Scoliosis: Orthopedic Treatment In McKinney, TX

by Administrator 4. February 2015 09:33

Scoliosis, also known as curvature of the spine, is a condition in which the spinal column develops a three dimensional curvature. The spinal column is made of small bones, which when deviated lead to the condition. When the curvature of the spine is more than 10 degrees, then the condition is called Scoliosis. People in the age group of 50-70 years are more susceptible to Scoliosis and the condition is also more common among girls as compared to boys.

Causes

  • Structural Causes: In this type of scoliosis, the curvature is there by birth or occurs due to certain diseases such as metabolic diseases, muscular dystrophy or any connective tissue disorders.
  • Non-structural: In this the spine is normal and the curvature occurs due to other problems such as spasms, appendicitis, injuries, etc.
  • Degenerative Scoliosis: It occurs in older adults due to arthritis, which is called Spondylosis. The ligaments and soft tissues weaken and bone spurs cause abnormal curvature. The condition also occurs due to vertebral compression fractures, osteoporosis and disc degeneration.

Symptoms

Often there are significant symptoms and the patient may experience muscle back pain, fatigue, and stiffness. The condition often goes undetected for years and the symptoms vary with the severity of the condition.
However some of the common symptoms include:

  • One shoulder or hip higher than other
  • Head misaligned from the center
  • Walking with rolling gait
  • Back pain
  • Tiredness while doing excessive belly and chest movement
  • Uneven length leg
  • Clothes do not fit properly

Diagnosis

It is recommended that you consult a spine surgeon if you experience any of the symptoms. The surgeon will carry out physical examination of the spine, ribs, hips and shoulders. Imaging tests such as X-ray, MRI, or CT scan can also be recommended to determine the location, shape, direction and angle of the curve. Depending upon the severity of the condition, the surgeon will devise the treatment plan.

Treatment

Mild scoliosis need not be treated and the orthopedic physician often recommends the patient to have a routine follow up at the prescribed time. However the physician chooses a treatment depending upon the severity of the curve, location, gender and bone maturity.  In children, the physician uses casting to bring the spine to its normal position. A brace is attached to the outside of the body to improve the curvature.

If the Scoliosis is severe, then orthopedic surgeon suggests spinal fusion. It reduces the spinal curvature and stops its progression. Often screws, hooks, wires and metal rods are used to hold the part of spine straight while the bones heal.

For complete treatment of Scoliosis, visit Dr. Burg at OrthoTexas, McKinney. To schedule an appointment, call at (972) 727-9995 or visit 7300 Eldorado Parkway, Suites 165/165A, McKinney, TX 75070.

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Lumbar Spinal Stenosis: Causes, Symptoms & Treatment

by Administrator 17. December 2013 13:23

Lumbar spinal stenosis is a condition in which narrowing occurs in either the vertebral foramina, or the spinal canal. While the former is referred to as foraminal stenosis, the latter is described as central stenosis. The most common cause of the condition is degenerative arthritis, and it is associated with pain in the lower back and numbness or weakness in the legs. You might need to see a spine surgeon if you do not experience relief with nonsurgical methods of treatment or experience symptoms like loss of bladder or bowel function. The surgery involves a lumbar decompression with or without a lumbar fusion. Here is an overview of the causes, symptoms, and treatment of this condition:

Causes:

  • Degenerative arthritis
  • Degenerative disc disease
  • Infection that leads to decreased space of the spinal canal or vertebral foramen
  • Metabolic disorders like Paget’s disease of the bone
  • Metastatic tumors or tumors of the surrounding local structures

Symptoms:

  • Low back pain
  • Pain in the legs
  • Numbness, weakness, and loss of sensation in the legs
  • The symptoms usually improve upon sitting down or leaning forward, and become worse while standing or bending backward.
  • Painful sensations can be aggravated with physical activity such as walking
  • The symptoms become worse with time
  • If left untreated, the condition can lead to loss of function in the legs, as well as loss of bladder, bowel, and sexual function.

Treatment:

It is important to see an experienced orthopedic surgeon to perform a correct diagnosis of the disease, due to its overlapping symptoms with other diseases such as vascular claudication, peripheral vascular disease, and diabetic neuropathy. The treatment options adopted for lumbar spinal include -

  • Anti-inflammatory medications
  • Short courses of oral cortisone medication and pain medications
  • Medications such as gabapentin and pregabalin that are directed towards nerve pain
  • Physical therapy
  • Epidural injections containing steroid (cortisone) that are injected in the lumbar spine
  • Surgery may be indicated for patients who do not respond to these conservative treatment options. The surgical procedures available for the treatment of lumbar spinal stenosis range from laminectomy to fusion procedures. 
  • The surgery is referred to as lumbar decompression surgery, and aims at removing the structures that are responsible for causing compression in the nerves of the vertebral foramen or spinal canal.

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