Hi , l had a great experience with Dr.Ratnakar Rao n his team. I experienced almost painless knee replacement surgery in the year of 2019 .lt is like rebirth. I...
I visited Dr. Ratnakar Rao sir for my mother's knee replacement suggestions. He guided me and mother right way and my mother undergone for surgery of both the knees. The...
Dr. Ratnakar Rao sir is the best orthopaedic doctor in Hyderabad , he and his team members (Mr. Srikanth) provide a family environment for the patient , My mother got...
Knee Replacement Surgeries
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What is Back Pain?
Back pain is a common but debilitating condition or discomfort of the back caused due to abnormal conditions of the spine, discs, nerves and muscles present in the area.
What are the conditions of Back that cause Back Pain?
The causes of back pain can range from genetic conditions to external causes injuring the bones, muscles or other tissues of the region. The following are the most common conditions that cause back pain:
Spine Osteoarthritis: Stiffness in the spinal cord and limitation in the range of motion of the back resulting from wear and tear of cartilage located between the spine joints
Sciatica: Compression of the sciatic nerve, caused by a herniated disc or bone spur. It is also caused by injury to the thigh, pelvis, buttocks, by diabetes or due to prolonged sitting
Spinal Stenosis: Generally occurring among the aged, it is caused by constriction of the spinal canal due to brittle bones and thickening of spinal tissues
Spondylolysis: Stress caused by fracture in one of the vertebrae of the spine affecting the stabilizing process of the spine
Spondylolisthesis : Slipping of a weak vertebrae due to fracture, causing instability. It further causes radiating pain and neurological anomalies
Osteoporosis: It is a condition of brittle bones, causing fracture of the vertebra resulting in severe pain and debilitating conditions
Scoliosis: The condition in which the spine curves and twists in the shape of the letters S or C, caused in childhood due to injury or genetic disorder
- Some other causes of back pain are: Muscle strain and sprain, Bulging and Ruptured discs, Ankylosing Spondylitis, Cancer, Infections and Cauda Equina syndrome.
How can the causes of Back Pain be diagnosed?
Diagnosis of causes of back pain starts with a detailed analysis of the medical history of the patient as well as physical examination of the local and associated areas of the back such as leg movements, etc.
Further probing can include the following diagnostic methods:
- Blood Tests: Used for determining infections or cancer
Imaging through Magnetic Resonance Imaging (MRI) or Computed Tomography (CT Scan): Used to detect signs of cancer, infections, fracture or cauda equine syndrome
Differential Diagnoses: Health conditions of other parts of the body such as gastrointestinal infections, gall bladder diseases, peptic ulcers, abdominal discomforts, Pelvic inflammations, Prostatitis, Kidney infections, etc may also be checked before concluding the cause of the back pain
What are the treatments to relieve Back Pain?
Based on diagnostic results of recommended tests, a patient with back pain is treated either by administration of oral medicines, injection of steroids to relax the muscles and joints or through physical therapy to help strengthening of the back muscles.
However, during emergency or extreme cases, surgery of the spine is suggested which may be of the following kinds:
Spinal Fusion: Commonly performed to join the bones in the vertebrae
Laminectomy: Performed to remove bone or ligament parts floating in the area causing discomfort
Foraminotomy : Performed to treat pain caused by nerves compression
Dr. RATNAKAR RAO
MBBS & M.S (Orthopedics) AMC AR Fellowship – NUHS, Singapore.
Orthopedic & Joint Replacement Surgeon
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