hi guys
let me start with my first topic which might be useful for atleast some of you or ur close ones.
back pain may be due to inflammation of any one or more of the components of back and rarely due to a reffered pain.
what are the components of back?
a) Bone b) soft tissues
what are the bony components?
1. spine ( vertebral canal ).
2. joints of the spine.
what are the parts of a vertebral segment??
a vertebral segment is two adjacent vertebrae and the tissues which connect them. ie: two vertebral bodies, the pedicles, the laminae, the spinous process, the inter vertebral disc, various ligaments that anchor the vertebrae like annulus, interspinous ligaments, ligamentum flavum, anterior and posterior longitudinal ligaments, and facet joints and its capsule.
what are the structures that pass through the spinal canal?
spinal cord with the dura, arachnoid and pial coverings, CS Fluid in which these structures are suspended, arteries and veins.
what are the common pathologies which can percipitate back pain?
inflammation of any of the above components, arthritis of the joints including sacro iliac joints.
prolapse of the intervertebral disc compressing the nerve roots at its outlet from the spinal canal ie: neural foramen.
neoplasms arising from any of the components especially that of bone.
vascular insufficiency due to canal stenosis both congenital and acquired
instability of various ligaments leading on to abnormal movements, spondoilolisthesis both congenital and acquired.
trauma to the spine like fall from height or road traffic accident.
what is referred pain?
it is pain felt at a different anatomical region due to same neurological distribution. ex: back pain may be felt due to pathologies of the pelvic components like uterus or inta abdominal components like kidney.
you may understand these more if you go through the various pictures which i shall post along with this showing you the anatomy of spine

spine kerala

Hi,
I am a neurosurgeon of 10 years experience and orthopaedic surgeon with seventeen years experience.
I know that the general public is always confused to choose the right speciality whenever they suffer from back pain or neck pain or if someone they know meet with an accident and sustain a spine fracture.
Some believe that orthopaedic surgeons are the experts in treating spine problems as bone is the major component of spine and others think neurosurgeons are the experts as nerves are very delicate and complicated components of spine.
My aim with the publishing of this blog is mainly to make people aware of the dos and donts for keeping their spine healthy, to help them guide to get the best remedy and treat those who are interested.
I shall periodically publish articles regarding the anatomy of spine, the biomechanics of spine, spine and spinal cord pathologies, various treatment modalities and show some of the patients whom i have treated and operated with the results.Regards
Dr Lal.