At least 100% of spinal and lumbar disc pain %85can be treated without requiring surgery.
Diagnosing Spinal Pain
All the diagnosis and differential diagnosis we made spine pain, boyun ağrısı, sırt ağrısı ve bel ağrısıdır. Omurga ağrısına sebep tüm tanı listesi bizim hasta grubumuzu oluşturur. Tanı ne olursa olsun, tüm omurga ağrılarının en az %90’lık bölümü with non-surgical treatments is getting better.
Unutmayın ki, kol ya da bacak ağrısı yoksa ya da bu şikayet ön planda değilse, boyun ve bel fıtıkları boyun ve bel ağrılarının %10’unundan az kısmını oluştrurur. bundan dolayı, boyun fıtığı ve bel fıtığı gibi tanıları boyun ağrısı ve bel ağrısı şikayeti anlamında kullanmak yanlış ve moral bozucudur.
The first complaint that causes spinal pain postural disorderIt is the stiffness of the spine and muscles related to it. It progresses with stiffness and sometimes severe pain related to it. segmental dysfunction is another common problem. Located at the back of the spine facet joint pain It often causes severe spine pain and accompanying arm or leg pain, and at least 1/3 of correctly diagnosed spine pains are in this group. Less commonly, cervical disc herniation And herniated discis.
The difficulty in diagnosing the spine is that examinations such as MRI only guarantee the correct diagnosis in half of the patients. This means that if the physician is not knowledgeable and experienced in history taking and examination, he will try to treat the patient with the MRI diagnosis. Trying to treat the findings in the MRI images instead of the patient means applying all treatment options with a trial and error method, from physical and exercise treatments that do not reduce pain and even increase it, to surgeries that do not reduce pain. This is not evidence-based medicine!
Necessary steps for correct diagnosis and effective treatment
- Detaylı ve çok sayıda sorudan oluşan hastalık öyküsü (ağrının nasıl başladığı, hangi düzeylerde devam ettiği, ne zaman olduğu, hangi koşullarda arttığı veya azaldığı, ilaçlara yanıt verip vermediği, vs) ve hastanın özellikleri (ağrıya karşı duyarlılığı, hastalık korkusu, iyileşmeme korkusu, aile bireylerine bağımlı kalma endişesi, vs). Bu özelliklere sahip öyküden sonra hastaların en az %70’inin tanısına muayene öncesi karar verilebilir.
- Detaylı ve çok sayıda testten oluşan ve ağrının kaynaklandığı dokuyu ortaya çıkaran muayene. Bu özelliklere sahip muayeneden sonra hastaların %98’inin doğru ve kesin tanısı konabilir.
- The history and examination features are consistent with each other and support the diagnosis. If there is no incompatibility, imaging examination is performed.
- History, examination and imaging studies must be consistent and support the diagnosis. At this stage, it is necessary to discuss evidence-based treatment options appropriate for the patient.
Your spine pain diagnosis may be one or more of these.
- Stiff neck, stiff back, stiff waist,
- Neck hernia, back hernia, lumbar hernia,
- Spinal stiffness,
- Spinal muscle pain,
- Spinal ligament pain,
- Tension type muscle pain/myalgia,
- Myofascial pain syndrome/trigger point,
- Spinal segmental dysfunction,
- Spinal segmental instability,
- Facet joint pain,
- Spondylolysis,
- Spondylolisthesis,
- Unsuccessful spine physical therapy,
- Failed spine surgery.
Spine Pain Treatment
Depending on the diagnosis we make for your spine pain, we choose the treatment methods that are appropriate for you:
- Manual medicine,
- Home treatment exercises,
- Physical therapy agents,
- Manual techniques,
- Other methods: Physical therapy program consisting of (dry needling, kinesiotaping, Graston, Mulligan) and exercise (stretching exercise, ROM exercise, mobilization exercise, stabilization exercise),
- Caudal epidural injection and subsequent physical therapy program,
- Transforaminal epidural injection and subsequent physical therapy program,
- Radiofrequency neurotomy and subsequent physical therapy program,
- Prolotherapy and subsequent physical therapy program.
