Archive for category cervical spine
Cervical Disc Replacement, Houston, Katy, Sugarland, Memorial City, Texas
Posted by admin in artificial disc, baytown, beaumont, cervical disc replacement, cervical fusion, cervical laminectomy, cervical spine, cervical stenosis, disc degeneration, fusion, herniated disc, herniated disc surgery, houston, katy, neck pain, pain, sugarland, woodlands on September 27, 2014
CERVICAL DISC REPLACEMENT
cervical disc, spinal disc, pain levels, neck pain, Houston, Woodlands, Katy, Spring, Sugarland, Sealy, Pearland, Baytown, Beaumont, Tomball, Galleria, Humble
The spinal discs (shock-absorbing pads between our vertebrae) help us manage the shocks and stresses of daily movement. Our spines are heavily involved in most kinds of motion (sitting, standing, bending, lifting, twisting, etc.). As such, the facet joints that link our vertebrae as well as the spinal discs between them need to be extremely durable and operate with low back and neck pain levels during normal motion. Unfortunately, this is not always the case. Spinal structural deformities, trauma, heavy lifting, and inactivity can all play their part in compromising parts of the spinal column. The natural aging process compounds these factors due to the fact that spinal discs naturally degenerate over time. Spinal and cervical discs become thinner, harder, and less pliable as we age, and as a result they are far less capable of managing the stresses of daily life. We are also more likely to experience back and neck pain as a result of these changes.
All of these problems may create problems in the cervical discs in our necks. Since the neck is routinely engaged in movement, compromised cervical discs can severely affect mobility by causing pain during routine motion. Fortunately, there are a variety of strategies patients can use to mediate pain levels. Over-the-counter non-steroidal anti-inflammatory drugs (NSAIDs) can help mediate pain levels while restoring enough mobility for patients to explore other treatment options. Physical therapy focuses on developing muscles along the spinal column and surrounding the neck to offer support to cervical discs and relieve some of the weight they would otherwise have to bear during routine movement.
For more serious cases, such as severe structural deformity, trauma, or extreme neck pain not resolved by more conservative treatments, cervical disc replacement or cervical fusion may be the best option, depending upon the specific findings, recommendations of the surgeon, and desires of the patient. Since this surgery may be both serious and financially costly, physicians typically do not recommend it unless the compromised cervical disc is threatening other functions in the body (causing a loss of sensation, impinging on nearby spinal nerves, causing muscle weakness, etc.). Bone spurs and compromised cervical discs are the most common causes and physicians operate primarily to maintain the patient’s long-term health, as opposed to simply seeking to reduce pain levels. Of course, indications for surgery may vary from patient to patient.
Recovery for cervical disc replacement, like many types of spinal surgery, can be brief to more prolonged . Rest, a healthy diet, and regimens of physical therapy are necessary to re-develop damaged muscles and relieve some of the pressure on cervical discs. Your physician will likely order several checkups to maintain a sense of your progress and to readjust your course of treatment as needed.
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.
Keywords: cervical disc, spinal disc, pain levels, neck pain, Houston, Woodlands, Katy, Spring, Sugarland, Sealy, Pearland, Baytown, Beaumont, Tomball, Galleria, Humble, Conroe, Kingwood, Port Arthur, Memorial City, Galveston, Texas Medical Center (TMC), Dallas, Fort Worth, San Antonio, Austin
Spinal Imaging Cervical Thoracic Lumbar Spine with MRI and CT by KBNI Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center
Posted by admin in baytown, beaumont, cervical, cervical spine, ct, disc degeneration, fracture, fusion, houston, katy, lumbar, lumbar fusion, lumbar laminectomy, lumbar spine, lumbar stenosis, mri, sciatica, spinal fusion, sugarland, thoracic spine, woodlands on July 10, 2014
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
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
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 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
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
Lumbar Stenosis, Cervical Stenosis, Arthritis, Spinal Stenosis and Effects of Aging on Spine discussion KBNI Houston, Katy, Woodlands, Sugarland, Beaumont, Texas Medical Center TMC
Posted by admin in arthritis, back injury prevention, baytown, beaumont, cervical, cervical spine, cervical stenosis, chiropractor, chiropractor near me, core strengthening exercise, disc degeneration, fracture, houston, katy, low back pain, lumbar, lumbar spine, lumbar stenosis, neck pain, nutritional supplements, pain, spinal stenosis, sugarland, woodlands on June 21, 2014
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
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
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
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
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
Spine Anatomy, Lumbar Spine, Cervical Spine, Thoracic Spine discussion KBNI Houston, Katy, Woodlands, Sugarland, Texas Medical Center TMC
Posted by admin in back pain, car accident, cervical spine, houston, katy, low back pain, lumbar spine, neck pain, pain, sugarland, thoracic spine, truck accident, woodlands on June 19, 2014
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.
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
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.
cervical spine, 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
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.
lumbar spine, 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
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
thoracic spine, 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
Whiplash review by KBNI Houston, Katy, Sugarland, Spring, Woodlands, Baytown, Beaumont, Port Arthur, Tomball
Posted by admin in cervical spine, cervical spine injury, facet joint, imaging, injury, neck, neck pain, pain, physical therapy, review, spine, Uncategorized, whiplash on May 23, 2011
Contact Us for Help
Whiplash / Houston
Each year more than two million Americans experience a whiplash injury (a.k.a. whiplash-associated disorder) to their neck. Numerous studies have shown that the most common cause of whiplash is a 6 to 12 mph rear-end automobile collision where the individual has a sudden, hyper-extension (backward movement) and flexion (forward movement) of the neck. The violent, unexpected motion forces the neuromuscular structure of the cervical region to exceed its normal movement parameters. Collisions at higher speeds have a commensurately higher incidence of severe damage to the cervical spine region.
Whiplash-associated disorder can also be caused by a front-end or side-impact automobile collision, contact sport-related accident, e.g., being struck from behind, diving/swimming pool accident, amusement park ride, or physical abuse (e.g., shaken baby syndrome). The pain the individual feels can be mild to severe and acute (short term) or chronic (long term). It is generally agreed that as many as 40% of patients with acute, whiplash-associated neck pain will develop chronic neck pain.
Soft Tissue Injury
In the majority of cases, the whiplash injury damages the soft tissue of the neck resulting in a sprain or strain of the neck muscles or ligaments. In the past, damage to the soft tissues was nearly impossible to visualize. Even with the aid of various advanced imaging technologies (MRI, CT-scan, standard x-ray with contrast, etc.) visualization remains difficult. There are times when patients will experience soft tissue injury, with pain, yet the imaging studies are completely normal. This means that the key factor in soft tissue diagnosis is the knowledge and experience of the spine specialist.
The symptoms of a soft tissue neck injury include neck pain, arm and hand pain, stiffness, back pain, shoulder pain, ringing in the ears, dizziness, neck-related (cervicogenic) headache, paresthesia (burning, tingling or prickling sensation), or injury to the discs, facet joints of the low back or sacroiliac joints. Some people may also experience cognitive deficits such as memory loss and impaired concentration as well as sleep disorders or psychological conditions, e.g., nervousness, depression or irritability. It is important to keep in mind that while the symptoms of a whiplash-associated disorder usually appear within 24 hours, in some cases the symptoms may not manifest themselves until days or even weeks after the accident.
If a soft-tissue injury is confirmed, there are a number of passive treatment alternatives that may be recommended including bed rest, hot and cold compresses, pain relieving medications such as non-steroidal anti-inflammatory drugs, and muscle relaxants. The decision as to which medication(s) is prescribed will depend on the type and severity of pain being experienced, the individual’s pain tolerance, and their general medical condition. Spine specialists now prefer that the patient pursue their daily activities in as normal a manner as possible. In the past, whiplash patients were advised to wear a cervical collar to limit neck movement. This type of immobilization is no longer considered an effective therapy as prolonged collar wear can cause weakness in the neck muscles.
Most patients with mild to moderate whiplash will have pain relief within a few days to two weeks, with a prognosis of full recovery in 10 to 12 weeks. For those individual’s whose neck pain becomes chronic (more than 12 weeks) or worsens the spine specialist may recommend, in addition to pain medication, some form active intervention including physical medicine, e.g., physical therapy, traction, range of motion exercises, etc. In the rare case of prolonged, debilitating soft-tissue pain the patient may be prescribed anti-inflammatory cortisone injections, opioid analgesics and/or anti-depressants. Surgery is not considered to be a treatment option for a soft-tissue whiplash-associated disorder.
Cervical Spine Injury
The pain symptoms of a cervical spine injury due to whiplash-associated disorder are similar to that of a soft tissue injury. If the spine specialist’s examination and imaging studies reveals damage to the facet joints, intervertebral discs, nerve roots and/or vertebrae of the cervical spine a more aggressive treatment regimen is usually undertaken. This approach may include physical medicine, anti-inflammatory pain medications, injections of cortisone into facet joints, facet joint radiofrequency neurotomy, facet joint laser ablation, therapeutic nerve blocks (steroid plus analgesic), and/or anterior cervical discectomy or laminectomy with fusion.
End Note: Although whiplash injuries occur with ever-greater frequency, the diagnosis of a whiplash-associated disorder is a challenging undertaking. The success of whiplash treatment will be a function of the thoroughness and accuracy of the spine specialist’s diagnosis.
~ New Patients Welcome ~
Call Today: 281-446-3876 (281-44 NEURO)
-
You are currently browsing the archives for the cervical spine category.
Subscribe to the KBNI RSS Feed
