Jatana Spine

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Sanjay Jatana, M.D.

Degenerative Disc Disease, Herniated Disc, Cervical Stenosis and Sciatica

Degenerative Disc Disease

Overview

Degenerative disc disease is a weakening of one or more vertebral discs, which normally act as a cushion between the vertebrae. Discs can degenerate as a natural part of the aging process, but may also result from injury to the back.

Symptoms

Some people with degenerative disc disease experience pain, localized to the back. This pain may also radiate to the legs BUT above the knees. Strong pain tends to come and go. Bending, twisting and prolonged sitting may make the pain worse. Lying down relieves pressure on the spine for those impacted by degenerative disc disease as does changing positions frequently.

Treatments

  • Chiropractic care
  • Massage/ acupuncture
  • Medications (NSAID’s, muscle relaxers, and short-term narcotics)
  • Epidural and/or facet injections
  • Physical Therapy
  • Spine surgery in selected patients

Herniated Disc

Overview

When a disc in the cervical spine ruptures, soft, jelly-like material from inside the disc (nucleus) can protrude outside and through the outer ring (annulus) and compress the spinal cord and nerve roots. A herniated disc can arise through the wear and tear of aging or from minor injury to the spine.

 Symptoms

A herniated  disc can cause painful burning, tingling or numbing sensations in the neck, shoulders, arms and hands. It may also cause muscle weakness. Pain due to a herniated disc may worsen with activity.

Treatments

  • Rest
  • Immobilization of the neck with a soft collar
  • Anti-inflammatory medications
  • Pain Medications
  • Muscle Relaxants
  • Physical Therapy
  • Spinal Injections
  • Spine surgery

Cervical Spinal Stenosis 

Overview

Cervical stenosis is a narrowing of the spinal canal that results from the degeneration of bones, discs, or joints in the cervical spine. This narrowing can squeeze or compress the nerve roots where they leave the spinal cord or compress and potentially damage the spinal cord itself. Cervical spinal stenosis is typically caused by age and overuse, which can lead to degeneration of the spine's discs, bones and joints. Vertebrae may slip out of their normal alignment and rub harmfully against each other.

Symptoms

Symptoms depend on the area being pinched. Pressure on a nerve root can cause pain, weakness and numbness in the shoulders, arms and hands. Balance and coordination may also become an issue for those suffering from cervical stenosis. Other problems include loss of fine motor skills, manual dexterity issues, and in late stages, loss of bowel and bladder control.

Treatments

  • Anti-inflammatory medications
  • Activity modification
  • Epidural steroid injections
  • Physical therapy
  • Spine surgery

Sciatica

Overview


This condition is an irritation or compression of one or more nerve roots in the lumbar spine. Because these nerves travel to the hips, buttocks, legs and feet, an injury in the lumbar spine can cause symptoms in these areas. Sciatica can occur because of spinal conditions, including herniated disc, degenerative disc disease, spinal stenosis,
spondylolisthesis (when a vertebra slips forward and out of place).

Symptoms

This condition is an irritation or compression of one or more nerve roots in the lumbar spine. Because these nerves travel to the hips, buttocks, legs and feet, an injury in the lumbar spine can cause symptoms in these areas. Sciatica can occur because of spinal conditions, including herniated discs, degenerative disc disease, spinal stenosis, spondylolisthesis (when a vertebra slips forward and out of place).

 Treatments

  • Medications
  • Steroid injections
  • Acupuncture
  • Chiropractic care
  • Spinal Surgery