The spine is a complex structure of muscles, ligaments, and bones that supports the body and facilitates movement. The spine can be subject to a range of ailments which can vary from mild discomfort to debilitating pain. These can have different causes, including trauma, degenerative disease, and postural strain. One of the most common ailments of the spine is degenerative disc disease. This condition involves the gradual loss of shock-absorbing cushioning between the vertebrae in the spine. This causes a gradual narrowing of the intervertebral disc space, putting pressure on the surrounding nerve roots and causing pain and stiffness. Treatment usually involves medication, physical therapy, and lifestyle changes to address the underlying problem. Another common condition is spinal stenosis. Stenosis is a narrowing of the spinal canal, putting pressure on the spinal cord and nerve roots. Signs of stenosis include difficulty walking, increased pain when standing for long periods of time, and tingling and numbness in the legs or arms. Treatments can range from medications to physical therapy and surgery. Facet joint syndrome is another cause of back pain. This condition occurs when the small joints in the vertebral column become inflamed or irritated. Symptoms include stiffness, pain that radiates around the rib cage, and pain when moving in certain directions. Treatment usually entails exercise, lifestyle modifications, and medications to reduce inflammation and pain. Spondylolisthesis is a condition in which one vertebra slips out of alignment with another, resulting in pressure on the spinal nerves and compression of the spinal cord. It can cause pain throughout the lower back, as well as muscle spasms and weakness. Treatment includes relieving pain and symptoms, restoring alignment, and stabilizing the spine. Finally, herniated discs are another common cause of back pain. This condition occurs when a cushioning disc between vertebrae bulges out of place, putting pressure on nearby nerves. Symptoms can include pain in the affected area, as well as tingling, numbness, and muscle weakness. Treatment usually begins with medications to relieve pain and inflammation and can include physical therapy and surgery.
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Ken Ware, NeuroPhysics Therapy Institute, Australia
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Yong Xiao Wang, Albany Medical College, United States
Title : Narrative medicine: A communication therapy for the communication disorder of Psychogenic Non-Epileptic Seizures (PNES) also known as Functional Seizures (FS)
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