Fact: No, the cracking sound is actually the joint fluid within the individual joints in the neck and back that are being suddenly shifted from one area to the other; similar to what happens when you “crack your knuckles”.
Fact: While an MRI is essential to view the soft tissues and the nerves in the surrounding areas around the spine, it is important for patients to have new and up to date x-rays so physicians can assess the structural stability of the spine, see and measure any curvatures in the spine, check for any fractures, and check for a broad assessment of disc health.
Standing x-rays are crucial for the physician to be able to assess how the spine reacts under the force of gravity, where an MRI allows for a more in depth view of the disc and the safety of the spinal cord.
Fact: Unfortunately, drinking water or fluids will not help to restore the fluid in the disc or its height. However, there are many non-operative and operative options available here at Virginia Spine Institute to help with addressing issues related to discs, especially when they are the source of pain or compression on nerves.
Fact: The spine cannot be realigned without surgery. However, there are important core strengthening exercises to help support the spine. These exercises will offset the loss of structural support due to the damage to the facet joints, discs, or bone.
Fact: That couldn’t be further from the truth. We have established a program called Enhanced Recovery After Surgery (ERAS) to help mobilize our patients immediately after surgery while they are still in the recovery unit. In conjunction with physical therapy, we want to get our patients back to enjoying their favorite activities and living a fulfilling life.
Fact: Tremors are usually not caused by an injury to the spine. There are unknown causes of tremors, as well as other neurologic causes of tremors that are associated with disorders of the brain. Thankfully, at Virginia Spine Institute we have a neurologist on our team that can help to identify all the sources of your tremors.
Fact: Injury to the spine does not directly cause swelling in the arms or legs. Swelling is usually related to other medical conditions, and we encourage you to visit your primary care doctor if you are experiencing it. Swelling in the legs post spine surgery may be related to a blood clot, and needs to be evaluated immediately.
Fact: Running and staying fit is generally very important for maintaining good bone health and muscle conditioning. Very arduous running (aka marathon training) does place repetitive impact on all the joints throughout our body, and may cause excessive wear and tear. For patients who are looking to stay fit – light aerobic running is great. Lower impact aerobic exercises like swimming, elliptical, and cycling are also encouraged.
Fact: A herniated disc cannot be pushed back into place with manipulation. However, the majority of disc herniations do heal with time, and excellent conservative treatment options like physical therapy can assist with the healing.
Fact: Arthritis is a multifactorial process that involves one’s genetics, nutrition, environment, and work. While it cannot be stopped or reversed, we can work on fitness and core strength to help offset the damaged goods. Regenerative therapy has also helped with treating the pain associated with arthritis in efforts to avoid surgery.
Fact: The spine is meant to hold your body upright. As you gain more weight, especially in the abdomen your center of gravity shifts forward, and your spine has to do a lot more extra work to maintain you upright. This additional weight places a tremendous amount of pressure on your muscles, joints, dics, and ligaments surrounding your spine. Overtime, this leads to excessive wear and tear and increased risk of back pain through your life.
Fact: Wearing braces in the absence of a fracture, or without your physician’s recommendation to maintain posture, will lead to muscle atrophy. The brace will become a crux that will lead to further worsening of your posture. Building up the muscles around your spine through core strengthening is the main avenue to help with posture.
Dr. Ehsan Jazini is a board certified spine surgeon at Virginia Spine Institute.
He has been the first in the nation, and in the world, to perform advanced surgical techniques in cervical disc replacement, augmented reality (AR) spine surgery, and robotic spine surgery. Dr. Jazini was the first in the world to perform Augmented Reality guided personalized spine implant surgery using artificial intelligence. As a leading published author in the field of spine surgery, Dr. Jazini was selected as the Editor in Chief of The Spine Health Journal for the National Spine Health Foundation. Learn more about Dr. Jazini.