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The vast majority of back problems are caused by a relatively early onset of wear and tear on the spine.

In this chapter, the most important diseases are described in order to relieve your fears through a broader understanding, which in turn helps to prevent wrong decisions.

Understanding the symptoms should help you to better understand your back disease and thus act in a timely manner.

Herniated disc

  • In its function, the intervertebral disc corresponds to a shock absorber. The high loads lead to tears in the outer disc mantle.
  • Along these tears, the core material can emerge and press on the nerves in the spinal canal.
  • This then leads to pain in the extremities (arm in case of disc herniation cervical spine, leg in case of disc herniation lumbar spine).
  • In addition, neurological symptoms such as tingling, sensory disturbances or loss of motor control may occur.

Detailed information can be found in the document Disc hernia

Spinal cord stenosis

  • Result of an aging process over many years and therefore typically occurring from the age of 60.
  • Narrowing of the spinal canal and thus of the spinal cord and nerves.
  • Due to the process of self-stabilization of the spine, ligaments and bony structures become significantly thickened and thus the nerve canals are constricted.
  • The wear of the intervertebral disc with height reduction also supports this process.
  • The decisive symptoms are pain in the extremities with a feeling of weakness, limited walking distance and possibly neurological symptoms.
  • Much more frequent in the lumbar spine than in the cervical spine.

Detailed information can be found in the document Spinal Stenosis 


  • The degeneration process or wear and tear of the spine is basically a natural process.
  • The wear and tear begins with the shrinkage of the intervertebral disc.
  • The reduction in the height of the disc at the front due to drying then leads to overloading of the small vertebral joints at the back.
  • Basically leads to stiffening with a reduction in function.
  • Symptoms are pain directly in the spine, so most often in the back or less in the neck.

Detailed information can be found in the document Degeneration (Arthrosis)


  • Curvature (scoliosis) and spondylolisthesis (degenerative spondylolisthesis) are relatively common causes of low back pain.
  • The misalignment pinches the nerves, which can then lead to the leg pain and symptoms of spinal cord stenosis.

Detailed information can be found in the document Misalignment (Deformity)

Osteoporosis fracture

  • These fractures occur most frequently in the thoracic and upper lumbar spine, usually after minor trauma or spontaneously.
  • Usually there is immediate back pain.
  • By a very small operation with puncture of the vertebral body and filling of the same with bone cement, a rapid freedom from pain is achieved. 

Detailed information can be found in the document Osteoporosis fracture

Get your Consultation now!

With the Covid pandemic, online literacy has increased significantly, even among older people. The home office trend has also shown what is possible online. In the wake of this development, telemedicine has made significant progress and, in particular, for a quick answer to the question of whether an operation makes sense or not, the personal meeting in the "digital space" is a valuable addition. The online consultation allows very quick answers and saves long distances, especially important for the elderly and the aged. These are the reasons why Spinasana includes the online consultation in its offer.


In 3 simple steps

Submit your case

Your second opinion will be created

The spine surgery specialist has access to the documents as soon as they are received in a data-secure cloud that meets EU criteria, which makes it possible to prepare the second opinion extraordinarily quickly. Based on the documents, the expert first assesses the urgency. In any case, you will receive the second opinion within 5 working days, with express option in 2 days. In complex case situations, the opinion of an international expert is also sought.

Receive your answer

Within 5 working days you will receive the second opinion via e-mail, in case of ordered emergency express second opinion you will receive it already within 2 working days. At the same time, you will receive a summary voice memo with more in-depth explanations. At the same time as the second opinion, you will receive an appointment for a 15-minute debriefing via Zoom, Skype or FaceTime. In this way, any ambiguities can be clarified.