Disc Back Pain
Disc Back Pain needs attention. Back pain often means there is something wrong with the bones in the spine. And back pain may be experienced in the specific area like lower back pain, upper back pain or rib pain or it may be disc back pain.
Our spine is a series of vertebrae. These are smaller bones which are placed on each other. Discs are in between two vertebrae and they act as a shock absorber. Outer layer of the disc is hard and inner center contains soft fluid. The work of disc is to make the action of the spine comfortable. When spine moves in any direction, fluid moves inside the hard cover.
With the action or spine, every disc is pressurized and when this pressure is excess the discs may become weak. If this continues further, the structure is not stronag to carry on the compression. At some time disc may burst. This condition is known as complete herniated disc.
Herniated discs are very painful. Inner core's soft fluid spills out and more problems are faced by the patient. This may happen with any disc in spine but usually it happens with the discs which are at the bottom of back since the pressure is more.
If with the herniated disc the nerves are affected then the pain is felt in all over the back or other part of body. When the lower back disc is affected then the pain in thighs, legs is also present and this condition is known as Sciatica. The pain in neck, shoulders and arms is experienced if the injury is with cervical spine.
The diagnosis of Disc back pain is possible with x rays, MRT and CT scans. But usually there are clearly diagnosed because of the localized and overall symptoms.
The effects of Disc back pain are long lasting. Patient has to face acute pain. If the disc is herniated then it is difficult to move and do everyday activities.
The different treatments are available for this problem. Conservative treatments like Osteopathy, chiropractic, physical therapy are used with the pain killing medicines and anti inflammatory tablets or injections. In addition to that massage, heat treatment may also help. After the recovery the exercise routine is suggested for the patient.
After considerable time and bed rest the slipped disc can be corrected itself. For avoiding the recurrence in future the lifting of heavy objects should be avoided and actions like bending and twisting should be avoided as far as possible. Exercises to strengthen the stomach muscles should be performed as they will support the back. Good posture habits while standing, sitting and walking should be observed.
If there no positive results after use of these methods, operation called Discetomy is advised.
Patients with lower back pain from irritation of the L5 and S1 nerve roots often have weakness from pain and spasm in the hip abductor muscles and the hip extensor muscles. This allows for imbalanced contraction of the hip adductor muscles since the opposition muscles are weak.
The hip adductors then become tight and shortened. This creates an even more unfavorable condition for the already weakened hip abductor and hip extensor muscles which must contract against tight and shortened hip adductor muscles. This creates a vicious cycle perpetuate the lower back pain symptoms.
The hip adductor muscles are:
- adductor magnus
- adductor brevis
- adductor longus
These muscles are supplied by the obturator nerve from L2, L3 and L4 nerve roots. The adductor magnus is also supplied by the sciatic nerve (L4, L5, S1).
Other muscles that also perform hip adduction are:
- gluteus maximus (lower fibers)
- quadratus femoris.
Gluteus maximus is supplied by the inferior gluteal nerve (L5, S1 especially S1 nerve root).
Quadratus femoris is supplied by the nerve to the quadratus femoris from the sciatic nerve (L4, L5, S1).
Abdominal and back muscles need to be specifically targeted with strengthening exercise in order to support the spine. Exercise and physical fitness are critical, including stretching and building strength in the core trunk muscles that help support the spine. Without question, the composition and function of the spine is a marvel of nature, providing us with a unique combination of structure to allow us to stand upright and move with precision.
Flexibility is needed, especially in the lower and upper spine, allowing us to bend and twist in a full variety of movements. Strength is provided by the bones, discs, joints and supportive muscles and connective tissue. Here are the basics of anatomical causes of spine pain. Neck Pain - the cervical spine (neck) supports the weight of your head and protects the nerves that come from your brain to the rest of the body.
Normal problems of degenerative disc disease and slipped disc are increasing because of obesity, lack of exercise, wrong lifting habits etc. Most of these problems are resolved over the longer period of time. Physiotherapist and experts may give help to face the pain and to make it easier for the patient his daily routine.