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Disc Hernia Surgery (Lumbar) Tips

All About Lumbar Disc Pain!

Dr. Himanshu Gupta 89% (54 ratings)
Fellow Adult Knee Reconstruction and Sports Injuries, Fellowship in Interventional Pain Practice, MS - Orthopaedics, MBBS
Orthopedist, Gurgaon
All About Lumbar Disc Pain!

There are many structures in the lumbar spine that can cause pain. Any kind of trouble to the nerves and veins that goes through the spine, joint issues, the disks themselves, the bones and the muscles - would all be able to act as a cause behind the pain.

Numerous lumbar spine conditions are interrelated. For instance, an unstable joint can lead to disk degeneration, which can put weight on the nerve roots and cause the disk to collapse at times. The following are the main reasons behind the lumbar disk pain:

  1. Problems in the muscles: The biggest reason behind lumbar disk pain is muscle strain or other muscle issues. Strain because of truly difficult work, twisting, or different activities that can put pressure on your spine like heavy lifting, cause the disk to rupture or slip at times.
  2. Disk degeneration: Intervertebral disks are pads that are spongy and act as shock absorbers. This can cause pain in your disk. This condition can be referred to with many names, however, is famously known as degenerative disk disease.
  3. Lumbar Disk Herniation: Herniated disks are most common reasons behind the lumbar disk pain. A herniated disk may be caused all of a sudden because of damage to the spine or truly difficult work or happen gradually as a form of general wear and tear in the spine. Leg pain (sciatica) is the most widely recognized symptom of a herniated disk.
  4. Sacroiliac Joint Dysfunction: The sacroiliac joint, which attaches to the base of the lumbar spine and the tip of the tailbone, can cause lumbar disk pain or even sciatic pain if there is any kind of fracture in the joint that allows for movement or rather, limits any particular movement.
  5. Spondylolisthesis: Spondylolisthesis happens when one vertebra slips behind the other or underneath it. The slip most normally happens in the lower lumbar vertebrae (e.g. L4 –L5 or L5 – S1). In case that the slipped vertebra presses the nerve root at that point, it can bring about shooting leg pain and gradually foot pain as well.

There are certain ways in which this problem can be treated to a certain extent. These methods are as follows:

  1. Common medications: Muscle relaxants. This solution works as an anti-depressant of the nervous system and expands as well as relaxes the tense muscles, easing pain from muscle stiffness or fits
  2. Back supports: A few patients find that a back support can be used to bring comfort and gradually diminish the pain. There is some proof that using a brace every day, can speed up the healing process and lessen the pain. A back support may likewise be useful after back surgery.
  3. Back Braces: Epidural steroid infusion. This infusion includes a steroid inserted specifically into the external piece of the dural sac, which surrounds the spinal chord. An x-ray, called fluoroscopy, is utilized to control the needle in the right area. The objective of the infusion is to soothe the pain by decreasing irritation around a compressed nerve root.
2402 people found this helpful

6 Causes Of Lumbar Disc Pain!

Dr. Rahul Nerlikar 85% (10 ratings)
MS - Orthopaedics, M.Ch - Orthopaedics, FRCS, MBBS
Orthopedist, Pune
6 Causes Of Lumbar Disc Pain!

There are many structures in the lumbar spine that can cause pain. Any kind of trouble to the nerves and veins that goes through the spine, joint issues, the disks themselves, the bones and the muscles - would all be able to act as a cause behind the pain.

Numerous lumbar spine conditions are interrelated. For instance, an unstable joint can lead to disk degeneration, which can put weight on the nerve roots and cause the disk to collapse at times. The following are the main reasons behind the lumbar disk pain:

  1. Problems in the muscles: The biggest reason behind lumbar disk pain is muscle strain or other muscle issues. Strain because of truly difficult work, twisting, or different activities that can put pressure on your spine like heavy lifting, cause the disk to rupture or slip at times.
  2. Disk degeneration: Intervertebral disks are pads that are spongy and act as shock absorbers. This can cause pain in your disk. This condition can be referred to with many names, however, is famously known as degenerative disk disease.
  3. Lumbar Disk Herniation: Herniated disks are most common reasons behind the lumbar disk pain. A herniated disk may be caused all of a sudden because of damage to the spine or truly difficult work or happen gradually as a form of general wear and tear in the spine. Leg pain (sciatica) is the most widely recognized symptom of a herniated disk.
  4. Sacroiliac Joint Dysfunction: The sacroiliac joint, which attaches to the base of the lumbar spine and the tip of the tailbone, can cause lumbar disk pain or even sciatic pain if there is any kind of fracture in the joint that allows for movement or rather, limits any particular movement.
  5. Spondylolisthesis: Spondylolisthesis happens when one vertebra slips behind the other or underneath it. The slip most normally happens in the lower lumbar vertebrae (e.g. L4 –L5 or L5 – S1). In case that the slipped vertebra presses the nerve root at that point, it can bring about shooting leg pain and gradually foot pain as well.

There are certain ways in which this problem can be treated to a certain extent. These methods are as follows:

  1. Common medications: Muscle relaxants. This solution works as an anti-depressant of the nervous system and expands as well as relaxes the tense muscles, easing pain from muscle stiffness or fits
  2. Back supports: A few patients find that a back support can be used to bring comfort and gradually diminish the pain. There is some proof that using a brace every day, can speed up the healing process and lessen the pain. A back support may likewise be useful after back surgery.
  3. Back Braces: Epidural steroid infusion. This infusion includes a steroid inserted specifically into the external piece of the dural sac, which surrounds the spinal chord. An x-ray, called fluoroscopy, is utilized to control the needle in the right area. The objective of the infusion is to soothe the pain by decreasing irritation around a compressed nerve root.
2521 people found this helpful

Lumbar Microdiscectomy

Dr. Pramod Saini 88% (10 ratings)
MBBS, MS - Orthopaedics, FNB Spine surgery, Fellowship In Spine Surgery (AO Spine)
Orthopedist, Noida
Lumbar Microdiscectomy

 A lumbar microdiscectomy is performed to relieve pressure on nerve roots caused by a severe herniated disc in the lumbar spine that causes sciatica like pain. The lumbar spine is the lower area consisting of the bottom five vertebrae. A herniated disc may cause lower back pain and pain or numbness in the legs and feet. Surgery may be needed if symptoms include severe leg pain, weakness or numbness in the extremities and impaired bowel or bladder function. A lumbar microdiscectomy is a minimally invasive procedure. A microscope is used to view the area through a small incision aroud 2 c.m long in the lower back to view the pinched nerve. Surgical instruments are then inserted through the incision to remove only the portion of the disc that is applying pressure on it, as well as any disc fragments that may have broken off. Patient is made to sit stand and walk from very next day and is discharged Next day. Stiches, in selected cases, can be can be self dissolving subcuticular which does not require removal. Patient can join back their desk job in 2 weeks.

7 people found this helpful

Lumbar Disc Pain - Types and Treatment

Dr. Kunal Shah 88% (64 ratings)
MBBS, MS - Orthopaedics, Spine Fellowship
Orthopedist, Mumbai
Lumbar Disc Pain - Types and Treatment

There are many structures in the lumbar spine that can cause pain. Any kind of trouble to the nerves and veins that goes through the spine, joint issues, the disks themselves, the bones and the muscles - would all be able to act as a cause behind the pain.

Numerous lumbar spine conditions are interrelated. For instance, an unstable joint can lead to disk degeneration, which can put weight on the nerve roots and cause the disk to collapse at times. The following are the main reasons behind the lumbar disk pain:

  1. Problems in the muscles: The biggest reason behind lumbar disk pain is muscle strain or other muscle issues. Strain because of truly difficult work, twisting, or different activities that can put pressure on your spine like heavy lifting, cause the disk to rupture or slip at times.
  2. Disk degeneration: Intervertebral disks are pads that are spongy and act as shock absorbers. This can cause pain in your disk. This condition can be referred to with many names, however, is famously known as degenerative disk disease.
  3. Lumbar Disk Herniation: Herniated disks are most common reasons behind the lumbar disk pain. A herniated disk may be caused all of a sudden because of damage to the spine or truly difficult work or happen gradually as a form of general wear and tear in the spine. Leg pain (sciatica) is the most widely recognized symptom of a herniated disk.
  4. Sacroiliac Joint Dysfunction: The sacroiliac joint, which attaches to the base of the lumbar spine and the tip of the tailbone, can cause lumbar disk pain or even sciatic pain if there is any kind of fracture in the joint that allows for movement or rather, limits any particular movement.
  5. Spondylolisthesis: Spondylolisthesis happens when one vertebra slips behind the other or underneath it. The slip most normally happens in the lower lumbar vertebrae (e.g. L4 –L5 or L5 – S1). In case that the slipped vertebra presses the nerve root at that point, it can bring about shooting leg pain and gradually foot pain as well.

There are certain ways in which this problem can be treated to a certain extent. These methods are as follows:

  1. Common medications: Muscle relaxants. This solution works as an anti-depressant of the nervous system and expands as well as relaxes the tense muscles, easing pain from muscle stiffness or fits
  2. Back supports: A few patients find that a back support can be used to bring comfort and gradually diminish the pain. There is some proof that using a brace every day, can speed up the healing process and lessen the pain. A back support may likewise be useful after back surgery.
  3. Back Braces: Epidural steroid infusion. This infusion includes a steroid inserted specifically into the external piece of the dural sac, which surrounds the spinal chord. An x-ray, called fluoroscopy, is utilized to control the needle in the right area. The objective of the infusion is to soothe the pain by decreasing irritation around a compressed nerve root. If you wish to discuss about any specific problem, you can consult an Orthopedist.
2359 people found this helpful

Herniated Disc - How Surgery Will Help?

M.Ch - Neuro Surgery, DNB (Orthopedics)
Neurosurgeon, Hyderabad
Herniated Disc - How Surgery Will Help?

The spinal column supports the entire body. This is made of a number of individual bones stacked together with rubbery discs between them. These discs cushion the bones and act as shock absorbers. In some cases, the soft center of these discs can push through the exterior casing. This is known as a herniated disc. Not all herniated disc cases require treatment. However, in serious cases, treatment may include medications, surgery and physiotherapy. Surgery is usually the last resort for a herniated disc. There are four main types of surgeries that can be used to address this issue.

They include:

  1. Laminotomy or Laminectomy: This is a minimally invasive surgery. For this procedure, the doctor will make a small incision along the backbone through which an opening will be created in the Lamina or vertebral arch. This helps relieve pressure on the nerve roots and hence resolves pain caused by herniated discs. In some cases, the lamina may need to be removed. This is known as a laminectomy.
  2. Diskectomy or Microdiskectomy: A Diskectomyis one of the most common procedures used to address herniated discs in the lumbar region. For this procedure, the surgeon will make an incision along the neck or back. He will then remove a portion of the disc or the whole disc that is affected. This helps reduce pressure on the nerve roots. A Microdiskectomy refers to a minimally invasive form of this procedure. These procedures can be performed as an inpatient or outpatient procedures depending on the patient’s medical state.
  3. Artificial Disk Surgery: This procedure is performed while the patient is under general anesthesia. It is typically advised in cases where a single disc in the lower back region has herniated. An incision is made in the patient’s abdomen through which the damaged disc is removed and replaced with an artificial disc. This artificial disc may be created using plastic or metal. Artificial disc surgery is not recommended for arthritic and orthopedic patients or in cases where more than one disc is affected.
  4. Spinal FusionSpinal fusion is also performed while the patient is under general anesthesia and may require hospitalization for several days. For this procedure, two or more bones of the spinal column are fused together permanently to immobilize that part of the spine. This can be done with the help of bone grafts from a donor or any other part of the body along with plastic or metal screws and rods.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1839 people found this helpful

How To Prevent Recurrent Disc Pain?

MPTh/MPT, PGDYT, (FAGE) Fellow of Academy of General Education
Physiotherapist, Bangalore
How To Prevent Recurrent Disc Pain?

Back pain can be debilitating and one of the main causes can be a weak disc. There could be an inflammation of the disc or prolapse which can cause pain. In most people, poor posture along with lack of physical exercise can lead to recurrent disc issues and pain.

The disc is basically a layer of soft tissue, which is present between two vertebrae. This tissue can slip out of its space, causing prolapse or a hernia. Depending on the exact location, it can be cervical, thoracic, or lumbar disc hernia. Though there is treatment available in the form of medicines and exercises to even surgery, recurrent disc pain is best prevented, in ways mentioned below:

1. Strengthen the abdomen: One of the main issues for recurrent disc pain is a bad abdominal musculature. The key is to support the back and improve posture so that the back muscles are strong and disc pain is prevented. Crunches, sit-ups, and other exercises to improve spine stability are highly recommended. When lifting things off the ground, it is always advisable to sit down and pick things up rather than bend down and pick up. Bending down to pick up things, especially heavy ones, can cause severe disc prolapse almost immediately.

2. Weight management: Being overweight can put pressure, especially on the low back (thoracic and lumbar spines) and cause a hernia in the lower back. Weight management, therefore, assumes great significance.

3. Stress management: One of the main causes for the increased incidence of back pain is higher levels of stress. This can be improved by stress management techniques including meditation and yoga.

4. Yoga: This not only helps in stress management but also keeps a person flexible. It improves circulation, joint mobility and so helps in preventing back pain.

5. Posture changes: If a person is diagnosed to have poor posture (stooped, drooping, etc.), then they should be taught to sit upright with adequate back support so that recurrent disc pain is prevented.

6. Exercise: If a person has had a herniated disc, then the doctor would recommend a chiropractor or physiotherapist to improve pain control. A set of exercises would be taught to improve abdominal strength. They also would instruct on ways to do this properly, so that recurrent disc pain can be avoided.

7. Pain control: This needs to be followed sequentially. In addition to injections of corticosteroids and painkillers for immediate relief, a person also can have painkillers at disposal to take when required. As a last resort, surgery may be done but needs to be followed up with exercise so that recurrent disc pain is avoided.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2986 people found this helpful

Hernia

Dr. Ashok Gupta 92% (5463 ratings)
MS - General Surgery, MBBS
General Surgeon, Delhi
Hernia

HERNIA

Description:

A hernia is a weakness or defect in the lining of the abdominal (belly) or pelvic (groin) wall. It can be present at birth or develop over the years.

Signs and Symptoms:
You may see or feel a lump under the skin or in males a bulge in the scrotum (this is usually intestine). This may present with straining while lifting heavy objects, during a bowel movement or urination. Coughing and sneezing may also produce a bulge. The lump may disappear when laying down or even with gentle pressure. A hernia can be present without an obvious lump. It can be painful or cause a burning sensation. Sometimes it may be present for years without any symptoms.

Treatment:
What should you do if you suspect that you have a hernia? There is no acceptable nonsurgical medical treatment for a hernia. The use of a truss (hernia belt) can help keep the hernia from bulging but eventually will fail. The truss also causes the formation of scar tissue around the hernia making the repair more difficult. Have your doctor perform an examination, because if the repair is delayed it can result in incarceration (intestine is stuck and cannot get back inside) or strangulation (intestine is stuck and develops gangrene). The latter is an emergency.

The hernia will not go away, it will only get bigger. The bigger the defect the bigger the operation required to fix it.

Under certain circumstances the hernia may be watched and followed closely by a physician. These situations are unique to those individuals who are high operative risks, ie, severe heart or lung disease, or bleeding problems. Of course, even in the high risk person, if the symptoms become severe or if strangulation occurs, then an operation must be performed.

Surgical Options:
What type of operation is best for you? There are two main options for hernia repair:

1) Open Repair: The traditional, open repair has been the gold standard for over 100 years. There are 5-10 different approaches and can be performed routinely with local and intravenous sedation. Open repair is generally painful with a relatively long recovery period.


2) Laparoscopic Repair: Laparoscopic repair has been developed over the last 10 years. It is usually performed under general anesthesia but spinal anesthesia is an option. Local anesthesia can be used under special circumstances. Benefits of Laparoscopic (laparoscopic) repair compared to the open repair are: shorter operative time, less pain, and shorter recovery period.

Laparoscopic Hernia Surgery:
For Laparoscopic hernia surgery a telescope attached to a camera is placed through a small opening under the belly button. Two other small cuts are made (each no larger than the diameter of an eraser on the end of a pencil) in the lower abdomen. The defect is covered with a mesh (synthetic material made from the same material that stitches are made from) and secured in position with other stitches/staples/titanium tacks or tissue glue.

Risks to Laparoscopic Hernia Surgery:
As with the open operation, bleeding and infection can occur. The risk of nerve injury appears to be less than in open repair, as does the potential for recurrences of a hernia.

After the Operation:
Usually you can be discharged home a few hours after the completion of the Laparoscopic hernia operation. Take it easy the first few days. Walking stairs is allowed, and walking outside (weather permitting) is encouraged. Taking a bath or shower 48 hours after the operation is permitted. Avoid driving for at least 3 days and any time while taking pain medication.

Remember to make a follow-up appointment with your surgeon 1-2 weeks following the operation. Seek medical attention sooner if you develop fever, bleeding, severe belly pain, excessive swelling or nausea and vomiting.

7 people found this helpful

Lumbar Disc Pain - Understanding The Types & Treatment Of It!

Dr. Avinash Jain 91% (136 ratings)
MBBS, DNB - Orthopedics/Orthopedic Surgery
Orthopedist, Indore
Lumbar Disc Pain - Understanding The Types & Treatment Of It!

There are many structures in the lumbar spine that can cause pain. Any kind of trouble to the nerves and veins that goes through the spine, joint issues, the disks themselves, the bones and the muscles - would all be able to act as a cause behind the pain.

Numerous lumbar spine conditions are interrelated. For instance, an unstable joint can lead to disk degeneration, which can put weight on the nerve roots and cause the disk to collapse at times. The following are the main reasons behind the lumbar disk pain:

  1. Problems in the muscles: The biggest reason behind lumbar disk pain is muscle strain or other muscle issues. Strain because of truly difficult work, twisting, or different activities that can put pressure on your spine like heavy lifting, cause the disk to rupture or slip at times.
  2. Disk degeneration: Intervertebral disks are pads that are spongy and act as shock absorbers. This can cause pain in your disk. This condition can be referred to with many names, however, is famously known as degenerative disk disease.
  3. Lumbar Disk Herniation: Herniated disks are most common reasons behind the lumbar disk pain. A herniated disk may be caused all of a sudden because of damage to the spine or truly difficult work or happen gradually as a form of general wear and tear in the spine. Leg pain (sciatica) is the most widely recognized symptom of a herniated disk.
  4. Sacroiliac Joint Dysfunction: The sacroiliac joint, which attaches to the base of the lumbar spine and the tip of the tailbone, can cause lumbar disk pain or even sciatic pain if there is any kind of fracture in the joint that allows for movement or rather, limits any particular movement.
  5. Spondylolisthesis: Spondylolisthesis happens when one vertebra slips behind the other or underneath it. The slip most normally happens in the lower lumbar vertebrae (e.g. L4 –L5 or L5 – S1). In case that the slipped vertebra presses the nerve root at that point, it can bring about shooting leg pain and gradually foot pain as well.

There are certain ways in which this problem can be treated to a certain extent. These methods are as follows:

  1. Common medications: Muscle relaxants. This solution works as an anti-depressant of the nervous system and expands as well as relaxes the tense muscles, easing pain from muscle stiffness or fits
  2. Back supports: A few patients find that a back support can be used to bring comfort and gradually diminish the pain. There is some proof that using a brace every day, can speed up the healing process and lessen the pain. A back support may likewise be useful after back surgery.
  3. Back Braces: Epidural steroid infusion. This infusion includes a steroid inserted specifically into the external piece of the dural sac, which surrounds the spinal chord. An x-ray, called fluoroscopy, is utilized to control the needle in the right area. The objective of the infusion is to soothe the pain by decreasing irritation around a compressed nerve root. If you wish to discuss about any specific problem, you can consult an Orthopedist.
2665 people found this helpful

Ozone Discectomy For Disc Prolapse!

Dr. Neeraj Jain 85% (19 ratings)
MBBS, MD, FIMSA, FIPP
Pain Management Specialist, Delhi
Ozone Discectomy For Disc Prolapse!

Ozone local anaesthesia with strict real time radiological control, which ensures the proper placement of Ozone in the center of the disc making it shrink.

Low Sciatica and PIVD

Among working-age people, as many as 20 percent experience back symptoms at least every year. facet arthropathy, sciatica, muscle strain, sacroilitis, bulging or herniated discs and degenerative disc disease. Prolapsed intervertebral discs (PIVD) are the most common cause of low back pain associated with a defined structural Abnormality.

Patients who are not helped by weeks of conservative therapy are often referred for pain that has persisted beyond a four-week period should be referred to a multidisciplinary pain center.

Different Non Surgical Interventions Employed Successfully:

  • Epidural Steroid Inj.

  • Epidurogram & Epidurolysis.

  • Nerve root sleeve/ transforaminal Inj.

  • Intra-discal steroid inj.

  • Nucleoplasty- Thermal & Mechanical

  • Ozone Discolysis

Conventional treatment methods for back pain comprise lamminectomy/ discectomy microsurgery, endoscopic disectomy and percutaneous arthoscopic disectomy, among others. These are invasive methods and their goal is to remove or contain the protruding disc. However, these methods have occasionally demonstrated a discrete incidence of failure and/or recurrence. Outcome studies of lumber disc surgeries ranging from 4% to 15%, have been noted. "In case of surgery, the chance of recurrence of pain is nearly 15 percent as against less than three percent in Ozone treatment.</p> <p><strong>Reasons for the failures</strong> of conventional surgeries are:</p> <ol> <li> <p>Dural fibrosis</p> </li> <li> <p>Arachnoidal adhesions</p> </li> <li> <p>Muscels and fascial fibrosis</p> </li> <li> <p>Mechanical instability resulting from the partial removal of boney & ligamentous structures required for surgical exposure & decompression</p> </li> <li> <p>Presence of Neuropathy.</p> </li> <li> <p>Multifactorial etiologies of back & <a href=">leg pain, some left unaddressed surgically.

Understanding the need for Nano-Technology 

  1. The various treatment options have confused clinicians and investigators due to high failure rate and complications associated with different kinds of surgeries and interventions. There has been a surge of interest in the search for a safer alternative method of decompressing the nerve roots maintaining the structural stability.
  2. Another safe least invasive alternative therapy that has been receiving exposure in Europe is the use of medical Ozone (02/03 mixture) in the treatment of PIVD. Epidural steroid injection, transforaminal epidural decompressions has a high success rate (up to 85%), but chances of recurrences are there specially if these interventions are done at later stage. anaphylaxis following intradiscal chymopapain injection. Injection of Ozone for discogenic radiculopathy (low back pain with radiation to legs) has developed as a revolutionary alternative to chemonucleolysis and disc surgery .

The use of ozone revolution for treating disc diseases 

Muto suggested an intradiscal injection of Ozone for a disc Ozone injection into the intervertebral disc. After that successful outcome has been reported from various European centers. It is very important to note from those reports that complications are remarkably few. Not a serious single life-threatening complication was found even after 120,000 cases of Ozone nucleolysis, which stresses the safety of these procedures.

The most critical portion of performing any of the minimally invasive procedures is the accuracy and safe positioning of the needle (or terminal device) in the centre of the disc space. The risk in ozonucleolysis is particularly minimised, with the use of a very thin 22/25-gauge needle. It may take anywhere from 5 to 30 minutes to position a needle in the centre of the disc space under radiological guidance. Once the needle is safely placed in position, ozonucleolysis is completed in only another 2 to 3 minutes.

How does water contained within the domain of proteoglycans. The water binding capacity of the proteoglycan molecule is partially a property of its size and physical shape, but the main force that holds water to the molecule stems from the ionic, carboxyl (COOH) and sulphate (SO4) radicals of the glycosaminoglycan chains. The ozone can have a direct effect on these carboxyl and sulphate groups, breaking down some of these glycosaminoglycan chains which make up the proteoglycans. The destruction of these cross-linked structures reduces their ability to hold water therefore diminishing the size of the herniation by collagen fibers and signs of regression (vacuole formation and fragmentation)- a sort of disk “<strong>mummification</strong>.”</p>

<p> </p> <p><strong>By Inhibiting inflammatory Nociceptors</strong></p> <ul> <li> <p>Synthesis of Prostaglandins & Secretion of Proteinases</p> </li> <li> <p>Liberation of Bradykinin and Pain Inducing Products</p> </li> <li> <p>Several studies suggest disc inflammation as a mechanism of sciatica due to disc herniation. Ozone has been shown to have an effect on the inflammatory cascade by inhibiting synthesis of proinflammatory prostaglandins or release of bradykinin or release of algogenic compounds; increased release of antagonists or soluble receptors able to neutralize proinflammatory cytokines like interleukin (IL)-1, IL-2, IL-8, IL-12, IL-15, <a href=">interferon, and tumor necrosis factor. Therefore, by reducing the inflammatory components there is a corresponding reduction in pain.

By stimulating fibroblasts & immunosuppressor cytokines 

  • Local production of Antioxidant Enzymes
  • Another action which may prove to be one of the most important is the stimulation of
  • Release of immunosuppressor cytokines like transforming growth factor, and IL-10 fibroblastic activity by ozone. Fibroblasts initiate the repair process by stimulating the deposition of collagen. Although yet to be validated, this mode of action could explain the resolution of PIVD on CT scans and the small percentage of patients who have relapses after the completion of treatment plan.
  • Ozone may have a reflex therapy effect called ‘chemical acupuncture’, breaking the chain of infection which is healed with antibiotics.

     

    In fact, over 120,000 patients have been treated successfully worldwide using the injection of medical ozone with a success rate of 80-90% and with a near nil rate of procedure-related complications. “The procedure is a safe and effective alternative to open surgical procedure. Patients get the advantage of going home after a short recovery on the same day. They generally go to work within a week and are spared prolonged absence from work and disability,” The treatment relieves pain substantially and, after two sittings, people "can go back to work under medical guidance".

    Comparison: 1. More hospital stay One day/day care 2. Complications of prolonged surgery& spine surgery is the treatment of choice for prolapsed disc (PIVD) done under local anaesthesia in a daycare setting. This procedure is ideally suited for cervical & lumbar disc herniation with radiculopathy. The total cost of the procedure is much less than that of surgical discectomy. All these facts have made this procedure very popular in European countries. It is also gaining popularity in our country due to high success rate, less invasiveness, fewer chances of recurrences, remarkably fewer side effects meaning high safety profile, short hospital stay, no post-operative discomfort or morbidity and low cost.

4671 people found this helpful

Microdiscectomy For Lumbar Disc Disease And Sciatica

Dr. Namit Singhal 90% (26 ratings)
MCH Neuro Surgery, MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery
Neurosurgeon, Agra
Microdiscectomy For Lumbar Disc Disease And Sciatica

Microdiscectomy for symptomatic lumbar disc in young patients who have failed nonoperative treatment has a high success rate based on outcome measures, patient satisfaction, and return to active duty. Patients with sequestered or extruded lumbar disc herniations had significantly better outcomes than did those contained herniations. Patients with contained disc herniations and smoking have less satisfaction rates.

1 person found this helpful
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