Facet disease
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Facet disease occurs when a facet joint in the spine degenerates, most commonly affecting the lumbar region. As the cartilage in the facet joints wears away with age, bone spurs can develop, causing pain, swelling, and stiffness. Non-surgical treatments include rest, physical therapy, and facet joint blocks to diagnose and treat pain. Surgical options include facet rhizotomy to disable sensory nerves, fusion to stop disc and joint problems, or facetectomy to remove bone spurs and decompress nerves. A case study describes a man with left neck and shoulder pain from a septic arthritis infection in his C5-C6 facet joint that was treated with IV antibiotics.
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Fracture is a break in the bone caused by trauma or disease. The document discusses the different types of fractures such as closed versus open, displaced versus nondisplaced, and classifications based on the direction of the break. Symptoms include pain, deformity, loss of function. Diagnosis involves history, physical exam, and imaging tests like x-rays. Treatment involves reducing and immobilizing the fracture through methods like casting, bracing, traction, or surgery. Nursing care focuses on pain management, preventing complications like immobilization, and ensuring proper healing through diet, exercise, and patient education.
Spondylosis
The document provides information about spondylosis, a degenerative disorder of the spine. It defines spondylosis as general wear and tear that occurs in the joints and bones of the spine with age. Over 85% of people over age 60 are affected. Spondylosis causes loss of normal spinal shape and function and can affect the cervical, thoracic, or lumbar regions. Non-surgical treatments include soft collars, physiotherapy like heat/cold therapy and electrical stimulation, and medications like acetaminophen and NSAIDs. Surgery is reserved for severe cases not relieved by other treatments.
Spine facture a detailed overview
Dr Susmit Naskar has completed his Bachelor degree (MBBS) from Calcutta Medical College, the oldest and one of the most renowned medical colleges in India. After completion of his MBBS, he went to Mumbai to earn his Masters degree in Orthopaedics. He completed his masters from Sion’s Lokmanya Tilak Hospital - the Trauma Centre of western India. The Orthopedics unit of Sion Hospital is one of the busiest and diverse Departments in India
Spinal facture a detailed overview
Spinal fracture also called a vertebral fracture or a broken back is a fracture affecting the vertebrae of the spinal column. Spinal fractures are different than a broken arm or leg. A fracture or dislocation of a vertebra can cause bone fragments to pinch and damage the spinal nerves or spinal cord.
Fractures, bone healing & principles of tx. of fractures
This document discusses fractures and bone healing. It begins by providing statistics on common fractures, noting that fractures of the extremities are most common and the rates differ between age groups and sexes. It then describes different types of fractures based on the force and displacement. The document outlines the process of bone healing in four stages. It also discusses evaluating and treating fractures, including determining if reduction is needed, how to hold the reduction through various fixation methods, and indicators that a fracture has fully healed. Complications of fractures are noted. The goal is to restore optimal function while preventing issues and allowing early rehabilitation.
How Can Patients Leverage Chiropractic Treatment For Spinal Stenosis?
Spinal stenosis can significantly impact an individual's quality of life, causing pain and limiting mobility. While there are various treatment options available, chiropractic treatment has shown promise in helping patients manage their symptoms. By utilizing techniques such as spinal manipulation, chiropractors can help alleviate pressure on the spinal cord and reduce inflammation in the affected area. Additionally, chiropractic care can provide patients with valuable education on proper posture and exercises to strengthen the affected muscles.
Cervical Spondylosis
Cervical spondylosis is a degenerative condition of the cervical spine that results from aging and causes progressive changes like disc degeneration and bone spur formation. It commonly affects people over age 40 and causes neck pain and stiffness as well as headaches, arm pain, and neurological symptoms. Treatments include medications, physical therapy, injections, neck braces, and sometimes surgery to relieve pressure on nerves. Maintaining neck strength and flexibility through exercise may help prevent cervical spondylosis.
Skeletal system
This document discusses osteoporosis and bone fractures. It defines osteoporosis as a bone disease where the body fails to form enough new bone or absorbs too much old bone. It affects more women after menopause and men after age 70. Bone fractures are breaks in the bone that can result from injury or diseases like osteoporosis. Symptoms include bone pain, loss of height, and fractures from minor impacts. Treatment involves lifestyle changes, medications, and exercise to reduce fracture risk and relieve symptoms. Prevention focuses on calcium, vitamin D, exercise, and fall prevention.
Skeletal system
This document discusses osteoporosis and bone fractures. It defines osteoporosis as a bone disease where the body fails to form enough new bone or absorbs too much old bone. It affects more women after menopause and men after age 70. Bone fractures are breaks in the bone that can result from injury or diseases like osteoporosis. Symptoms include bone pain, loss of height, and fractures from minor impacts. Treatment involves lifestyle changes, medications, and exercise to reduce fracture risk and build strong bones.
Skeletal system
This document discusses osteoporosis and bone fractures. It defines osteoporosis as a bone disease where the body fails to form enough new bone or absorbs too much old bone. It affects more women after menopause and men after age 70. Bone fractures are breaks in the bone that can result from injury or diseases like osteoporosis. Symptoms include bone pain, loss of height, and fractures from minor impacts. Treatment involves lifestyle changes, medications, and exercise to reduce fracture risk and relieve symptoms. Prevention includes a diet with calcium, vitamin D, and weight-bearing exercise to build strong bones.
Osteoarthritis
Osteoarthritis is a degenerative joint disease characterized by the breakdown of cartilage. It most commonly affects weight-bearing joints like the hips and knees. The cartilage, bone, synovial membrane, capsule, ligaments and muscles are all affected as the disease progresses. Symptoms include joint pain and stiffness that worsens with use of the affected joint. Treatment focuses on reducing pain and inflammation, maintaining joint mobility, and may include joint replacement surgery for severe cases.
Similar to Facet disease (20)
Fractures, bone healing & principles of tx. of fractures
Fractures, bone healing & principles of tx. of fractures
How Can Patients Leverage Chiropractic Treatment For Spinal Stenosis?
How Can Patients Leverage Chiropractic Treatment For Spinal Stenosis?
Facet disease
- 1. S Facet Disease A degenerative tale
- 2. Facet Disease – Anatomical Components S Facet Joint S Facet disease occurs when a facet joint degenerates. While this can take place at any level of the spine, it most commonly affects the lumbar region Video: https://treatingpain.com/condition/facet-syndrome
- 3. Facet Disease – Who does it affect? S Each person’s spinal discs undergo degenerative changes as they age, but not all people will experience symptoms as a result of these changes. Symptoms are most commonly seen in 30 to 50 year olds. S More common in people S Extreme Overweight S Overuse due to sport or heavy labor S Family history of Facet disease S Presence of disease such as gout (kind of arthritis causing an attack of sudden burning pain), other types of arthritis, or infections S Damage stemming from injuries like whiplash, and/or sleeping with a twisted neck S Sudden jerk of the neck, twisting while lifting overhead, or trauma to the spine
- 4. Facet Disease – What is happening Anatomically? S The joint surfaces are lined with cartilage allowing them to glide easily over each other. As we age, the cartilage gradually wears away, and in many cases, growths called “bone spurs” can develop. S When a joint is damaged through normal deterioration, injury, or repetitive trauma, it may become swollen, painful, and stiff. Inflammation is usually temporary, but in arthritic joints, it may cause long-lasting or permanent disability.
- 5. Facet Disease – What is happening Anatomically? S Abnormal bony growths, called osteophytes or bone spurs, develop on the vertebrae S Bone spurs growing from the facet joints and rubbing against the nerves of the transverse foramen.
- 6. Facet Disease – What happens biomechanically? S Friction between the bones leads to the tenderness, swelling, stiffness, and pain of arthritis. S Osteoarthritis or degeneration of a facet joint S The degradation and ware on the cartilage between the facet joints causes the osteoarthritis
- 7. Facet Disease – Non-Surgical Treatments S Rest, Ice, heat, Physical Therapy S Good posture S Anti inflammatory medication S Facet Joint Blocks – To Diagnose and to treat. A cervical, thoracic or lumbar facet joint injection involves injecting a small amount of local anesthetic (numbing agent) and/or steroid medication, which can anesthetize the facet joints and block the pain
- 8. Facet Disease – Surgical Solutions S Facet rhizotomy - In this injection procedure a needle with a probe is inserted just outside the joint. The probe is then heated with radio waves and applied to the sensory nerve to the joint in order to disable the nerve. Theoretically, by deadening the sensory nerve to the facet joint, a facet rhizotomy effectively prevents the pain signals from getting to the brain. A facet rhizotomy injection is successful in providing lasting pain relief for approximately 50% of patients.
- 9. Facet Disease – Surgical Solutions S Fusion - In unusually severe and persistent problems, degeneration of the adjoining disc is nearly always present so the segment may require a bone fusion surgery to stop both the associated disc and facet joint problems. Such surgery may be considered radical, but an untreated persistent, episodic, severely disabling back pain problem can easily ruin the active life of a patient and surgery can therefore be a reasonable choice in selected cases.
- 10. Facet Disease – Surgical Solutions S Facetectomy and foraminotomy - Lumbar foraminotomy is a surgical procedure that increases the space around the neural foramen and relieves compression of the spinal nerves by removing the disc fragments, overgrown ligaments and bone spurs from the neural foramen. Sometimes lumbar foraminotomy is not sufficient to decompress the nerves and one or more complete facet joints are also removed, known as facetectomy. Removal of the facet joints destabilizes the spine, necessitating a spinal fusion following a facetectomy.
- 11. Facet Disease – Surgical Solutions S Facet Fixation S 1.) Removal of lamina S 2.) Clamp Facets for Drill
- 12. Facet Disease – Surgical Solutions S Facet Fixation S 3.) Drill S 4.) Screw
- 13. Facet Disease – Case Study S The patient is a 57 year old male with a past medical history significant for type 2 diabetes mellitus S left shoulder and neck pain after a trial of analgesics and muscle relaxants did not improve his symptoms Image shows bony destruction at the left C5-C6 facet joint with extension into both the epidural space and bilateral paraspinal soft tissues
- 14. Facet Disease – Case Study S Facet joint septic arthritis with extension of the infection into the paraspinal musculature
- 15. Facet Disease Case Study S Septic arthritis is most commonly secondary to a bacterial infection with less common, more indolent infections resulting from fungal or mycobacterial causes S He was started on IV Vancomycin and Ceftriaxone, and was on the medication for 6 weeks. S On the 6 month check up, there was no evidence of infection