Low Back Pain

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Low Back Pain

Low Back Pain

Low back pain is recognized as one of the most important causes of functional disability and disability in developed societies.

 

Why is back pain important?

It has been determined that 70% to 90% of the population all over the world have low back pain at some point in their lives.

Low back pain has a frequency of 20-30% in all age groups, and pain is most common in the 40-50 age group. This syndrome takes the second place after heart diseases in terms of chronic disease treatment in developed societies and ranks fifth among the diseases treated surgically.

The importance of low back pain emerges especially in the industrial sector and working society. The total cost of workday and labor loss due to pain, diagnosis, treatment and compensation reaches $16-20 billion per year in countries such as the USA. Despite all these serious data, low back pain, which is not due to reasons such as mechanical low back pain, tumor, infection, rheumatic diseases, is essentially a benign syndrome. 70-85% of those with low back pain recover after the first acute attack without the need for any treatment.

On the other hand, 38% of those with acute low back pain experience a second attack within a year, and 81% of those with chronic low back pain develop an acute attack within the same year. The important thing here is to be protected from the first acute attack of low back pain, and equally important is that those who have had the first attack learn to prevent the second. Because with repetitions, the pain eventually becomes chronic and the patient becomes a low back injury showing all the signs of chronic pain.

 

What is lower back pain? How is it formed?

Your spine is made up of 33 bones called vertebrae. It extends from the base of the skull to the coccyx. It develops into a cylinder to support the head and body. It is surrounded by muscles, ligaments and other tissues. Each vertebra has a hole in it. These holes combine to form a cylinder and the spinal cord passes through this cylinder. There are soft cushions called discs between each vertebra to prevent friction and provide mobility. Lumbar hernia or neck hernia is caused by slips or tears in these pillows.

There are 7 vertebrae in the neck region. These vertebrae provide the balance between the thorax and the head.

There are 12 vertebrae in the thoracic region. These vertebrae provide the balance between the lower back and the head. Ribs and muscles join these vertebrae to form the rib cage.

There are 5 vertebrae in the lumbar region. The strongest and hardest vertebrae of the body are in this region. The muscles of the lumbar region and the ligaments between the vertebrae are attached to the lumbar vertebrae. Low back pain is usually due to stretching of a ligament or muscle that holds a vertebra in its normal position. When these muscles and ligaments weaken, the spine loses its integrity, resulting in pain. Because nerves are distributed throughout the body from the spinal cord, low back problems can cause pain and weakness almost anywhere in the body.

Low back pain can be caused by your job requiring you to lift weights and carry heavy objects, or from standing, leaning forward, or sitting for long periods of time. It can be due to falling or unusually heavy exercise. Tension and stress, which cause headaches in some people, can also lead to low back pain. Even severe coughing and sneezing can cause low back pain. In overweight people, low back pain may occur due to the increase in the load on the waist. Low back pain can occur due to damage to the muscles, joints, bones and connective tissue in the back due to an infection or immune system problem. Joint diseases can cause low back pain. Low back pain with loss of bladder or bowel control, difficulty moving the legs, or numbness and tingling in the legs can be a sign of damage to the spinal cord and nerves and needs immediate treatment.

 

Common low back pain can be classified as follows:

  • Lumbar disc herniation
  • Disc deterioration, degenerative disc disease
  • Narrowing of the spinal canal-narrow canal,spinal stenosis
  • Compression of the sciatic nerve by the sciatic-priformis muscle
  • Calcification of the joints formed by the vertebrae-facet disease
  • Failed back surgery disease
  • Sacroiliac joint disease
  • Pain radiating from the lower back muscles
  • spinal cord injuries
  • Disc inflammation-discitis

 

Low back pain treatment

Internationally accepted treatment order:

  • Pharmacological drug treatment is done first. If no cure is found in the first 2 weeks, the next treatment is started.
  • Physical therapy application: Various methods can be applied up to 4-6 weeks. If the response is not sufficient within this period, Acupuncture and Ozone treatments can be applied at this stage.

As low back pain will start to become chronic from the 4th and 6th weeks;

  • Epidural and Transforaminal Epidural Steroid Injection (Point Shot) is performed. If the response to this treatment is insufficient within 2 weeks;
  • Introdiscal interventional treatments are applied. Nucleoplasty, Intradiscal Radiofrequency application, Ozone application and Percutaneous Hydroiscectomy (Water Jet treatment) are the most common treatments we apply.

Low Back Pain Treatment Methods

Epiduroscopy, Epidural adhesionolysis or Introdiscal interventional treatments are performed, especially for ongoing or newly developing low back pain after surgery.

 

Hydrodiscectomy

Lumbar Hernia Surgery with Water

Lumbar hernia is one of the most important problems we face. This situation, which can be very painful, negatively affects our social life and reduces our work performance. This condition, which is treated in our country with too many surgical interventions, disrupts our mental health with an uncomfortable life.

Thanks to the development of technology, the treatment of this disease is successfully performed with a minimally invasive method, Hydrodiscectomy, in Yeditepe University Hospital Algology Department. Thanks to high technology, the material we call the disc between the vertebrae can be broken down and aspirated from the same canal, and treated. Do not decide on other treatment options without evaluating this method, which you can better understand after watching our photo and video.

Percutaneous Hydrodiscectomy Method: It is a new method that came to our country from America. The disc is reached by entering under fluoroscopy with a specially developed needle. It is disintegrated and discharged with pressurized salt water. As the conditions in which this method has been successfully applied: Degenerative disc, annular tear, bulging and protrusion lumbar hernias and partially extruded disc hernias can be counted.

Benefits of this treatment method

  • It is a painless and bladeless procedure,
  • The risk is low
  • It is done with local anesthesia,
  • The risk of surgical complications such as infection, bleeding and late adhesion is very low,
  • The process takes an average of 30 minutes,
  • The probability of recurrence of hernia is very low compared to surgery.
  • There is no need for a rest period after the treatment,
  • Treatment is done with a one-day hospitalization (3 hours on average) in the hospital,
  • It shows a success rate of 85-90% in appropriate cases.

Afterwards, there is usually no need to use medication.

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Low Back Pain

Herniated disc negatively affects social life, significantly reduces work performance, and impairs mental health due to uncomfortable living. Even though there are many treatment options for the disease, excessive surgical intervention deprives patients of herniated disc both from their health and from their jobs.