Archive for July, 2014

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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