2024-07-18 09:58:55
Dilation of the spinal cord may be the cause unexplained back painsuch as those that appear after a break or for which no reason can be seen using a CT scan or MRI.
Back pain is a “democratic” problem that sooner or later happens to everyone.
In some you can depend on a cause other than the classic, which until now has not thought about much: a new domestic system of fraudr, which is just as well bleeding from behind and can open the way to new treatment methodsbut above all it is emphasized once again as a useful movement for having a healthy spine.
This new one
A new hypothesis comes from the physiologist Luigi Tesio, director of the Department of Neurorehabilitative Sciences and Neuromotor Rehabilitation Research Laboratory of the Auxologico of Milan, who also tries to explain the episodes of unexplained back pain due to classic mechanisms such as nerve compression, herniated discs, osteoarthritis.
“These systems are very simple and do not explain apparent paradoxes, such as pain after bed rest or sitting, poor correlation between pain and CT images or MR images, the influence of symptoms with relapses after periods of spontaneous recovery,” Tesio explains. “Until now, an important element in the genetics of pain has been overlooked, namely the dilation of the coronary artery (the base of the venous blood vessels) that lines the interior of the spinal cord.”
It is called Batson’s venous plexus or epidural and the physiatrist began to notice its role in lumbosciatic pain in the 1990s, because “these veins can easily dilate, due to the compression of a herniated disc or even a simple cough: this causes ‘local obstruction but it can also become inflamed if the blood stagnates, causing the appearance of varicose veins and even true phlebitis.
Such ‘varicose veins’ of the spine, in the narrow bone space, can cause pain with “abnormal” characteristics that only consider the classic causes of back pain.
Personal care
Considering that the possibility of vascular changes can be useful at the diagnostic level and in the treatment option: with CT and MRI “modest changes are almost the general rule, even in asymptomatic people,” said Tesio recently Lumbosciatic pain (Il Pensiero Scientifico Editore).
“Therefore, the next step will be to integrate classical images with the study of epidural hemorrhage, which is not easy yet. It is important to interpret the images in the light of symptoms and clinical examination.” The reason will be distinguish different pains to provide more appropriate therapeutic responses: if the cause of the muscle has a significant effect, as it can occur when there is a large circulation “suspension” such as in pregnancy or in people who he has heart failure. Pain treatment should be designed to affect the specific conditions of the vessels.
“Exercises, physiotherapy equipment and drugs do not require significant innovations with respect to what already exists, they just have to be chosen wisely,” the scientist noted. “However, The main enemy of the back continues to be lack of movementprecisely because of the arterial stasis you have.” Physical exercise is, therefore, the first prevention and the first cure, especially when the problem is based on some change of circulation in the spine.
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