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Back pain is a leading cause of hospital visits and absenteeism from work all over the world. The cause of this condition are mainly related to the connective tissues that make up the spine including the vertebral bodies, the ligaments and the muscles. Impingement of spinal nerves by any of these elements is one of the commonest causes. In this article we review some of the options of spinal decompression Conroe residents will find helpful is struggling with the condition.
The techniques that are employed are classified into surgical and non-surgical (conservative options). Traction is what is used for the conservative technique. Applying a gentle pull on the spinal column will more than likely restore the spine to its natural position and relieve the pressure off the compressed nerves. Effectively, the pain abates. This method works best if symptoms are due to a herniated intervertebral disc.
Traction is applied over several sessions on outpatient basis. With your clothes on, the doctor will position you on an adjustable table and fit a harness around the pelvis and around the trunk. The required force is generated by a computer so that you get just what is necessary in your case. On average, 20 to 25 sessions are required for correction of the problem.
There are a number of circumstances in which the risks of performing traction are likely to outweigh the benefits. Persons that have sustained fractures on the pelvic bones or the lower limbs should not be subjected to the procedure as their injuries are likely to worsen. Large abdominal tumors are also at risk of bleeding and spreading. Other contraindications include spine metallic implants, advanced osteoporosis and abdominal aortic aneurysms among others.
Surgical spinal decompression is considered when the non-surgical option has failed to yield positive results. There are different types of surgeries that can be performed depending on the exact cause of the problem, patient preference and the surgical skill of the doctor. They include discectomy, laminectomy, foraminectomy, osteophyte removal and corpectomy. Each has its own benefits and disadvantages.
In discectomy, a portion of the intervertebral disc pressing onto the nerves is removed. This is done either through the open surgical technique or though endoscopy. Laminectomy involves the removal of the lamina, a part that forms the arch of a vertebra. Corpectomy is removal of a vertebral body (usually together with the adjacent intervertebral disc). Foraminectomy involves expansion of the foramina (the exit point of nerve roots).
There are several complications that may occur after the operation. They include excessive bleeding, infection and damage of nerves at the surgical site. The main long term complication is instability due to removal of connective tissue elements. Often times, there is a need to preform spinal fusion surgery so as to restore the initial stability.
Non-surgical (conservative) decompression of the spine is preferred over surgery. Apart from having fewer complications the results are remarkable for the majority of patients. If a decision to have surgery is made, the patient should be informed of the attendant risks and benefits and allowed to give their own opinion as well.
The techniques that are employed are classified into surgical and non-surgical (conservative options). Traction is what is used for the conservative technique. Applying a gentle pull on the spinal column will more than likely restore the spine to its natural position and relieve the pressure off the compressed nerves. Effectively, the pain abates. This method works best if symptoms are due to a herniated intervertebral disc.
Traction is applied over several sessions on outpatient basis. With your clothes on, the doctor will position you on an adjustable table and fit a harness around the pelvis and around the trunk. The required force is generated by a computer so that you get just what is necessary in your case. On average, 20 to 25 sessions are required for correction of the problem.
There are a number of circumstances in which the risks of performing traction are likely to outweigh the benefits. Persons that have sustained fractures on the pelvic bones or the lower limbs should not be subjected to the procedure as their injuries are likely to worsen. Large abdominal tumors are also at risk of bleeding and spreading. Other contraindications include spine metallic implants, advanced osteoporosis and abdominal aortic aneurysms among others.
Surgical spinal decompression is considered when the non-surgical option has failed to yield positive results. There are different types of surgeries that can be performed depending on the exact cause of the problem, patient preference and the surgical skill of the doctor. They include discectomy, laminectomy, foraminectomy, osteophyte removal and corpectomy. Each has its own benefits and disadvantages.
In discectomy, a portion of the intervertebral disc pressing onto the nerves is removed. This is done either through the open surgical technique or though endoscopy. Laminectomy involves the removal of the lamina, a part that forms the arch of a vertebra. Corpectomy is removal of a vertebral body (usually together with the adjacent intervertebral disc). Foraminectomy involves expansion of the foramina (the exit point of nerve roots).
There are several complications that may occur after the operation. They include excessive bleeding, infection and damage of nerves at the surgical site. The main long term complication is instability due to removal of connective tissue elements. Often times, there is a need to preform spinal fusion surgery so as to restore the initial stability.
Non-surgical (conservative) decompression of the spine is preferred over surgery. Apart from having fewer complications the results are remarkable for the majority of patients. If a decision to have surgery is made, the patient should be informed of the attendant risks and benefits and allowed to give their own opinion as well.
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