What Causes Spinal Stenosis to Flare Up?

What Causes Spinal Stenosis to Flare Up?

Spinal stenosis flare up occurs when the spaces in the spine become narrow, putting pressure on the spinal cord and nerves. Changes related to aging are a common cause for the condition, but it can also be a result of congenital factors; some people are simply born with a narrower spine. Other spinal conditions such as scoliosis can also be a risk factor for the condition. 

There are two regions where spinal stenosis can occur: the lower back or the neck. Common symptoms include pain in the affected area, as well as numbness or weakness in the arms and legs. Treatment for the condition may vary based on the severity of symptoms. For mild cases, doctors may simply recommend routine monitoring and home remedies such as pain relievers, heat and cold therapy, and exercise. In more severe cases, treatments such as a decompression procedure may be recommended to remove portions of ligaments that are compressing nerve roots. Spinal stenosis surgery is usually reserved for only the most severe cases, including those with pronounced pain or loss of bladder control. 

Avoiding Spinal Stenosis Flares

Because spinal stenosis is largely due to age-related factors, including bone and muscle loss, there’s no way to completely guarantee full prevention of spinal stenosis. With that being said, certain factors could contribute to the condition or cause flare-ups in existing cases. Here are some factors to watch for:

  • Being overweight: Carrying extra weight puts excess strain on the spine. Maintaining a healthy weight through a nutritional diet and exercise are good ways to control symptoms or minimize your risk for the condition. 
  • Smoking: Researchers have established a link between smoking and back conditions that require spinal surgery. In particular, smoking appears to increase the risk of a narrowed lower spinal space. Smoking cessation can help reduce the risk. 
  • Poor Posture: Your posture plays an important role in maintaining spinal health. Poor posture can shift the alignment of the tissues in the back, aggravating preexisting conditions such as spinal stenosis. Using ergonomic furniture and taking breaks to sit or stand frequently throughout the day helps promote good posture. 
  • Inactivity: Exercise keeps the muscles that support the spine strong, and can also help you maintain flexibility and balance. Periods of inactivity can have the opposite effect and may contribute to flare-ups. 

Tracking your symptoms is important with spinal stenosis flare up, as the condition can develop slowly over time. Lifestyle treatments and avoidance of known triggers may help to control your pain for a long time, but if you tried these methods and are still experiencing discomfort, it may be time to consider other treatment options. 

Some patients are discovering the healing potential of stem cell therapy options. The cells have the potential to help with inflammation, pain, and regeneration of tissues. It is important to have a regenerative medicine spine specialist review candidacy to determine if the outcome is optimal for the patient. Discover if you are a candidate with a complimentary assessment. 

Exploring Stem Cell Therapy’s Developing Role In Pain Medicine

Exploring Stem Cell Therapy’s Developing Role In Pain Medicine

As researchers continue to uncover potential health and medical benefits associated with the regenerative properties of stem cells, there is growing interest in the field of stem cell medicine and specifically for use as an alternative therapeutic treatment of pain.

Of particular recent interest in this area is the differentiation ability of stem cells classified as totipotent, pluripotent, and multipotent.  Stem cells that can differentiate into and form cells and build organs are known as totipotent stem cells. Pluripotent stem cells are able to differentiate into various types of cells. Multipotent stem cells can differentiate into several limited forms of cells. Of the three different types, only multipotent stem cells are found as adult cells in the body, including in organs, placenta, and bone marrow.

Recently, stem cell transplantation has been used as an alternative treatment for pain associated with severe osteoarthritis, neuropathic pain, and intractable musculoskeletal pain that does not respond to traditional or conventional medication.

Osteoarthritis

Although stem cells are thought to be a potential treatment approach for repairing and regrowing cartilage required for treating severe osteoarthritis, to date, regeneration of damaged cartilage has proven to produce limited results. One of the significant issues associated with using stem cells to regenerate cartilage is that cartilage contains no blood vessels or nerves, making cartilage regenerations very difficult once it is damaged. Making the process even more difficult, cartilage regeneration can only occur when the entire layer of cartilage and the layer of bone directly below the cartilage is damaged.

As such, therapeutic stem cell treatment possibilities for osteoarthritis include individual or combination treatment(s) of surgical intervention, tissue engineering, and intra-articulation injection of cultured stem cells; of these possible treatment options, intra-articulation injection of cultured cell therapy would be the preferred method as it is the least minimally invasive and most convenient for clinical use.

There have been mixed reviews as to the effectiveness of these treatments and, to date, there have been no reliable and convincing clinical human students with a high level of evidence conducted specifically on the efficacy in functional improvements and cartilage repair surrounding the application of intra-articular stem cell injection therapy. Although some who have had this treatment expressed improvements.

Neuropathic Pain

Stem cells have demonstrated the ability to release neurotrophic factors that enhance the growth and survival potential of neurons, secrete anti-neuroinflammatory cytokines, and provides a cellular source for replacing injured neural cells; this makes the application of stem cells a prime option for regulating and potentially even reversing intractable neuropathic pain.

Studies have confirmed that relieving neuropathic pain is possible through the administering of stem cells, both through intravenous injection and when directly administered to a specific injured site. However, while stem cells do not need to make direct contact with injured cells to produce a neuroprotective effect, stem cells applied directly to an injured site, as opposed to those intravenously injected appeared to better target and relieve neuropathic pain associated with a specific area.

In addition, while a further clinical human study is required, animal models of both diabetic neuropathic pain and spinal cord injury demonstrate that stem cell therapy, and specifically mesenchymal stem cells (MSCs), demonstrated improved blood circulation and nerve conduction velocity, reduced pain, and regeneration of the affected nerve. 

Intervertebral Disc Disease

Patients diagnosed with degenerative disc disease who were treated with MSCs injected directly into the nucleus pulposus, or inner core of the vertebral disc demonstrated a reduction in pain and disability comparable to spinal fusion surgery. 

Research has yet to identify an adequate, effective dosage of stem cells and further research on specific stem cell type, dosage, safety, and implantation rate is required. As research into the use of stem cell therapy in pain medicine progresses, it is important to see the development of evidence-based standardized methods of treatment.

While still in the early stage of clinical application, the use of stem cells in the treatment of pain appears to be very promising.

Reference: (2019, October 1). Stem cell therapy in pain medicine – PubMed. Retrieved December 11, 2020, from https://pubmed.ncbi.nlm.nih.gov/31569916/

How Does Stem Cell Therapy Improve Back Pain?

How Does Stem Cell Therapy Improve Back Pain?

Half of all working adults in the U.S. report back pain symptoms each year. In many cases, the issue is acute and will resolve over time. In other cases, the pain can be pronounced and intensify if left unaddressed, interfering with daily activities. Understandably, many patients hope to avoid invasive back surgeries but are still seeking relief through other means. When conventional therapies fall short, stem cell therapy could be a solution for you. 

Stem Cell Therapy as a Back-Pain Treatment

Existing treatments for many conditions causing pain in the back include anti-inflammatory and prescription pain medications, physical therapy, and lifestyle modifications. When pain is severe, more invasive approaches, including surgical spinal fusion, may be recommended. Unfortunately, pain can persist even after surgery. 

Today, patients have an alternative minimally invasive option. Stem cell therapy is being leveraged to improve lower back pain to do some of the following:

  • Repair disc or facet joint damage
  • Improve function
  • Alleviate chronic pain

The treatment has been implemented for a number of back conditions, including degenerative disc disease, spinal cord injury, herniated discs, sciatica, and spinal facet disease. The stem cells can be strategically administered with the goal of restoring structural integrity, function, and pain reduction. 

With spinal facet disease, the stem cells can be directed to the cartilage surrounding the spinal facet joints to reduce pain and inflammation and improve mobility. The injection is performed via x-ray guidance for the utmost level of precision.

If you’re experiencing pain from disc or facet injuries caused by arthritis, overuse, or trauma, you could potentially be an ideal candidate for stem cell therapy for back pain. The treatment is widely considered to be safe and effective, and in addition to being minimally invasive, requires little recovery time before yielding improvements. Contact a Care Coordinator today for a free assessment!

PRP Therapy – Post Management Care

PRP Therapy – Post Management Care

Many studies support platelet-rich plasma (PRP) to help benefit patients with chronic pain and injuries. This article will cover the major aspects of post management care and the best tips to optimize results.

Important tips to keep in mind:

·   Avoid Taking any anti-inflammatory drugs after the procedure avoid for 14 days following the procedure

·   Apply heat only for 10-14 days , you may experience some soreness and swelling in this time period.

·   Avoid any strenuous activities, exercising and physical therapy for the week following treatment

·   Stay hydrated

·   Improvements typically begin after 2 weeks

About a week after the procedure, patients should start physical therapy, which involves myofascial release, gentle stretching, engaging the articular range of motion, and core stabilizing exercises.

Other activities (e.g., stationary bike, swimming) are also an appropriate choice during the recovery phase. Interventional imaging techniques such as stimulation therapy and Transcutaneous electrical nerve stimulation (TENS) should not be used at this stage.

Once 4-8 weeks have passed, patients can gradually engage in more intense activities, including yoga, Pilates, and light weight lifting. However, forceful rotation and manipulation are not recommended.

Following the correct guidelines during the first few weeks of recovery is crucial for the success of the procedure. The injected cells are quite delicate, hence the need to avoid strenuous physical activities that may cause irreversible damage to the cells.

Patients should also keep in mind that the side effect profile is diverse and can only be evaluated on a case-to-case basis. In other words, one patient might experience pain and inflammation after the procedure, while another presents with no symptoms.

The severity and extent of these symptoms are also dependent on the site of injection, with articulations being the most susceptible to traumatic injuries and side effects.

Recovery by weeks

Weeks 1 & 2

During this phase, you should restrict your movements and physical activity to avoid putting too much tension on your body. However, this doesn’t mean giving up to a sedentary lifestyle as it’s not the best approach.

Expect to experience pain, inflammation, and soreness.

Moreover, remember to avoid running, weight lifting, or any other strenuous exercise. Other activities, such as gentle stretching, are still allowed.

If you experience serious inflammation, consider using ice bags on the affected area , but try to avoid ice and NSAIDS until after the 14 day period. You can also use natural compounds that have potent anti-inflammatory properties, such as turmeric, CBD, and arnica.

Weeks 3 & 4

At this stage, the pain and inflammation should slightly subside, which allows you to practice more intense activities, but do not attempt to lift heavy weights or perform high-impact exercises. An appropriate number would be to keep the intensity of the workouts under 50% of what you’re used to. This will allow the stem cells to implant themselves in the damaged tissue and kick start the healing process.

Weeks 5 & 6

In this stage, focus on core-stabilizing exercises to strengthen your core muscles and give time for the joints to get used to the new routine. Activities such as stationary bike, elliptical, stretching, yoga, Pilates, and swimming exercise are permitted.

Weeks 7 & 8

Inflammation and pain might be gone at this time; however, you should still be careful about the type of exercises you’re performing. For patients who are still dealing with pain and swelling, you can use ice bags to accelerate the healing process.

Months 3–6

During this period, stem cells have reached their peak healing potential, which should not get interrupted with intense physical activity. Instead, settle down for less-strenuous workouts that do not involve any compressive, twisting, or pivoting movements. Avoid uneven ground. Contact a Care Coordinator today for a free assessment!

5 Plants That Help Control Joint Pain

5 Plants That Help Control Joint Pain

Joint pain and inflammation are common characteristics of arthritis. While many individuals use prescription medications to manage their discomfort, other lifestyle modifications such as dietary changes, regular exercise, and herbal supplements may help as well. In particular, certain herbs appear to minimize joint pain more so than others. Although clinical studies on the effectiveness of using the following herbal remedies for joint pain have been limited, the research that has been performed is promising. The following 5 plants that help control joint pain.

Turmeric

The yellow spice commonly used in Indian food has an orange pulp within its stem, which is where the plant compound curcumin is housed. This powerful agent has demonstrated an ability to reduce chronic inflammation caused by rheumatoid arthritis. Yet, because the body can only absorb so much curcumin, its benefits may be limited.

Eucalyptus

Oils can be distilled from the eucalyptus plant and used for anti-inflammatory properties. They are also believed to hold antiviral and antibacterial benefits. The tannins and flavonoids within the leaves are antioxidants, which could help to minimize the joint inflammation and pain experienced in arthritis. Eucalyptus oil can be diffused or added to a warm bath, though many individuals have an allergy to the plant.

Frankincense

Hailing from the bark of the Boswellia tree, frankincense has an aromatic quality, making it a popular ingredient in perfumes and incense. It can be inhaled, applied directly to the skin, or taken as a supplement. The herb is also believed to prevent leukotrienes, the compounds responsible for inflammation. It has even been shown to be as effective as NSAIDs for addressing joint pain in conditions like osteoarthritis and rheumatoid arthritis, but with fewer side effects.

Aloe Vera

Aloe is often the plant that many people reach for to treat burns, as it has both anti-inflammatory and antimicrobial properties. Yet, its anti-inflammatory benefits can be realized by people with arthritis, too. The plant inhibits the production of inflammatory enzymes, which may help to control joint pain.

Borage Oil

The starflower plant contains seeds which are rich in an omega-6 fatty acid known as gamma-linolenic acid (GLA). When metabolized, GLA converts into a signaling molecule which helps regulate inflammatory responses within the body. Certain oils with GLA have been shown to alleviate pain in individuals with rheumatoid arthritis, but borage seed oil is believed to be the most effective because it protects cells from oxidative stress which could be caused by high concentrations of GLA.

While herbal remedies, unfortunately, cannot cure arthritis, they may make a noticeable difference in pain levels, swelling, and stiffness. For individuals who are seeking an alternative to NSAIDs or other drugs, trying plant-based alternatives may be a worthwhile therapeutic option to consider.

Stem Cells Showing Promise for Intervertebral Disc Regeneration and Reduction of Back Pain

Stem Cells Showing Promise for Intervertebral Disc Regeneration and Reduction of Back Pain

Chronic low back pain is a common condition that can significantly reduce the quality of life. The degeneration of the intervertebral disc is one cause for low back pain, and there is no therapeutic intervention that effectively reverses this type of degeneration. Both non-surgical and surgical treatments that are currently used for chronic low back pain aim to help the symptoms associated with the condition but do not address the underlying cause. Recently, however, researchers have begun to explore the ways in which stem cells may be used to help regenerate the intervertebral disc to restore functioning and eliminate low back pain over the long-term. A review of the relevant literature was recently published in Translational Pediatrics.

The intervertebral disc does not have a large potential to regenerate itself, so it is a challenge to find the best cell sources to facilitate such regeneration. Adult mesenchymal stem cells, which are found most often in bone marrow and also in fat, or adipose, tissue are attractive candidates for this type of regeneration given their high capacity to proliferate and to differentiate into different types of cells. In addition, they can self-renew, are highly accessible, and unlike some other types of stem cells, there are no ethical issues associated with their retrieval.

Given the success of mesenchymal stem cell transplantation in preclinical studies of intervertebral disc degeneration, the use of these cells has progressed to clinical trials. Autologous bone marrow mesenchymal stem cells – meaning stem cells taken from the bone marrow of the patients themselves – have been reported in the treatment of disc degeneration in patients with leg and back pain. Reduced pain has been observed at one and two years after transplantation. Importantly, the clinical trials investigating the use of stem cells in intervertebral disc regeneration have provided evidence that the relevant procedures are not only effective but also clinically safe. Future research will help to clarify if and how these and other types of stem cells may be used to reverse intervertebral disc regeneration and the associated chronic low back pain.

 

Reference: Wei, A. et al. (2014). Mesenchymal stem cells: potential application in intervertebral disc regeneration. Translational Pediatrics, 3(2), 71-90.

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