Neck and Back Pain
Both neck and
back pain are caused by conditions that affect the spine. The spine is built
from a series of bones called vertebrae, which are separated by disks of
cartilage that keep the bones from grinding together. When a disk herniates, or
"slips," a small bulge of cartilage pushes out from within the disk and can
press against and pinch one of the nerves that extends out from between the
vertebrae, or even press into one of the nerves that run down the center of the
spinal column. This can cause local pain and inflammation but can also project
pain along the length of the nerve as it branches out from the spinal column.
A herniated disk
in the neck can cause shoulder pain, pain in the arm, and tingling or numbness
in the fingers. The pain seems worse on awakening, after the neck has stiffened
or twisted in sleep.
A herniated disk
in the lumbar spine, or lower back, can cause back pain, tingling or numbness in
the foot, or sciatica: a shooting pain that runs along the length of one of the
nerves extending through the buttocks and down into the leg.
Whether in the
neck or the back, the herniated disk can be extremely painful and debilitating
and can prevent normal work and activity. Over time, pressure on a nerve can
cause a state of chronic inflammation, which is difficult to treat. Parts of the
body can go numb or lose all sensations.
Conventional
Treatment for Neck and Back Pain (Herniated disk)
The standard
treatments for this condition include anti-inflammatory medications, bed rest,
traction, and microsurgery to remove the herniated portion of the disk.
In extreme
conditions, the entire disk of cartilage is sometimes removed, and a 'splint' of
bone from elsewhere in the body or from a donor bone is used to fuse the two
vertebrae together so that they can't move and grind against each other.
Surgery is not
always effective, however, and the problem persists in some people even after
surgery.
Disk
Herniation Does Not Always Means Pain
Disk
abnormalities may not always be the cause of the pain. In one study, MRI scans
were used to examine the spines of people with no back pain. Two thirds of them
had spinal abnormalities, including herniated and degenerated disks. If these
problems had been seen in someone with back pain, they probably would have led
to surgery.