Monday 24 March 2014

Understanding Spinal Cord Structures Indo Best providing Therapy on Spine And help to do cure spine Problems

The Regions of the Spine

Diagram of the regions of the spine including cervical and lunbar - C1 C2 C3 C4 C5 C6 C7 L1 L2 L3 L4 L5The spine is an intricate set of bones, muscles, nerves and discs.  It is divided into five regions:  cervical (neck bones); thoracic (in the chest); lumbar (low back); sacral (attached to the pelvis); and, coccygeal (the tail bone).  Each region has a number of vertebral bones.  There are usually seven cervical vertebral bones, twelve thoracic bones, and five lumbar vertebral bones.  The sacrum is a single, large, fused bone.  The coccyx is made of one or two small bones.  
Occasionally, an individual may have one extra level, or one bone less than normal.  Although it is normal to have five lumbar bones, it is not unusual to see four or six lumbar levels.
The spine bones are often referenced with letters and numbers.  C, T, L, and S refer to the cervical, thoracic, lumbar and sacral regions respectively.  Within each region, the vertebral bones are numbered from the top down.  C1 refers to the top cervical bone.  T3 would indicate the third thoracic level from the top.  L5 would be the lowest lumbar level.  S1 indicates the first sacral level.  

The Bones and Discs

Diagram of spine - facet joint, intervertebral disc, intravertebral foramenThe vertebrae are the bones of the spine.  Together, they support the entire body.  
 Each of the vertebral bones is separated from its neighbor by a disc.  The discs are in the anterior (front part) of the spine.  Together, the discs allow movement and cushion shocks.  Posterior to (behind) each of the discs, and between every pair of vertebral bones, is a foramen or hole.  
One spinal nerve root exits through from each of these holes.  The nerves go to the arms, chest and legs.  The posterior parts of the vertebral bones are connected by small joints called facet joints.  Behind the facet joints and along the midline are spinous processes.  The spinous processes are bumps which can easily be felt along the back of the neck, thoracic spine and low back.

 

Vertebral Bone / Vertebrae

Cross section of a verteraEach of the vertebral bones has an anterior (front) part and a posterior (back) part.  The anterior portion is called the vertebral body.  The body provides the surfaces against which the discs rest.  Two pedicles, or struts, project posteriorly from the body and support an arch called the vertebral lamina.  The arch over the body of the vertebra forms a canal through which the spinal cord and nerves pass.  The arch also supports the small facet joints which connect the backs of the vertebral bones.  

Each Intervertebral Disc

Cross section of a spinal disc - disc nucleus, disc annulusThe vertebral bones are separated from one another by intervertebral discs.  The discs provide flexibility and absorb impacts and shocks.
The discs consist of two parts. The inner area is called the nucleus, and the outer area is called the annulus.  The disc is like a jelly donut.  
The nucleus, or inner core of the disc, consists of a gelatinous material. The annulus, or outer ring, is the strongest portion of the disc.  It keeps the jelly-like center from leaking out, supports the weight of the spine, and prevents excessive motion.  The annulus is built from layers of fibers, much like a tire.  
Normally, the disc remains firmly contained between the vertebral bones.  The disc can, however, rupture.  Ruptures occur when the fibrous covering of the annulus is torn.  

The Motion Segment

Every two vertebral bones are separated from one another by a disc.  The two bones, and the disc together, make one motion segment.  There is only a small amount of movement at any one motion segment.  The strong fibers of the disc annulus, and the posterior facet joints, prevent excessive movement.  The spine is able to bend and extend because there are many motion segments which act together.
When there is damage to a disc, to one of the facet joints, or to a portion of the vertebral bone, there can be too much movement at the motion segment.  Excessive movement can be painful.  Fusion surgeries, where the bones are welded together, are sometimes recommended when there is excessive movement.

The Muscular Spine

Anatomical diagram of spine and associated muscles and tendonsThe back is supported by strong ligaments and by even more powerful muscles.  The muscles are arranged in much the same way as the guy wires in antennas.  The strength of an antenna is determined by the strength of the guy wires.  The strength of the back is determined by the strength of the muscles.  
See the comparison pictures to the left.  The muscles are arranged exactly as are the guy wires of a large antenna.
The psoas muscles are perhaps the most important of the muscles.  Other paraspinal muscles posteriorly and the abdominal muscles anteriorly also contribute substantially.1

The Spinal Cord and Nerves

Diagram of spinal cord, spinal nerves, dura covering, and vertebral boneThe spinal cord begins at the base of the brain and runs down the spine to the low back.  It is protected within the spinal canal, a bony arch formed by each of the vertebral bones.  Between every two vertebral bones, two nerves exit the spinal canal.  One is on the left and another is on the right.  The nerves exit right behind the disc and directly in front of the facet joint.  
If there is a ruptured disc, it will pinch the nerve.  Similarly, a damaged facet joint can also press on a nerve.  
Each nerve goes to a specific area of the body.  The nerves from the neck go to the arms.  The nerves from the thoracic spine go to the chest wall and abdomen.  The nerves from the lumbar spine go down the legs.  Each nerve serves sensation in a particular area and controls specific muscles.  Some of the nerves have reflexes that can be tested.  Some of the nerves also regulate blood flow to the skin and tissues, and the functions of the internal organs.  
When a nerve is pinched, the pain radiates along the path of the damaged nerve.  If one has a pinched nerve in the neck, one generally gets pain in the arm.  If a low back nerve is damaged, there is usually leg pain.  If a nerve is badly pinched, some of the muscles may become weak, and there may be abnormal reflexes with changes in skin color or temperature.

Latest Treatments for Spinal Cord

Some of the latest treatments for spinal cord include far infrared 9 Tourgia ball therapy massagers, Tourgia ceramic mats & Fully Automatic Tourgia  thermal massager bed IB 9000 +  which are able to create miraculous results for spinal cord problems. You shall also combine one of the above with Therapy from IB P 90 Muscle stimulator and Low Frequency  which will detoxify your full body from internal level.







Ankylosing Spondylitis

Ankylosing spondylitis is a form of chronic inflammation of the spine and the sacroiliac joints. The sacroiliac joints are located in the low back where the sacrum (the bone directly above the tailbone) meets the iliac bones (bones on either side of the upper buttocks). Chronic inflammation in these areas causes pain and stiffness in and around the spine. Over time, chronic inflammation of the spine (spondylitis) can lead to a complete cementing together (fusion) of the vertebrae, a process referred to as ankylosis. After years of ankylosis, however, stress fracture may also occur. Ankylosis leads to loss of mobility of the spine.

Ankylosing Spondylitis
Ankylosing spondylitis is also a systemic disease, meaning it can affect other tissues throughout the body. Accordingly, it can cause inflammation in or injury to other joints away from the spine, as well as to other organs, such as the eyes, heart, lungs, and kidneys. Ankylosing spondylitis shares many features with several other arthritisconditions, such as psoriatic arthritis, reactive arthritis, and arthritis associated with Crohn's disease and ulcerative colitis. Each of these arthritic conditions can cause disease and inflammation in the spine, other joints, eyes, skin, mouth, and various organs. In view of their similarities and tendency to cause inflammation of the spine, these conditions are collectively referred to as "spondyloarthropathies."

Causes, Incidence & Risk Factors:

The tendency to develop ankylosing spondylitis is believed to be genetically inherited, and a majority (nearly 90%) of people with ankylosing spondylitis are born with a gene known as the HLA-B27 gene. Blood tests have been developed to detect the HLA-B27 gene marker and have furthered our understanding of the relationship between HLA-B27 and ankylosing spondylitis. The HLA-B27 gene appears only to increase the tendency of developing ankylosing spondylitis, while some additional factor(s), perhaps environmental, are necessary for the disease to appear or become expressed.

Recently, two more genes have been identified that are associated with ankylosing spondylitis. These genes are called ARTS1 and IL23R. These genes seem to play a role in influencing immune function. It is anticipated that by understanding the effects of each of these known genes researchers will make significant progress in discovering a cure for ankylosing spondylitis.

The disease most often begins between ages 20 and 40, but may begin before age 10. It affects more males than females. Family history of ankylosing spondylitis & male gender are the main risk factors for it. 

Symptoms

The disease starts with low back pain that comes and goes.
  • Pain and stiffness are worse at night, in the morning, or when you are not active. It may wake you from your sleep.
  • The pain typically gets better with activity or exercise.
  • Back pain may begin in the sacroiliac joints (between the pelvis and the spine). Over time, it may involve all or part of the spine.
You may lose motion or mobility in the lower spine. You may not be able to fully expand your chest because the joints between the ribs are involved. Fatigue is also a common symptom. Other, less common symptoms include:
  • Eye inflammation or uveitis
  • Heel pain
  • Hip pain and stiffness
  • Joint pain and joint swelling in the shoulders, knees, and ankles
  • Loss of appetite
  • Slight fever
  • Weight loss
Advanced spondylitis can lead to deposits of protein material called amyloid into the kidneys and result in kidney failure. Progressive kidney disease can lead to chronic fatigue and nausea and can require removal of accumulated waste products in the blood by a filtering machine (dialysis).


Signs and tests

Tests may include:
  • CBC Complete Blood Count
  • ESR erythrocyte sedimentation rate
  • HLA-B27 antigen
  • X-rays of the spine and pelvis


Treatment

Your doctor may prescribe nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce inflammation and pain. Corticosteroid therapy or medications to suppress the immune system may also be prescribed. High doses given over prolonged periods of time turn these steroids into "scare-oids". However, we can use Tour Ceramic Mats for controlling inflammation & pains.

Physical therapy for ankylosing spondylitis includes instructions and exercises to maintain proper posture. This includes deep breathing for lung expansion and stretching exercises to improve spine and joint mobility. Since ankylosis of the spine tends to cause forward curvature, patients are instructed to maintain erect posture as much as possible and to perform back-extension exercises. Lying flat on the back at night can help maintain normal posture. Fully Automaticmatic Tourgia Massage Bed IB 9000+ can also be used to bring the spinal cord to normal posture which has heated jade rollers fitted in it. 


Finally, orthopedic surgery maybe required when there is severe disease of the hip joints and spine.




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