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Failed back surgery syndrome (FBSS) management

Definition Failed back surgery syndrome (FBSS) is a generalized term used to describe the condition of patients who have not had a successful result with back or spine surgery and experience continued pain after surgery. Causes Multiple factors can contribute to the development of FBSS, including: Recurrent spinal disc herniation Persistent pressure on a spinal nerve after surgery Altered joint mobility and scar tissue (fibrosis) Pre-existing conditions , such as diabetes, autoimmune disease, psychiatric and vascular diseases Postoperative pain is normal, but this pain should begin to fade after a week or two, even if it does not entirely diminish. If the pain and symptoms do not lessen, or if they start to worsen over time, you may be suffering from failed back surgery syndrome. Exercise, Physical Therapy , Rehabilitation Intensive physical therapy and exercise programs are commonly prescribed for FBSS patients. Although the authors agree that physical rehabili

when to consult your doctor

Signs and symptoms of back pain may include: Muscle pain Throbbing pains Pain that radiates along your leg or radiculalgia in case of lumbago (sciatica and / or cruralgia) or in your arm in case of neck pain (cervico-brachial neuralgia). These pains can be of type of constriction, of electric discharge, of tension, of contracture, of torsion ... pain aggravated by flexion of the spine, standing, standing or walking pain that improves with tilt When to see your doctor: Most back pain improves gradually with home treatment and self-care, usually within a few weeks. If yours does not improve within this time, consult your doctor. In rare cases, back pain can signal a serious medical problem. Ask for immediate care if your back pain: causes new intestinal problems or bladder problems (urinary leakage or retention) is accompanied by fever follows a fal l, a blow in the back or another injury is severe and does not improve with rest extends in the lower limbs (accompany

herniated disk

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Introduction Vertebrae are the bone building blocks of the spine. The discs are located between the vertebral bodies. The ligaments are located around the spine and discs. The spine has seven vertebrae in the neck (cervical vertebrae), 12 vertebrae in the middle of the back (thoracic vertebrae) and five vertebrae in the lower back (lumbar vertebrae). In addition, in the middle of the buttock, under the fifth lumbar vertebra, is the sacrum then the coccyx.   The spine is designed so that the vertebrae can provide a mobile support structure while protecting the spinal cord from injury. Each vertebra has spinous and transverse processes that protect the spinal cord. Vertebras also have a vertebral "body" in front of the spinal cord to provide a platform for loading. The discs are pads that serve as "cushions" between the vertebral bodies and that minimize the impact of movement on the spine. Each disc is designed as a jelly ball with a softer core component (

Spinal stenosis or narrow lumbar canal

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Definition Stenosis of the lumbar canal (or "lumbar narrowed canal") is a degenerative disorder, occurring most often in the elderly or middle aged, after 50 years. It is also, and improperly, called "narrow lumbar canal". The lumbar spinal stenosis discovered in the elderly or old age is most often the result of the combination of the two pathologies: the congenital narrowness of the lumbar canal, which is decompensated over time by the anatomical changes caused by osteoarthritis, which achieves a narrow lumbar canal "narrowed". Osteoarthritis causes cartilage thinning and sagging intervertebral discs, causing contact between the bone surfaces and reaction thickening of the vertebral bone. The degeneration of the joints also causes ligament thickening, including yellow ligaments, which close the spinal canal.  These morphological changes in the vertebrae, discs, posterior intervertebral joints and ligaments encroach on the intra-canal space normall

Pregnancy and back pain

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Causes of back pain during pregnancy   First trimester Hormonal changes During the first trimester, progesterone levels in the body increase rapidly. High levels of this hormone help to relax the muscles and ligaments near the pelvis, which can affect the stability and alignment of the joints. Another hormone called relaxin by doctors helps the egg to implant in the lining of the uterus and also prevents contractions in the early stages of pregnancy. As work approaches, relaxin stimulates the cervix to soften and open for delivery. In addition, relaxin relaxes the ligaments and joints of the pelvic area so that the birth canal can expand during delivery. Finally, relaxin affects ligaments that stabilize the spine, which can cause instability, postural shift, and lower back pain.   Stress Stress affects a person's mood or psychological state. Stress can cause physical symptoms such as fatigue, headaches, stiffness and muscle aches. Second and third trimester D