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Radiculopathy(spine) Low back pain www.drsandeepagrawal.com www.agrasenortho.com agrasen hospital gondia vidarbha dr sandeep c agrawal gondia maharashtra

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Radiculopathy is the result of a compressed nerve causing pain that radiates into the arm or leg. 
The compression of the nerve may be either an acute episode, from either a whiplash injury, disc herniation or additional traumatic episode such as a fracture. Alternatively radiculopathy can develop over time from a compression of the nerve that is slow and progressive resulting from thickening of ligaments or arthritis/bone spurs.
Can Radiculopathy Heal?
The nerve that is affected by radiculopathy comes off of the spinal cord and is called a peripheral nerve. Peripheral nerves have the ability to recover depending upon two factors. One factor is how forceful the nerve is compressed and the second factor is the length of time of the compression. Now consider the hit to be very hard or if that nerve is compressed for a long period of time, then the nerve is slow to recover and may not recover completely.
A nerve recovery pattern is not like a light switch where you go from on to off, or a damaged nerve to a normal nerve. There is a period of recovery time. A nerve recovers at the rate of 1 mm per day. Thus one can see that repetitively damaging a nerve results in delayed recovery or inability to recover.
If a nerve is decompressed the recovery is dependent upon those factors. Usually pain is the first thing that recovers, paralysis may recover and the last thing to recover is numbness / tingling / dysethesias / exercise intolerance. The recovery of the nerve is variable and depends upon the two injury factors of magnitude of force, and how long the nerve has been compressed. If a nerve is not completely and irreversibly damaged there is hope for improvement with decompression.
Dr.Sandeep C Agrawal
Consultant Orthopaedic Surgeon
 Agrasen Hospital Gondia
 India
www.drsandeepagrawal.com
 www.agrasenortho.com

Published in: Education
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  • Spinal stenosis is commonly seen in the last three levels of the lumbar spine ( L3—S1) and the middle cervical spine (C4-C7). Even though a spinal stenosis may be seen on an MRI, Myelogram or even X-ray--its diagnosis as the cause of your pain can only be made from a thorough Spinal Stenosis Examination. Just because you have a narrow canal does not mean it’s causing your back, leg or arm pain! Many canals are quite small, yet produce few symptoms. The most common symptom of lumbar spinal stenosis is spinal claudication. It’s a name we use to describe leg pain that increases with walking and is relieved by sitting and resting. It often occurs down both legs (although one leg is usually worse) and is often associated with numbness, burning and leg weakness. The symptoms can be anywhere from your buttocks to your feet. Most patients complain they can walk a few blocks or less, but have to stop due to leg pain. Usually the achiness or burning goes away by bending or bringing the legs up into the chest (while lying down). But it comes back after resuming the walk. The stenosis may become so severe that the leg pain becomes constant and unremitting, making walking nearly impossible. The disability on ones life cannot be overstated both mentally and physically!!! Cervical Spinal Stenosis can cause weakness, numbness and pain from your neck, to your torso to your legs (basically, anything below the stenosis). Spasticity and cramping below the effected area is more common in cervical stenosis.
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  • Excellence in Spine Care : Dr Sandeep Agrawal provides care for patients suffering from low back pain, arthritis, degenerative disc disease, herniated discs, spinal stenosis, scoliosis and sciatica, to name just some of the conditions he treats. While he takes a completely individualized approach to every patient he sees, his goal is always the same: to help patients get back to their healthy, active lives. If you’re suffering from back or neck pain, the innovative treatments, skilled specialists and comprehensive care at Agrasen Hospital are here to help you find relief. Highly skilled, experienced spine knowledge bring you an array of nonsurgical and surgical treatment options and offer the latest advances in spine surgery. Conditions Treated : Kyphoplasty spinal fusion Repair of herniated discs Treatment of cervical spine disorders Treatment of low back pain Treatment of sciatica & Radiculopathy Treatment of spinal deformities Treatment of spine or nerve compression Treatments of stenosis and arthritis Vertebroplasty
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Radiculopathy(spine) Low back pain www.drsandeepagrawal.com www.agrasenortho.com agrasen hospital gondia vidarbha dr sandeep c agrawal gondia maharashtra

  1. 1. www.drsandeepagrawal.com! www.agrasenortho.com! AGRASEN HOSPITAL! Gondia Vidarbha ! DR SANDEEP C AGRAWAL! ! ! ! ! ! ! RADICULOPATHY : Radiculopathy is the result of a compressed nerve causing pain that radiates into the arm or leg.
  2. 2. ! ! ! !
  3. 3. ! ! ! ! ! ! ! !
  4. 4. ! ! ! ! ! !
  5. 5. ! ! ! ! ! ! Compression of the nerve may be either an acute episode, from either a whiplash injury, disc herniation or additional traumatic episode such as a fracture. Alternatively radiculopathy can
  6. 6. develop over time from a compression of the nerve that is slow and progressive resulting from thickening of ligaments or arthritis/bone spurs. ! Can Radiculopathy Heal? The nerve that is affected by radiculopathy comes off of the spinal cord and is called a peripheral nerve. Peripheral nerves have the ability to recover depending upon two factors. One factor is how forceful the nerve is compressed and the second factor is the length of time of the compression. Now consider the hit to be very hard or if that nerve is compressed for a long period of time, then the nerve is slow to recover and may not recover completely. ! A nerve recovery pattern is not like a light switch where you go from on to off, or a damaged nerve to a normal nerve. There is a period of recovery time. A nerve recovers at the rate of 1 mm per day. Thus one can see that repetitively damaging a nerve results in delayed recovery or inability to recover. ! ! ! ! ! ! ! ! If a nerve is decompressed the recovery is dependent upon those factors. Usually pain is the first thing that recovers, paralysis may recover and the last thing to recover is numbness / tingling / dysethesias / exercise intolerance. The recovery of the nerve is variable and depends upon the two injury factors of magnitude of force, and how long the nerve has been compressed. If a nerve is not completely and irreversibly damaged there is hope for improvement with decompression. www.drsandeepagrawal.com www.agrasenortho.com AGRASEN HOSPITAL Gondia Vidarbha DR SANDEEP C AGRAWAL GONDIA !!
  7. 7. ! ! ! ! ! ! ! ! ! ! ! ! ! !

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