| The spine is the central axis of the human body. It holds us upright, gives us mobility and protects the sensitive spinal cord. Despite its remarkable properties, however, more than 40% of all adults suffer from some kind of spinal disorder and back pain is one of the leading causes of work disability in the industrialized countries of the world. Moreover, the incidence of spinal disorders in individuals below twenty years of age continues to grow. Whether you suffer from temporary lumbago, chronic back pain, or a gradually worsening wear-related condition, it is essential to regard back pain as an important alarm signal. |
 |
| Click here to view a film about the spine. |
The unique construction of the spine permits us to execute a virtually unlimited variety of movements. The spinal canal acts as a safe conduit for the spinal cord and nerve roots.
What is the structure of the spine?
The nerve roots exit the spinal canal in pairs at the level of each disc through openings known as the neural foramina. However, the complexity of the spine's structure - including the 7 cervical, 12 thoracic and five lumbar vertebrae, the sacrum, the coccyx, the vertebral discs, the ligaments and the facet joints - also shows some disadvantages. Genetic disorders, poor posture, obesity, a sedentary lifestyle and weak supporting muscles can cause both acute and chronic back pain. While the causes of back pain are numerous, wear-related or degenerative conditions account for the lion's share of all back disorders, including:
- Facet joint osteoarthritis
- Spinal disc protrusion
- Spinal disc herniation (disc prolapse)
- Foraminal stenosis
- Spinal canal stenosis
Chronic back pain or leg pain- Osteoporosis and vertebral fractures
A diagnosis of any of the above-mentioned spinal disorders will require a comprehensive physical examination carried out by your orthopedic specialist as well as a device-based visualization of your spine, including x-rays, computed tomography (CT) and magnetic resonance imaging (MRI). A neurological investigation may also be necessary. Once your orthopedic specialist has completed a differential diagnosis, a customized form of treatment will be selected in consultation with you. The precise treatment you receive will include some conservative methods (e.g. palliative care or pain therapy, physical therapy, acupuncture) and may also include minimally invasive surgical procedures.
