The last week in April sees the celebration of Spine Week 2020.
The last week in April sees the celebration of Spine Week 2020.
Normally, the leading clinicians and scientists from spinal societies across the globe get together to discuss current spine-related topics and research. This year, unfortunately this physical event has been cancelled, but at Cranbourne chiropractor, we’re going to jump on the bandwagon with a blog dedicated to spinal conditions. The spine can be affected by many different conditions and with medicine being medicine, they all sound similar in name and are long tongue-twisters of words. So let us break it down for you…
The spine is a column made up of 24 individual bones called vertebrae, plus the sacrum (5 fused vertebrae) which sits on top of the coccyx, a.k.a the tailbone (usually 4 fused vertebrae). Each vertebra is broadly made up of a large ‘body’ at the front, and a bony arch with various prominences coming off it at the back. The vertebrae stack on top of one another and are separated between each ‘body’ by a disc, whilst the bony prominences at the back form small joints with the vertebrae above and below at each level. These are known as ‘facet’ joints. The spine is also held together by ligaments and have many muscles attaching to them at each level. The spinal cord is housed inside a canal formed by the bony arches being stacked on top of one another.
Now we’ve talked a little bit about anatomy, let’s switch focus to how these structures, which make up the spine, can become affected. Here is a brief overview of the ‘spondyls’ (p.s. ‘spondylos’ is the Greek word for vertebrae):
- Spondylosis: This refers to degenerative changes to the vertebral bodies and the discs. As we age and through wear and tear on our spines, changes can be seen in these structures. Extra bone formation around the border of the vertebral bodies and discs can occur. These small bony spurs are known as osteophytes. If the level of degeneration and osteophyte formation is severe enough, it is possible for one vertebral body to join or fuse with another, which can restrict movement at this segment. Signs that a disc has degenerated includes loss of disc height and hydration levels, and possible bulging. Degeneration of these structures tends to occur slowly through life from around the age of 20-30.
- Spondyloarthrosis: This refers to degeneration of the facet joints in the spine. This is also known as facet joint osteoarthritis. These joints are affected in a similar way to what our knee or hip joint might be if they degenerate as these joints are also covered in cartilage, surrounded by soft tissue membranes and filled with fluid. The facets allow and restrict certain movements depending on what region of the spine they are in. The cartilage breaks down, bony spurring develops and the soft tissues that surround the joints can become worn and stiff over time.
- Spondylitis: This refers to an inflammatory disease that affects the spine. There are many different inflammatory diseases that can impact the spine. Examples include Ankylosing Spondylitis, Reactive arthritis, Psoriatic arthritis, Enteropathic arthritis and Rheumatoid arthritis. These diseases affect the body in a much broader way than just inflammation in the spine. They also affect the different systems of the body, including the digestive, cardiovascular and urinary systems. These conditions are partly managed with use of medications designed specifically for inflammatory disease.
- Spondylolysis: This refers to a defect or fracture of part of the arch that makes up the back part of a vertebra. This is usually brought on by repetitive excessive loading of the spine into backwards bending (extension), as seen in dancing, gymnastics and cricket. There may also be a genetic link which leaves certain individuals weaker and more susceptible to this injury. It is a common cause of low back pain in teenagers due to increased activity levels at this age.
- Spondylolisthesis: This refers to the forward ‘slipping’ of a vertebral body on the one below it. This can occur as a direct result of a spondylolysis, or may occur secondary to degeneration, trauma, serious bone disease, or developmental abnormalities. If the slippage is severe enough, it can press onto the nerve tissue coming out of the spine and cause potentially serious problems that may require surgical intervention. This condition most commonly affects the lower lumbar spine and is a potential source of low back pain, particularly in those who have an increased curve in the low back.
We hope that’s cleared up the confusion. Importantly, a degenerated or diseased spine on an image does not necessarily mean it will give you pain. Take 100 random adults off the street with no reported history of back pain and over 80% of them will have some signs of degeneration in their spine. Our spines and bodies are wonderful structures and adapt very well to change.
Want to look after your spine now for later in life? Call us on [insert clinic number] to book an appointment and we will assess your movement and point you in the right direction. You don’t have to be in pain to come and see us here at [insert clinic name].
Just a reminder that we’re currently following Department of Health guidance. We are open as usual, but taking extra care and precaution.
- Oliver, A. and Middleditch, A. 2005. Functional Anatomy of the Spine. 2nd ed. Butterworth-Heinemann Ltd. Oxford, UK
- Freshwater, D. and Maslin-Prothero, S. 2005. Blackwell’s Nursing Dictionary. 2nd ed. Blackwell Publishing Ltd. Oxford, UK
- Middleton, K. and Fish, D. 2009. Lumbar spondylosis: clinical presentation and treatment approaches. Current reviews in musculoskeletal medicine. 2 (2). 94-104. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2697338/
WE’RE STILL OPEN FOR BUSINESS
Here are 10 ways we can help you can super-charge your health.
Book a TELE-HEALTH service with for Hypnotherapy, Stress management or Naturopathy. Click here to book online or call our reception on 5998 4554. Find out more about our QUIT SMOKING and WEIGHT LOSS tele-health services.
Grab a free copy of our mini-e-book titled, ‘The real reason you need to beat the smoking habit’. Click here to download.
Grab a free copy of our mini-e-book titled, ‘How to beat anxiety naturally’. Click here to download.
Make sure you LIKE our Facebook page and stay up to date. Click here.
Visit our blog Click here
Again, keep up to date with critical updates by subscribing to our monthly newsletter Subscribe here.
Send us an enquiry. Click here for our enquiry form.
Reach out. If you want to make an appointment but still have questions either call us on 5998 4554 or click here to email and we’ll get back to you. Happy to chat.
About the Author:
Dr. Andrew Arnold is a Chiropractor at Cranbourne Family Chiropractic and Wellness Centre
Andrew is married to Dr. Linda Wilson and has two children, Isaac and Bella. He lives in Melbourne, Australia.
Disclaimer for Cranbourne Family Chiropractic & Wellness Centre
If you require any more information or have any questions about our site’s disclaimer, please feel free to contact us by email at firstname.lastname@example.org
All the information within this downloadable document and on this website – www.cranbournefamilychiro.com.au – is published in good faith and for general information purpose only. Cranbourne Family Chiropractic & Wellness Centre does not make any warranties about the completeness, reliability and accuracy of this information. Any action you take upon the information you find on this website (Cranbourne Family Chiropractic & Wellness Centre), is at your own risk. Cranbourne Family Chiropractic & Wellness Centre will not be liable for any losses and/or damages in connection with the use of our website.
From our website, you can visit other websites by following hyperlinks to such external sites. While we strive to provide only quality links to useful and ethical websites, we have no control over the content and nature of these sites. These links to other websites do not imply a recommendation for all the content found on these sites. Site owners and content may change without notice and may occur before we have the opportunity to remove a link which may have gone ‘bad’.
Please be also aware that when you leave our website, other sites may have different privacy policies and terms which are beyond our control. Please be sure to check the Privacy Policies of these sites as well as their “Terms of Service” before engaging in any business or uploading any information.
All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional health or medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional health practitioner or medical advice or delay seeking medical treatment based upon any content of this newsletter.
By downloading this document and /or using our website, you hereby consent to our disclaimer and agree to its terms.
Should we update, amend or make any changes to this document, those changes will be prominently posted here.
Category: Cranbourne Chiropractor