Neck & Arms
The neck is the most flexible part of the spine and supports the weight of the head. The unique anatomical structure of the cervical vertebrae allows the free movement of the head. The neck is also composed of muscles and ligaments. Any excessive stress on the ligaments and muscles may injure or damage them.
Cervical disc herniation can arise due to aberrations of the intervertebral disc such as bulging, rupture, and slipped or extruded disc. It results in neck, shoulder, and arm pain. In some cases, a disc herniation may occur due to injury, repetitive movements, or degenerative disc disease (DDD).
Cervical degenerative disc disease (DDD) is a misnomer, as it is not a disease as such but a condition that affects the strength, resiliency and structural integrity of the intervertebral discs due to increasing age, trauma, injury, repetitive movement, improper posture, or poor body mechanics.
The spine is made up of 33 small bones called vertebrae and is known as the spinal column or vertebral column. It can be divided into 5 parts: cervical, thoracic, lumbar, sacral, and coccyx region. The cervical spine is comprised of the first 7 vertebrae, which supports the neck and the head.
Mid-back pain is also called as thoracic pain or upper back pain. It occurs at the back of the chest and is much less common than lower back pain. It may occur due to poor posture, muscle strain, improper lifting and bending, physical inactivity, sports injury, a trauma in a car accident, cancer, or an autoimmune disease.
Back pain is uncommon in children and is usually associated with a serious underlying condition or an injury. Often, the cause of back pain is non-specific and is thought to be due to musculoskeletal strain, poor posture, heavy school bags that are not worn correctly or underlying mood problems.
Lumbar degenerative disc disease (DDD) is a common cause of lower back pain. Over time, these natural shock absorbers wear out and degenerate. Degenerative disc disease is not actually a disease but refers to the changes in the spine that occur as a part of the normal aging process.
Back pain is a common condition affecting approximately 80% of the population at some point in their lives. The area usually affected is the lower back (lumbar region) as it bears most of the upper body’s weight. Trauma to the spine, age and overuse can result in deterioration of the vertebral bones and joints or bulging of the discs.
Lower Back & Legs
Sciatica is a painful condition caused by the irritation of the sciatic nerve. Sciatica can be acute (short term), lasting for a few weeks or chronic (long term), persisting for more than 3 months. It is important to understand that in most cases, sciatica will resolve itself within a few weeks or months and rarely causes permanent nerve damage.
Low back pain is often a common symptom of many disease conditions and the back pain may range from simple or dull pain to sudden and sharp pain. If the pain persists for a few days, it is acute pain whereas if it continues for more than 3 months, it is considered as chronic pain.
Back pain is an indication of stress fractures known as vertebral compression fractures. Vertebral compression fractures occur when the normal vertebral body of the spine is squeezed or compressed. The bone collapses when too much pressure is placed on the vertebrae, resulting in pain, limited mobility, loss of height and spinal deformity.
Scoliosis is a condition characterized by the abnormal curvature of the spine that causes a deviation to one side. It causes a physical deformity, making the spine look like the letter “C” or “S” instead of the letter “I”. Scoliosis can affect either the mid or lower back. Scoliosis of the mid back is more common. Scoliosis can occur at any age.
Facet joints, also called zygapophyseal joints, are synovial joints located at the back of your spine, connecting the vertebrae together. Normally the facet joints are lined by a cartilage and a membrane of synovium. There are two joints between each pair of vertebrae located on either side of the spine. The facet joints provide stability for the spine.
Degenerative disc disease (DDD) refers to the gradual deterioration of the intervertebral discs between the vertebrae. DDD is a misnomer as it is not actually a disease but a condition that affects the strength, resilience and structural integrity of the intervertebral discs due to advancing age, trauma, injury, repetitive movement, improper posture or poor body mechanics.
Spondylolysis is a stress fracture in the vertebra that may progress into spondylolisthesis, a condition where the vertebra gets displaced from the spinal column. Spondylolysis is the cause of frequent low back pain in children. It is more common among children and teenagers who participate actively in sports such as football, weightlifting, and gymnastics.
Spinal instability refers to the condition of failure of the spinal column to maintain its normal structure. Normally, the spine functions to protect and provide support to the body and its internal organs. An unstable spine is incapable of holding various spinal structures such as spinal muscles, ligaments, bones, and discs in place.
Spondylodiscitis is an infection of the intervertebral discs (between the vertebrae) along with the vertebrae (one of many small bones forming the spine). The condition is a primary infection of one or more intervertebral discs (discitis) with secondary infection of one or more vertebrae (spondylitis).
The spine or backbone provides stability to the upper part of our body. It helps to hold the body upright. It consists of a series of irregularly-shaped bones appearing in a straight line. The spine has two gentle curves, when viewed from the side and appears to be straight when viewed from the front.
Spondylolisthesis is the displacement of the vertebral disc from the spinal column. Outward (forward) displacement is termed as anterolisthesis and inward (backward) displacement is termed as retrolisthesis. This condition is often preceded by spondylolysis, a degenerative condition of the vertebra.
Spine trauma is defined as an injury or damage to any region of the spine. The spine extends from the neck to the lower back and consists of the vertebral bones which surround and protect the spinal cord. Damage to the spinal cord or spinal nerves can cause changes in sensation, strength, and other body functions.
Scheuermann’s kyphosis is a deformity of the spine that develops during growth. It can be considered as increased kyphosis. Kyphosis is the C-shaped curving of the spine and is also known as hunchback. This deformity occurs in the junction between the thoracic region and lumbar sections of the spine or in the chest region.
Whiplash is a soft tissue injury to the neck, usually caused by a sudden forceful jerk commonly occurring because of an automobile accident, sports injuries or an accidental fall. Headache may develop immediately or after a short period of time after the injury. Sometimes, whiplash may also be referred to as neck strain, neck sprain or hyperextension injury.
Osteoporosis is a bone disease characterized by a decrease in bone mass and density resulting in brittle, fragile bones that are more susceptible to fractures. The condition most commonly affects elderly women. Osteoporosis-related fractures are more common at the vertebral bodies of the spine.
Discitis, also called discitis, is inflammation between the spaces of the intervertebral discs in the spine. Intervertebral discs are located between the vertebrae and spaces between them are called intervertebral disc spaces. Swelling in these spaces puts pressure on the discs and results in pain.
Radiculopathy is a condition where a nerve root in the spine is compressed, producing pain or weakness across the whole length of the nerve. It is sometimes referred to as a pinched nerve or sciatica. It occurs most commonly, but is not limited, to the lower back and neck.
Diffuse idiopathic skeletal hyperostosis (DISH) is a condition that commonly affects the spine. It is characterized by calcification (bony hardening) of ligaments, tendons and joint capsule insertions. Usually, the upper portion of the back (thoracic spine) is affected, but it may also involve the neck (cervical spine) and lower back (lumbar spine).
Kyphosis is a condition of abnormal curvature of the spine that causes rounding of the upper back or a hunchback. The thoracic portion of the spine normally has a C-shaped curve, but excessive forward curve in the spine leads to kyphosis. Kyphosis most commonly affects the thoracic spine, but can involve the cervical and lumbar portions too.
Injuries at the workplace are very common and may be debilitating. Global statistics report that around 260 million non-fatal injuries occur every year around the world of which 350,000 cases may suffer death. Workplace injuries often occur because of high-risk jobs, lack of or scarcity in safety devices, lack of training, and higher numbers of manual workers.
Pseudarthrosis is an unhealed broken bone, also known as nonunion. Usually, damaged or broken bones heal over time by forming new bone tissue connecting the damaged pieces of the bone. However, if the damaged bone fails to heal then it is called ‘nonunion’ or ‘pseudarthrosis’.
The spinal column consists of vertebral bones stacked one on top of the other, surrounding and protecting the spinal cord. Soft cartilaginous discs present between the vertebrae support the spine, act as cushions against stress and permit spine mobility.
Minimally invasive spine surgery (MISS) is the latest technology available to perform spinal surgeries through small, less than one-inch-long incisions. It involves the use of special surgical instruments, devices and advanced imaging techniques to visualize and perform the surgery through such small incisions.
Microdiscectomy is a surgical procedure employed to relieve the pressure over the spinal cord and/or nerve roots, caused by a ruptured (herniated) intervertebral disc. A herniated disc, common in the lower back (lumbar spine) occurs when the inner gelatinous substance of the disc escapes through a tear in the outer, fibrous ring (annulus fibrosis).
Back and neck pain is common symptoms of injury, damage, deformity, or unhealthy spinal conditions. Pain may range from a mild ache to a sharp shooting pain that can spread down your arms and legs. There are many conservative and surgical treatment options that can relieve pain by targeting the symptoms or the underlying problem.
Posterior cervical foraminotomy is a surgical procedure performed through the back of the neck to relieve symptoms of a pinched or compressed spinal nerve by enlarging the neural foramen, an opening for the nerve roots to exit the spine and travel through the body, and creating more space for the spinal nerve to pass through.
Motion preservation surgery or Motion Preservation Spine Surgery (MPSS) is a relatively new surgical method employed as an alternative to standard spinal surgeries, such as spinal fusion surgery and disc replacement surgery in select patients to treat spinal conditions of the cervical and lumbar area and restore normal motion of the spine.
Degenerative Spine Surgery (DBS) is a neurosurgical procedure performed to control and manage abnormal brain activity symptoms associated with a number of neurological conditions. The procedure involves placement of electrodes into the targeted areas of the brain. These electrodes create electrical signals that regulate abnormal brain activity.
A spinal fracture refers to a break in any of the bones that make up the spine. It can occur due to trauma such as a traffic accident, fall from a significant height or weakening of the bones due to osteoporosis or a tumor. The thoracic or lumbar spine (upper and lower back) are the most common locations for spinal fractures.
Complex spine surgery is a type of back surgery involving a fusion of six or more vertebrae. The vertebrae are a series of small interlocking bones extending from the skull to the pelvis (hip) to form your spinal column or backbone. Spinal fusion helps in forming a solid bridge of bone that stabilizes your back.
The spinal cord passes through the vertebral column, which forms a bony protective cover. However, many conditions can cause parts of the vertebrae to compress the spinal cord or the nerves that branch out through them, leading to pain, loss of sensation and/or motor function in the part of the body supplied by the compressed nerve.
In most cases, back pain can be resolved without surgery. The conservative treatment involves the use of pain medications and other methods to reduce inflammation and restore normal function. Usually, some self-care methods and medications can help to overcome back pain, but if pain and inflammation persist over 72 hours, it is necessary to consult your physician.
Pain is an unpleasant sensation caused by illness or injury. Pain can have a negative impact on a person's quality of life. Chronic pain is the pain that is constant and persists for long periods of time. The treatment options for chronic pain include medications, surgical interventions, physical therapy, and psychotherapy.
The spine also called the back bone, plays a vital role in stability, smooth movement and protection of the delicate spinal cord. It is made up of bony segments called vertebra with fibrous tissue called intervertebral discs between them. The vertebra and discs form the spinal column from the head to the pelvis, giving symmetry and support to the body.