Despite what most people think, Spinal tuberculosis (TB) does not only affect the lungs. The most common type of TB is lung TB, but the infection can spread to almost any organ in the body, even the spine. Someone once said, “Tuberculosis can cause anything except pregnancy.” Consult the top doctors for the best spine tuberculosis treatment in Vizag.
Spinal Tuberculosis most often affects the lungs, but it can also happen in the spine. Pott’s disease, which is another name for spinal tuberculosis, happens when TB germs that have been dormant in the body since childhood come back to life. If this condition isn’t treated, it can lead to extreme pain, spinal deformities, and even paralysis.
It is imperative to see a Spine Specialist in Vizag if you or someone you care about is having constant back pain. Dr. Leela Prasad at Amulya Hospital provides the best spine tuberculosis treatment in Vizag, assisting patients regain their independence and pain-free living.
Getting to Know Spinal Tuberculosis
Contrary to popular belief, tuberculosis (TB) is not limited to the lungs; it can affect almost any organ in the body. As the saying goes, “Tuberculosis can cause anything except pregnancy.”
After the lungs, the spine is one of the most commonly affected sites. Spinal tuberculosis, also known as Pott’s disease, typically develops when dormant TB bacteria, present since childhood, become reactivated.
If left untreated, spinal TB can lead to severe complications. Early diagnosis and timely treatment are essential to prevent long-term damage and ensure optimal recovery.
Symptoms of Spinal Tuberculosis
Back pain associated with spinal TB is typically deep-seated and persists even at rest. It often worsens at night and, if left untreated, gradually intensifies over time. In severe cases, the pain can become so debilitating that it confines the patient to bed. The discomfort may be localized to the back or radiate to the limbs.
The mid-back region, specifically the dorso-lumbar junction, is the most common site of spinal tuberculosis. One of the most prevalent symptoms is persistent back discomfort, which is characterised by:
- Noticible during the night
- Getting stronger over time
- Might worsen to the point where the sufferer can’t leave their bed
Additional symptoms:
- Night sweats and unexplained fever
- Fatigue and losing weight
- Back pain, stiffness, and limited range of motion
- Swelling or deformity in the affected area
Possible Side Effects of Spinal Tuberculosis
Neglected cases of tuberculosis in the spinal cord can cause serious, even fatal, consequences, such as:
Bone Destruction
The TB bacteria loosen the vertebrae over time, which makes the spinal column less strong. This damage can cause breaks and abnormalities, so it’s important to find the problem quickly.
Building up of pus and nerve compression
As the infection gets worse, pus builds up in the spine, which presses on spinal nerves. This could lead to:
- Bad leg pain
- Legs that feel numb or tingly
- Lower limb weakness
Spinal Cord Compression and Paralysis
If the pus or broken bone puts a lot of pressure on the spinal cord, the person may experience:
- Partial or complete paralysis
- Loss of bladder and bowel control
Kyphotic Deformity (Hunchback)
The destruction of bone by tuberculosis bacteria can cause vertebral collapse, leading to a hunchback-like deformity known as kyphosis. A strong forward bend (kyphosis) in the spine can happen when several vertebrae break. In severe cases, a kyphotic condition that lasts for a long time can cause permanent paralysis.
Diagnosis of Spinal Tuberculosis
Dr. Leela Prasad, an expert in spinal tuberculosis treatment in Vizag specializes in minimally invasive surgeries to restore mobility and function.
Diagnostic Tests for Spinal Tuberculosis Treatment
Complete Blood Count (CBC), ESR, and CRP:
These tests help evaluate signs of infection and inflammation in the body.
X-rays:
In the early stages of spinal TB, X-rays may appear normal, making diagnosis challenging. Characteristic changes become visible only after significant bone destruction has occurred.
Magnetic Resonance Imaging (MRI):
MRI is highly sensitive in detecting spinal disorders and can identify spinal TB at an early stage, even before X-rays or CT scans reveal any abnormalities. It provides a detailed view of the extent of the disease, detects pus collections, and assesses spinal cord compression.
Biopsy:
A tissue sample from the affected bone is examined under a microscope to confirm the presence of spinal TB.
A combination of these diagnostic tests is often required for an accurate diagnosis of spinal tuberculosis.
Treatment for Spine Tuberculosis Treatment in Vizag
Tuberculosis of the spine, or any organ, is a medical condition that can be successfully treated with medicine.
Medical Management
Anti-tubercular therapy (ATT) consists of a combination of 4 drugs (isoniazid, rifampicin, pyrazinamide, ethambutol), which should be taken for a period of 9-12 months.
Supportive care: Rest, analgesics, and spinal bracing to reduce pain and prevent deformity.
Surgical Management
- Indications: severe pain not responding to medication, Significant kyphosis, weakness and paralysis of limbs, failed medical management,
- Surgical procedures: Debridement( removal of dead bone), decompression( relieving the pressure on spinal cord), instrumentation (supporting the spine with screws rods), bone grafting and fusion.
- Goals: To relieve pressure on the spinal cord, stabilize the spine, and prevent further deformity.
Recovery and Rehabilitation
To get better from spinal TB, you need long-term medicine, physical therapy, and changes to your lifestyle. Patients are told to:
- Physical therapy: To improve mobility, strength, and flexibility.
- Pain management: To control pain and discomfort.
- Spinal orthotics: To provide support and stability.
Monitoring and Follow-up
- Regular check-ups: To monitor treatment response, spinal stability, and neurological function.
- Imaging studies: To assess spinal alignment, bone healing, and disease progression.
For the best care of TB spine, a team effort combining orthopaedic surgeons, spine surgeons, infectious disease specialists, and rehabilitation experts is needed.
Spine Tuberculosis Treatment in Vizag
Dr. Leela Prasad, an expert in spinal tuberculosis treatment in Vizag, specializes in minimally invasive spinal surgeries to restore mobility and function.
Final Thoughts:
Spinal tuberculosis is a dangerous disease that needs to be found and treated quickly to avoid complications that can change a person’s life. If you or someone you care about has constant back pain, numbness, or weakness, talk to Dr. Leela Prasad, the best spine specialist in Visakhapatnam. With expert care and cutting-edge treatment choices, you can beat spinal TB and regain your quality of life.