When diagnosed with degenerative disc disorder, among the primary things that lots of patients ask is, “Am I going to need surgery to repair this?” For many people, the answer is no. You in fact need to meet some rather stringent demands in order for your doctor to recommend operation:
You have attempted several months�ordinarily about six months�of non-operative treatments, plus they haven’t helped reduce your pain. What this means is that you simply have attempted physical therapy, medications, rest, among others, and your pain is still interfering with your life.
Your disc degeneration is at two levels not just one. When you have multi-level disc degeneration, you might not be the best candidate for surgery as you may lose an excessive amount of mobility in your back if you have a fusion (that sort of surgery is clarified below).
You’re comparatively young. Recovery from operation could be a tough procedure, so that your body requires in order to manage it. Younger individuals are somewhat more effective at recovering than older folks that are more prone to complications from operation. There’s not a certain “you should not have surgery if you are older than this” age. Your physician will probably be able to create that recommendation.
Operation could be required immediately for those who have among these red flags:
Loss in bladder or bowel control
Cauda equina syndrome is an incredibly serious ailment. Your cauda equina�or “horse’s tail”�is several nerves that resembles, competently enough, a horse’s tail. It is situated at the conclusion of the spinal cord, and it is a surgical emergency when the cauda equina is compressed. You might have extreme low back pain, weakness in your legs, radiculopathy (pain that goes out of your back and into your legs), and incontinence.
Types of Surgery for Degenerative Disc Disease
Up until lately, surgery for degenerative disc disease has called for two main parts: removal of what’s causing pain and then fusing the back to control movement. When the surgeon removes tissue that’s pressing on a nerve, it is called a decompression surgery. Fusion is a stabilization surgery, and frequently, a decompression and fusion are done at the exact same time.
Traditional surgical options that are decompression include:
Facetectomy: There are joints in your spine called facet joints; they help stabilize your back. Yet, facet joints can put pressure on a nerve. “Ectomy” means “removal of.” So a facetectomy involves removing the facet joint to reduce that pressure.
Foraminotomy: If part of the disc or a bone spur (osteophyte) is pressing on a nerve as it makes the vertebra (through an exit called the foramen), a foraminotomy might be done. “Otomy” means “to make an opening.” So a foraminotomy is making the opening of the foramen larger, therefore the nerve can depart without being compressed.
Laminectomy: At the rear of every vertebra, there is a bony plate that protects your spinal canal and spinal cord; it’s known as the lamina. It may be pressing in your spinal cord, hence by removing section or all of the lamina, the surgeon may make more room.
Laminotomy: Similar to the foraminotomy, a laminotomy makes a more substantial opening, this time in your bony plate shielding your spinal canal and spinal cord (the lamina). The lamina may be pressing therefore the surgeon may make more room for the nerves using a laminotomy.
All of the above decompression techniques are done from the back of the spine (posterior). Sometimes, though, a surgeon has to do a decompression from the front of the spine (anterior). As an example, a bulging disc or a herniated disc shoving into your spinal canal sometimes cannot be removed from behind because the spinal cord is in the way. In that case, the decompression procedure is normally performed from the front (anterior). The main anterior decompression techniques are:
Discectomy: It might be pressing on your own nerves in case you are in possession of a bulging disc or a herniated disc. In a discectomy, the surgeon will remove all or area of the disc. The surgeon can do a discectomy using a minimally invasive approach. Minimally invasive means that there are smaller incisions as well as the surgeon works with a microscope and very little surgical tools. You’ll possess a recovery period that is shorter when you possess a minimally invasive discectomy.
Corpectomy (or Vertebrectomy): Occasionally, surgeons will need to take the complete vertebral body out because disc substance becomes lodged between the spinal cord and also the vertebral body and can’t be removed by a discectomy. In other cases, osteophytes form between spinal cord and the vertebral body. In these situations, the whole vertebral body may need certainly to be removed to gain access to the disc material that is pressing on your nerve�that’s a corpectomy.
After portion of a disc or vertebra continues to be taken out, your back could be shaky, meaning that it proceeds in strange ways. That makes you more at risk for serious neurological harm, and you don’t want that. The surgeon will need to stabilize your spine. Traditionally, this has been done using a fusion, and it can be done from the back (posterior) or in the front (anterior).
In spine stabilization by fusion, the surgeon creates an environment where the bones in your back will fuse together over time (usually over several months or longer). The surgeon uses a bone graft (normally using bone from your own personal body, but it is possible to utilize donor bone as well) or a biological substance (which will stimulate bone growth). Your surgeon may use spinal instrumentation�wires, cables, screws, rods, and plates�to raise stability as the bones fuse. The fusion will cease movement between the vertebrae, providing long term stability.
New Surgical Options for Degenerative Disc Disease
A fruitful fusion restricts motion in the fused area. Now there’s a brand new surgical option that helps you keep freedom: an artificial disc. The surgeon will remove your disc (a discectomy), and insert an artificial disc in its area. The notion is that the artificial disc help you move more readily and with less pain and will keep your spine flexible.
Artificial discs have become new, but they’re a fascinating development in back surgery. But because they’re so new, there haven’t been many long-term studies in the US about the effectiveness of artificial discs. Short-term studies and studies from Europe are promising, though.
Risks of Spinal Surgery
As with absolutely any procedure, there are risks involved with spine surgery for degenerative disc disease. Before requesting one to sign a surgical consent form, your doctor will discuss possible risks along with you. Possible complications include, but are not limited to:
harm to nerves or your spinal cord
non-healing of the bony fusion (pseudoarthrosis)
failure to enhance
instrumentation breakage/failure
infection and/or bone graft site pain
pain and swelling in your leg veins (phlebitis)
urinary difficulties
Complications could result in more surgery, so again �make certain that you completely understand the risks along with your surgery before proceeding. The decision for surgery is yours and yours alone.
Recovering from Degenerative Disc Disease Surgery
After surgery for DDD, you will not immediately feel better. Should you have had a fusion, it will require some time (several months or longer) for the fusion to heal properly, and in the interim,, you could have pain in the region where you had surgery. Your incisions should heal in 7 to 14 days.
Your surgeon will provide you with special directions about what you’ll be able to and can’t do following surgery. Be sure to stick together with the healing plan and never overdo it or overstress your back. Report any issues�such as increased pain, temperature, or infection�to your physician immediately.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
By Dr. Alex Jimenez
Additional Topics: Preventing Spinal Degeneration
As we age, it’s natural for the spine, as well as the other complex structures of the spine, to begin degenerating. Without the proper care, however, the overall health and wellness of the spine can develop complications, such as degenerative disc disease, among others, which could potentially lead to back pain and other painful symptoms. Chiropractic care is a common alternative treatment option utilized to maintain and improve spine health.
There’s so much to love about a strong midsection � most importantly, it’s essential for a healthy body.
Fact: strengthening the core helps improve posture, prevent everyday injury, and combat chronic back pain, which is all too common if you sit at a desk all day.
Keep in mind that this isn’t a beginner workout. “If you feel your back or hip flexors too much while doing these exercises, it’s an indication that your abs aren’t strong enough to perform them,” he said. In that scenario, you can always reduce the amount of reps, modify the moves, or opt for a more beginner-friendly workout.
The workout: Run through the five-move circuit for a total of three times. Do your best to minimise breaks between each move.
Double Leg Lifts
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Lay flat on the ground with your legs extended straight up toward the ceiling. Place your hands underneath the back of your head. For added stability, Austin recommends laying your arms out to your side, allowing the palms to grip the floor much like you would in a push-up position.
Pressing your lower back into the ground, slowly lower both legs down toward the floor, then slowly raise them back up. If this is too difficult, lower them as much as you can, or lower one leg at a time.
Complete 10 to 15 reps.
1 / 5
Hip Dips
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Begin in a side elbow plank on your right side with straight legs and your feet stacked.
Inhale and lower your pelvis to the floor, so your right hip hovers just off the floor. Exhale and press up through your right waist to lift your pelvis and return to side plank. Pull your right shoulder blade down your back to stabilize your shoulder.
Repeat for a total of 10 to 15 reps to complete a set, then switch sides.
2 / 5
V Crunch
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Lying on your back, lift your legs and arms up so they are extended toward the ceiling. Lift your upper back off the floor, reaching your hands toward your feet.
Lower your legs toward the floor while reaching your arms overhead, keeping your shoulders off the mat and your lower back pressed into the ground.
Repeat the crunch motion to complete one rep.
Complete 15 reps.
3 / 5
Alternating Two-Point Plank
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Start in a plank position with your hands directly under your shoulders and your feet in line with your hips. Lift your left leg off the ground so your heel is even with your pelvis.
Keeping your torso steady, reach your right arm forward. Really brace through your abs by pulling your navel to your spine. Hold this position for about three seconds.
Return to plank, then switch sides, lifting your right leg off the ground and reaching your left arm forward. Hold for three seconds and return to plank. This is one rep.
Complete 8 to 10 reps.
4 / 5
Bicycle Crunches
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Lie flat on the floor with your lower back pressed to the ground (pull your abs down to also target your deep abs).
Put your hands behind your head.
Bring your knees in toward your chest and lift your shoulder blades off the ground, but be sure not to pull on your neck.
Straighten your right leg out to about a 45-degree angle to the ground while turning your upper body to the left, bringing your right elbow toward the left knee. Make sure your rib cage is moving and not just your elbows.
Switch sides and do the same motion on the other side to complete one rep (and to create the “peddling” motion).
TUESDAY, May 9, 2017 (HealthDay News) — A new brain scan study suggests that people whose brains are wired to produce a more muted response to food may ultimately compensate by eating more, thereby raising their risk for obesity.
The new investigation also unearthed possible evidence of a gender divide in the way men and women process the experience of eating. Women’s brains, it appears, may favor a more emotional response to the eating experience, while men are built to focus on how food satisfies the senses.
If so, such brain-wiring differences might explain why women struggle with weight more than men do.
“At this point, these are only speculations which need to be tested in future experiments,” stressed study co-author Arpana Gupta. She is an assistant professor with UCLA’s Ingestive Behavior and Obesity Program in the Center for Neurobiology of Stress and Resilience.
But “considerable sex-related differences have previously been identified in factors driving craving and drug-seeking in substance abuse,” added Gupta.
This latest investigation analyzed brain scans of 86 healthy men and women to “identify the possible role of the brain in the pathophysiology of obesity,” she explained.
In particular, the research team tried to track how eating affected activity patterns of the neurotransmitter dopamine, a so-called “reward” chemical that is critical to the way the brain responds to both satiety (eating) and deprivation (hunger).
The initial finding was that having “a less responsive dopamine system” appears to make both men and women less sensitive to food, and thereby “more prone to food intake in order to compensate for this deficit,” Gupta said.
Translation: People who register a relatively subdued reaction to eating, tend to eat more.
But the really “striking” finding, said Gupta, was an indication that men and women are simply wired differently when it comes to responses to eating.
A woman’s brain seems to draw a significant neurological link between food and the part of the brain that processes emotions, Gupta noted.
Possible proof of that link was seen among obese female participants.
Those women tended to exhibit a relatively muted response to food in brain regions that regulate emotion. That dynamic was not seen among obese men.
In contrast, a man’s brain seems more inclined to link eating to the region that handles things like smell, temperature or taste. And obese men tended to have a relatively amped up response to food in brain regions involved in sensory regulation. That dynamic was not seen among obese women.
As to what might explain why men and women process eating so differently, Gupta said the jury is still out.
“This is a difficult question to answer,” she said, while reiterating that the findings do indicate “a generalized sex difference in the way the reward system functions.”
Lona Sandon, program director in the department of clinical nutrition at the University of Texas Southwestern Medical Center in Dallas, said that the findings are “not necessarily a surprise.”
For example, Sandon noted that in her experience, women are more likely to talk about food cravings and struggle with eating disorders, such as binge eating. In addition, women are “much more likely to talk about how they turn to food to address mood, particularly foods high in sugar or fat,” she added.
What should these women do? Sandon advised getting off the couch.
“Low dopamine levels are associated with depression, which is often compensated for by eating more food,” she said. “But exercise has been shown in several studies to be beneficial for individuals with depression. Exercise can also have positive effects on appetite,” she pointed out.
“So I would suggest that physical activity or exercise might be part of the answer,” Sandon added.
Gupta and her colleagues are scheduled to report their findings Tuesday at the Digestive Disease Week meeting in Chicago. Research presented at meetings should be considered preliminary until published in a peer-reviewed journal.
Copyright � 2017 HealthDay. All rights reserved.
SOURCES: Arpana Gupta, Ph.D., assistant professor, Center for Neurobiology of Stress and Resilience, Ingestive Behavior and Obesity Program, David Geffen School of Medicine, University of California, Los Angeles; Lona Sandon, Ph.D., RDN, LD, program director and assistant professor, department of clinical nutrition, School of Health Professions, University of Texas Southwestern Medical Center, Dallas; May 9, 2017, presentation, Digestive Disease Week, Chicago
Exercise can reduce the risk of heart damage in middle-aged adults and seniors — even in those who are obese, according to a new study.
“The protective association of physical activity against [heart] damage may have implications for heart failure risk reduction, particularly among the high-risk group of individuals with excess weight,” study lead author Dr. Roberta Florido said in an American College of Cardiology news release.
Florido is a cardiology fellow at Johns Hopkins University School of Medicine in Baltimore.
“Promoting physical activity,” she added, “may be a particularly important strategy for heart failure risk reductions among high risk groups such as those with obesity.”
To gauge the influence of physical activity on heart health, the researchers looked at the experience of more than 9,400 people between 45 and 64 years of age. The participants were grouped according to how much exercise they got. Current guidelines recommend at least 75 minutes a week of vigorous activity, or 150 or more minutes of moderate to vigorous activity.
A lower level of activity, called “intermediate,” was defined as up to 74 minutes a week of vigorous activity or up to 149 minutes of moderate to vigorous activity. According to the researchers, those who did no exercise were 39 percent more likely to have heart damage than those who followed the guidelines. Those who followed intermediate level routines had 34 percent more heart damage than their fully active peers.
The researchers found indications that obese individuals who engaged in “recommended” levels of activity had lower blood levels of troponin — a key indicator of heart damage — compared with those who did no exercise at all.
Florido and her colleagues described their findings in the April 24 issue of JACC: Heart Failure.
An accompanying editorial urged heart specialists to promote healthy habits rather than simply treat heart problems once they develop.
News stories are written and provided by HealthDay and do not reflect federal policy, the views of MedlinePlus, the National Library of Medicine, the National Institutes of Health, or the U.S. Department of Health and Human Services.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Additional Topics: Weight Loss Eases Back Pain
Back pain and symptoms of sciatica can affect a majority of the population throughout their lifetime. Research studies have demonstrated that people who are overweight or obese experience more back complications than people with a healthy weight. A proper nutrition along with regular physical fitness can help with weight loss as well as help maintain a healthy weight to eliminate symptoms of back pain and sciatica. Chiropractic care is also another natural form of treatment which treats back pain and sciatica utilizing manual spinal adjustments and manipulations.
Can a new exercise regimen boost your brain health if you’re over 50?
Possibly, suggests a new research review that found middle-age folks can improve their thinking and memory skills by adopting regular moderate-to-vigorous routines involving aerobic and resistance exercise.
“When we combined the available data from [39 previous] studies, we were able to show that undertaking physical exercise was able to improve the brain function of people aged 50 and over,” said study lead author Joseph Northey. He’s a doctoral candidate and teaching fellow at the University of Canberra Research Institute for Sport and Exercise in Australia.
The review included 18 studies that looked at the impact of aerobic exercise — such as walking, running and swimming — on thinking, alertness, information processing, executing goals and memory skills.
Exercise for Middle-Aged People
Resistance training, such as weight lifting, was the focus of 13 studies. Another 10 studies looked at various types of exercise done in combination. And, a handful of studies specifically explored the impact of tai chi and yoga on brain health.
Study participants did their exercise under some degree of supervision, the researchers noted. Activity routines were categorized in terms of exercise type, intensity and length. They were then stacked up against the results of tests that measured brain performance.
In the end, the researchers determined that exercise did help brain health. However, different forms of exercise were linked to different types of benefits.
For example, aerobic exercise and tai chi appeared to enhance overall brain function. Resistance training was linked to improved memory.
Northey added that, besides highlighting the benefits of aerobic exercise, “being able to show that resistance training — such as lifting weights or using body weight — was similarly beneficial is a very novel and important finding.”
“Combining both aerobic and resistance training is ideal,” he said. “In addition to improving your brain function as our review shows, you should expect to see improvements in cardio-respiratory fitness and muscle strength, which are important for maintaining general health and being able to undertake day-to-day tasks,” Northey said.
The research team also concluded that the biggest brain boost comes from routines that are of moderate to vigorous intensity and conducted as often as possible for between 45 minutes to an hour.
Exercise and Memory
But will middle-aged people new to exercise gain as much of a brain boost as those who’ve been exercising for decades?
“We know in many animal models and population type studies that the longer people are physically active the greater the benefits to brain function,” Northey said.
He added that more research is underway to assess just how much exercising while young might ultimately confer on brain health among those over 50. Northey also offered some advice for those motivated by the findings to get moving. If you’re currently inactive, he suggested speaking to your doctor to make sure it’s safe for you to start exercising.
“It is also worthwhile gaining some instruction on exercise methods to ensure that you are setting achievable goals and getting the most out of the time invested in exercise,” he said.
Dr. Anton Porsteinsson is director of the Alzheimer’s Disease Care, Research and Education Program with the University of Rochester School of Medicine in Rochester, N.Y.
He said that earlier investigations looking into the protective effect of exercise on brain health “have not agreed on this matter.”
But looked at collectively, he said, the current review “suggests that exercise, including aerobic exercise, resistance training and tai chi, is beneficial to brain health in addition to the well-established positive effects that exercise has to improve general health and reduce risk of disease.
“Of particular interest to me,” Porsteinsson added, “is that a combination of aerobic and resistance training appears to have the largest effect.” “(And) along with studies suggesting that certain diets contribute to brain health,” he noted, “it appears that adopting a healthy lifestyle is never too late.”
The study was published online April 24 in the British Journal of Sports Medicine.
SOURCES: Joseph Michael Northey, Ph.D. candidate and teaching fellow, University of Canberra Research Institute for Sport and Exercise, Canberra, Australia; Anton Porsteinsson, M.D., professor, psychiatry, neurology, and director, Alzheimer’s Disease Care, Research and Education Program, University of Rochester School of Medicine, Rochester, N.Y.; April 24, 2017 British Journal of Sports Medicine online
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Additional Topics: Chiropractic and Athletic Performance
Although warm-up stretches, exercise and plenty of training activities are practiced on a regular basis to prevent injuries, many athletes frequently experience sports injuries during their specific physical activity and/or sport. Fortunately, chiropractic care can help treat and rehabilitate athletes, in order for them to return to the field as soon as possible. Chiropractic has also been demonstrated to help increase athletic performance.
Your best bet for healthy eating is having plenty of home-cooked meals, a new study states.
Researchers asked more than 400 Seattle-area adults about what they cooked and ate for a week. They were graded using the U.S. Department of Agriculture’s Healthy Eating Index (HEI). HEI scores range from 0 to 100. The higher the score, the better the diet. A score over 81 indicates a good diet; 51 to 80 means improvement is needed; and 50 or less is poor.
Households that had home-cooked meals three times a week had an average score of about 67, while cooking at home six times a week bumped up the average to about 74.
The results suggest that regular home-cooked meals — which tend to be lower in calories, sugar and fat — give you a better diet at a lower cost.
How Eating At Home Affects Our Health
The Oregon State University study was published in the May issue of the American Journal of Preventive Medicine.
“Higher HEI scores are generally associated with higher socioeconomic status, education and income. By contrast, cooking dinner at home depends more on the number of children at home. The study showed no association between income or education and eating at home or eating out,” study author Arpita Tiwari, a health systems researcher, said in a university news release.
“Traditionally better socioeconomic status — more money — means healthier people. That’s the trend. This research goes against that; it shows a resilience to that trend. It’s not spending more but how you spend that’s important,” Tiwari concluded.
Eight out of 10 Americans fail to meet at least some federal dietary guidelines, and about half the money spent to eat is for food not cooked at home, the study pointed out.
News stories are written and provided by HealthDay and do not reflect federal policy, the views of MedlinePlus, the National Library of Medicine, the National Institutes of Health, or the U.S. Department of Health and Human Services.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Additional Topics: Weight Loss Eases Back Pain
Back pain and symptoms of sciatica can affect a majority of the population throughout their lifetime. Research studies have demonstrated that people who are overweight or obese experience more back complications than people with a healthy weight. A proper nutrition along with regular physical fitness can help with weight loss as well as help maintain a healthy weight to eliminate symptoms of back pain and sciatica. Chiropractic care is also another natural form of treatment which treats back pain and sciatica utilizing manual spinal adjustments and manipulations.
No doubt that work, school and outside activities can make it hard to schedule regular family dinners. But research has shown that eating together on a regular basis helps to bond families and build good communication.
For children, the benefits range from better grades to getting along well with others. Kids and adults alike are also more likely to eat healthy meals and less likely to be overweight.
When busy schedules make it hard for everyone to sit down to dinner, use other meals to build togetherness. For instance, get everyone up 15 minutes early for a breakfast sit-down, or plan a regular weekend brunch where everyone pitches in. When dinner has to be fast food, eat at the restaurant instead of doing a pickup so you still have the chance to sit and talk, even if only for a few minutes.
There are also plenty of ways to build togetherness in addition to mealtime. Schedule regular outdoor activities, like a weekend walk on a nature trail or an afternoon at the playground. Make plans for a regular indoor activity, like family game night. Or, find a hobby everyone could enjoy. Perhaps take a vote on the activity, and then let each family member choose a role that will keep them involved.
The goal: Building togetherness, whether at the dinner table or beyond.
News stories are written and provided by HealthDay and do not reflect federal policy, the views of MedlinePlus, the National Library of Medicine, the National Institutes of Health, or the U.S. Department of Health and Human Services.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Additional Topics: Weight Loss Eases Back Pain
Back pain and symptoms of sciatica can affect a majority of the population throughout their lifetime. Research studies have demonstrated that people who are overweight or obese experience more back complications than people with a healthy weight. A proper nutrition along with regular physical fitness can help with weight loss as well as help maintain a healthy weight to eliminate symptoms of back pain and sciatica. Chiropractic care is also another natural form of treatment which treats back pain and sciatica utilizing manual spinal adjustments and manipulations.
IFM's Find A Practitioner tool is the largest referral network in Functional Medicine, created to help patients locate Functional Medicine practitioners anywhere in the world. IFM Certified Practitioners are listed first in the search results, given their extensive education in Functional Medicine
By Alan Mozes
