Spine Care  

Ailments of  backpain

      The spine is a complex network of interconnecting bones, nerves, joints, muscles, tendons and ligaments. This allows it the freedom to get engaged in different functions especially the movements of the body. An abnormality or malfunction of any of these can cause pain. These pain are not only limited to its site of origin, but the nerves which  originate in the spine and supply to the other parts of the body can make pain radiate to other areas.
Few of the common ailments which compel many, to frequent a physician or hospital are

  • Spondylosis       
  • Cervical reticulopathy       
  • Dehydrated disc
  • Lumbago            
  • Ankylosing spondylosis      
  • Deganerative disc
  • Disc prolapse      
  • Spinal canal stenosis        
  • Spondylolisthesis
  • Sciatica               
  • Osteoarthritis of spine  

Anatomy & Physiology of back

    Everything you do during the day, once you stand upright, begins to test the spine's ability to support your body weight. Over time these repeated daily stresses and minor injuries could add up and begin to affect the discs in your spine.
     Anatomically, the backbone or spinal column is a collection of bones that form the axial skeleton and that bond the skull to the pelvis. This sturdy, yet flexible componant provides support for the trunk as well as the delicate spinal cord housed within it.

     The shape of an adult spine looks like an inverted double `S’. The thoracic and sacral regions are concave anteriorly, while the cervical and lumbar regions are concave posteriorly. This unique shape of the spine allows it to support the weight of the human body.

     The spine consists of 33 vertebrae vertically linked to each other and separated by inter vertebral disc filled with a jelly-like substance, which also functions as a shock absorber. Further stabilized by ligaments, it allows movements between the bones of the spine.

These joints encloses a canal right through them and the tender spinal cord arising from the brain stem runs through this space and extends to the lumbar region of the spine.

Spinal cord has 31 pairs of spinal nerves leaving the respective vertebrae as :

  • 7 Cervical vertibrae-         8 pair of spinal nerves
  • 12 Thoracic vertibrae -    12 pair of spinal nerves
  • 5 Lumbar vertibrae -        5 pair of spinal nerves
  • 5 Sacral vertibrae -           1 pair of spinal nerves
  • 4 Coccygeal vertibrae -    5 pair of spinal nerves

       A trauma or injury can cause a protruded or herniated disc or a ruptured disc, from the spinal column, which in turn press the branching nerves. Millions of nerve fibers extend from the brain into the arms, legs and other parts of the body through the branches of spinal cord, to send messages to the muscles or skin.
       Pressure on a nerve can be extremely painful, and because these nerves pass through to other parts of the body, pain, tingling or numbness can be felt in other parts of the body which is also termed as Referred Pain.

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