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Imagine waking up every day with a sharp pain shooting down your arm, making even the simplest tasks unbearable. This is what many individuals suffering from cervical radiculopathy go through everyday.
Compression of nerve roots in the neck causes this condition.. Often in such cases, conservative treatments like therapies, massage, and pain-killers don’t do any good and surgery is the only treatment that promises long-term relief. If you find yourself in this situation, this article will provide a comprehensive view of Cervical Radiculopathy, its symptoms, causes, and when Cervical Radiculopathy surgery is performed. It will help you understand your situation better and make an informed decision.

See a Spine Surgeon in Los Angeles: If you have been diagnosed with cervical radiculopathy and looking for treatment or you want to see a doctor for diagnosis, you can schedule an appointment with Moksha Ranasinghe, MD at Southern California Brain & Spine Surgery.

Cervical Radiculopathy

Cervical refers to the upper portion of the spinal column that makes up your neck and Radiculopathy means injury or damage to nerve roots in the area where they leave the spine. Pinching or compressing nerves in the neck causes cervical radiculopathy. It can cause patients to experience severe pain, numbness and weakness in the arms and hands.

Symptoms

The symptoms of cervical radiculopathy can vary in severity and frequency, but mostly include:

• Persistent neck pain
• Radiating arm pain that extends down the arm
• Tingling or numbness in the arm or hand
• Weakness in the arm or hand causing difficulty in performing routine tasks.

Causes

Cervical radiculopathy is caused due to a pinched nerve in the neck and the nerve can be entrapped due to several factors including: 

• Spinal stenosis 
• Herniated disc
• Degenerative changes in the cervical spine
• Spinal cord injury

Cervical Radiculopathy Surgery

Doctors go for surgery when there is no possibility of improvement with conservative methods such as physical therapy, pain management, and activity modification. Doctors immediately put patients with severe and progressive symptoms on surgical treatments.

General Procedure for Cervical Radiculopathy Surgery

The general procedure for cervical radiculopathy surgery typically involves making a small incision in the front or back of the neck, depending on the type of surgery being performed. During the procedure, the surgeon will access the cervical spine to remove or decompress the affected nerve root, or to replace a damaged disc. Nowadays, doctors also use minimally invasive methods with endoscopic or microscopic instruments to treat Cervical Radiculopathy. Minimally invasive spine surgery is less painful and also has a shorter recovery period. 

There are several surgical options for treating cervical radiculopathy, however, the purpose of all procedures is common i.e., to remove the compression from the pinched nerve.

Anterior cervical discectomy and fusion (ACDF) 

It is a two-fold procedure in which a cervical disc is first removed that was compressing the nerve results in a gap in the vertebrae. In the second phase, surgeons fuse together the adjacent vertebrae to provide stability to the spine. As the name suggests, they perform this procedure by making an incision in the front of the neck.

Cervical Laminectomy

During this procedure, surgeons remove a portion of the bone and ligament in the back of the neck to increase the size of the spinal canal and relieve pressure on the spinal cord or nerve roots, as opposed to cutting a part of the vertebra in discectomy. Surgeons typically perform this procedure using minimally invasive techniques as an outpatient procedure.

Cervical Laminoforaminotomy

Surgeons remove a portion of the bone and ligament from the side of the cervical vertebrae in this surgery to relieve pressure on the nerve roots. Typically, they perform this procedure as an outpatient procedure using minimally invasive techniques.

Cervical disc replacement

Surgeons perform this procedure by removing a damaged cervical disc and replacing it with an artificial disc to restore normal spinal motion and relieve pressure on the spinal cord or nerve roots. Typically, they conduct this procedure as an outpatient procedure using minimally invasive techniques.

Recovery after Cervical Radiculopathy Surgery

After the procedure, the patient is taken to a recovery room where doctors monitor him for any signs of complications. The recovery period will depend on the type of procedure performed, but most individuals can return to their normal activities and resume work and exercise within several weeks to a few months after the surgery.

Conservative Treatments for Cervical Radiculopathy

Conservative treatments are the non-invasive/non-surgical methods recommended by the doctor to treat neck pain. These treatments are the first choice when a patient comes with a complaint of pain in the cervical spine. Only individuals whose problems can be improved without surgery are subjected to these procedures.

Physical Therapy

Physical therapy can help strengthen the muscles in the neck and upper back to alleviate pain and improve the range of motion. A physical therapist can also teach you exercises to help relieve pressure on the cervical nerves.

Pain Management

Pain management techniques such as non-steroidal anti-inflammatory drugs (NSAIDs), heat or cold therapy, and epidural injections can help reduce pain and improve function.

Activity Modification

Limiting activities that put a strain on the neck, such as repetitive neck movements or heavy lifting, can help reduce symptoms of cervical radiculopathy.

Chiropractic Care

Chiropractic care can help improve spinal alignment and relieve pressure on the cervical nerves. Manipulation, traction, and massage can also help alleviate pain and improve the range of motion.

FAQs

Q. How successful is Cervical Radiculopathy surgery?

According to John et al, 80-90% of cervical radiculopathy surgeries successfully provide patients with pain relief.

Q: Are there any risks or complications associated with cervical radiculopathy surgery?

As with any other surgical procedure, Cervical Radiculopathy also has some risks associated with it. For example, surgical wound infection, nerve injury, excessive bleeding, etc.

Q. How long does it take to completely recover after the surgery?

The recovery period varies from case to case depending upon the factors like the patient’s age, the physical condition of the patient, and the type of surgery performed. Having said that, you can expect a full recovery in a time period of 4 to 12 months.

According to an estimate, roughly 20-40% of back surgeries in the US fail to relieve the patient of pain. Failed Back Syndrome is a condition where, for some reason, surgery could not treat the cause of the back pain. Now if you are someone who is facing a similar situation and you don’t want to go through the painful surgical procedure again, Spinal Cord Stimulation would be an effective treatment for you.

Book an appointment now with a spine surgeon in Los Angeles for Spinal Cord Stimulation treatment. You can call us at 213-369-4583 or fill out the contact form.

What is a Spinal Cord Stimulator?

A spinal cord stimulator (SCS) or dorsal column stimulator (DCS) is an implantable device that sends electrical signals to the spinal cord for the treatment of certain pain conditions. In simple terms, doctors use a spinal cord stimulator to treat chronic pain. They implant it in the body, usually in the lower back, and it sends electrical signals to the spinal cord. These signals interfere with the pain signals sent to the brain, which can help reduce the perception of pain. Spinal cord stimulators often treat chronic pain conditions like failed back syndrome, neuropathic pain, and chronic regional pain syndrome. They can be an effective treatment option for people who have not found relief from other pain management techniques, such as medication or physical therapy.

Who is a candidate for Spinal Cord Stimulation Treatment?

The primary objective of selecting patients for spinal cord stimulation is to ensure that they have the highest chance of benefiting from the treatment while minimizing the risks, complications and negative outcomes. The best way to achieve this goal is through a thorough assessment by a team of experts in various disciplines and a candid discussion with the patient about their expectations and objectives. This will help determine which patients are most suitable for spinal cord stimulation.

It is recommended for the following conditions:

• Chronic back pain from failed spinal fusion (non-union)
• Slow healing of fractured bones
• Complex regional pain syndrome (CRPS)
• Diabetes-related neuropathy (nerve damage)
• Arthritis (Or Spinal Arthritis)

Surgical procedure for implanting SCS

The spinal implant is a two-step surgical process:

1. Trial

Before the implantation procedure, doctors will place a temporary spinal cord stimulator on the skin during a trial period to see if it helps reduce the patient’s pain. If the trial is successful, doctors will then schedule the patient for the implantation procedure.

2. Permanent Implant

If the results from the trial implant are promising, you will qualify for the permanent implant.

Procedure

The process for implanting a spinal cord stimulator typically involves the following steps:

1. Anesthesia: Doctors typically perform the implantation procedure under local anesthesia and sedation, although they may use general anesthesia in some cases.
2. Incision: The surgeon will make a small incision in the skin to access the area where they will implant the device.
3. Implantation of electrodes: The surgeon will then implant the electrodes next to the spinal cord. Thin wire leads connect the electrodes to the generator, which the surgeon will implant in a separate location.
4. Implantation of generator: Surgeons usually implant the generator, a small device that produces electrical signals, in the abdomen or buttocks.
5. Closure: The incisions are closed with sutures or staples.

Surgeons typically complete the procedure, which usually takes several hours, on an outpatient basis. After the procedure, the patient will need to rest for a few days before returning to normal activities.

Benefits of using a Spinal Cord Stimulator

A spinal cord stimulator is usually considered when the body’s natural healing process is slow or doesn’t respond to other treatment options. Chronic pain can be debilitating and affects millions of people worldwide. Traditional treatments such as oral medication and surgery can be ineffective or have unwanted side effects. Spinal cord stimulation is a revolutionary, non-invasive treatment option that offers adjustable and targeted pain relief, with limited or no side effects. Below we have discussed the advantages of spinal cord stimulation and how it can be a game-changer in managing chronic pain:

1. Personalized Pain Management

Not all patients experience the same level of pain even if they suffer from the same disorder. Spinal cord stimulation offers a wide range of pain adjustment options on the hand-held controller, and some models adjust automatically to the person’s movements. This gives patients the power to control their pain and experience a significant improvement in their quality of life.

2. Less Invasive

Spinal cord stimulation is a minimally invasive procedure that requires only one incision to implant the generator. Surgeons typically place the leads with electrodes using a hollow needle, rather than making an incision. This means patients experience less pain and recover faster, with fewer side effects and complications. If the stimulator doesn’t serve the purpose, it can easily be removed in the future.

3. Less dependence on Pain-killers

Spinal cord stimulation can significantly reduce the need for opioid medication. Studies show that more than a third of participants who received high-frequency therapy reduced or stopped taking opioid medications. This is a significant advantage for patients who have been dealing with chronic pain for many years.

4. Targeted Pain Relief

Spinal cord stimulation delivers pain relief only where it is needed, unlike oral medication which affects the whole body and causes sleepiness, constipation, or other problems unrelated to the pain. This targeted approach ensures that patients experience pain relief without unwanted side effects.

5. Affordable

Spinal cord stimulator is less costly when compared with other surgical and non-surgical treatments for back pain.

6. Long-lasting Pain Relief

One of the major benefits of a Spinal Cord Stimulator is that patients can enjoy a pain-free life for a long time without the need for any maintenance of frequent doctor visits.

Risks and Side effects associated with Spinal Cord Stimulation Treatment (SCS)

Doctors regard SCS as a secure, less invasive treatment for various painful disorders. However, they observe complications, which may fall into two categories: device-related failure or biological causes, in 30-40% of cases. Lead migration, lead breakage, excessive or insufficient stimulation, intermittent stimulation, hardware malfunction, loose connections, and battery failure, are all examples of device-related difficulties. Infection, epidural hemorrhage, seroma, paralysis, cerebrospinal fluid (CSF) leakage, discomfort at the implant site, allergic response, and skin disintegration are examples of biological consequences.

Such complications can lead to the following side effects:

• Infection – Almost all implants run the risk of causing infection in the body. In some cases, stimulators installed within the spine can cause infection creating the need for surgical treatment to cure the infection and remove the implant.
• Problems with Lead – The hardware of the lead sometimes gets displaced or broken due to movement in the spine. It happens when the movement of the vertebra doesn’t match the flexibility or movement of the spine.
• Decrease in the effectiveness of pain relief over time.

SCS Implant At Southern California Brain & Spine Surgery

If you are looking for Spinal Cord Stimulation treatment in Los Angeles, you can visit our facility. Dr. Moksha Ranasinghe who is the lead Neurosurgeon here provides spinal cord stimulation treatment to patients suffering from chronic back pain. You can schedule an appointment by filling out the contact form or calling us at (213) 369 4583.

FAQs on Spinal Cord Stimulation Treatment

1. What are the components of a Spinal Cord Stimulator System?

A spinal cord stimulation system is made up of several parts, including an implanted power source known as a neurostimulator, thin wires with electrodes on the tips called leads, a clinician programmer used to program the neurostimulator, a patient programmer for managing pain relief, and a wireless external neurostimulator that mimics the therapy delivered by the implanted neurostimulator.

2. Are all Spinal Cord Stimulators the same?

No. Mainly, there are three types of Spinal Cord Stimulators;

1. Conventional implantable pulse generator, or IPG. A battery is placed in the spine during an operation. When it runs out, the battery must be replaced in another surgery. This can be a good choice for people with pain in just one body part because they need less energy to manage their pain.
2. Rechargeable implantable pulse generator. A battery is placed in the spine during an operation. You can recharge it without another surgery. Because the energy source is rechargeable, these stimulators can put out more electricity. This may be a better choice for people with pain in the lower back or both legs. The device is more powerful than conventional IPGs.
3. Radiofrequency stimulator. This type of Stimulator is an older design. It uses a battery that’s outside the body. The stimulator is rarely used today because of newer designs and better technology. This includes rechargeable batteries. But like the rechargeable IPGs, these may be better for people with pain in the lower back and legs because of the device’s power.

3. Are there any risks of spinal cord stimulator surgery?

Spinal cord therapy is a safe procedure, however, there can be some complications such as infection, device damage, etc. Consult your doctor immediately if there are any complications after the implant.

4. How does Spinal Cord Stimulator Work?

In spinal cord stimulators, doctors connect thin wires (the electrodes) to a small, pacemaker-like battery pack. A generator is usually placed under the skin, usually near the buttocks or abdomen, between the spinal cord and the vertebrae (the epidural space). The remote control and antenna of spinal cord stimulators are both outside the body, so patients can send electrical impulses whenever they feel pain. Experts have come to understand that the device is possibly working by targeting multiple muscle groups directly from the spine. Additionally, they’ve learned that this treatment can alter how the brain senses pain.

Herniated and Bulging Discs are some of the common causes of back pain in both young and old age. It is more common in old people because both occur due to the deterioration of the spine with age. Bulging disc and Herniated disc mean the same to most people but they are not. In what follows, you will learn the difference between a Bulging Disc and a Herniated Disc.

Schedule an appointment with a Neurosurgeon in Los Angeles: See Dr. Moksha Ranasinghe at Southern California Brain & Spine Surgery for the treatment of Bulging and Herniated Disc. You can book an appointment by calling (213)-369 4583 or filling out the contact form.

Structure of Spine

Let’s first understand the anatomy of the spine before we go on explaining the difference between Herniated and Bulging discs. You probably already know that the spine is composed of 33 bones (called vertebrae) stacked over one another. Between these bones, rubber-like fibrous discs are present allowing the vertebrae to slip over one another. Vertebrae and intervertebral discs together make the spinal column and are responsible for the smooth functioning of the spine while maintaining a limited range of motion.

Herniated Disc

The herniated disc gets its name from “hernias” which refers to an organ pushing through a muscle that holds it back. So a Herniated Disc is a condition in which gel-like fluid present in the center of the disc comes out by pushing the wall of the disc. In most cases, patients do not even know they have a Herniated Disc and feel no symptoms at all. However, in severe cases, this fluid can create a bulge creating compression on nearby spine nerves and leading to pain. Herniated Discs can occur in any part along the spine. It is more common in the lower back and neck but the Thoracic spine (middle of the spine) can also get a herniated disc.

Bulging Disc

A bulging disc is very much similar to a Herniated Disc but instead of the gel-like fluid coming out of the disc, it is just pushing the wall of the disc. What it means is that the fluid inside the disc has not ruptured. You can say that a bulging disc is one step behind the herniated disc because if the fluid inside the disc breaks through, it will be termed a Herniated Disc. Bulging discs are less likely to be the cause of pain as the bulge has not ruptured through to compress the neighboring spine nerves like in Herniated Disc.

Why are Herniated and Bulging discs considered to be the same?

People who refer to both Bulging and Herniated discs as Herniated Disc are not wrong. It is because a bulging disc is also a Herniated Disc in the initial stage. Let us clarify this by listing down the stages of a Herniated Disc;

• Degeneration (when the bulge starts to appear)
• Prolapse (when the bulge shows growth)
• Extrusion (this is when the gel-like structure ruptures the disc and protrudes out)
• Sequestration (when the fluid is no longer attached to the disc)

So bulging disc is one of the initial stages of Herniated disc. Bulging disc when left untreated changes to Herniated disc.

How does the Pain from Herniated and Bulging Disc feel?

If you are experiencing back pain, you might be asking yourself questions like; what if it is because of minor muscle pull or muscle strain and not a disc herniation? By observing the symptoms, you can tell if your back pain is serious or not. Back pain due to a herniated or bulging disc feels different. Following are some of the symptoms you need to look for;

• Loss of bladder and bowel control
• Numbness, tingling, and burning sensation in limbs
• Radiating pain
• Pain that stays for more than 2 weeks
• Acute pain triggered when walking or moving

What causes Disc problems in People?

Some factors make people more vulnerable to getting a Herniated or Bulging disc. These include;
Age – This is the most common cause of disc problems. As we grow old, our bones deteriorate and lose the strength to provide the necessary support to our bodies. Moreover, the cartilage between bones also dries up with age causing friction in joints. Soft and brittle spine discs get cracked easily and thus making it possible for the inner fluid to herniate.
Obesity – Overweight people put extra stress on their spines than necessary. It is also difficult for the backbone to provide support to a heavier body. Thus, the spine gets overused making it susceptible to injuries.
Lifestyle – People who live a poor lifestyle in terms of eating, exercising, maintaining postures, etc. get a herniated disc way sooner than people who do not.
Physically demanding sports – In young people, who do combat sports, sustain injuries during their career which makes them more vulnerable to diseases like a degenerative discs. A severe injury can give you a herniated disc immediately.

You can read in detail about the causes of Hernaited Disc in one of our other articles.

Treatment

If the disc has herniated, surgery is the only remedy. You can try conservative methods but that will only help in managing the pain and won’t give you a permanent solution. There are different types of surgeries used to treat a Herniated disc. For example, discectomy and Artificial Disc Replacement.

The article provides an overview of Herniated discs vs Bulging discs. If you feel any of the symptoms discussed in the above paragraphs, it is strongly recommended that you consult a neurosurgeon immediately so you can have timely treatment.

The connection between the back and foot might seem remote but it is not. It is possible to experience foot pain due to back injury as there are nerves in your spine that extend all the way down to your legs and feet. Any injury to the spine can damage these nerves and the effect can trickle down to the feet. However, foot pain due to back injury is different from normal pain. Coming next, you will learn the connection between a back injury and foot pain and how you could tell if your the pain is due to a problem in your spine. 

See a Neurosurgeon in Los Angeles for the treatment of aching foot due to back injury: You can schedule an appointment with Dr. Moksha Ranasinghe who is the lead neurosurgeon at Southern California Brain & Spine Surgery. Fill out the contact form or call the clinic at (213)-369 4583.

Symptoms of Foot Pain due to Back Injury

Normal foot pain due to an ankle twist or a minor injury goes away within 4-5 days with little massage and care. Spinal injury-induced foot pain worsens over time. Such foot pain exhibits the following symptoms;

• Numbness and tingling in the foot
• Pain that radiates from the lower back
• Weakness in legs
• Numbness in the area around the hip, calf, and leg

What Causes Foot Pain?

Spinal nerves in the lumbar (lower) spine travel all the way down to your legs and end at your feet. The pain is normally caused when there is a compression or irritation in the nerve roots. Other than this, nerve compression in the hip, knee or foot itself can also cause the pain. 

Following are some of the most common reasons that can cause nerve compression in the lumbar spine leading to foot pain. 

• Degenerative Disc Disease

Disc degeneration is one of the main causes of lower back pain that can lead to foot pain. Disc degeneration causes various diseases, such as facet joint syndrome in the lower back, scoliosis, bone spurs, osteoarthritis, among others. This condition occurs when discs in vertebrae degenerate due to wear and tear as a result of aging. These discs have gel-like fluid in them that slips through the crack of deteriorated discs and compresses the nearby spinal nerves. 

• Lumbar Spinal Stenosis

Spinal stenosis occurs when the space inside the vertebrae narrows due to factors such as arthritis, herniated disc, osteophytes, etc. Symptoms of spinal stenosis take time to appear. Normally, people with ages above 50 are diagnosed with spinal stenosis but it can also occur in young people in case of direct injury to the spine. 

• Disc Herniation

Vertebrae have soft jelly-like discs between them to provide stability and flexibility to the spine. Disc herniation occurs when the soft part within these discs slips out due to a crack in the outer port portion of the disc. It creates a bulge that can compress nerves in the lower spine causing pain.

• Spondylolisthesis

Spondylolisthesis occurs when a vertebra in the spine slips onto the other vertebra below/above it. When a vertebra slips out of its position, it can exert pressure on the neighboring nerves causing nerve compression. Spondylolisthesis can occur anywhere in the spine but it commonly occurs in the lumbar spine.

Sciatica

This is one of the most common conditions associated with foot pain. It derives its name from the sciatic nerve that originates from your lower back and runs all the way down to your feet. One of the reasons mentioned above compresses this nerve, causing foot pain. You can tell apart the foot pain due to sciatica from regular foot pain by observing symptoms. If your foot pain is accompanied by pain in your lower back and you sense tingling and numbness in the foot, it is most probably due to sciatica.

Treatment of Foot Pain due to Back Injury

Depending upon the cause of the pain, different treatment methods can be used. Two major categories of treatment for foot pain due to back injury are; nonsurgical or conservative treatments and surgical treatments. 

Conservative Treatments

If the nerve compression is not severe, different combinations of conservative treatments can help manage the pain. Following are some of the most commonly used conservative treatments;

• Modifications in physical activity
• Nonsteroidal and anti-inflammatory medications
• Low-impact stretching exercises
• Massages and therapies

Surgical Treatments

Treating the underlying issue with surgery becomes necessary if nonsurgical methods are ineffective. By now, you must have realized that the major reason for foot pain due to back injury is compression in the lumbar spine. Surgery becomes necessary to decompress the nerves and relieve patients of pain. For instance, microdiscectomy treats a herniated disc, while artificial disc replacement surgery replaces a degenerated disc.

Surgery is a permanent solution to nerve compression however, it comes with risks. At times, patients avoid surgery due to fears of post-surgical infections, bleeding, or anesthesia. 

Read more about different surgical and non-surgical treatments for back pain

Minimally Invasive Surgical (MIS) Methods

Open surgeries have many drawbacks; excessive blood loss and long recovery periods to name a few. To avoid these, neurosurgeons nowadays use less invasive techniques. Minimally invasive surgeries are less painful and have a fast recovery. However, not all conditions are treated with MIS. Your doctor will decide which approach to go with. He/she takes into account a number of factors; location and severity of the injury, age of the patient, patient’s preference, and medical history.

After getting into a vehicle accident, feeling sore in one or more parts of the body is expected. It is also common to get one’s back twitched during the collision and feel lower back pain after an accident. Most of the time, back pain goes away with some rest and over-the-counter painkillers. However, if this is not the case and you feel severe back pain after 2 weeks of the accident, this can be a sign of serious injury. In such a situation it becomes important to know the cause. In what follows, we will explain why you might be feeling back pain long after the accident and what could be done about it.

Consult a Spine Surgeon in Los Angeles

This article will provide you with a good understanding of lower back pain after an accident, its causes, and treatments. You can get a fair idea if your back pain is serious and what steps you can take further. However, for complete diagnosis and timely treatment, you should see a neurosurgeon. 

You can see a neurosurgeon in Los Angeles by visiting Southern California Brain & Spine Surgery. Schedule an appointment by filling out the contact form or calling us at (213)-369 4583.

Symptoms of Lower Back Injury After Accident

For a few days after the accident, you might not be able to differentiate your backache from your overall body ache as you will be feeling sore all over. With time, if the body ache recovers but the back pain doesn’t, it indicates there might be an injury to your back. A minor injury to the back causing spasm or muscle pull is not very serious and can be cured with nonsurgical treatments. However, if the spine has been damaged in any way, it poses a worrisome situation. But how could you know which one is the case? One way is to look for symptoms. A minor back injury has different symptoms from a spinal injury.

Minor Back Injury Symptoms

• Spasm
• Severe pain but bearable
• Doesn’t last for more than 2 weeks
• Gets better with massage and other treatments

Serious Spine Injury Symptoms

• Unbearable pain in the lower back
• Pain that radiates from the source to legs, arms, or forearms
• Loss of control over bladder and bowel
• Tingling or numbness in feet, arms, or legs
• Faintness and sweating
• Insensitivity to touch or needles

What Causes Lower Back Pain after an accident?

Car accidents most likely injure the neck and back. What might seem like a little collision, has the chance of injuring your spine. There are many possible causes of back pain after an accident. It could be due to a traumatic injury, such as a herniated disc or spinal cord injury. Or, it could be the result of whiplash, which can damage the soft tissues in the neck and back.

Given below are some of the potential causes of lower back pain after an accident:

Whiplash

Whiplash refers to the back-and-forth motion. During a car accident, due to a collision, a person’s neck moves back and forth with force, causing injury to the neck. It is one of the most common injuries sustained during a vehicle accident. Whiplash injuries typically affect the cervical spine only, but severe collisions can also injure the lower back to compensate for the overall impact. Depending upon the severity of the collision, the injury can be as minor as getting a neck sprain or as big as getting a herniated disc.

Slipped Disc or Herniated Disc

Inside our vertebrae, several discs stack over one another, containing a soft jelly-like substance known as Nucleus Pulposus, which functions as a shock absorber for the spine. When the vertebrae sustain a serious injury during an accident, this jelly-like substance breaks the wall and protrudes from the disc. This creates a bulge that can lead to compression of spinal nerves causing pain to the person.

Vertebral fractures

People of age or with medical conditions like osteoporosis can suffer vertebral fractures due to an accident. This can also be one of the causes of lower back pain after an accident. If the fracture is minor, you might not feel much pain but a little crack can always turn into a major fracture. Therefore, medical professionals always recommend having X-ray scans after an accident.

Sprains and Strains

Less serious conditions like strains and sprains occur when excessive stress is exerted on the back muscle, and they can be treated with conservative methods. In the worst cases, a person might tear his muscle or ligament.

Injury to Facet Joints

The facet joints, also known as the posterior side of the spine, are joints located in the back of the spine. There are facet joints at each vertebral level, one on each side of the spine. These joints, if healthy, glide and slide over one another as a person moves his back and prevent over-twisting. High-impact vehicle collisions can damage these joints making it hard for a person to do his daily activities.

Treatment for Lower Back Pain After Accident 

As discussed above, if doctors diagnose the cause of back pain as minor, conservative treatments will suffice. These include;

• Massage
• Medications
• Yoga
• Heat and ice therapies

For serious spine injuries, patients receive surgical treatment. Various surgical methods can treat lower back pain after serious injury accidents;

• Discectomy
• Spinal Fusion
• Vertebroplasty
• Laminotomy

Living with back pain can be difficult and what’s more painful is to undergo back surgery for its treatment. Although back surgery has a great success rate, it is still possible to feel back pain even after the surgery. So it’s important to learn the best ways to care for your spine and prevent getting a backache. Whether you’re looking for methods to prevent back pain from occurring or need relief from an existing issue, here are some of the most common and effective spine health tips to follow to prevent backache!

5 Best Spine Health Tips to Follow

As it is said, prevention is better than cure; Living a healthy lifestyle can prevent the occurrence of back pain as you age. Based on the latest research, we have put together a list of the 5 most effective spine health tips that you can follow to live a pain-free life. Let’s dive in!

1. Always maintain a good posture

Good posture is one of the most important spine health tips one can give you. Proper posture helps to keep your spine in alignment and takes the strain off of your muscles and joints. It also helps to prevent pain and injuries.

There are a few simple things you can do to improve your posture:

• Stand up straight. Imagine a string attached to the top of your head, pulling you upward. Keep your shoulders down and back, and tuck your chin slightly inward.
• Sit up straight. When sitting, make sure your back is against the chair and your feet are flat on the floor. Avoid slouching or hunching over.
• Use proper lifting techniques. When lifting something heavy, squat down and use your legs to lift it rather than bending over from the waist. Keep the object close to your body as you lift it.

2. Keep your weight in check

Obesity is considered to be one of the major reasons for spinal deformation. People who are overweight find it difficult to maintain the right posture while moving around. Excessive abdominal fat puts a lot of stress on your spine leading to conditions like a degenerative or herniated disc. To keep your weight under control, you can follow the guidelines given below;

• If you are overweight, besides working on decreasing your belly fat you also need to do exercises to strengthen your spine. You can do different stretches and yoga poses that target back muscles.
• To lose weight fast, you need to be on a calorie deficit. What it means is that you need to burn more calories than you are eating. You can do this by having a calorie counter application on your mobile that tells you the number of calories in every food you eat.

3. Do Back Exercises

Any list of spine health tips is incomplete without back-targeting exercises. Having a strong core strengthens abs and back muscles. A sturdy core provides support to the spine and takes the pressure off your lower back. When lifting heavy objects, if the core is not built-up well, the weight takes a toll on the back and thus increases the chances of injury. You can do the following exercises to strengthen your back;

Bridges
Bridges are one of the most effective exercises that target lower back muscles. They are easy to do and do not require any equipment. You can do them at home with a little warm-up.

Partner-assisted stretches

For this exercise, you will need one of your friends or family members to help you. Lie down on your back with your palms on the floor. Bend your legs and have someone push them into your stomach gently.

Quadruped Leg raise

This is another exercise that targets your entire abdominal region, lower back, and hamstrings. See the demonstration to understand this exercise. You can also raise the arm opposite your lifted leg to make it more challenging.

Lift weights
Weight training is known to provide strength to the body and improve overall stability. You can target your back muscles with light or heavy weights. Some of the exercises you can perform with weight to target your back are Kettlebell swings, Deadlifts, Lat pull-downs, and single-arm dumbbell rows.

If you already have a backache, we would recommend you consult a doctor before you do weight training exercises for your back.

4. Eat Healthy

Spine Health tips also include changing your eating habits to improve your overall health. As already discussed, healthy eating habits also help to avoid obesity which is a major reason for spinal deformity. To ensure a healthy intake of food, you can follow the guidelines given below;

• Use dairy products as they are rich in calcium and vitamins, preventing your bones from diseases like osteoporosis.
• Vegetables and fruits are one of the primary sources of nutrients required by your body. Make sure your diet has different sorts of vegetables and fruits.
• Calcium-rich diet doesn’t do any good if your body is low on Vitamin D. Your body absorbs Calcium in the presence of Vitamin D that you can get from foods like salmon, egg yolk, and mushrooms.
• You also need to be disciplined in terms of foods you cannot eat. Alcohol and tobacco consumption can decrease the water level in your spine making it vulnerable to injuries. Cut down on tobacco and alcohol consumption.

5. Regular health checkups

Getting regular health checkups is something many people tend to avoid. But it is as important as all other spine health tips discussed above. There are many ways in which health checkups can keep you safe from getting a backache. Physical examination indicates any injury to the spine that can result in serious medical complications later. If any indications of injury are found, your doctor confirms it by scans like X-rays and MRI.

You might also want to read: Spinal Cord Injury and Diagnosis: Complete guide

See a Spine Surgeon in Los Angeles

If you feel any symptoms of back pain for more than a week, we strongly recommend you see a doctor. You can see a neurosurgeon in Los Angeles by visiting our clinic. To schedule an appointment, call us at 213-369-4583 or fill out the contact form.

Pregnancy means a lot of firsts — like feeling the incredible first flutter of your baby moving. But constant back pain? Although this is something you might not have expected, back pain, often leading to sciatica during pregnancy, is pretty common. You are after all carrying so much extra weight.

Your body experiences many physical and hormonal changes during the entire pregnancy period. With each passing day, your baby grows, and your body has to adjust. Unfortunately, these changes also sometimes lead to unfamiliar aches and pains. While some mothers-to-be may experience dull, throbbing aches in the middle of the back, others may suffer from sciatica during pregnancy.

Sciatica during pregnancy is a common issue for women. Also called lumbar radiculopathy, sciatica during pregnancy is a painful but, fortunately, a temporary condition. Those who suffer from this often describe it as a “radiating pain” that travels from the sciatic nerve to the back of the thigh.

Symptoms of Sciatic During Pregnancy

Aches and pains that result from sciatica during pregnancy range from mild to excruciating. A tingling sensation in one part of your body and pain in another area is one of the common symptoms. Other symptoms include: 

• Feeling a burning sensation in the lower back and buttocks 
• Feeling pain that travels from your pelvis to the back of your leg 
• Feeling a sudden jolt of pain
• Feeling pain that worsens when you cough, sneeze or sit for long periods
• Feeling numbness, tingling in one leg or foot, or muscle weakness

What Causes Sciatica During Pregnancy?

Sciatica occurs when the sciatic nerve is pinched because of the compression of the spine in some way. Typically, this is due to a herniated disk or an overgrowth of bone, which causes inflammation, numbness, and pain.

Pregnant women often experience spinal compression, which affects the sciatic nerve. There are several reasons why they might go through this. One of them is linked to the hormone released during pregnancy – Relaxin. Naturally, your body produces this hormone to relax your ligaments and prepare your pelvis for childbirth. However, loose ligaments and a growing uterus often shift the body’s center of gravity and pinch the sciatic nerve. This leads to shooting pains down the legs.

Another cause of sciatica during pregnancy is the growing baby that puts additional weight on your unstable joints and muscles. Sometimes, the baby’s position may also cause sciatic nerve compression.

This pain often comes and goes in most cases, but it can be constant for some women. While it may be uncomfortable for the mother-to-be, this compression and pain don’t harm the baby.

What To Do If You’re Suffering From Sciatica During Pregnancy?

To heal sciatica, time and rest are required. In this situation, discomfort is common, but severe pain is not. You can take certain over-the-counter (OTC) medications to help you curb the excruciating pain. However, to ensure that these medications don’t harm your baby, it is essential to consult your doctor beforehand. Here are some other simple home remedies that you can try to help ease constant body aches:

Use a heating pad, cold pack, or take a hot shower. 

The heat helps to relax tight muscles, often aggravated by carrying extra weight. Sometimes, using a cold pack on your lower back and rear pelvis can also help ease the pain.

Keep moving.

It is natural to curl up into a ball when you’re going through such severe pain. However, you must maintain some gentle movement in your daily routine. This is helpful in the long run. A simple walk, yoga session, slight bending or twisting, or low-impact activities can help you soothe your muscles and mind.

Pay attention to the pain.

It is vital to notice small things and any activities that irritate your sciatic nerve. It is suggested to avoid heavy lifting and take frequent breaks on your job.

Get a massage.

Evidence suggests that prenatal massage not only reduces stress, improves blood circulation, and regulates hormones but also helps you lower sciatic nerve pain.

See a physical therapist.

If you find your sciatic nerve pain very disturbing and hindering your normal day activities, see a professional physical therapist who can provide you with stretches and strength-building exercises. 

Sleep on your side.

You should also avoid sleeping on the side of your body that hurts. You can use a full-body pillow to support your hips and legs. This will help you take the pressure off the compressed nerve. 

When Should You See A Doctor For Sciatica During Pregnancy?

If rest, icing or other self-care methods are not improving your sciatic nerve pain condition after a week, or you are experiencing severe numbness, tingling or problems in urinating, it is recommended to see a spine surgeon to discuss your symptoms as soon as possible. The spine surgeon will first perform a physical examination to observe any indication of injury. Then to confirm if there is a lumbar nerve root compression, he/she might perform X-rays and MRI scans.

How Will Sciatica Be Treated?

If no nonsurgical treatments, including medications or physical therapy, worked, you’re experiencing persistent disabling sciatica, and your condition is causing cauda equina syndrome (which includes symptoms such as bladder dysfunction, severe numbness in the buttocks, or incontinence), a spinal decompression surgery may be required.

Spinal decompression surgery is an umbrella term that includes various surgical procedures that remove any disc herniation or stenosis to ease back and leg pain. The surgery depends on which nerve roots are affected. These decompression surgeries include:

• Laminectomy
• Laminoplasty
• Laminotomy
• Lumbar microdiscectomy

Get Spinal Decompression Surgery

If you have been experiencing excruciating back pain and looking for surgical treatment, Southern California Brain & Spine Surgery is here to help. We have been among the best spine care facilities treating patients with spine problems for more than ten years. Dr. Moksha is the lead neurosurgeon here who has been awarded as the best neurosurgeon in Los Angeles by findatopdoc.com for three consecutive years. You can schedule an appointment with her by filling out the contact form or calling (213)-369 4583.

Extreme lateral interbody fusion (XLIF) surgery is a minimally invasive procedure that involves accessing the lumbar spine from the side. It is an alternative to traditional open-back surgery and can be performed as an outpatient procedure. The surgeon makes small incisions in the patient’s side and uses special instruments to reach the lumbar spine. The goal of XLIF surgery is to relieve pain by treating spinal disorders and stabilizing the spine.

If you or someone you know is considering XLIF surgery, read on for everything you need to know about the procedure.

What conditions does XLIF surgery treat?

XLIF surgery is used to treat conditions that could not be treated with conservative methods (such as steroid injections, physical therapy, pain medication, etc.) and has continued to cause pain to the patient. These include:

• Herniated discs
• Degenerative disc disease
• Spinal stenosis
• Tumors of the spine
• Scoliosis
• Kyphosis

Procedure

After having you go through the pre-surgical tests, the staff at the doctor’s clinic will let you know the date and time for your surgery. You might want to read this guide on how to prepare for back surgery for a step-by-step guide to help you with preparing for XLIF surgery.

XLIF surgery, a minimally invasive procedure, begins with administering anesthesia to the patient. While the patient is asleep, the surgeon accesses the spine through small incisions between the ribs. Using X-ray reports, the surgeon locates the damaged area and removes any herniated discs or debris causing pain. Electromyography (EMG) guides the surgeon in positioning instruments near the spine’s nerves to prevent further damage. After removing a portion of the spine, a bone graft is placed to fill the space within the vertebrae. Additional screws, plates, and rods may be used for spine stability. The surgery typically lasts about two hours.

Benefits of XLIF Surgery

This type of surgery is a newer, minimally invasive alternative to traditional spine surgery. Unlike other spine surgeries, XLIF does not require any large incisions or cutting of muscles and tissues. Instead, the surgeon accesses the spine through small incisions in the side of the patient’s body. This results in less pain and a quicker healing time for the patient. XLIF is also successful in treating a variety of different spinal conditions, whereas other surgeries may only be effective for certain types of conditions. Some salient upsides to XLIF surgery include;

• XLIF offers one of the biggest benefits: reduced surgery time. Completing the technique in as little as one hour results in less time under anesthesia and in surgery.
• Minimally invasive surgical methods lead to less scarring, less blood loss, and faster recovery times.
• Since the surgeon accesses the disc space from the side, you won’t damage any sensitive back muscles or ligaments. Mostly, patients can walk to their homes the same day after surgery.
• You will be able to resume your daily activities very soon after the surgery as recovery after XLIF doesn’t take more than 30 days.

Recovery after XLIF Surgery

Most people who have XLIF surgery experience a quick and easy recovery. However, as with any surgical procedure, there are a few things you should expect and be aware of during your recovery. Here are some things to keep in mind:

• You will likely be up and walking around the same day as your surgery.
• You may experience some pain and discomfort for the first few days after surgery. This is normal and can be managed with pain medication.
• You will need to take it easy for the first week or two after surgery. Avoid strenuous activity and lifting heavy objects.
• You will need to change the dressings regularly to cover your incisions.
• You will need to follow up with your surgeon for regular checkups.

Risks and Complications of XLIF Surgery

Although XLIF surgery is a safe surgical procedure, there do exist some risks when taking it up. Following is a list of some potential risks in an XLIF surgery;

• Deep clotting in Veins
• Reaction to Anesthesia
• Failure of implant fusion
• Different kinds of infections can occur
• Injury to the nerves within the spine
• Failure to relieve the patient of the pain (A condition known as Failed Back Syndrome)

Get XLIF Surgery in Los Angeles

In case you have been experiencing back pain and looking for minimally invasive surgical treatment for it, we are here to help. Southern California Brain & Spine Surgery is among the best spine care facilities in Los Angeles treating patients with spine problems for more than 10 years. Dr. Moksha Ranasinghe is the lead neurosurgeon here who is a top-rated spine surgeon in Los Angeles on websites like Yelp, findatopdoc.com, Google Businesses, and Healthgrades. You can schedule an appointment with her by filling out the contact form or calling (213)-369 4583.

Accidents or physical activities like playing sports often cause neck injuries. It can also be due to wear and tear of the vertebrae due to aging. Injuries to the cervical vertebrae lead to many challenges in everyday life, and it’s important to treat them quickly to avoid sustaining further damage. This article will briefly explain the procedures of the most common types of neck surgery and discuss their requirements.

If you are experiencing any symptoms of neck pain that hint at sustaining a serious neck injury, you can talk to our spine surgeon in Los Angeles by calling (213) 369-4583.

Different Reasons for Undergoing a Neck Surgery

There are many reasons why someone might need neck surgery. The most common reasons include;

• Degenerative disc diseases of the spine such as Osteoarthritis
• Trauma from an accident or injury
• Tumors 
• Congenital defects

No matter the reason, neck surgery is a serious procedure that should only be undertaken after careful consideration and consultation with a qualified neurosurgeon. If you are experiencing neck pain or other symptoms that may warrant surgery, be sure to get a comprehensive evaluation to ensure that all nonsurgical treatment options have been exhausted first. 

You might also want to read: How spinal cord injuries are diagnosed and treated?

Types of Neck Surgery

Choosing among different types of neck surgery entails considering the type of injury one has sustained as well as the location of the injury. The type of neck surgery can only be finalized after the full-fledged diagnosis has been conducted. Here are a few most used types of neck surgery;

1. Cervical Discectomy and Fusion (CDF)

Surgeons remove the damaged part of the disc from the cervical spine, relieving pressure from the spinal cord or nerve root and alleviating pain. They then surgically fuse the vertebrae above and below the disc to provide stability and strength to the spine. This procedure is through an incision in the front of the neck, hence earning it the name “anterior.”

Different surgical options are used to treat patients under ACDF. A good doctor explains all the options to the patients along with their potential risks and complications. For example, surgeons will determine how many vertebrae levels to treat and which types of implants to use for fusion.

2. Multilevel Cervical Laminectomy and Fusion

The cervical laminectomy procedure aims to alleviate pressure on the spinal cord or spinal nerve roots, typically caused by herniated disks, thickened ligaments, or bone spurs. Beginning with an incision in the back of the neck, the surgeon carefully removes a portion of the vertebral lamina, covering the spinal canal. This action relieves pressure on the spinal cord or nerve roots. The surgeon inserts a fusion cage (graft cage) between the vertebrae and fills it with bone graft material to promote fusion over time. In some instances, the surgeon may also utilize metal rods and screws to stabilize the spine during the healing process. The goal of cervical laminectomy is to relieve pressure on the spinal nerve roots and to stabilize the spine. 

Surgeons typically perform this procedure as an outpatient procedure, allowing patients to return home on the same day. However, some patients may need to stay for a couple of days based on their medical conditions and required care. Recovery times vary depending on each patient, but you can expect to feel some soreness and stiffness in your neck for several days after your surgery.

3. Cervical Disc Replacement Surgery

Surgeons use cervical disc replacement surgery to treat damaged or herniated discs in the neck, which consists of vertebrae separated by discs. These discs act as shock absorbers and allow the spine to move freely. Over time, these discs can become damaged or herniated, causing pain and inflammation. Cervical disc replacement surgery involves removing the damaged disc and replacing it with an artificial disc.

Minimally Invasive Neck Surgery

Surgeons have been performing spine surgeries conventionally for a long time which involved making large incisions in the body. Now, with technological advancement, it has become possible to perform minimally invasive spine surgeries using video cameras and other endoscopic instruments. Surgeons can also perform neck surgery using minimally invasive techniques. This approach has several benefits including a short recovery period, less loss of blood, and less pain during the operation.

Neck Surgery in Los Angeles

Consult our Los Angeles neurosurgeon if you’ve had long-standing neck pain and are considering surgery. Here at Southern California Brain & Spine Surgery, Dr. Moksha Ranasinghe provides top-quality treatment to patients suffering from spine disorders. You can schedule an appointment by calling us at 213-369-4583 or filling out the contact form.

After dealing with back pain for months, maybe even years and trying all non-surgical back pain treatments, you decided to go ahead with surgery. The surgery was a success, and for a few months, you finally have the relief you’ve been searching for. But then, suddenly, the pain comes back. What gives? It turns out, you may be suffering from a condition called Failed Back Syndrome. In this article, we will explore the causes and symptoms of this condition, as well as treatment options.

What is Failed Back Syndrome?

If you’ve had back surgery and are still experiencing pain, you may have failed back syndrome (FBS). Even though the name sounds final, it is possible to manage back pain due to FBS and improve quality of life. Let’s take a closer look at FBS, its symptoms, and treatment options.

FBS is a condition that causes chronic pain even after back surgery. It can occur when the original problem was not fully corrected or when scar tissue from the surgery puts pressure on the nerves. In some cases, FBS is caused by nerve damage that occurred during the surgery.

Symptoms of Failed Back Syndrome

The most common symptom of FBS is continuing pain in the low back and legs. The pain may be dull or sharp and can vary from mild to severe. Other symptoms include:

• Tingling or numbness in the legs
• Weakness in the legs
• Difficulty standing or walking for long periods of time

Diagnosis

For the diagnosis, doctors can use different methods. Initially, the doctor will look for the more obvious signs during physical examination. For example, identifying the source of back pain, restricted movement in the spine, using a hammer to test the responsiveness of the patient’s body etc. Provided that the doctor finds symptoms of FBS, he/she will ask you to get scans such as MRI and CT scans. These scans will help ensure if the pain is actually due to the FBS and not for any other reason that the doctor might have missed in the initial examination. 

Treatment Options for Failed Back Syndrome

Failed back syndrome can be difficult to treat because it is often unclear what is causing the pain. A variety of treatments may be recommended, including physical therapy, epidural injections, and medications. In some cases, repeat surgery may be necessary in an attempt to relieve the pain. Despite treatment, failed back syndrome can be a chronic condition with episodes of flare-ups and remission periods.

• Medications: Pain relievers, anti-inflammatory drugs, muscle relaxants, and antidepressants may be prescribed to help manage pain.
• Epidural steroid injections: These injections deliver medication directly to the inflamed area to help reduce swelling and pain.
• Radiofrequency ablation: This procedure uses heat to destroy the tumors or any outgrowths in the body.
• Surgery: If the condition is severe and the doctor feels that conservative treatments won’t do any good, surgery is performed.  

What causes Failed Back Syndrome?

Failed back syndrome (FBS), also called post-laminectomy syndrome, is a condition that can occur following surgery to the lumbar spine. The vast majority of patients who undergo surgery for conditions such as herniated discs or spinal stenosis have successful outcomes and experience relief from their pain. However, some individuals continue to have pain even after their surgery for different reasons.

You might also want to read: The reasons for getting a herniated disc

There are a number of potential causes of failed back syndrome. One possibility is that the original problem was not completely resolved by the surgery. For example, if a disc herniation was only partially removed, residual compression on the spinal cord or nerve roots can still lead to pain. Additionally, scar tissue can form around the incision site or at other locations in the spine, causing pain by irritating surrounding tissues. In some cases, the source of pain cannot be determined.

How Failed Back Syndrome is Treated?

Failed back syndrome (FBS) is a condition characterized by chronic pain in the lower back and legs. Even after surgery to correct the underlying cause of the pain, many people with FBS continue to experience pain. While there is no cure for FBS, there are treatments that can help manage the pain and improve quality of life.

Common treatments for FBS include:

• Medications: Pain relievers, anti-inflammatory drugs, muscle relaxants, and nerve blocks can all be used to help manage FBS pain.
• Physical therapy: A physical therapist can develop a customized exercise program to help stretch and strengthen the muscles around the spine.
• Injections: Epidural steroid injections and other types of injections can help reduce inflammation and pain.
• Surgery: In some cases, surgery may be necessary to decompress nerves or remove scar tissue.

See a Spine Surgeon in Los Angeles

If you have been experiencing back pain after spine surgery, you can consult Dr. Moksha Ranasinghe at Southern California Brain & Spine Surgery. She is an experienced neurosurgeon in Los Angeles who specializes in treating spine conditions. To schedule an appointment, fill out the contact form or call us at 213-369-4583.