ملخص
- Imaging techniques, starting with simple X-rays, play a crucial role in assessing degenerative spine disease. MRI, especially when conducted with the patient standing or sitting, provides valuable insights into the spine's condition under load. This allows for a more accurate evaluation of disc prolapses and ligament issues compared to lying down MRIs.
- Early signs of degenerative spine disease often manifest as pain, although the location can vary. While back pain is common, leg or knee pain can also indicate spinal problems, such as stenosis or disc issues. Thorough examination and patient history are essential for accurate diagnosis.
- Conservative treatments like physiotherapy, medication, and exercise are the first line of defense for most patients (around 96%). Ozone therapy and regenerative medicine techniques can also be beneficial. Surgery is considered when conservative approaches fail after 2-6 months or in cases of neurological deficits like loss of sensitivity or motor function in the legs.
- Effective pain management strategies include ozone therapy, which acts as a muscle relaxant and pain reliever. Radiofrequency ablation can target pain stemming from facet joint issues. Regenerative medicine, such as PRP and stem cell therapy, offers promising options for chronic pain. Lifestyle adjustments, combined with physiotherapy, are critical for long-term pain management.
- Comorbidities, like osteoporosis and obesity, significantly impact the progression of degenerative spine disease. Osteoporosis weakens bones, increasing pain and fragility. Obesity often leads to metabolic syndrome and diabetes, further exacerbating bone loss and pain. A comprehensive assessment of these factors, including blood tests and bone density scans, is vital for tailored treatment.
- Minimally invasive procedures are generally preferred over open surgery to minimize complications such as postoperative fibrosis and nerve damage. However, surgery is sometimes required to prevent irreversible nerve damage and neurological decline. The benefits and risks of each approach must be carefully weighed for each patient.
- Early intervention and prevention are critical for managing degenerative spine disease. This includes early detection, lifestyle modifications (weight management and activity), and targeted therapeutic plans. Early treatment can significantly slow or halt disease progression, improving long-term outcomes.
نموذج شهادة
حول المتحدثين
الأستاذ الدكتور ماسيمو بيراتشي
استشاري جراحة العظام والطب الرياضي والتجديدي مستشفى ميدكير لجراحة العظام والعمود الفقري دبي
الإفصاح المالي
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