Degenerative Spinal Conditions

As we get older there is an increased risk of spinal injuries occurring, resulting from natural wear and tear of the bones and joints over time. Sometimes this causes minor discomfort that disappears with time or over-the-counter medicines but occasionally the results can be more severe.

Acute Disc Herniation

Also known as a slipped disc, acute disc herniation (ADH) occurs when one of the intervertebral discs (pads of cartilage between each spinal vertebra which provide shock absorption and spinal mobility) moves out of place. ADH can occur anywhere along the spine but is usually in the lower back. It can cause severe pain in the back and legs if the disc slips so that it is pressing against the spinal column. It can also produce neural symptoms, including tingling, numbness, and weakness in the limbs.

ADH can often be treated with rest and anti-inflammatory medications. Physical therapy may be used to gently introduce movement and extension back into the spine, however, if symptoms don't improve then surgery may be necessary to fix the problem. A microdisectomy, where the herniated portion of the disc is removed, leaving the undamaged section intact, may be sufficient. However, in cases of repeat occurrences or very severe herniations it may be necessary to remove the whole disc and fuse together the vertebrae from above and below it.

Spinal Stenosis

Spinal problems can also arise as a result of an abnormal narrowing of the canal through which the spinal nerves run. Most often this condition develops with age and becomes significant in a person's 50s, though occasionally it can be congenital. As the canal begins to compress the spinal cord and nerves it will cause a radiating pain, numbness, and weakness. If the canal narrowing occurs in the lower back then it will cause sciatica-like symptoms in the legs and buttocks, while if it occurs nearer to the neck symptoms can be more severe, with a risk of paralysis. Spinal stenosis rarely occurs in the thorax as the middle back is the most stable and strong area, allowing for minimal movement.

In many cases the symptoms of spinal stenosis can be relieved with medications however, if symptoms persist to an extent where the patient can no longer perform everyday tasks decompression surgery may be considered. This involves removing a section of bone in order to relieve pressure on the spinal cord.

Our doctors treat both conditions, at all levels of severity. if you require help with spinal pain call 212-241-6335 to book a consultation.