Spinal disc herniation is a type of intervertebral disc protrusion, in which the intervertebral disc nucleus moves towards the anulus (the fibrous ring surrounding the disc) and slips out of its place, following which the nerve is subject to pressure. (Smeltzer et al., 2010). This condition is caused by sudden or gradual collapse of ligaments and supporting tissues around the intervertebral disc (Fatemi, 2011). Spinal disc herniation is among the most common degenerative disorders in vertebral column (Yang et al., 2015), which can eventually lead to lower back pain and radicular pain (Yang et al., 2015). In other words, the intervertebral disc herniation is currently the most frequent cause of lower back pain throughout the world (Saleem et …show more content…
There is no accurate data on the incidence of intervertebral disc degeneration in Iran; however, the statistics published in other parts of the world show the high extent of this condition. In the United States, intervertebral disc degeneration is diagnosed each year among 5.7 million people in the age group of 54-64 years (Masuda, Oegema, TR & An, 2004). In other words, the prevalence of intervertebral disc pain increases with an increase in age (Siemionow et al., 2011). Patients with spinal disc herniation having lower back pain suffer from physical impairment in doing their daily activities (Nordeman, Gunnarsson, & Mannerkorpi, 2012). In addition to individual discomfort, lower back pain causes reduced labor capacity, disability, wasting of …show more content…
The aim of non-prescription treatment is to relieve pain, slow down the disease progression, and increase the patient's functional abilities. In this regard, the current self-care education associated with weight loss, use of a hot water bag or a cold water bag, biofeedback, physiotherapy, therapeutic massage, water therapy, acupuncture, infrared radiation, Pilates and Yoga exercises recommended by the medical staff can also relieve pain (Sherman et al., 2005; Dhanesh Kumar et al., 2014; Yaqubay et al. 2012, Golpayegani M., Mahdavi S, Moradi,
Page’s patient, P, suffers from back pain and he is determined to find the cause of the pain. To rule of the most lethal causes of back pain, some of the questions Page asks include “Did the pain wake him up at night? Was it worse when he was lying down? Had he recently lost weight?” (Page).
This article presents a case report about a 31 year old male patient, a teacher at a university, who started experiencing mid back pain after weightlifting one day.3 About 3 hours after weightlifting, the patient began to feel sharp back pain, at levels T4-T8. His pain began to worsen that night causing muscle spasms of his paraspinal muscles, with intermittent radiating pain to his lateral thorax and chest.3 This patient had been diagnosed with thoracic facet injuries in the past, and just assumed it was that.3 However, after the pain did not subside the patient went to his physician who claimed the patient was just having muscle spasms and needed myofascial release.3 However, a radiograph was also done that revealed end plate degenerative changes at T7-T8.3 The patients clinical evaluation revealed muscle spasms of the paraspinal muscles between T3-T12, tenderness to palpate between T6-T8, full shoulder ROM, 5/5 shoulder muscle strength, and normal distal pulses and sensations.3 The patient was diagnosed with thoracic pain and muscle spasms and was give muscle relaxants and exercises for myofascial release.3 Three days after the physician visit, the patient decided to do some walking, to work on his cardio, and experienced mild shortness of
Physical therapy of the lumbar spine could help to provide additional pain relief. Recommend
Per AME report by Dr. Sommer dated 05/28/14, the patient is P & S since 06/13/13. Based on the neurosurgical lumbar spine consultation report dated 12/08/15, the patient states his pain is 5-9/10. The pain is 80% back and 20% in the
The patient stated that pain is relieved by medications and aggravated by sitting and standing. He rates the pain 4/10 at its best and 10/10 at worst. UDS and CURES report showed that
Physical therapy such as ultrasound, stretching, strengthening, and range-of-motion exercises can be helpful in people whose symptoms have become less intense but still exist. In some cases, medicine can ease the pain and swelling. Nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin, ibuprofen, and other nonprescription pain relievers can relieve pain and reduce inflammation. Corticosteroids by mouth or corticosteroid injections may relieve pressure on the median nerve and provide immediate, temporary relief to persons with mild or intermittent symptoms. Patients with diabetes or who are predisposed to diabetes should not use corticosteroids for a prolonged period of time because it can make it difficult to regulate insulin levels.
Chiropractic vs Western Medicine In current society, the people who get the spinal problem are increasing. Not only athletes always suffer from spinal pain, but also many ordinary people get this problem. Due to these people have much work to do, always sit in the chair and do less exercise, the nerve has been compressed and then, they get the spinal problem such as neck pain, low back pain and so on. Doctors use two different models to treat the spinal problem, chiropractic and western medicine.
Pain is rated at 7-8/10. There is radicular pain to the left buttocks/leg. It was noted that the patient is status post lumbar ESI x 1. On examination, he has tenderness and spasms to the bilateral spinous processes, facet paravertebrae, paraspinals, erector spinae and quadratus lumborum. Range of motion reveals flexion of 45 degrees, and extension
Managing pain in older adults is difficult; eating an enormous amount of pills is usually not adequate in managing pain, keeping it controlled and may cause addiction. Some elderly find it difficult to make changes in their life for CIM and some therapies require lifestyle changes, but they do not want to eat pills either. An elderly women who’s a family friend was suffering from a lot of pain, she was not eating her pills because of the side affects and as it mentions in the textbook, a barrier to effective pain management are the side effects of medication, which can be difficult to manage and treat (Hirst, Lane, & Millers, 2015). Not only that, but she was not ready to make lifestyle changes to exercise more often to reduce the pain. Many elderly in these situations start to live with the pain, not knowing that those behavioural and lifestyle changes associated with CIM along with learning about CIM, could bring a lot of improvement in their
If the discs thin out there is no cushion for the spinal bones, which leads for the spine to compress together and squeeze on the nerves. Either female or male can get this, but it mostly depends on their age. This could happen to people who either have a family history of spinal decompression or do not. Spinal decompression can happen anywhere from cervical to the lumbar region, it varies from person to person. (Schaufele,
According to the Centers for Disease Control and Prevention (CDC), 62 percent of adults used some form of complementary and alternative medicine during the past year. Evidence shows that CAM modalities such as acupuncture, diets, herbal medicine, homeopathy, massage and supplements show promise in effectiveness. The toxicity and limited efficacy of current treatment medicine for rheumatoid arthritis has caused patients to turn to CAM in hopes of improving their symptoms. Acupuncture shows to be effective in treating many painful conditions including chronic knee and neck pain. Acupuncture is defined as the insertion of needles into the skin and underlying tissue at certain points for therapeutic purposes (Tam, 2007).
Low back pain is neither a disease nor a diagnostic entity of any sort. The term refers to pain of variable duration in an area of the anatomy afflicted so often that it is has become a paradigm of responses to external and internal stimuli (Ehrlich GE 2003). Research study on low back pain has shown that it is a common problem in general population. As seen in Western industrialized countries, back pain is one of the major health problems (R Ayiesah and D Ismail 2007).
' hernia abdominal is the leakage of a viscus - or a part of it - from the abdominal cavity where it is normally contained. The herniation makes its way through a preformed orifice or an area of weakness in the cladding wall. Abdominal herniaAbdominal hernia is therefore the expression of a progressive weakening of the muscular and fascial walls, which under physiological conditions should keep the bowels in its proper place . abdominal hernias are called external because the viscera, slipping between the different structures that make up the abdominal wall, push outward becoming evident.
The Pain Burden Ailments such as arthritis, angina or neuropathic pain are common with older people. These disabilities can cause osteoarthritis or musculoskeletal disorders. The increased burden of pain in turn affects sleep patterns, ability to perform everyday
The human body is affected by many health conditions throughout its time and one of the major problems is bodily pains. The human body is likely to suffer from injuries at any point in time whether a person takes necessary precautions or not. In today’s fast paced life and advancement in the medical field, “Physiotherapy” is one of the preferences given by the doctors. Physiotherapy is a vital technique to manage back and neck pain which the human body experiences. This therapy has become one of the easiest and affordable modes of treatment and is highly considered by injured persons.