Methods Of Spinal Decompression Conroe Patients Can Benefit From

By Joyce Murray


Back pain that follows a heavy lifting event or blunt force trauma along the region of the spinal cord is most probably due to a displaced intervertebral disc. When they are displaced from their anatomical position, the discs are likely to impinge on the nerve roots nearby or the spinal cord itself leading to back and limb pain. Decompression is the mainstay of this problem. There are a number of basics on spinal decompression Conroe back pain patients will find useful.

When you visit your doctor for a diagnosis, you will be asked to give a history and then you will be taken through a physical examination with a bias of the back and spine. Apart from a displaced disc, the symptoms may also be caused by bony growths or any disorders affecting the connective tissue structures within the spine. Radiographic images in the form of MRIs, CT scans and plain X-rays are some of the most important investigations here.

The options that are employed in decompressing the spine fall under two major categories. These are the conservative option (traction) and surgical intervention. There is a general recommendation that all patients who require decompression undergo traction first and should only consider surgery if this conservative approach fails to yield results. In this technique, a gentle but steady pulling force is applied onto the spine with the aim of restoring its natural shape.

The force on the spine results in increased intervertebral disc space and reduced pressure. If there is a disc that has slipped out of position, it falls back into this space. This effectively relieves the pressure that is exerted on either the nerve roots or the spinal cord. One session will typically last for a maximum of one hour. You will be allowed home on the same day and come back on subsequent sessions as an outpatient.

There are several contraindications of traction that exist. One of such situations is the presence of fracture to a major lower limb bone. Applying a pulling force on such limbs is likely to aggravate the fractures and should be avoided. A similar scenario may be experienced for limbs that have metallic implants within them. The other conditions for which traction is deemed inappropriate include advanced osteoporosis, pregnancy and pelvic tumors among others.

There are several types of surgeries that are performed in decompression operations. The type that is performed depends on the underlying cause. The surgeries are named depending on the part of the spine that is removed. They include, laminectomy, corpectomy, discectomy, foraminectomy and osteophyte removal among others. Discectomy, for instance, is the removal of the intervertebral disc while corpectomy involves removing the vertebral body (usually with the disc as well).

You need to be aware of the possible complications which may be encountered even if the incidence is low. Possible immediate complications include injury to spinal nerves, bleeding and surgical site infection. In the remote period, the main worry is that the patient may get spinal instability particularly if the operation has involved the removal of large bony parts. Spinal fusion surgery may be required in some cases.

Non-surgical management (traction) remains the main modality used in decompressing the spine. The surgical options should only come in when the other methods have failed. The doctor and the patient need to explore all the possibilities together before they arrive at the final decision.




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