Overview

The lumbar spine, or low back, is a remarkably well-engineered structure of interconnecting bones, joints, nerves, ligaments, and muscles all working together to provide support, strength, and flexibility. However, this complex structure also leaves the low back susceptible to injury and pain. The low back supports the weight of the upper body and provides mobility for everyday motions such as bending and twisting. Muscles in the low back are responsible for flexing and rotating the hips while walking, as well as supporting the spinal column. Nerves in the low back supply sensation and power the muscles in the pelvis, legs, and feet.

Symptoms:

Low back pain can incorporate a wide variety of symptoms. It can be mild and merely annoying or it can be severe and debilitating. Low back pain may start suddenly, or it could start slowly—possibly coming and going—and gradually get worse over time. Depending on the underlying cause of the pain, symptoms can be experienced in a variety of ways. For example:

• Pain that is dull or achy, contained to the low back
• Stinging, burning pain that moves from the low back to the backs of the thighs, sometimes into the lower legs or feet; can include numbness or tingling (sciatica)
• Muscle spasms and tightness in the low back, pelvis, and hips
• Pain that worsens after prolonged sitting or standing
• Difficulty standing up straight, walking, or going from standing to sitting

In addition, symptoms of lower back pain are usually described by the type of onset and duration:

• Acute pain. This type of pain typically comes on suddenly and lasts for a few days or weeks, and is considered a normal response of the body to injury or tissue damage. The pain gradually subsides as the body heals.
• Subacute low back pain. Lasting between 6 weeks and 3 months, this type of pain is usually mechanical in nature (such as a muscle strain or joint pain) but is prolonged. At this point, a medical workup may be considered and is advisable if the pain is severe and limits one’s ability to participate in activities of daily living, sleeping, and working.
• Chronic back pain. Usually defined as lower back pain that lasts over 3 months, this type of pain is usually severe, does not respond to initial treatments, and requires a thorough medical workup to determine the exact source of the pain.

CAUSES :

The common causes for the low back pain are;

• Intervertebral disc degeneration is the common cause of low back pain in which the disc shrinks and wear off as the age advances. As a result, the disc loses its integrity and cushioning ability and produce pain and discomfort in the low back.
• Disc herniation or rupture often occurs when the weakened disc puts pressure on the centre of the intervertebral disc. Such discs are compressed and bulge outward resulting in disc herniation or sometimes rupture leading to back pain.
• Radiculopathy / Sciatica is a condition in which the herniated /ruptured disc or spinal stenosis results in compression, inflammation or injury to the spinal nerve root resulting in numbness, tingling sensation and radiating pain from low back down to the buttock and the lower leg.
• Spondylolisthesis is a condition in which the normal ageing process makes it difficult for the spinal bones and ligaments to maintain its position resulting in slipping of the vertebrae of the lower spine out of place. In such case, the spinal nerves are pinched by the bone causing back pain.
• Spinal stenosis is the narrowing of the spinal canal that leaves less space for the spinal cord and the nerves, thus compressing them and causing pain and numbness while walking.
• Skeletal abnormalities including scoliosis, lateral curvature of the spine and other congenital anomalies can cause discomfort and back pain.

The other conditions and causes that can develop low back pain includes;

• Inflammatory disease of the spine including arthritis and spondylitis.
• Infections of the vertebrae such as osteomyelitis
• Tumours of the spine
• Traumatic injury to the spine

Treatment:

The lumbar spine surgery is performed using either of the following technique; Decompression : Lumbar spine decompression surgery is performed to relieve the pressure over nerves by removing the diseased discs, ligamentum flavum and bone which is pressing over the nerve. The surgery is generally recommended in cases of spinal stenosis caused by thickened joints, loosened ligaments, bony growths, or disc herniation i.e. there is not enough space for the nerves to breath. The surgery entails removing a small portion of the bone over the nerve root and/or disc material from under the nerve root to give the nerve root more space and provide a better healing environment. Various procedures used for Decompressing Lumbar spine are:

•  Discectomy

•  Laminotomy or Laminectomy

•  Port Hole Decompression

•  Foraminotomy or Foraminectomy

•  Osteophyte removal

•  Corpectomy

Fusion : Lumbar fusion surgery is designed to create solid bone between the adjoining vertebrae, eliminating any movement between the involved bones. The goal of the surgery is to reduce pain and nerve irritation. During the surgery, diseased discs are excised and replaced with spacer device, pedicle screws and rods are attached to the back of the vertebra and an interbody fusion spacer is inserted into the disc space from one side of the spine. Lumbar fusion surgery has two individual approaches. The most common process used is the posterior approach, where the surgery is done from the back. The three main Posterior fusion techniques are:

•  Postero lateral gutter fusion surgery

•  Posterior lumbar Interbody fusion (PLIF) surgery

•  Transforaminal lumbar Interbody fusion (TLIF) surgery

The anterior approach involves placing the bone directly into the section between the vertebrae where the shock-absorption disc had been situated.

Time

The complete length of the medical clinic remain required for the technique is 4-7 days and seven days to ten days around the local area before you can return. One can, by and large, come back to work or other typical exercises inside five to about a month and a half of the medical procedure. An aggregate of about fourteen days is required for Lumbar Spine Surgery in India.

Cost

At Crayon Healthcare, we perceive the criticalness of brilliant wellbeing and prosperity of our visitors and subsequently, our goal is to give the best Lumbar spine surgery in India at fair moderate costs. A favored relationship with best Lumbar spine surgery in India and best Lumbar spine clinic in India encourages us prompt:

• Best Lumbar spine surgery in India
• Most affordable Lumbar spine surgery cost in India

The expense of Lumbar spine surgery in India differs with the sort of strategy picked, the decision of valve, specialist, office and the city where you complete the medical procedure. The Lumbar spine surgery cost in India begins from around USD 6,000 and relies on different elements. An exclusively allotted caseworker takes customized enthusiasm to structure a customized treatment plan for each visitor and will give a particular time and cost of Lumbar spine surgery in India.