably during their recovery. Core-strengthening exercises help patients by allowing muscles in the torso to better assist in load-bearing during the body’s routine movement. A stronger core therefore means a lower incidence of re-injury, relief for nearby spinal nerves, and a higher overall quality of life for patients. For some herniated disc patients, however, their back pain may be too severe to be mediated solely by physical therapy or other conservative treatments. These patients may need corrective back surgery or herniated disc surgery to remove parts of the damaged disc and re-stabilize the spinal column with metal plates and / or screws (spinal fusion) in the lumbar spine or an anterior cervical discectomy with fusion in the cervical spine. Physical therapy is also typically involved in post-operative care for back surgery patients.

Expert physicians at the Kraus Back and Neck Institute (KBNI)  in Houston TX have expertise in treating patients with herniated disc Houston.  At the KBNI, neurosurgeon experts believe that most patients with a herniated disc can be treated without the need of an operation, and they can frequently implement a course of treatment which improves patient’s pain without the need of a surgery.  When herniated disc surgery Houston is needed, neurosurgical experts at the KBNI employ the most current minimally invasive spine surgery techniques when appropriate.

herniated disc, herniated disc surgery, herniated disc Houston

herniated disc, herniated disc surgery, herniated disc Houston

The Kraus Back and Neck Institute (KBNI) in Houston TX takes care of patients in Houston and the surrounding areas, including Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center  (TMC) and other Texas TX cities including Dallas, Fort Worth, San Antonio and Austin.

 

Patients suffering from a herniated disc can contact the Kraus Back and Neck Institute at

…….  281-713-6296

…….  Or visit www.SpineHealth.com to schedule an appointment online

……. KBNI VIDEO on Back and Neck Pain Treatment : Don’t Live in Fear and Pain

Keywords: herniated disc, herniated disc surgery, herniated disc Houston, Houston, Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center, TMC, Texas, TX, Dallas, Fort Worth, San Antonio, Austin

 

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Chiropractor Near Me and Sciatica Exercises with Chiropractor Houston, Sciatica Treatment discussion by KBNI Houston

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chiropractor near me, chiropractor Houston, sciatica exercises, sciatica treatment, Houston, Sugarland, Woodlands, Katy

chiropractor near me, chiropractor Houston, sciatica exercises, sciatica treatment, Houston, Sugarland, Woodlands, Katy

A chiropractor near me is often requested by many patients suffering from low back pain or neck pain.  Chiropractic care is a branch of alternative medicine that specializes in the prevention and treatment of mechanical problems in the musculoskeletal system (particularly the spine). A chiropractor Houston may be well versed in sciatica treatment, and be able to prescribe the appropriate sciatica exercises to treat low back pain and radicular symptoms known as sciatica.

Radicular symptoms refers the condition where a herniated disc in the neck or low back is pressing upon a nerve in the spinal column.  This causes the body to think that pain is coming from the extremity which is supplied by that nerve.  For example, if a herniated disc is pressing upon a nerve which goes to the leg, in the lumbar spine, the patient will feel pain in that leg.  This sensation of radiating pain, or radicular pain, is known as sciatica. A chiropractor Houston or a chiropractor near me may be able to help this with sciatica exercises.  Patients may have suffered an injury such as a car accident (possible whiplash injury or other), or a sports injury, or no injury at all, and simply having awakened one morning with pain.

Chiropractors believe that a compromised musculoskeletal system adversely affects the nervous system and overall physical health. While some physicians may debate the efficacy of chiropractic care as a form of evidence-based medicine, our spines are most certainly involved in every kind of motion: sitting, standing, lifting, bending, twisting, walking, running, etc. Our spinal discs (shock-absorbing pads between our vertebrae) and facet joints (cartilage-covered joints that link our vertebrae) normally allow for pain-free articulation of the spinal column within a normal range of motion. However, both the spinal discs and facet joints naturally degenerate over time, becoming less capable of managing the body’s movements without producing back pain. Spinal discs become thinner, harder, and less pliable, while the cartilage on the end of facet joints degrades.  Finding a chiropractor near me or a chiropractor Houston may help with improvement of some of the symptoms of spinal disc degeneration, and help with sciatica exercises and other forms of sciatica treatment in Houston.

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chiropractor near me, chiropractor Houston, sciatica exercises, sciatica treatment, Houston, Sugarland, Woodlands, Katy

Compounding all of these natural processes is the risk for physical trauma and structural deformity. If the curve of the spine deviates too far from the norm, severe back pain may result and the patient will likely lose mobility. Chiropractic care can, over several sessions, help to re-align the spine if the patient is suffering from certain structural problems. Physicians will still likely order imaging tests to examine the musculoskeletal system more closely, given that a misdiagnosis can cause serious complications. X-rays and magnetic resonance imaging (MRI) will help to see the spinal discs and nerves in high detail. This information will help physicians determine if the patient may experience benefits from chiropractic care (or if, on the other hand, their long-term mobility may be threatened by it).

If a chiropractor near me for chiropractic care is being considered, many physicians recommend supplementing it with a core-strengthening physical therapy regimen. Keeping muscles along the spinal column and throughout the torso strong will allow them to assist the spinal discs and facet joints in bearing the body’s weight during routine movement. Many physical therapy exercises are able to be completed at home, giving patients a continual, long-term option to maximize mobility and mediate pain levels. Sciatica exercises can be performed throughout life, not only for sciatica treatment, but for prevention of sciatica.  A chiropractor Houston may be able to provide excellent guidance.

Your physicians will most likely request frequent checkups during your course of treatment. Be sure to tell your doctors all relevant information regarding your mobility and strength, as well as any information regarding changes in your pain levels during physical activity. Honesty will help you minimize back pain and maximize long-term mobility by keeping a healthy spinal column as you age.

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chiropractor near me, chiropractor Houston, sciatica exercises, sciatica treatment, Houston, Sugarland, Woodlands, Katy

The Kraus Back and Neck Institute (KBNI) in Houston TX, treats patients with lower back pain, neck pain, herniated discs, spinal stenosis, spondylolisthesis, spinal fractures, osteoporosis of the spine, and other spinal disorders.  Experts at the KBNI believe that most patients experiencing these symptoms can be treated without the need of an operation, but when surgery is necessary, the KBNI can provide the most advanced spine surgery using minimally invasive techniques when appropriate.  The KBNI philosophy is that a multidisciplinary approach to the treatment of low back pain, neck pain, and other spinal disorders, is the best.  Chiropractic treatment, physical therapy, pain management, epidural injections, SI joint injections, and other conservative measures play a very significant role in the treatment of spine pain, in addition to the role spine surgery plays.

The Kraus Back and Neck Institute (KBNI) in Houston TX takes care of patients in Houston and the surrounding areas, including Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center  (TMC) and other Texas TX cities including Dallas, Fort Worth, San Antonio and Austin.

If you have SUFFERED AN INJURY, you can contact the Kraus Back and Neck Institute at

…….  281-713-6296

…….  Or visit  www.SpineHealth.com to schedule an appointment online

…….  KBNI VIDEO on Back and Neck Pain Treatment : Don’t Live in Fear and Pain

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Truck Accident Car Accident Car Insurance Discussion KBNI Houston, Katy, Woodlands, Sugarland, Memorial

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personal injury lawyer, back pain, car accident, insurance agent, Houston, Sugarland, Woodlands, Katy

personal injury lawyer, back pain, car accident, insurance agent, Houston, Sugarland, Woodlands, Katy

Being involved in a truck accident or car accident can disturb everyday life, both medically and legally speaking. Not only does one need to worry about recovering physically, but the legal fallout following an accident (including personal lawsuits) often pushes families into debt and makes a full recovery much more difficult. Thankfully, there are several steps you can take to minimize your chances of harmful legal action after a car accident.

After you have checked yourself and other parties for injuries, you’ll want to document the entire truck accident or car accident as accurately as possible. When police arrive, get the name and badge identifying number of all police officers on the scene. Knowing about the officers will help all parties involved remember that they are accountable for the information they record and the actions they take. It will also help you if you need to contact the police department in the coming weeks in order to verify details on the police report. Take pictures of the scene itself, documenting any personal injuries as well as the damage done to any vehicles involved. If you are experiencing neck pain or low back pain (indicating back injury or a herniated disc ) or other injuries, be sure to have the police document that in the report. Record the addresses of all parties involved, as well as any other relevant contact information. Having the means to contact the other parties is important to facilitate quick communication if there are any legal consequences.

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personal injury lawyer, back pain, car accident, insurance agent, Houston, Sugarland, Woodlands, Katy

When it comes to discussing the car accident or truck accident itself, discuss details only with the police to avoid confrontation with other parties involved. You may be injured, angry, experiencing neck pain or low back pain or other symptoms, etc. This is not the right frame of mind to objectively describe an accident. Talk with the police, try to remain calm, and recount what happened as clearly and as accurately as possible.

In the coming weeks, talking to a personal injury lawyer ( who can deal with a truck accident or car accident) may be necessary depending on the extent of your injuries. Personal injury lawyers specialize in tort law, which deals primarily with civil wrongs and personal property / reputation / injury claims. Your injuries may give you grounds to seek compensation from the other parties involved in the accident. Your insurance agent will also be an extremely important source of information. Learn all you can about your insurance policy, including anything that pertains to the nature of your truck accident or car accident. Call your insurance agent and ask any questions you might have regarding policy or aspects of the documentation you do not understand. Your insurance agent may also be able to provide you with information on the best course of action moving forward, as well as recommendations for local personal injury lawyers.

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personal injury lawyer, back pain, car accident, insurance agent, Houston, Sugarland, Woodlands, Katy

The Kraus Back and Neck Institute (KBNI) in Houston TX medically treats patients who have suffered from an injury, and may suffer from back pain or neck pain.  Patients who have been injured recently or in the past can be evaluated.  Physicians at the KBNI will evaluate the patients, and obtain appropriate imaging, including MRI scans, CT scans and X rays as needed.

The Kraus Back and Neck Institute (KBNI) in Houston TX takes care of patients in Houston and the surrounding areas, including Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Texas Medical Center  (TMC), Memorial City and other Texas TX cities including Dallas, Fort Worth, San Antonio and Austin.

If you have SUFFERED AN INJURY, you can contact the Kraus Back and Neck Institute at

…….  281-713-6296

…….  Or visit  www.SpineHealth.com to schedule an appointment online

…….  KBNI VIDEO

 

Keywords: personal injury lawyer, back pain, car accident, insurance agent, Houston, Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center, TMC, Texas, TX, Dallas, Fort Worth, San Antonio, Austin

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personal injury lawyer, back pain, car accident, herniated disc


This discussion is not meant to give legal or other advice, but is a discussion of things to keep in mind.  For any advice about what to do regarding an accident, readers are advised to contact their attorney, insurance agent, and any other advisers they use.  KBNI is not providing legal advice.

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Truck Accident Car Accident or Personal Injury What Should a Driver Do from a Medical Perspective Review KBNI Houston

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truck accident, car accident, personal injury, back pain

truck accident, car accident, personal injury, back pain

If you retain consciousness at the scene of a truck accident, car accident or other personal injury,  there are a few steps you can take to maximize your chances of retaining your long-term mobility and minimizing the possibility of a spinal cord injury. First, keep as still as possible. Assess your physical situation: do you have free movement of your limbs? Do you notice any neck pain, back pain, spine pain, numbness, or muscle weakness? If any of your limbs are incapacitated, is it because they have been trapped by the wreckage or because you have lost sensation or are experiencing extreme pain? In either case, seek medical attention as soon as possible. If you have retained the ability to speak, communicate your situation as clearly as possible to any nearby witnesses. If you are alone and do not expect passersby, you must weigh the risk of movement against the possibility that your injuries will worsen over time. If you believe your overall situation will decline without help, then you may have to risk attempting to contact others despite your injuries.

truck accident, car accident, personal injury, back pain

truck accident, car accident, personal injury, back pain

If you notice any neck pain or back pain after a truck accident, car accident or other personal injury, try to keep from moving these regions as much as possible. A serious spinal cord injury is not necessarily the most painful, due to the way the spinal nerves work. Spinal nerve pathways run the length of our spinal cord and provide physical sensation to much of the body. If they are damaged (such as by vertebral fragments during physical trauma), these fragments can pierce the spinal cord and lacerate the spinal nerve pathways. Patients with these spinal cord injuries often lose sensation below the point of trauma (paralysis). Lacerations do not necessarily have to occur, however. Sufficient force can also bruise the spinal cord and cause serious long-term health complications, including paralysis.

If you are experiencing back pain or a loss of sensation following a truck accident, car accident or other personal injury, it’s very important that you seek medical attention as soon as possible. When paramedics, police officers, or other personnel arrive at the scene, communicate your symptoms as clearly and specifically as you can. Do not refrain from inconveniencing medical personnel for the sake of propriety. Seeking medical attention immediately and providing accurate information to medical personnel will give you the greatest chance at making a full recovery and minimizing long-term health complications. Once at the hospital or in the ambulance, medical personnel can begin advising you on how to further increase your chances of an effective recovery. If you retain consciousness during the journey to medical facilities, provide as much information as possible to your physician upon arrival.

truck accident, car accident, personal injury, back pain

truck accident, car accident, personal injury, back pain

Once at a medical facility, the doctors can further assess the situation, and perform a physical examination to determine what type of injury has occurred, and the best way to treat it.  Patients will typically be on a spine immobilizer board until it is determined that they have not suffered a fracture of the spine.  After a truck accident, car accident or other personal injury, patients will typically be placed in a hard cervical collar, sometimes known as a Philadelphia Collar, until it is determined that there is no fracture to the cervical spine (known as “clearing the C spine.”)

After a truck accident, car accident or other personal injury, the initial medical care is sometimes critical in determining what the eventual fate will be of the accident victim.

Neurosurgeons at the Kraus Back and Neck Institute (KBNI) in Houston TX, are experts in caring for patients with spine injuries.  Patients who have experienced a truck accident, a car accident, or other types of personal injury are evaluated.  Whether the accident occurred recently, or in the distant past, patients are seen and cared for.  After meeting with an expert at the KBNI, an history will be taken regarding the details and circumstances of the truck accident or car accident.  Then, a physical examination will be performed, to assess the functioning of the body and nervous system.  Then, imaging studies may be ordered, if necessary, to help determine the problem.

The Kraus Back and Neck Institute (KBNI) in Houston TX takes care of patients in Houston and the surrounding areas, including Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Texas Medical Center  (TMC) and other Texas TX cities including Dallas, Fort Worth, San Antonio and Austin.

If you have SUFFERED AN INJURY, you can contact the Kraus Back and Neck Institute at
…….  281-713-6296
…….  Or visit  www.SpineHealth.com to schedule an appointment online
…….  KBNI VIDEO

 

Keywords:  truck accident, car accident, personal injury, back pain, Houston, Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Texas Medical Center, TMC, Texas, TX, Dallas, Fort Worth, San Antonio, Austin

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truck accident, personal injury, houston, katy, sugarland, spring, woodlands, conroe

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Healthy Diets for Minimizing Low Back Pain and Neck Pain, from KBNI Houston, Sugarland, Woodlands, Memorial City, Pearland, Katy, Beaumont, Humble, Kingwood, Texas Medical Center, TMC

 

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low back pain, neck pain, proper nutrition, hydration, spinal column, katy, kingwood, humble, memorial city, memorial city, sugarland, woodlands, Texas Medical Center, TMC

Normally, is not the first thing patients think about when considering how to address their low back pain or neck pain. Yet, proper nutrition can have profoundly positive effects on a patient’s lifestyle, including reducing their overall neck and back pain levels. While anti-inflammatory drugs and pain relievers help to temporarily reduce a patient’s chronic back pain, these medications actually do not address the underlying causes of the pain, some of which may be related to the patient’s diet.

First, proper hydration is crucial in preventing muscle spasms and cramping. Many people do not consume enough water (typically an ounce per pound of body weight, varying according to physical activity) in the course of their daily routines. Severe cramping or muscle spasms can have adverse effects on the spinal column, causing compression in the spinal nerves that in turn produces severe pain. Proper hydration also helps maintain the cartilage between the spinal column’s joints—a dehydrated joint degrades more quickly as a result of the load-bearing stress of daily movement.

Protein—particularly from lean meats and fish—will help maintain the muscles, tendons, and ligaments in the spinal column. Along with physical therapy and core strengthening exercises, protein is a key component in ensuring the muscles of the spinal column can properly assist the spinal joints in load-bearing activities. Healthy fats from coconuts, beef, and fish will help maintain the cartilage in the spinal column’s joints, as well as the joints in other regions of the body. This significantly lowers the chances that a joint will degrade to the point of compressing nearby spinal nerves.

low back pain, neck pain, proper nutrition, hydration, spinal column, katy, kingwood, humble, memorial city, memorial city, sugarland, woodlands, Texas Medical Center, TMC

low back pain, neck pain, proper nutrition, hydration, spinal column, katy, kingwood, humble, memorial city, memorial city, sugarland, woodlands, Texas Medical Center, TMC

Calcium, vitamin D, and many trace nutrients will help maintain proper bone density. This is particularly important in older patients, as osteoporosis (low bone density) can cause weak regions in the bones. When subjected to the normal stresses of daily movement, spinal or hip fractures can lead to dangerous falls in elderly patients. Proper nutrition and nutritional supplements reduces incidence of spinal and hip fractures, in addition to keeping bone density at near-optimal levels.

The Kraus Back and Neck Institute in Houston, TX, believes that proper nutrition and a healthy diet is important for preventing low back pain and neck pain, but additionally, if one already has these conditions, it will help to improve healing and reduce the pain.  Proper nutritional counseling may be very important for the healing process.  The KBNI treats patients, from the Houston TX area and surrounding areas including Sugarland, Woodlands, Memorial City, Pearland, Katy, Beaumont, Humble, Kingwood, and the Texas Medical Center (TMC).  Any patients suffering from low back pain or neck pain, in Houston or other areas of the county, are welcome to call for an office appointment.  They may also schedule online at www.spinehealth.com

Video for Kraus Back and Neck Instiute and Low Back Pain / Neck Pain

Keywords: low back pain, neck pain, proper nutrition, hydration, spinal column, katy, kingwood, humble, memorial city, memorial city, sugarland, woodlands, Texas Medical Center, TMC

 

low back pain, neck pain, proper nutrition, hydration, spinal column, katy, kingwood, humble, memorial city, memorial city, sugarland, woodlands, Texas Medical Center, TMC

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Spinal Fusion including Lumbar Fusion and Cervical Fusion for Pain and Nerve Compression in Houston, Katy, Woodlands, Sugarland, Memorial City, Texas Medical Center, TMC, Humble, Kingwood, Conroe and Beaumont

 

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spinal fusion, lumbar fusion, cervical fusion, nerve compression, pain, Houston, katy, woodlands, sugarland, memorial city, texas medical center, TMC, humble, kingwood, Conroe, beaumont

spinal fusion, lumbar fusion, cervical fusion, nerve compression, pain, Houston, katy, woodlands, sugarland, memorial city, texas medical center, TMC, humble, kingwood, Conroe, beaumont

Bone fusion (also called arthrodesis) (when performed in the low back  spine is called lumbar fusion, when performed in the neck is called cervical fusion) is the procedure by which bones are joined at specific joints, most often to alleviate pain. The new fused bones are allowed to grow together. This lowers pain levels because at common bone fusion sites (lumbar or lower spine, wrists, ankles, or thumbs, neck or cervical spine) there are often nerves nearby that are responsible for  sensation, as well as recognition of joint position and movement. Bones on either side of the deteriorating joint can compress these nerves and cause extreme pain. Fusing these bones significantly lowers the incidence of nerve irritation, and when bone spurs are removed, can reduce nerve compression.

Causes for a patient desiring bone fusion surgery, or spinal fusion surgery can include rheumatoid arthritis and osteoarthritis, as well as severe back pain due to tumors or herniated (slipped) discs. Like other joints in the body, the discs (shock-absorbing pads) between our spinal vertebrae, can wear out. Nerve compression in the spine occurs much more frequently when these spinal discs have been thinned or ruptured by age and activity. The arthritis, as well as the chronic herniated discs, can compress nerves passing next to them.  As in other regions of the body, bone fusion is a possible solution for reducing pain, but it will eliminate mobility at that particular joint.

Neurosurgeons at the Kraus Back and Neck Institute, in Houston, have a significant experience with utilizing spinal fusion (lumbar fusion, cervical fusion) to treat neck pain and low back pain in patients.  They have offices located in Houston and surrounding areas of Katy, Woodlands, Sugarland, Memorial City, Texas  Medical Center (TMC), Humble, Kingwood, Conroe, and Beaumont.

Bone fusion is somewhat unique in that in many cases, it seeks to mimic the body’s natural healing response. In one version, bone is taken from another region in the body and inserted between the two or more bones that are being fused together. This “foreign” bone stimulates bone growth during post-operative care, as it is placed under pressure and adjacent to other bone, which has been prepared to grow into the new bone graft.  Other versions of bone fusion or spinal fusion may include implantation of wires, metal plates, screws, and other devices to accurately position the new joint, and keep it immobile, while the new bone is trying to grow into the bone graft. Adequate rest and physical therapy during post-operative care are absolutely essential to ensure that a proper bone fusion takes place. If the new joint is displaced by excessive movement, subsequent corrective surgeries may be necessary to re-set the bone.

spinal fusion, lumbar fusion, cervical fusion, nerve compression, pain, Houston, katy, woodlands, sugarland, memorial city, texas medical center, TMC, humble, kingwood, Conroe, beaumont

spinal fusion, lumbar fusion, cervical fusion, nerve compression, pain, Houston, katy, woodlands, sugarland, memorial city, texas medical center, TMC, humble, kingwood, Conroe, beaumont

The technique of lumbar fusion or cervical fusion  (spinal fusion) can be performed in several ways.  The general principle is to have bone grow across the currently mobile disc space.  A number of techniques are possible.  One approach is to try to achieve this fusion on the sides of the spine, between what are known as transverse processes, which project outward from the vertebral bodies.  In doing so, the surgeon exposes these transverse processes during the operation, and removes the outer coating of the bone, known as the cortex, thus exposing the inner cancellous bone, which is the honeycomb type of bone seen when one breaks open a chicken bone.  With the outer hard cortex removed, the inner cancellous bone will attempt to grow into the bone graft which it is in contact with.  This bone graft can be placed on the side of the spine, which is known as a lumbar posterolateral fusion.  It can also be placed between the vertebral bodies, which is known as an interbody fusion.  When this type of lumbar fusion is performed, it is called a lumbar intervertebral body fusion.  When this type of cervical fusion is performed, it is called a an anterior cervical discectomy and fusion (ACDF).  In the cervical spine, this type of fusion is generally performed through an anterior approach, which means going in through the front of the neck.  When this interbody fusion is performed in the lumbar spine, it can be performed from the back of the spine (known as a PLIF (posterior lumbar interbody fusion) or a TLIF (transverse lumber interbody fusion), the front of the spine (known as an ALIF (anterior lumbar interbody fusion).  It can also be performed from the side of the spine, known as an XLIF (extreme lateral interbody fusion) or a DLIF (direct lateral interbody fusion) (these different names utilized basically the same lateral approach, but were given different names by two different manufacturers of the spinal hardware equipment (Nuvasive and Medtronic).  It can also be performed through an approach going straight up the spine, through an incision made next to the tail bone, known as an AXIALIF (axial lumbar interbody fusion), the instruments of which are manufactured by TranS1.

There are also a number of different grafts which can be used for promoting the bone growth in a spinal fusion.  Cadaver bone can be used, which is harvested from cadavers.  This is known as allograft.  Bone can be taken from the patient undergoing surgery, either from a different site or from the same site.  This is known as autograft.  Substances known as bone morphogenic protein (BMP) ( Medtronic manufactures Infuse) can be used locally to promote bone growth.  Stem cells, taken from the patient’s own blood which has been spun down in a centrifuge, can be placed over the graft to help promote bone growth.

Candidates for bone fusion / spinal fusion also need to be aware of the effects of smoking on the procedure. Osteoblasts (bone-growing cells) are needed in droves to ensure a speedy recovery. One of the addictive chemicals in cigarettes, nicotine, is toxic to osteoblasts and can substantially lengthen the time necessary for a complete bone fusion, or even make it impossible to achieve. Smokers are advised to abstain before and after the procedure.

Patients suffering pain in the neck, low back, or other portions of the spine, can call the Kraus Back and Neck Institute in Houston, TX.  They will be evaluated and appropriate tests will be ordered.  No imaging studies are required for patients to be seen.

http://www.spinepain.com/anterior-cervical-discectomy-with-fusion-kraus-back-neck-institute.html

http://www.neurosurgery.com

http://www.neurosurgeryhouston.com/services/spine-conditions

spinal fusion, cervical fusion, lumbar fusion for nerve compression and pain in Houston

spinal fusion, cervical fusion, lumbar fusion for nerve compression and pain in Houston

Key Words: spinal fusion, lumbar fusion, cervical fusion, nerve compression, pain, Houston, katy, woodlands, sugarland, memorial city, texas medical center, TMC, humble, kingwood, Conroe, beaumont

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Minimally Invasive Surgery: Houston, Kingwood, Spring, Woodlands, Katy, Memorial City, Humble: 281-713-6296

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         Minimally Invasive Spine Surgery

 

physical rehabilitation, minimally invasive surgery, spine surgery, back pain, back surgery, sciatica, Houston, katy, spring, texas medical center, Woodlands, Sugar Land

physical rehabilitation, minimally invasive surgery, spine surgery, back pain, back surgery, sciatica, Houston, katy, spring, texas medical center, Woodlands, Sugar Land

Until relatively recently back surgery required large incisions accompanied by long periods of physical rehabilitation in post-operative care. With recent surgical advancements, however, new procedures have resulted in much shorter periods of physical rehabilitation. These surgical procedures—termed minimally invasive surgery or laporoscopic surgery—have revolutionized the way physicians approach not only back surgery, but several other varieties of major surgery as well.

Neurosurgeons specializing in spine surgery, Dr. Gary Kraus MD and Dr. Masaki Oishi MD PhD, at the Kraus Back and Neck Institute in Houston TX, have a vast experience in performing minimally invasive surgery of the spine.  The procedures can be used to treat low back pain, neck pain, herniated discs of the spine, as well as sciatica.  In some cases, spinal stenosis and  spondylolosthesis can also be treated with minimally invasive techniques.  Patients throughout the Houston and surrounding areas, including Katy, Spring, Woodlands, Sugar Land, Memorial City and the Texas Medical Center have trusted the neurosurgeons at the Kraus Back and Neck Institute for treating their spine with minimally invasive surgery.  Call 281-713-6296 for an appointment.

Minimally invasive surgeries typically involve one or more small incisions into which physicians insert thin plastic tubes. The tubes then provide the means for small observation cameras to be inserted. Using these cameras, surgeons can continuously adjust their technique during the operation, minimizing scarring and ultimately decreasing the patient’s post-operative pain levels and length of recovery. New robotic surgical assistants further contribute to the process by plotting optimal routes of incision and minimizing the number of physical adjustments a surgeon makes.

Many types of back surgery, however, do not have minimally invasive equivalents. Thorough medical consultation should be a top priority for patients considering minimally invasive surgery, as a misdiagnosis could result in a less effective procedure. Should the patient be a good candidate, a shorter, less expensive hospital stay and a faster recovery is the norm. This makes physical therapy all the more necessary—patients may feel that they can skip the process entirely given that their pain levels during post-operative care are much lower. Patients are advised to follow up on their physical therapy sessions as well as any subsequent visits to their spinal specialist. This will minimize the possibility of additional back surgery as well as maximize the chances for an effective recovery.

Physical rehabilitation for minimally invasive surgery is often similar to other kinds of surgery. In the case of most back surgery, core strengthening is often emphasized to assist in load-bearing activities (lifting, sitting, and standing) as well as to pressure from the spinal discs. Patients will also receive information on how to change their daily lifestyles to minimize the chances of re-injury and subsequent surgery.

Neurosurgeons Dr. Kraus and Dr. Oishi, at the Kraus Back and Neck Institute, would be available for consultation to any patients suffering from low back pain, neck pain, sciatica, herniated discs, or any other spinal disorders.  Even though they offer minimally invasive surgical approaches to the spine, they are able to treat many of their patients without the need for surgery.  Patients from the Houston and surrounding areas including Katy, Spring, Woodlands, Sugar Land, Memorial City and the Texas Medical Center, can be seen without any prior testing or imaging studies.

http://www.neckpain.com/minimally-invasive-kraus-back-neck-institute.html

Keywords: physical rehabilitation, minimally invasive surgery, spine surgery, back pain, back surgery, sciatica, Houston, katy, spring, texas medical center, Woodlands, Sugar Land

 

physical rehabilitation, minimally invasive surgery, spine surgery, back pain, back surgery, sciatica, Houston, katy, spring, texas medical center, Woodlands, Sugar Land

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