Herniated Disc
Most herniated disc treatment will include medication, physical therapy, and occasionally intervention pain blocks. Surgery may be required if these measures fail. The standard operation today is a microdiscectomy performed as an outpatient procedure in most cases and has a very good success rate. However, between 5 and 10% of disc herniations can recur since there is additional disc material that can come out of the disc space. Further, the disc structure will continue through the degenerative process and other conditions may occur such as disc space collapse, spondylolisthesis, spinal stenosis, and spinal instability. This can also happen at any or multiple other spinal levels.
At Biscup Spine Institute we believe the key to successful treatment is to treat the patient, not the x-ray. Less is more. Since most of the spinal structures have little or no capacity to heal or replace themselves, it is likely that further and ongoing care for spine patients will be required in the future.
A selective nerve block, or more specifically a selective nerve root block is performed as both a treatment and a diagnostic tool for a pinched nerve.
A caudal epidural injection is similar to a regular epidural except that the injection is performed very low in the spine at a location called the sacral hiatus.
An epidural block is one of the most common pain management procedures and has been around for quite some time.
A transforaminal epidural injection is similar to the standard epidural but differs in that access to the epidural space is gained through the foraminal canal.
OTC meds for back pain (over the counter medicine) may be used to combat some of the inflammation and pain felt in the early stages of back injury.
Physical therapy programs are usually tailored towards the individual as directed by the referring doctor.
Spinal manipulation or more specifically chiropractic spinal manipulation is performed to forcibly mobilize the facet joints in your spine.
Ranging from anti-inflammatory to anti-spasm medication, prescription medication for back pain can help alleviate this pain.
A percutaneous discectomy is performed in the lumbar spine for a particular type of herniated disc known as a contained herniation.
Percutaneous nucleoplasty coblation uses an electric radio frequency energy and a liquid medium to create a plasma spray at a temperature much lower than a laser.
A laminotomy is an open surgical procedure allowing the surgeon to remove offending abnormal tissue, bone spurs, or a herniated disc.
Laminectomy surgery may either be performed as a lumbar laminectomy or a cervical laminectomy. This is an aggressive operation where the entire lamina or back side of the spine is removed.
A transforaminal micro discectomy is performed if there is a herniated disc located within or on the outside of the foraminal canal.
A microdiscectomy is a procedure similar to a laminotomy but performed using an operating microscope or endoscope through very small incisions.
The advantage of the approach used in disc stabilization is that it can be performed minimally invasively through either a back, sideways, or front approach.
