PENYEBAB SARAF TERJEPIT

Summary

In this video, Dr. Tony Setiobudi, a specialist in spinal surgery at Mount Elizabeth Hospital, Singapore, discusses the causes and treatments for a pinched nerve in the spine. He explains various conditions like herniated discs, spinal stenosis, spondylolisthesis, tumors, and infections that can lead to nerve compression, causing severe pain and discomfort. The video emphasizes the importance of maintaining spine health through exercises, good posture, and proper precautions to avoid excessive pressure on the spine. Dr. Setiobudi advises early medical consultation for those experiencing symptoms to ensure proper treatment.

Takeaways

• 😀 Nerve compression in the spine can cause severe pain and significantly affect one's quality of life.
• 😀 Herniated Nucleus Pulposus (HNP) or slipped disc occurs when the gel-like substance in the spinal disc leaks out and compresses the nerves, often due to injury or improper lifting.
• 😀 Sciatica, a condition caused by nerve compression, leads to sharp pain that radiates down one leg and is usually sudden and intense.
• 😀 Spinal stenosis is a narrowing of the nerve passageways in the spine due to aging or degenerative changes, leading to gradual nerve pressure and discomfort.
• 😀 Claudication refers to pain in the legs when walking, where the patient has to frequently sit down to relieve the pain before walking again.
• 😀 Spondylolisthesis occurs when one vertebra shifts out of alignment, putting pressure on the nerves and worsening over time.
• 😀 Tumors in the spine, though rare, can cause nerve compression and lead to pain, numbness, and potentially paralysis.
• 😀 Infections in the spine, particularly with pus, can rapidly compress the nerves and lead to serious complications, especially in people with weakened immune systems.
• 😀 Conservative treatments like rest, physical therapy, and medication can help manage nerve compression early on, but surgery may be needed in more severe cases.
• 😀 Maintaining spine health through core muscle strengthening, proper posture, and avoiding excessive strain on the spine can help prevent nerve compression.

Q & A

What is a pinched nerve in the spine, and how does it affect the body?

A pinched nerve in the spine occurs when pressure is applied to a nerve, usually due to conditions like a herniated disc, spinal stenosis, or spondylolisthesis. It can cause pain, numbness, tingling, or weakness, which significantly impacts a person’s quality of life.

What is HNP (Herniated Nucleus Pulposus), and how does it contribute to a pinched nerve?

HNP, or a herniated disc, occurs when the gel-like substance inside the spinal disc leaks out and presses on nearby nerves. This can lead to severe pain that radiates down the leg, a condition known as sciatica.

What are common causes of HNP (slipped disk)?

HNP can be caused by activities such as lifting heavy objects, bending over, coughing, sneezing, or sometimes without any clear cause. These actions can put pressure on the spinal discs, leading to a herniation.

What is spinal stenosis, and how does it lead to nerve compression?

Spinal stenosis refers to the narrowing of the spinal canal, which can compress nerves. It typically results from aging, with changes such as enlarged joints, thickened ligaments, and bulging discs that reduce the space for nerves.

Who is most likely to develop spinal stenosis, and what are the symptoms?

Spinal stenosis is most common in older adults. Symptoms include pain, cramping, or weakness in the legs, often worsened by walking. A person with spinal stenosis may have to sit down and rest frequently due to pain, a condition known as claudication.

How does spondylolisthesis cause nerve compression?

Spondylolisthesis occurs when one vertebra in the spine slips out of place, either forward or backward, leading to nerve compression. This condition can worsen over time and may cause increasing pain and other symptoms similar to spinal stenosis.

What treatment options are available for spinal conditions causing nerve compression?

Treatment for nerve compression can include conservative approaches like rest, physical therapy, and medications. However, more severe cases may require surgical intervention, such as implanting hardware to stabilize the spine.

What are the risks associated with tumors in the spine, and how can they cause nerve compression?

Spinal tumors, though rare, can cause nerve compression if they grow large enough to press on nerves. These tumors often originate from other areas of the body, such as the lungs or prostate, and can lead to severe pain, numbness, or even paralysis.

How can infections in the spine lead to nerve compression?

Infections in the spine, particularly those involving pus, can lead to rapid nerve compression. Individuals with diabetes, kidney disease, or weakened immune systems are more susceptible to these types of infections.

What are some preventive measures to avoid pinched nerves in the spine?

Preventive measures include strengthening the core muscles, maintaining proper posture, and avoiding activities that place excessive pressure on the spine, such as lifting heavy weights incorrectly.