{"structure":{"type":"Page","styleId":"p2","id":"vjmge","components":[{"type":"Component","styleId":"txtNew","id":"comp-jaalnr68","dataQuery":"#dataItem-jaalnr6a","layout":{"width":922,"height":1192,"x":29,"y":61,"scale":1.0,"rotationInDegrees":0.0,"fixedPosition":false},"propertyQuery":"propItem-jaalnr6b","componentType":"wysiwyg.viewer.components.WRichText"},{"type":"Component","styleId":"txtNew","id":"comp-jam1gio3","dataQuery":"#dataItem-jam1giom","layout":{"width":733,"height":28,"x":29,"y":15,"scale":1.0,"rotationInDegrees":0.0,"fixedPosition":false},"propertyQuery":"propItem-jam1giom1","componentType":"wysiwyg.viewer.components.WRichText"},{"type":"Component","styleId":"wp2","id":"comp-jam22d4d","dataQuery":"#dataItem-jam22d76","layout":{"width":339,"height":226,"x":641,"y":294,"scale":1.0,"rotationInDegrees":0.0,"fixedPosition":false},"propertyQuery":"propItem-jam22d761","componentType":"wysiwyg.viewer.components.WPhoto"},{"type":"Component","styleId":"wp2","id":"comp-jam25a9y","dataQuery":"#dataItem-jam25acv","layout":{"width":312,"height":261,"x":662,"y":992,"scale":1.0,"rotationInDegrees":0.0,"fixedPosition":false},"propertyQuery":"propItem-jam25acw","componentType":"wysiwyg.viewer.components.WPhoto"}],"mobileComponents":[{"type":"Component","styleId":"txtNew","id":"comp-jaalnr68","dataQuery":"#dataItem-jaalnr6a","layout":{"width":280,"height":1580,"x":20,"y":83,"scale":0.9333333333333333,"rotationInDegrees":0.0,"fixedPosition":false},"propertyQuery":"mobile_propItem-jaalnr6b","componentType":"wysiwyg.viewer.components.WRichText"},{"type":"Component","styleId":"txtNew","id":"comp-jam1gio3","dataQuery":"#dataItem-jam1giom","layout":{"width":280,"height":63,"x":20,"y":10,"scale":0.85,"rotationInDegrees":0.0,"fixedPosition":false},"propertyQuery":"mobile_propItem-jam1giom1","componentType":"wysiwyg.viewer.components.WRichText"},{"type":"Component","styleId":"wp2","id":"comp-jam22d4d","dataQuery":"#dataItem-jam22d76","layout":{"width":280,"height":187,"x":20,"y":1673,"scale":1.0,"rotationInDegrees":0.0,"fixedPosition":false},"propertyQuery":"propItem-jam22d761","componentType":"wysiwyg.viewer.components.WPhoto"},{"type":"Component","styleId":"wp2","id":"comp-jam25a9y","dataQuery":"#dataItem-jam25acv","layout":{"width":280,"height":234,"x":20,"y":1870,"scale":1.0,"rotationInDegrees":0.0,"fixedPosition":false},"propertyQuery":"propItem-jam25acw","componentType":"wysiwyg.viewer.components.WPhoto"}],"dataQuery":"#vjmge","skin":"skins.core.InlineSkin","layout":{"width":980,"height":1273,"x":0,"y":0,"scale":1.0,"rotationInDegrees":0.0,"fixedPosition":false},"mobileHintsQuery":"mobileHints-jaan2yyq","componentType":"mobile.core.components.Page"},"data":{"document_data":{"dataItem-jaalnr6a":{"type":"StyledText","id":"dataItem-jaalnr6a","metaData":{"isPreset":false,"schemaVersion":"1.0","isHidden":false},"text":"<h2 class=\"font_2\" style=\"font-size:18px\"><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\"><span style=\"color:#006C6D\"><span style=\"font-weight:bold\">General Advice</span></span></span></span></h2>\n\n<p class=\"font_8\" style=\"font-size:18px\"><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\"><span class=\"wixGuard\">​</span></span></span></p>\n\n<ul class=\"font_8\" style=\"font-family:brandon-grot-w01-light,sans-serif; font-size:18px\">\n\t<li>\n\t<p class=\"font_8\" style=\"font-size:18px\"><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\">Gentle mobilisation is recommended&nbsp;for up to six weeks during the acute phase.</span></span></p>\n\t</li>\n\t<li>\n\t<p class=\"font_8\" style=\"font-size:18px\"><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\">Use regular analgesic medication under the guidance of your doctor.</span></span></p>\n\t</li>\n\t<li>\n\t<p class=\"font_8\" style=\"font-size:18px\"><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\">While it is beneficial to keep mobile, use&nbsp;common sense and&nbsp;avoid activities that exacerbate your pain.</span></span></p>\n\t</li>\n\t<li>\n\t<p class=\"font_8\" style=\"font-size:18px\"><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\">For neck pain a small pillow in nape of neck may be helpful.&nbsp;</span></span></p>\n\t</li>\n\t<li>\n\t<p class=\"font_8\" style=\"font-size:18px\"><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\">For a back pain using&nbsp;small pillow under knees when lying on your back or between your knees when lying on your side may be more comfortable.&nbsp;</span></span></p>\n\t</li>\n\t<li>\n\t<p class=\"font_8\" style=\"font-size:18px\"><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\">Prevent constipation caused by strong analgesia medication by increasing fluids and fibre rich foods. If needed use aperients such as Movicol and Coloxyl.</span></span></p>\n\t</li>\n\t<li>\n\t<p class=\"font_8\" style=\"font-size:18px\"><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\">Application of ice/heat packs may help but must be used carefully to prevent burns.</span></span></p>\n\t</li>\n</ul>\n\n<h2 class=\"font_2\" style=\"font-size:18px\"><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\"><span class=\"wixGuard\">​</span></span></span></h2>\n\n<h2 class=\"font_2\" style=\"font-size:18px\"><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\"><span class=\"wixGuard\">​</span></span></span></h2>\n\n<h2 class=\"font_2\" style=\"font-size:18px\"><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\"><span style=\"font-weight:bold\"><span style=\"color:#006C6D\">Non-surgical&nbsp;therapy</span></span></span></span></h2>\n\n<p class=\"font_8\" style=\"font-size:18px\"><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\"><span class=\"wixGuard\">​</span></span></span></p>\n\n<ul class=\"font_8\" style=\"font-family:brandon-grot-w01-light,sans-serif; font-size:18px\">\n\t<li>\n\t<p class=\"font_8\" style=\"font-size:18px\"><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\">A dedicated approach to&nbsp;treatment and exercises is required for them to have effect.</span></span></p>\n\t</li>\n\t<li>\n\t<p class=\"font_8\" style=\"font-size:18px\"><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\">There is little evidence that one form of treatment is more beneficial than another although </span></span></p>\n\t</li>\n</ul>\n\n<p class=\"font_8\" style=\"font-size:18px\"><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\">&nbsp; &nbsp; &nbsp; &nbsp;many patients find them to be helpful.</span></span></p>\n\n<ul class=\"font_8\" style=\"font-family:brandon-grot-w01-light,sans-serif; font-size:18px\">\n\t<li>\n\t<p class=\"font_8\" style=\"font-size:18px\"><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\">Treatment options may include: Physiotherapy, Chiropractic, Osteopathy, Acupuncture or&nbsp;</span></span></p>\n\t</li>\n</ul>\n\n<p class=\"font_8\" style=\"font-size:18px\"><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\">&nbsp; &nbsp; &nbsp; &nbsp;Massage therapy.</span></span></p>\n\n<ul class=\"font_8\" style=\"font-family:brandon-grot-w01-light,sans-serif; font-size:18px\">\n\t<li>\n\t<p class=\"font_8\" style=\"font-size:18px\"><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\">If your symptoms worsen it may be necessary to modify or&nbsp;discontinue treatment</span></span></p>\n\t</li>\n</ul>\n\n<h2 class=\"font_2\" style=\"font-size:18px\">&nbsp;</h2>\n\n<h2 class=\"font_2\" style=\"font-size:18px\"><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\"><span class=\"wixGuard\">​</span></span></span></h2>\n\n<h2 class=\"font_2\" style=\"font-size:18px\"><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\"><span style=\"color:#006C6D\"><span style=\"font-weight:bold\">Spinal injections</span></span></span></span></h2>\n\n<p class=\"font_8\" style=\"font-size:18px\"><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\"><span class=\"wixGuard\">​</span></span></span></p>\n\n<ul class=\"font_8\" style=\"font-family:brandon-grot-w01-light,sans-serif; font-size:18px\">\n\t<li>\n\t<p class=\"font_8\" style=\"font-size:18px\"><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\">These may be recommended by your doctor for severe pain or pain that does not improve over time.</span></span></p>\n\t</li>\n\t<li>\n\t<p class=\"font_8\" style=\"font-size:18px\"><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\">They involve the use a of steroid injection and local anaesthetic under guidance of X-ray or CT scan.</span></span></p>\n\t</li>\n\t<li>\n\t<p class=\"font_8\" style=\"font-size:18px\"><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\">Injections can be performed in a radiology practice or in hospital, ask our staff for more information.</span></span></p>\n\t</li>\n\t<li>\n\t<p class=\"font_8\" style=\"font-size:18px\"><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\">Results vary and usually provide temporary relief.</span></span></p>\n\t</li>\n</ul>\n\n<h2 class=\"font_2\" style=\"font-size:18px\"><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\">&nbsp;</span></span></h2>\n\n<h2 class=\"font_2\" style=\"font-size:18px\"><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\"><span style=\"color:#006C6D\"><span style=\"font-weight:bold\">Surgical treatment</span></span></span></span></h2>\n\n<p class=\"font_8\" style=\"font-size:18px\"><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\"><span class=\"wixGuard\">​</span></span></span></p>\n\n<ul class=\"font_8\" style=\"font-family:brandon-grot-w01-light,sans-serif; font-size:18px\">\n\t<li>\n\t<p class=\"font_8\" style=\"font-size:18px\"><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\">Consideration for surgical treatment may be appropriate in the following conditions</span></span></p>\n\t</li>\n</ul>\n\n<p class=\"font_8\" style=\"font-size:18px\"><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Lack of improvement in&nbsp;pain after 6-8 weeks of non-surgical treatment.</span></span></p>\n\n<p class=\"font_8\" style=\"font-size:18px\"><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Ongoing severe and disabling pain.</span></span></p>\n\n<p class=\"font_8\" style=\"font-size:18px\"><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Severe neurological symptoms such as weakness or loss of bladder or bowel control.</span></span></p>\n\n<ul class=\"font_8\" style=\"font-family:brandon-grot-w01-light,sans-serif; font-size:18px\">\n\t<li>\n\t<p class=\"font_8\" style=\"font-size:18px\"><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\">Surgery is not appropriate for all spinal conditions and must be undertaken after a</span></span></p>\n\t</li>\n</ul>\n\n<p class=\"font_8\" style=\"font-size:18px\"><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; thorough&nbsp;</span></span><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\">assessment and discussion with your doctor.&nbsp;</span></span></p>\n\n<ul class=\"font_8\" style=\"font-family:brandon-grot-w01-light,sans-serif; font-size:18px\">\n\t<li>\n\t<p class=\"font_8\" style=\"font-size:18px\"><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\">Surgical procedures will vary depending on your particular condition and may include</span></span></p>\n\t</li>\n</ul>\n\n<p class=\"font_8\" style=\"font-size:18px\"><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Decompression of the painful nerve roots / spinal cord through removal of bone&nbsp;</span></span></p>\n\n<p class=\"font_8\" style=\"font-size:18px\"><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; (laminectomy) and/or bulging discs&nbsp;(discectomy) OR</span></span></p>\n\n<p class=\"font_8\" style=\"font-size:18px\"><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Decompression of the painful nerve roots or discs&nbsp;in conjunction with fusion of </span></span></p>\n\n<p class=\"font_8\" style=\"font-size:18px\"><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; unstable or painful segments of the spine OR</span></span></p>\n\n<p class=\"font_8\" style=\"font-size:18px\"><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Removal and replacement of painful intervertebral discs with a prosthesis.</span></span></p>\n\n<ul class=\"font_8\" style=\"font-family:brandon-grot-w01-light,sans-serif; font-size:18px\">\n\t<li>\n\t<p class=\"font_8\" style=\"font-size:18px\"><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\">If surgery is indicated your surgeon will explain the procedure in detail including the&nbsp;</span></span></p>\n\t</li>\n</ul>\n\n<p class=\"font_8\" style=\"font-size:18px\"><span style=\"font-size:18px\"><span style=\"font-family:brandon-grot-w01-light,sans-serif\">expected outcome, recovery and potential risks. ​</span></span></p>","stylesMapId":"CK_EDITOR_PARAGRAPH_STYLES","linkList":[]},"dataItem-jam1giom":{"type":"StyledText","id":"dataItem-jam1giom","metaData":{"isPreset":false,"schemaVersion":"1.0","isHidden":false},"text":"<h1 class=\"font_0\"><span style=\"font-family:brandon-grot-w01-light,sans-serif;\"><span style=\"font-weight:bold\"><span style=\"color:#006C6D\">Conservative Management of Degenerative Spinal 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