Fractures to the lower vertebrae can cause intense lumbar pain. These injuries are divided into two clinical categories – fractures without neurological involvement (stable fractures) and those with a neurological involvement (unstable fractures). The latter type is more complex as the nerves in the spine can be damaged if further injuries are sustained.
In both cases, patients will experience localised back pain, limited movement and changes to their posture. These injuries can lead to kyphosis or scoliosis in some cases.
X-Rays are usually sufficient for diagnosis, although CT or MRI scans may also be needed for further verification.
Stable fractures can be treated through physiotherapy in our specialist sports rehab gym where we aim to reduce patients’ pain and help them recover their full range of movement. In cases of unstable fractures, surgery is first required to stabilise the spine, however we are also well versed in post-operative rehabilitation here.
Spinal stabilisation is a surgical technique used to fix the spine. It is performed in an attempt to reduce back pain with leg symptoms as a result of pinching of a nerve from a disc herniation. It may be indicated in cases of vertebral misalignment such as spondylolisthesis and scoliosis where there is a threat of permanent nerve injury. The procedure is usually performed under general anesthesia and involves decompression of the ‘pinched nerve’, fixation of a spinous process with facet screws in order to stabilise the spine and facilitate fusion.
Physiotherapy and rehabilitation may help prevent the need for surgery. Our doctors at Isokinetic have experience in managing cases of back pain and disc herniation. Once our Isokinetic doctor has made the diagnosis and if indicated these individually tailored sessions may be prescribed. Our well-trained physiotherapy and rehabilitation specialists will support you throughout your sessions to reach your maximum functional recovery possible.
In cases where physiotherapy and rehabilitative treatment alone cannot guarantee a good recovery, a surgical procedure may be indicated. We have a very good working relationship with spinal surgical teams and can request a surgical opinion if the doctor feels this is the best treatment option. Our team at Isokinetic will ensure you are fully informed on your progress.