Posts Tagged ‘Spinal Stenosis’
Nowadays, more and more people are becoming overweight. The main reasons for being overweight are a low energy expenditure and – first and foremost -wrong eating habits. According to the American Obesity Association (AOA) 64.5% of all adult Americans (about 127 million people) are categorized as being overweight or obese. In many other developed countries the figures are similarly alarming. Overweight and obesity are about to turn into a global epidemic. To carry about extra weight with oneself can result in several serious health issues, such as back pain through overweight.
Most people are aware of the more commonly known causes for overweight, such as coronary heart disease, high blood pressure, diabetes and colon cancer. The majority of people, however, is not fully conscious of the health risk posed by back pain through overweight. Overweight contributes to different symptoms – the most common symptoms are osteoporosis, osteoarthritis, rheumatoid arthritis, spinal stenosis and degenerative disc disease. If you are overweight and suffer from back pain you shouldn’t take your problem lightly. The first instance of back pain can be considered as acute or short-term pain. After about 2 month the complaint is becoming chronic and usually much more difficult to treat than acute pain.
Fortunately, compared to some more complicated causes of back pain, back pain through overweight is easy to identify. Even experienced sports physicians and doctors find it hard to exactly identify some causes of back pain, because the reasons can be of a very complex nature. However, if you are overweight you know the reason for your back pains. Your spine has the function to carry your body’s weight and to balance your body. When your spine is forced to carry a lot of weight, this can lead to structural compromise, poor posture and even severe damages. Back pain through overweight can easily lead to chronic complaints and you should take immediate action in order to get rid of your extra pounds.
The lower back is most susceptible to the effects of overweight. Lower back pain through overweight is caused by problems relating to your lumbar spine. Apart from overweight, back pain is also caused by an insufficient amount of exercises for your back and your pelvis base as well as by a sedentary resulting in a poor flexibility and weak muscles in your lower back. This leads to your lower back being increasingly curved because the pelvis shifts slightly forward. The result is chronic lower back pain, and if you want to solve your problem you have to lose your extra pounds. Back pain through overweight is definitely curable by keeping a healthy and balanced diet.
The most important factor when it comes to weight loss is to permanently integrate some significant changes into your eating habits. If you change some important key factors on a permanent basis you won’t fall into the yo-yo effect trap. Combined with some physical activity you will be able to lose weight once and for all. And by losing weight you will not only get rid of back pain through overweight, but you will also be able to prevent some serious health issues, such as coronary heart disease and colon cancer.
Oliver Hetzel
http://www.articlesbase.com/health-articles/back-pain-through-overweight-are-you-affected-723899.html
Stenosis back pain originates in the spinal canal itself. Stenosis occurs when the spinal canal narrows, and compresses the nerves inside it. This compression of the nerves can lead to stenosis back pain, numbness in the legs, and the loss of bladder or bowel control. If left untreated, stenosis back pain can eventually become paralysis.
It is estimated that approximately 400,000 Americans currently have spinal stenosis back pain. That number is expected to increase as Baby Boomers age.
Defining Stenosis Back Pain
You probably know that the spinal column protects your spinal cord, a bundle of nerves, from being injured. In spinal stenosis, the spine narrows in one or more of three places: space at the center of the spine; canals where nerves branch outward from the spine itself; a space between the spine’s bones (vertebrae).
Stenosis back pain occurs when the narrowing puts pressure on the nerves inside the spinal column. Although this can occur in younger people, it is most often a complaint of those over 50 years of age.
Causes of Stenosis Back Pain
Spinal stenosis back pain can be caused by a number of factors.
1. Age is a primary factor. As we age, bands of supportive tissue in the spine may harden and thicken. Our bones and joints may enlarge as they age. We may get bone spurs on the spine – places where bone surfaces bulge outward.
2. Arthritis is another cause of spinal stenosis and accompanying stenosis back pain. Either osteoarthritis or rheumatoid arthritis may be to blame. Osteoarthritis is the more common of the two. This type of arthritis usually is seen in middle-aged and older people, and does not go away. Osteoarthritis can cause the bone spurs described above. Rheumatoid arthritis is usually seen in younger people, and is not usually a cause of spinal stenosis back pain.
3. Inherited factors may also lead to stenosis and stenosis back pain. Some genetic conditions, such as a small spinal canal or curved spine, can cause spinal stenosis.
4. Other causes for your stenosis back pain could include calcium deposits, fluoride accumulation, or injuries.
Symptoms of Stenosis Back Pain
Stenosis back pain usually occurs in the neck or back. In addition to the stenosis back pain, you may feel pain down one leg, or numbness, weakness, cramping, and pain in legs or arms as the nerves are compressed.
Stenosis Back Pain Test Problem
The problem with tests for spinal stenosis is that the conditions shares symptoms with so many other disease. The result has too often been costly misdiagnoses and unnecessary back surgery, according to Andrew Haig, M.D., associate professor in the Department of Physical Medicine and Rehabilitation at the University of Michigan Medical School.
The following 3 tests are used to diagnose the cause of stenosis back pain.
1. Magnetic resonance imaging (MRI) -radio waves to picture the spine
2. Computerized axial tomography (CAT) – X-ray series to picture the spine
3. Electromyogram (EMG)- a test that not only gives a picture of nerves, but also tests nerve function, showing if there is actual nerve damage
Best Stenosis Back Pain Test
Of the three, the oldest, Electromyogram (EMG) has been found to be the best. This test has been around as long as, or longer than the Baby Boomers themselves, but a study published in the January 2006 issue of “Spine” shows that it is by far the best of the three tests.
That study, done by the University of Michigan Health System, shows that the EMG test accurately determines the cause of stenosis back pain. As a result, low back pain is less likely to be misdiagnosed, as are other common neuromuscular conditions with similar symptoms. Back surgery undertaken to cure misdiagnosed stenosis back pain can be avoided with this stenosis back pain test.
Tests done in the U of M study by Dr. Andrew Haig and his colleagues showed a substantial difference between those who have spinal stenosis and those with other types of back pain. It showed that use of the EMG allows experts to clearly distinguish between spinal stenosis and low back pain.
“Most doctors think of EMG as a simple test and incorrectly believe that it is sensitive for nerve damage, but cannot differentiate spinal stenosis form neuromuscular disease,” explains Haig. “But as this study shows, that’s not the case. In fact, EMG is an excellent test for spinal stenosis and other neuromuscular disorders using strict evidence-based criteria.” (Spine, Vol. 30, No. 23)
Anna Hart
http://www.articlesbase.com/medicine-articles/stenosis-back-pain-test-122606.html
Back pain is in general a common problem that every one faces. It is a vulnerable problem that a person of any age experiences. Children, Adults, Pregnant woman, or a person of old age can also face the back pain problem. There may be several factors behind your back pain problem as it is not restricted only to one particular reason. And so people needs to face loads of trouble during back pain to cure it. Your prime duty is to know the causes and take some preventive measures so that you need not feel the pain during backache.
There can be varied causes for back pain:
Lumbar Muscle Strain: Straining of muscles is the most common cause of low back pain. Chances are bright in this case that a patient may completely feel relieve from muscle strain.
Spondylolisthesis: In this case the adjacent vertebra becomes unbalanced and begins to ‘slip’ which causes back pain and if it still prolongs then back pain can turn to be a serious problem.
Osteoporosis: A patient needs to face this problem because of compression fracture of the vertebra. You may face orthopedic problem and much of uneasiness too. It also leads to feeble bones.
Ruptured Disc: It is also called as Herniated Disc which causes back pain. The treatment of herniated disc depends and differs on an individual’s condition and circumstances. It is incorrectly being called in general as “Slipped Disc”, affecting the spine, in which a tear in the outer, fibrous ring of an intervertebral disc allows the soft, central portion to bulge out. herniated discs are found in ? of adults older than 20.
Spinal Stenosis: This is a medical condition in which the spinal canal narrows and compresses the spinal cord and nerve. In the aging population, when the spinal canal becomes too stiff then it can result into back pain. A patient suffering under this situation may even feel minor trauma causing irritation and nerve root impingement which indirectly results into back ache.
There are many of causes of back ache that can put you into serious health trouble. For acute back pain the underlying cause is meniscoid occlusion. You may get startled to know that the lower back pain causes also differ as per the person’s age. Some of the common causes of back pain for adults under age 50 include spinal disc, herniation and degenerative disc disease or isthmic spondylolisthesis. And for adults over age 50 include osteoarthritis (degenerative joint disease) and spinal stenosis, trauma, cancer, infection, fractures, and inflammatory disease.
Thus, to cure your back pain you need to practice exercises regularly. Collect information to know back pain causes and if the situation worsens then it is highly recommended to consult doctor for the betterment of your health.
Bella Mclaine
http://www.articlesbase.com/diseases-and-conditions-articles/get-rid-from-back-pain-711776.html
Upper back pain is not as common as the lower back pain. But pain is pain. When the pain process starts, it is unbearable. The two common identified causes of upper back pain are:
1. Muscular irritation (also known as myofascial pain)
2. Joint dysfunction.
There can be many other causes- injury, accidents, upper disc displacement and many more.
There is a great deal of stability and less motion in the upper back, which is thoracic spine region. So, spinal disorders are not very common. Conditions like herniated disc, spinal stenosis, degenerative disc disease and spinal disability can cause upper back pain, but such cases are few. This being the case, it is difficult to identify the causes for the upper back pain, precisely. Even an MRI Scan or CT Scan will not be of much help. So, it is not easy for the doctor to find a surgical solution, if the pain persists for a long period.
Modern amenities are not without the accompanying problems. A poor posture over a period of time creates strain in a particular region and that region happens to be your upper back, in case you are a computer operator and work throughout the day in front of your PC. Neck pain and shoulder pain are the comrades -in arms -of the upper back pain.
Here are some more causes of upper back pain:
1. Lack of strength in the particular region.
2. Injuries and damage to the muscles of the region caused through repetitive motions i.e. working in a particular machine in a particular manner. Take for example, hand molding machines. On an average a person does 1500 hand-operated motions in a working schedule of 8 hours.
3. Muscle strains and sports injuries.
Here again. You have to understand your back pain. With the nature of your work known to you, identify the area of your upper back, which is mostly strained. Do such yoga asanas, which help to ease the stress in that area. Do regular oil massage. If this is done in a systematic manner, there would not be any cause for the upper back pain to happen.
Because upper back is a big area, and also ‘muscle junction’, you have to adapt to a system of doing several stretching and strengthening exercises.
If you get the upper back pain, do not panic. Avoid hard medications and painkillers at any cost. Even best of the hospitals, the renowned specialists, have understood the virtue of physio-therapy. Follow it now, for your suffering is due to your past failings and negligence!
Ashish Jain
http://www.articlesbase.com/advertising-articles/upper-back-pain-59683.html
Acute back pain may begin suddenly and usually lasts around 3 months. Chronic back pain sometimes lasts throughout life.
The most common back pain is low back pain (LBP). It is is often described as sudden, sharp, persistent, or dull pain felt below the waist. LBP is very common and affects the majority of people at some point during their life. Up to 70%–85% of all people have back pain at some time in their lives. LBP is the most common cause of a limitation of activity in people younger than 45 years of age. It is the second most frequent reason for visits to a physician, and the third most common indication for surgery. It is the fifth-ranking cause of hospital admissions and is one of the leading causes of disability.
Low back pain is most commonly caused by muscle strain associated with heavy physical work, lifting or forceful movement, bending or twisting, awkward positions, or standing in one position too long. Any of these movements can exacerbate a prior or existing back disorder. Other conditions that can cause low back pain include spinal stenosis, arthritis (osteoarthritis), spinal infection (osteomyelitis), spinal tumors (benign and malignant), spondylolisthesis, and vertebral fractures (e.g. burst fracture).
Low back pain is either acute or chronic. Acute LBP may begin suddenly with intense pain usually lasting fewer than three months. Chronic pain is persistent long-term pain, sometimes lasting throughout life. Even chronic pain may present episodes of acute pain. Other symptoms include localized pain in a specific area of the low back, general aching, and/or pain that radiates into the low back, general aching, and/or pain that radiates into the low back, buttocks and leg(s). Sometimes pain is accompanied by neurological symptoms such as numbness, tingling, or weakness. Neurological symptoms requiring immediate medical attention include bowel or bladder dysfunction, groin or leg weakness or numbness, severe symptoms that do not subside after a few days, or pain prohibiting everyday activities.
Pain felt in the low back is not always indicative of a spinal problem. A thorough physical and neurological assessment may reveal the cause of the low back pain. The physical examination begins with the patient’s current condition and medical history. Examination of a patient with low back pain involves examining the patient’s range of spinal motion while standing straight, bending forward, and to the side. Asymmetry, posture, and leg length is noted. Methodical palpation of the spine can reveal muscle spasm, possible bony displacement, and tender points. Abdominal palpation is performed to determine if the cause of low back pain is possibly organ related (e.g. pancreas). The neurological assessment evaluates weakness, absence of reflexes, tingling, burning, pain, diminished function, and other signs that may indicate nerve involvement.
If infection, malignancy, fracture, or other risk factors are suspected, routine lab tests may be ordered. These tests may include complete blood count (CBC), erythrocyte sedimentation (ESR), and urinalysis. In some cases electrodiagnostic studies such as electromyography (EMG) or nerve condition velocity (NCV) are performed to confirm a diagnosis or localize the site of nerve injury. Plain radiographs (x-rays), CT Scan, and/or MRI studies are performed when fracture or neurological dysfunction is suspected. A MRI represents the gold standard in imaging today. A MRI renders high-resolution images of spinal tissues such as the spinal cord and intervertebral discs. X-rays are still the imaging methods of choice to study the bony elements in the low back. The results of the physical and neurological examinations combines with test results are carefully evaluated to confirm a diagnosis.
Most patients with low back pain are treated without surgery. A conventional treatment plan may include bed rest for a day or two combines with medication to reduce inflammation and pain. Medications recommended by the physician are based on the patient’s medical condition, age, other drugs the patient currently takes, and safety. The first choice for pain relief is often nonsteroidal anti-inflammatory drugs (NSAIDs). These drugs should be taken with food to prevent stomach upset and stomach bleeding. Muscle relaxants may provide relief from muscle spasm but are actually benign sedatives, which often cause drowsiness. Narcotic pain relievers are prescribed for use during the acute phase and often for chronic pain management in appropriate patients.
Other modalities to treat low back pain might include physical therapy (PT), transcutaneous electrical nerve stimulator (TENS) trial, ultrasound therapy, acupuncture and massage therapy. A managed PT program can help build muscle strength and flexibility, improve mobility, coordination, stability and balance, and promote relaxation. Patients who participate in a structured physical therapy program often progress to wellness more rapidly than those who do not. This includes low back maintenance through a home exercise program developed for the patient by the physical therapist.
Although the number of spinal surgeries done every year is on the rise, it is rarely required to treat low back pain. Surgery may be considered if the patient is experiencing bowel or bladder dysfunction, increased nerve impairment, progressive weakness, incapacitating pain, or spinal instability. The surgical procedure depends on the diagnosis or the cause of low back pain. To prevent low back pain, first and foremost, follow the treatment plan outlined by the physician. To enhance recovery from an episode of low back pain, or to help prevent future exacerbation, try to maintain good posture, be consistent in a home exercise program, and eat sensibly to maintain proper body weight.
About Walton Rehabilitation Health System:
Walton Rehabilitation Health Systems (WRHS) is a leading not-for-profit comprehensive, multi-specialty, dedicated provider of physical medicine and rehabilitation. Our mission is to be an advocate for wellness by providing a continuum of services to treat the whole person. WRHS, whose reputation extends throughout the south, is a trusted partner with just the right expertise and treatments to help people with disabling injuries and illnesses return to work and to a fulfilling life. By pursuing its mission, WRHS has grown to include Walton Pain and Headache Centers, Walton Community Services, Walton Options for Independent Living, Walton Foundation for Independence, and Walton Technologies. We are located at: 1355 Independence Drive, Augusta, GA 30901-1037. For more information visit www.wrh.org or call 866-4-WALTON.
Hemant Yagnick, M.D.
http://www.articlesbase.com/diseases-and-conditions-articles/back-pain-solutions-without-surgery-139659.html


