Basic Facts On Spinal Decompression Conroe Residents Should Know
It is estimated that up to 50% of hospital visits are due to low back pain. All these are related to absenteeism from work and reduced productivity. Commonly encountered causes of the problem include osteoarthritis, intervertebral disc slippage and muscular spasms. The mode of treatment is determined by the cause. In intervertebral disc prolapse, for example, decompression is the mainstay of treatment. There are a number of things on spinal decompression conroe residents may be interested in.
Decompression is of two main types; a conservative or non surgical type and a surgical type. The decision on which way to go is determined by degree of disc prolapse, site involved and the clinical acumen of your doctor. Studies have shown that both options have the potential to produce satisfactory results as long as proper patient selection is done. Proper evaluation is therefore very important.
The non-surgical option has been in existence longer. It has traditionally been practised by chiropractors, physiotherapists, osteopaths and other health professionals. In this treatment, a traction force is applied to the spine with the aim of retraction and reposition of a prolapsed disc. The duration of traction varies depending on the age of the patient as well as the extent of prolapse. The resultant low pressure also facilitates the entry of nutrients into the injured area.
The two types of surgeries that are performed are laminectomy and microdiscectomy. Laminectomy is the removal of a part of vertebra known as the lamina with the aim of relieving pressure on the nerve roots. Apart from treating disc prolapse, it is also useful in the management of severe osteoarthritis that is characterised by bony outgrowths. Microdiscectomy involves removal of small bone fragments from vertebra to relieve nerve root impingement.
There are a number of risks that are associated with this operation just as is the case with many surgical procedures. A number are evident in the immediate postoperative period while others will be seen much later. Bleeding and infections are the commonest complications encountered. Others include venous thrombosis, spinal fluid leakage and nerve injury in the long term. It is important that the possibility of these risks is discussed with your doctor.
Some form of preparation may be required before these treatments are administered. Generally, very little preparation is required for the conservative methods. For the invasive treatments, however, adequate preparation is required just as happens with other forms of surgeries. Imaging studies and blood tests may be required as part of preoperative workup. At the same time, you have to fast for about 8 hours before the operation.
In this procedure, general anaesthesia is used. A small incision is created along the spine at the site of interest so as to bring the affected vertebral bodies into view. The bone responsible is cut to release the compression. In most centres, the procedure is considered a day case and one may be discharged from hospital a few hours after leaving the operating theatre. It is important that one minimises strenuous exercises to avoid a recurrence.
The results are usually remarkable in most cases. The initial benefits may be lost if there is progression of the illness. This is commonly seen with degenerative illnesses such as osteoarthritis which tend to progress with advancing age.
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