Archive for category lumbar spine
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
Posted by admin in arthritis, back pain, baytown, beaumont, chiropractic, chiropractor, Clear Lake, conroe, facet joint, Galleria, houston, Humble, imaging, katy, Kingwood, low back pain, lumbar spine, Memorial City, Missouri City, nerves, pain, Pearland, physical exam, physical therapy, Port Arthur, spinal, spinal column, spinal discs, spine, spondylolisthesis, spondylolysis, Spring, Texas City, Tomball, upper back pain, woodlands on January 21, 2016
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
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
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
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
Proper Lifting Techniques for Your Spine review by KBNI Houston, Beaumont, Port Arthur, Katy Sugarland, Woodlands, TMC
Posted by admin in back injury, back pain, baytown, beaumont, herniated disc, houston, katy, lifting techniques, low back pain, lumbar spine, physical therapy, sugarland, woodlands on March 25, 2015
Proper Lifting Techniques for Your Spine
back pain, spinal discs, proper lifting techniques, physical therapy, Houston,
Woodlands, Sugarland, Katy, Galleria, Memorial City, Kingwood, Humble, Spring, Beaumont, Tomball, Port Arthur, Conroe
Simply put, many members of the public do not know how to lift while protecting their backs. Improper lifting techniques are one of the most common reasons for damage to the spinal column, including slipped spinal discs (the shock-absorbing pads between our vertebrae), torn muscles, compressed spinal nerves and chronic low back pain. When lifting, be sure to stay balanced and hold the weight close to your body. Weight held far away from the body while lifting multiplies the pressure placed on the spinal discs and muscles and can result in extremely sharp back pain. Also, make an effort to reduce torsional (twisting) movement while lifting. When you twist your back with significant weight in your arms / hands, you place a much higher weight on each side of the spine in isolation as you twist. This increases the likelihood of compressed spinal nerves as well as the chances for injury.
When lifting, engage your hips, legs, feet, and gluteus maximus muscles (buttocks). Keep the weight close to your body, and don’t waste energy twisting: have a destination in mind before you lift the object. If you have a history of back pain, be sure to discuss your potential lifting limits with your physician prior to undertaking a project. If degeneration in your spinal discs has compromised the integrity of your spinal column, you may have to limit yourself and make multiple trips even for relatively light projects (e.g. groceries).
back pain, spinal discs, proper lifting techniques, physical therapy, Houston,
Woodlands, Sugarland, Katy, Galleria, Memorial City, Kingwood, Humble, Spring, Beaumont, Tomball, Port Arthur, Conroe
To supplement proper lifting techniques, talk to your doctor about physical therapy exercises you may be able to do at home. Physical therapy for the spine is typically focused on developing strong core muscles in the torso and along the spinal column. When strengthened, these muscles will assist the spinal discs, muscles, joints, and ligaments in managing the body’s weight distribution during routine movement. Keep in mind that your pain levels will likely fluctuate widely during physical therapy depending on the muscles engaged. Continue checking in with your physician to adjust your exercise regimen as needed. In the meantime, mediate your pain levels with over-the-counter pain medication like ibuprofen and acetaminophen.
back pain, spinal discs, proper lifting techniques, physical therapy, Houston
If, despite physical therapy and pain medication, you still cannot complete routine daily tasks without extreme back pain, back surgery may be necessary. A variety of procedures (such as spinal fusion, which fuses vertebrae together to combat spinal disc-related nerve pain) can be used to restore stability to the spinal column, reduce long-term pain levels, and ultimately maintain mobility as we age.
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
back pain, spinal discs, proper lifting techniques, physical therapy, Houston
Keywords: back pain, spinal discs, proper lifting techniques, physical therapy, Houston,
Woodlands, Sugarland, Katy, Galleria, Memorial City, Kingwood, Humble, Spring, Beaumont, Tomball, Port Arthur, Conroe
Magnetic Resonance Imaging MRI and Herniated Disc by KBNI Houston, Katy, Woodlands, Spring, Sugarland, Memorial City, Texas
Posted by admin in baytown, beaumont, cervical, ct, disc degeneration, discectomy, herniated disc surgery, houston, katy, lumbar, lumbar spine, minimally invasive surgery, mri, spine surgery, sugarland, thoracic spine, woodlands on July 16, 2014
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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
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.
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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.
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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
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
Spinal Surgery : Reality and Myths
Posted by admin in back surgery, baytown, beaumont, houston, Kingwood, less invasive spine surgery, lumbar spine, pain, pain medication, Pearland, spine surgery, Tomball, woodlands on March 26, 2014
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Spinal Surgery: Reality and Myths
Spinal surgery can be one of the most costly, physically taxing methods of treatment on the healthcare market today. Fortunately, many patients overestimate the need for such serious measures. Many types of neck and back pain can be addressed and resolved with other methods of treatment, such as physical therapy, pain medication, exercise, and healthy dieting. These are typically the courses of action prescribed by physicians as well, given that spinal surgery may have unintended side effects on the patient’s daily life.
Some patients, however, will find that their pain and / or structural problems are not resolved by these treatment plans. With advancements in modern medical technology, there are now dozens of different spinal surgical procedures available to correct many types of structural problems. Disk degeneration, spinal tumors, bone spurs, spinal stenosis—all of these disorders and others may necessitate spinal surgery should they have a substantial negative impact on a patient’s quality of life.
For example, patients who have advanced degeneration of the spinal disks
spine surgery
(the shock-absorbing pads between our vertebrae that break down naturally over time) may be candidates for artificial disk implantation. During this procedure, an artificial disk mimicking the body’s natural shock absorber is implanted in the spine. Spinal fusion, a procedure that fuses vertebrae thus eliminating the possibility of further damaging the disks between them, may also be an available option. Patients are advised to seek thorough medical consultation when considering spinal surgery. Several imaging techniques, such as CT scans, X-rays, and magnetic resonance imaging, may be prescribed to evaluate courses of action. Specialists may be referred to address problems that have not been corrected through physical rehabilitation.
Post-operative care is crucial for patients who have undergone spinal surgery. Many surgical procedures require long recovery times with periods of mandatory rest and physical rehabilitation. Several subsequent post-operative visits to primary care physicians and specialists are necessary to monitor the patient’s recovery.
Back Injuries and Sports review by KBNI Houston, Katy, Baytown, Sugarland, Beaumont, Wooodlands, Spring, Memorial City
Posted by admin in back injury, baytown, beaumont, houston, katy, Kingwood, lumbar, lumbar spine, review, spondylolisthesis, spondylolysis, sports injury, Spring, sugarland, Tomball, Uncategorized, woodlands on April 18, 2011
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Back Injuries and Sports: Houston
Which sport has the highest incidence of back injuries? If you answered football, hockey or basketball you guessed wrong. Spinal pathology occurs among male and female gymnasts, from children at the earliest competitive level to experienced adolescent and young adult gymnasts at the highest competitive level. Each year more than 80,000 gymnasts at all levels require medical attention. A great number of these injuries are to the back including sprains, strains, and spinal trauma such as herniated discs and fractures. In addition, gymnasts commonly experience injuries to the upper extremities (wrist, hand, elbow, clavicle, etc.) and lower extremities (knees, ankles, hips, tailbone, etc.).
The term gymnastics encompasses seven competitive categories: men’s artistic, women’s artistic, rhythmic, acrobatic, group, trampoline and tumbling. The incidence of injury is highest in the men’s and women’s artistic categories. Both of these groups use various apparatus as part of their competitive routines. The women compete on the balance beam, uneven bars, vault and floor exercise. The men’s competition includes the horizontal (high) bar, parallel bars, still rings, vault, pommel horse, and floor exercise. The etiology of gymnastic spinal injury can include: exaggerated bending, arching and twisting of the spine; the jolt of tumbling routines in the floor exercise; rigorous, repetitive apparatus training; and, falls from the apparatus. In addition, it should be noted that the uneven bars, parallel bars, horizontal bar and rings place an exaggerated traction force on the gymnast.
The two predominant types of spinal injury are strains of the spinal muscles and spondylolysis. Also occurring to a lesser extent is spondylolisthesis. Both spondylolysis and spondylolisthesis are usually manifested at the 5th lumbar vertebra (L5), and to a lesser extent at the 4th lumbar vertebra (L4). Spondylolysis is a medical term for a lateral fracture of is a thin segment of vertebral bone (the pars interarticularis). Spondylolisthesis is the term used to describe the forward slippage of all or part of one vertebra onto an adjacent vertebra. The slippage is thought to be the result of the gymnast’s performance of repetitive hyperextension movement, such as an apparatus dismount. Spondylolysis and spondylolisthesis can occur at the same time, however, spondylolysis is not necessarily a precursor of spondylolisthesis. Another back injury gymnasts experience is Scheuermann’s disease (adolescent kyphosis) which involves two vertebra segments being forced into aberrant wedge-like shape. This causes a distended outward curve of the upper back.
The long term result of the various insults to the bones and muscles of a gymnast’s spine is pain running down the leg, limited mobility and chronic low back pain. “Herniated discs and disc degeneration also occur but to surprisingly lesser extent.” This is thought to be due to the gymnast’s intense conditioning, muscle strength and flexibility. Fortunately muscle sprain and ligament strain can be treated with rest and physical therapy. When pain persists, it is recommended that the gymnast be evaluated by a neurosurgeon or an orthopaedic surgeon. It is also fortunate that catastrophic injury to the athlete is a relatively rare occurrence.”
The prevention of injury is of paramount importance. Parents and coaches should insist that all safety precautions are taken, especially in non-competitive situations (practice) where the bulk of injuries occur. This includes ensuring that spotters are in attendance, the apparatus is in good working order, the athlete uses the appropriate safety gear (hand grips, braces, pads, etc.), and there is a de-emphasis on “working through the pain.”
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Call Today: 281-446-3876 (281-44 NEURO)
How to Lift: Tips from the Kraus Back and Neck Institute, Houston
Posted by admin in back injury prevention, lifting, lifting techniques, lumbar spine, Uncategorized on February 1, 2011
low back and neck injuries from lifting, Houston, Kingwood, Humble, Katy, the Woodlands, Beaumont, Baytown
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How To Lift?
At the Kraus Back and Neck Institute in Houston, TX, patients with low back injuries and neck injuries are seen very frequently. One of the most common things which we do every day, yet give very little thought to, is lifting. Because we do it so frequently, lifting can cause significant injury to the low back. This can occur as a result of lifting heavy objects once or light objects multiple times. If you proper techniques of lifting, back injury can be avoided.
First we will focus on bending itself. One of the worst things which we can do is to bend at the waist. This place is huge stresses upon the lumbar spine. It is much better to bend at the knees while keeping the back in a relatively straight and upright posture.
The position of the feet is very important when lifting objects. Keep the feet at least a shoulder width apart from each other. This helps provide extra leverage and stability.
The position of the object which we are lifting in relation to our body is very important. Make sure to keep the object as close to the body as possible. The further the object is away from our body, the greater the torque is placed on our lumbar spine.
Balance the objects which you are carrying so that both sides of the body have an equal weight distribution. We often see people carrying a heavy object such as a suitcase in one hand while leaning to the other side to balance the weight. This places excessive stress upon the lumbar spine. It is much better to try to carry equal weights on either side and create a balanced load for the lumbar spine.
Avoid lifting objects which are too heavy for you. This will of course vary depending upon the abilities of the individual. It is best to avoid a level of extreme strain and struggle as this has a much higher risk of causing injury to the back.
While lifting objects, keep your body straight and pointed at the object. One of the worst things we can do is twist the body while lifting at the same time. This does place significant stress and strain upon the lumbar spine.
When possible, avoid lifting objects and especially heavy ones, above the waist and shoulders. When one lifts bear arms up in the air, the curvature of the lumbar spine increases. If one is lifting an object at the same time, excess strain will be placed on the lumbar spine.
Since injury to the low back and neck, or any other portion of the spine, can occur as a result of improper lifting techniques, it is important to pay good attention to proper body mechanics.
If one pays attention to these guidelines, many back injuries will be avoided. Remember that back injuries can occur as a result of repetitive injury to the spine or from an isolated single injury. It is easy enough to remember to incorporate these simple lifting techniques into our daily routines at the same time significantly decrease chances of a low back injury.
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improper lifting, low back pain, houston, katy, galleria, woodlands, conroe, humble
The Kraus Back and Neck Institute, located in Houston, TX, specialized in the surgical and non-surgical treatment of low back pain, neck pain, degenerative disc disease, disc degeneration, herniated disc in the lumbar and cervical spine, and sciatica. They serve patients in the Houston and surrounding areas, including Katy, Galleria, Cinco Ranch, the Woodlands, Sugarland, the Woodlands, Pearland, Westchase, River Oaks, Conroe, Baytown, Beaumont, Port Arthur, Humble, Kingwood, Atascocita, as well as other regions of Texas and the United States.
~ New Patients Welcome ~
Call Today: 281-446-3876 (281-44 NEURO)
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