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A brief note on failed back surgery syndrome.

Failed back surgery syndrome is a generalized term that is often used to describe the condition where lower back pain persists or appears after spine surgery. The pain starts immediately after surgery or a few weeks or months after. FBSS is also known as failed back syndrome and post-surgical spine syndrome. You can get the proper treatment at the best Orthopaedic Hospital in Ludhiana. 

 

What is the definition of failed back surgery syndrome? 

Failed back surgery syndrome is the term used for continued pain a patient has after an unsuccessful back surgery. The patient is usually referred to a pain management specialist to treat pain. The goal of spinal surgery is to decompress a nerve root or to stabilize a painful joint. FBSS occurs when surgery is unsuccessful or negatively affects a structure near the problem area. 

 

What are the causes of failed back surgery syndrome? 

Several reasons are responsible for the failed back surgery syndrome. 

  • Adjacent segment disease: Adjacent segment disease is a potential cause of failed back surgery syndrome after spinal fusion surgery.
  • Arachnoiditis: Arachnoiditis is inflammation of one of the three protective linings surrounding the brain and spinal cord. It can cause severe burning, stinging pain, and other nerve-related problems.
  • Persistent Neural Decompression: Decompression surgeries remove bone and other impeding structures compressing spinal nerves.
  • Pseudoarthrosis: Pseudoarthrosis or non-union is the medical term used to describe a complication of spinal fusion surgery that often involves instrumentation and fusion. Spinal fusion is performed to join two or more spinal bones together to stabilize one or more spine levels to stop movement. 
  • Recurrence of Earlier Diagnosis: Sometimes, your original symptoms return after spine surgery. A spinal disc treated with microdiscectomy may re-herniate.
  • Epidural fibrosis: Epidural fibrosis is a medical term describing scar tissue forming around one or more spinal nerve roots. Epidural fibrosis may develop months after spine surgery, and it can cause a spike in pain.
  • Spinal infection: Symptoms of post-surgical spinal infection include fever, wound drainage and redness, chills, and headache. These and other related symptoms typically show up a few weeks after surgery.

 

Treatment of the failed back surgery syndrome.

The treatment plans for failed back surgery syndrome are as follows: 

  • Muscle Relaxants: Muscle relaxants, as the name suggests, work to relax your muscles by reducing the activity of the central nervous system.
  • Neuroleptics: Neuroleptics are a medication used to stabilize overactive cells in the spinal cord. These medications can help better manage pain caused by nerve compression.
  • Pain Relievers: In severe pain cases, your doctor may prescribe opiates for a short period to help relieve your pain symptoms. 
  • Physical Therapy: Your doctor may recommend specific physical therapy exercises to reduce your pain symptoms by strengthening the muscles that support the spine. 
  • Epidural Steroid Injections: Epidural steroid injections deliver anti-inflammatory steroids directly to the epidural region of the patient’s spine to reduce pressure and inflammation in the back.
  • Radiofrequency Ablation: Radiofrequency ablation involves delivering targeted radio-frequency energy to specific nerves to help reduce those nerves from sending pain signals to your brain. 
  • Spinal Cord Stimulation: Spinal cord stimulation is a procedure that involves using a small device called a spinal cord stimulator to attach it to your spine.

If you have spinal problems, contact the best hospital, Hunjan Hospital. The best spine surgeon in India performs the surgery of spinal issues.

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back surgery
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Back Pain back surgery

पीठ दर्द में आर्थोपेडिक देखभाल कैसे है जरूरी ?

पीठ में दर्द की वजह से व्यक्ति का कई बार चलना फिरना मुश्किल हो जाता है और कई लोग इससे निजात पाने के लिए हड्डियों के स्पेशलिस्ट डॉक्टर या आर्थोपेडिक के पास जाते है जिससे उन्हें पीठ दर्द की समस्या से कुछ समय के लिए राहत मिल जाता है। इसके अलावा पीठ में आर्थोपेडिक सर्जन की क्या भूमिका के बारे में बात करेंगे ;

कमर या पीठ दर्द क्या है ?

  • रीढ़ के निचले हिस्से पर हमारे शरीर का ज्यादातर वजन पड़ता है। जैसे- जब हम झुकते, मुड़ते या भारी वस्तु उठाते हैं तब भी सारा भार रीढ़ के निचले हिस्से पर पड़ता है।
  • दूसरी और जब हम एक स्थान पर ज्यादा समय बैठते हैं तब भी भार उसी स्थान पर पड़ता है। इन सब कारणों से हमारी रीढ़ को सहारा देने वाली मांसपेशियां, टिश्यू तथा लिंगामेंटस पर बार-बार दबाव पड़ता है। इस तरह की इंजरी को स्ट्रेस इंजरी कहते हैं। 

कमर या पीठ में दर्द की समस्या कई बार हमारे घुटनों पर भी आ जाती है क्युकि शरीर का पूरा भार हमारे घुटनो पर भी पड़ता है, तो ऐसे में अगर आपको घुटने में दर्द की समस्या है तो इसके लिए आप घुटना बदलना की सर्जरी का चयन भी कर सकते है। 

कमर दर्द के क्या कारण है ?

  • तनाव को कमर दर्द का कारण माना जाता है। क्युकि जब हम तनाव में होते हैं तो हमारी मांसपेशियां अकड़ जाती हैं।
  • नए-नए फ़ोन तकनीकों का घंटो एक जगह पर बैठ कर इस्तेमाल करने से कमर दर्द की समस्या होती है। 
  • सम्पूर्ण शरीर के मांसपेशियों का तालमेल बिगड़ना भी कमर दर्द की समस्या को उत्पन कर सकता है। 
  • रीढ़ की हड्डी के बीच के डिस्क रीढ़ की समस्या। 
  • गंभीर बीमारी को भी कमर दर्द के कारणों में गिना जाता है। 

यदि आपकी रीढ़ की हड्डी या कमर में दर्द है तो इसके लिए आप पंजाब में आर्थोपेडिक सर्जन का चयन कर सकते है।

कमर दर्द का अधिक खतरा किसे है ?

  • वही जिन्हे कमर में चोट लगी हो तो उन्हें भी कमर दर्द का खतरा अधिक रहता है।
  • आमतौर पर कमर दर्द की समस्या बढ़ती उम्र, शरीर में विटामिन-डी की कमी, गलत मुद्रा में घंटों बैठने, गलत ढंग से सोने जैसी वजहों से होती है। एक उम्र के बाद हड्डियों के बढ़ने, हड्डियों के कमजोर पड़ने और खिंचाव जैसी दिक्कतें स्वाभाविक हो जाती हैं। 

कमर दर्द के लिए कौन सा इलाज बेहतरीन है ?

  • गर्म व ठंडे पानी की सिकाई को कमर दर्द का बेहतरीन इलाज माना जाता है। 
  • नारियल तेल से कमर में दर्द वाली जगह पर मालिश करना भी एक बेहतरीन इलाज है कमर दर्द का। 
  • यदि आपका स्टे कंप्यूटर वर्क है, तो आपको हर एक घंटे में 10-15 मिनट का ब्रेक लेना चाहिए। 
  • अपनी पोस्चर को ठीक करें। 
  • कैल्शियम से भरपूर डाइट का सेवन करे। 
  • कुछ भी प्रयोग करने से पहले डॉक्टर से परामर्श ले।
  • इसके अलावा अगर आपका कमर दर्द गंभीर है तो इसके लिए डॉक्टर आपको सर्जरी करवाने की सलाह भी दे सकते है। 

आपको भी अगर कमर व पीठ और घुटने में दर्द की समस्या ने परेशान कर रखा तो ऐसे में आपको हुंजन हॉस्पिटल से इस समस्या का हल आसानी से मिल सकता है। क्युकी अगर कोई ज्यादा पीड़ित है कमर दर्द की समस्या से तो डॉक्टर उनको दर्द से निकालने के लिए सर्जरी का चयन करते है।

निष्कर्ष :

किसी भी सर्जरी या उपाय को अपनाने से पहले डॉक्टर से जरूर सलाह ले।

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Back Pain back surgery
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Back Pain back surgery

Guide on chronic back pain symptoms, causes, diagnosis, and treatment

At some point in our lives, we all have suffered from back pain. Sometimes, the person faces the problem to the extent that they need to visit the best Orthopaedic Hospital in Ludhiana and get the necessary treatment for the same. The doctor provides the Chronic Back Pain Treatment in Ludhiana by determining the reason for the problem.

What is the cause of back pain?

In most cases, the reason for back pain is due to mechanical damage because of prolonged poor posture and excessive stress. The way you live your daily regime will also make a lot of difference and trigger the issue of back pain. Sometimes the work-life increases the risk of herniating the disk. When the excess pressure is put in the disk the pain can trigger. Some of the mechanical situation of the spine like:

  • Disk Disease
  • Osteoarthritis
  • Spinal Stenosis
  • Back Strain Disk herniation

All of these factors account for 98% of cases of back pain. Consult the Orthopaedic surgeon expert and get the treatment at the earliest.

Treatment for chronic back pain

First of all, the Ortho doctor will do a physical examination and check your past medical history. This is the first step to effective care and management for low back pain. The doctor will X-ray and check the reason for back pain. Patients who start physical therapy at an early stage are benefited to a great extent as making changes to their daily routine and following the doctor’s guidelines will reduce the severity of the problem. Research has shown that most of the patients see the improvement with:

  • Physical therapy
  • Physical activity
  • Non-additives and non-steroidal anti-inflammatory drugs

The surgical approach is considered in those cases when the patient’s condition does not improve or it is getting severe with time.

 

What are the preventive measures?

  • Keep your body weight normal
  • Do not smoke
  • Stay physically fit and active

 

Important Guidelines

Follow these 10 to 20 days after you have started noticing the acute low back pain:

How to sit?

  • Sit for 10 to 15 minutes
  • Sit with a back support
  • Use a stool to rest your foot

 

How should I drive?

  • You back support while sitting or driving the car
  • Keep the seat close to the steering wheel so that it does not put pressure on it.

 

How should I Stand?

  • You need to keep your head up, chest forward, shoulders straight, and weight should be balanced on both feet. Hips should be tucked in.
  • Do not stand in the same position for long.
  • The work table should have a comfortable height. If needed, you should adjust it.
  • While standing in the kitchen for a long time, you should rest your feet inside the kitchen cabinet. Try to do this both for both feet for 5 to 15 minutes.

 

Important consideration

  • Make sure that you do not stoop, squat, and kneel.
  • Try to avoid lifting objects
  • In case, you have to lift something then make sure to have a firm foot.

 

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Back Pain back surgery
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Back Pain back surgery

When is back surgery considered as the appropriate solution by doctors?

One of the common questions asked by the patients when they visit the Orthopaedic Hospital in Ludhiana is, ‘When is back surgery the right choice?’. In case the pain is related to mechanical issues, then you need to immediately consult the doctor for Spine Surgery In Ludhiana. 

Spinal fusion procedure

During spinal fusion, the surgeon joints large spine bones which are 2 adjacent vertebrae and this is formed in one single unit. One of the common reasons to get fusion is spondylolisthesis in which the vertebrae are misaligned from their position. Through metal screws, it will get the stabilization.

Damaged discs

The need for surgery will improve in case the pain is traced to the spinal disc. In such cases, the procedure is known as a discectomy. The spinal disc becomes stiff and it breaks down & the sides will come out which starts pressing the nerves. They may be herniated (open), which makes them soft. In case, you want immediate pain relief then you can undergo a discectomy.

Surgery for spinal stenosis

Spinal stenosis is a common problem as the spine age. In such cases, the space present around the spinal cord will narrow down. Bone overgrowth and bulging discs often result in narrowing which ultimately presses the nerves and leads to pain.

Patients can try to get relief through pain relievers and physical therapy but sometimes the problem gets in excess that the patient cannot move around. In such a case, surgery is the best choice. The spine surgeon will suggest you get a laminectomy and this helps to reduce pain by 90%.

No slippage? No fusion

Spinal fusion is only the best choice for spinal stenosis if the vertebra has slipped from its place and reached its nearby area. In medical terms. It is referred to as spondylolisthesis. You must talk to the doctor and understand better what should be done to address the issue correctly.

What is conservative care for back pain?

Some of the important measures which you need to take care to manage the existing back pain before you get the surgery:

  • Wait

One of the time-tested ways to deal with back pain is to give time. In most cases, time can help to reduce the pain. But if back pain comes along with symptoms like loss of bowel movement or fever, then you need to consult the doctor right away.

  • Ice and heat are helpful

If the back pain is at an acute stage, then ice can help to lessen the intensity of swelling. After a few days, you should use heat. It helps in providing utmost comfort and blood flow is in the right amount to the injured areas & stiffness is reduced.

  • Take pain medications as needed

Take the pain medications as suggested by the doctor as it will reduce the inflammation and pain. But, make sure that you do not take them in excess.

  • Stay physically

You need to stay physically fit, so it is better that you do not lay all day long. Come out from your bed and walk around.

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Back Pain back surgery
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back surgery Spine Surgery

Which precautionary measures to follow after undergoing back surgery?

In the case of orthopaedic surgeries, it is necessary to visit the best orthopaedic hospital in Ludhiana. As far as the spine surgery in Ludhiana is concerned, then you should be following the below-mentioned measures:

An important point to know

The recovery time of different back surgeries is different.

Back surgery  Time taken to recover
Discectomy 6 to 8 weeks
Laminectomy 12 weeks
Spinal fusion  6 weeks

Precautions to be taken

The subsequent precautions should be followed after you have undergone the back surgery, If you take these precautions, then you will be assured to get healed at a speedy rate:

  • No BLT

Bending, Lifting and twisting have been presented in the form of the acronyms that you may know that you should be keeping yourself away from such strenuous activity. It is advised that do not practice any of the BLT otherwise you may end up causing the procedure to go in vain. If you think that lifting of the grocery bags or the laundry baskets will not produce that much effect on the back, then you are wrong since it can affect the recovery rate,

  • Squats are suggested

I know that you hate getting dependent on anyone. So we would like to suggest you squatting to pick your things from the floor rather than bending down. So be smart when it is your recovery period.

  • Even smarter

Sometimes your body condition or even physique restricts you to doing squatting. In those cases, you can take the help of the reacher. The reacher will help you to get the things which you want.

  • Footwears

The doctors always suggest that the patient should buy both sturdy slippers and slip shoes to avoid the discomfort which can come up owing to weaning off the socks and shoes.

  • Do not twist your torso

When it is about the torso then make sure that you are not twisting it. Instead, you can try to move your entire body. You should try to align the hips and the shoulders. This instruction should be followed when you are trying to get in and out of your bed and when you are sitting in the car.

Which things should you pay quintessential attention to?

 Don’t get comfortable on the couch:

The predominant problem which is done by the patients after the surgery is that they start spending too much time on the couch because of that the body becomes significantly weaker and stiffer.

  • Keep the joints moving

If you have been guided by the doctor that you are not supposed to move your joints, then you have taken treatment from the wrong doctor. Try to move the joints a little bit.

  • Consult the therapist before the procedure

Make sure to consult the therapist before the procedure since it creates a great impact on the recovery period.

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back surgery Spine Surgery