Doctor insights on:
Difference Between Slip Disc And Spondylitis
Synonyms: The terms bulging disk, slipped disk, herniated disk are roughly the same idea that they disc has moved out of place where it should be and possibly compressing nerve or spinal cord. Typically, though herniated disk signifies a slight increase in severity of pathology over a bulging disc. It gets a little more specific if terms like disc protrusion and disc extrusion come into the mix. ...Read more
Wear and tear can cause degeneration in the vertebral column, and cause discs to deteriorate. The supportive basket, nucleus fibrosis develops small tears. A bulge is minimal perhaps a few millimeters, and is clinically insignificant, but additional disc displacement such as protrusion or herniation may compress ...Read more
Disc bulge herniatio: A bulging disc occurs with degeneration or minor disruption of the disc complex. A bulge usually doesn't contact or compress the spinal cord or nerve root and can be an symptomatic finding. A herniated disc is a bigger disc disruption usually associated with mass effect on the spinal cord or nerve root. Weakness, sensory loss, or pain down the extremity is usually found. ...Read more
Inflammatory v degen: Ankylosing spondylitis (AS) is an inflammatory arthritis that affects the spine, pelvis, and sometimes the peripheral joints as well. Spondylolisthesis is a degenerative change in the spine that allows one vertebra to slide out of alignment with the one next to it. These conditions are treated differently. ...Read more
Difference: They are both rheumatologic conditions, however RA usually has detectable blood markers suggesting joint degeneration in specific patterns as a result of a hyperactive immune response. Ankylosing spondylitis is usually negative for blood markers, but associated with hla b27 antigen. It causes inflammation in the joints of the axial skeleton resulting in fusion of the sacroiliac and spinal segments. ...Read more
Dear doctor, please let me know what is the difference between multiple sclerosis and spondylitis. Thank you?
Response: Multiple sclerosis is an autoimmune inflammatory disease affecting brain, spinal cord, and optic nerves. Paraplegia could be due to spinal cord involvement. But another cause of leg issues could be spinal stenosis, cervical spondylosis, and mechanical spinal cord compression. The term spondylitis may refer to structural problems within the vertebrae, which may be the cause of your issue. ...Read more
How do docs tell the difference between regular degenerative changes in facet joints and ankylosing spondylitis or autoimmune on imagine(mri, xrays etc?
See below: Each have distinct finding by x-rays. An MRI is even better. With contrast on a mri, you can detect whether ankylosing spondylitis is active or not and it can detect early changes unlike an x-ray which may not have changes early on x-ray. An MRI with contrast can also distinguish whether anylosing spondylitis is present in the setting of osteoarthritis of the spine. ...Read more
Very similar: These are both associated with the same genetic predisposition and are really just variants of the same disease. They are lumped into a disease category known as seronegative spondyloarthropathies so there is major overlap. If your issues are confined to the spine you can call it ank spondy. It you have urinary issues and a peripheral arthritis without back pain you can call it reiters. ...Read more
I've heard ankylosing spondylitis presentation at onset is very different in women than men. Please can you explain the differences. Thank you.?
I quit swimming 1.5 yrs ago due to pain from degenerated discs + spondylitis. My back hurts after only 2 10 min swims. Do I have to give up swimming?
What is a difference btween loss of lordosis and spondylitis? Also, please mention the treatment for both
What is the treatment for ankylosing spondylitis? Injury due to slip & fall 2001, had p/t. Three herniated discs (l3/4/5)- caused foot to swell.
Conservative: Ankylosing spondylitis is a progressive condition mainly treated by rheumatologists. It is not due to trauma, but can be aggravated by trauma. The spine slowly auto-fuses and becomes stiff, but can also develop a kyphoscoliotic curvature. There are exercises designed to maintain posture, but in severe cases surgery may be required to correct spinal imbalance. ...Read more
Can herniated disc in upper back or spondylitis in neck cause tingling numbness in jaw. Also, have it in hands arms and front of thighs.
No: Those symptoms will not be the result of the conditions mentioned. See a neurologist. ...Read more
I have no bone incorporation and optimesh was used to fill disc space. I feel like a bone grenade went off in my back. I have ankylosings spondyliti
Your own doctors...: Your own doctors need to deal with this. Your issues are much too complex for clear answers from a distant online source like a HealthTap forum. Discuss with the doctors providing your care -- which must include a spine surgeon and probably a rheumatologist. Follow their advice. Good luck! ...Read more
Weight of 82: I assume that's 82 pounds and not kilograms, indicating that you're underweight. Of course, without further history to explain the low weight, it is hard to provide specific advice. If your macro and micro nutrient intake is deficient, it may be affecting your bone health, which might result in your back problems. You have probably heard it before, but you need to consult a doctor. ...Read more
Ask your doctor: Check with the surgeon who knows the details about your operation as to what your activity and restrictions are. ...Read more
Too much sitting: Sitting, especially unsupported, causes increased stress on the lumbar discs. This is a common cause of back pain. Getting up periodically can help as can rolling up a towel and throwing it between the chair and your lower back to give better support. Trying different ergonomic chairs can also be helpful but expensive. If all else fails, try some pilates/piyo/yoga to strengthen your core. ...Read more
Spinal surgeon: If you have a symptomatic disc herniation, and has tried professionally guided conservative treatment, I would recommend that you seek care from a trained spinal surgeon in your area. Presently, the popular care is that of minimally invasive spinal surgery. Basically performing the same old surgery thru smaller access opening. This does leads to quicker recovery. ...Read more
"Dr Time": Giving it time to heal is crucial — most of these will heal up naturally. (ibuprofen, taking it easy, strengthening your para-spinous muscles with isometric exercises — stationary bike, swimming, yoga, rowing machine etc will help). "Dr. Time" will heal most of these (may take 2-3 months). Any leg/limb weakness — see your neurosurgeon right away — waiting may cause nerve damage. ...Read more
Not Dangerous: Hurts a lot, however if you have weakness or bowel/bladder incontinence than it can be an emergency that may need to be evaluated for surgery. This suggests that the disc is significant compressing nerves in the spinal canal reducing their function. Generally though, a majority of slipped discs or herniations are mostly painful and resolve over time and do not cause long term effects. ...Read more
Yes: Herniated (slipped) discs will often heal without surgery; surgery often helps but should be the last resort. Rest & time, physical therapy & anti-inflammatory drugs & herbs help, as can mind-body techniques & acupuncture. Healing back pain naturally: the mind-body program proven to work by art brownstein is a good book on the subject. ...Read more
I am having sciatica pain.... Some years back I was operated for slip disc. Now, frequently I suffer from sciatica pain. Recommend some medicines plz.
Spine Pain Options: This chronic pain in the distribution as you suggested is the result of an irritated nerve or facet joints or other injury typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease, etc requiring further evaluation by a spine specialist and may be candidate for facet injections/radiofrequency ablation and epidural steroid injection. ...Read more
Herniated disc: A "slipped disc" refers to a disc in the spine which is protruding to some degree. Sometimes a disc protrusion can pinch a nerve, causing radiating pain into an extremity. Many "slipped discs" are minor and are simply a part of the normal aging process which includes wearing out of discs, bone spurs, etc — nothing needs to be done about these normal aging changes if there are no associated symptoms. ...Read more
Various treatment : Assuming you have an MRI, start with back stabilization exercises given by physical therapy so it can be documented. Could also benefit from a steroid epidural injection. Use Naproxen twice a day, and have that documented in a chart to establish you have been treated conservatively. If pain persists with the above, get a surgical evaluation. ...Read more