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Best Arachnoiditis Treatment In Delhi NCR.

arachnoiditis treatment and cure
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What Does Arachnoiditis Mean?

Arachnoiditis is a rare and painful condition characterized by the inflammation of the arachnoid mater, one of the membranes that surround and protect the spinal cord and brain. This inflammation can lead to a cascade of issues, including the formation of scar tissue and adhesions that cause spinal nerves to stick together, impairing their function.

Causes of Arachnoiditis

Arachnoiditis can arise from various factors, including:

  • Spinal injuries: Direct trauma to the spine.
  • Infections: Bacterial or viral infections affecting the spine, such as meningitis.
  • Spinal procedures: Complications from spinal surgery, epidural injections, or spinal taps.
  • Chemical irritation: Exposure to certain substances injected into the spine.
  • Chronic nerve compression: Conditions like spinal stenosis or degenerative disc disease.
  • Underlying diseases: In some cases, autoimmune disorders or other diseases can contribute.
Symptoms of Arachnoiditis

The symptoms of arachnoiditis can vary widely in intensity and presentation but often include:

  • Chronic pain: Persistent stinging, burning pain in the lower back and legs is common. The pain may feel like an electric shock.
  • Numbness and tingling: Affected areas may experience a loss of sensation or a “pins and needles” feeling.
  • Weakness: Muscle weakness in the legs can occur.
  • Muscle spasms and cramps: Involuntary muscle contractions can be debilitating.
  • Bowel and bladder dysfunction: Problems with urination and bowel control may develop.
  • Sexual dysfunction: This can include erectile dysfunction or vaginal dryness.
  • Headaches: Some individuals may experience severe headaches.
  • Sensory changes: Unusual sensations like crawling skin (formication) or water trickling down the leg can occur.
  • Mobility issues: Difficulty sitting for extended periods and impaired balance are possible.
  • Other symptoms: Fatigue, joint pain, vision or hearing problems, and tinnitus (ringing in the ears) can also occur.

In severe cases, arachnoiditis can lead to paralysis of the lower limbs. The symptoms can develop gradually or more rapidly and may worsen over time.

Diagnosis
Diagnosing arachnoiditis can be challenging due to its rarity and varied symptoms. Doctors typically use a combination of:
  • Medical history and physical examination: Assessing the patient’s symptoms and neurological function.
Imaging studies:
  • MRI (Magnetic Resonance Imaging): This is the most sensitive imaging technique to visualize inflammation and changes in the spinal cord and surrounding tissues.
  • CT scan (Computed Tomography): Can also provide images of the spine and help rule out other conditions.
  • Other tests: In some cases, blood tests (like ESR and CRP to check for inflammation) or other neurological tests might be conducted.
Treatment for Arachnoiditis

Currently, there is no cure for arachnoiditis, and long-term outcomes can be unpredictable. Treatment focuses on managing pain and other symptoms to improve the patient’s quality of life. Common approaches include:

Medications

  • Pain relievers: NSAIDs (non-steroidal anti-inflammatory drugs) and other analgesics.
  • Nerve pain medications: Gabapentin and pregabalin can help manage neuropathic pain.
  • Muscle relaxants: To alleviate muscle spasms.
  • Antidepressants: Certain antidepressants like duloxetine can help with chronic pain.
  • Corticosteroids: In some cases, corticosteroids may be used to reduce inflammation.
  • Physical therapy: Gentle exercises, stretching, hydrotherapy, and massage can help improve mobility, reduce stiffness, and maintain strength.
  • Exercise: Regular, gentle exercises are crucial to prevent further nerve complications.

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