Back and neck pain are common conditions and may have a variety of causes.
Muscle disorders, joint degeneration, herniated discs, spinal canal stenosis, deformities, instability and nerve compression are among the possible causes that should be considered.
The intensity of the pain alone does not determine the severity of the condition. The duration of symptoms, the presence of radiating pain, functional limitations and neurological changes must also be evaluated.
Lower back pain affects the lower region of the back and may remain localized or radiate to the legs.
Neck pain affects the cervical region and may extend to the shoulders, arms, hands and fingers.
Tingling, numbness, electric shock-like sensations, stiffness and muscle weakness may indicate involvement of the nerve structures.
The evaluation may investigate a range of spinal conditions and abnormalities, including spinal canal stenosis, scoliosis, deformities, instability between the vertebrae, degeneration of the joints, nerve compression and spinal tumors.
Each condition has its own characteristics. Therefore, treatments that are effective for one patient may not be appropriate for another.
The consultation considers the history of the symptoms, activities that worsen or relieve the pain, limitations in the patient’s daily routine and treatments previously attempted.
The physical and neurological examination allows the physician to assess mobility, strength, sensation, reflexes, balance and gait.
Imaging tests may be requested when it is necessary to investigate structural changes or clarify the relationship between the symptoms and the anatomy of the spine.
Many cases of back pain and spinal disorders can initially be managed without surgery.
Treatment may involve medical guidance, medication, physical therapy, rehabilitation, muscle strengthening, activity adjustments and monitoring of the patient’s progress.
Treatment is determined according to the cause of the pain, rather than focusing solely on temporary symptom relief.
Surgery may be considered when there is significant compression of the nerves or spinal cord, muscle weakness, instability, deformity, progression of the condition or persistent symptoms despite appropriate treatment.
Not every surgery requires the placement of screws. In some cases, the procedure is intended only to decompress the nerve structures. In others, stabilization of the spine may be necessary.
Conventional or endoscopic techniques may be considered depending on the condition and the individual anatomy of each patient.
Progressive muscle weakness, difficulty walking, balance problems, severe numbness and loss of bladder or bowel control require immediate medical evaluation.
Contact Neuro & Coluna Rio to understand the cause of your symptoms and learn about the available treatment options.
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