Endoscopy refers to inserting microscopic cameras into the body through tiny incisions which throw up pictures of the inside of the body onto a screen. Endoscopy has been used for diagnostic purposes since the 1970s. Endoscopy for surgery has become popular from the 1990s.

Endoscopic spine surgery is a state-of-the-art surgery technique which involves micro incisions and minute tubes that cause almost no damage to surrounding tissues and muscles. It is a minimally invasive surgery and it is also called a pinhole surgery.

What are the advantages of endoscopic pinhole spine surgery?

There are a lot of reasons why doctors opt for an endoscopic surgery-

  It is also called Minimally Invasive Spine Surgery (MISS) because it causes little blood loss
  Recovery is almost immediate. A person can resume everyday activities within a week
  Very little pain around the surgery region so minimum pain medication is needed.
  No muscle or bone is removed.
  Since screws and rods are not used, full mobility of the spine can be restored
  The wounds are minute and do not usually require stitches and thus no ugly scars are left after the wounds heal.

What are the characteristics of an endoscopic spine surgery?

  The surgery is performed under local anaesthesia
  The person is discharged within 24 hours of the surgery
  The incisions that are made are microscopic

What are the different types of endoscopic surgery?

Endoscopic discectomy:
It is the least invasive of all spinal surgeries. It is used for treating herniated discs. Endoscopy reveals images of the spine. Through the same tunnel, surgery tools are inserted and the bulging or herniated disc is pulled out with a grasper. The wound does not always require stitches to close it.

Endoscopic Laminotomy:
This a substitute for open laminotomy. The camera helps locate exactly where the target area is. Then an incision is made below and above the lamina to relieve the pressure compressing the nerve.

Endoscopic facet rhizotomy:
With microscopic cameras, the nerves causing pain are identified and then the laser is used to numb these nerves which relieve pain. This type of surgery can also remedy a previously botched spinal surgery, facet joint arthritis or facet joint pain

Endoscopic foraminotomy:
This type of surgery again uses microscopic surgical tools guided by a tiny camera to enlarge a narrowed neuro of spinal nerve root canal to give it more room to move about without being compressed.

Endoscopic Spine Surgery & Pinhole Technique!

Sciatica is a neurological condition that mainly arises due to problems in the sciatic nerve. The sciatic nerve is believed to be the largest nerve originating from the spinal nerves L4 to S3. It extends downward from the lower spine into the back of each leg (thighs) right down to the foot. The sciatic nerve acts as a connecting link between the spinal cord and the foot and the leg muscles. People with sciatica often experience a tingling sensation along with a shooting pain radiates downwards from the lower back (mostly the lumbar region) to the back of one of the legs. Some may also experience the sciatic pain down both the legs (rare).

Types of Sciatic Pain:

Sciatica that affects a person can be of two types depending on the severity of the associated symptoms

Acute sciatic pain: In this case, a person experiences a sudden radiating pain which often heals by itself within a week or two. More than often, the pain is triggered by an injury to the spinal joints, nerves, or the disc.
Chronic sciatic pain: This is a more serious condition where the pain may linger for long, often more than three months. The chronic sciatic pain may affect a person with severe Arthritis and nerve injury and damage.
Symptoms associated with Sciatica:

One of the characteristic symptoms of Sciatica is a shooting pain that radiates from the lower back (often the lumbar) to the back of one (or both) of the legs.
In some, the sciatic pain may result in weakness and a tingling sensation down the affected leg.
A person with sciatica may find it difficult to move his/her foot and legs (restricts their movement).
Some people may experience a shooting pain even while they are in a sitting position. In some others, the pain may be at its worst when a person is in a standing position.
Sciatica can also trigger a hip pain.
What triggers sciatica and the associated symptoms?

The disc is a protective shield that prevents any damage or injury to the vertebrae. A degenerative disc problem can interfere with the normal functioning of the disc triggering sciatica.
Spondylolisthesis: In Spondylolisthesis, also known as a Slip Disc, a bone (mostly in the lumbar region) slips over the bone which is located just below it. People with prolonged and untreated spondylolisthesis are often known to suffer from sciatica.
The sciatic pain can also affect a woman during her pregnancy.
Lumbar spinal stenosis: This condition is is characterized by the spinal canal narrowing down in the lumbar region. Lumbar spinal stenosis exerts pressure on the sciatic nerve, giving rise to sciatica.
A muscular strain or spasm in the buttocks can also be a contributing factor.
Proper management and prevention for sciatica are possible. One should be alert and consult a doctor in case they experience the associated symptoms or any discomfort.

Sciatica Pain - What Can Trigger It?

Unlike muscle aches, neuropathic pain or nerve pain is usually a lifelong condition. This usually affects the feet. In some cases, it can get better over the years but in most cases, nerve pain stays persistent or worsens with time. Neuropathic pain is caused by nerve damage and commonly triggered by conditions such as diabetes or is a result of the side effects of medication or chemotherapy.

Medication is usually the first line of treatment when it comes to dealing with neuropathic pain. Medication prescribed for such conditions can be categorized as:

Antidepressants
Anticonvulsants
Local anesthetics
These may be prescribed individually or in a combination of two or more types of drugs. additionally, topical creams may also be prescribed for pain relief. Conventional medicine can provide temporary relief from nerve pain. However, in the long run, making a few lifestyle changes can help control nerve pain. Here are a few tips.

Exercise: Nerve pain may tempt you to sit in one place, but you must force yourself to walk about and exercise a little on a regular basis. Exercising increases blood flow to the extremities of the body and releases endorphins that act as natural painkillers. It can also expand blood vessels and nourish damaged nerves.
Avoid alcohol: If you suffer from nerve damage, alcohol can aggravate the damage and increase pain. Hence it is best to skip alcohol and all other kinds of stimulants.
Heat therapy: Soaking your feet in a warm bath or using a heat pack can be very effective when it comes to dealing with nerve pain. The heat temporarily increase blood flow and reduces pressure on the nerves. However, be careful to avoid burning yourself.
Get a good night's sleep: Nerve pain is usually aggravated at night, thus disturbing your sleep. To get the required 8 hours of sleep a day, try maintaining a schedule of going to bed and waking up at the same time everyday. Drinking a cup of warm milk may also help you fall asleep faster. Ensure that the last cup of coffee you drink is in the afternoon.
Massage: As with muscle pains; a massage can help ease and reduce nerve pain. Your choice of oils also has a role to play in the effectiveness of the massage. While lavender oil helps people relax and takes their mind of the pain, geranium oil can help directly reduce nerve pain.

Ways to Control Nerve Pain

Breaking a bone can be counted among one of the most painful experiences that one can possibly suffer from. Inflicted usually by external injuries, fractured bones generally require surgeries for recuperation. In the occasion of minor fractures however, plasters often facilitate recovery. Although these are the primary treatments that are meted out, recovering from fractured bones entail much more. For some, the time to restore normalcy takes longer than others. In such cases, one tends to opt for palliatives to ease out the pain.

Homeopathic medicines not only offer respite to the pain but also provide a holistic cure for the emotional anxiety one goes through in such times. Many therefore seek out homeopathic remedies for treating bone fractures. Some of the most effective antidotes in this regard have been enlisted below.

1. Arnica: Arnica is extremely helpful at curbing swelling and as a consequence, reducing pain. Prolonged use of Arnica can potentially minimize the swelling to absolute normalcy.
2. Hypericum: This soothes the fracture induced pains, especially when the fractures affect the nerves. This is a beneficial remedy for fractures in fingers, toes and the spinal regions.
3. Bryonia: Bryonia is known to bring relief in cases of the jarring pain that surfaces post trauma. Sometimes, even the slightest movement in the affected area can lead to a lot of distress. This is an ideal cure for such cases.
4. Calcarea Phosphorica: This speeds up the healing process following a bone fracture. Consumption of Calcarea Phosphorica accords a calming effect on the moods of the patient and helps to deal better with the pain, anxiety and irritability in the due course.
5. Eupatorium Perfoliatum: This helps in mitigating deep wounds and the consequent aches. The healing powers of Eupatorium Perfoliatum are extremely pervasive and results in quicker recovery.
6. Ruta Graveolens: This re-nourishes the damaged body fibers and soothes the bruised areas. It is also known to reduce restlessness.
7. Symphytum: It is extremely helpful in the rejoining of bones. It enables the body to heal faster and effectively cures joint pains.

5 Best Homeopathic Medicine for Bone Fracture Treatment

An orthopaedic fracture is a serious issue that will require lots of care for the bones to heal and re-join. A broken bone is usually plastered so that the tissue may grow back together by fusing eventually, over a period of weeks. When these bones begin to rebuild in an effort to come together, the new bones are called soft callus. This will require lots of energy, which primarily comes from calories. This ensures that essential proteins like amino acids can be taken from the right type of food which would stimulate good blood flow. 

So, let us take a look at the best diet that one can follow in order to recover from a fracture.

Kale: Leafy green vegetables and herbs like kale can help in supplying good amount of protein and iron as well as calcium, which is highly important for good and strong bones. One can also find plenty of calcium in salmon and other kinds of sea food like sardines; consuming these can speed up the process. Sea vegetables like seaweed can also help in the process.
Yogurt: Calcium can be supplied by various other kinds of food including yogurt, which has two kinds of amino acids. These amino acids are lysine and glutamine, which can assist the bones in swift calcium absorption for better recovery of the broken bones.
Spinach: This is a very important ingredient in the bone healing process thanks to its dual elements of calcium and zinc, which come together to cause the appropriate chemical reaction for bone rebuilding. Other zinc heavy food items include pumpkin seeds and wheat germ as well as red meat.
Broccoli: Ingredients like broccoli are rich in Vitamin K1, which is known to very good for the bone recovery process. This vitamin helps in mineralisation of the bone so that they may fuse with each other and form a new mass. One can have up to one cup of this green vegetable per day for a quick and effective fracture recovery process. Other ingredients like cheese and raw dairy products are known to have plenty of this vitamin as well.
Green Bell Peppers: High on vitamin C which helps in producing the skin and tissue structuring element called collagen, green bell peppers are an excellent ingredient that can help you in your fracture healing process. Vitamin C can also be found in citrus fruits like oranges, strawberries as well as tomatoes.
Milk: While milk has plenty of calcium, it also has another important ingredient called vitamin D. When calcium and vitamin D come together, the bones tend to heal much faster as vitamin D helps the bones in absorbing the calcium at a much high rate.

Recovering from Fracture - 6 Foods You Must Consume

Paralysis is characterized by loss of movement, muscle function, and sensation. The patient is unable to function normally in the aftermath of a paralysis attack. The disorder affects people in different ways. It is either partial or complete. It afflicts one or both sides of the body. It arises in one or several areas and can either be short-term (post a stroke) or long-term (due to spinal cord damage). There are different types of paralysis such as Monoplegia, Hemiplegia, Paraplegia, and Quadriplegia. Some symptoms that are associated with paralysis include loss of memory, loss of hearing, clumsiness, drooling, and changes in behavioural patterns.

Why Physiotherapy for Paralysis?

Physiotherapy is recommended for people affected by paralysis for many reasons. Physiotherapy helps relax the muscles and boosts the flow of blood within the body. Patients are advised to use braces, splints, orthosis, and canes by physiotherapists to facilitate movement in their condition. Wheelchairs are also advised so that the patient can move about a little if they have lost sensation in the lower limbs.
In case of brain injuries, the practice can reduce the swelling and promote healing.
Paralytics are also given counselling sessions for boosting their morale. They are encouraged, educated by their practitioners and can go a long way in improving their condition.
Physiotherapy exercises are also useful for restoring lost strength in the afflicted muscles, which, in turn, prevents deformity in the limbs. Physiotherapy exercises can restore sensation and subsequently the movement in the affected area.
The health problems of the patients are also addressed during physiotherapy. Also, the underlying causes of the disorder are treated, and this helps in restoring mobility for the patient.
Physiotherapy treatment helps the patient to adjust to daily life after suffering a stroke. The efforts are directed towards making them independent. As part of the treatment program, the patients are advised about various aspects, including exercises, surgical procedures, medicines and other self-care methods. Physiotherapy produces results over time and is not an immediate solution to the problem.
Paralysis   What type of diet should you go for?

Physiotherapists advise the patients suffering from paralysis to eat a nutritious diet. Intake of B-complex vitamins is very important, such as vitamin-B12 and niacin, the patients can improve the functioning of their nervous system.
Essential fats are also recommended due to their anti-inflammatory properties and ability to restore the health of the nervous system. Some food sources of these nutrients include walnuts, flaxseeds, beans, bananas, pumpkin seed oil, potatoes, and lentils.
It is important to note that physiotherapy practices can help people with paralysis in several ways. Most importantly, the victims receive encouragement and counseling from the physiotherapists who guide them towards a treatment option that can help restore normalcy in their lives.

Paralysis - How Physiotherapy Will Help In Treating It?

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