Posts Tagged TMC
Facet Joint Health, Low Back Pain and Upper Back Pain review by KBNI Houston, Kingwood, Spring, Sugarland, Katy, Pearland, Baytown, Beaumont, Clear Lake, Memorial City, the Woodlands
Posted by admin in arthritis, back pain, baytown, beaumont, chiropractic, chiropractor, Clear Lake, conroe, facet joint, Galleria, houston, Humble, imaging, katy, Kingwood, low back pain, lumbar spine, Memorial City, Missouri City, nerves, pain, Pearland, physical exam, physical therapy, Port Arthur, spinal, spinal column, spinal discs, spine, spondylolisthesis, spondylolysis, Spring, Texas City, Tomball, upper back pain, woodlands on January 21, 2016
facet joint, low back pain, back pain, physical therapy, spinal column, spondylolisthesis, spinal
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Facet Joint Health, Low Back Pain and Upper Back Pain
Simply put, the facet joint links the vertebrae of the human spinal column and allow for the articulation of the spine. When they facet joints are not functioning properly, or when they become degenerated, develop arthritis, or slip, they may be the cause of low back pain and upper back pain. In addition to providing mobility, the facet joints also help stabilize the spinal column by being oriented in such a way that they decrease the chances of preventing forward vertebral slippage (spondylolisthesis). The ends of the facet joints are covered in cartilage, which allows for pain-free operation over a normal range of motion (bending, twisting, lifting, sitting, standing, etc.). While the cartilage does break down naturally over time (in this manner resembling cartilage in other parts of the body), the facet joints are still quite durable if direct physical trauma (such as from an accident) is not an issue. The condition known as spondylolisthesis exists when one vertebral body is slipped forward upon the vertebral body below. This is also known as anterolisthesis. When the vertebral body is slipped backward upon the vertebral body below, the condition is known as retrolisthesis. Spondylolisthesis may occur as a result of degenerative changes of the facet joint. When a patient has a condition known as spondylolysis, the patient is prone to develop spondylolisthesis. Spondylolysis is a condition where there is a gap in what may be considered the roof over the spinal canal. It may occur from an injury, or a person may be born with it. When this condition occurs, the facet joint is no longer able to help support the vertebral bodies from slipping forward upon each other, and instead, all of this burden is placed upon the intervertebral disc, which separates two adjacent vertebral bodies. Spondylolisthesis, whether anterolisthesis or retrolisthesis, may be related to low back pain or upper back pain, as it relates to possible instability of the spinal column.
facet joint, low back pain, back pain, physical therapy, spinal column, spondylolisthesis, spinal
With all of these essential functions, the facet joints are a little-known but important means to preventing low back pain and upper back pain. These joints, along with spinal discs (the shock-absorbing pads between our vertebrae) help relieve pressure on the spinal nerves during routine motion, lowering the incidence of nerve compression (and accompanying sharp low back pain). Over time, however, the facet joints begin to break down just like any other mechanical component in the human body. Repetitive bending, lifting, and twisting can all accelerate the natural degenerative processes in the human spinal column, and the facet joints are no exception. The cartilage on the ends of the joints breaks down as spinal discs become thinner, harder, and less capable of bearing shock as we grow older. All of this leads to higher incidence of compressed (pinched) spinal nerves, which in turn can cause muscle weakness, numbness, low back pain, upper back pain, and decreases in overall mobility.
facet joint, low back pain, back pain, physical therapy, spinal column, spondylolisthesis, spinal, Houston, Pearland, Galleria, Beaumont, Baytown, Clear Lake, Port Arthur, Katy, the Woodlands, Spring, Memorial City, Humble, Kingwood, Conroe, Tomball, Missouri City, Texas City, TMC, Texas Medical Center
As such, maintaining the health of our facet joints as we age should be a priority for everyone. Patients with chronic low back pain and upper back pain are advised to explore the option of physical therapy or chiropractic designed specifically for the spine. Typically, spine-specific physical therapy programs use a regimen of core-strengthening exercises to build muscles along the spinal column and throughout the torso. Stronger core muscles are more capable of relieving load-bearing stress on other degenerated portions of the spine, such as the discs and facet joints. Continuing physical therapy at home will also help back pain patients maintain optimal muscle mass as they age, which will in turn lower the incidence of injury, low back pain and increase overall mobility. Patients are advised to consult their physicians prior to beginning any physical therapy regimen to ensure they do not have any structural deformities that would be exacerbated by an exercise program. Imaging tests (x-rays, magnetic resonance imaging (MRI) ) may be necessary to confirm this, depending on the physician’s findings during your physical exam. Standing low back x rays in flexion and extension will show whether spondylolisthesis is stable, or whether it moves.
facet joint, low back pain, back pain, physical therapy, spinal column, spondylolisthesis, spinal, Houston, Pearland, Galleria, Beaumont, Baytown, Clear Lake, Port Arthur, Katy, the Woodlands, Spring, Memorial City, Humble, Kingwood, Conroe, Tomball, Missouri City, Texas City, TMC, Texas Medical Center
Low back pain is one of the most common reasons for individuals to visit their doctor, and for loss of work. Finding the source of the low back pain is important, before the low back pain can be addressed, and treatment begun. Causes of low back pain include the facet joint, the spinal disc itself, the ligaments attached to the low back spinal column, the nerves leaving the spine in the low back, and the muscles which attach to, and create movement in the low back.
The Kraus Back and Neck Institute (KBNI) in Houston TX takes care of patients in Houston and the surrounding areas, including Pearland, Galleria, Beaumont, Baytown, Clear Lake, Port Arthur, Katy, the Woodlands, Spring, Memorial City, Humble, Kingwood, Conroe, Tomball, Missouri City, Texas City, and Texas Medical Center (TMC)
Patients suffering from a low back pain or neck pain, or who have been told they may require a low back surgery or neck sugery, can
contact the Kraus Back and Neck Institute at
……. 281-713-6296
……. Or visit www.SpineHealth.com to schedule an appointment online
……. KBNI VIDEO on Back and Neck Pain Treatment : Don’t Live in Fear and Pain
Keywords: facet joint, low back pain, back pain, physical therapy, spinal column, spondylolisthesis, spinal, Houston, Pearland, Galleria, Beaumont, Baytown, Clear Lake, Port Arthur, Katy, the Woodlands, Spring, Memorial City, Humble, Kingwood, Conroe, Tomball, Missouri City, Texas City, TMC, Texas Medical Center
Spine Health Core Strengthening with Spine KBNI Houston, Katy, Woodlands, Sugarland, Memorial City, Texas Medical Center TMC
Posted by admin in back injury prevention, baytown, beaumont, chiropractic, chiropractor, chiropractor near me, core strengthening exercise, disc degeneration, healthy diet, herniated disc, houston, injury, katy, lifting techniques, nutritional supplements, physical therapy, recover, smoking, spinal injury rehabilitation, spine health, stretching, sugarland, woodlands on July 6, 2014
spine health, core strengthening, spinal health, Houston, Sugarland, Woodlands, Katy
SPINE HEALTH CORE STRENGTHENING HOUSTON
Spine health maintenance is imperative for a healthy body. A number of factors are important for maintaining proper spine health. Proper posture, core strengthening, rest, nutrition, cessation of smoking, and proper shoes are a good foundation. The spine is integral to all of our routine movement. Even when we are standing still or simply sitting, the spine is still responsible for bearing much of the stresses placed on the body. Like other parts of the body, the spinal column is a collection of ligaments, muscle tissue, tendons, articulated vertebrae (the bones of our spine), and spinal discs (shock-absorbing pads that are between vertebrae and assist in load-bearing stress and movement). With so many components in constant use, it is easy to see why spine health is essential to a high quality of life.
The spinal column also protects the spinal cord, which in turn houses the central nervous system’s spinal nerves, which wind through the vertebrae and transmit sensation and signals for voluntary muscle control to the rest of the body. Protecting these sensitive spinal nerves from trauma is crucial for high function. This involves proper hydration and nutrition for the spinal disks, as well as core strengthening exercises to build the support network of ligaments, tendons, and muscles in the torso to assist the spinal discs in bearing the stresses of movement. Core strengthening will thusly decrease wear on the spinal disks, which significantly reduces the possibility of the vertebrae compressing spinal nerves and causing extreme pain. Core strengthening exercises can be done alone, or with the expert guidance of a physical therapist for physical therapy, or a chiropractor for chiropractic training. These experts will also guide patients in the proper use of good body mechanics for bending, lifting and twisting.
spine health, core strengthening, spinal health, Houston, Sugarland, Woodlands, Katy
Choosing comfortable, well-fitted shoes is another simple way of maintaining spine health. Shoes are so common they are often overlooked as a source of pain, but improperly fitted or worn shoes are much less effective at providing shock absorption for the body. Spinal joints and discs, as a consequence, receive more load-bearing stress in all daily movements. A healthy, varied diet, nutritional supplements, and proper weight management will all also aid the spinal column in managing the stress of everyday movement. Excessive weight can actually displace disks within the spinal column, causing them to rupture or compress nearby spinal nerves. Through weight management, a healthy diet, and a regimen of core strengthening exercises, patients can maximize spine health while minimizing pain levels and wear on the spinal column.
spine health, core strengthening, spinal health, Houston
Physician experts at the Kraus Back and Neck Institute (KBNI) in Houston TX have significant experience at taking care of patients with back problems, back injuries and other sources of back and neck pain. Many times, proper guidance from an expert as to body mechanics, posture, core strengthening and nutrition may improve spine health and reduce spine pain.
The Kraus Back and Neck Institute (KBNI) in Houston TX takes care of patients in Houston and the surrounding areas, including Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center (TMC) and other Texas TX cities including Dallas, Fort Worth, San Antonio and Austin.
REFERENCE SITES
Patients suffering from neck pain or back pain, or who have been told they may require a spine surgery, can contact the Kraus Back and Neck Institute at
……. 281-713-6296
……. Or visit www.SpineHealth.com to schedule an appointment online
……. KBNI VIDEO on Back and Neck Pain Treatment : Don’t Live in Fear and Pain
spine health, core strengthening, spinal health, Houston
Keywords: spine health, core strengthening, spinal health, Houston, Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center, TMC, Texas, TX, Dallas, Fort Worth, San Antonio, Austin
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
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
Spine Anatomy, Lumbar Spine, Cervical Spine, Thoracic Spine discussion KBNI Houston, Katy, Woodlands, Sugarland, Texas Medical Center TMC
Posted by admin in back pain, car accident, cervical spine, houston, katy, low back pain, lumbar spine, neck pain, pain, sugarland, thoracic spine, truck accident, woodlands on June 19, 2014
spine, lumbar spine, cervical spine, thoracic spine, Houston, Sugarland, Woodlands, Katy, Spring
The anatomy of the spine is varied and complex, with strong bones working in tandem with discs (shock-absorbing pads between the vertebrae), as well as flexible ligaments, tendons, and muscles. The lumbar spine, cervical spine and thoracic spine each have their own very unique structure, allowing for different stresses and strains to be supported, and allowing for very different ranges of motion. A large collection of very sensitive nerves also dwells in the spinal column, transferring sensory information and motor control from the central nervous system to other parts of the body. There are eight different nerves associated with the cervical spine, twelve with the thoracic spine, and five with the lumbar spine. The nerves from the cervical spine generally supply movement and sensation to the arms. The nerves from the thoracic spine are mainly sensory, and supply sensation to the chest and back. The nerves from the lumbar spine mainly supply motor and sensory function to the legs.
As described above, when talking about the spine, it is generally divided into three primary regions: the lumbar spine (lower back), thoracic spine (middle back), and cervical spine (neck), while the base of the spine sits on a triangular bone called the sacrum. Each vertebra in the spine also has several parts. For example, vertebrae are divided into the body, which supports the weight of the spinal column, as well as the lamina, which covers the opening that would otherwise allow direct access to the spinal cord. Facet joints (one pair facing upward and one facing downward) link each vertebra in the spinal column and provide articulation points for movement. Repetitive load-bearing stress, poor weight management, and physical trauma can degrade the cartilage on the facet joints to the point where vertebrae are at risk for compressing nearby spinal nerves.
spine, lumbar spine, cervical spine, thoracic spine, Houston, Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center, TMC, Texas, TX, Dallas, Fort Worth, San Antonio, Austin
At times, generally from trauma or degenerative changes (wear and tear on the body), intervertebral discs located between the vertebral bodies, may herniated, and may push against the nerves leaving the cervical spine, lumbar spine, or thoracic spine. Disc herniations causing symptoms are much more frequent in the cervical spine and lumbar spine than they are in the thoracic spine. This is because the cervical and lumbar spine are subject to much movement, while the thoracic spine is held in a more rigid position as it is supported by the rib cage. A herniated disc in the lumbar spine may cause pain in the leg, and weakness of the leg. A herniated disc in the cervical spine may cause pain in the arm, or weakness of the arm. When a herniated disc in the cervical spine compresses the cervical spinal cord, it may result in a spinal cord injury and possibly partial or complete paralysis, from the level of the spinal cord compression and below. For example, if there is severe pressure on the spinal cord at the level of C5/6, a patient may have good strength in the deltoid muscles at the shoulders, but be otherwise paralyzed in the more distal arms and legs. A herniated disc in the thoracic spine may cause pain around the chest and rib cage, but when pressing on the thoracic spinal cord, may also cause partial or complete paralysis from the level of the compression and down.
Spinal nerves are particularly susceptible to injury, given that they do not regenerate once they have endured sufficient physical trauma. This is why conditions that threaten the integrity of the spinal cord—such as spinal tumors, bone spurs, and spinal fractures—must be diagnosed and treated as soon as possible. Physicians often require several imaging exams, such as CT scans, X-rays, and magnetic resonance imaging, to determine whether there are any structural problems within the spinal column that may compromise the spinal cord.
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From an anatomical perspective, many patients who suffer from low back pain and strains and sprains often simply need to develop their torso through a series of core strengthening low back strengthening exercises. Increased blood flow will help aid the network of ligaments, tendons, and muscles that assist the spinal column of the lumbar spine in distributing the body’s weight. Back pain, when understood and treated, can be improved without surgery. As such, core strengthening is often a hallmark of physical therapy regimens for patients who have undergone spinal procedures. The same can be said for neck pain. Strengthening of the neck and paraspinal muscles adjacent to the cervical spine may help with neck pain. Strengthening of the muscles surrounding the thoracic spine may also help with mid back thoracic pain.
Spine experts at the Kraus Back and Neck Institute (KBNI) in Houston TX treat disorders of the cervical spine, thoracic spine and lumbar spine. Many patients are seen after experiencing years of spine pain, or after having suffered a car or truck accident. Regardless of the cause or duration of pain, physicians at the KBNI obtain the appropriate imaging studies and nerve studies to look for the source of the pain. After the source of pain is localized, treatment can begin to attempt to treat and improve the pain. Neurosurgeons at the KBNI have found that the majority of patients suffering from pain do not need an operation on the spine, but when surgery is needed, they have the ability to perform the spine surgery using the latest techniques in minimally invasive spine surgery when appropriate.
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The Kraus Back and Neck Institute (KBNI) in Houston TX takes care of patients in Houston and the surrounding areas, including Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center (TMC) and other Texas TX cities including Dallas, Fort Worth, San Antonio and Austin.
Patients suffering from a herniated disc can contact the Kraus Back and Neck Institute at
……. 281-713-6296
……. Or visit www.SpineHealth.com to schedule an appointment online
……. KBNI VIDEO on Back and Neck Pain Treatment : Don’t Live in Fear and Pain
Keywords: spine, lumbar spine, cervical spine, thoracic spine, Houston, Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center, TMC, Texas, TX, Dallas, Fort Worth, San Antonio, Austin
thoracic spine, spine, Houston, Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center, TMC, Texas, TX, Dallas, Fort Worth, San Antonio, Austin
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
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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.
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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.
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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
Chiropractor Near Me and Sciatica Exercises with Chiropractor Houston, Sciatica Treatment discussion by KBNI Houston
Posted by admin in baytown, beaumont, cervical, chiropractic, chiropractor, chiropractor near me, disc degeneration, herniated disc, houston, injury, katy, low back pain, lumbar, neck pain, sciatica, sciatica exercises, sciatica treatment, sports injury, stretching, sugarland, whiplash, woodlands on June 11, 2014
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A chiropractor near me is often requested by many patients suffering from low back pain or neck pain. Chiropractic care is a branch of alternative medicine that specializes in the prevention and treatment of mechanical problems in the musculoskeletal system (particularly the spine). A chiropractor Houston may be well versed in sciatica treatment, and be able to prescribe the appropriate sciatica exercises to treat low back pain and radicular symptoms known as sciatica.
Radicular symptoms refers the condition where a herniated disc in the neck or low back is pressing upon a nerve in the spinal column. This causes the body to think that pain is coming from the extremity which is supplied by that nerve. For example, if a herniated disc is pressing upon a nerve which goes to the leg, in the lumbar spine, the patient will feel pain in that leg. This sensation of radiating pain, or radicular pain, is known as sciatica. A chiropractor Houston or a chiropractor near me may be able to help this with sciatica exercises. Patients may have suffered an injury such as a car accident (possible whiplash injury or other), or a sports injury, or no injury at all, and simply having awakened one morning with pain.
Chiropractors believe that a compromised musculoskeletal system adversely affects the nervous system and overall physical health. While some physicians may debate the efficacy of chiropractic care as a form of evidence-based medicine, our spines are most certainly involved in every kind of motion: sitting, standing, lifting, bending, twisting, walking, running, etc. Our spinal discs (shock-absorbing pads between our vertebrae) and facet joints (cartilage-covered joints that link our vertebrae) normally allow for pain-free articulation of the spinal column within a normal range of motion. However, both the spinal discs and facet joints naturally degenerate over time, becoming less capable of managing the body’s movements without producing back pain. Spinal discs become thinner, harder, and less pliable, while the cartilage on the end of facet joints degrades. Finding a chiropractor near me or a chiropractor Houston may help with improvement of some of the symptoms of spinal disc degeneration, and help with sciatica exercises and other forms of sciatica treatment in Houston.
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Compounding all of these natural processes is the risk for physical trauma and structural deformity. If the curve of the spine deviates too far from the norm, severe back pain may result and the patient will likely lose mobility. Chiropractic care can, over several sessions, help to re-align the spine if the patient is suffering from certain structural problems. Physicians will still likely order imaging tests to examine the musculoskeletal system more closely, given that a misdiagnosis can cause serious complications. X-rays and magnetic resonance imaging (MRI) will help to see the spinal discs and nerves in high detail. This information will help physicians determine if the patient may experience benefits from chiropractic care (or if, on the other hand, their long-term mobility may be threatened by it).
If a chiropractor near me for chiropractic care is being considered, many physicians recommend supplementing it with a core-strengthening physical therapy regimen. Keeping muscles along the spinal column and throughout the torso strong will allow them to assist the spinal discs and facet joints in bearing the body’s weight during routine movement. Many physical therapy exercises are able to be completed at home, giving patients a continual, long-term option to maximize mobility and mediate pain levels. Sciatica exercises can be performed throughout life, not only for sciatica treatment, but for prevention of sciatica. A chiropractor Houston may be able to provide excellent guidance.
Your physicians will most likely request frequent checkups during your course of treatment. Be sure to tell your doctors all relevant information regarding your mobility and strength, as well as any information regarding changes in your pain levels during physical activity. Honesty will help you minimize back pain and maximize long-term mobility by keeping a healthy spinal column as you age.
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The Kraus Back and Neck Institute (KBNI) in Houston TX, treats patients with lower back pain, neck pain, herniated discs, spinal stenosis, spondylolisthesis, spinal fractures, osteoporosis of the spine, and other spinal disorders. Experts at the KBNI believe that most patients experiencing these symptoms can be treated without the need of an operation, but when surgery is necessary, the KBNI can provide the most advanced spine surgery using minimally invasive techniques when appropriate. The KBNI philosophy is that a multidisciplinary approach to the treatment of low back pain, neck pain, and other spinal disorders, is the best. Chiropractic treatment, physical therapy, pain management, epidural injections, SI joint injections, and other conservative measures play a very significant role in the treatment of spine pain, in addition to the role spine surgery plays.
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.
If you have SUFFERED AN INJURY, you 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: chiropractor near me, chiropractor Houston, sciatica exercises, sciatica treatment, 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
Healthy Diets for Minimizing Low Back Pain and Neck Pain, from KBNI Houston, Sugarland, Woodlands, Memorial City, Pearland, Katy, Beaumont, Humble, Kingwood, Texas Medical Center, TMC
Posted by admin in healthy diet, low back pain, neck pain, nutritional supplements on May 21, 2014
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Normally, is not the first thing patients think about when considering how to address their low back pain or neck pain. Yet, proper nutrition can have profoundly positive effects on a patient’s lifestyle, including reducing their overall neck and back pain levels. While anti-inflammatory drugs and pain relievers help to temporarily reduce a patient’s chronic back pain, these medications actually do not address the underlying causes of the pain, some of which may be related to the patient’s diet.
First, proper hydration is crucial in preventing muscle spasms and cramping. Many people do not consume enough water (typically an ounce per pound of body weight, varying according to physical activity) in the course of their daily routines. Severe cramping or muscle spasms can have adverse effects on the spinal column, causing compression in the spinal nerves that in turn produces severe pain. Proper hydration also helps maintain the cartilage between the spinal column’s joints—a dehydrated joint degrades more quickly as a result of the load-bearing stress of daily movement.
Protein—particularly from lean meats and fish—will help maintain the muscles, tendons, and ligaments in the spinal column. Along with physical therapy and core strengthening exercises, protein is a key component in ensuring the muscles of the spinal column can properly assist the spinal joints in load-bearing activities. Healthy fats from coconuts, beef, and fish will help maintain the cartilage in the spinal column’s joints, as well as the joints in other regions of the body. This significantly lowers the chances that a joint will degrade to the point of compressing nearby spinal nerves.
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Calcium, vitamin D, and many trace nutrients will help maintain proper bone density. This is particularly important in older patients, as osteoporosis (low bone density) can cause weak regions in the bones. When subjected to the normal stresses of daily movement, spinal or hip fractures can lead to dangerous falls in elderly patients. Proper nutrition and nutritional supplements reduces incidence of spinal and hip fractures, in addition to keeping bone density at near-optimal levels.
The Kraus Back and Neck Institute in Houston, TX, believes that proper nutrition and a healthy diet is important for preventing low back pain and neck pain, but additionally, if one already has these conditions, it will help to improve healing and reduce the pain. Proper nutritional counseling may be very important for the healing process. The KBNI treats patients, from the Houston TX area and surrounding areas including Sugarland, Woodlands, Memorial City, Pearland, Katy, Beaumont, Humble, Kingwood, and the Texas Medical Center (TMC). Any patients suffering from low back pain or neck pain, in Houston or other areas of the county, are welcome to call for an office appointment. They may also schedule online at www.spinehealth.com
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Keywords: low back pain, neck pain, proper nutrition, hydration, spinal column, katy, kingwood, humble, memorial city, memorial city, sugarland, woodlands, Texas Medical Center, TMC
Spinal Fusion including Lumbar Fusion and Cervical Fusion for Pain and Nerve Compression in Houston, Katy, Woodlands, Sugarland, Memorial City, Texas Medical Center, TMC, Humble, Kingwood, Conroe and Beaumont
Posted by admin in cervical fusion, fusion, low back pain, lumbar fusion, neck pain, pain, spinal fusion on May 18, 2014
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Bone fusion (also called arthrodesis) (when performed in the low back spine is called lumbar fusion, when performed in the neck is called cervical fusion) is the procedure by which bones are joined at specific joints, most often to alleviate pain. The new fused bones are allowed to grow together. This lowers pain levels because at common bone fusion sites (lumbar or lower spine, wrists, ankles, or thumbs, neck or cervical spine) there are often nerves nearby that are responsible for sensation, as well as recognition of joint position and movement. Bones on either side of the deteriorating joint can compress these nerves and cause extreme pain. Fusing these bones significantly lowers the incidence of nerve irritation, and when bone spurs are removed, can reduce nerve compression.
Causes for a patient desiring bone fusion surgery, or spinal fusion surgery can include rheumatoid arthritis and osteoarthritis, as well as severe back pain due to tumors or herniated (slipped) discs. Like other joints in the body, the discs (shock-absorbing pads) between our spinal vertebrae, can wear out. Nerve compression in the spine occurs much more frequently when these spinal discs have been thinned or ruptured by age and activity. The arthritis, as well as the chronic herniated discs, can compress nerves passing next to them. As in other regions of the body, bone fusion is a possible solution for reducing pain, but it will eliminate mobility at that particular joint.
Neurosurgeons at the Kraus Back and Neck Institute, in Houston, have a significant experience with utilizing spinal fusion (lumbar fusion, cervical fusion) to treat neck pain and low back pain in patients. They have offices located in Houston and surrounding areas of Katy, Woodlands, Sugarland, Memorial City, Texas Medical Center (TMC), Humble, Kingwood, Conroe, and Beaumont.
Bone fusion is somewhat unique in that in many cases, it seeks to mimic the body’s natural healing response. In one version, bone is taken from another region in the body and inserted between the two or more bones that are being fused together. This “foreign” bone stimulates bone growth during post-operative care, as it is placed under pressure and adjacent to other bone, which has been prepared to grow into the new bone graft. Other versions of bone fusion or spinal fusion may include implantation of wires, metal plates, screws, and other devices to accurately position the new joint, and keep it immobile, while the new bone is trying to grow into the bone graft. Adequate rest and physical therapy during post-operative care are absolutely essential to ensure that a proper bone fusion takes place. If the new joint is displaced by excessive movement, subsequent corrective surgeries may be necessary to re-set the bone.
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The technique of lumbar fusion or cervical fusion (spinal fusion) can be performed in several ways. The general principle is to have bone grow across the currently mobile disc space. A number of techniques are possible. One approach is to try to achieve this fusion on the sides of the spine, between what are known as transverse processes, which project outward from the vertebral bodies. In doing so, the surgeon exposes these transverse processes during the operation, and removes the outer coating of the bone, known as the cortex, thus exposing the inner cancellous bone, which is the honeycomb type of bone seen when one breaks open a chicken bone. With the outer hard cortex removed, the inner cancellous bone will attempt to grow into the bone graft which it is in contact with. This bone graft can be placed on the side of the spine, which is known as a lumbar posterolateral fusion. It can also be placed between the vertebral bodies, which is known as an interbody fusion. When this type of lumbar fusion is performed, it is called a lumbar intervertebral body fusion. When this type of cervical fusion is performed, it is called a an anterior cervical discectomy and fusion (ACDF). In the cervical spine, this type of fusion is generally performed through an anterior approach, which means going in through the front of the neck. When this interbody fusion is performed in the lumbar spine, it can be performed from the back of the spine (known as a PLIF (posterior lumbar interbody fusion) or a TLIF (transverse lumber interbody fusion), the front of the spine (known as an ALIF (anterior lumbar interbody fusion). It can also be performed from the side of the spine, known as an XLIF (extreme lateral interbody fusion) or a DLIF (direct lateral interbody fusion) (these different names utilized basically the same lateral approach, but were given different names by two different manufacturers of the spinal hardware equipment (Nuvasive and Medtronic). It can also be performed through an approach going straight up the spine, through an incision made next to the tail bone, known as an AXIALIF (axial lumbar interbody fusion), the instruments of which are manufactured by TranS1.
There are also a number of different grafts which can be used for promoting the bone growth in a spinal fusion. Cadaver bone can be used, which is harvested from cadavers. This is known as allograft. Bone can be taken from the patient undergoing surgery, either from a different site or from the same site. This is known as autograft. Substances known as bone morphogenic protein (BMP) ( Medtronic manufactures Infuse) can be used locally to promote bone growth. Stem cells, taken from the patient’s own blood which has been spun down in a centrifuge, can be placed over the graft to help promote bone growth.
Candidates for bone fusion / spinal fusion also need to be aware of the effects of smoking on the procedure. Osteoblasts (bone-growing cells) are needed in droves to ensure a speedy recovery. One of the addictive chemicals in cigarettes, nicotine, is toxic to osteoblasts and can substantially lengthen the time necessary for a complete bone fusion, or even make it impossible to achieve. Smokers are advised to abstain before and after the procedure.
Patients suffering pain in the neck, low back, or other portions of the spine, can call the Kraus Back and Neck Institute in Houston, TX. They will be evaluated and appropriate tests will be ordered. No imaging studies are required for patients to be seen.
http://www.spinepain.com/anterior-cervical-discectomy-with-fusion-kraus-back-neck-institute.html
http://www.neurosurgeryhouston.com/services/spine-conditions
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Key Words: spinal fusion, lumbar fusion, cervical fusion, nerve compression, pain, Houston, katy, woodlands, sugarland, memorial city, texas medical center, TMC, humble, kingwood, Conroe, beaumont
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