Spine Care

Back Pain

Back pain is the most common cause of disability and work-absenteeism in the working population, worldwide. Back pain is also the most frequent cause of suffering and decreased quality of life in our seniors. Most of us have experienced back pain at some point in life. Most back pains are benign and get better within 6 weeks.A few sessions of Physiotherapy will help in cutting short the recovery period from this kind of a muscular/postural back pain.However, One needs to be cleareful about the red flag signs to visit a spine specialist.

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Neck Pain

Most of us have experienced neck pain at some point in life. Most neck pains are benign and get better within 6 weeks. One need not worry about these muscular or postural neck pains which would typically disappear or start improving within a couple of weeks of their onset. A few sessions of Physiotherapy will help in cutting short the recovery period from this kind of a muscular/postural neck pain.

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Cervicalspondylosis and slip disc

Cervical spondylosis is a process of wear and tear of the discs between our neck bones. Due to this wear and tear, the water content in the disc decreases. As a result of this, the normal load bearing capacity of the disc is compromised resulting in neck pain. Mostly, cervical spondylosis is caused by your own tendency or genetic make-up but a small contribution may be because of smoking and minor or major injuries. Most cases of cervical spondylosis cause only neck pain. But some patients may develop nerve or spinal cord compression from a slip disc or osteophytes (bony overgrowth).

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Spinal Tuberculosis

In spite of making rapid strides in healthcare in the last few decades, tuberculosis is still a very common problem in India. A bug called Mycobacterium tuberculosis causes TB. Bone TB is the next most common site after lungs. Amongst bones, it is the spine (neck and back) that is the most common site of tuberculosis. Tuberculosis can strike anyone at any age and there may be no specific predisposing factor in most patients.

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Spinal Fractures and Dislocations

The most common cause of spinal fractures and dislocations in India is road traffic accidents followed by fall from height

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Spinal Osteoporosis

Osteoporosis is a disease where the bones in the body become weak and break (fracture) easily. Osteoporosis is fairly common in India and usually affects post-menopausal women > 65 years old and men more than 70 years. It can occur at a younger age in Rheumatoid Arthritis; long-term use of steroids; paralysis patients; bed-ridden patients; and with long term use of medicines like warfarin, phenytoin, etc. Osteoporosis can be a silent disease unless it manifests itself in the form of a fracture of the hip, spine or wrist. Therefore, WHO recommends that Osteoporosis should be screened for in females > 65 years and men > 70 years.

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Spinal Tumors

The spine is a frequent site affected by tumors and cancers both arising in the spine and those spreading from other sites in the body. The tumors that commonly affect the spine are Osteoid osteoma, Osteoblastoma, Aneurysmal Bone Cyst, Giant cell tumor, Eosinophilic granuloma, lymphoma and Plasmacytoma. The cancers that commonly affect the spine primarily are Multiple Myeloma, Leukemia, Ewing’s Sarcoma, Osteosarcoma and Chondrosarcoma.

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Kyphosis - Kubb

Abnormal forward bending of the spine is referred to as kyphosis. The normal spine, when viewed from behind, appears straight throughout its entire length. However, when one looks at the spine from the side, there are two visible curvatures. There is a gentle rounding of the upper back from the shoulders to the bottom of the ribcage known as thoracic kyphosis and an opposite curve in the lower back known as lumbar lordosis. These two opposite curvatures of the spine are necessary in the normal spine to balance the trunk and head over the pelvis.

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Scoliosis

Everyone's spine has natural curves. These curves round our shoulders and make our lower back curve slightly inward. But some people develop abnormalsideways curvature in the spine that is called as scoliosis (Hindi – kubb). The sideways bend results in the ribs becoming prominent on one side. This prominence is referred to as ribhump or razorback (hindi – kubb). This ribhump is perceived as a deformity by the patient and their parents and if it is severe it can result in a deformity that is obvious even when covered with clothes.

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Ankylosing Spondylitis

Ankylosing spondylitis (and other seronegativespondyloarthropathies) is a disease characterized by inflammation of the joints between spinal bones (sacroiliac joints, facet joints and discs). It may be associated with inflammation in other joints like hips and knees.

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Atlantoaxial problems

We frequently encounter problems affecting the upper neck bones i.e. the atlas and axis or C1 and C2. These include: tuberculosis; rheumatoid arthritis; congenital anomalies (like osodontoideum); and fractures and dislocations (like Jefferson’s fracture, Odontoid fracture, Hangman’s fracture).

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Halo Vest

A halo is a metallic ring fitted into the skull with screws. It is connected to a thermoplastic vest with four metallic uprights. It provides a semi-rigid external support for the spinal bones in the neck.

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