Degenerative Spine Disease and Homoeopathy
Homeopathic Journal :: Volume: 4, Issue: 10, Aug 2011 (General Theme) - from Homeorizon.com
e- SPINAL STENOSIS
Spinal stenosis is the constriction of the canals and various foramina of the spine. If adequately severe, the stenosis can compress neural structures within the spine and cause neurological symptoms. Spinal stenosis can involve the spinal canal, the lateral recesses, or the neuroforamina. Spondylosis and spinal stenosis are commonly associated with intervertebral disk disease, particularly in patients over 50, and they are main causes of neck and back pain and radiculopathy.
Causes of Spinal Stenosis
Congenital spinal stenosis can be idiopathic or associated with a developmental disorder, such as achondroplasia (Psora/ Syphilis), hypochondroplasia (Psora), Morquio's mucopoly-saccharidosis (Psora/ Sycosis), and Down's syndrome (Psora/ Sycosis).
STENOSIS OF LUMBAR SPINE
Congenital spinal stenosis is often asymptomatic until middle age, when secondary degenerative changes develop. The acquired type is a disease of adult men with moderate to severe degenerative spine disease (Syphilis). The syndrome of neurogenic or spinal claudication includes bilateral lower extremity pain, numbness, and weakness that is poorly localized and usually associated with low back pain (Psora/ Syphilis). The symptoms are worse with standing or walking and relieved when the patient lies down.
STENOSIS OF CERVICAL SPINE
When bulging disks, spondylosis, and ligamentum flavum hypertrophy (Psora/ Sycosis) progress to constrict the spinal canal and cord, a spinal stenosis develops. In patients with a congenitally borderline or narrow canal, relatively mild degenerative changes (Syphilis) are sufficient to cause spinal stenosis. The spinal cord is more susceptible to traumatic injury in patients with spinal stenosis.
Spondylolysis (Syphilis) refers to a cleft or break in the pars interarticularis of the vertebra. It 93-95% occurs at L5, and most are bilateral. The etiology is uncertain, but a stress fracture from repeated trauma to the spine may be the cause.
Spondylolisthesis refers to forward displacement of one vertebra over another, usually of the 5th lumbar over the body of the sacrum, or of the 4th lumbar over the 5th.
Grading of Spondylolisthesis
It is graded according to how far the vertebral body moves forward on the one below.
Grade 1 = 1 - 25%
Grade 2 = 26 - 50%
Grade 3 = 51 - 75%
Grade 4 = 76 - 100%
Types of Spondylolisthesis
There are two types of spondylolisthesis:
1. Isthmic (open-arch type), associated with spondylolysis (Psora/ Syphilis)-
In this type, the pars defect divides the vertebra into an anterior part (vertebral body, pedicles, transverse processes, and superior articular facet) and a posterior part (inferior facet, laminae, and spinous process). The anterior part slips forward, leaving the posterior part behind. As a result, the spinal canal elongates in its anteroposterior dimension, so that spinal canal stenosis is uncommon with isthmic spondylolisthesis.
2. Degenerative (closed-arch type) (Syphilis)-
Subluxation at the facet joints allows forward or posterior movement of one vertebra over another. A degenerative spondylolisthesis narrows the spinal canal, and symptoms of spinal stenosis are common. Hypertrophic facet arthrosis is a frequent cause of foraminal narrowing.
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