Patientswith back paincanraise some questions
I have sciatica (or lumbago) but I've been told it should not be operated on. What can you do?
Only 10% of lower back pain cases require surgery. 85% of cases are cured with conservative treatment in 2-3 weeks. In addition up to 30% of scans show inaccurate results (CT Resonance Scanner) so there are people who have pain that doesn´t show up on scans and scans that show pain where there isn´t. Therefore one should be cautious before deciding to undergo surgery without first trying other therapies (physiotherapy, postural education, epidural injections...) or at least getting a second opinion.
I have had back surgery but I'm still in pain. What other options do I have?
Since a percentage of patients who have underwent surgery still suffer from back pain, we are less likely to recommend surgery than before. Instead we offer advanced microinvasive techniques which eliminate or reshape the intervertebral disc that is compressing a nerve root (discolysis) or burn the root (rhizotomy) to eliminate or reduce back pain.
What is an epidural injection?
An epidural injection is the administration of medicine into the epidural space, or the space between one pair of the thin sheets that protect the spinal cord. Cortizone and local antethestics are usually administered. This is an effective procedure because drugs can be administered close to the source of pain (next to the painful nerve root) and consequently, smaller doses are required. . An epidural is an outpatient procedure and can be done in a day without the need to stay overnight. The procedure is usually most effective when repeated 3 to 4 times.
What is botulinum toxin?
One of the most common causes of pain are muscle aches. Muscle contractures may become chronic and eventually manifest as muscle hardening., shortening and pain that can be confused with nerve or bone pain. Possibly causing a loss of muscle or muscle group function as a result. A breakthrough procedure uses a toxin from an artificially synthesized bacterium (Clostridium botulinum) which naturally blocks nerve receptors and causes tight muscles to relax. It is highly effective and its effects can last several months.
What is rhizotomy?
Rhizotomy is a procedure that consists of altering peripheral nerve pain transmission by administering heat. To achieve this, a needle is used with a special tip that generates heat. The effect caused by the temperature level and frequency of application (continuous or pulsed) can either be nerve destruction (neurolysis) or nerve signal modification. (neuromodulation).
What is spinal cord stimulation?
Spinal cord stimulation is a type of neuromodulation which interrupts the pain signal sent through the nerves in bone into the brain using electrodes that are placed close to the bone. The electrodes generate a programmable electrical signal that can be adjusted by the physician or the patient. Since it is an expensive and invasive technique, other treatments should be attempted first.
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