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Sometimes Pain can be unbearable

If you have back or neck pain , you are not alone .About 80% (6.billion ) of the adults experience back or neck at some point in their lifetime . It is the most common cause of job-related disability and a leading contributor to missed work days . In a early survey, more than a quarter of adults reported experience back and neck pain during the past 3 months.
Men and woman are equally affected by neck and back pain, which can range in intensity fro a dull , constant ache to a sudden, sharp sensation that leaves the person incapacitated,Pain can begin abruptly as a result of an accident or by lifting something heavy , or it can develop over time due to age related changes of the spine . Sedentary lifestyles also can set the stage for spinal pain, a specially when a weekday routine of getting too little exercise is punctuated by strenuous weekend workout.
Most back and neck pain is acute, or short term, and lasts a few days to a few weeks.
it tends to resolve on its own with self care and there is no residual loss of function. The majority of back and neck pain is mechanical in nature, mean that there is a disruption in the way the components of the back (the spine,muscle,inter vertebral discs, and nerves)fit together and move.

LETS ANALYSIZE YOUR PAIN

  • Collapsed Discs
  • Facet Joint Syndrome
  • Spinal Fractures
  • Degenerative Disc Disease

 

What is a Collapsed Disc?
A collapsed disc occurs when the discs of the spine lose their normal height over time due to disc degeneration or reduction of the fibrous outer wall and this can also happen because the natural aging process, spinal arthritis, or spinal injury and degenerative disc disease. these are the more common causes of a collapsed disc But if the disc starts to interfere with the surrounding nerves in the spine, this may lead to serious complications.

Collapsed Disc Causes
There are many causes contributing to a collapsed disc, a collapsed may occur :
Spinal arthritis , also known as osteoarthritis, this degenerative condition of the spine is due to aging
Sudden Injury: A serious injury caused by an auto accident, sports injury, or other type of serious injury can immediately cause a disc to collapse where there were previously no symptoms.

Symptoms of a collapsed disc
Most often a collapsed disc doesnt cause extreme symptoms,and it is rarely an isolated condition unless cause by an injury .
if you are experiencing the following please contact your orthopedic surgeon for more advice
Pain in the back that may radiate to the legs
Tingling or numbness in the back or extremities
Mobility or functional issues in the back
Bladder or bowel control issues 

What’s a Facet Joint?
A pair of facet joints connects each vertebra to the one below it.
On the backside of most vertebrae is a bony structure called the vertebral arch. In its center is a bumpy projection – that’s the part you can feel as you run your fingers down the spine. This little knob sits at the center of the vertebral arch. Pairs of rigid projections extend upward and downward on either side.
A facet (fuh-SETT) joint is the point at which the downward projections of one vertebra meet the upward projections of the vertebra below it. Each facet joint is lined with cartilage and surrounded by a fluid-filled capsule that keeps the joint lubricated. Inside the capsule are tiny offshoots of the medial nerve, which relay pain signals to the brain when joint damage occurs.

What are Facet Joint Syndrome causes

The Spinal Column, the weight bearing portion of the spine is made up of flat, round vertebrae alternating with supportive discs. We wouldn’t get very far, though, if these structures were simply stacked up with no connection. These connecting points must be flexible enough for us conduct our normal day chaos like pick up toys from the living room floor to pulling weeds from our garden. That’s where the facet joint comes in.

Facet Joint Syndrome Symptoms
Facet joint syndrome can cause back pain, tenderness, inflammation, or stiffness at or near its site of origin. You might not be able to move or bend as freely as you used to. As the muscles surrounding the joint capsule work overtime to protect the compromised area, muscle spasms can also occur. The pain may travel outward from its source like an echo, causing headaches, neck stiffness, or pain in the shoulder, leg, buttocks, arm, or hand.
The pain usually occurs on one side of the body, and certain positions or movements, may intensify it. Although doctors sometimes recommend rest, long periods of inactivity ultimately aggravate the pain because the muscles that support the facet joints weaken if they’re not used.

What Is a Spinal Fracture?
Your spine is composed of a series of arches that give it strength. However, just as any building can fall, any bone can break, and the vertebrae are no exception.
A typical vertebra is composed of a body, which is roughly the shape of a heart or a kidney, attached to a bony vertebral arch. Viewed from the top, it looks something like a crown. The vertebral arch and the back of the vertebral body together form a strong, protective ring around the spinal cord.
A vertebral fracture is a broken vertebra. Vertebral fractures fall into two broad categories: traumatic (associated with injury) and pathological (associated with disease or degeneration).

How Common Are Spinal Fractures?
Spinal (or vertebral) fractures are extremely common among older adults. One study places the incidence at one in six women and one in 12 men; however, most people dismiss their symptoms as being nothing more than normal aches and pains. .
Among older adults with osteoporosis, 700,000 vertebral fractures occur every year.

What Are the Symptoms of Spinal Fracture?
Bone tissue contains no nerve endings. Nevertheless, a vertebral fracture can be painful because the collapsed vertebra compresses surrounding structures that do have pain receptors. For example, a vertebral fracture can compromise the spinal canal, crowding the spinal cord and causing spinal stenosis and a kind of pain called myelopathy. Or the crumbling bone can compress a spinal nerve, creating a type of nerve pain called radiculopathy.
A vertebral fracture can also reduce range of motion and limit your ability to perform your daily activities. In many people, though, vertebral fracture produces no symptoms or only low-level pain.
Please consult a doctor if you think a fracture has occured

What is Degenerative Disc Disease?
Degenerative disc disease (DDD) is the deterioration of the discs in the spine , thus limiting the range of motion and produces chronic pain.
As we age, the disc’s cellular composition changes and it becomes less able to absorb kinetic energy. Its gel-like nucleus loses water content, and collagen fibers in the outer ring weaken. The disc loses height and may bulge or herniate into the spinal canal, compressing nearby nerves and causing persistent back pain. Because branches of these nerves provide sensation to the arms and legs, pain from DDD can radiate down the leg or into the arm.

Potential cause of Degenerative Disc Disease
Your spine is a robust and resilient structure made up of vertebral bones alternating with fibrous discs that continually absorb shock as you move. This shock, which is just a transfer of energy, is usually minimal. For instance, as a postal carrier walks their route, the spine absorbs kinetic energy with each step. But the spine can handle more intense forces when necessary, such as when a baggage handler lifts heavy pieces of luggage and heaves them into the belly of an aircraft.
Discs separate the vertebrae, absorbing shock and making the spine flexible.

What Are the Symptoms of Degenerative Disc Disease?
DDD can affect the cervical spine (neck), thoracic spine (midback), or lumbar spine (lower back).
For many people, DDD produces no symptoms. Those who do have symptoms most often report back pain. DDD pain is a type of radiculopathy. Those with cervical DDD may have pain in the arm, neck, or shoulder. Pain in those with lumbar DDD may extend into the buttocks, leg, or foot.

What is a Rhizotomy procedure and how will it help you

Rhizotomy Procedure: All You Need to Know

Sometimes, it requires a surgical procedure to relieve chronic back pain. Though surgery is a last resort, the rhizotomy procedure is one of the least invasive procedures used to help people suffering from back pain, muscle spasm, and pain when moving the back in a certain direction.

What is a Rhizotomy Procedure?

This procedure is frequently used when there are facet joint issues in the lumbar spine or lower back. Each vertebra is linked with two facet joints to the next vertebra in the spine. Each facet joint contains a medial nerve, which is the source of sensation in the joint. When the medial nerve is impacted, great pain can develop.
It is a surgical procedure t severe the nerve roots in the spinal cord. Rhizotomy procedure effectively relieves chronic back , neck pain and muscle spams. For a spinal joint pain, a Facet Rhizotomy may provide lasating lower back pain relief.
The facet rhizotomy procedure for pain management has successfully enabled many patients to once again enjoy daily work and home activities without pain.

Radiofrequency ablation procedure

The surgeon uses a needle to deliver a microelectrode to the targeted nerves. Fluoroscopic x-ray guides needle insertion and placement. The microelectrode generates heat to disable the nerve causing the pain.
Endoscopic procedure
A tiny camera travels through the nerve branch, helping the surgeon locate the exact nerves causing the pain. Once located, the nerves are cut with a small incision.

Frequently Asked Questions ?

Most patients feel pressure but do not experience pain during a rhizotomy. The surgical site will be numbed using local anesthesia

The procedure takes 30 minutes to an hour to perform. After the procedure you will recover for  a few hours before going home.

It can take two to three weeks before the ablatednerve is fully inactive and there is no more pain transmission

If effective, the treatment should provide pain relief lasting at least 9-12 months and at times, much longer

Facet joint rhizotomies have a 70 to 80 % success rate in reducing or eliminating pain. This usually lasts for a year or more. The nerves can regenerate and pain can recur. If this happens the procedure can be repeated.