Spinal Disorders, A Simple Guide To The Condition, Diagnosis, Treatment And Improvised Treatment

This book describes Spinal Disorders, Diagnosis and Treatment and Improvised Treatment
The spine is a column of 26 bones in an adult body with 24 separate vertebrae interspaced with cartilage, and then the sacrum and coccyx in addition.
The spine has an extremely important part to play in the human body as it:

1. Supports the upper body's weight;
2. Provides posture while allowing for movement and flexibility; and
3. Protects the spinal cord
   Any spinal disorders can cause problems for the patient the spine is needed for movement and support of the body.
   The Focused Spine Assessment is an important tool to assess any spinal injury or disorder.
   If the patient is awake, ambulatory, and able to safely self-evacuate, the person should exercise caution during the evacuation to avoid additional trauma to the patient's spine.
   The ideal evacuation would occur within 6-24 hours to correspond with the swelling curve.
   When a spinal injury patient enters a hospital, one of the first requirements is to appraise the extent of the injury.
   Up until recently, the main method to assess a spinal cord injury was using physical tests that measure a patient's capability to feel and move their arms and legs.
   This is not always a very accurate indication, particularly immediately after an injury.
   Very often, spinal injury patients have other injuries:
4. They may have broken arms or legs,
5. They may have a head injury
6. They may be unconscious
   There are several reasons why it can be hard to get a good examination on patients
   A new protocol is based on a recent study that found the most important factor in a patient's recovery is actually related to blood pressure in the spine.
   The spinal cord regulates blood pressure in the body, so if it is injured, the body may not be able to maintain adequate blood pressure.
   Doctors actually measured each individual patient's blood flow to the spine.
   Then doctors only artificially raised blood pressure as required to reach a patient's unique resting pressure.
   Timing of Surgery
   The other game-changing part of the new protocol is getting patients who require surgery into the operating room as fast as possible, ideally within 12 hours of the injury.
   In earlier years within 48 hours was regarded as early surgery for spinal injuries.
   The time wasted could have been for such things as waiting to evaluate a patient's mobility when he or she finally wakes up.
   The urgency of the new protocol benefited patients enormously.
   Intra-Articular Injections
   When oral analgesics are not readily available, intra-articular injections may be used.
   The injections are relatively easy to do at the knee, elbow, shoulder, and any joint that is dislocated.
   However, they are not very good at providing immediate analgesia.
   Although immediate analgesic effects may not be significant, intra-articular morphine injections can result in up to 3 days of analgesia due to its low lipid solubility and the joint's low blood flow.
   When local anesthetics are more readily available than other analgesics, postoperative infusions of local anesthetics can reduce pain.
   There are several conservative (non-surgical) treatment methods available that are the first line of treatment to help relieve the pain and stiffness caused by spinal arthritis and related disc degeneration.
   Helpful first line pain management techniques are rest, heat and cold therapy and various medications for reducing pain and inflammation.
   Many patients will need to regularly employ a combination of all three techniques in order to be able to focus on rehabilitation, exercise and healthy daily activities.

TABLE OF CONTENT
Introduction
Chapter 1 Spinal Disorders
Chapter 2 Osteoarthritis
Chapter 3 Rheumatoid Arthritis
Chapter 4 Ankylosi

Dettagli