Pain from Herniated Discs, Bone Spurs, and Weather Changes - Neurosurgery

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Bone spur, slippage, herniated disc?


Hello, Dr.
Lai.
I would like to ask if conditions such as herniated discs, bone spurs, and spondylolisthesis can cause pain during changes in weather, like when it rains or gets cold? Additionally, can lying down or sitting still also lead to pain due to these conditions? I have a family member who experiences pain in their lower back and buttocks during rainy or cold weather, and when they rest lying down or sitting, they also feel pain and prefer not to move.
Are these symptoms related to the conditions mentioned? I want to take them to the hospital for an examination, but they refuse and only want to go to a clinic by themselves.
They are not willing to let me accompany them, so we are unsure about the underlying causes.
They mention issues like bone spurs, spondylolisthesis, and herniated discs, but we are not certain if that is accurate.
We are seeking your expertise, Dr.
Lai, and would appreciate your explanation.
Thank you for your help.

Caitong, 40~49 year old female. Ask Date: 2021/03/24

Dr. Lai Zhaokang reply Neurosurgery


Hello: Based on the symptoms described, it seems that your family member may have a lumbar spine issue.
Conditions such as bone spurs, spondylolisthesis, or herniated discs within the lumbar spine can potentially compress nerves or lead to structural instability, which may cause the symptoms you mentioned.
Speculating is not helpful; it is essential to obtain an X-ray and possibly arrange for an MRI.
This will provide answers and recommendations for further treatment.
// Dr.
Lai Chao-Kang, Chief of Spine Surgery

Reply Date: 2021/03/24

More Info


Understanding pain related to herniated discs, bone spurs, and weather changes can be quite complex, as these conditions can significantly affect an individual's quality of life. Let's break down each aspect of your question.


Herniated Discs and Bone Spurs
Herniated Discs: A herniated disc occurs when the soft inner gel of the disc bulges out through a tear in the tougher exterior. This can lead to nerve compression, resulting in pain, numbness, or weakness in the affected area. Common symptoms include pain that radiates down the leg (sciatica), back pain, and discomfort when sitting or standing for prolonged periods.

Bone Spurs: Bone spurs, or osteophytes, are bony projections that develop along the edges of bones, often in response to joint damage from osteoarthritis. They can cause pain by irritating nearby nerves or by limiting joint movement. Symptoms may include localized pain, stiffness, and swelling.


Weather Changes and Pain
Many individuals report increased pain during weather changes, particularly when it becomes colder or more humid. While the exact mechanism is not fully understood, several theories exist:
1. Barometric Pressure Changes: Some studies suggest that changes in barometric pressure can affect the pressure within joints, leading to discomfort.

2. Temperature Sensitivity: Cold weather can cause muscles and joints to tighten, which may exacerbate pain.

3. Inflammation: Weather changes can influence inflammatory responses in the body, potentially leading to increased pain in conditions like arthritis.


Pain While Resting
Experiencing pain while lying down or sitting can be particularly distressing. This could be related to several factors:
- Posture: Poor posture while sitting or lying down can place additional stress on the spine and surrounding muscles, leading to discomfort.

- Nerve Compression: If a herniated disc is present, certain positions may exacerbate nerve compression, leading to pain even during rest.

- Muscle Tension: Prolonged inactivity can lead to muscle stiffness and tension, which may contribute to pain.


Recommendations
1. Medical Evaluation: It is crucial for your family member to undergo a thorough medical evaluation, ideally with a specialist such as an orthopedic surgeon or a neurologist. Imaging studies like MRI or CT scans can help confirm the presence of herniated discs or bone spurs and assess their severity.


2. Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can develop a tailored exercise program to strengthen the muscles supporting the spine and improve flexibility, which may alleviate pain.

3. Pain Management: Over-the-counter medications like NSAIDs (e.g., ibuprofen) can help manage pain and inflammation. However, it’s essential to consult with a healthcare provider before starting any medication.

4. Lifestyle Modifications: Encouraging your family member to maintain a healthy weight, engage in regular low-impact exercise, and practice good posture can help reduce pain.

5. Alternative Therapies: Some individuals find relief through alternative therapies such as acupuncture, chiropractic care, or massage therapy. These can be explored as adjuncts to traditional medical treatment.


Conclusion
In summary, herniated discs and bone spurs can indeed cause pain that may worsen with weather changes, and resting in certain positions may exacerbate discomfort. It is essential for your family member to seek a comprehensive evaluation to determine the underlying causes of their pain. Understanding these conditions and their relationship with environmental factors can empower both you and your family member to make informed decisions regarding treatment and management.

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