Schmorl’s Node Treatment With Advanced Clinical Methods In Malaysia
This article covers Schmorl’s Nodes as well as how it is diagnosed and what you should do.
What Is Schmorl’s Node?
By definition, a Schmorl’s Node (also known as Schmorl’s nodules) is either a downward or upward notching or protrusions (pushing) of the spinal disc cartilaginous structures, and bony surfaces of spinal bones called vertebrae. Schmorl’s Node is a common occurrence of degenerative changes with aging, detected in routine spine x-rays. However, we may also find it in young adults and even teenagers.
Schmorl’s Nodes or Schmorl’s Nodules (spine nodules) in young adults and teenagers are often hereditary predisposition results. 70% of those diagnosed with Schmorl’s nodes are said to have a genetic predisposition. In essence, Schmorl’s Nodes is a vertical herniation of the spinal disc. This herniation often results when there is a weakness in the vertebral end-plates. Although most cases are asymptomatic, they are clinically significant.
A clinical research study of 400 back pain patients reported Schmorl’s nodes in about 20% of the participants. As such, it becomes a point of clinical significance, especially when the discovery of Schmorl’s Nodes is in teenagers and younger adults. Therefore, you should take steps to avoid the complications of additional spinal disorders as you age if you have Schmorl’s Nodules.
How A Schmorl’s Node Diagnose?
The most common diagnosis of Schmorl’s Nodes is through spinal x-rays. But, CT-scan and MRI assessments offer a much greater detail of the vertical disc herniation. X-rays, CT Scans, or MRI tests will show a notch or a bump seen pushing into the vertebrae. This little notch is called a Schmorl’s Node. As mentioned earlier, the diagnosis of Schmorl’s Nodes in young adults is a point of concern. Although most of these cases are genetically linked, some develop it due to excessive load-bearing activities.
Are Spinal Nodes Painful?
A Schmorl’s node is not always painful; however, in some, it can be a direct source of pain when the nodes are large or if they induce an inflammatory reaction at the vertebral endplate or vertebral body (spinal bone) that the end-pate attache. In most, the pain of Schmorl’s nodes is often the result of co-conditions such as degenerative disc disease, facet hypertrophy, or spinal disc bulges.
Spinal discs require an uninterrupted flow of nutrients (water, oxygen, amino acids, and glucose) to remain healthy. The problem with the spinal disc is that they don’t have a direct blood flow to provide them with the needed nutrient. And as such, the required nutrients must defuse from the vertebral body (spinal bone) across the vertebral endplates to reach the hungry cells on the spinal disc.
The spinal disc’s nutritional needs are met through the process of diffusion known as “imbibition,” where the spinal disc soaks up nutrients through the vertebral end-palate from the vertebrae above and below. Schmorl’s nodes damage the vertebral endplate preventing them from soaking up the nutrients and problems in transferring the soaked-up nutrients into the spinal disc.
Without sufficient amounts of the needed nutrient, your spinal disc becomes weak, wearing, slipping, and tearing prematurely. So, while a Schmorl’s Node may not be the only source of cause pain, it can lead to other conditions that do cause pain.
Degenerative Disc Disease, Schorl’s Nodes & Pain
Schomrl’s nodes cause premature degenerative changes in vertebral discs and spinal joints that can become quite painful. It becomes weak and susceptible to tears and slippage (spinal disc bulges or disc herniation). Moreover, spinal disc degeneration results in loss of disc height. And the loss of disc height puts excessive stress on spinal joints, causing them to wear out and become degenerative and arthritic (facet hypertrophy). Therefore, Schmorl’s nodes that were not painful during early life can become painful or, at the very least, a source of pain due to the interruptions they cause in the inflow of nutrients from the vertebral body that crosses the endplates before entering the disc.
What Is The Clinical Significance Of These Nodules?
In short, if you have it, it means that there is a weakness in your end-pates. The endplates are the caps situated at the top and bottom of every spinal disc. These are anchors used to connect the spinal disc to the spinal bone. Also, the vertebral endplate is the structure needed to transmit the required nutrients to the spinal disc. Therefore, any weakness in the spinal end-pate will directly impact the health of the spinal discs. As such, those diagnosed with q Schmorl’s Node will develop spinal disc disorders (slipped discs). Therefore, precise preventive plans and even lifestyle changes for the young adults diagnosed are critical regardless of your age at the time of diagnosis.
Teenagers and young adults need urgent preventive measures that help avoid progression. The same applies to older adults, as Schmorl’s Nodules can progress and cause spinal bone collapse, leading to significant pain and disability. CSC’s chiropractic and physiotherapy center offers holistic therapy options that fix and repairs the cause of your pain. Get in touch with us and discover how our methods of combined care are best for you.
What Are The Treatment Options For Patients With Spine Nodules?
To recover from the aches and pains, you feel with schmorl’s nodes, you need focused therapy measures that address damaged discs, joints, and inflammatory processes that result from Schmorl’s nodes or its associated co-conditions.
Many have told us that the therapy they received didn’t help. Our advice is to get the proper treatment. Get specialized care from people who know what they are doing, not just the general or basic physical therapy or physiotherapy treatments that most centers or hospitals provide.
Although there is no specific treatment for Schmorl’s Nodes, there are things that one diagnosed with such a condition can do to prevent other more spinal severe diseases such as degenerative disc disease, herniated disc (slip-disc or slipped disc), or fragmented disc. Prevention is better than cure, and for those with Schmorl’s Nodes, they need to heed the warning. In short, if you have Schmorl’s Nodes, it would be best for you to partake in a preventive program to avoid the nasty pitfalls of a slipped disc.
Prevention should not just be through care or therapy programs but also changes in lifestyles. It is best to avoid heavy lifting or contact sports at a young age. It is best not to do the heavy lifting with a young spine.
If you have spinal disc problems and Schmorl’s Nodes are involved, don’t worry because, at the Chiropractic Specialty Center®, we use unique and cutting-edge technology to repair your injured spinal disc. Our expert chiropractic treatment plus our clinical physiotherapy is an unmatched collaborative method of care.
Targeted Chiropractic & Physiotherapy For Painful Schmorl’s Nodes
CSC has many outlets in the Klang Valley area, near Kuala Lumpur. Visit one of our chiropractic & Physiotherapy centers today; chose a center near you:
CSC’s Three great locations in Kuala Lumpur:
- Damansara Heights (Bukit Damansara) center near Mont Kiara offers combined care from physiotherapists & chiropractors. Contact our KL center for the best chiropractic treatment in Kuala Lumpur today.
- Sri Petaling center near Taman Desa & Bukit Jalil area providing physiotherapy & chiropractic
- Best physiotherapy with chiropractic in Bandar Sri Damansara for residents of Kepong, Desa ParkCity & Sri Damansara.
CSC’s Five locations in Selangor:
- Chiropractic & physiotherapy in Petaling Jaya at CSC’s center in Ara Damansara
- CSC’s center in Kota Kemuning (serving Shah Alam & Klang) providing combined care by physios & chiro
- Best chiropractic center in Bandar Sri Damansara for residents of Sri Damansara, Desa ParkCity, Sungai Buloh & Kepong
- CSC chiropractic & physiotherapy center in Bangi
- CSC’s physiotherapy and chiropractic center in Setia Alam (serving Shah Alam and Klang residents)
We can provide results not available anywhere else. If you have pain from muscles, ligaments, joints, or spinal disc, call our center today. We are Malaysia’s premier center for neck pain, back pain, slipped disc (slip-disc), and sports injuries. If diagnosed with Schmorl’s Node, call us today for targeted therapy and an effective preventive and management program.