Spondylosis

Spondylosis is a degenerative disease of the spine in which there are osteophytes along the anterior and lateral aspects of the vertebral column.

Osteophytes are bone spurs or bony projections that form along joints. These are generally formed due to damage of the joint’s surface. These osteophytes cause restricted joint movements pain.

Both these conditions are associated with long term and recurrent back and neck aches, pain and stiffness. They are often called “wear and tear” changes and can severely affect a person’s life.

Fortunately there are many new ways to treat spondylosis and osteophytes very effectively.

Spondylosis Treatments

Which Part Of The Spine Is Affected By Spondylosis?

Any part of the vertebral column may be affected by Spondylosis. The cervical (neck) and lumbar (low back) regions tend to result in symptoms more commonly. The terms Cervical Spondylosis, Thoracic Spondylosis, and Lumbar Spondylosis describe the part of the spine affected.

What Causes Spondylosis?

Spondylosis is believed to be caused by problems in the circular disc of cartilage between two vertebral bones. This disc is known as the Annulus Fibrosus. It is prone to degenerative changes with age. As the disc ages, it gets weaker, fragments and collapses.

This results in direct contact between the adjacent vertebral bones and they start getting damage due to friction. The causes the formation of osteophytes which gives painful and restricted joint movements. Other than increasing age, conditions like arthritis and trauma have also been implicated as causes of spondylosis.

What Are The Symptoms Of Spondylosis?

A patient suffering from Spondylosis may experience:

  • Neck pain which radiates to the shoulder, or backache. The location of pain is related on the portion of vertebral column involved
  • Abnormal sensations or loss of sensations according to the segment of vertebral column involved
  • Muscle weakness (especially in arms and legs)
  • Loss of balance
  • Loss of bladder and/or bowel control(a medical emergency)

What Are The Treatment Options For Spondylosis?

Many patients with spondylosis feel that their treatment is not ideal. Conservative treatment and lifestyle modification yield some results in some cases. The goal of treatment is to slow the disease process and improve the quality of life by improving signs and symptoms of the disease.

The following are some possible modalities for the treatment of Spondylosis:

Conservative treatment:

  • Analgesics (painkillers) and anti-inflammatory medications like NSAID’s
  • Muscle relaxants
  • Heat therapy
  • Electrical stimulation
  • Message therapy
  • Physiotherapy and exercises to strengthen the muscles
  • Injections for spinal joints in severe cases

Surgical Treatment:

  • If above methods do not yield required results or if the severity of disease is beyond limitations of conservative treatment, then surgical intervention may become necessary
  • It involves repair of the affected inter-vertebral disc or removal of the disc
  • Sometimes fusion of two vertebrae is performed by using pieces of bone and inserting them between the two adjacent vertebrae

In many cases, patients are often started on medications and physiotherapy by their doctors. Injections and surgery may also be discussed as possible options.

New Non-Invasive Treatment Options For Spondylosis

With the recent advances in medical technology, there are now quite a number of new treatment options available to patients.

At The Pain Relief Clinic, we provide cost-effective and on-site Xrays, MRIs, and medical treatments for spondylosis.

Even for patients with severe spondylosis as well as long-standing pain and stiffness despite trying other treatments, we offer a number of particularly effective options such as the Indiba Activ.

If you are suffering from spondylosis, or if your condition has not improved despite standard treatments and have been told to consider surgery, simply call us at +65 6732 2397 or leave a message below for Dr Tan to discuss a customized non-invasive solution for you.



 Spondylosis

Apakah spondylosis itu?

Spondylosis merupakan penyakit degeratif pada tulang belakang dimana terdapat osteofit di sepanjang bagian anterior dan lateral dari kolom vertebral.

Osteofit merupakan taji atau penonjolan tulang yang terbentuk di sepanjang sendi. Osteofit biasanya terbentuk akibat kerusakan pada permukaan sendi. Hal tersebut menyebabkan batasan pada pergerakan sendi bersamaan dengan berbagai tingkatan rasa sakit.

Bagian tulang belakang manakah yang terkena dampak spondylosis?

Bagian tulang belakang manapun dapat terkena dampak dari spondylosis, namun biasanya bagian servik dan lumbar cenderung yang lebih umum mengalami gejalanya. Istilah-istilah Cervical Spondylosis, Thoracic Spondylosis, dan Lumbar Spondylosis menerangkan bagian tulang belakang yang terkena dampaknya.

Apakah yang menyebabkan spondylosis?

Spondylosis diyakini merupakan akibat dari masalah pada diskus sirkuler antara dua tulang vertebral. Diskus tersebut dinamakan Annulus fibrosus. Hal ini mengarah ke perubahan yang bersifat degeneratif seiring dengan usia. Seiring penuaan, diskus tersebut akan kehilangan air, terbagi menjadi beberapa bagian, dan lalu hancur.

Kondisi tersebut menyebabkan adanya wear and tear (rusaknya sendi akibat sering digunakan) diantara tulang-tulang punggung atau vertebra. Hasilnya adalah pembentukan osteofit yang menyebabkan rasa sakit dan keterbatasan gerakan sendi. Selain bertambahnya usia, kondisi seperti arthritis dan trauma juga terlibat sebagai penyebab spondylosis.

Apasajakah gejala spondylosis?

Pasien yang menderita spondylosis dapat mengalami:

  • Nyeri leher yang menyebar ke bahu, atau sakit punggung. Lokasi nyeri atau rasa sakit berhubungan dengan seberapa banyak tulang belakang yang terlibat.
  • Sensasi abnormal atau kehilangan sensasi yang mengacu pada segmen tulang belakang yang terlibat.
  • Otot terasa lemah (khususnya pada lengan dan tungkai).
  • Kehilangan keseimbangan.
  • Kehilangan kendali kandung kemih dan/atau usus bagian bawah (kondisi darurat medis).

Apasajakah yang menjadi pilihan perawatan dan penanganan standar untuk spondylosis?

Banyak pasien yang mengalami spondylosis merasa bahwa perawatan yang mereka lakukan tidak ideal. Perawatan dan penanganan konservatif serta perubahan gaya hidup memberikan beberapa hasil pada banyak kasus. Tujuan akhir dari penanganan ini adalah untuk memperlambat proses pada spondylosis dan meningkatkan kualitas hidup dengan memulihkan tanda dan gejala-gejala spondylosis.

Di bawah ini merupakan beberapa bentuk penanganan spondylosis:

Penanganan konservatif:

  • Analgesik (penghilang rasa sakit) dan pengobatan anti-peradangan seperti NSAID.
  • Obat untuk merelaksasi otot.
  • Terapi panas.
  • Stimulasi listrik.
  • Terapi pijat.
  • Fisioterapi dan latihan untuk menguatkan otot.
  • Suntikan di sendi tulang belakang pada kondisi parah.

Penanganan melalui operasi/bedah:

  • Jika metode-metode di atas tidak memberikan hasil yang diperlukan atau jika tingkat keparahan penyakit di luar batas kemampuan penanganan konservatif, maka keterlibatan operasi atau bedah dapat menjadi penting.
  • Jika tidak dapat diperbaiki, penanganan melalui operasi melibatkan perbaikan atau pelepasan (di buang) diskus intervertebral yang terkena dampak spondylosis.
  • Kadang dua tulang vertebral digabungkan dengan menggunakan serpihan-serpihan tulang dan hasil penggabungan ini disisipkan di antara dua tulang vertebral yang berdekatan.

 

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