Monthly Archives: March 2013

Nonoperative Treatment for Degenerative Spondylolisthesis

By | Las Vegas Chiropractic | No Comments

Arthritis occurs in tens of millions of individuals every year. The spine is no exception. As arthritis occurs in the facet joints, which are the thumbnail size joints on each side at the Spinal Arthritis Treatmentback of the spine, one level can become unstable on another.

This is where the term spondylolisthesis comes into play. The ‘spondy’ part refers to the spine, and ‘listhesis’ is Latin for slippage. So one level can slip on top of another, and this can lead to pain and traction on nerve roots.

When a patient presents with signs and symptoms of degenerative spondylolisthesis, typically an individual describes a combination of both back pain and leg pain, cramping, achiness.

Degenerative SpondylolisthesisFor an individual with the condition, surgery is not an absolute. In fact, it is a last resort, elective decision. Initially, patients should try considerable conservative treatment, starting with over-the-counter pain medicine such as Tylenol and anti-inflammatory medication.

For short-term exacerbation of pain relief, opiates may help tremendously. They should not be used in the long-term, as the risks begin to outweigh the benefits.

Additional nonoperative treatment consists of physical therapy and Las Vegas Chiropractor manipulations. While these do not fix the problem of slippage, it may provide pain relief that negates or delays the need for an operation.

Interventional pain management for symptomatic degenerative spondylolisthesis is catered epidural steroid injectionto the symptoms of the patient. For instance, if the individual has no back pain but considerable leg pain, epidural steroid injections may help substantially. If the person has considerable back pain but minimal leg pain, then a facet injection and Medial branch block may simmer that down.

Or it may necessitate a combination of the two to treat both the back and leg pain.

Recently, smaller studies have looked at treating the back pain from degenerative spondylolisthesis with radiofrequency ablation. Initial results have been quite promising.

If considerable conservative treatment fails, then interventional treatments can be performed again or the person may opt to have surgery.

If you or a loved one is suffering from chronic back in Nevada, let the Nevada Pain Network help you. The Network connects those in pain with pain management Las Vegas trusts. Comprehensive nonoperative options for pain relief.

Simply complete the form on the page or call (702) 323-0553 for assistance today!

An Overview of Bulging Discs and Treatment Options

By | Pain Management | No Comments

Millions of Americans suffer from degenerative disc disease every year. What exactly is a Bulging discbulging disc and does it mean the person is going to have back pain?

The normal spinal disc is known as the intervertebral disc and sits between the bones of the spine at every level. The disc ask as an excellent shock absorber with the normal disk being composed of 80% water and a 20% mixture of collagens and proteins.

As a person shifts into middle-age, the hydration of the disc is slowly lost. Degeneration of the intervertebral disc can begin to occur. There are also genetic factors along with occupational hazards that can lead to disc degeneration as well.

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A tire bulges as it loses air similar to a disc as it loses water.

The best analogy to degenerative disc disease is that of a tire that is beginning to lose air. As this occurs, the tire begins to bulge out due to the weight of the car.

The disc experiences the same phenomenon with bulging beginning to occur since there’s not enough disk hydration to withstand the bodily forces being placed on it.

Studies have been done looking at the incidence of degenerative discs and bulging discs in the population.

Over 40% of individuals over the age of 40 have evidence of bulging disks and degenerative disc disease. Interestingly, in the study that showed this, they only looked at those with no back pain whatsoever.

So essentially what needs to be understood up front is that simply having a bulging disc Pain doctors Nevadadoes not mean back pain is inevitable.

The disc itself has two parts to it, with the best analogy being that of a jelly doughnut. The inner part, the jelly, is known as the nucleus pulposus and has no nerve endings whatsoever. It does not feel any pain.

The outer part of the donut is called the annulus fibrosis and has plenty of nerve endings. Therefore, if degenerative disc disease leads to tears of this region, then significant back pain may ensue.

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Notice the dark bulging discs in the bottom of the lumbar spine.

So for those individuals with bulging discs who do have tears in the outer part of those discs, it may irritate nerve endings and cause chronic back pain. Or for those with bulging this may not be causing any back pain, and may just be there as an incidental finding of the patient.

If the person does have bulging disks and has tears in the outer part of the disc that are causing pain, various treatment options are available. Physical therapy Las Vegas can help substantially with stretching and strengthening, along with electrical stimulation and ultrasound.

Chiropractic manipulation may also be helpful and can include spinal decompression therapy along with TENS units and acupuncture.

Some Las Vegas Pain Management Doctors advocate injections directly into the disk with Las Vegas pain management doctorssteroid medication. A study published in Spine from 2004 showed significant benefit from these injections.

If the back pain also has a component of buttock and leg pain, an epidural steroid injection may benefit the pain as well.

If you or a loved one is experiencing back pain with bulging and degenerative discs, let the Nevada Pain Network assist you. The Network connects those in pain with the best pain management Las Vegas has to offer.

Simply complete the form on the page or call (702) 323-0553 to get connected today!