Most of us will suffer from an episode of back pain during our lives. Patients simply want to understand why they have back pain and what they can do to relieve it. They want an explanation. One of the main roles of a spinal surgeon is to exclude the serious causes of back pain and reassure the patient that they are not at risk and will not come to any harm when using his or her back.
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The term “sciatica” refers to pain that is felt down the leg. The sciatic nerve is the large nerve that runs down the back of your leg. It is made up of severalspinal nerves. Spinal surgeons tend to use the term radiculopathy or radicular pain rather than sciatica because it is usually a spinal nerve and not the sciatic nerve that is causing the pain.
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Spinal stenosis is a condition in which there is narrowing of the spinal canal and therefore a reduction in space for the nerves. It is usually due to degenerative changes (acquired). The intervertebral disc can be thought of as a car tyre – over time it deflates and bulges. As this occurs the height is lost at the front of the spine and the facet joints at the back of the spine start to take more load. Facet joint degeneration then occurs and the joints and ligaments can enlarge.
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Cervical radiculopathy will manifest itself as pain traveling from the neck into a specific region of either arm, forearm or hand. In many instances, this will be accompanied by numbness in a similar distribution or weakness in specific muscles in either the arm, forearm or hand.
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Lumbar discectomy is a surgical procedure performed for the removal of a herniated or ruptured disc from the lumbar (lower) region. Intervertebral discs are fibrocartilaginous cushions between adjacent vertebrae.
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Spinal fusion, also called arthrodesis, is a surgical technique used to join two or more vertebrae (bones) within the spine. Lumbar fusion technique is the procedure of fusing the vertebrae in lumbar portion of the spine (lower back).
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What is anterior cervical discectomy with fusion?
Anterior cervical discectomy with fusion is an operative procedure which involves relieving the compression on nerve roots and/or the spinal cord by a herniated disc or bone spurs in the neck.
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Cervical disc replacement is a surgical method of replacing the diseased or damaged intervertebral discs in the neck region with an artificial disc to restore motion to the spine. It can be considered as an alternative to anterior cervical discectomy and fusion.
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Spinal decompression is a surgical procedure that relieves pain caused from pressure exerted through the compression of the spinal cord or related spinal nerves. The pressure may be induced due to impaction of the bone or disc material. Spinal decompression can be performed through advanced techniques such as minimally invasive spine surgery.
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Coccygectomy is a surgical procedure which involves removal of part or entire portion of tailbone (coccyx) present at the end of your spine. It is performed in patients who have persistent tailbone pain due to injury, fall or contact sports and when all other conservative treatments have failed.
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Spine injection is a nonsurgical treatment modality recommended for treatment of chronic back pain. Injection of certain medicinal agents relieves pain by blocking the nerve signals between specific areas of the body and the brain. The treatment approach involves injections of local anesthetics, steroids, or narcotics into the affected soft tissues, joints, or nerve roots. It may also involve complex nerve blocks and spinal cord stimulation.
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