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Back Pain and Spinal Disorders

Back Pain and Spinal DisordersBack pain is one of the most common complaints doctors hear from their patients today. This common malady, specifically lower back pain, contributes to missed days at work, reduced quality of life, and an inability to perform everyday activities, such as mowing the lawn, raking the leaves, or shoveling snow. Patients suffering from back pain should try conservative, noninvasive methods of treatment, such as R.I.C.E. (Rest, Ice, Compression, and Elevation), lower back exercises, physical therapy, or pain medications, before considering surgical intervention.

If these noninvasive means do not properly alleviate lower back pain, an orthopedic evaluation by one of the spine specialists at OGI can determine whether surgical intervention is necessary. Spine surgery today allows many patients to return to their active lifestyles in as little as three weeks. Schedule an appointment at one of OGI's conveniently located facilities in Attleboro, Massachusetts, Bristol, Lincoln, and Pawtucket, Rhode Island.

Back Pain

Back pain is caused by a number of different pathologies and musculoskeletal conditions, including, but not limited to: lumbar strain, ruptured discs, spinal stenosis, spinal arthritis, spondylolisthesis, and degenerative osteoporosis. Because these ailments vary greatly in severity and degeneration, some instances may require back surgery, while others can be treated effectively using conservative methods.

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Common Sources of Back Pain

Degenerative Disc Disease
Degenerative disc disease is one of the most common causes of low back pain in young adults, affecting the strength of the discs that cushion the vertebral column. While DDD is called a “degenerative disease,” the painful symptoms are not progressive, and will often dissipate on their own as the body resettles the ruptured discs. At birth, vertebral discs are comprised of approximately 80% water, and as humans age, the discs lose their ability to retain water, making them less capable of performing their role as spinal shock absorbers. Additionally, the disc degeneration can cause micromotion instability in the spine as well as painful back spasms.

Vertebral discs cannot regenerate and heal on their own as muscles do. Muscles have a rich supply of blood and oxygen, giving them the nutrients essential to revitalization and regeneration. Vertebral discs, in contrast, do not have a sufficient supply of blood and oxygen to support healing. Because of this, surgical intervention is often necessary if DDD is severely affecting the quality of life of the patient. Oftentimes, spinal fusion can alleviate the instability and pain associated with DDD.

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Osteoporosis
Osteoporosis commonly affects post-menopausal women, with one out of three women over fifty suffering from symptoms of the debilitating disease. Osteoporosis causes significant pain, loss of bone strength, loss of height, as well as a rounded spinal curvature. Because of the brittleness of bones affected by osteoporosis, patients commonly experience compression fractures of the vertebrae.

Spinal Stenosis
Spinal stenosis is defined as "a narrowing of areas in the lumbar (back) or cervical (neck) spine, which causes pressure on the spinal cord or one or more of the spinal nerves." The narrowing and subsequent pinched nerves cause instability and pain, as well as problems with bowels and urination, including incontinence and constipation. Symptoms tend to present themselves when standing or walking upright, and will often dissipate when the patient sits down or leans forward.

Conservative Treatment for Spinal Disorders

Noninvasive treatment methods for treating spinal disorders include corticosteoid injections, physical medicine and rehabilitation, as well as lifestyle changes such as diet and exercise. If these methods do not properly alleviate pain, spinal surgery may be indicated.

Continue: Spine Surgery for Back Pain »