Back. About osteoarthritis, back pain, low back pain and chronic back pain. Required surgery?
When acute low back pain persists for more than 1-2 months despite treatment, and can not be offered new treatment options, the problem has become chronic. Back pain can be many things, such as slipped discs, whiplash, muscular rheumatism, sciatica and other back pain or pain radiating into one or both legs, bad back, chronic or acute, and other back problems. Chronic pain can be difficult to accept because they interfere with daily life, while there is no immediate prospect of getting rid of them. Fewer than 20% of patients with persistent back pain can be offered an operation, it is only in two out of ten cases that an operation proves that the way out of pain. Fortunately, chronic back pain treated with interview and training.
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The causes of chronic back pain can be many, and typically there is an interplay between physical and mental conditions. It also plays into lifestyle, but whatever, it is such that the more you focus on the pain, the more hurt prospects. One is unconsciously afraid to do certain movements that have done evil. Therefore buckles next time you have to do the same movements and tense movements can cause soreness in joints and muscles. There is a vicious circle can be broken through conversation, followed by training. One method that has proven to be more effective in getting people back to work than eg medical treatment.
Treatment for chronic back pain
Treatments will usually be far and affect both the physical, psychological and social factors. There is no simple cure for chronic back pain. Blockades, manual therapy and painkillers have only one immediate effect and will not solve the real problem. Basically, should all patients entering treatment in time to regain a normal back function. Ordinary wear and innate dispositions can obviously limit the results. The general rule is that back pain should be treated actively rather than passively. Passive treatments include pain relief, ultrasonic or manual treatment by a chiropractor. Such treatments have a temporary effect, but do not develop back strength and health. It does turn back exercise. Back exercise is a vital part of treatment. When your back is well trained, it also has much greater resistance to new problems. Chronic back pain requires a comprehensive training program that will require professional assistance and supervision during the first period, so the exercises performed correctly. Only after a while you can start training on your own home. Simultaneously, working conditions and lifestyle be assessed in relation to the problems. It's almost always. Good treatment outcomes is achieved especially when the patient and doctor work together to adapt living conditions for back problems. It may prove necessary to change jobs, bringing daily life or to give up more demanding sports such as tennis, golf or martial arts. Particularly job where your back is loaded eg pavers, orderlies and nurses' aides or jobs with very static postures such as taxi driver and computer work can cause problems. - Click for information on acupuncture treatment >>
About acute low back pain (lumbago) and what you can do
Low back pain is pain in lower back - acute and chronic pain. Acute back pain has a duration less than 6 weeks when chronic back pain has a duration of 12 weeks. Acute, severe low back pain may also have backache, lumbago, facet syndrome, rheumatism, or lumbago. Most people with acute back pain recover within 1-2 weeks without treatment. Analgesics are paracetamol or ibuprofen. Work and physical activity will be right for most people with uncomplicated back pain.
About osteoarthritis - the most common joint disease
Osteoarthritis is an almost inevitable part of life, but some are affected in a relatively early age. Sports injuries, failure stress, genetics etc are factors that can accelerate the process. The areas most affected are the hands, neck, back, hips and knees. The pain comes from the joint where the cartilage is degraded, and from secondary muscle tension. The typical symptoms are pain and stiffness in the joint. Starting pain (stiffness) is often the first sign, gradually developing pain under load and eventually experienced also at rest. Chiropractic combined with ease of movement of the joint, for example. cycling or swimming is a good palliative and preventive effect, but does not remove the existing osteoarthritis. In cases of severe osteoarthritis, surgery may be necessary. - click and read about the treatment of osteoarthritis >>
Osteoarthritis and Glucosamine (OTC preparation)
Glucosamine can relieve pain in mild to moderate arthritis, especially in osteoarthritis of the knees. According to clinical trials, it can also improve the mobility of the joints and prevent degradation of the cartilage in the joint. Many Danes with degenerative arthritis (osteoarthritis) is also over the counter preparation Glucosamine and much indicates that it is one of the best ever and safest natural remedies for pain and stiffness in mild to moderate osteoarthritis, especially in knees and hips. The product is cheap and the side effects get. However, Glucosamine is not a miracle cure, but can apparently alleviate pain and improve mobility - and probably slow down some destructive processes in arthritic joints, which is common arthritis medications can not. - What about my other arthritis medications? Is it the case that Glucosamine reduces pain you can cut down on other pain relievers such as NSAIDs, which are typically taken as needed, and thus get rid of gout medication side effects in the stomach. You get prescribed medication by a doctor, you should not discontinue treatment, but of course only speak with the doctor. Glucosamine may not be used as emergency treatment, as the effect starts only after 2-4 weeks. Glucosamine efficacy in severe osteoarthritis is not documented. Glucosamine is available at the pharmacy.
Slipped disc affects people of all ages but is most often seen in 30-50 years of age. It is often due to an age-dependent deterioration of the protective tapes connective tissue ring of the disc also called disc, which is the shock-absorbent core between the vertebrae. Through a vulnerability in bindevævsringen can the gummy substance in the disc bulge and press on a nerve root. The weakness in the disc, but may occur as a result of an unfortunate, sudden load on the back. - Click here to read more about the spine and surgery for herniated >>
Back surgeries (spine surgery)
Back surgeries in all types of disorders of the spine from the neck to lower back are herniated, narrowing of the spinal canal (spinal stenosis), osteoarthritis and displacement of the vertebrae (back surgeries rigidifying also called 'deser') and surgery for osteoporosis (vertebroplasty). Or new surgical techniques, with emphasis on minimizing the degree of intervention, so you quickly get back on their feet for example, rigid fixation of the damaged part and where possible restoration of normal movement such as disc prosthesis. Every year, many operated in the back, and the majority due to prolapsed disc. 80-90% of all operations are progressing well, and many patients become pain free.
Rigidifying back surgery
For example, osteoarthritis of the lumbar spine can cause chronic pain in the lumbar region. In some cases, radiation pain also in the legs, due to lack of space for the nerves in the spinal canal. The most common cause is osteoarthritis of the lumbar spine (spondylosis), but there are often lags between two vertebrae (luxation) or a shift between the lowest lumbar vertebra and the sacrum (spondylolist-hesis). Patients with such conditions may, in some cases have the benefit of a stabilizing back surgery. The surgery is called a spondylodese - colloquially "Dese".
Inserting a disc prosthesis
In the same manner as with the artificial hip and knee joints, it is for certain groups of patients now also possible by means of a back operation, to replace the worn out pulley / disc with a disc prosthesis comprising two metal plates with a shock absorbent core between the synthetic material. The surgery typically offered young people under 50 years old and going through the stomach. In operation, removed the whole of the degenerated disc and the disc is replaced by a prosthesis, consisting of a polyethylene core. The prosthesis is attached between the vertebrae to the disc which was sitting, and hence is stable. The prosthesis allows a normal / natural movement of the vertebrae. Already a few hours after surgery to get up and go under their own power and will typically be discharged after 2-4 days, after which a period wears a soft custom corset.