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All about Laminectomy

Dec 29, 2020 Posted by admin Orthopaedic 0 comments

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What is Laminectomy?

Laminectomy also known as decompression/Lumbar surgery, that creates space by removing the lamina (the back part of a vertebra that covers your spinal canal.) laminectomy enlarges your spinal canal to relieve pressure on the spinal cord or nerves.This pressure is most commonly caused by bony overgrowths within the spinal canal, which can occur in people who have arthritis in their spines. These overgrowths are sometimes referred to as bone spurs, but they’re a normal side effect of the aging process in some people.

Causes:

  • mild to severe back pain
  • numbness or weakness in the legs
  • difficulty walking
  • difficulty controlling bladder or bowel movements

A laminectomy is only used if your symptoms interfere with daily life. It’s performed when less invasive treatments have failed.

Why it’s done

Bony overgrowths within the spinal canal can narrow the space available for your spinal cord and nerves. This pressure can cause pain, weakness or numbness that can radiate down your arms or legs.

Because the laminectomy restores spinal canal space but does not cure you of arthritis, it more reliably relieves radiating symptoms from compressed nerves than it does back pain from spinal joints.

Your doctor may recommend laminectomy if:

  • Conservative treatment, such as medication or physical therapy, fails to improve your symptoms
  • You have muscle weakness or numbness that makes standing or walking difficult
  • You experience loss of bowel or bladder control

In some situations, laminectomy may be necessary as part of surgery to treat a herniated spinal disk. Your surgeon may need to remove part of the lamina to gain access to the damaged disk.

Risks

Laminectomy is generally a safe procedure. But as with any surgery, complications may occur. Potential complications include:

  • Bleeding
  • Infection
  • Blood clots
  • Nerve injury
  • Spinal fluid leak

During laminectomy

Surgeons usually perform laminectomy using general anesthesia, so you’re unconscious during the procedure.

The surgical team monitors your heart rate, blood pressure and blood oxygen levels throughout the procedure. After you’re unconscious and can’t feel any pain:

  • The surgeon makes an incision in your back over the affected vertebrae and moves the muscles away from your spine as needed. Small instruments are used to remove the appropriate lamina. The size of the incision may vary depending on your condition and body size. Minimally invasive surgeries typically use smaller incisions than those used for open procedures.
  • If laminectomy is being performed as part of surgical treatment for a herniated disk, the surgeon also removes the herniated portion of the disk and any pieces that have broken loose (diskectomy).
  • If one of your vertebrae has slipped over another or if you have curvature of the spine, spinal fusion may be necessary to stabilize your spine. During spinal fusion, the surgeon permanently connects two or more of your vertebrae together using bone grafts and, if necessary, metal rods and screws.
  • Depending on your condition and individual needs, the surgeon may use a smaller (minimally invasive) incision and a special surgical microscope to perform the operation.

After laminectomy

After surgery, you’re moved to a recovery room where the health care team watches for complications from the surgery and anesthesia. You may also be asked to move your arms and legs. Your doctor may prescribe medication to relieve pain at the incision site.

You might go home the same day as the surgery, although some people may need a short hospital stay. Your doctor may recommend physical therapy after a laminectomy to improve your strength and flexibility.

Depending on the amount of lifting, walking and sitting your job involves, you may be able to return to work within a few weeks. If you also have spinal fusion, your recovery time will be longer.

Takeaway

A laminectomy is only used if your symptoms interfere with daily life. It’s performed when less invasive treatments have failed.

Most people report measurable improvement in their symptoms after laminectomy, particularly a decrease in pain that radiates down the leg or arm. But this benefit may lessen over time if you have a particularly aggressive form of arthritis. Laminectomy is less likely to improve pain in the back itself. A laminectomy will often relieve many symptoms of spinal stenosis. However, it can’t prevent spine problems in the future and it may not completely relieve pain in everyone.People who also have a spinal fusion are more likely to have spinal problems in the future.

if you are looking for treatment or second opinion for the same from the best doctors  share your latest reports  email us : info@gtsmeditour.com

 

Tennis elbow

Feb 14, 2019 Posted by admin Orthopaedic 0 comments

Tennis elbow or ‘Lateral epicondylitis’ is a condition of persistent pain on the outer side of the elbow.It is caused by an overuse of forearm muscles resulting in repetitive injury to the tendons attached to the elbow.It can become responsible for substantial pain and loss of function of the affected limb.As the name may confuse,it is not only associated with the sport ‘Tennis’.It can be due to any other sport or work related activities.10.feb14tenniselbow

Condition explained

The extensor muscle called  the extensor carpi radialis brevis, helps to straighten and stabilize the wrist.This muscle attaches to a part of the elbow bone called the lateral epicondyle (thus the medical name ‘lateral epicondylitis’). It is the tendons that connect and transmit a muscle’s force to the bone. In lateral epicondylitis, tendon’s attachment to the bone is degenerated due to repetitive use, weakening and placing greater stress on the  forearm muscles. This can lead to pain associated with activities in which this muscle is active.

Causes

Here are some potential causes of this condition:

  • Overuse: This can be both non-work and work-related. Overuse can happen from “repetitive” gripping and grasping activities such as cutting, plumbing,gardening,carpentry, painting,  etc.
  • Trauma: Although less common, a direct blow to the elbow may result in swelling of the tendon that can lead to degeneration. This can make the elbow more susceptible to an overuse injury.

Who is affected?

Tennis elbow is most commonly seen in following groups of people:

  • Manual Laborers
    People who work with their hands like plumbers or bricklayers are at greater risk of developing tennis elbow.
  • Sports Participants
    Sports participants, especially racquet sport players and throwing sports persons(discus and javelin),are prone to developing tennis elbow.
  • People doing activities that involve fine, repetitive hand and wrist movements – such as using scissors or typing

It is present in 40% of all racquet sport players and 15% of people working in repetitive manual trades like . It can occur at any age, however, sufferers are generally between the ages of 35 and 50.Predictably, the side affected is usually associated with handedness, but it can occur in the non-dominant arm. Males and Females are affected equally.

Symptoms

The typical symptom is pain in outer side of elbow,the area also becomes tender.But the pain can radiate into forearm and wrist also.

  • Pain when performing gripping tasks or resisted wrist/finger extension
  • Pain when the muscles are stretched.
  • Tenderness directly over the bony epicondyle

There may be rigger points in the wrist muscles.In severe cases, there may be local swelling .Also some activities, such as making a fist, shaking hands, carrying bags like a briefcase, turning on taps may be painful.Some sufferers will also have neck stiffness and tenderness, as well as signs of nerve irritation.

Diagnosis and treatment

Usually, doctors are able to make the diagnosis based on the history and a physical examination.Additional tests such as X-rays or ultrasound may be needed to exclude other causes and/or assess the severity of tendon damage.
Initial treatment involves relative rest and avoiding activities that aggravate the pain.If you are diagnosed with tennis elbow, activities that strain affected muscles and tendons should be immediately stopped.Taking analgesics may help ease mild pain and inflammation caused by tennis elbow.. Wearing a tennis elbow brace can help to protect the tendon.
Physiotherapy has been shown to be effective in the short and long-term management of tennis elbow.Physiotherapy treatment can include gentle mobilisation of your neck and elbow joints, electrotherapy, elbow kinesio taping, muscle stretches, neural mobilisations, massage and strengthening.
A small percentage of patients diagnosed with tennis elbow may finally require surgical treatment. Patients may consider surgery if conservative treatments are not effective after a period of 6 – 12 months.

Untreated Tennis Elbows can last anywhere from 6 months to 2 years. You are also prone to recurrence.Aside from pain, the major complication of tennis elbow is that it impedes your ability to perform physical activities, such as certain sports or types of work.

For any queries regarding the procedure and treatment facilities,email us at query@gtsmeditour.com .

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