Back Pain : Surgery Or Not? Posted: 11-09-06 11:50am
T2tse sag, stir sag, t1se, t2tse axe/ in
the plan of the intervertebral disks
l4-l5, l5-s1, l3-l4
a tendency to the rectitude of the lumbar
spine in sagital plan
without modifications at the level of the
vertebral alignment
without modifications of signal at the
level of the medullay cone
degenerative modifications at the level of
the left postero-lateral vertebral
plateaux l5-s1
inflammatory modifications of hypersignal
stir at the level of the left vertebral
plateaux l5-s1 on the posterior side
diskal degenerative modifications at the
scanned levels-dehydration of the pulpis
nucleus
fissures of the fibrous level; diskal
vacuum and a reduction of diskal height
more pronounced at the l4-l5 and l5-s1
posterior levels
circumferential diskal protrusions at the
scanned levels
herniated disk l4-l5 with a diameter of
1,4/0,7 cm situated in the right lateral
subligamentous recess in conflict with the
dural sac and the right l5 root
synovial inflammatory interarticulary
reaction l4-l5
i am 29 years old. Does anyone have any
idea about the eternal quetion in these
cases: surgery or not?
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BuddyT
New User, Becoming EHEALTHy
Joined: 25 Oct 2006 Posts: 9 Location: Mass
Posted: 11-09-06 17:22pm
Not as a first resort. Disc issues are
often caused by musculoskeltal imbalances.
Check out pain free by pete egoscue from
your library or ebay.
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drbrajesh
New User, Becoming EHEALTHy
Joined: 13 Nov 2006 Posts: 3 Location: kerala
Ayurvedic Correlations of Low Back Pain Posted: 11-13-06 11:49am
Hi,
here are the important rheumatic disorders
detailed in classical ayurvedic texts.
Gridhrasi
the pain originates from the lumbosacral
region and descends down the thigh, calf
muscle to the feet.
If vata alone is deranged, there is
pricking pain in the posterior part of the
leg, stiffness of the ankle, knee and hip
joint.
When vata and kapha are deranged together,
then there are other symptoms like
parasthesia and stiffness.
This can be compared to sciatica, lumbar
disc lesions and radiculopathy.
Viswachi
the disease, which causes constriction of
the tendons of the palms and fingers,
present in the back arm leading to loss of
function of the arm.
This can be compared to carpal tunnel
syndrome, tenosynovitis.
Khalli
gridhrasi and viswachi when accompanied
with severe cramps are known as khalli.
This can be compared to muscle cramps.
There will be twisting cramps in legs,
thighs and in distal parts of hands.
This can be compared to myoclonus,
dystonia etc.
Sandhigata vatam
vayu affects the joint space, which is the
seat of kapha and produces arthritis
associated with pain, stiffness, rarely
effusion etc. This can be compared to
osteo arthritis.
Krostuka sirsaka
the aggravated vata along with rakta
affects the knee joint and produces
synovial effusion, which resembles the
head of the fox. This can be compared to
acute synovitis with effusion.
Apabahukam
when the motor supply is affected by vata
at the base of neck (cervical area) the
function of hand is affected. There is
pain radiating down and sometimes there is
numbness and loss of function. This is
due to kapha and vata vitiation.
This can be compared to cervical
spondylosis, cervical myelopathy and
cervical disc leisions.
Kalaya khanja
the legs tremble at the commencement of
walking. The patient has to drag his
legs while walking.
This can be compared to clonus or a sign
of pyramidal disease.
Vatakandaka
the aggravated vata affects the ankle
joint and calceneal bone- cause severe
pain and difficulty in walking.
This can be compared to calceneal spur
with plantar fascitis or ankle
arthritis.
Manya stambha
the vata vitiated (due to sleeping with
wrong posture of neck for a long time,
constantly extending neck), along with
kapha causes stiffness in the muscles at
the back of the neck.
Manya denotes carotid blood vessels.
This can be compared to spasmodic
torticollis, dystonias, cervical
spondylosis etc.
Urustambha
the aggravated vata along with kapha makes
the thigh stiff and inactive. This can
be compared to spastic pyramidal disease
of lower limbs. Other diseases like
peripheral vascular disease, disc disease,
transverse myelitis etc comes under this
spectrum.
Pada harsha
the aggravated vata and kapha produce
tingling sensation in the feet. This can
be compared to the peripheral
neuropathy.
Pada daha
the aggravated vata along with pitta and
rakta produces burning sensation in the
feet.
This can be compared to burning feet
syndrome.
Akshepaka
the aggravated vata affecting the nerves,
tendons, and vital points produce
contractions of the body again and
again.
This can be compared to seizures,
convulsions.
Jhihwa stambha.
Tongue is concerned with the articulation
of speech. It is not directly related to
the language. When the hypoglossal nerve
is affected there is difficulty in the
movement of tongue. It affects speech
and swallowing.
This can be compared to bulbar palsy,
progressive bulbar palsy, and pseudo
bulbar palsy.
Ardita
the ardita means accident. It is the
disease where the face is affected. It
resembles lmn type of facial palsy of
bell’s palsy. Caraka ‘s description
of ardita includes all cranial nerve
palsies and cerebro vascular accident
pakshagata
the vitiated vata moves upwards and
afflicts blood supply to the brain and
produces paralysis of one side of the
body. It produces difficult in using one
half of the body (spasticity and shoulder
– hand syndrome). Speech and language
may be affected (dysarthria/ aphasia)
it can be compared to cerebro vascular
accidents due to infarction or
hemorrhage.