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| Osteoarthritis
- Arthritis is the gradual wear and tear of the cushioning tissues
that line the joints. When arthritis affects the spine, vertebrae
rub together, causing pain, stiffness, swelling and loss of motion.
Weakness or numbness of the arms or legs can also result. When arthritis
is severe and left untreated, it can result in spinal deformity. |
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Sciatic-Sciatica
is the term given to pain down the leg, which is caused by irritation
of the main nerve into the leg, the sciatic nerve. This pain tends
to be caused where the nerves pass through and emerge from the lower
bones of the spine (lumbar vertebrae). Much of the advice regarding
this condition is the same as that for low back pain.
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| The most common cause of
true sciatica is a "slipped disc". The discs (or inter-vertebral
discs) are the cushions which separate the bones of the spine (vertebrae).
Sciatica occurs when the herniated disc presses against the nerves
which go to make up the sciatic nerve. This is more likely to cause
problems when the nerve is squashed by this, usually between the disc
and an adjacent bone. |
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Scoliosis
- Scoliosis is not a disease - it is a descriptive term. All spines
have curves. Some curvature in the neck, upper trunk and lower trunk
is normal. Humans need these spinal curves to help the upper body
maintain proper balance and alignment over the pelvis. However,
when there are abnormal side-to-side (lateral) curves in the spinal
column, we refer to this as scoliosis.There are several different
"warning signs" to look for to help determine if you or
someone you love has scoliosis. Should you notice any one or more
of these signs, you should schedule an exam with a doctor.
- Shoulders are different heights
- one shoulder blade is more prominent than the other
- Head is not centered directly above
the pelvis
- Appearance of a raised, prominent
hip
- Rib cages are at different heights
- Uneven waist
- Changes in look or texture of skin
overlying the spine (dimples, hairy patches, color changes)
- Leaning of entire body to one side
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Spinal
Stenosis - Spinal stenosis occurs when the spinal canal, which
contains and protects the spinal cord and nerve roots, narrows and
pinches the spinal cord and nerves causing pain and loss of sensation.
This narrowing is a result of the degeneration, wearing down, of the
vertebral joint and disks. Symptoms include pain while walking or
standing. Progressive subtle loss of motor or muscular use of one
or both lower extremities may result if the condition is left untreated.
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| Whiplash
is an injury of the soft tissues of the neck. It is usually caused
by sudden extension (backward movement) and flexion (forward movement)
of the neck, and often occurs as the result of a rear-end car crash.
The neck is particularly susceptible to this type of injury because
of its anatomic complexity and wide range of motion. If the whiplash
is severe, injuries can also occur to the intervertebral joints, discs,
ligaments, cervical muscles, and nerve roots.
Cervical Radiculopathy- In Cervical
radiculopathy the nerves that extend out from between the cervical
vertebrae provide sensation and trigger movement in these areas,
this condition is called cervical radiculopathy (ra-dick-you-lop'-a-thee).
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| Spondylolisthesis
- Spondylolisthesis occurs when one vertebra slips forward on the
adjacent vertebrae due to instability caused by arthritic wear and
tear, a developmental defect or a fracture. This will produce both
a gradual deformity of the lower spine and also a narrowing of the
vertebral canal. The most ommon symptom is low back pain. |
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Degenerative
Disc Disease - Disks act as shock absorbers between
the vertebrae of the spine. Over time these disks can wear down
decreasing space where the nerves exit the vertebra. Pain may
or may not be associated with the initial onset of the disease.
When pain is associated it can take the form of back pain, leg
pain and/or weakness due to compression of the nerve roots. |
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Kyphosis
- Kyphosis is a progressive spinal disorder that can affect children
or adults. This disorder may cause a deformity described as humpback
or hunchback. Kyphosis can be in the form of hyperkyphosis or sharp
angular gibbus deformity. Abnormal kyphotic curves are more commonly
found in the thoracic or thoracolumbar spine, although they can
be cervical.
Kyphosis is classified as either postural
or structural. Postural means the kyphosis is attributed to poor
posture, usually presenting a smooth curve, which can be corrected
by the patient. Structural kyphosis is caused by an abnormality
affecting the bones, intervertebral discs, nerves, ligaments, or
muscles. Kyphosis with a structural pathology may require medical
intervention because the patient alone cannot control curve progression.
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| Herniated
Disc - Disks are located between the vertebrae of the spine
and have a jelly-like center. A herniated disk occurs when the center
bulges or ruptures pushing the outer edge of the disk into the spinal
canal, putting pressure on the nerves. Symptoms may include dull or
sharp pain, muscle spasm or cramping, sciatica, and leg weakness or
loss of leg function. Sneezing, coughing or bending usually intensifies
the pain. According to recent statistics, about one in every 50 people
experience a herniated disk. |
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Muscle
Strain - A low back strain, often called a lumbar strain
is an injury to the large muscles in the low back. These njuries
are very common, affecting most everyone at some point in their
life. Low back strains can be painful and debilitating. When
the lumbar spine is strained or sprained, inflammation of the
soft-tissues results. This inflammation causes pain and can
cause muscle spasm. People are often surprised at how painful
and debilitating a lumbar strain or sprain can be--these are
not small injuries. They often force patients to remain in bed
for a day or two, and can cause intermittent symptoms for weeks.
That said, over 90% of patients are completely recovered from
an episode of lumbar muscle strain or sprain within one month. |
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Myelopathy
- Cervical spondylotic myelopathy (CSM) is caused by compression
of the spinal cord in the upper spine, or cervical stenosis. Bony
spurs formed by long-standing arthritis grow into the canal and compress
or place pressure on the cord. The most common procedure performed
to relieve compression or pressure on the spinal cord or nerve roots
is anterior cervical decompression. Since removal of bone during a
decompression may disrupt continuity and increase instability of that
area of the spine, a fusion is also performed to provide structural
stability. |
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| Compression
fractures result from external trauma (falling) or weakness
of the vertebrae (osteoporosis), causing one or more vertebrae to
crush or wedge. Depending on the severity of the fracture, the symptoms
range from back pain to radiating pain to loss of strength or sensation
in the legs. Minimally invasive techniques such as Kyphoplasty or
VertebraplastyTM can be used to reduce symptoms and enhance recovery
from compression fractures. |
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Osteoporosis
is a degenerative disease where bone mass and density are lost making
bones extremely susceptible to fractures. When osteoporosis affects
the spine, the symptoms may include chronic pain, loss of mobility
and an alteration of physical appearance.
Rheumatoid
Arthritis - A generalized inflammatory condition that typically
affects the upper spine. Symptoms of rheumatoid arthritis may include
headache, neck pain, weakness in the arms and legs, fatigue, loss
of appetite, fever and difficulty sleeping. |
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Spine
Tumors - Spinal tumors can start in the boney vertebrae
or come from a secondary source in the body (metastases). They
may be associated with back pain or weakness. Advanced surgical
techniques are available for removal of these lesions. |
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