Keypoint:
spinal degeneration A disease that can occur at any age. It is not limited to the elderly continuously, teenagers and working people can also be Because the factors that cause the disease come from lifestyle habits. looking down at the mobile screen Sitting at work for a long time, smoking, lifting heavy objects, bending over the neck and back regularly. and more body weight All are the results that can cause degenerative spine disease. treatment guidelines or prevent degenerative spine disease Start by modifying your daily posture. physical therapy Medication and surgery
Department of Corrections There were 4 illnesses of ‘Thaksin Shinawatra’ that must be closely monitored:
1. degenerative spine caused by deterioration with age which is now Mr. Thaksin, 74 years old, causing degeneration of the spine chronic pain nerve compression cause abnormal posture
2. ischemic muscle disease which must take medication all the time
3. Pneumonia due to infection with COVID-19 thus causing fibrosis in the lungs there is an abnormality of oxygen
4. High blood pressure having abnormal pressure Must take medication all the time
‘Krungthep Turakij’ has compiled medical information about Thaksin Shinawatra’s congenital disease, especially ‘Degenerative Spine Disease’, a disease that does not only occur in the elderly. But nowadays it is a disease that occurs in young people such as teenagers and working people.
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What is degenerative spine disease?
Assoc.Prof.Dr.Koopong Siribamrungwong Spinal Surgeon Degenerative Spine Disease It is a disease that can happen to many people. with factors from increasing age or inappropriate lifestyle behaviors, so now, no matter how old you are or at a young age can have degenerative spine disease And the symptoms of the disease can interfere with daily life. If not properly treated
“Degenerative Spine Disease (Spondylosis) is a degenerative condition of the spine joints. The spine consists of cervical pillow The intervertebral disc is located in the middle between the upper and lower segments of the vertebrae. Acts as a weight bearing and facet joint (Facet Joint), which is located at the back of the spine. which will be the part that is used to move, bend, turn or lean Patients will be diagnosed with spinal degenerative joint disease.”
The spine is a natural structure of the body built to protect the central nervous system. Here is the spinal cord. and nerves And in humans, they are shaped differently from other animals because they can stand upright. and help in movement The spine consists of
Spinal column (Vertebra) intervertebral disc (Intervertebral disc) Joint between bones (Facet joint) Ligament
In addition, there are side muscles that help support and attach the various spinal columns to be used in body movements as well.
Causes of Degenerative Spine Disease and Symptoms
The most common cause of spinal degeneration Caused by increasing age causing deterioration of joints or intervertebral discs Other causes besides age include overuse, such as lifting heavy objects, or having an infection or accident that damages the joints of the spine. which can cause joint degeneration in young people The degenerative spine disease that is commonly found has 2 characteristics as follows.
degenerative cervical spine patients It usually comes with neck pain, scapula pain, or headache if there is pressure on the nerve roots. It can cause pain in the arm, arm numbness, arm weakness. But the danger is that if the pressure on the spinal cord occurs, it may result in limb weakness, paralysis, abnormal hand function, not the same as before, or abnormal walking. This group of patients will walk slowly, fall easily and their legs will become stiff. or problems with the excretory system Degenerative lumbar spine patients It usually comes with lower back pain. Pain when using, but when resting, the pain will get better If the nerve root is compressed It will result in pain that radiates down the leg, numbness or weakness in the leg. In the event that the pressure is increased until the spinal cord is narrowed (Spinal Stenosis) will affect walking. This will shorten the walking distance. You have to stop before you can continue. or if the pressure is very severe will result in affecting the excretory system, urinary excretion
In addition, deterioration of the spine will make the patient shorter from the collapsed cervical vertebrae and cause the spine to begin to hunch and the body will lean more forward which is a common sight in elderly people with hunched backs and walk and the body will bend forward In case of unequal degeneration of the left and right spine joints will result in the subsidence of the unequal clause As a result, the spine can be tilted in the elderly.
Degenerative spinal joints It affects the patient in both appearance, namely crooked back, tilted back, and also causes back pain that radiates down the leg. Neck pain radiating down the arm, numbness and weakness
What kind of behavior? risk of degenerative spine disease
1. Getting older
2. Excessive body weight
3. Staying in one position continuously for a long time, such as sitting or standing
4. Working with improper back use, such as working in a stooped position regularly, such as a car mechanic or carrying heavy objects over the threshold for a long time
5. Lifestyles that use more cervical vertebrae, such as looking down at a mobile phone. Prolonged use of computer equipment, heavy lifting, work that involves a constant tilt of the neck or back. playing sports with a lot of neck or back shake Impact sports, smoking, these factors all affect the degeneration of the spinal joints.
Herniated discs will begin to show signs of damage. Then it starts to lose water. and has collapsed Structural instability occurs. Lateral muscles attempt to support these structures. And the body responds by creating a group of bone regeneration. to accommodate such unstable structures Patients will begin to experience pain when the movement of the structure occurs. If the depressed herniated disc and the bony sprout press on nearby nerves, neurological symptoms can occur.
Methods for diagnosing degenerative spondylosis
before starting treatment For patients suspected of having spinal degenerative disease The doctor will have guidelines for making a diagnosis as follows:
history taking Start by asking for history. pain pattern pain characteristics Is there an excruciating pain? In most cases, if you have neck pain, you need to be careful about the pain going down your arm. If you have pain in the lower back, be careful about pain going down your legs. The aching pain usually indicates symptoms of nerve compression, numbness, and weakness. The important symptoms are symptoms related to excretory system problems such as urinary or defecation incontinence. which indicates nerve compression or severe spinal cord which requires urgent treatment preliminary physical examination Next is a preliminary physical examination. By observing the patient’s walking characteristics, looking at the painful pressure points and having the patient move his back. To see the posture that causes pain and to see if the movement of the back is limited or not, including a tactile perception test to check for numbness. Examine muscle force in case of suspected nerve compression. If abnormalities are found using radiographs Initially, the doctor will send radiographs (X-rays) to examine the abnormalities of the spinal joints. The radiographs will mainly show abnormalities of the bones such as appearance of bone sprouts dislocated spine lower cervical pillow But the radiograph will not see the details of the intervertebral disc. and nerve compression Magnetic X-ray (MRI) examination is the most thorough and safe examination because the patient is not affected by radiation exposure. Because it is an electromagnetic wave, it does not affect the body. And it is also an examination that allows the doctor to see the details of the herniated discs. Spinal joints and the most obvious nerve compression.
What are the treatment guidelines for degenerative spine disease?
Treatment guidelines for degenerative spine disease vary according to the severity of the disease. The details are as follows:
Modifying your daily posture, such as avoiding bending over, lifting heavy objects, avoiding impact sports, losing weight, and stopping smoking. Physical therapy, including hot compress, ultrasound, shock wave, neck pull or back pull to reduce pain Including muscle exercises to increase the strength of the back muscles. Take pain relievers and anti-inflammatory drugs. The use of pain relievers from paracetamol. and drugs in the non-steroidal anti-inflammatory group (Nonsteroidal Anti-Inflammatory Drugs), which are effective pain relievers and anti-inflammatory drugs. However, be careful with long-term use of the drug. because it affects the kidneys Steroid injection into the spinal cavity If symptoms do not improve The next method that the doctor will choose is to inject steroids into the spinal cavity to help reduce pain. and inflammation of the nerves (Epidural Steroid Injection). This method has the advantage of being less risky for the procedure. But the disadvantage is that it may not disappear. And the drug works for about 3-6 months only. Surgery The last method that the doctor will recommend to use in the treatment is surgery. Weakness in the muscles of the arms or legs Abnormalities in the excretory system
Methods of behavior of degenerative spine patients after treatment
Patients will have to change their lifestyle habits. avoiding heavy lifting Avoid stooping too much, lose weight, reduce smoking. And the patient should practice core muscle strengthening (Core Muscle Strengthening), including neck muscle exercises. Abdominal muscles and back muscles
Preventing or avoiding degenerative spine disease
Actions to prevent and reduce the risk of degenerative spine disease can be done in many ways, for example:
proper sitting posture Sit in a good posture with a straight back, taking periodic breaks for stretching. not doing any activity for a long time be careful of accidents That has an impact on the spine. As for the neck, sometimes we will accidentally bend our neck to look at the phone. or read a book or look at the notebook screen We must always be aware. That our neck should be straight, eyes looking straight and looking at what we are looking down about 15-20 degrees will help reduce neck pain. Should not use the back in the same position for too long, should take a break for stretching, such as sitting for more than 45 minutes, should have a break to change positions for about 10-15 minutes, exercising to strengthen and enhance flexibility, such as training the abdominal muscles and back muscles both at the time of use Or schedule exercises to strengthen the core muscles, such as Planking. In addition, there must also be exercises to strengthen the body’s flexibility. Reduce improper use of the back refrain from lifting heavy objects or activities that have a risk of injury to the back weight control not to exceed the threshold avoid smoking
However, in the past 2-3 years, it was found that degenerative spine disease more as more and more patients show up And occurs in younger people, so behavior modification. Lifestyle is another way to prevent degenerative spine disease.
refer: Nawawet Hospital , Orthopedic Hospital Meesuk
2023-08-22 13:02:00
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