Arachnoiditis, (Inflamed Arachnoid) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
By Kenneth Kee
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About this ebook
Arachnoiditis is the medical disorder causing inflammation of the arachnoid, one of the membranes called meninges that envelop and protect the nerves of the central nervous system, such as the brain and spinal cord.
Arachnoiditis is a pain disorder caused by the inflammation of the arachnoid, the middle layer of the 3 membranes of the meninges.
As with most inflammatory disorders, when the arachnoid membrane becomes inflamed, it can produce pain.
This inflammation may happen when the spinal cord becomes compressed, whether from an injury or a spinal intervention.
In arachnoiditis, the inflammation results in scar tissue formation.
Scar tissue can cause spinal nerves to stick together improperly.
A way to think of arachnoiditis is a clumping of nerves that are sited inside the spinal canal.
The clumping is likely to happen in a specific region in the spinal canal.
The inflammation of the arachnoid membrane can occasionally result in the formation of scar tissue and adhesions, which induce the spinal nerves to “stick” together.
If arachnoiditis starts to interrupt the function of one or more of these nerves, it can induce a number of symptoms, such as numbness, tingling, and a typical stinging and burning pain in the lower back or legs.
Various people with arachnoiditis will have debilitating muscle cramps, twitches, or spasms.
It may also affect the bladder, bowel, and sexual function.
In serious patients, arachnoiditis may induce paralysis of the lower limbs.
The arachnoid can become inflamed because of:
1. An irritation from chemicals, such as myelogram oil dyes
2. Infection from bacteria or viruses,
3. The result of direct injury to the spine,
4. Chronic compression of spinal nerves,
5. Complications from spinal surgery or other invasive spinal procedures
6. The accidental intrathecal injection of steroids intended for the epidural space
The most frequent symptom is pain, but arachnoiditis can also produce:
a. Tingling, numbness or weakness in the legs
b. Sensations that may seem like insects creeping on the skin or water dripping down the leg
c. Severe shooting pain that can be same as an electric shock sensation
d. Muscle cramps, spasms and non-controllable twitching
e. Bladder, bowel and sexual dysfunction
f. A typical stinging and burning pain in the lower back or legs
g. Paralysis of the lower limbs in severe cases
The gold standard for having a diagnosis of arachnoiditis is using an MRI.
A test called an electromyogram (EMG) can evaluate the severity of the continual damage to affected nerve roots by using electrical impulses to examine nerve function.
Myelograms with the new radiographic contrast medium presently in use, combined with CT scanning, are not regarded to be responsible for arachnoiditis or making it become worse.
Treatment:
There is no cure for arachnoiditis.
The treatment methods are same as those for other chronic pain disorders.
Most treatments direct on alleviating pain and increasing symptoms that reduce daily activities.
Often, doctors advise a program of pain management, physiotherapy, exercise and psychotherapy.
Surgical intervention is debatable since the outcomes are normally poor and give only short-term relief.
Limitations are:
Treatment location: The sub-arachnoid space can be very difficult to reach
Scar tissue formation: surgery cause more scar tissue in the arachnoid space
TABLE OF CONTENT
Introduction
Chapter 1 Arachnoiditis
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagnosis
Chapter 5 Treatment
Chapter 6 Prognosis
Chapter 7 Meningitis
Chapter 8 Encephalitis
Epilogue
"One distressing feature I feel is a lack of sexual drive, brought about by an absence of pleasurable sensations, medication, or, simply the pain experienced when trying to make love.
The other distressing prob
Kenneth Kee
Medical doctor since 1972. Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009. Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993. Dr Kenneth Kee is still working as a family doctor at the age of 70. However he has reduced his consultation hours to 3 hours in the morning and 2 hours in the afternoon. He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com. His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com This autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com. From which many free articles from the blog was taken and put together into 1000 eBooks. He apologized for typos and spelling mistakes in his earlier books. He will endeavor to improve the writing in futures. Some people have complained that the simple guides are too simple. For their information they are made simple in order to educate the patients. The later books go into more details of medical disorders. He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter. The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks. He does not do any night duty since 2000 ever since Dr Tan had his second stroke. His clinic is now relocated to the Buona Vista Community Centre. The 2 units of his original clinic are being demolished to make way for a new Shopping Mall. He is now doing some blogging and internet surfing (bulletin boards since the 1980's) starting with the Apple computer and going to PC. The entire PC is upgraded by himself from XT to the present Pentium duo core. The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive. He is also into DIY changing his own toilet cistern and other electric appliance. His hunger for knowledge has not abated and he is a lifelong learner. The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned. This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale. Dr Kee is the author of: "A Family Doctor's Tale" "Life Lessons Learned From The Study And Practice Of Medicine" "Case Notes From A Family Doctor"
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Arachnoiditis, (Inflamed Arachnoid) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee
Arachnoiditis,
(Inflamed Arachnoid)
A
Simple
Guide
To
The Condition,
Diagnosis,
Treatment
And
Related Conditions
By
Dr Kenneth Kee
M.B.,B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2017 Smashwords Edition
Published by Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
To my wife Dorothy
And my children
Carolyn, Grace
And Kelvin
This book describes Arachnoiditis, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.
(What The patient Need to Treat Arachnoiditis)
This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If the patient would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank the patient for respecting the hard work of this author.
Introduction
I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.
My purpose in writing these simple guides was for the health education of my patients.
Health Education was also my dissertation for my Ph.D (Healthcare Administration).
I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.
This autobiolographical account A Family Doctor’s Tale
was combined with my early A Simple Guide to Medical Disorders
into a new Wordpress Blog A Family Doctor’s Tale
on http://kenkee481.wordpress.com.
From which many free articles from the blog was taken and put together into 800 amazon kindle books and 200 into Smashwords.com eBooks.
Some people have complained that the simple guides are too simple.
For their information they are made simple in order to educate the patients.
The later books go into more details of medical disorders.
The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.
Since 2013, I have tried to improve my spelling and writing.
As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.
Just by writing all these simple guides I