Archive for category spine surgery
Talking with Your Spine Surgeon – Neurosurgeon / Orthopedic Spine Surgeon by KBNI Houston Sugarland Woodlands Katy Pearland Galveston Beaumont Memorial City
Posted by admin in anti-inflammatory, arthritis, back pain, back surgery, baytown, beaumont, ct, houston, katy, mri, neurosurgeon, neurosurgery, pain, spine surgeon, spine surgery, sugarland, woodlands on April 13, 2015
Talking with Your Spine Surgeon – Neurosurgeon / Orthopedic Spine Surgeon
back pain, orthopedic surgeon, neurosurgeon, pain levels, anti-inflammatory drugs, Houston
Communicating about your back pain is the first step in setting down the road to recovery. The importance of communicating honestly with your physician cannot be overstated here. A physician’s ability to prescribe an effective course of treatment depends upon the information he or she receives from you. Considering that most chronic back pain is a result of lifestyle choices, this means your input could go a long way toward reducing your recovery time.
Physicians will likely ask you questions regarding your work and recreational histories, including detailed questions about any injuries. Be forthcoming with details about your pain levels, including descriptions of the location, duration, and intensity of your pain. Note how your pain levels change as you perform different activities, and let your doctors know which activities make it worse.
back pain, orthopedic surgeon, neurosurgeon, pain levels, anti-inflammatory drugs, Houston
A physician arrives at a diagnosis after taking a detailed history from the patient about their Chief Complaint (CC) . They then ask about a History of Present Illness (HPI) , which are detailed questions about what causes the symptoms, when they began, what makes them better or worse, how long they last. The physician also asks about issues such as fevers (which might indicate presence of an infection) or a history of cancer (which might indicate that cancer may be involved). The physician will also ask about family history, which may play a role in genetically inherited disorders. The physician then will perform a comprehensive detailed physical examination, focusing on where the problem lies. Then, the physician will order additional tests if needed. These may include imaging studies, nerve studies (EMG/NCV), bone density studies, X rays, CT scans.
back pain, orthopedic surgeon, neurosurgeon, pain levels, anti-inflammatory drugs, Houston, Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City
If your pain levels are severe and are not resolved with conservative treatments like physical therapy and anti-inflammatory drugs, you may wish to consult a spine surgeon – neurosurgeon or orthopedic spine surgeon (though this will likely require a referral from your regular physician or specialist). Major back surgery is costly and necessitates a long recovery time, so doctors generally do not recommend it unless a patient’s chronic back pain is not adequately mediated by other treatments. Neurosurgeons and orthopedic spine surgeons may be able to provide you with helpful consultation on how to proceed with your treatment, but just like general physicians, surgeons depend on accurate information from you to find the best course of treatment. Prior to your back surgery, surgeons consult imaging exams (magnetic resonance imaging, x-rays, computerized tomography scans CT Scans) in order to better understand the cause behind your pain levels.
Both prior to surgery and during post-operative care, back pain patients should take advantage of anti-inflammatory drugs to regain mobility and reduce their pain levels. Over-the-counter anti-inflammatory drugs like naproxen and ibuprofen help to reduce inflammation in the body, which can be crucial during post-operative care depending on the length and depth of the incisions involved. Note that after a spinal fusion, your surgeon may want you to stay away from taking anti-inflammatory medications because they can impede the fusion process. Inflammation is part of the body’s natural healing response to muscle trauma, but inflammation and arthritis along the spinal column can lead to compressed spinal nerves in patients with degenerated spinal disks (the shock-absorbing pads between our vertebrae).
back pain, orthopedic surgeon, neurosurgeon, pain levels, anti-inflammatory drugs, Houston, Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City
Continue providing detailed information about your recovery to your spine surgeon (neurosurgeon or orthopedic spine surgeon) during your period of post-operative care. You will likely be subject to several post-operative checkups to monitor your progress. Remember that physicians will sometimes make adjustments according to the information you give them, so take detailed notes regarding your pain levels and provide truthful information at all times.
Physicians at the Kraus Back and Neck Institute (KBNI) have significant experience treating patients with a variety of causes of low back pain and neck pain. Because of their diverse experience with conservative as well as surgical modes of treatment, they approach each patient with the treatments options which are best for the goals, desires and expectations of that patient.
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: back pain, orthopedic surgeon, neurosurgeon, pain levels, anti-inflammatory drugs, Houston, Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City
Spine-related Ambulatory Surgery, Minimally Invasive Spine Surgery, Less Invasive Spine Surgery review by KBNI Houston, Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Port Arthur, Galveston, Dallas, Fort Worth, San Antonio, Austin
Posted by admin in ACA, Affordable Care Act, ALIF TLIF PLIF DLIF XLIF AXIALIF, ambulatory surgery center, ASC, baytown, beaumont, herniated disc surgery, houston, infection, katy, less invasive spine surgery, lumbar fusion, minimally invasive surgery, neurosurgeon, neurosurgery, PPACA, spinal fusion, spine surgeon, spine surgery, sugarland, woodlands on March 30, 2015
Spine-related Ambulatory Surgery, Minimally Invasive Spine Surgery, Less Invasive Spine Surgery
ambulatory care, back surgery, minimally invasive surgery, minimally invasive spine surgery, ACA, ASC, ambulatory surgery centers
Historically, back surgery had a reputation for damaging muscles along the spinal column and requiring a long post-operative period of physical therapy to restore mobility. This is because traditional back surgery involves long, deep incisions that lacerate muscle and retract upon muscle so that the incision may be pulled open, giving the surgeon a full view of the incision site as well as the damage to be repaired in the spinal column. While this method is effective, it also poses a few serious risks to the patient’s health: the aforementioned lengthy recovery time (and compromised mobility during physical therapy) as well as the increased risk for surgical site infection (SSI) from keeping the patient’s internal workings exposed to open air (and thus possible contamination). There can also be additional spine pain during the recovery process of large open spine procedures.
ambulatory care, back surgery, minimally invasive surgery, minimally invasive spine surgery, ACA, ASC, ambulatory surgery centers
Fortunately, recent advancements in both hospital technology and neurosurgery / spine surgery skills has made it easier for spine surgeons to perform spine surgery with less interruption of normal tissues surrounding the spine. Many spine procedures now use a device called a tubular retractor, which is a small metal tube that is inserted through a small incision near the patient’s spine. The tubular retractor grants the surgeon access to the damaged spinal column or herniated disc within the spinal canal. Any material threatening the patient, such as a fragmented spinal disc or piece of vertebral bone tissue, is extracted through the tubular retractor, while any equipment necessary for the back surgery (such as plates or screws to stabilize a damaged spinal column) is inserted through the retractor. Some procedures may require surgeons to use multiple retractors, but the small incisions damage the muscles along the spinal column far less than traditional deep incisions. This minimizes recovery time, reduces the risk of surgical site infection, and helps patients preserve their mobility during recovery.
ambulatory care, back surgery, minimally invasive surgery, minimally invasive spine surgery, ACA, ASC, ambulatory surgery centers, Houston, Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center (TMC)
Minimally-invasive surgery procedures on the spine also occasionally transform the classification of certain kinds of surgery. Whereas traditional back surgery requires a hospital visit, minimally-invasive techniques allow many kinds of surgery to be possible in an ambulatory care setting. In other words, instead of a hospital visit compounding the expense of certain kinds of surgery, patients (and insurance companies) are finding the benefit of performing spine surgery procedures in an outpatient setting. The Affordable Care Act (ACA, PPACA) of 2010 (also known as the ACA or Obamacare or PPACA) became famous for the mandate that required all US small business owners with 50 or more full-time employees to purchase health insurance coverage benefits for their full-time staff. As of 2015, the long-term effects of the Affordable Care Act (PPACA) remain to be seen. Sweeping re-classification of major surgical procedures has yet to emerge under the ACA / PPACA, as there are still very real practical concerns: how to prevent surgical site infection effectively, for example. New methods of pay for performance and bundled care payments may also change the way healthcare is evaluated and reimbursed, and will encourage decreased hospital stays and improved outcomes. New minimally invasive spine surgery techniques are emerging, however, so additional ambulatory care surgery may be increasingly employed in the future. Ambulatory surgery centers (ASC) are ideal for spine surgery procedures in which patients are expected to return home the same day, or within 23 hours of the surgery. There are also many conveniences to a patient, when having a surgery performed in an ambulatory surgery center (ASC). The ambulatory surgery centers (ASC) are very well prepared to quickly and efficiently move patients through the preop evaluation process. The patient stays briefly in the preop holding area while the nurse evaluates the patient, the anesthesiologist or nurse anesthetist speaks with the patient, and the neurosurgeon or orthopedic spine surgeon identifies the patient (to prevent any wrong patient surgery from occurring). The patient is then taken back to the operating room, and put to sleep, and the neurosurgeon or orthopedic spine surgeon performs the procedure. The patient is then taken to the post op recovery room, and usually held there until the patient is awake enough, and the pain is well controlled enough, to allow discharge of the patient home.
ambulatory care, back surgery, minimally invasive surgery, minimally invasive spine surgery, ACA, ASC, ambulatory surgery centers, Houston, Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center (TMC)
Minimally invasive spine surgery employs less invasive spine surgery techniques to approach the spine. These minimally invasive surgery on the spine techniques can be used to perform lumbar discectomy for removal of a herniated disc, as well as for a lumbar fusion ( ALIF, TLIF, PLIF, DLIF, XLIF).
ambulatory care, back surgery, minimally invasive surgery, minimally invasive spine surgery, ACA, ASC, ambulatory surgery centers, Houston, Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center (TMC)
Physicians at the Kraus Back and Neck Institute have significant experience treating patients with diseases of the spine in an ambulatory outpatient setting. 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: ambulatory care, back surgery, minimally invasive surgery, minimally invasive spine surgery, ACA, Affordable Care Act, PPACA, ASC, ambulatory surgery centers, 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
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
Mobility during Recovery from Back Surgery review by KBNI Houston, Katy, Sugarland, Woodlands, Spring, Kingwood, Memorial City
Posted by admin in back injury, back pain, back surgery, baytown, beaumont, chiropractic, chiropractor, chiropractor near me, exercise, fusion, houston, katy, lumbar fusion, neck pain, physical therapy, post-operative care, recover, sciatica exercises, spinal fusion, spinal injury rehabilitation, spine mobility, spine surgery, sugarland, woodlands on September 27, 2014
MOBILITY DURING RECOVERY FROM BACK SURGERY
back surgery, back pain, physical therapy, pain levels, Houston
Normally, back surgery is treated as a last resort if more conservative treatments (i.e., physical therapy, chiropractic treatment, anti-inflammatory drugs, facet joint injections, etc.) have failed to adequately reduce pain levels and restore mobility. Physicians and patients alike should approach back surgery as a calculated risk, one taken to maximize long-term health and mobility while giving the patient the best chance at consistently low-to-moderate pain levels during recovery. Post-operative care is a different matter entirely, however, as many patients aren’t prepared for the loss in mobility that comes after major back surgery. Large incisions, which in many back procedures are necessary to give the surgeon vision of the damaged portion of the spine, also can severely damage muscles and other soft tissue along the spinal column. This trauma greatly reduces patient mobility during post-operative care, as the muscles have essentially been rendered unable to do their jobs.
back surgery, back pain, physical therapy, pain levels, 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
For patients, compromised mobility can present maddening challenges during post-operative care, not to mention complications. For example, surgical site infection (SSI) occurs from contamination of the surgical site, either during the operation itself or at some point during recovery. SSI is particularly dangerous if the contamination is internal, such as a contaminated plate or screw that has been implanted to stabilize the spinal column (lumbar fusion) . Patients will most likely be unable to adequately check their own incision sites for signs of infection, so family members and friends may be needed for not only this task, but to change the patient’s dressing as well.
Physical therapy / chiropractic therapy during post-operative care for back surgery is generally focused on preserving long-term mobility. If the muscles along the spinal column that were damaged by the surgeon’s incisions are not adequately worked during recovery, patients may soon find themselves incapable of bending and twisting beyond the physician’s weight-related restrictions. In other words, avoiding physical therapy can potentially result in a permanent reduction in range of motion. On the other hand, too much activity can de-stabilize implanted devices and re-tear healing muscles, prolonging the healing process and increasing the likelihood for additional corrective surgeries.
back surgery, back pain, physical therapy, pain levels, 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
Physicians will likely recommend several checkup visits during post-operative care in order to accurately gauge your progress and make necessary adjustments to your physical therapy regimen. Some back pain is normal and expected, but if your pain changes suddenly or begins to radiate through your ribs, legs, or arms, seek medical attention. Radiating back pain and muscle weakness often signals spinal nerve compression, which over the long-term may cause nerve damage and permanent loss of sensation. Over-the-counter non-steroidal anti-inflammatory drugs (NSAIDs) can help mediate pain levels, though during the initial healing process, physicians may authorize stronger prescription pain medication.
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.
Keywords: back surgery, back pain, physical therapy, pain levels, 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
Infections, Pain and Back Surgery review by KBNI Houston, Katy, Woodlands, Sugarland, Galleria, Pearland, Kingwood, Spring, Memorial City, TMC
Posted by admin in back pain, back surgery, baytown, beaumont, fusion, houston, infection, katy, low back pain, lumbar, lumbar fusion, lumbar laminectomy, pain, smoking, spinal fusion, spine surgery, sugarland, woodlands on September 24, 2014
Infections, Pain and Back Surgery Review
infections, back surgery, pain, Houston
Physicians often advise back surgery as a last resort when more conservative treatment methods (anti-inflammatory drugs, rest, physical therapy) have failed to adequately reduce pain levels. Back surgery for pain is not only costly, but also occasionally necessitates a long period of post-operative care during which patients must work to re-develop muscles damaged by the back surgery incisions. Patients often head into surgery aware of the recovery period, but they also need to prepare for the low but distinct possibility of surgical site infection during post-operative care. Fortunately, infections from back surgery are an infrequent occurrence, but they must still be considered, watched, and prevented.
The extensiveness of some back surgeries may require deep or long incisions to provide the surgeon with adequate vision and access to damaged spinal discs or nerves. Major back surgery also goes hand-in-hand with a significant number of implanted devices, such as metal screws or plates ( back surgery fusion or spinal fusion )to stabilize a compromised spinal column. Though these materials are required to be sterile prior to surgery, they can still potentially become contaminated in various ways. Antibiotic-resistant bacteria, which are bacterial populations that have developed resistances to several conventional (and even some last-resort) antibiotics ( bacteria such as Methicillin-resistant Staphylococcus aureus (MRSA), represent an increasingly dire problem for hospitals worldwide. In cases of major back surgery, the risk of contamination is increased due to the physical procedure itself: internal parts of the body remain exposed to the surrounding air for several hours. Any bacteria that have survived on the operating staff or on the implantation devices are capable of causing problems for the patient during post-operative care.
infections, back surgery, pain, Houston
Patients who want to minimize their recovery time and pain, as well as reduce the possibility of secondary back surgery will regularly monitor their incision sites for signs of back surgery infection. Back surgery patients occasionally do not have much mobility during post-operative care (especially if the surgery was extensive, like a spinal fusion or artificial spinal disc implant), so patients will need to communicate their needs and pain issues to family and friends. Have them check for redness, swelling, pus, and foul odors around the incision site. Patients must pay attention to their pain levels and note any sudden or drastic changes.
infections, back surgery, pain, Houston
Risk factors of the patient which increase the risk of infection during back surgery include smoking, diabetes, malnutrition, obesity, and poor personal hygiene. Hand washing is important before handling a wound. In a hospital, all visitors, nurses and physicians should wash their hands before entering a patient’s room, as preventative care. Patients who have any open sores or cuts on their body should alert the doctors and nurses before the back surgery, as the surgeon may potentially choose to cancel the operation until the open lesions heal. If a patients suffers an infection post operatively, all visitors, nurses and physicians should wear protective attire upon entering the room.
infections, back surgery, pain, Houston, Woodlands, Katy, Spring, Sugarland, Sealy, Pearland, Baytown, Beaumont, Tomball, Galleria, Humble, Conroe, Kingwood, Port Arthur, Memorial City, Galveston, Texas Medical Center (TMC), Dallas, Fort Worth, San Antonio, Austin
It’s also possible that a patient’s infection may be entirely internal, without many symptoms around their incision site. They should monitor pain levels, and check in with their physician if they experience nausea, vomiting, chills, or fever. Depending on the location and severity of the infection, physicians will likely prescribe a course of treatment involving one or more courses of different antibiotics. In some cases, both surgical site infections and internal infections have the potential to reduce healing during post-operative care. Secondary surgeries may be necessary to correct the problems the infections create, and help relieve the pain they create.
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.
infections, back surgery, pain, Houston, Woodlands, Katy, Spring, Sugarland, Sealy, Pearland, Baytown, Beaumont, Tomball, Galleria, Humble, Conroe, Kingwood, Port Arthur, Memorial City, Galveston, Texas Medical Center (TMC), Dallas, Fort Worth, San Antonio, Austin
Keywords: infections, back surgery, pain, Houston, Woodlands, Katy, Spring, Sugarland, Sealy, Pearland, Baytown, Beaumont, Tomball, Galleria, Humble, Conroe, Kingwood, Port Arthur, Memorial City, Galveston, Texas Medical Center (TMC), Dallas, Fort Worth, San Antonio, Austin
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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MRI, herniated disc, Houston, Woodlands, Katy, Memorial City, Sugarland
Magnetic Resonance Imaging MRI and Herniated Disc by KBNI Houston, Katy, Woodlands, Spring, Sugarland, Memorial City, Texas
Patients often wonder what the best test is to determine whether they have a herniated disc in the spine. Without a doubt, magnetic resonance imaging MRI has revolutionized the imaging field of medicine, and allowed immense clarity and accuracy when trying to diagnose a herniated disc. There are several different primary imaging exams that physicians use to aid in making an accurate diagnosis. When it comes to the spinal column anatomy, an incredibly complex system of powerful load-bearing bones and facet joints all working in conjunction with spinal discs and nerves, making an accurate diagnosis can be difficult. Typically, physicians will begin with a series of physical exams that test a patient’s mobility and back pain levels. Based on these findings, physicians will have a much better approximation of the possible causes for the patient’s back pain. Consequently, a series of spinal imaging exams may be recommended to confirm the diagnostics. X-rays are normally used when spinal fracture is suspected, but if soft tissue damage (such as spinal nerve compression) is the main cause of a patient’s back pain, magnetic resonance imaging MRI is used to gain an accurate estimate of the damage.
MRI, herniated disc, Houston, Woodlands, Katy, Memorial City, Sugarland
Magnetic resonance imaging MRI uses powerful magnetic fields and radio wave energy to map the body’s soft tissue systems. This information is then relayed to a computer so that different systems can be studied in more detail. Magnetic resonance imaging MRI also has the advantage of remote viewing, where clinics that have access to other physicians’ MRI recordings can make recommendations based on samples that have been relayed electronically. MRI scans can be done on what is known as a closed machine or magnet, or an open machine or magnet. Typically, for patients who have difficulty with claustrophobia, an open magnet or machine may be easier to tolerate. For patients with claustrophobia, a mild oral sedative or an intravenous ( IV ) sedative may help them to tolerate the machine. Most patients are able to have their MRI scan done on a closed machine, with accommodations made, even if they have mild claustrophobia.
MRI, herniated disc, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Humble, Kingwood, Port Arthur, Galveston, Texas, TX, Dallas, Fort Worth, San Antonio, Austin
Different MRI sequences on the MRI scan can help the radiologist and spine surgeon (neurosurgeon or orthopedic spine surgeon) to help determine whether the herniated disc is more acute or chronic in nature. In addition, MRI images can be taken in different planes. This means that the orientation of the images of the spine can be seen in sagittal (as if looking from the side), coronal (as if looking from the front of the body) or axial (as if looking from the feet with the patient lying on their back) views. With a high quality MRI scan, individual nerve roots can be seen in cross section, and a herniated disc which compresses the nerves can usually be easily visualized. Typically, an MRI scan of the cervical spine shows the spine from the skull base to the top of the thoracic spine. A cervical herniated disc can be easily seen in cross section or sagittal views on a cervical MRI. A thoracic spine MRI scan typically shows the spine from the bottom of the cervical spine to the top of the lumbar spine. A thoracic herniated disc can be seen on axial and sagittal MRI views. A lumbar MRI scan usually shows the spine from the bottom of the thoracic spine to the sacrum, which lies below the lumbar spine. An axial or sagittal MRI scan will usually show a lumbar herniated disc. A spine surgeon finds that an MRI scan provides critical information for a herniated disc surgery.
Within the spinal column, magnetic resource imaging MRI allows for complete renditions of the spinal discs (herniated disc) , which help in determining conditions like advanced disc degeneration, herniated disc, cartilage degeneration between the facet joints, and integrity of the spinal canal that houses the central nervous system’s spinal nerves. MRI scans can also be used as a secondary imaging exam if the results of an X-ray or CT scan (computerized tomography) are inconclusive. MRI scans are not always able to pinpoint the origin of a patient’s back pain, however, due to the fact that some patients may exhibit extreme pain while showing relatively few signs of soft tissue degeneration. Other patients may show much more degeneration in the spinal column, facet joints, or spinal disks, but have much lower levels of back pain during routine movement. As with other imaging exams, MRIs are used in conjunction with other imaging exams to ascertain whether more serious methods of treatment (such as back surgery) are necessary.
MRI, herniated disc, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Tomball, Conroe, Humble, Kingwood, Port Arthur, Galveston, Texas, TX, Dallas, Fort Worth, San Antonio, Austin
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
Recover from Spinal Fusion discussion by KBNI Houston, Katy, Woodlands, Sugarland, Galveston, Texas Medical Center
Posted by admin in back pain, baytown, beaumont, cervical fusion, chiropractic, chiropractor, chiropractor near me, core strengthening exercise, fusion, healthy diet, houston, katy, lifting techniques, low back pain, lumbar fusion, neck pain, pain, physical therapy, post-operative care, recover, sciatica exercises, smoking, spinal fusion, spinal injury rehabilitation, spine surgery, sports injury, sugarland, woodlands on June 26, 2014
spinal fusion, recover, Houston, Sugarland, Woodlands, Katy
Spinal fusion is a back or neck surgery in which vertebrae within the spinal column are fused together to eliminate movement at points of articulation (joints) between them. This can lower spinal mobility overall, but often spinal fusion can have a net positive effect for a patient due to decreased pain levels and increased spinal stability. When a spinal fusion is performed in the cervical spine (neck), it is known as a cervical fusion. When the spinal fusion is performed in the lumbar spine (low back), it is called a lumbar fusion. It can take some time to recover after this type of surgery.
To recover from a spinal fusion can be difficult based on the invasiveness of the surgery itself and the length of the post-operative care period. To recover, patients may need to make significant lifestyle changes in order to aid recovery and ensure that a stable fusion takes place as the bones of the spinal column grow back together. Eliminating smoking entirely is absolutely essential. Cigarettes contain elevated levels of nicotine, which is a chemical shown to be highly toxic to bone growth. Nicotine kills the body’s osteoblasts (bone-growing cells), while leaving our bone-eating cells (osteoclasts) alive. Spinal fusion patients who smoke during post-operative recovery are much less likely to maintain a stable spinal column, and may restrict bone growth while extending their less successful recovery by several months. If a patient wants a stable spinal fusion that minimizes the possibility of subsequent corrective surgeries, eliminating smoking is possibly the single greatest factor that aids recovery.
spinal fusion, recover, Houston, Sugarland, Woodlands, Katy
To recover, patients must also be certain to follow guidelines regarding physical therapy, exercise, and motion during their post-operative care period. Core strengthening exercises can be guided by a chiropractor or physical therapy. Physical therapy or chiropractic guidance and education can also help to teach about how to prevent future spine injuries. Spinal fusion is one of the more intensive varieties of back surgery, and physicians must document the recovery process accurately to ensure that the patient’s spinal column is stable enough for everyday motion. This requires subsequent visits for imaging tests (typically X-rays, in the case of spinal fusion) to monitor bone growth. There may be strict guidelines for the amount a patient can lift or the length of time in which the patient may stand, sit, or walk during the course of their daily routines. The amount of time needed to recover may vary widely depending on how old the patient is (younger patients generally re-grow bone more quickly than older patients) as well as the physical requirements of their occupation.
spinal fusion, recover, Houston, Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center, TMC, Texas, TX, Dallas, Fort Worth, San Antonio, Austin
In some cases, the physician who performed the spinal fusion may have the patient wear an external brace to help recover. This will help support the body, and reduce movement of the fused area of the spine, while new bone is attempting to grow, and accomplish the spinal fusion.
Some patients may wear an external bone growth stimulator, if prescribed by their doctor. The bone growth stimulator provides an electric current around the body, which stimulates bone growth.
Physician experts at the Kraus Back and Neck Institute (KBNI) in Houston TX have significant experience at taking care of patients and helping them to recover after undergoing spinal fusion. Many times, surgery can be avoided, but when necessary, the neurosurgeons at the KBNI have the most current techniques in minimally invasive spine surgery available when appropriate.
The Kraus Back and Neck Institute (KBNI) in Houston TX takes care of patients in Houston and the surrounding areas, including Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center (TMC) and other Texas TX cities including Dallas, Fort Worth, San Antonio and Austin.
REFERENCE SITES
Patients suffering from a cervical stenosis or lumbar stenosis, or who have been told they may require a lumbar laminectomy or cervical laminectomy, can contact the Kraus Back and Neck Institute at
……. 281-713-6296
……. Or visit www.SpineHealth.com to schedule an appointment online
……. KBNI VIDEO on Back and Neck Pain Treatment : Don’t Live in Fear and Pain
Keywords: spinal fusion, recover, Houston, Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center, TMC, Texas, TX, Dallas, Fort Worth, San Antonio, Austin
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
Herniated Disc Houston, Herniated Disc Surgery Houston review by KBNI Houston, Katy, Woodlands, Sugarland, Beaumont, Baytown, Memorial City, TMC Texas Medical Center
Posted by admin in back pain, baytown, beaumont, chiropractor, chiropractor near me, core strengthening exercise, disc degeneration, herniated disc, herniated disc surgery, houston, katy, low back pain, neck pain, physical therapy, sciatica, spine surgery, sugarland, woodlands on June 18, 2014
herniated disc, herniated disc surgery, herniated disc Houston, Houston, Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Beaumont
A herniated disc is an extremely common problem and diagnosis in the United States, leading many to consider herniated disc surgery. The spinal discs are flexible pads that sit between each of our vertebrae and act as shock-absorbers for the spine and body. Each spinal disc is composed of a tough exterior (annulus fibrosus) wrapped around a softer, jelly-like interior nucleus pulposus). Over time, our spinal discs naturally degenerate, becoming thinner, harder, and less capable of absorbing the stresses of everyday movement. This condition is known as degenerative disc disease. Excessive wear and tear (such as from bending and twisting or repetitive heavy lifting) will accelerate the natural wearing process and increase the chances of compressed spinal nerves and severe back pain or leg pain (sciatica) or arm pain . Normally, we are able to weather the changes in our spine as we age without severe pain, but sometimes this is not the case. Certain structural problems, like herniated discs, can reduce mobility significantly.
A herniated disc occurs when a disc is damaged to the point that some of the soft inner material of the disc protrudes through a hole in some of the disc’s tough exterior. Holes may occur in many different ways, including age or sudden physical trauma. After the protrusion occurs, the disc is now displaced in the spinal column and may impinge on nearby spinal nerves, causing extreme back pain or leg pain (sciatica) or arm pain. This is not the case for all herniated disc patients, however. Sometimes the injury is gradual and patients do not feel as much pain, even though their spinal discs may have suffered serious trauma. If a spinal herniated disc problem is suspected, patients should seek immediate medical attention. Your doctor will give you a complete physical examination to narrow the possible causes for your back pain or sciatica. Imaging tests (x-rays, magnetic resonance imaging) will help determine if the soft tissues of the spinal discs and nerves has been damaged and to what extent.
herniated disc, herniated disc surgery, herniated disc Houston, Houston, Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Beaumont
Fortunately, in most cases it is possible for herniated disc patients to preserve their mobility and improve their pain levels. Physical therapy or chiropractor treatment designed to strengthen core muscles in the torso and along the spinal column will help patients immeasurably during their recovery. Core-strengthening exercises help patients by allowing muscles in the torso to better assist in load-bearing during the body’s routine movement. A stronger core therefore means a lower incidence of re-injury, relief for nearby spinal nerves, and a higher overall quality of life for patients. For some herniated disc patients, however, their back pain may be too severe to be mediated solely by physical therapy or other conservative treatments. These patients may need corrective back surgery or herniated disc surgery to remove parts of the damaged disc and re-stabilize the spinal column with metal plates and / or screws (spinal fusion) in the lumbar spine or an anterior cervical discectomy with fusion in the cervical spine. Physical therapy is also typically involved in post-operative care for back surgery patients.
Expert physicians at the Kraus Back and Neck Institute (KBNI) in Houston TX have expertise in treating patients with herniated disc Houston. At the KBNI, neurosurgeon experts believe that most patients with a herniated disc can be treated without the need of an operation, and they can frequently implement a course of treatment which improves patient’s pain without the need of a surgery. When herniated disc surgery Houston is needed, neurosurgical experts at the KBNI employ the most current minimally invasive spine surgery techniques when appropriate.
herniated disc, herniated disc surgery, herniated disc Houston
The Kraus Back and Neck Institute (KBNI) in Houston TX takes care of patients in Houston and the surrounding areas, including Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center (TMC) and other Texas TX cities including Dallas, Fort Worth, San Antonio and Austin.
Patients suffering from a herniated disc can contact the Kraus Back and Neck Institute at
……. 281-713-6296
……. Or visit www.SpineHealth.com to schedule an appointment online
……. KBNI VIDEO on Back and Neck Pain Treatment : Don’t Live in Fear and Pain
Keywords: herniated disc, herniated disc surgery, herniated disc Houston, Houston, Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center, TMC, Texas, TX, Dallas, Fort Worth, San Antonio, Austin
How Smoking Affects Spinal Fusion and Surgeries – Back and Neck Houston, Katy, Humble, Woodlands, Sugar Land, Kingwood, Memorial City, Austin, Dallas, Ft Worth, San Antonio
Posted by admin in low back pain, neck pain, spine surgery on May 15, 2014
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smoking, spinal fusion, physical therapy, osteoblasts, back surgery, Houston, Katy, Humble, Woodlands, Sugar Land, Kingwood, Memorial City, Austin, Dallas, Ft Worth, San Antonio
Spinal fusion is a procedure which fuses two or more vertebrae in the spinal column together. This surgical procedure can compensate for spinal discs (shock-absorbing pads between each vertebra) that have degenerated to the point where the spinal nerves are at risk for compression. The stress of major back surgery is such that smokers will often be tempted to smoke more in the aftermath and during recovery. Dr. Gary Kraus and Dr. Masaki Oishi at the Kraus Back and Neck Institute in Houston TX, have extensive history of performing fusion of the spine, including the cervical, thoracic and lumbar spine. They have several offices around Houston serving patients in Houston, Kingwood, Humble, Katy, Woodlands, Pearland, Memorial City, Quite simply, it is absolutely preferable that patients cease smoking for at least two months prior to spinal fusion and for at least six months after any major bone alteration within the spinal column. Better still if patients are able to quit smoking indefinitely. Nicotine, one of the primary addictive chemicals in cigarettes, is toxic to bone growth. The balance of the body’s osteoblasts (bone-growing cells) and osteoclasts (bone-eating cells) is severely compromised by smoking during both the pre- and post-operative periods. Large decreases in the number of osteoblasts means that bone generative capacity is vastly reduced, signaling a long (and possibly ineffective) spinal fusion process. Normally, patients decide on spinal fusion and similar back surgery due to increases in back pain and a corresponding decrease in mobility. If patients continue to smoke during the post-operative period, bone fusion—if it even takes place—will take much longer. This means that patients will face many more months of decreased mobility and elevated levels of back pain. Though a nicotine addiction may be strong, abstinence from smoking during the pre- and post-operative period will shorten recovery time significantly. Non-smoking patients will also be more capable of participating in aerobic portions of physical therapy, which stimulate the flow of blood and oxygen to areas around the spinal column. This extra nutrition will further speed the process of recovery. Though the precise method of physical rehabilitation may depend on the complexity of the spinal surgery and the patient’s overall health, the absence of nicotine from the patient’s daily life will optimize his or her chances at an effective spinal fusion. Patients suffering from low back pain and neck pain can easily make an appointment and be seen at the Kraus Back and Neck Institute in Houston and surrounding areas. No imaging or other studies are needed to be seen. The doctors at the Kraus Back and Neck Institute will order the appropriate testing.
smoking, spinal fusion, physical therapy, osteoblasts, back surgery, Houston, Katy, Humble, Woodlands, Sugar Land, Kingwood, Memorial City, Austin, Dallas, Ft Worth, San Antonio
Keywords: smoking, spinal fusion, physical therapy, osteoblasts, back surgery, Houston, Katy, Humble, Woodlands, Sugar Land, Kingwood, Memorial City, Austin, Dallas, Ft Worth, San Antonio
Minimally Invasive Surgery: Houston, Kingwood, Spring, Woodlands, Katy, Memorial City, Humble: 281-713-6296
Posted by admin in minimally invasive surgery, sciatica, spine surgery on May 14, 2014
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Minimally Invasive Spine Surgery
physical rehabilitation, minimally invasive surgery, spine surgery, back pain, back surgery, sciatica, Houston, katy, spring, texas medical center, Woodlands, Sugar Land
Until relatively recently back surgery required large incisions accompanied by long periods of physical rehabilitation in post-operative care. With recent surgical advancements, however, new procedures have resulted in much shorter periods of physical rehabilitation. These surgical procedures—termed minimally invasive surgery or laporoscopic surgery—have revolutionized the way physicians approach not only back surgery, but several other varieties of major surgery as well.
Neurosurgeons specializing in spine surgery, Dr. Gary Kraus MD and Dr. Masaki Oishi MD PhD, at the Kraus Back and Neck Institute in Houston TX, have a vast experience in performing minimally invasive surgery of the spine. The procedures can be used to treat low back pain, neck pain, herniated discs of the spine, as well as sciatica. In some cases, spinal stenosis and spondylolosthesis can also be treated with minimally invasive techniques. Patients throughout the Houston and surrounding areas, including Katy, Spring, Woodlands, Sugar Land, Memorial City and the Texas Medical Center have trusted the neurosurgeons at the Kraus Back and Neck Institute for treating their spine with minimally invasive surgery. Call 281-713-6296 for an appointment.
Minimally invasive surgeries typically involve one or more small incisions into which physicians insert thin plastic tubes. The tubes then provide the means for small observation cameras to be inserted. Using these cameras, surgeons can continuously adjust their technique during the operation, minimizing scarring and ultimately decreasing the patient’s post-operative pain levels and length of recovery. New robotic surgical assistants further contribute to the process by plotting optimal routes of incision and minimizing the number of physical adjustments a surgeon makes.
Many types of back surgery, however, do not have minimally invasive equivalents. Thorough medical consultation should be a top priority for patients considering minimally invasive surgery, as a misdiagnosis could result in a less effective procedure. Should the patient be a good candidate, a shorter, less expensive hospital stay and a faster recovery is the norm. This makes physical therapy all the more necessary—patients may feel that they can skip the process entirely given that their pain levels during post-operative care are much lower. Patients are advised to follow up on their physical therapy sessions as well as any subsequent visits to their spinal specialist. This will minimize the possibility of additional back surgery as well as maximize the chances for an effective recovery.
Physical rehabilitation for minimally invasive surgery is often similar to other kinds of surgery. In the case of most back surgery, core strengthening is often emphasized to assist in load-bearing activities (lifting, sitting, and standing) as well as to pressure from the spinal discs. Patients will also receive information on how to change their daily lifestyles to minimize the chances of re-injury and subsequent surgery.
Neurosurgeons Dr. Kraus and Dr. Oishi, at the Kraus Back and Neck Institute, would be available for consultation to any patients suffering from low back pain, neck pain, sciatica, herniated discs, or any other spinal disorders. Even though they offer minimally invasive surgical approaches to the spine, they are able to treat many of their patients without the need for surgery. Patients from the Houston and surrounding areas including Katy, Spring, Woodlands, Sugar Land, Memorial City and the Texas Medical Center, can be seen without any prior testing or imaging studies.
http://www.neckpain.com/minimally-invasive-kraus-back-neck-institute.html
Keywords: physical rehabilitation, minimally invasive surgery, spine surgery, back pain, back surgery, sciatica, Houston, katy, spring, texas medical center, Woodlands, Sugar Land
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.
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