Do you suffer from back pain…. A pain which is affecting your life style, then this article is a must for you to read. Here is an interview with the country’s famous spine specialist, Dr. Yogesh K. Pithwa – Consultant Spine Surgeon, Bangalore, India: Who are at Risk of Spinal Problems
1- People who smoke
2- People who ride 2-wheelers
3- People who have a sedentary lifestyle are more prone to getting spinal problems.
Is there any age when a patient gets more affected by spinal problems?
Though spinal problems are more common as age advances, no age is actually immune to getting spinal problems.
Causes of spinal problems
Though there are numerous causes of spinal problems, majority relate to:
1- Degenerative changes in the spine
2- The upright posture of human beings increases the load on spine predisposing to more problems of spine as compared to quadrupeds.
What are the symptoms of spinal problems after which a patient needs immediate doctor’s attention?
As long as the pain remains restricted to the lower back alone, it generally does not indicate anything serious. However, the following features would necessitate prompt medical attention:
• Pain radiating down from the back or the neck to the lower or upper limbs, respectively. This would be more significant if the pain aggravates on coughing/ sneezing/ certain movements of the back or the neck. This pattern of pain would generally indicate a disc herniation or related problem.
• Weakness or numbness in a specific part of the hands or legs. This might indicate a nerve getting “pinched” in the spine.
• Unsteadiness while walking. Though there are a host of problems that can lead to this kind of presentation, one of the foremost and also, one of the treatable causes is compression of the spinal cord in the neck or upper back region.
• Pain in the calf or buttocks on walking or standing for some time and getting relieved on sitting down or stooping forwards. This would indicate a pathological spinal condition termed “spinal canal stenosis”.
• Deformity of the back or a bony hump seen on one side of the midline of the back. This could indicate a spinal deformity which would have the best treatment results if detected early.
What are the different spinal diseases?
Broadly speaking, the different categories of spinal diseases include degenerative, traumatic, congenital, infectious, inflammatory and neoplastic.
Different exercises and right postures and ways by which one can prevent spinal problems
Simple measures such as:
1- Avoiding smoking
2- Avoiding 2-wheelers
Here are some of the important tips which can help you prevent spinal problems as suggested by Dr. Yogesh K Pithwa: http://www.spine-surgeon.org/tips.htm
When does the need for surgery arises
Most back and neck pains can be managed without surgery. However, some patients with the kinds of problems as elaborated in symptoms above may require surgery.
Spine surgery has become very advanced these days and in good hands, is as safe and effective as any other surgery anywhere else in the body.
Special Thanks to:
Dr. Yogesh K. Pithwa – Consultant Spine Surgeon, Bangalore, India
Fellowship in Advanced Spine Surgery and Spinal Deformity Correction, USA, FRANCE, JAPAN
FNB Spine Surgery, MS Ortho GOLD MEDAL, DNB Ortho, MNAMS Ortho, D. Ortho, MBBS
Visiting Surgeon: Washington University, St. Louis, USA; Institut Calot, Berck, FRANCE;
Tohoku University, Sendai, JAPAN;
Hokkaido University, Sapporo, JAPAN
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