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Treatment of lumbar disc without anesthesia

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New ways of treating lumbar and neck discs

What is a Disk?
Discs play the role of inflatable mattresses between the vertebrae so that the vertebrae can move easily. The discs are gel-like consistency that is very susceptible to wear and tear due to aging or injury.
What is a disc herniation or a protruding disk?
Weakened discs develop bumps or ruptures due to age or trauma, causing pressure on the spinal nerve roots, which can cause severe pain in the neck, hands, or back (sciatica), which in this way affects the neck or waist disc herniation. they say.
What is sciatica pain?

It is the same pain that is caused by pressure on the sciatic nerve. The sciatic nerve is a large nerve that runs from the lower back to the legs. When it is injected or compressed (eg due to protruding disk pressure) it causes pain in the lower lumbar spine that spreads to the pelvis, hips and legs. Over 5% of sciatic pain relieves without open surgery.

What are the causes of disk drive?
– age increasing
– Overweight
– smoking
Occupations that require heavy lifting.
– Bending over the neck
What are the ways to prevent low back pain?
There is no safe way to prevent low back pain. But you can take effective measures to reduce your risk of low back pain. As:
Weight control and prevention of obesity
Regular exercise
Avoid lifting heavy objects
Make sure your type of job is not a risky job for back pain
What is the cause of my back pain?
You should consult your doctor to determine the cause of your low back pain. Describe the type of pain and related symptoms and tell your doctor the history of any chronic illness. Your physician may need pre-clinical measures such as a simple lumbar imaging, CT scan, or MRI to more accurately identify the origin of the pain.
Is it time for disc surgery?
If the patient has any of the following symptoms, lumbar disc surgery (closed or open) is required:
Pain that does not improve with 4 weeks of medical treatment and rest
Disorders in foot movements or sphincter impairment of loss of urine and stool control (urinary incontinence and stool)
Repeated pain that disrupts daily activities
Despite all the advances in medicine, however, the question remains, “Is the treatment of severe exacerbations such as lumbar disc, cervical pain just open surgeries?”
No, today, with the advances in science and technology, aggressive and complicated procedures have replaced the less invasive methods. Among these methods, the PLDD or laser disc surgery has a special place in the treatment of lumbar disc herniation.
Is it possible to have disc surgery without anesthesia and surgical incision?

Yes, there are new methods that are performed without anesthesia and surgical incision with the help of a thin needle, which does not involve bone or biomechanical structure of the vertebrae and causes minimal damage to the tissues around the disc, thus reducing the risk of pain after The procedure and adhesions resulting from open surgery in these procedures reach zero, they do not require anesthesia and surgical excision and the patient is discharged the same day or the next morning. All this is done with the help of a needle that, under X-ray guidance, enters the disc and reduces the size of the disc and removes pressure from the spinal canal and nerve roots.
What are the Types of Closed Disc Surgery?

۲- Laser Closed Disc Surgery (PLDD)

Laser disc surgery is performed outpatient and under local anesthesia. During this procedure, a narrow needle is inserted into the disc with the aid of X-ray (fluoroscope) images. The optical fiber is inserted into the needle and the laser energy travels through the fiber through the fiber and evaporates the gel in the middle of the disc to a standard level. As a result, negative pressure causes the disc to protrude, thereby removing pressure from the nerve root and relieving the patient’s pain. The effect of lumbar disc surgery is usually rapid. Laser disc surgery has been around the world for 3 years and is a safe, effective and less invasive procedure and since the patient was quickly discharged from the hospital, hospital infections in these patients were fewer. Laser surgeons are around the world, indicating that laser disc surgery is the first line of treatment for spinal discs.
Discogel
In this method, certain chemicals are injected into the disc and by altering the molecular structure of the disc gel material, it reduces the pressure inside the disc and shrinks the protruding part of the disc. All procedures are performed without the need for anesthesia and surgical excision.

Nucleotomy

In this way, a thin tube enters the middle region of the disc and pushes the disc out of the body with water pressure. Its tube size is higher than that of the decompressor device (another type of closed-loop surgery) and its discharge volume is greater. All procedures are performed without the need for anesthesia and surgical excision.

۲- Decompressor

The decompressor device is like a very thin needle that is sent into the disk after anesthesia and is crushed through a micromotor inside the disk and sucked out through the tube. . All procedures are performed without the need for anesthesia and surgical excision.

Plasma Waist Disk Closed Surgery (PDCT)

One of the methods of closed disk surgery is plasma coagulation and disk evaporation. This method has the maximum effect in the treatment of protruding discs compared to other methods. Plasma light in the D-2 system is powerful and controlled, which coagulates and evaporates the disk with heat without damaging the nerve root surrounding it.
How is the patient after closed disk surgery?
A few hours after the surgery the patient’s lumbar disc is discharged.
The patient should not be dislodged for up to 3 hours after closed disc surgery
The patient may need pain medication for several days after closed spine surgery.
After a week of closed lumbar disc surgery, the patient can begin normal activities
After closed waist surgery, the patient can start a healthy, active, and pain free life by performing appropriate exercises and enjoying a good sense of health.
Always committed physicians believe that in less invasive ways, they will help to treat the patient’s pain and prevent high-risk, costly complications. Ultimately, the best treatment is for you with the guidance and consultation of your doctor. Always remember that open surgery is not the only cure but the last cure.

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