December, 2018

Below are links to articles posted in December, 2018


The Anatomy of Back Pain

doctor with spine model - anatomy of back pain cover photo

Everything we do—laying, sitting, walking, and more—depends on our spine working properly. Unfortunately, we don’t tend to think of our spine or back unless we start to feel pain. Back pain is a condition that up to 80% of the population will suffer at some point in their lives. It is the most common reason for lost work days, disability claims, and missing out on the things we love to do. Back pain can range from dull and nagging to agonizing or debilitating.

What exactly causes back pain? The key to understanding back pain is taking a closer look at the spine, nervous system, and other tissues that help to manage our movement.

Understanding the Spine & Back

The anatomy of the spine is complex. A series of bones, muscles, and connective tissues work together to help it function. The key role of the spine is to protect the spinal cord and nerve roots so they can safely relay messages to and from the brain. Without these messages, you wouldn’t be able to survive.

In addition, your spine enables movement and assists with activities such as weight-bearing, shock absorption, and posture. Most adults have 33 vertebrae which divide the spine into five areas:

  • Cervical Spine: 7 vertebrae in the neck region
  • Thoracic Spine: 12 vertebrae in the upper back
  • Lumbar Spine: 5 vertebrae in the lower back
  • Sacral Region: 4 vertebrae near the tailbone.

The lower areas of the spine bear more of the body’s weight to support movement and other daily activities. The cervical and lumbar spine enable the most movement, and, as a result, are the most prone to injuries.

the anatomy of back pain: vertebrae, spinal nerves, discs, and spinal cord

Each vertebra has a rounded bone at the front of the spine called the vertebral body. A ring formed by two bones attaches to the back of the vertebral body. Inside of this ring resides the spinal cord—the nervous system’s “superhighway” that sends and receives messages between the body and the brain. The back of the spine also has other canals that allow nerves to extend from the spinal cord throughout the body.

In addition, our vertebrae are connected by joints. Many of these joints are known as synovial joints—the most flexible joints in our body. Without these joints, our bones would not have any movement. Furthermore, flexible, fibrous tissue, known as ligaments, connect the bones to each other.

Of course, another key component to movement is muscles. These fibrous tissues connect to the spine with the help of tendons. Muscles contract and expand, with the help of nerves, to move our bones.

Spinal Discs: The Spine’s Built-in Shock Absorbers

Intervertebral discs are important structures that deserve their own section. If you’ve ever had a bulging or herniated disc, you know firsthand the kind of pain that these little cushions can cause.

Intervertebral discs are tough ligaments between each vertebra that connect the spine, allow for flexibility, and absorb shock as the body moves. In addition, cartilage, a glossy lubricating tissue, covers the ends of bones at the joint to facilitate motion and minimize friction.

Degenerative Disc Disease occurs when these discs break down from years of overuse or the natural consequences of aging. In fact, one of the most common causes of back pain in individuals over age 45 can be attributed to Degenerative Disc Disease.

rubbery intervertebral discs

How Does Each of These Components Contribute To Back Pain?

There are many reasons why you may experience back pain. In some cases, a simple strain to a back muscle can cause discomfort. Many people find that injury or changes to spinal structure often set off a chain reaction that can affect others areas. Let’s look at how the different components of the spine can cause you discomfort.

Muscle & Soft Tissue Disorders

As you know, tendons connect muscles to vertebrae. These muscles support the spine and make the trunk of the body bend, twist, and perform other daily functions. Many people who suffer from back pain have hidden damage to their muscles and tendons. This can be due to stress on these soft tissues from improper lifting, obesity, poor posture, or trauma to the area. A muscle strain occurs when lower back muscles are overused or stretched too far. Ligaments, the tissue connecting bones, can also suffer damage, leading to pain and limited mobility.

In addition, when people suffer from back pain, they try their hardest not to move in ways that cause them even more pain. This can cause muscle weakness and a reduction in flexibility, which often leads to even more issues down the road.

Sometimes the origins of your back pain don’t even start with your spine. For example, people with tight hamstrings (the muscles at the back of your thigh) can develop lower back pain as a result.

Spine Conditions Caused By Intervertebral Discs

As we age, the discs separating our vertebrae tend to dry out and lose shape. Commonly known as degenerative disc disease, this causes structural changes in the spine and can lead to a pinched nerve.

In addition, a ruptured disc occurs when the gel-like center of a disc breaks through the outer fibrous ring. Sports and work-related injuries, falls, and accidents commonly lead to this type of condition. In most cases, people develop ruptured discs in the lower back. Ruptured discs can, however, occur anywhere in the spine, from the neck all the way down to the lumbar region.

Vertebral Fractures & Diseases

A spinal vertebra is not a single bone but a series of small bones connected by joints and soft tissues. There are structures in place, like the discs, to help protect the spine and absorb the shocks of everyday movement. Unfortunately, the vertebrae are not immune to injury. Osteoporosis, or weakened bones, can lead to compression fractures of the vertebrae. In addition, a vertebral fracture may occur following a bad fall, accident, or sports injury.

Likewise, if the joints at the back of the spine, known as facet joints, become injured, it can trigger muscle spasms and apply pressure to nerves.

Spinal Cord & Nerve Dysfunction

The spinal column houses the spinal cord and contains openings to allow nerves to reach every area of the body. Changes in the vertebrae, joints, and discs can cause narrowing of the spinal canal, known as spinal stenosis. This condition can be extremely painful and even lead to more serious conditions like muscle weakness or paralysis.

Since the nerves are connected to other areas of the body, your pain isn’t limited to the back. Radiculitis, or pain that starts at one area and radiates to other parts of the body, is a common symptom when nerves are compressed. For example, sciatica is a condition that occurs when the sciatic nerve is compressed. A patient who suffers from sciatica often feels lower back pain that radiates to the back of the thigh and leg.

spinal stenosis from lumbar herniated disc

Diagnosing & Treating Your Lower Back Pain

As you can see, the cause of your back pain may not be a simple answer. Some people experience back pain for a short period of time. Others develop chronic, painful conditions that limit their activities and quality of life.

If conservative treatments like rest or over-the-counter medications aren’t helping with your back pain, it’s time to get the guidance you need from an orthopedic doctor. Since many back pain conditions have a similar set of symptoms, receiving a proper diagnosis is key to finding the best treatments for you. Be wary of a doctor who listens to your complaints about back pain and sends you off with only pain medications. While these can provide temporary relief, they may not treat the underlying problem.

An orthopedic doctor will review your medical history, symptoms, and everyday activities. The doctor also performs a thorough physical examination and may request diagnostic imaging tests depending on your situation. This information will help your doctor determine the most appropriate treatments for you.

Finding Solutions for Your Neck & Back Pain Now

If you’ve been struggling with back pain, then you’ll want to find the best way to manage your discomfort and successfully treat your condition. You’ll want a knowledgeable and trusted source who has shown proven results in helping others with similar troubles.

Our team at Orthopedic & Laser Spine Surgery are experts in treating back pain. Using the latest research, technology, and treatments, our doctors will accurately diagnose your condition and suggest the best solutions for you. In fact, our team of spine experts often finds non-surgical treatments that can help with your specific condition.

If surgery is necessary, then we use the latest, minimally invasive surgeries to minimize pain and scarring. Since these procedures do less harm than traditional open surgeries, you can expect less pain and reliance on pain medications. In fact, most of our patients experience a faster recovery time so they can get back to doing what they love even sooner.

Give yourself a brighter future by taking care of your pain today. Take some time right now to schedule a consultation at Orthopedic & Laser Spine Surgery by calling (855) 853-6542.


Managing Arthritis Pain with CBD Oil

cbd oil for arthritis pain and stethoscope in background

Cannabidiol (CBD) oil, or hemp oil, is a special type of oil that we can extract from cannabis plants. Many people use this type of oil to relieve pain-related symptoms that are associated with chronic conditions that cause pain. Unlike marijuana, CBD oils do not contain THC, which is the compound that produces the “high” in humans.

So far, studies that focus on the effects of CBD on chronic conditions, such as arthritis, have been promising. CBD products may or may not work for everyone, but studies show that they certainly work for some patients.

cbd or cannabidiol as a compound

What is CBD Oil?

CBD is a type of chemical that occurs naturally in cannabis plants. While this is the case, the chemical is not currently considered to be a psychoactive substance. Cannabis itself contains a variety of different chemicals. Specifically, the chemical that can produce a psychoactive reaction in humans is called tetrahydrocannabinol (or THC).

CBD products come in many different shapes and sizes, and their contents vary wildly. Some products contain higher amounts of CBD, while others are a bit more toned down. Because many people use the associated plant to achieve recreational highs, there is an unfortunate stigma surrounding CBD products. Naturally, many people automatically assume that CBD products and marijuana are one and the same. This is simply not the case. In fact, most people extract CBD oils from hemp plants, rather than from marijuana plants. Both of these plants fall under the cannabis classification, so the confusion is natural. However, like CBD oil, hemp plants do not contain any THC.

How do CBD Products Relieve Pain?

It would not be truthful to say that the extracted oil from CBD does not affect brain activity. It certainly does, but not in the same way that THC alters our perception. CBD oil reacts with two receptors in the brain, aptly named the CB1 and CB2 receptors. The interaction that takes place between the oil and these receptors is what can reduce chronic pain, such as cancer pain, and inflammation.

Additionally, CB2 also reacts with the immune system. In particular, this is beneficial for people with rheumatoid arthritis (RA), a condition in which the immune system attacks the joints. The relationship between this receptor type and the immune system is likely why CBD products seem to work so well in RA patients.

Of course, the benefits of using CBD products in RA patients do not just end at the immune system. Because of the oil’s anti-inflammatory properties, CBD also slows down the progression of the disease. In some instances, the supplement may even stop the progression altogether. Additionally, CBD products may alleviate symptoms such as fever and fatigue. This is because these problems are closely associated with the inflammation that RA causes.

CBD Application

As previously mentioned, CBD products come in different shapes and sizes. You can find CBD oil in the form of a capsule or even a liquid, for example. One is not really better than the other, it more or less depends on your personal preferences. Some people even mix the oil in with other lotions that they already use. This mixture is effective when applied directly to the affected joints.

To find out the appropriate dosage for you, experts recommend that you consult with your doctor. Dosages in CBD products vary wildly, from 2.5 mg all the way up to over 1000 mg. Most patients start out with small doses and work their way up to determine effectiveness, but it is still recommended that you consult a doctor. If the current dosage you are taking is not providing any benefits, then try slowly increasing the dosage until you notice a change.

Always purchase CBD products from a reputable provider and make sure that they include a full list of ingredients. Although not as common, topical CBD creams and lotions are slowly becoming more available. This will benefit those who already make their own DIY mixtures, as the oil dosage will be much more clear-cut.

different forms of cbd oil

CBD Oil & Arthritis Pain Relief

Chronic pain, such as lumbago, is sort of the root of all evil—it leads to so many other problems. Many patients with chronic pain conditions often suffer from comorbid disorders, such as insomnia, depression, or anxiety. This just has to do with the way that a constant, suppressing feeling of pain interacts with the body. It makes us want to do less, and it keeps us from sleeping at night.

Conditions known to produce this dilemma are:

  • Osteoarthritis(OA): A degenerative disease caused by age-related wear and tear. Also, one of the most common types of arthritis. Osteoarthritis typically affects joint cartilage and bones, leading to pain and stiffness. Usually, OA primarily attacks the hip, knee, and thumb joints.
  • Rheumatoid Arthritis (RA): The other incredibly common form of arthritis. This one is a little different, however, as it is more of an autoimmune disease than a degenerative disorder. Rheumatoid arthritis causes the immune system to attack the joint cartilage and bones, leading to pain and stiffness. Usually, this condition targets the hands and feet.
  • Psoriatic Arthritis (PA): Not as common as the other two, but not exactly rare either. PA occurs in patients with psoriasis—a condition that causes red, scaly skin patches. Most people develop psoriasis first, and then PA follows. That being said, there are cases where joint problems appear before the skin lesions.
  • Multiple Sclerosis (MS): A disabling disease of the central nervous system. With this condition, the immune system attacks the myelin sheath that covers our nerve fibers. This leads to misfirings and gradual nerve deterioration.

These are just a few conditions that CBD can help. It’s important to note that you do not have to fall on this list to receive the benefits of CBD oil. CBD oil also aids with chronic pain, which for some people, is a condition all on its own.

arthritis pain and cbd oil

Does CBD Oil Work?

In that regard, it’s honestly like any other medical treatment. The answer is sometimes. However, CBD constitutes a much better alternative to opioids and comes with fewer side effects. Of course, that statement is case-dependent, but the real appeal here is that CBD oil is not risky. At most, the reported side effects of CBD products are mild. These include fatigue, insomnia, irritability, and nausea. Even still, it is uncommon for these effects to occur. Basically, it almost never hurts to try. CBD oil provides a conservative avenue to explore for those with opioid sensitivity

But, what does the scientific evidence indicate? Studies for cannabis-based treatments in RA patients began in roughly 2006. Researchers concluded that after five weeks of use cannabis-based treatments reduced inflammation and pain in RA patients. Moreover, these patients also experienced improved sleep and little to no negative side effects.

Additional studies have been performed, but they all reveal pretty much the same thing. The only issue with these studies is that they have relatively small sample sizes. That being said, what they do show is quite promising. It is very likely that the future will bring even larger studies that will provide us with even better scientific results that indicate the treatment’s effectiveness.

Are CBD Products Legal?

The answer to this depends on your state, but in most of them, it is. You can easily find interactive maps online that detail your state’s laws on the matter.
Do you have a chronic pain condition? Maybe CBD oil is right for you. As always, if you have any questions on the matter, please contact us at (855)853-6542. Our spine doctors at OLSS are leading experts in the field of conservative treatment options. They will be able to answer any questions you may have about this treatment.