POPULAR TREATMENTS AND PROCEDURES
Thanks to the development of knee arthroscopy, they have become much simpler and safer. Minimally invasive methods deal with major problems, and after a well-performed operation, the return to previous activities is 100% with minimal pain.
Arthroscopy is an orthopedic technique or a minimally invasive surgical method that performs different joints on joints and ligaments. It is one of the most common surgical procedures in orthopedics.
These procedures are carried out by introducing an optical instrument - arthroscope, through a cut of just one centimeter in the knee. With this instrument, it is possible to monitor the entire procedure on the monitor. Through other minor cuts, specially designed orthopedic instruments are introduced to aid in the operation of the surgery itself.
Thus, unlike a classic surgical procedure, which involves major cuts in the operating area, damage and trauma of the surrounding tissue, this procedure allows a much faster and better recovery. Such recovery is possible because postoperative complications such as excessive bleeding, infections, wounds and excessive scars decrease as little as possible. Also, given the minimal trauma of the surrounding healthy tissue, no hospitalization is required.
For a quick return to sports and life activities, it is important to start with physical therapy immediately after the operation, which will reduce swelling and pain, restore muscle strength and ensure mobility and joint stability. Complete recovery is expected in ten days, and return to sports activities after a few weeks, depending on the type of injury.
Artificial disc of the cervical spine
The January 2009 issue of Spine contained a report from researchers at Washington University in St. Louis. A group of spine surgeons conducted a study to determine how artificial disc replacement compared to spinal fusion in patients with cervical degenerative disc disease. The spine surgeons reported that most patients who received an artificial disc had a speedier recovery than those who underwent a spinal fusion. The surgeons concluded that the patients who had artificial disc replacement surgery recovered just as well—or better—than those who had a spinal fusion.
The first artificial cervical disc was approved in 2007. While cervical disc replacement still suffers from some of the stigmas of lumbar disc replacement, it has been better received in the spine community as a whole.
To view images of cervical and lumbar artificial discs, visit our other article about artificial disc replacement surgery.
If you suffer from severe disc problems, talk to your doctor about whether you are a candidate for surgery. If you are, spinal fusion might not be your only option—artificial disc replacement may also successfully treat your back or neck pain.
Percutaneous laser disc decompression (PLDD) is a type of surgery in which a laser probe is inserted into the intervertebral disc space and laser energy applied for achieving decompression and neuromodulation thereby relieving the pain. PLDD is a minimally invasive procedure that falls into the category of percutaneous intervertebral surgeries with the aim to significantly reduce the patient’s pain and recover neurological deficit. It is performed under local anesthesia. By a specially designed laser, with a coefficient of absorbing energy adjusted for soft discus tissue, specific amount of heat is sent to achieve the evaporation of the water from the disc without additional thermal damage thus achieving decompression and creation of a stable intradiscal scar that will prevent herniation from reoccurring.
If you suffer from agonizing back or neck pain as a result of a herniated disc, PLDD (Percutaneous Laser Disc Decompression) offers quick relief without surgery.
The PLDD treatment is performed on an outpatient basis using only local anesthesia. During the procedure, a thin needle is inserted into the herniated disc under x-ray guidance. An optical fiber is inserted through the needle and laser energy is sent through the fiber, vaporizing a tiny portion of the disc nucleus. This creates a partial vacuum which draws the herniation away from the nerve root, thereby relieving the pain. The effect usually is immediate.
Patients get off the table with just a small adhesive bandage and return home for 24 hours of bed rest. Then patients begin progressive ambulation, walking up to a mile. Most return to work in four to five days.
Who should consider PLDD?
• This procedure is specifically designed for patients with disc problems accompanied by the following:
• Severe leg, arm, neck or lower back pain.
• Pain that has not responded to six weeks of conservative treatments- rest, meds or physical therapy.
• Herniated lumbar discs confirmed by x-ray studies that may include one or more of the following: Magnetic Resonance Imaging (MRI), CAT Scanning, Myelography, Discography.
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