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What Is Low Back Pain?Low back pain is a universal human experience -- almost everyone has it at some point.
May 12, 2016 By Ueli LadinaThe sciatica is the pain that it is caused by the compression and the irritation of the nerve of sciatic. It can relieve the pain of sciatica and also it can help body to heal itself especially if problem that caused by the spasm of muscle. In addition, it can help to release the tension and it can stimulate the circulation and to increase the motion range. By using the cold or hot compresses, it can help you to relieve the pain of sciatica and the inflammation. You can heat the relaxes of treatment tense muscle that it can be compressing the nerve of sciatica.
It is containing the compound that usually called the curcumin that it can help us to reduce the pain of nerve and the inflammation. It is containing the ingredients that it is active and it is called the capsaicin that it will work the reliever pain of natural. It will help to deplete the neurotransmitter level that it is the signal of transport pain. It contains the oil of volatile that it helps us to relax the muscle and to ease the tension. The poultice can prepare from the seeds of fenugreek that it can help in reducing pain of sciatica and it also has the benefits of anti-inflammatory. It is the other treatment that it is effective to relieve the pain of sciatica and to relax muscle also to help the body to heal itself. The care of chiropractic is the natural treatment that it can increase the popular for the pain of neck and the pain of back. This surgery removes a herniated or diseased disc and relieves neck and radiating arm pain caused by parts of the disc pressing on nerve roots. This surgical procedure creates more space for the spinal cord and nerve roots to relieve the painful pressure of spinal stenosis, a narrowing of the spinal canal that can result from arthritis. In this minimally-invasive procedure, the spinal nerve roots are decompressed and a metal device is implanted to stabilize the spine and help relieve back problems from conditions such as spinal stenosis, spondylolisthesis, and degenerative arthritis. This procedure removes a section of bone from the rear of one or more vertebrae to relieve the painful and disabling pressure of stenosis. This procedure is performed to relieve the pain caused when diseased or damaged vertebrae bone blocks and pinches nerve roots. This minimally invasive technique is used to remove the herniated portion of a vertebral disc.
This minimally-invasive procedure is designed to relieve pain caused by herniated discs pressing on nerve roots. Designed to be a less invasive way to fuse the spine, IBF is generally used for the treatment of back pain caused by degenerative disc disease.
This minimally-invasive procedure uses special guides and fluoroscopic imaging to allow a surgeon to precisely implant stabilizing screws and rods in the spine while minimizing damage to muscles, tendons and other soft tissue in the back. This minimally-invasive procedure, also called radiofrequency (RF) rhizotomy, reduces or eliminates the pain of damaged facet joints by disrupting the medial branch nerves that carry the pain signals. This minimally invasive procedure is used to remove a degenerated disc to relieve the compression of nerve roots in the lumbar spine. This minimally invasive procedure is used to remove overgrown vertebral bone and soft tissue to relieve the compression of nerve roots in the lumbar spine. This surgical procedure aligns and stabilizes the cervical spine to correct instability at the junction of the spine and skull, which can be caused by rheumatoid arthritis, spinal tumors, and spinal trauma.
Spinal cord stimulation (also called SCS) uses electrical impulses to relieve chronic pain of the back, arms and legs.
This procedure corrects the spinal condition caused by spondylolisthesis, in which weakened joints or fractured bones allow a vertebra to slip forward and pinch a nerve root. One goal of this procedure is to relieve the pain caused by pinched nerves or discogenic pain in the lumbar spine by replacing a diseased or damaged disc with specialized metal and polyethylene implants. This surgical procedure replaces a damaged or diseased disc in the cervical spine with an artificial disc that restores the natural alignment of the spine. This minimally-invasive, outpatient procedure is used to treat a compression fracture of the vertebra, an injury that commonly results from osteoporosis. By looking at this picture we are able to see why lower back pain can hurt without the disc having to impinge the “IVF Zone” denoted in red. Another reason why “mild” can hurt so badly is that the disc bulge really isn’t “mild” at all. Premiere specialist in the surgical treatment of injuries and diseases of the brain and spine. His recent research interests involve the dietary supplement resveratrol, found in red grape skins, which has been shown to activate genes for improved health. Please note that if you have Highmark Insurance or an insurance product provided by Highmark you still may be covered to be evaluated by Dr. An intervertebral disc can herniate, collapse or otherwise degenerate due to age, stress, strain, sudden impact or general wear and tear.
Once diagnosed with a cervical herniated or collapsed disc and having failed conservative treatment, an Anterior Cervical Microdiscectomy and Fusion surgery is often recommended to decompress the nerves and spinal cord. The ACDF  procedure both removes the nerve pressure and stabilizes the  spine, which typically results in relieve of the arm symptoms. The ACDF surgery is performed through a small incision (1 to 2 inches in length), made usually on the right side of the neck, about at the level of the Adam’s apple (see video below). For fusion with plate, a spacer is placed in the disc space, and a metal plate is placed over the front of the disc space to hold the spacer in place and to prevent movement between these vertebrae. It is intended for general informational purposes only and does not address individual circumstances. It affects the one part of the body but it can tend to be used to serve and also debilitating. It will be used by the issues like the infection or the injury of spinal, the disease of degenerative disc, the stenosis of spinal, and the pregnancy. Then you can heat mixture and allow it until cool and then you can message the sciatica area when it is warm of comfortable. Then you can pain the back of lower, the thighs side, and buttocks that it is often associated by using the point of trigger in the medius of gluteus and the muscles of minimus for sciatic nerve. In one day or two day after the flaring up of sciatica, you start the program of regular exercise for the strengthen back muscles of abdominal for sciatica pain relief. It is the good of the particularly to ease the pain of sciatica that caused by using the spasm of muscle.
It is containing the glycosides of phenolic by using the salicin that it is providing the anti-inflammatory and the benefits of analgesic.
The other theory is by stimulating the points of certain acupuncture, the nervous of central system can be stimulated in turn the release triggering of chemicals that it is either to change pain perception or to produce the sense. It is also including the technique of different that involving the short thrusts, the rapid for alleviating the responsible nerve irritability for the other symptoms and the inflammation.
The surgeon will stabilize the spine by fusing vertebrae together with bone graft material. It relieves neck, arm and leg symptoms caused by pressure on the spinal cord and spinal nerves.


The procedure creates more space for the spinal cord and nerve roots, immediately relieving pressure. It is 95% to 98% effective in eliminating leg pain (sciatica) caused by nerve root compression.
This surgery is performed through a small tubular device under local or epidural anesthesia, allowing the patient to leave the hospital the same day. When the procedure is performed from the front (anterior) of the spine, a minimally-invasive endoscopic technique may be used.
It is believed that electrical pulses prevent pain signals from being received by the brain. The pinched nerve can cause pain to radiate down to the legs and feet through the sciatic nerve. Unlike fusion surgery, which causes the vertebrae above and below the problem disc to grow together into a single bone, the artificial disc preserves spine motion at that level.
This technique can restore the height of the vertebra and stabilize the fracture, providing rapid pain relief. The sinuvertebral nerve will pick up tears in the annulus fibers of the disc, sending that information to the brain.
Newer technology has emerged in the MRI field so that more accurate images of the spine can be produced, by sitting.
Maroon, MD, FACS is clinical professor and vice chairman of the Department of Neurological Surgery and Heindl Scholar in Neuroscience at the University of Pittsburgh Medical Center. Maroon is regarded as a premiere specialist in the surgical treatment of injuries and diseases of the brain and spine, specializing in minimally invasive procedures. Maroon obtained his medical and neurosurgical training at Indiana University, Georgetown University, Oxford University in England and the University of Vermont. Maroon is the author of six books, and (co-)author of 40 book chapters and over 270 published scientific papers. Maroon has been the team neurosurgeon for the Pittsburgh Steelers since 1981, and is Medical Director of the World Wrestling Entertainment (WWE). Maroon is highly invested in the prevention and treatment of concussions in high school, college and professional sports, specifically football. Maroon is frequently interviewed and quoted by the media, including the New York Times, USA Today, Associated Press, ESPN, Sports Illustrated, and ABC News Nightline.
Joseph Maroon has a major interest in regenerative medicine and is senior Vice-President of the American Academy of Anti-Aging Medicine. Maroon developed research interests in the use of omega-3 fatty acids as a safe and natural alternative to non-steroidal anti-inflammatory drugs (NSAIDs) in treating neck and low-back pain in patients with disc and arthritic causes.
Maroon received an athletic scholarship to Indiana University in Bloomington, Indiana where as an undergraduate, he was named a Scholastic All-American in football.
Maroon (along with NFL’s great Joe Montana and NBA legend Kareem Abdul-Jabbar) was inducted into the Lou Holtz Upper Ohio Valley Hall of Fame for his athletic accomplishments and contributions to sports medicine on June 27, 1999. Maroon was in 2011 selected as a “Distinguished Alumnus” of Indiana University—one of 5 selected annually from 500,000 alumni from the university. We respect your privacy and will not use your information for any other purposes than to contact you for an appointment. We admit patients to the hospitals of UPMC Health System, including UPMC Presbyterian and UPMC Passavant. These discs are softer than the bone of the vertebrae and they provide shock absorption and flexibility in the back. If this occurs, the disc can lose its function of maintaining proper distance between the vertebrae.
The inserted spacer promotes bone growth and eventually, the two adjacent vertebrae will grow together and provide the space and stability necessary. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. The pain is usually extending from back of lower for the rear of the down and the thigh that through for leg.
You can take the supplement of white willow bark of the 120 mg or 240 mg the salicin in one day for the several weeks.
You must consult the doctor first about the treatment of proper and depending the extract that cause the pain of sciatica. This relieves pressure on the nerve roots caused by stenosis (a narrowing of the spinal canal). This surgery is usually performed on an outpatient basis, which allows the patient to leave the hospital the same day. SCS candidates include people who suffer from neuropathic pain and for whom conservative treatments have failed.
This minimally-invasive procedure is generally used to treat leg or back pain caused by degenerative disc disease.
Now this is not an insult to medicine as I believe there is a place for medicine, but most MD’s are not adequately trained in musculoskeletal conditions.
In addition to being a renowned neurosurgeon, he is a sports medicine expert, health and nutrition expert and Ironman triathlete. Consistently listed in America’s Best Doctors for the past 20 years, he has an international referral base, including numerous professional athletes and celebrities. He conducted extensive research into neurotrauma, brain tumors and diseases of the spine, which has led to many innovative techniques for diagnosing and treating these disorders.
He has given more than 150 presentations at national and international conferences and is often invited as visiting professor and key-note speaker. He has successfully performed surgery on numerous professional football players and other elite athletes with potentially career-ending neck and spine injuries. While working with the Steelers in the early 1990’s,  the lack of an objective, reliable instrument to evaluate concussion symptoms became very apparent to Dr. Furthermore, he is on the Board of Directors of Mylan Laboratories, the 3rd largest Generic drug company in the world and is Chairman of their Science and Technology Committee.
He wrote the book, Fish Oil: The Natural Anti-Inflammatory, which highlights many of the benefits of fish oil, not just for back-pain, but also for general good health.
He is much invested in keeping his expertise up to date as he “practices what he preaches”. Eleven years later, on March 14, 2010 he was inducted into the National Fitness Hall of Fame in Chicago.
They also help keep the proper distance between the vertebrae to allow room for nerve roots to exit the spinal cord. This can cause the nerves that exit the neck area of the spine (the cervical spine) and go to your arms to become compressed, which results in pain, numbness and possibly weakness in your arms and even legs. Neck pain and stiffness is also common and is often the first symptom to occur. A “nerve block injection” to the specific nerve(s) in the neck that likely are compressed and cause the pain can both relieve symptoms and determine if the injected nerve indeed is the nerve that is compressed and causes the pain.  A nerve root injection may be necessary prior to surgery, to better determine if the ACDF surgery will help you. This fusion will stabilized the area and hold the bones in place with adequate distance to allow healing and reduce the pain associated with movement in that part of the neck. Maroon uses minimally invasive techniques, which allows for reduced tissue trauma and hence faster healing times.
Potential anesthetic complications will be reviewed with you by the anesthesiologist on the day of surgery.
Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site.


His research efforts garnered him numerous awards from various national and international neurological societies.
He has served on the editorial boards of eight medical and neurological journals and is currently associate editor of Surgical Neurology,  and editorial board member of Neurological Research and The Physician and Sports Medicine journals. Maroon has successfully maintained his personal athletic interests through participation in 9 marathons and more than 72 Olympic-distance triathlon events. In most cases, the patient is released from the hospital the next day and is quickly able to return to many of the daily activities. The plate  is made of very strong, non-magnetic metal (which will not set off a metal detector) and is held in place with two small screws (see x-ray photo). Following the surgery, minor discomfort resulting from the incision is common, but temporary. He also is past-President of the Congress of Neurological Surgeons, the largest society of Neurosurgeons in the world. The plate will not be removed after the bone fusion process of the body is complete unless necessary for medical reasons. Symptoms of Low Back PainSymptoms range from a dull ache to a stabbing or shooting sensation. It all comes down to a discovery of a nerve that actually innervates the back end of the disc which is the part that bulges.
Mark Lovell developed ImPACT™ (Immediate Post-Concussion Assessment and Cognitive Testing), an easy-to-administer, 20 minute long test to assess presence and severity of concussion symptoms. Recently, in July 2012 and 2013, he finished second and third, respectively, in his age group in the Muncie, Indiana half Ironman triathlon. If such pain occurs, it can be relieved with the use of mild pain medication.  Typically, you will not need to wear a cervical brace after surgery. ImPACT™ has become the world-wide standard tool to assess sports-related concussions, and has been used in over 4.5 million athletes. Below is a picture of the sinuvertebral nerve as marked by SN.When a new patient comes to me with a disc problem and has seen a MD, they often have a MRI cd with them.
If you went into the hospital and needed a stress test on your heart, the hospital wouldn’t put you in a recliner and say “ok looks pretty good”. Maroon joined the National Football League’s mild Traumatic Brain Injury Committee as concussion expert. An MRI will show far more about the body than the 100 plus year old x-ray technology, such as how many millimeters is the disc bulge or is it a disc herniation (for those that need to know, bulging and herniation are treated in the same way chiropractically). This committee, which in 2007 was renamed National Football League’s Head, Neck and Spine Committee, is still in place. Symptoms That Require Urgent CareSevere back pain after a fall or injury should be checked out by a health care professional.
Many times the radiologist who read the MRI may simply describe the disc as mild, moderate or severe bulging. Other warning signs include a loss of bowel or bladder control, leg weakness, fever, and pain when coughing or urinating.
Everytime I read that to a patient I hear the same response, “then why does it hurt so bad Doc?”. Muscle Strain or Sciatica?The kind of back pain that follows heavy lifting or exercising too hard is often caused by muscle strain. The image below shows the increase in disc loading with standing being the point of reference at 100%. If a bulging or ruptured disc presses on the sciatic nerve, pain may run from the buttock down one leg. Back Pain Culprit: Your JobIf your job involves lifting, pulling, or anything that twists the spine, it may contribute to back pain. However, sitting at a desk all day comes with risks of its own, especially if your chair is uncomfortable or you tend to slouch. Back Pain Culprit: Your BagAlthough you may wear your purse, backpack, or briefcase over your shoulder, it is the lower back that supports the upper body -- including any additional weight you carry.
Back Pain Culprit: Your WorkoutOverdoing it at the gym or golf course is one of the most common causes of overextended muscles leading to low back pain. You're especially vulnerable if you tend to be inactive during the work week and then spend hours at the gym or softball field on the weekend.
Back Pain Culprit: Your PostureMom was right when she said, "Stand up straight!" Your back supports weight best when you don't slouch.
This means sitting with good lumbar support for your lower back, shoulders back, with feet resting on a low stool. Back Pain Culprit: Herniated DiscThe spine's vertebrae are cushioned by gel-like discs that are prone to wear and tear from aging or injuries.
Who's at Risk for Low Back Pain?Most people get their first taste of low back pain in their 30s. Home Care for Low Back PainBack pain due to muscle strain will usually get better on its own, but you can take steps to make yourself more comfortable.
But if the problem is muscle strain, doctors recommend returning to your normal activities as soon as possible.
Studies suggest that any more than a day or two of bed rest can actually make the pain worse and may reduce muscle tone and flexibility. In one study, people who took 12 weeks of yoga classes had fewer symptoms of low back pain than people who were given a book about care for back pain.
Make sure your instructor is experienced at teaching people with back pain and will modify postures for you as needed. Spinal ManipulationChiropractors and some osteopathic doctors use spinal manipulation to treat low back pain by applying pressure with their hands to bones and surrounding tissues. Massage TherapyMassage may relieve chronic low back pain, especially when combined with exercise and stretching. Those who had simulated acupuncture (involving toothpicks tapping the skin) got the same benefits as those who had real acupuncture with needles. After eight weeks, both groups had greater relief than people who did not have acupuncture. MedicationsMild back pain often feels better with over-the-counter pain relievers, such as acetaminophen, ibuprofen, or naproxen. InjectionsIf simpler therapies and medications aren't helping, your doctor may recommend injections to the back. SurgeryIf long-lasting back pain is interfering with your daily life, and other treatments have not provided relief, you may be a candidate for surgery. Physical TherapyIf back pain has left you inactive for a long time, a rehabilitation program can help you strengthen your muscles and get back to your daily activities. A physical therapist can guide you through stretches, strength exercises, and low-impact cardio that will help you be fitter without straining your back.
Strengthening the BackTwo types of strength-training moves that may benefit the lower back are flexion and extension exercises. If you have back pain, make sure to talk to your doctor about what exercises are safe for you.



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