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Home > Archives for nerve compression

Tumor Tulang Belakang – Salah Satu Penyebab Sakit Pinggang

November 1, 2017 by Tony Setiobudi

By Dr Tony Setiobudi BMedSci, MBBS, MRCS, MMed (Ortho), FRCS (Ortho)

Tumor Tulang Belakang - Salah Satu Penyebab Sakit Pinggang

Pernahkan anda mengalami sakit pinggang?

Kebanyakan kita menyepelekan sakit pinggang yang sebagian besar akan sembuh sendiri jika beristirahat. Padahal, bisa jadi itu bukan sakit pinggang biasa. Untuk sakit pinggang yang berhubungan dengan masalah otot dan degenerative memang tidak serius. Tapi, sakit pinggang ini bisa menjadi masalah serius jika disebabkan oleh tumor.

 

Berikut ini adalah contoh kasus tumor tulang belakang. 

Ibu Maria (bukan nama sebenarnya), 42 tahun, mengeluh sakit pinggang selama 3 bulan. Berat badan turun 5 kg. Dua hari sebelum ke dokter, secara tiba-tiba beliau tidak bisa jalan karena kaki merasa sangat lemah. Hasil pemeriksaan lengkap menunjukkan ibu Maria menderita tumor tulang belakang yang menjepit saraf. Tumor ini menyebar dari usus besar (tumor primari). Saraf yang terjepit menyebabkan kelemahan di otot kaki  sampai pasien tidak kuat berjalan. Beliau menjalani operasi untuk mengambil tumor, membebaskan saraf dan menstabilkan tulang belakang. Setelah operasi ibu Maria bisa berjalan kembali dengan normal. Pasien menjalani chemotherapy dan radiotherapy untuk membasmi tumor lebih lanjut.

Tumor di tulang belakang adalah penyebab sakit pinggang yang berbahaya yang memerlukan penanganan segera. Tumor ini dapat membesar secara cepat dan tiba-tiba. Jika menjepit saraf, pasien bisa mengalami kelumpuhan secara tiba-tiba. Sering kali tumor di tulang belakang terjadi karena penyebaran sel tumor dari tempat lain seperti di usus, prostat, payudara dan lain-lain. Banyak sekali pasien yang mengeluh sakit pinggang tanpa keluhan lain seperti kasus Ibu Maria. Dengan pemeriksaan lengkap, tumor di tulang belakang  dan asal tumor (tumor primari) bisa ditemukan dan ditangani secara keseluruhan. Jika pasien mengabaikan keluhan sakit pinggang, tumor ini tidak akan terdeteksi atau mungkin akan terdeteksi dalam kondisi yang lebih parah.

 

Jenis sakit pinggang seperti apa yang tidak boleh diabaikan?

Sebagian besar sakit pinggang tidak berbahaya. Jika sakit pinggang disertai berat badan menurun secara drastis, sakit pinggang lebih parah saat beristirahat, atau sakit pinggang yang terus menerus dan tidak pulih lebih dari satu bulan, pasien perlu segera periksa ke dokter untuk menegakkan diagnosa apakah hal ini berhubungan dengan tumor.

 

Mengapa tumor tulang belakang mengakibatkan sakit pinggang?

Tumor tulang belakang dapat menyebabkan sakit pinggang karena beberapa hal.

  • Tumor membuat tulang belakang menjadi tidak stabil.
  • Tumor membuat tulang belakang rapuh dan gampang patah. Sakit pinggang meningkat secara tiba-tiba jika ada patah tulang di punggung.
  • Tumor bisa menjepit saraf. Hal ini menyebabkan sakit pinggang terkadang menjalar ke kaki atau ke perut dan dada.

 

Apakah pentingnya untuk mendeteksi tumor tulang belakang secara dini?

Dengan berjalan waktu tumor bisa makin membesar, jika masih berukuran kecil tentu saja lebih gampang dioperasi dari pada sudah berukuran besar. Lebih baik lagi dioperasi sebelum tumor menjepit saraf dan mengakibatkan kelumpuhan.

 

Jadi jangan menyepelekan sakit pinggang yang tidak kunjung membaik apalagi jika berat badan menurun dan sakit pinggang memburuk saat istirahat. Segera periksalah ke dokter untuk mencari penyebabnya. 

 

Tumor Tulang Belakang - Salah Satu Penyebab Sakit Pinggang

Dr Tony Setiobudi adalah spesialis bedah tulang dan super-spesialis bedah tulang belakang di Mount Elizabeth Hospital (Orchard), Singapore. Dr Tony menangani masalah tulang, sendi, saraf, otot dan ligamen pada orang dewasa dan anak. Dr Tony mempunyai keahlian khusus dalam penanganan saraf terjepit (HNP & spinal stenosis) & masalah tulang belakang seperti nyeri punggung & leher, scoliosis, postur bungkuk (kyphosis), tumor & infeksi tulang belakang, cedera saraf besar (spinal cord) & patah tulang osteoporosis.

 

 

Filed Under: Back Pain, Spine, Spine Surgery Tagged With: Back Pain, nerve compression, Paralysis, spine surgery, spine tumor

The Danger of Excessive Mobile Use

February 20, 2017 by Tony Setiobudi

By Dr Tony Setiobudi BMedSci, MBBS, MRCS, MMed (Ortho), FRCS (Ortho)

The Danger of Excessive Mobile Use

People of all ages are glued to their mobile phones. Other than the social impact, this phenomenon causes serious health issue to the neck.

Neck posture is bending forward for many hours a day, everyday, for many months and years. Can you imagine our teenage children are having this habit from such a young age? The damage to the neck is accumulative and irreversible to some extent.

Excessive mobile use causes upper cross syndrome

The more forward is the neck posture, the harder the neck muscles need to work to maintain the head up.  This cause muscle imbalance and neck pain. This condition is called “Upper Cross Syndrome”. The neck pain does not get better unless the cause is identified and avoided.

Overtime, this causes chronic pain which is even more difficult to treat.

 

Excessive mobile use causes premature degeneration on the discs in the neck 

Forward neck posture exerts excessive amount of pressure to the discs in the neck. This causes premature degeneration on the discs. The discs become thin and bulging. Sometimes, it causes narrowing of the spinal canal and nerve compression.

 

The symptoms do not appear immediately. It may take years to manifest. But sure it will. Thus, it is important to limit mobile use.

There are some tips that you can do to reduce the damage to the neck when you need to use your mobile excessively

  1. Read your mobile at the eye level so that you neck posture is still upright.
  2. Do regular exercises
  3. Do strengthening of the inner neck muscles to balance up

The Danger of Excessive Mobile Use

Dr Tony Setiobudi is an Orthopaedic & Spine Surgeon at Mount Elizabeth Hospital (Orchard), Singapore. He treats bone, joint, muscle and ligament problems in adults and children. He has a special interest in nerve compression and spine problems such as back & neck pain, scoliosis, kyphosis, spine tumor & infection, spinal cord injury, osteoporosis fracture, spinal stenosis and slipped disc.

Filed Under: Cervical Spondylosis, Neck Pain Tagged With: Mobile use, muscle imbalance, neck pain, nerve compression, upper cross syndrome

Why Fuse the Spine?

February 18, 2017 by Tony Setiobudi

By Dr Tony Setiobudi BMedSci, MBBS, MRCS, MMed (Ortho), FRCS (Ortho)

Why Fuse the Spine?  Spine stabilization

Spinal fusion surgery is indicated when the spine is expected to be unstable after the index operation. In general if there is a sign of instability before surgery, spinal fusion is indicated.

Spinal fusion for nerve compression

Spinal fusion surgery is often performed when the spine shows abnormal movement. Freeing up the nerve from compression (spinal stenosis) often requires removal of bones, ligaments and disc materials. This created further instability in the spine. If the spine is unstable prior to surgery, the spine will become more unstable after the surgery. Thus, spinal fusion is required

 

Spinal fusion for deformity (abnormal posture) correction

Scoliosis or kyphosis (hunched back) often requires surgery to correct the deformity. This requires spinal fusion surgery to maintain the correction and to provide immediate stability after major postural correction.

 

Spinal fusion for spinal tumor surgery

In spinal tumor, the normal bone is replaced by tumor tissue which causes weakness in the spine. Removal of spinal tumor creates void in the spinal segment which makes the spine very unstable. This void is often replaced by metal implant. Spinal fusion surgery is required to hold the metal implant in place and to provide immediate stability.

 

It is important to know the reason why spinal fusion surgery is required. If you have any questions about why you need spinal fusion surgery, you can approach your doctor for further clarification.

Why Fuse the Spine?

Dr Tony Setiobudi is an Orthopaedic & Spine Surgeon at Mount Elizabeth Hospital (Orchard), Singapore. He treats bone, joint, muscle and ligament problems in adults and children. He has a special interest in nerve compression and spine problems such as back & neck pain, scoliosis, kyphosis, spine tumor & infection, spinal cord injury, osteoporosis fracture, spinal stenosis and slipped disc.

 

Filed Under: Ankylosing Spondylitis, kyphosis, Scoliosis, Spinal Stenosis, Spine Surgery Tagged With: kyphosis, nerve compression, scoliosis, spinal deformity, Spinal fusion surgery, Spinal Stenosis, Spinal tumor

If Your Back Pain does not Get Better with any Treatment ….

September 4, 2016 by Tony Setiobudi

If Your Back Pain does not Get Better with any Treatment ....

You may have troublesome chronic back pain for a long time. You may have tried many things including Pain-killers, Physiotherapy, Chiropractic, Yoga, Pilates, Traditional Chinese Medicine, Acupuncture or other Alternative Medicines. If you don’t get better you need to see a specialist who have experience in this area.

Now the most important thing is to exclude any serious conditions such as spine tumor, infection or fracture. This requires a thorough examination and investigations.

After serious conditions are excluded, we can relax a little bit. Many times, the causes are related to your activities and life-style such as sitting or driving too long and lack of exercises. Often with proper education and understanding and a change of life-style, chronic back pain can get significantly better. Sometimes, simple measures such as standing every 20-30 minutes when you need to sit for a long time can improve your back pain significantly.

Chronic back pain requires a more regular follow-up. The treatment often requires multidisciplinary approach. The treatment modalities that you have tried may be appropriate but need to be coordinated appropriately together with medications. The treatment aims to reduce the pain so that you can carry on with your regular activities comfortably with minimal or no medication.

Sometimes, the back pain is associated with mechanical problems such as spinal instability or nerve compression. Strengthening the core muscle is the key to this problem. In severe cases, surgical intervention is required. Fortunately, when the problem is clearly associated with spinal instability or nerve compression, surgical treatment has high chance to solve the problem. But don’t worry because surgical treatment is reserved only as the last resort and most patients don’t need it.

In summary, if your back pain don’t get better after your maximum efforts to treat it, you should consult specialist that has adequate experience in this area.

Author: Dr Tony Setiobudi BMedSci, MBBS, MRCS, MMed (Ortho), FRCS (Ortho), Orthopaedic and Spine Surgeon, Mount Elizabeth Hospital, Singapore

Filed Under: Back Pain, Spine Tagged With: acupuncture, Back Pain, chiropractic, Chronic back pain, nerve compression, physiotherapy, spine fracture, spine infection, spine instability, spine tumor

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