What does spine surgery mean?

The spine helps to provide structural support to the human body and acts as a passage to the important nerves in our body. When there is any damage or dislocation to any of the discs, it should be treated immediately. Spine surgery treatment is a complex process that involves orthopaedic and neurological expertise with outstanding standards of care. This is exactly what we provide at Bharath Orthopaedics with the best Spine surgery physiotherapy and healing for immediate recovery.

Anatomy of a Disc

Spine Surgery Orthopedic Surgeon | Dr. Bharath
Spine

An intervertebral disc is a strong ligament to connect one vertebral bone to the another. The discs are the shock-absorbing cushions which is located between each vertebra of the spine. Each disc has a strong outer ring of fibers, the annulus fibrosus, and the nucleus pulposus. The annulus is the strongest area of the disc to help the ligament connect with each vertebra together. The nucleus, or center of the disc, be hydrated often to serve as the main shock absorber.

Disc Injury

The annulus can either tear or rupture anywhere around the disc and gives severe back pain. If it tears, and when no disc material is ruptured, an annular tear can be excruciating as the outer fibers carry pain signals frequently. It takes time to heal with scar tissue over a timespan but it is more prone to future tears or injury. If the annulus tears, the central nucleus can squeeze. It is a piece of disc from the centre or exterior portion to break off and extend outward.

A disc herniation, is defined as a displacement of disc material which is beyond the normal confining the disc space. The other terms include the disc bulge, disc protrusion, disc herniation, ruptured disc, and slipped disc and simply implies that the disc material has left the normal disc space leading to severe back pain, and it can be diagnosed by orthopaedic surgeon or spine specialist by treating it with simple back pain tests.

Benefits of spine surgery
Benefits of spine surgery

Benefits of spine surgery

  • Pain relief
  • Increased movements
  • Faster recovery
  • Free from muscle damage
  • Quality of life is improved
  • Ability to get backed to ordinary life

Spine Surgery Procedures Followed

Spine Surgery ProceduresUnder the supervision of our senior specialist Dr. Bharath, we at Bharath Orthopaedics & Spine Clinic Chennai provide improved Spine Surgery and spine treatments of a herniated disc for treating pains without surgery using the following methods:

  • Physical Therapy
  • Epidural Steroid Injections
  • Psychological Treatments
  • Medication

Physical Therapy

Physical Therapy is prescribed for calming the pain and inflammation, to improve core strength, spinal strength, mobility, coordination, and help achieve routine activities which are termed as range of motion assessment to determine the severity of the patient’s impairment.

Epidural Steroid Injections

An epidural steroid injection is a common procedure to treat irritations of the spinal nerves. It is termed as ESI where a small amount of ‘cortisone’ is injected into the spinal canal.

Cortisone is a strong anti-inflammatory medicine which is given to ease pain and decrease nerve inflammation caused by irritated nerve roots. The beginning of the nerve or the nerve root gets irritated by a bulging intervertebral disc, disc contents or ruptured disc or bone spur, directly touches the spinal nerve. This treatment is not always beneficial but provides short-term help to decrease the pain.

Psychological Treatments

Coping, relaxation, and distraction are the different skills that are used to help patients to manage their chronic low back pain.

Medication

Certain medications are used to alleviate the spinal pain, which includes non-steroidal anti-inflammatory drugs like the ibuprofen or Aleve, nerve medications, muscle relaxants, antidepressants, and opioids. This method is commonly used to control pain, inflammation, muscle spasm, and sleep disturbance. These can involve steroids, non-steroidal anti-inflammatory drugs or NSAIDs, pain medications, and muscle relaxers to help to control pain and reduce inflammation.

Epidural Steroid Injections (ESI)

It’s usually reserved when other conservative measures do not work or in an effort to postpone surgery. An ESI places a small amount of ‘cortisone’ into the spinal canal. Cortisone is a strong anti-inflammatory medicine that may decrease nerve inflammation and ease pain caused by irritated nerve roots. This treatment is not always successful but may provide short-term help.

When do you require spine surgery?

  • spine surgeryIf you have persistent pain in both arms and legs
  • If you feel numbness, muscle weakness, tinglings, or loss of reflexes in extremities.
  • If you have any increased pressure or irritation of nerves
  • If you have had extreme neck or back pain with a herniated disc.
  • If you have failed traumatic spine injuries

Back Pain

Back Pain due to a herniated disc may be diagnosed by the orthopedic surgeon after a complete history and comprehensive physical exam by spine specialists & spine doctors.  In addition, several diagnostic tests can be used. Imaging studies at the Virginia Spine Institute are usually the first step in understanding spine pathology.

These include standing and bending X-rays to evaluate spinal alignment, stability, and disc space height. Your Spine doctor will determine whether additional tests are needed. An MRI is the standard imaging to assess disc and nerve pathology. An EMG may be used to determine which specific nerves are involved and the extent of possible nerve damage.

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