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Why us back hurts?

Written by: Dr. Nicolás Samprón
Edited by: Roser Bernés Ubasos

Back pain is one of the main causes of sick leave and disability. Depending on the degree you can get to severely affect the quality of life of the person suffering. Currently, multiple causes that propitiate some mild, such as muscle spasms, and other more serious, such as tumors, infections, fractures, loss of strength (or paralysis) and other neurological disorders related to a possible spinal cord or nerve damage known.

What is pain?

Back pain is a pain located in an area of ​​the cervical, thoracic or lumbar spine. Sometimes this discomfort is concentrated in the central part of the back and other extends to the lower extremities, in this case we call sciatica, or upper extremities, we call cervicobrachialgia. Its most common causes are the hernias or protrusions of intervertebral discs.

Currently is a health problem so widespread that one can say that noha who never suffered back pain you suffer at some point in their lives. However, we must distinguish between back pain banal which it is not. The first is triggered following a stress or poor posture, its duration is of few days and has appeared as leaves, and the latter may be a sign of a serious health problem.


How do doctors detect these serious health problems?

The main tool available to specialists in Neurosurgery in detecting back pain is the patient 's history and, specifically, the neurological examination with additional studies necessary. We must be trained to see the "red flags", ie, those warning signs that help identify whether back pain hides another more serious problem. For example, situations like weight loss without cause, night pain, personal history of cancer, osteoporosis or recent infections, among others.


What solution obtained patients who suffer disabling back pain without being a serious cause?

First, it is essential to make the diagnosis with the greatest possible accuracy through a comprehensive assessment of the spine and balance, plus a specific assessment of the area damaged. In these cases, the cause is often wear, arthritis of the spine or myofascial disorder, ie, muscles and tendons back.

Realize their cause is not an easy task. Even today with great technical means available, sometimes you can not specify a cause of back pain. Sometimes the pain is all disease and seen that the usual degenerative aging is accompanied by structural changes in the spine, sometimes highly complex diagnostic dilemmas arise.


What results offered surgery?

Trading is usually part of the solution in the most serious diseases of the spine, plus a rigorously selected patients with degenerative diseases of the spine group.


What techniques are applied?

The most important part of the surgery is the indication and planning. The type of surgery performed neurosurgeons is customized, could be compared with the old tailors, tailored suits are made for patients are unique.

For it has been incorporated, in recent years, the latest technology and all kinds of minimally invasive techniques with the fundamental technique in Neurosurgery quintessential pillar of microsurgery.


How effective in treating met other areas such as physical therapy, rehabilitation, osteopathy, acupuncture, pilates or ozone therapy?

As in other aspects of life, you can not generalize that way. The work of rehabilitation and physical therapists often is the most important point of treatment. Regarding other disciplines there is much variability and not be within the scientific field is difficult to be effective. A reasonable and prudent recommendation is not to start any treatment without having undertaken an assessment or medical examination by a neurosurgeon or specialist in diseases of the spine.

Finally, note that the doctor-patient relationship must be close. Specialists must be able to detect these problems and patients should consult their doctor any questions, otherwise the consequences could be irreparable.


Edited by Roser Berner Ubasos

*Translated with Google translator. We apologize for any imperfection

By Dr. Nicolás Samprón
Neurological Surgery

Renowned specialist in Neurosurgery, Dr. Samprón Lebed is a Doctor of Medicine and Surgery from the University of the Basque Country and a Specialist in Neurosurgery since 2009. Throughout his career he has made various international stays with the aim of expanding his knowledge in different disciplines An example of this is his stay at the Helsinki Central University Hospital on neurovascular surgery.

Among his academic achievements, he stands out for receiving the award for the best resident at Donostia University Hospital in 2009 and for obtaining European certification in Neurosurgery. He is also the author of numerous publications at national and international level and participant in many conferences and symposiums.

It currently belongs to the Logik project of the Onkologikoa Institute, located in Donostia (Gipuzkoa).

*Translated with Google translator. We apologize for any imperfection

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