Disc disease - Revision history

Rossdonaldson1: Redirected page to Lower back pain

2017-10-29T05:03:39Z

← Revisión anterior		Revisión del 05:03 29 oct 2017
Línea 1:		Línea 1:
	~~==Background==~~		#REDIRECT[[Lower back pain]]
	*If no [[Cauda equina syndrome]] or progressive neuro deficit → delay surgery for a month
	*Epidural steroids for temporary symptomatic relief
	*Discetomy gives better pain control over 4 yrs but not past 10
	*Microdiscectomy similar to standard discectomy but percutaneous or laser discetomy less effective than standard surgery

	~~==Spinal Stenosis==~~
	*Low back pain that gets progressively worse over time
	**Check ankle-brachial index (ABI) to rule out vascular claudication
	*Avoid alcohol and strengthen legs to prevent falls
	*Exercise bike or walking recommended with rest when pain comes
	**Pain relieved with forward flexion (walking uphill)
	**Pain worse with extension (walking downhill)
	*Decompressive laminectomy for severe persistent pain
	*Adding spinal fusion to decompression improves outcome
	*Even with surgery, symptoms may reoccur in a few years

	==[[Lower back pain~~\|Chronic Back Pain]]==~~
	*Neural remodeling and neuro-plasticity may explain chronic pain in absence of ongoing tissue injury - alters perception of pain
	*Intensive exercise helps
	*Antidepressants, especially tricyclics (better than SSRI), also helpful
	*No long term opioids
	*Goals may need to be refocused
	*Multiple surgical procedures are not helpful

	~~==Prevention==~~
	*Corsets and education not helpful
	*Weight loss, exercise, smoking cessation helpful

	~~==References==~~
	~~<references/>~~

	~~[[Category:Neurology]]~~
	~~[[Category:Orthopedics~~]]

Josgood at 01:19, 22 October 2017

2017-10-22T01:19:39Z

← Revisión anterior		Revisión del 01:19 22 oct 2017
Línea 16:		Línea 16:
	*Even with surgery, symptoms may reoccur in a few years		*Even with surgery, symptoms may reoccur in a few years

	==Chronic Back Pain==		==[[Lower back pain\|Chronic Back Pain]]==
	*Neural remodeling and neuro-plasticity may explain chronic pain in absence of ongoing tissue injury - alters perception of pain		*Neural remodeling and neuro-plasticity may explain chronic pain in absence of ongoing tissue injury - alters perception of pain
	*Intensive exercise helps		*Intensive exercise helps

Mholtz: Text replacement - "->" to "→"

2017-02-09T01:58:53Z

Text replacement - "->" to "→"

← Revisión anterior		Revisión del 01:58 9 feb 2017
Línea 1:		Línea 1:
	==Background==		==Background==
	*If no [[Cauda equina syndrome]] or progressive neuro deficit -> delay surgery for a month		*If no [[Cauda equina syndrome]] or progressive neuro deficit → delay surgery for a month
	*Epidural steroids for temporary symptomatic relief		*Epidural steroids for temporary symptomatic relief
	*Discetomy gives better pain control over 4 yrs but not past 10		*Discetomy gives better pain control over 4 yrs but not past 10

Ostermayer: Text replacement - "Category:Ortho" to "Category:Orthopedics"

2016-03-22T15:47:05Z

Text replacement - "Category:Ortho" to "Category:Orthopedics"

← Revisión anterior		Revisión del 15:47 22 mar 2016
Línea 32:		Línea 32:

	[[Category:Neurology]]		[[Category:Neurology]]
	[[Category:~~Ortho~~]]		[[Category:Orthopedics]]

Ostermayer: Text replacement - "Category:Neuro" to "Category:Neurology"

2016-03-22T14:14:37Z

Text replacement - "Category:Neuro" to "Category:Neurology"

← Revisión anterior		Revisión del 14:14 22 mar 2016
Línea 31:		Línea 31:
	<references/>		<references/>

	[[Category:~~Neuro~~]]		[[Category:Neurology]]
	[[Category:Ortho]]		[[Category:Ortho]]

Rossdonaldson1: Rossdonaldson1 moved page Disc Disease to Disc disease

2015-04-24T15:40:02Z

Rossdonaldson1 moved page Disc Disease to Disc disease

← Revisión anterior	Revisión del 15:40 24 abr 2015
(Sin diferencias)

Arsmd at 23:59, 23 April 2015

2015-04-23T23:59:59Z

← Revisión anterior		Revisión del 23:59 23 abr 2015
Línea 1:		Línea 1:
	==Background==		==Background==
	~~# if~~ no ~~cauda~~ equina or progressive neuro deficit- delay ~~surg~~ for a month		*If no [[Cauda equina syndrome]] or progressive neuro deficit -> delay surgery for a month
	~~# epidural~~ steroids for temporary symptomatic relief		*Epidural steroids for temporary symptomatic relief
	~~# discetomy~~ gives better pain control over 4 yrs but not past 10		*Discetomy gives better pain control over 4 yrs but not past 10
	~~# microdiscectomy~~ similar to standard discectomy but ~~perscutaenour~~ or laser ~~disctmy~~ less effective than standard ~~surg~~		*Microdiscectomy similar to standard discectomy but percutaneous or laser discetomy less effective than standard surgery

	==Spinal Stenosis==		==Spinal Stenosis==
	~~# avoid~~ alcohol and strengthen legs to prevent falls		*Low back pain that gets progressively worse over time
	~~# exercise~~ bike or walking ~~recommened~~ with rest when pain comes		**Check ankle-brachial index (ABI) to rule out vascular claudication
	~~# decompressive~~ laminectomy for severe persistent pain		*Avoid alcohol and strengthen legs to prevent falls
	~~# adding~~ spinal fusion to decompression improves outcome		*Exercise bike or walking recommended with rest when pain comes
	~~# even~~ with ~~surg~~, ~~sxs~~ may reoccur in a few years		**Pain relieved with forward flexion (walking uphill)
			**Pain worse with extension (walking downhill)
			*Decompressive laminectomy for severe persistent pain
			*Adding spinal fusion to decompression improves outcome
			*Even with surgery, symptoms may reoccur in a few years

	==Chronic Back Pain==		==Chronic Back Pain==
	~~# neural~~ remodeling and ~~neurplasticity~~ may explain chronic pain in absence of ongoing tissue injury- alters perception of pain		*Neural remodeling and neuro-plasticity may explain chronic pain in absence of ongoing tissue injury - alters perception of pain
	~~# intensive~~ exercise helps		*Intensive exercise helps
	~~# antidepressants especiallly~~ tricyclics (better than SSRI), also helpful		*Antidepressants, especially tricyclics (better than SSRI), also helpful
	~~# no~~ long term opioids		*No long term opioids
	~~# goals~~ may need to be refocused		*Goals may need to be refocused
	~~# multiple~~ surgical ~~precedures no~~ helpful		*Multiple surgical procedures are not helpful

	==Prevention==		==Prevention==
	~~# corsets~~ and education not helpful		*Corsets and education not helpful
	~~# wt~~ loss, ~~excersice~~, ~~stop~~ smoking helpful		*Weight loss, exercise, smoking cessation helpful

	==~~Source~~==		==References==
	7/~~2/09 PANI~~		<references/>

	[[Category:Neuro]]		[[Category:Neuro]]
	[[Category:Ortho]]		[[Category:Ortho]]

Jswartz at 06:18, 19 February 2012

2012-02-19T06:18:27Z

← Revisión anterior		Revisión del 06:18 19 feb 2012
Línea 5:		Línea 5:
	# microdiscectomy similar to standard discectomy but perscutaenour or laser disctmy less effective than standard surg		# microdiscectomy similar to standard discectomy but perscutaenour or laser disctmy less effective than standard surg

	==~~SPINAL STENOSIS~~==		==Spinal Stenosis==
	# avoid alcohol and strengthen legs to prevent falls		# avoid alcohol and strengthen legs to prevent falls
	# exercise bike or walking recommened with rest when pain comes		# exercise bike or walking recommened with rest when pain comes
Línea 12:		Línea 12:
	# even with surg, sxs may reoccur in a few years		# even with surg, sxs may reoccur in a few years

	==~~CHRONIC LBP~~==		==Chronic Back Pain==
	# neural remodeling and neurplasticity may explain chronic pain in absence of ongoing tissue injury- alters perception of pain		# neural remodeling and neurplasticity may explain chronic pain in absence of ongoing tissue injury- alters perception of pain
	# intensive exercise helps		# intensive exercise helps
Línea 20:		Línea 20:
	# multiple surgical precedures no helpful		# multiple surgical precedures no helpful

	==~~PREVENTION~~==		==Prevention==
	# corsets and education not helpful		# corsets and education not helpful
	# wt loss, excersice, stop smoking helpful		# wt loss, excersice, stop smoking helpful

Rossdonaldson1 at 07:10, 28 March 2011

2011-03-28T07:10:14Z

@@ Línea 1: / Línea 1: @@
-- if no cauda equina or  progressive neuro deficit- delay surg for a month
+==Background==
-- epidural steroids for temporary symptomatic relief
+==SPINAL STENOSIS==
-- discetomy gives better pain control over 4 yrs but not past 10
+==CHRONIC LBP==
-- microdiscectomy similar to standard discectomy but perscutaenour or laser disctmy less effective than standard  surg
+==PREVENTION==
+# corsets and education not helpful
+# wt loss, excersice, stop smoking helpful
 /2/09 PANI
 [[Category:Neuro]]

Robot: Created page with "- if no cauda equina or progressive neuro deficit- delay surg for a month - epidural steroids for temporary symptomatic relief - discetomy gives better pain control over 4 yrs..."

2010-10-29T22:41:39Z

Created page with "- if no cauda equina or progressive neuro deficit- delay surg for a month - epidural steroids for temporary symptomatic relief - discetomy gives better pain control over 4 yrs..."

Página nueva

- if no cauda equina or progressive neuro deficit- delay surg for a month

- epidural steroids for temporary symptomatic relief

- discetomy gives better pain control over 4 yrs but not past 10

- microdiscectomy similar to standard discectomy but perscutaenour or laser disctmy less effective than standard surg

SPINAL STENOSIS

- avoid alcohol and strengthen legs to prevent falls

- exercise bike or walking recommened with rest when pain comes

- decompressive laminectomy for severe persistent pain

- adding spinal fusion to decompression improves outcome

- even with surg, sxs may reoccur in a few years

CHRONIC LBP

- neural remodeling and neurplasticity may explain chronic pain in absence of ongoing tissue injury- alters perception of pain

- intensive exercise helps

- antidepressants especiallly tricyclics (better than SSRI), also helpful

- no long term opioids

- goals may need to be refocused

- multiple surgical precedures no helpful

PREVENTION

- corsets and education not helpful

- wt loss, excersice, stop smoking helpful

7/2/09 PANI

[[Category:Neuro]]