Archive for category lumbar stenosis
Recovering from Spinal Stenosis, Lumbar Stenosis, Cervical Stenosis review by KBNI serving Houston, Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland
Posted by admin in baytown, beaumont, cervical laminectomy, cervical stenosis, houston, laminectomy, lumbar laminectomy, lumbar stenosis, mri, neurosurgeon, neurosurgery, spinal stenosis, spine surgeon, spine surgery, sugarland, woodlands on March 29, 2015
Recovering from Spinal Stenosis, Lumbar Stenosis, Cervical Stenosis
spinal stenosis, cervical stenosis, cervical laminectomy, lumbar stenosis, lumbar laminectomy, back pain, spinal canal, spinal nerves, Houston
Spinal stenosis results from the reduction (narrowing) of the open spaces within the spinal column. Due to the fact that spinal nerves run most of the length of the spine through our spinal canal, a narrowing at any point can increase the pressure on spinal nerves during everyday movement. As one might expect, this narrowing may produce extreme back pain via compression of the spinal nerves. Other symptoms of spinal stenosis include numbness in the legs or arms, weakness in the legs or arms, and problems with bladder or bowel function.
spinal stenosis, cervical stenosis, cervical laminectomy, lumbar stenosis, lumbar laminectomy, back pain, spinal canal, spinal nerves, Houston
Generally, age-related degeneration is responsible for the onset of spinal stenosis in most patients. As we age, repeated movement of the articulated facet joints of the spinal column breaks down the cartilage on the ends of our facet joints (the joints that link our vertebrae together). Our spinal discs (the shock-absorbing pads between our vertebrae) also become thinner, harder, and less capable of bearing the shocks of everyday movement. This natural degeneration reduces the spaces between the vertebrae, increasing the likelihood of compressed spinal nerves. In some patients, the reduction in open space may be severe enough to threaten the integrity of the spinal cord. Younger people may also develop spinal stenosis, but most of these patients’ spinal columns have been compromised by a disease that affects muscle and bone tissue.
spinal stenosis, cervical stenosis, cervical laminectomy, lumbar stenosis, lumbar laminectomy, back pain, spinal canal, spinal nerves, Houston
Treatment and recovery options for spinal stenosis patients vary depending on the severity of the narrowing as well as its location. In most cases, the narrowing occurs either in the neck or the lower back. Imaging tests (x-rays, magnetic resonance imaging MRI) will likely be used to pinpoint the spinal nerves that are at risk, as well as to ascertain that the patient’s back pain and other symptoms are the result of an actual narrowing of the spinal canal, as opposed to other natural aging processes. Magnetic resonance imaging (MRI) is particularly useful here due to the fact that it allows physicians to view soft tissue (like spinal nerves) in great detail. Computerized tomography (CT) myelograms may also be used, as these procedures combine multiple x-rays into one complete view of the size and shape of the spinal canal.
spinal stenosis, cervical stenosis, cervical laminectomy, lumbar stenosis, lumbar laminectomy, back pain, spinal canal, spinal nerves, Houston, Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center (TMC), Dallas, Fort Worth, San Antonio, Austin
For treatment, physicians will likely recommend non-steroidal anti-inflammatory drugs (NSAIDs) to mediate back pain. Corticosteroid injections may also be used to prevent inflammation around compromised spinal disks or compressed spinal nerves. Houston spine pain treatments for more severe spinal stenosis will likely require surgery to increase space within the spinal canal and relieve pressure on the spinal cord or spinal nerves. Back surgery neurosurgery is typically only recommended, however, if conservative treatments like pain medication and physical therapy have failed to adequately address the problem.
When spinal stenosis is present in the lumbar spine (lumbar stenosis), patients may experience pain in the lower extremities, which is worse when standing, and improved when sitting. In rare cases, there may be a loss of bowel or bladder control. When the stenosis is rapid in onset, as may be caused by a severe traumatic disc herniation, or by a fracture, then loss of bowel or bladder control may be more common. When the spinal stenosis is more gradual in onset, as is the case with degenerative changes, then loss of bowel or bladder control is much less common.
spinal stenosis, cervical stenosis, cervical laminectomy, lumbar stenosis, lumbar laminectomy, back pain, spinal canal, spinal nerves, Houston, Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center (TMC), Dallas, Fort Worth, San Antonio, Austin
When spinal stenosis is present in the cervical spine (cervical stenosis), the spinal cord may be compressed. This may not only lead to pain, but it may lead to paralysis, due to compression of the spinal cord. Pressure on the spinal cord may also create a condition known as myelopathy, in which there is a partial injury to the spinal cord, leading to progressive loss of control of the lower extremities, and possibly a loss of control of bowel and bladder function. The patient may also experience shocks traveling from the neck down the spine, which is known as a L’Hermitte sign. When myelopathy is present, due to cervical spinal stenosis and spinal cord compression in the cervical spine, the MRI scan of the cervical spinal cord will frequently show a high intensity signal, or a bright spot, in the cervical spinal cord. This represents a spinal injury, and may be incomplete, in which case the patient will have function of the lower extremities, or may be a complete spinal cord injury, in where the is no movement below the injury in the spinal cord.
Depending upon the nature of the stenosis, surgery may be performed to relieve the spinal stenosis. When surgery is undertaken to relieve lumbar stenosis, the procedure typically performed is known as a lumbar laminectomy, in which the lamina, or back of the lumbar spine, is removed. This generally has a good chance of success, at decompressing nerves in the lumbar spine often helps their improvement. When surgery is undertaken to relieve cervical spinal stenosis, a cervical laminectomy may be performed from a posterior approach, or an anterior fusion may be needed as well. Unlike lumbar laminectomy which generally had a good result, with improved lower extremity function, laminectomy to decompress the cervical spinal cord is generally not as successful. Removing the mechanical pressure placed on the cervical spinal cord generally helps to reduce the risk of further neurological deterioration, but it is difficult to predict whether there will be any improvement in neurological function. Patients may also experience brisk reflexes in the lower extremities, and may have, upon examination, a positive Babinski sign (flaring of the toes upon rubbing of the soles of the feet). It is important for the patient to know when to seek medical consultation, in order to prevent worsening neurological deterioration. A neurosurgeon or spine surgeon may need to perform neurosurgery in order to try to preserve function. A neurosurgeon is a surgeon who performs neurosurgery upon the brain and spine. A neurosurgeon typically has significant training in spine surgery. A spine surgeon may have had the neurosurgery training of a neurosurgeon, or they may be an orthopedic surgeon who has had fellowship training in spine surgery.
Physicians at the Kraus Back and Neck Institute have significant experience treating cervical spinal stenosis and lumbar spinal stenosis. They are well versed in the full spectrum of treatments, and know when to advise conservative measures, and when to recommend surgical intervention upon the spine.
The Kraus Back and Neck Institute (KBNI) in Houston TX cares for patients in Houston and the surrounding areas, including Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center (TMC) and other Texas TX cities including Dallas, Fort Worth, San Antonio and Austin.
Patients suffering from neck pain or lower back pain, or who have been told they may require a spine surgery, can contact the Kraus Back and Neck Institute at
……. 281-713-6296
……. Or visit www.SpineHealth.com to SCHEDULE AN APPOINTMENT ONLINE
……. KBNI VIDEO on Back and Neck Pain Treatment : Don’t Live in Fear and Pain
Keywords: spinal stenosis, cervical stenosis, cervical laminectomy, lumbar stenosis, lumbar laminectomy, back pain, spinal canal, spinal nerves, Houston, Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center (TMC), Dallas, Fort Worth, San Antonio, Austin
Common Spinal Deformities, Spina Bifida review KBNI Houston, Woodlands, Sugarland, Katy, Memorial City, TMC
Posted by admin in back pain, back surgery, beaumont, houston, katy, low back pain, lumbar fusion, lumbar stenosis, spina bifida, spine health, sugarland, Uncategorized, woodlands on March 24, 2015
Common Spinal Deformities and Spina Bifida
chronic back pain, back surgery, spinal deformities, spina bifida, spinal nerves, Houston
Most chronic back pain is the result of lifestyle. Too much sedentary activity (e.g. sitting at a computer monitor for an extended period of time) causes elevated tension in muscles along the spinal column, gradually starving them of oxygen and increasing the chances of painful muscle spasms. At the other end of the spectrum, too much physical activity or improper lifting techniques can accelerate the natural degeneration of the spinal discs (shock-absorbing pads between the vertebrae) and other vital components of the spinal column, leading to increased pain levels.
chronic back pain, back surgery, spinal deformities, spina bifida, spinal nerves, Houston
In some cases, however, lifestyle is not the root cause of chronic back pain. There are many structural spinal deformities, often congenital, that do not respond well to conservative treatments like physical therapy or anti-inflammatory pain medication. Whereas pain levels from a compromised spinal disc may be reduced by a physical therapy regimen designed to relieve pressure by developing muscles along the spinal column, spinal deformities often drastically compromise the integrity of the spinal column’s structure.
Spina bifida involves an opening in the lamina, which are not fused, and may involve a protrusion of the spinal nerves outside of the spinal canal where they are normally housed. Depending on the location of the protrusion, spina bifida may place patients at a much higher risk for traumatic injuries to the spinal nerves. As these nerves provide sensation to other parts of the body, damage to them can result in a loss of sensation, severe chronic back pain, or even paralysis. Spina bifida is caused by a congenital developmental disorder, in which the embryonic neural tube does not completely close. Spina bifida most commonly occurs in the lumbar and sacral areas. Spina bifida generally falls into one of three types: 1) spina bifida occulta 2) spina bifida with meningocele, and 3) spina bifida with myelomeningocele. Spina bifida occulta is generally asymptomatic, and most people don’t even know they have it. The most symptomatic type of spina bifida is that associated with a myelomeningocele, in which the spinal cord protrudes through the opening in the spine. The spina bifida meningicele and myelomeningocele occur in 1 out of every 1000 births.
spinal deformities, spina bifida, spinal nerves, Houston, Woodlands, Katy, Spring, Sugarland, Sealy, Pearland, Baytown, Beaumont, Tomball, Galleria, Humble, Conroe, Kingwood, Port Arthur, Memorial City, Galveston
Other spinal deformities include scoliosis, which is a curvature of the spine that develops to varying degrees in patients. Most of the time its cause is unknown, but scoliosis may be triggered by muscular dystrophy or cerebral palsy. Some patients may be able to navigate their daily routines without corrective back surgery, but many patients require it in order to restore some manner of normalcy to their motion. Severe curvature of the spine can be incredibly disabling, reducing mobility and causing extreme chronic back pain. With modern corrective back surgery, however, chances at a relatively normal life are good for most patients.
Spinal stenosis, a narrowing of the spinal canal can be dangerous if it occurs in the cervical spine (cervical stenosis) , and troubling with pain and weakness when it occurs in the lumbar spine (lumbar stenosis) , because it places vital spinal nerves at a higher risk for injury, especially compression, which often in turn causes chronic back pain and symptoms of pain, numbness and weakness to the lower extremities. Prolonged nerve compression can damage the spinal nerves, impeding long-term sensation and mobility. Corrective back surgery is sometimes needed to relieve pressure on the spinal canal and expand the space at its narrowest point to reduce the chances of injury.
spinal deformities, spina bifida, spinal nerves, Houston, Woodlands, Katy, Spring, Sugarland, Sealy, Pearland, Baytown, Beaumont, Tomball, Galleria, Humble, Conroe, Kingwood, Port Arthur, Memorial City, Galveston
Physician experts at the Kraus Back and Neck Institute (KBNI) in Houston, TX, have significant experience in diagnosing and treating spinal disorders. 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: chronic back pain, back surgery, spinal deformities, spina bifida, spinal nerves, 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
Sex and Back Pain : Review by KBNI serving Houston, Katy, Woodlands, Spring, Kingwood, Humble, Sugar Land, Conroe, Texas
Posted by admin in back pain, baytown, beaumont, chiropractic, chiropractor, chiropractor near me, core strengthening exercise, houston, katy, low back pain, lumbar, lumbar stenosis, mri, physical therapy, sciatica, sex, sugarland, woodlands on January 20, 2015
Sex and Back Pain
sex, back pain, sexual position, spinal column, spinal discs, Houston, Katy, Woodlands, Spring, Kingwood, Humble, Sugar Land, Beaumont, Port Arthur, Galveston, Conroe, Texas
Decreased mobility resulting from back pain lowers one’s quality of life in many ways, and sex is no exception. As uncomfortable as it may be to admit, back pain lowers sexual performance, often to the point where many positions are too painful and couples find themselves straining to find ways to be sexually intimate. Fortunately, by following a few simple steps, you can navigate even serious back pain successfully enough to pursue a wide variety of sexual positions with your partner.
First, investigate your back pain as thoroughly as possible. Get a full physical examination from your doctor to narrow the possible causes for your pain. Imaging tests (x-rays, magnetic resonance imaging) may be necessary if your back pain is not resolving over time or if soft tissue damage (particularly to the spinal nerves) is suspected. Report any changes to the duration, intensity, location, or frequency of your back pain, as these changes can signify a worsening problem.
sex, back pain, sexual position, spinal column, spinal discs, Houston, Katy, Woodlands, Spring, Kingwood, Humble, Sugar Land, Beaumont, Port Arthur, Galveston, Conroe, Texas
Also, be sure to communicate your needs to your partner. Experiment to find sexual positions that are conducive to both physical intimacy and individual comfort. Too many back pain patients wait until serious damage has been done prior to explaining their discomfort. Take the time to explain your pain to your partner and work together to find the positions that work for both of you until you can boost core strength enough to lessen your pain. You may also wish to change your sleeping surface. If you experience more severe back pain first thing in the morning and then find it gradually lessens throughout the day, it’s possible that your mattress may be causing a large portion of the problem. Staying hydrated throughout the day will also help to reduce joint-related pain, which is especially important for the facet joints that link the vertebrae in the spinal column.
Finally, pursue physical therapy or chiropractor exercises to the fullest extent authorized by your physician. Those of us with relatively sedentary jobs often worsen the health of our spinal column without even realizing it. Far from being a fragile thing, the spinal column requires a certain amount of exercise in order to efficiently re-hydrate the spinal discs (the shock-absorbing pads between our vertebrae) with important nutrients. If we don’t get this exercise, the spinal discs’ natural degenerative processes accelerate and we quickly find ourselves with a smaller range of motion, less endurance, and a higher risk for injury. Physical therapy increases core strength, which allows the muscles along the spinal column and throughout the torso to assist the body during routine activity. A stronger core will raise the number of sexual positions you and your partner can achieve without having to worry about excessive back pain.
sex, back pain, sexual position, spinal column, spinal discs, Houston
Finally, don’t be afraid to ask your doctor about what you can do to improve your comfort and safety during sexual activities. Because it involves sexual activity, many patients are afraid to ask their doctors, and may end up in a situation in which they cause further injury to their spine. The last thing one wants to do is cause further damage to the spine, if damage already exists. A physician who is an expert in the spine can rule out certain disorders, such as herniated disc, spinal stenosis, scoliosis, spondylolisthesis and spondylolysis, and SI (sacro iliac) joint pain, all of which can cause back and lower extremity pain.
Physician experts at the Kraus Back and Neck Institute (KBNI) in Houston, TX have great experience in treating patients with low back pain, neck pain, and injuries to the neck and low back. In the majority of cases, surgery can be avoided. Patients experiencing back pain during sexual activity can contact the KBNI for evaluation, guidance and advice.
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
sex, back pain, sexual position, spinal column, spinal discs, Houston
Keywords:sex, back pain, sexual position, spinal column, spinal discs, Houston, Katy, Woodlands, Spring, Kingwood, Humble, Sugar Land, Beaumont, Port Arthur, Galveston, Conroe, Texas
Other articles related to Sex and Back Pain:
http://www.spinehealth.com/essays-sex-and-back-pain-chapter-1.php
http://www.spinehealth.com/essays-sex-and-back-pain-chapter-2.php
http://www.spinehealth.com/essays-sex-and-back-pain-chapter-3.php
https://spinehealth.com/blog/intimacy-and-back-pain/
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
Laminectomy, Lumbar Laminectomy, Cervical Laminectomy for Lumbar Stenosis, Cervical Stenosis in Houston, Katy, Woodlands, Sugarland, Beaumont, Texas Medical Center TMC
Posted by admin in back pain, baytown, beaumont, cervical laminectomy, cervical stenosis, chiropractic, chiropractor, fusion, houston, katy, laminectomy, low back pain, lumbar laminectomy, lumbar stenosis, neck pain, pain, physical therapy, spinal injury, spinal stenosis, spine surgery, sugarland, woodlands on June 21, 2014
laminectomy, lumbar laminectomy, cervical laminectomy, lumbar stenosis, cervical stenosis, Houston, West Houston, Sugarland, Woodlands, Katy, Memorial City, Spring
A laminectomy is a spinal procedure designed to lower pressure within the spinal canal (spinal stenosis). When it is performed in the low back region for lumbar stenosis, it is known as a lumbar laminectomy, and when in the neck region for cervical stenosis, it is a cervical laminectomy. During a lumbar laminectomy or cervical laminectomy, the back region of the vertebra, called the lamina, is removed to expand the spinal canal and relieve pressure on the spinal cord (cervical stenosis in the cervical spine), or the nerve roots ( lumbar stenosis in the lumbar spine). Spinal discs (the shock-absorbing pads in between the vertebrae) may rupture or otherwise become displaced. This can raise pressure within the spinal canal or even compress the spinal cord, causing extreme pain and possibly a loss of mobility. As the spinal canal houses the spinal nerves that run through the spinal column, any bone growths, spurs, or herniated disks have the potential to compress these spinal nerves or spinal cord, depending on the level of the spine where the compression occurs. Thickened ligament in the spine may also compress the nerves in the lumbar spine, or the spinal cord in the cervical spine, because the spinal cord travels through the cervical spine, but ends at the top of the lumbar spine, below which only the spinal nerves run within the lumbar spine. The ligament which often thickens with aging, is known as the ligamentum flavum. Depending upon where the source of compression of the spinal canal occurs, the surgeon can approach the spine from the front or the back. When the decompression is from the back, to remove the lamina of the spine, the procedure is known as a laminectomy.
laminectomy, lumbar laminectomy, cervical laminectomy, lumbar stenosis, cervical stenosis, Houston, West Houston, Sugarland, Woodlands, Katy, Memorial City, Spring
Most commonly, a laminectomy is performed on patients who suffer from spinal stenosis, a condition in which the spinal canal at certain points is narrower than normal. Symptoms vary widely, with some patients reporting extreme pain and a loss of mobility from compressed spinal nerves or spinal cord. In a much less common situation, bladder problems can occur from pressure placed on spinal nerves (lumbar stenosis) in the lumbar spine on the cauda equina nerves traveling to internal organs. Patients with cervical stenosis may experience neck pain, or pain in the upper extremities, or in more severe cases, may experience partial or complete paralysis. When patients with cervical stenosis suffer an injury, they may experience trauma to the cervical spinal cord, resulting in a spinal cord injury. This could result in paralysis below the level of injury of the spinal cord, or another type of cord injury in which the arms are weak, but the legs are strong (known as central cord syndrome). Other patients’ quality of life may be relatively unchanged, although if sufficient pressure is placed on the cervical spinal cord, a posterior cervical laminectomy may be recommended to reduce the chances of further trauma.
laminectomy, lumbar laminectomy, cervical laminectomy, lumbar stenosis, cervical stenosis, Houston, West Houston, Sugarland, Woodlands, Katy, Memorial City, Spring
Depending on the extent of the pressure placed on the spinal canal, the surgeon may remove parts of the lamina on both sides of the spinal column, in addition to any fragments of bone or disk that are causing the obstruction. Spinal fusion, a procedure in which vertebrae are fused together to ensure stability, may be necessary depending on the total bone loss sustained during the laminectomy, and any foreseen instability of the spine resulting from extensive bone removal. At times, the degeneration of the spine and overgrowth of bone spurs is so severe, that in order to fully decompress the spinal cord in the neck (cervical stenosis) with a cervical laminectomy, or the spinal nerves in the lumbar spine (lumbar stenosis) with a lumbar laminectomy, part or all of the facet joints (which connect the vertebral body above with the one below) may need to be removed. When this occurs, the spine may become unstable at that segment, and a spinal fusion at that segment may be considered.
laminectomy, lumbar laminectomy, cervical laminectomy, lumbar stenosis, cervical stenosis, Houston
Patients who are experiencing numbness or pain down one or both legs are advised to seek medical attention. Although there are several different possible causes for the compression of spinal nerves, symptoms may not fully indicate the seriousness of the condition. Continued compression can eventually cause permanent loss of sensation, as well as paralysis of the extremities. Paralysis of the legs, from lumbar stenosis, is very uncommon, but in rare situations, can occur, particularly is the lumbar stenosis is sudden and severe in onset, such as a severe and large herniated disc, or a spine injury fracture. Patients who experience numbness or pain down one or both arms are also advised to seek medical attention. If a patient feels a “electric shock” traveling down the spine, known as a Lhernitte sign, the patient may be suffering from spinal cord compression in the neck (cervical spine). In this situation, the patient should definitely make an urgent appointment to see a spine surgeon. Following a cervical laminectomy or lumbar laminectomy, a physical therapy regimen to maintain mobility and strengthen the core will give patients the best chance at restoring stability to their spinal columns. Core strengthening can be accomplished with physical therapy or by chiropractic treatment with a chiropractor.
Expert neurosurgeons at the Kraus Back and Neck Institute (KBNI) in Houston, TX, have significant experience in treating cervical stenosis and lumbar stenosis. At times, they are able to treat patients and improve their symptoms without the need for surgery. When the cervical stenosis or lumbar stenosis is moderate or severe, or the symptoms the patient experiences are unrelenting, a lumbar laminectomy or cervical laminectomy may be performed. The KBNI neurosurgeons utilize minimally invasive spine surgery techniques when appropriate.
The Kraus Back and Neck Institute (KBNI) in Houston TX takes care of patients in Houston and the surrounding areas, including Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center (TMC) and other Texas TX cities including Dallas, Fort Worth, San Antonio and Austin.
Patients suffering from a cervical stenosis or lumbar stenosis, or who have been told they may require a lumbar laminectomy or cervical laminectomy, can
contact the Kraus Back and Neck Institute at
……. 281-713-6296
……. Or visit www.SpineHealth.com to schedule an appointment online
……. KBNI VIDEO on Back and Neck Pain Treatment : Don’t Live in Fear and Pain
Keywords: laminectomy, lumbar laminectomy, cervical laminectomy, lumbar stenosis, cervical stenosis, Houston, Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center, TMC, Texas, TX, Dallas, Fort Worth, San Antonio, Austin
Spinal Stenosis or Lumbar Stenosis Causes Low Back Pain and Leg Pain, Houston, Woodlands, Sugarland, Katy, Humble, Kingwood, Memorial City, Beaumont, Port Arthur
Posted by admin in cervical stenosis, lumbar stenosis, spinal stenosis on May 21, 2014
Contact Us For Help
lumbar myelogram with stenosis, spinal stenosis, lumbar stenosis, spinal nerve, physical therapy, core strength, low back pain, leg pain, Houston, Woodlands, Sugarland, Katy, Humble, Kingwood, Memorial City, Beaumont, Port Arthur
Gary Kraus, MD and Masaki Oishi, MD PhD of Kraus Back and Neck Institute, Houtson, TX VIDEO
Depending on where in the spinal column it manifests, spinal stenosis can be an extremely serious condition. Lumbar (low back) spinal stenosis involves the compression of spinal nerves that run along the spinal column. Spinal nerve compression typically causes decreased mobility accompanied by very sharp lower back pain. This type of spinal nerve compression also produces sciatica, which is normally a radiating or shooting pain down one or both of the legs. Lumbar spinal stenosis is normally less serious, given that the spinal cord is not at risk for compression. Cervical spinal stenosis, however, is potentially far more dangerous. The cervical spinal cord can be compressed, causing nerve damage and, if left untreated, paralysis. When a patient experiences lumbar spinal stenosis, symptoms of pain in the lower extremities typically increases when standing or walking, but improves when sitting. This is because the ligamentum flavum, which is the “yellow” ligament which lies behind the nerves, buckles when standing, but stretches and therefore thins when bending or sitting, thus thinning out and relieving pressure on the nerves in the lumbar spine. The pain which a patient experiences in the legs when standing is different than the pain of “vascular claudication” which is pain in the lower extremities which occurs when a patient is walking. This vascular claudication or leg pain results from increases activity of the muscles of the legs, without adequate blood supply to the muscles, because of narrowing of the arteries feeding the muscles in the leg.
MRI lumbar stenosis, lumbar myelogram with stenosis, spinal stenosis, lumbar stenosis, spinal nerve, physical therapy, core strength, low back pain, leg pain, Houston, Woodlands, Sugarland, Katy, Humble, Kingwood, Memorial City, Beaumont, Port Arthur
There are several different possible causes for spinal stenosis, and physicians will normally need to conduct imaging tests (CT scans, magnetic resonance imaging MRI , and X-rays) to determine the best course of treatment. Excessive bone growth, herniated (slipped) spinal discs, tumors, overly thick spinal ligaments, and physical trauma can all potentially cause spinal stenosis. Since these problems may need corrective surgery, physicians may require several tests to ensure an accurate diagnosis. In the case of spinal tumors, this will often include a biopsy to determine whether the mass is malignant, as well as if the cancer has spread to other regions of the body.
Surgery to correct lumbar spinal stenosis is typically called a decompressive lumbar laminectomy, which is a surgery of the lumbar spine to remove the back of the spine, the lamina and spinous processes, and remove the ligamentum flavum, to give the nerves more room, and take away pressure on the nerves.
Several medications, such as anti-inflammatories, muscle relaxants, and pain relievers, will often be administered during post-operative care. Physical therapy will also form a cornerstone of a patient’s recovery from spinal stenosis. Physicians typically prescribe a regimen of core strengthening exercises to build up the network of ligaments, muscles, and tendons around the spinal column in order to maximize their ability to assist the spine in bearing the stresses of movement. Increased blood flow and nutrition from aerobic activity will also help in maintaining optimal core strength. Patients should complete their entire physical therapy regimen, as well as adopting long-term core strengthening exercises to lower pain levels and reduce the possibility of subsequent back surgeries.
Spine experts at the Kraus Back and Neck Institute have significant experience treating patients with lumbar spinal stenosis and cervical spinal stenosis. Patients are treated from Houston and the surrounding areas, including Woodlands, Sugarland, Katy, Humble, Kingwood, Memorial City, Beaumont and Port Arthur.
“So don’t live in fear and pain.” Come see the experts at the Kraus Back and Neck Institute in Houston, TX.
KRAUS BACK AND NECK INSTITUTE VIDEO, DR GARY KRAUS AND DR MASAKI OISHI
Keywords: spinal stenosis, lumbar stenosis, spinal nerve, physical therapy, core strength, low back pain, leg pain, Houston, Woodlands, Sugarland, Katy, Humble, Kingwood, Memorial City, Beaumont, Port Arthur
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