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Percutaneous Endoscopic Lumbar Discectomy PELD Surgery Mumbai India

cervical stenosis

Cost Percutaneous Endoscopic Lumbar Discectomy Surgery Hospital India, Percutaneous Endoscopic Laser Lumbar Discectomy, Percutaneous Endoscopic Lumbar Discectomy TreatmentPercutaneous endoscopic lumbar discectomy is the ultimate form of minimal invasive spine surgery. In this form of surgery, an instrument called endoscope is used. Whole surgery is done under local anesthesia and patient is fully awake during surgery. In fact for successful surgery patients active participation is necessary.

Patient is made to lie prone on operation table and exact entry point is mapped on patients body using image intensifier x-ray system. A long spinal needle is passed from side of back which goes into disc directly by-passing other bone and ligaments. Through this needle guide wire is passed and after taking 5mm incision, dilator and working cannula are passed under local anesthesia., through which endoscope is passed. Camera and monitor is attached to endoscope and prolapsed part of disc is removed under vision. Wound is closed with single stitch. Patient gets immediate pain relief and he can go home in 24 hrs and can resume his work soon.

What Are Some Of The Reasons I Might Need A Posterior Cervical Laminectomy & Discectomy?

This Surgery Is Usually Recommended To Address Problems Of : -

1. Herniated Nucleus Pulposus
2. Bone Spurs
3. Foraminal Stenosis
4. The main reason for this surgery is pressure on a nerve going to the arm.
5. Cervical cord compression causing myelopathy (weakness in arms and legs).

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An incision is made at the back of the neck, and the muscles pulled to one side. The lamina (the “roof” of the spine) may be removed in order to decompress the spinal cord, or only the part of the lamina may be removed that is over the foramen where the nerve roots are being trapped. A foraminotomy, making more room for the nerve root, or a discectomy, removing protruding part of the disc or disc fragments, may be done to relieve pressure on a nerve. The muscles are released and the incision is closed.

The cervical spine begins at the base of the skull and supports the weight of the head. The spinal cord runs from the brain down through the cervical spine, controlling the function of the body’s organs and limbs. In between each of the 7 vertebrae of the cervical spine are soft pads or discs which act as shock-absorbers and allow for bending and movement of the head. Each disc is made up of two parts, a soft center called the nucleus and a tough outer band called the annulus.

There is a 90% satisfaction outcome from cervical laminectomies and discectomies. Complications are rare, but you need to be advised that they can occur.

Some Possible Complications Are : -

1. Pain, numbness, and clumsiness could occur even if the surgery is correctly done.
2. There could be impaired muscle function or paralysis which is temporary or permanent.
3. Incontinence or impotence could occur. This refers to loss of bowel, bladder or sexual function.
4. Unstable spine is a possibility. Sometimes, in order to resolve the problem, so much bone is removed that the spine is left with weakness or instability. If there is not enough bone left to provide the appropriate amount of stability, it might be necessary in the future to contemplate having a spinal fusion which is a more extensive surgical procedure to reconstruct the weakness in the bones.

* Surgery done under local anesthesia with conscious sedation
* 5 mm skin incision
* Endoscope used for surgery
* No muscle, ligament or normal tissue damage
* Targeted fragmentectomy. (directly prolapsed disc tissue removed.)
* Minimal blood loss
* Patient can be discharged in 24 Hrs.
* No prolonged bed rest required after surgery. Can resume work sooner.
* Even prolapsed, migrated, extra-foraminal, recurrent discs can be removed. Very good technique for old and medically compromised patients.

Percutaneous Endoscopic Lumbar Discectomy

Spine Procedures

Having the industry’s most elaborate and exclusive Patient Care and Clinical Coordination teams stationed at each partner hospital, we provide you the smoothest and seamless care ever imagined. With a ratio of one Patient Care Manager to five patients our patient care standards are unmatched across the sub continent.

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Causes of Back Pain – What Are the Reasons for Backache

spinal stenosis

A wide range of people especially between the age group of 35-55 years suffer from the problem of back pain. It is among the most common medical problems. It is necessary to understand the cause of your back pain for its proper treatment. Sometimes the problem of back pain is very difficult to treat so understanding the cause of the problem will help the patient in their recovery from back pain. In some cases the pain of the back may be severe and besides taking rests and all the precautionary steps the patient must contact to a doctor. The most common causes of lower back pain are sprains and strains.

Strains

The rip or tear of the muscles of the lumbar spine, despite their size and strength is called a muscle “strain”. Usually a strain is the result of a sudden force or a heavy load which is applied to the muscles before they are ready for activity. Within the muscle tissue, the muscle essentially rips along with the blood vessels. This may result into bleeding in the injured area. After 2-3 hours it produces pain. This tear in the muscle tissue is followed by certain symptoms like pain, swelling and muscle spasms.

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Sprains

It is associated with the over-stretching of one or more of the ligaments of the back. In this condition, the ligaments can be stretched beyond their natural integrity and in some cases they are completely tear. In some cases especially in motor vehicle accidents, both ligament sprains as well as muscle strains occur together.

There are some other causes also which result into the problem of back pain.

Disc Injury

In this condition the disc bulges out from between two vertebrae. This condition is known as herniated disc as well as slipped disc. There are four types of disc herniation

1. Disc bulge or protrusion 2. Disc prolapsed 3. Disc extrusion 4. Sequestrateddisc

Spinal Stenosis

It is related with the narrowing of the spinal canal. It usually affects the people above the age of 50 years.

Osteoarthritis of the Spine

It is associated with the damage that causes wear and tear of the joints. It may affect single or many joints of the spine.

Spondylolisthesis

It is a condition in which one vertebra slips forward on the one beneath it. This condition may be due to many reasons like trauma to the spine or osteoarthritis of the spine or it may have been acquired from birth.

Some more causes are ankylosing spondylitis, osteoporosis and fractures of the lumbar spine, pregnancy and fibromyalgia.

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