43-year-old Sunita Lama from Kapan in Kathmandu has been suffering from back vein rupture for the past 5 years. At first her back hurt a little but she didn’t care. Later, the pain gradually reached the legs and started causing problems while walking. A doctor told him that he should have an operation. She shuddered. Later, when he contacted another doctor, he was advised to do therapy and exercise. Due to medication and therapy, he has improved more than before.
Similarly, 25-year-old Kanti Shahi was admitted to the emergency ward of Veer Hospital after she stopped passing urine one day. During the check-up, it was found that the problem occurred because the spinal cord was severely pinched. The doctor operated on him. She recovered completely after about 2 years. She who came for follow-up says – ‘I didn’t believe that it would get worse after surgery, there was a problem much earlier, but now I know that if it was done on time, I wouldn’t have suffered so much.’
Due to unreasonable lifestyle, diet, lack of exercise and various reasons, people are becoming victims of varicose veins before reaching their age. Due to our own small weaknesses, the problem of back vein rupture is found not only in the old age but also in the young generation.
Spinal cord injury
Before starting to know how spinal cord compression occurs, you should have information about nerves. Dr. Senior Consultant Neuro Physician. Isha Dhungana says – ‘The most common problem of veins is in three places. One in the brain, another in the spine and the third in the peripheral veins which are also known as branch veins. Dr. According to Dhungana, when there is a problem in the veins of the brain, the veins in it can burst, get blocked and tumors can also grow. The electrical currents in the brain are disrupted causing headaches, vomiting, fainting, and epilepsy.
There seems to be a problem.
She adds – sometimes its effects cause tremors in the limbs, paralysis and weakness of the limbs. In addition to that, there can be an infection in the brain. Diseases such as meningitis, encephalitis, malaria, TB etc. may occur. Neurodegenerative diseases occur due to various reasons such as the blood vessels in the brain dry up due to aging and the level of chemicals in the brain decreases.
It will be seen.
Another is the spinal problem. Spinal means spine or back. Dr. According to Isha, it can also cause infection in the veins. Tumors can grow in the spine. The problem with being too visible is that the veins can burst. Branch nerves are also pressed and pinched for various reasons, which is called neuropathy.
The spine is called spine in English. There are a total of 33 bone fragments in the spine. The back and waist are a little more prone to problems than other parts of the spine. The bones of the spine are flexible. Veins are passing through it. Due to the way we live and work, the soft flesh between the two bones leaves space. It moves little by little and presses exactly on the vein.
There are 5 vertebrae in the back or waist. Between each of those bones is a type of tissue, which is called a disc in English. Because of the disc, this part of the spine is flexible and can move more. This is the part of the spine that moves the most when we sit, bend, move our hips, etc. during various physical activities and exercises. Due to these physical movements, the spine of the waist is gradually getting worn out and its nerves are getting weaker. Dhungana says. If there is an injury or if the vein is torn, this part is more affected. If there is an injury to the main nerve, there is a strong possibility that both limbs will not move or paralysis will occur.
Due to vein rupture
With increasing age or due to various reasons, different parts of the back such as bones, nerves, discs etc. also wear out. The disc acts as a washer. There is a problem when it gets stuck in the hole where the vein is located. Therefore, even though the vein hole is normal, the disc ruptures and causes vein problems. Another reason is injury. In the case of back injury, such as falling, accident, back injury, etc., there is a possibility of rupture of the vein. There is a possibility that other nearby veins will be torn even if the flesh grows in the vein, but this is a less visible problem. Poor posture is one of the main causes of varicose veins.
Likewise, lack of back care can also be one. On top of that, there is also an irregular routine of Nepalese. Sudden bending, lifting heavy objects, wrong way of lifting, sitting, walking also contribute to pinching of veins. Dr. Isha says – People who are always in a hurry, don’t exercise, wear high-heeled shoes, sit in a chair for long periods of time, smoke and consume tobacco products, and people who take mental stress have a strong possibility of getting varicose veins. People like doctors, police, bankers can also be at risk of it. Dr. According to Isha, this problem is more common in people who do not exercise, who have been riding motorcycles for a long time, mothers who have given birth to many children, and people with abdominal problems. The bones of such people are quickly worn, heard and crushed.
Symptoms of pinched vein
People who ride bikes are especially bothered by this problem. Dr. Isha says – “Many people come to me daily with this problem. It’s like getting a little older – the thought that only people who are 40-45 years old get spinal cord compression disease, that’s not the case now. The young generation is also facing this problem.
Dr. According to Isha, vein rupture is mainly of the veinWhen the work is interrupted, back pain, pain in the leg or arm due to a torn vein, numbness in the limbs, trembling, laxity, numbness, and gradually inability to move the limbs and back, more pain in the back, pain in the back and limbs during every activity. So much so that it is difficult to sleep properly. When the problem becomes complicated, weakness appears in the fingers, limbs become dry and paralysis may also occur. If the problem is more complicated, there will be an obstruction in defecation and eventually surgery will be required.
How is the treatment?
First of all, check whether the vein is pinched or not. Treatment starts accordingly. Dr. Isha says – ‘If you do an MRI, you will know that the vein is torn. If it is cracked, it should be known at what level it is cracked. If it is at the initial level, it can be reduced by taking medicine and maintaining it. If it is moderate, a little bit of medication and exercise therapy can also fix it.
If it is normal, the patient is initially taught the knowledge of postures and exercises. Counseling is given in this regard. If it is badly torn, then surgery should be done. Isha says. She says – ‘But if there is no such emergency, it is better not to do surgery.’
The natural treatment of this problem can be complete bed rest as well as physical therapy using electrical equipment such as IFT, ultrasound, technology, heating etc. In addition, Chinese treatment methods such as acupuncture and acupressure are also very beneficial in this disease. These methods help to relieve pain, heal bone, disc and ligament injuries and release torn veins. Treatment methods such as back massage, acupressure, cupping, osteopathy, chiropractic will reduce the pain and help the dick to return to its original position. less pain
After that, the patient is taught back exercises and yogasanas. There are many benefits of not missing exercises.
Some people may suddenly stop urinating due to varicose veins. In such a situation, if the treatment is not done in time, there is a possibility that the patient will become paralyzed. Therefore, you should see a specialist as soon as possible and find a way of treatment.
Don’t be afraid of the operation
Dr. Pravin Shrestha, Senior Consultant Neurosurgeon
There is a negative perception among the general public that surgery increases the risk later, but this is not the case. There is no need to be afraid of the operation. Surgery is the permanent, reliable and best solution when treatment does not go well.
I have been operating it for the past 10 years. We admit the patient one day before the operation. The next day is the operation. One more day of rest is given after the operation. The next day we teach to walk. The patient may return to normal within a week or two. I have operated on children as young as 14 years old to as old as 87 years old. If one is not right
Most of them have recovered from the operation. Life can be carried on easily after the operation.
Dr. Isha Dhungana
Senior Consultant Neuro Physician
When the problem becomes complicated, weakness appears in the fingers, limbs become dry and paralysis may also occur. If it is more complicated, just to urinate
Obstruction is reached and finally surgery is required.
What precautions should be taken?
When sitting in a chair for a long time, sit in an easy posture, never sit with an upper leg or putting pressure on only one part of the body. People who do not sit in the same posture for a long time may experience this problem.
The way of working should be changed. Do not lift bulky items.
Do not use high-heeled shoes or slippers.
When going up and down and going up and down stairs, you should walk slowly.
When bending down, when standing up, bend the knees without bending the waist and do it slowly.
Body weight should be kept in balance.
As much as possible, you should not sleep on soft and soft pillows such as mattresses, foams, Dunlops. A flexible bed with springs may seem more comfortable, but it is not good for the back.
When sleeping, you should make a habit of sleeping straight. If the vein is torn, you should not sleep with your knees bent. You should sleep with a pillow under your knees.
You should not work in the same posture for a long time, if you have to, you should change the position from time to time.
When walking, you should walk with your back straight.
Care should also be taken while driving a motorcycle.
(Based on a conversation with Dr. Shrestha working at Kathmandu Neuro Center and Polyclinic)