Lumbar spondylitis is a degenerative problem that affects the discs, vertebral bodies, and joints associated with the lumbar vertebrae. Lumbar spondylitis is considered to be progressive and irreversible, especially for older people. Joint stiffness will limit the motions of the individual. Lower back pain, leg pain, numbness while standing and walking are certain symptoms of lumbar spondylitis.
Based on the condition of the individual, the treatment would differ. The medical management would either be conservative or surgical methods.
Oral or intravenous medication - these medications would help relieve inflammation, pain, and stiffness. The medications would vary based on the condition, and it differs from patient to patient. The medications would include nonsteroidal inflammatory drugs (NSAIDs), antidepressants, muscle relaxants, an opioid medication, epidural steroid injections, lumbar facet joint injections, and SI joint injections.
Physical therapy - certain specific exercises, along with proper sleep and walking, could improve physical strength and flexibility. Behavioural interventions and yoga would also be suggested by the doctor to improve the functioning.
Chiropractic care – It is a therapy that is focused on the structure of the body, especially the spine. The body will be aligned to relieve the pain, improve the function, and to help the body heal itself.
Lumbar traction - stretching force is applied to the lumbar vertebrae through bodyweight or pulleys to distract individual joints of the lumbar spine.
Lumbar back support - it can be used in office chairs or cars where people would sit for a longer duration. This lumbar back support would help correct the posture of the lower back.
If the situation is severe and conservative methods fail to provide the required relief to the patient. The doctor might suggest surgical treatment methods such as :
Minimally invasive decompression surgery - under laminectomy, the doctor would remove the vertebral bone, and the back part of the muscle will be pushed aside to keep the vertebral parts adjacent to the lamina intact. This minimally invasive surgery will help in the enlargement of the spinal canal, and this will help release the pressure on the spinal cord or the nerves providing relief.
Minimally invasive stabilization surgery - this surgery will help stabilize the vertebral bones and spinal joints, which in turn helps to relieve pressure on the spinal nerves. This surgery is faster, and the recovery period is minimal.
Spinal fusion - two vertebrae will be grafted or fused to reduce the pain under spinal fusion surgery. The motion at the spinal segment will be eliminated under this surgery, and it would eventually reduce the pain.
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