من 65 ساله هستم و کمر درد دارم. آیا باید نگران باشم؟ بله 5 تا 10 درصد از کمر دردها در سالمندان بالای 65 سال میتواند مشکل جدی باشد. به عبارتی کمردرد یا حاد و یا مزمن است. درمان کمر درد سالمندان در شیراز بایستی بسیار جدی گرفته شود چرا که میتواند نه تنها برای زندگی روزمره خود سالمند بلکه زندگی اطرافیان آنها را هم تحت اشعاع قرار دهد.
کمر درد حاد کمتر از سه ماه و درد مزمن بین 3 تا 6 ماه طول میکشد. Back pain in the elderly that lasts more than a week should be investigated.
What are the causes of back pain in the elderly?
Discogenic back pain: disc bulge, disc herniation, degenerative disc disease
Inflammatory problems: discitis, Arthritis of the facet joint, osteomyelitis (bone infection)
Osteoporosis: Vertebral body fracture (compression fracture), facet joint, spinous and transverse process
Cancer and metastasis: Primary breast, lung and prostate cancer
Injuries: Whiplash after a car accident or work or fall may cause the following Be:
- Fracture of vertebrae, facet joint, blade or lamina, transverse or spinous process
- Tear and sprain of ligaments
- Tear and sprain of muscles
- Dislocation of facet joint or vertebrae
Syndrome Back surgery failure : Pain may persist after back surgery due to:
- recurrent disc herniation
- surgical injuries to the facet joint
- facet joint - joint hypermobility, joint instability
- muscle conditioning
- fibrotic scar tissue around nerves, ligaments
muscles and joints Surrounding: Mechanical or musculoskeletal problems
- Sprains of ligaments and muscles
- Ligament rupture, synovial membrane
- Muscle spasm
- Disc abnormalities - herniation, degenerative disc disease, disc fracture
- Dislocation, fracture and wear of joint
- Endometriosis, disease Kidney, fibromyalgia, chronic fatigue syndrome and muscle pain
How common is back pain among the elderly?
Most cases of back pain (98%) among patients aged 18 to 85 are non-specific and self-limiting. Back pain in Shiraz is a common complaint among the elderly. Research has shown that up to 85% of people with back pain problems, despite a complete medical examination, did not show any specific reason for the pain. Back pain is the second most common problem after upper respiratory tract infection, and it is also the second most common pain after headache.
Radical or systemic pain may accompany back pain in elderly patients, and 80% of patients eventually recover with or without surgery.
Which common diseases cause back pain in old people?
Facet joint disease caused by arthritis and Does the back pain radiate to the legs? Severe burning that causes leg pain may be a secondary symptom What are the causes of nerve compression in the foramina or the spinal canal in the elderly? Nerve compression in the elderly can be benign or serious. Benign causes of nerve compression include disc protrusion, disc hernia, osteophyte, subluxation (displaced) vertebrae and degenerative disc disease. Serious problems that cause nerve pain are rare. These problems include epidural hematoma, epidural abscess, metastases of primary vertebral cancer and secondary lumbar vertebral fractures, which are complications of osteoporosis. Consider an emergency? If the pain is accompanied by constant tingling, numbness and weakness, you should see a back orthopedic specialist in Shiraz referred. Anesthesia and Weakness may be a symptom of spinal stenosis. Symptoms such as persistent numbness, leg weakness are signs of serious pressure on the nerve and require immediate medical attention. Pain with occasional tingling and numbness that lasts for a short time is due to nerve compression, but further investigation is needed to evaluate the cause of the pain and treatment options. Read more: geriatric orthopedics in Shiraz When should you think about further investigations? Any acute or chronic back pain in elderly patients over 65 years of age should be investigated as soon as possible. Which investigations to diagnose back pain in the elderly Are they more appropriate? The most appropriate initial examination is X-ray imaging, MRI or CT scan. What other tests should be done? If you live in Shiraz and as one of the elderly in the community, you suffer from chronic and annoying back pain, consult your doctor first. After initial clinical evaluations, further investigations should be done. Diseases such as Degenerative disc Epidural hematoma and epidural abscess are diseases that can be resolved without any complications if treated early. So you may be referred to a neurologist or an orthopedic surgeon in Shiraz. Who should be consulted for back surgery? Surgery is performed by an orthopedic surgeon or a neurosurgeon. In fact, back surgery is one of the subspecialties of orthopedics and neurosurgery. Very important point: The last option for treating back problems and any type of back pain should be surgery, and before that you should discuss all possible solutions with your specialist doctor. Try it. Treatments include invasive and non-invasive treatments. Benign back pain may not require any of the following treatments except non-steroidal anti-inflammatories. Non-invasive treatment options for seniors with back pain in Shiraz include: Manual treatments include: Surgical treatment for back pain depends on the cause of the pain, including: Read more: Diagnosis and treatment of back pain in Shiraz When you have a good posture in the following situations: If the back pain continues for more than a few weeks, with Numbness in the legs, muscle weakness, decreased bladder or bowel control, or abnormal weight loss should be seen immediately. and strengthening such as walking, yoga, and physical therapy exercises can reduce pain and improve spinal flexibility. Of course, it is better to do exercises under the supervision of a specialist. Yes, consuming foods rich in calcium, vitamin D and omega 3 such as fish, dairy products, green leafy vegetables and nuts It can help strengthen bones and reduce inflammation in the body. Back pain in the elderly is a common but treatable problem. There are many methods from physiotherapy and exercise to drug therapy and surgery to reduce pain and improve the quality of life of the elderly in Shiraz. If you or one of the elderly around you suffers from back pain, you can visit the clinic of Dr. Zohra Eshghi, a specialist in orthopedics, physical medicine, and rehabilitation in Shiraz to diagnose the cause and treat it. Do it.
Who should an elderly person with back pain consult in Shiraz?
Treatment options for seniors suffering from back pain in Shiraz
How can an elderly person prevent further deterioration or recurrence of back pain?
