Singapore Back Pain Specialist Centre

Back pain is a pain that is felt around the lumbar bone, between the disc, tissue, muscle and spinal cord to the organs around the pelvis and abdomen. This condition is experienced by 80 percent of adults aged 30-50 years with mild to severe pain intensity.

Most sufferers experience back pain due to mechanical reasons such as lifestyles that require them to sit for long periods without being balanced with enough exercise, lifting heavy items, or having accidents that injure the back and surroundings.

There are 3 stages of back pain, acute back pain commonly felt for several days, sub-acute back pain for 4-12 weeks, and chronic back pain that may exceed 12 weeks. The duration of pain is determined by the intensity of the injury or the cause.

In general, symptoms such as pain, a piercing feeling, to numbness experienced by patients with sudden back pain or after performing certain activities. This condition can be recovered with home care. Consultation with a physician is recommended when a person experiences symptoms for more than 72 hours, or experiences conditions such as diarrhea, can not contain urine, fever, weakness in the legs, and feel pain during coughing or urination.

Singapore Back Pain Specialist Centre

Common Causes of Back Pain

The cause of back pain is divided into two, namely mechanical and medical. The mechanical cause is triggered by the erosion of the structure and endurance of the back which includes the joints, discs, muscles, nerves and bones with age as the main factor. Here are some of the conditions included in the mechanical cause:

–Back Sprain

Back Sprain. Injuries that cause pressure on the tendon or muscle such as slip, misplaced sitting, lifting heavy weights, or stretching excess muscles. In severe conditions, the ligaments can be torn.

–Back Slip Disc

The erosion of the spinal disc. The decrease in the strength of spinal discs in holding the load, down, and other activities

–Changes in bone structure

Changes in bone structure. This condition generally occurs as the age begins to dusk and results in poor posture. Scoliosis, kyphosis, and lordosis are some examples of trigger changes in bone structure.

–Spinal disc injury

Spinal disc injury. Tear or disk insertion when the patient is dropped or twisted. Under certain circumstances, the disc may suppress the spinal cord, causing pain such as puncture or burning of the waist to the foot (sciatica).

–Radiculopathy

Radiculopathy. Inflammation or suppression of the spinal cord that occurs when the tucked disc squeezes the spinal cord excessively. Parts of the body supplied by the nerves that are depressed will experience pain, tingling, until numbness.

–Spinal Stenosis

Spinal stenosis. Emphasis on bone marrow nerves is due to narrowing of the spinal tract in the spine, resulting in pain, such as cramps, weakness, or numbness, especially when standing or walking.

–Spondylolisthesis

Spondylolisthesis. One or more vertebrae shifted and pressed on the spinal cord.

Treatment For Back Pain

Most cases of back pain can recover by themselves without the doctor’s treatment, especially within 72 hours. Some ways such as compressing it with warm and cold water alternately, resting the back with a pillow or towel bed either straight or sideways, bathing with warm water, to take drugs such as ibuprofen or paracetamol can be done to speed recovery. If you want to exercise, massage therapy, acupuncture, or other traditional ways, it is advisable to consult a doctor first. If the pain does not subside after 72 hours, it is advisable to see a doctor for further treatment. Medicines commonly given by doctors to treat back pain, ie analgesics, nonsteroidal anti-inflammatory drugs (NSAIDs). For severe cases steroid injection may be given. 

What other treatments for back pain?

/Physical therapy

Physical therapy, to strengthen muscles, improves movement and flexibility, and improves posture. Spinal manipulation, to regulate and stimulate the spine with surrounding tissue. This therapy can only be done by a certified physician. Traction (traction), using the load to pull the spinal structure to balance.

/Spinal Nerve block

Spinal nerve block. This therapy is done by pressing to kill the nerve stimulation problem using local anesthetic injection or steroids in the pain.

/Epidural Steroid Injection

Epidural steroid injections, short-term therapy to relieve inflammation of the back.

Surgery for Back Pain

If medications and therapies do not work out, your doctor may suggest surgery. Surgery may also be recommended if the patient experiences conditions such as inability to withstand urinary or decreased nerve function.

+Discectomy

Discectomy is to relieve pressure on the spinal cord causes by disc tucked by lifting a small part of spinal canal.

+Nucleoplasty

Nucleoplasty is to remove the inside of the disc by using a special tool resembling a stick mounted through a needle. The device also features radio waves to warm and shrink spinal tissue.

+Ablation or radio frequency lesioning

Ablation or radiofrequency lesioning, to interrupt nerve communication through radio waves by implanting a special heated needle.

+Foraminotomy

Foraminotomy, to enlarge or clean the foramen or nerve endings of the spinal canal by lifting a small fraction of the bone around the obstructed and suppressed nerves.

+Intracellular electothermal therapy (IDET)

Intracellular electothermal therapy (IDET), to strengthen the collagen fibers in the disc and relieve spinal cord irritation through the planting of heated catheters and special wires.

+Vertebroplasty and kyphoplasty

Vertebroplasty and kyphoplasty, to improve the spine fractures that occur due to osteoporosis by inserting needles and injecting special cement to strengthen bones.

+Spinal fusion

Spinal fusion, to strengthen the spine and relieve pain as it moves by lifting some parts of the spine and combined with a lumbar interbody fusion or posterior fusion.

+Installation of artificial discs

Installation of artificial discs. This is an alternative action to raise the damaged discs severely and replace them with artificial discs between spinal cords.

 

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