Archive for the ‘Back Surgery’ Category
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A new procedure for treating spinal stenosis shows great promise for some spinal stenosis sufferers.
A minimally invasive procedure for removing portions of tendons coming into contact with the patient’s spinal cord has provided nearly instantaneous and permanent relief from stenosis pain. But this will work only for some, not all, stenosis patients.
In this procedure, a local anesthesia numbs an area ot the back to enable a small needle with a cutting feature to be inserted into the patient’s back to an area where there is a lumbar decompression caused by a tendon that is touching the spine. The cutting device trims away the portion of the tendon that is touching the spine, and the pain is eliminated. The procedure takes less than an hour, and since only a local anesthesia is required, patients can be discharged within several hours after the procedure. Just like any other out-patient operation.
Not all spinal stenosis can be treated so simply,however, but for those sufferers whose stenosis pain is being caused by this source, this is truly welcome news.
How Do You Know Your Back Pain is Spinal Stenosis?
Spinal stenosis describes the painful form of back pain caused by a narrowing of the spinal canal or a vertebra that comes into contact with the spinal cord resulting in back pain that sometimes radiates through the lower extremities. The symptom of this type of stenosis is leg pain and fatigue that occurs when walking that can only be relieved by sitting down. If this describes your condition, you should contact a specialist.
You must first be diagnosed with spinal stenosis that can only be determined through a MRI. This will determine whether your back pain is in fact being created by your tendon pinching your spinal nerves. If this is determined to be the cause of your back and leg discomfort, it could be your lucky day!
But you must first contact a back pain specialist to see if a MRI is needed.
Regardless of you what job function you do in an office, you most likely spend a great deal of time sitting. Office chairs of currently are far better than they were even 10 years ago, however lots of people still suffer from chronic back discomfort or coccyx because of poor assistance in their office chair. Back trouble isn’t the only ailment connected with sitting, poor posture, cramps, and chronic system aches can also be a problem with those who sit lengthy periods of time in an office.
The good quality that creates gel seat cushions stand out between its competitors, namely the foam along with the air seat cushions is how the honeycomb structure that these cushions are constructed with offers the maximum amount of comfort, cushioning as effectively as shape retention between its peers. This exceptional internal lattice structure combined using the semisolid gel that these cushions are filled up with helps make them an excellent selection to aid inside relief within your back again and neck.
The exclusive construction techniques that are employed also go a long way in producing the gel seat cushion far more thinner than cushions on the same width produced out of alternative materials. Their compact style tends to make them perfect for use in church pews, on picnic benches, stadium seats, cafe houses in addition to for whenever you may possibly wish to indulge in camping without having to worry about throwing your rear off. And to how the truth that gel disperses pressure far more successfully than foam promoting circulation moreover to relieving the crucial strain points.
A fine gel seat cushion generally has some grooves or alternate space inside the center that would allow it to accomplish probably the most critical thing that may be possible to help relieve your pain; it completely relieves the pressure off of your tailbone as only your buttocks are in contact with all the cushions.
Of course you’ll be able to try changing your chair, and this may well fix your problems. But it truly is a costly remedy and not always an efficient one. However you can find goods offered now that enhance the comfort and ease and help of an office chair that quite a few have success with. A memory foam seat cushion is a assistance method you use with your chair that supply additional help in the high stress points of your respective back and upper body, giving it the boost needed to prevent chronic pain.
Memory foam seat cushions come in many different styles and designs, but most either possess a pad portion that you sit on, and may have a lumbar portion behind your back. The idea is commonly to use a a lot more supportive kind of material on areas like your lower back to enrich your chair’s built in support, and relieve soreness such as that triggered by coccyx. The tend to have additional of an orthopedic design, as opposed to the stylish and d cor design of a chair, and are solely focused on the comfort and ease and service on the sitter.
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This article talks about the significance of suitable seating arrangements, and the use of foam cushioning in seats in all fields such as work, home and office. It discloses how using a foam covered seat can truly improve the comfort.
When driving, people with sciatica might be advised to invest in a back lumbar support cushion or cushion seat pad for the car…
Hold onto the back of your chair if you need support for your balance. If you absolutely must stay in your seat all day, make sure you have the best seat for your back. Or at the very least get a good back support or seat cushion. … Joints don’t have the fluid necessary to properly cushion bone movement. And that’s the short list. Drink More Water Daily. Drinking more water may prevent back pain. If you haven’t figured out the solution to this one yet, here it is: dri…
These people suffer from back pain and back pain absorbed through the pressure of the back, a badly designed chair does not absorb. The pain maythe arrest of mobility. loss of seat and seat cushions are bad response time. …
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Spinal fusion has become a very common surgical procedure in the United States over the past 10 years. There are many diagnoses that range from fractures of the spine to severe degenerative disc disease that prevent patients from being able to stand or walk are best treated with a surgical remedy.
This article is intended to provide a basic review of the many spinal fusion options that are available. It is best to talk to a fellowship-trained spine surgeon who will be able to give you a complete picture of all of the devices available that are recognized for quality and reliability or to help you rule out those that are not recommended.
As the number of spinal fusions has increased, the variety of procedures and hardware alternatives that are available has also increased. It may be easier to understand why there are so many types of fusions if you consider how fractures need to be fixed with fusion. With broken bones, there is usually little question about the wisdom of providing casts or plates and screws to stabilize bones that need to be realigned or stabilized. Spinal fusion provides the same stability for the spine as is used for other fractured bones. What is a spinal fusion? Screws and rods in the spine are used to keep bones from moving as the bone graft that is placed allows the stabilized bones to form a connection across a previously mobile disc space. The growth of bone between 2 previously mobile bones is called fusion.
Standard fusion technique: Initially, fusion of the vertebral bones was done by laying bone graft between the bones, to provide a scaffolding across which the native bone cells could grow. As the patient s bone cells move across the bone graft, they are able to incorporate the bone graft into the patient s own bone structure, forming a complete connection called a fusion. Bone graft is of primary importance in allowing the vertebral bones to fuse across a previously mobile segment. Studies of patient s with fusions done with bone graft alone have shown a relatively good rate of incorporation when patients are placed in back braces for 3 months or more. Because of the inconvenience and discomfort of the bracing, pedicle screws and rods have been added to provide an internal support that obviates the need for external supports.Internal screws and rods have increased successful fusion rates, as well as allowed patients to become mobile quickly after the spinal fusion.
Interbody fusion cages: As the skill of the surgeon has grown when applying screws and rods to the spine, we have, in turn, looked for better ways to gain improved results. Now, we are able to put bone graft around the back of the spine, as well as into the disc spaces. With these improved grafting methods, we are able to safely access the lumbar disc from the back of the spine. Adding bone graft to the disc increases the surface area for healing and should improve the overall success rate of the spinal fusion. Interbody grafting can be done from several different approaches, as access to the disc space can be achieved from multiple directions.
XLIF: This acronym stands for extreme lateral interbody fusion. XLIF is a newer device designed to provide a carrier for bone graft and support to the disc space. It is placed through an incision on the patient s flank.By making an incision on the patient s side, the abdominal contents can be moved out of the way for a very good view of the spine. Unfortunately, there are some significant nerves in the front of the spine that are very sensitive to being moved.This type of access to the spine can lead to weakness in one leg because of the nerve sensitivity.At this time, there are no long-term studies that demonstrate that this procedure is a success.
AxiaLif: This is another fusion device that has received some attention, due to its being touted as the least invasive spine fusion .This device is placed across the lowest disc space by access from the front of the sacrum (a large, triangular bone at the base of the spine, wedged between the two hip bones). By placing instruments through a small incision near the rectum towards the spine, the disc is accessed through a series of cannulas (hollow surgical tubes) and drills. This allows the disc material to be removed from the disc space.After the disc material is removed, bone grafting can be put into the hole that is created. This disc space is then supported by a tapered screw placed into the bones. So far, this device has had minimal post-surgical study and is most likely best done in conjunction with standard screw and rod fusion techniques.
Flexible Rods: There has been some recent excitement around rod and screw systems that are so-called non-fusion fusion devices. This confusing name infers that, although the intent of the screws and rods is for the bones to not move, these devices are designed to allow some movement. As was discussed earlier in this article, fusion is the solid connection of bones that had previously moved. The idea of these flexible rods is to provide enough stability to allow the bones to fuse together, but not enough to change the forces in the spine. This is termed a soft-fusion .At this point, there is no concensus as to how much or how little support is needed to achieve this. It is known that current screw and rod systems provide enough support to allow a fusion to occur while providing complete immobility of the vertebrae. Other than this complete connection, the amount of support less than complete immobility has not been defined and at this point is still under investigation.
Disc Replacement: Disc replacement was developed as an alternative to fusion and is suggested for those discs that have ruptured, but in which the bone structure is still good. If only the disc has gone bad, removal of the disc leaves a space that we normally fill with bone graft to promote fusion in the neck or lower back. With the development of the disc replacement, the space that is left from disc removal can be filled with a device that allows motion, rather than fusion.This is a complete reversal in the approach to disc removal; from complete immobility to total mobility. Disc replacement is intended to maintain the motion in the spine. This reconstruction of the spine should maintain the forces across the discs in the spine to prevent the other discs from deteriorating any more rapidly than their normal degenerative process. Disc replacement in the lumbar spine has met with some success in well-selected patients. It has not been a panacea for all patients with low back pain or degenerative disc disease. Disc replacement in the cervical spine has had good success, as most neck fusions are done for bad discs with the bones being in good condition.
Improved training, including advanced specialty training in fellowship programs, as well as improved implants, has decreased most surgical procedure times to 2 hours or less.Historically, older techniques have been known to take 4-6 hours for just the operation. By decreasing operative times, surgeons have seen decreased complications from the anesthesia, as well as decreased risks of infection and blood loss. Most surgeries under 2 hours will not require a blood transfusion.
A well-informed patient, who understands the benefits and the risks of their surgery, can fully participate in the choices that need to be made about their surgery. If you have been told that you need a spine fusion, ask questions and do your research. It is appropriate to ask your surgeon about their experience performing spinal fusions, how many of the fusion procedures they perform, how long the operation will take and the likelihood of needing a blood transfusion. Selecting a well-qualified surgeon can help ensure the best outcome for you and the success of your spinal fusion.
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The spine or back is an extremely sensitive organ in the human body that requires good care and attention so as to remain healthy. Or else, one might need to face the risk of going under the surgeon’s knife. For years, surgeons have practiced back surgery as a lengthy and painful procedure that requires large incisions to be made on the back. As a result of this invasive treatment, patients had to remain hospitalized for weeks. Many times, patients also had to undergo an extensive and painful rehabilitation program so as to recuperate from the effects of surgery. Modern medical science has come a long way since then. With the evolution and use of Arthroscopic or Laser backs surgery, treating spinal disorders is no more a laborious process both for the doctor as well as the patient.
Arthroscopic or laser therapy was first used in the 1970s while operating on knees and shoulders. This treatment involves use of arthroscope, a tiny tube that is inserted into the body through a small incision made around the area that needs to be treated. Over this small tube, a series of large tubes are sequentially placed. The last tube that enters the hole is of the size of a pencil. The entire objective of this procedure is to dilate the skin and the internal muscle tissues rather than tearing them away. Once the last tube is inserted, all the other tubes are removed. Through the final translucent working tube are inserted fiber optic cameras, lasers, suction and other microscopic instruments using which the entire operation is performed by the surgeon. All these instruments can be electronically operated and are connected to a robotic arm.
At present, there are four different arthroscopic or laser back surgery procedures being practiced around the world. These include:
Used for treating conditions such as nerve root compressions, foraminal stenosis, pinched nerves, herniated discs, scar tissue formation, spinal arthritis and sciatica.
This procedure is used for removing neural compression and other conditions that can lead to stenosis of the spine. This procedure is also used for herniated discs, bone spurs (osteophytes) herniated discs, scar tissue formation and spinal arthritis.
Percutaneous Arthroscopic Disectomy
In this procedure, pressure that develops on the spinal cord and nerve roots is removed surgically using a laser.
Facet Thermal Ablation
This procedure is used in the treatment of facet disease. Also, conditions such as facet joint syndrome, facet hypertrophy, facet arthritis, and degenerated facet joints can be treated using this procedure. In this surgery, a surgeon uses a laser beam for destroying a spinal nerve that causes pain in the joints.
Laser back surgery is primarily an endoscopic procedure that is advantageous in many ways. Most importantly, this procedure neither involves any large incisions on the skin nor requires the administration of general anesthesia. The entire surgery is performed through a small hole and gets completed within one hour under the influence of localized anesthesia. In this procedure, there is minimal amount of muscle and other soft tissue damage. Other benefits include less bleeding during surgery, minimal amount of blood loss at the time of surgery, less scar tissue formation and quick recovery. Even the risks or complications are very low with laser back surgery. Also, the patient is not required to spend days and weeks in the hospital and undergo the postoperative discomfort.
Published by Stenosis Advisor
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Author: Nelson Taylor
Nelson Todd is the owner of http://www.whybacksurgery.com/ His site provides detailed information about the pros and cons of laser back surgery, and exercises that will help speed up your recovery after your laser back surgery.
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