The Ultimate Treatment Option for Back Pain

The Ultimate Treatment Option for Back Pain

The Ultimate Treatment Option for Back Pain
  • Healboat
  • February 2nd, 2018
  • Views 656

Spine surgery in India  is usually performed as "open surgery." This means that the region being treated on is opened with a long incision to enable the surgeon to view and access the anatomy. In recent times, however, technological advances have allowed more back and neck conditions to be treated with a minimally invasive surgical approach.

If you’ve been suffering from back pain for an extended period of time, you might wonder if spine surgery emerges out as the only treatment option. Most often, surgery is the only treatment. However, there’s good news. The wide range of back issues can be treated with non-surgical treatments—often referred to as non-surgical or conservative therapies.

Aging, inappropriate body mechanism, trauma and structural irregularities can damage your spine, causing back pain and other signs such as leg pain and/or numbness or even leg weakness. Chronic back pain is a situation that typically requires a panel of spine surgeons in India to find and treat. Before quitting yourself to surgery, it is better to understand opinions from various spine specialists. This venture of time and information-collection will help you make a sound treatment decision that will best support your lifestyle and required level of physical activity.

What about conservative treatment?

In regard to all non-emergency spinal surgeries, a test of non-operative treatment, such as physical therapy, pain medicine—first an anti-inflammatory or bracing must be checked before surgery is understood. The testing period of conservative treatment differs, but six weeks to six months is the typical timeframe.

Spine surgery may be prescribed if non-surgical treatment such as medications and physical therapy gets unable to ease symptoms. Surgery is only measured in situations where the preciseorigin of pain can be ascertained — such as a herniated disc, scoliosis, or spinal stenosis.

Open surgery vs. minimally invasive surgery

Conventionally, spine surgery is generally performed as open surgery in spine surgery hospitals of India. This involves opening the operative regionby making a long incision so as to allow the surgeon to view and access the spinal anatomy. However, technology has evolved to such an extent where more spine conditions can be remedied with minimally invasive techniques.

As minimally invasive spine surgery (MISS), does not encompass long incisions, open manipulation of the muscles and tissue surrounding the spine is averted, therefore, resulting into shorter operative time. In general, diminishing intraoperative (during surgery) manipulation of soft tissues results in less postoperative pain and a quicker recovery.

Imaging in case of Spine Surgery

Computer-guided imagingsupportenables spine doctors in India to check the operative site in much finer clarity as compared traditional visualization techniques. Moreover, implants such as rods or screws can be injected and placed with a greater degree of precision than is typically achieved with conventional techniques.In computer-assisted image guidance, images captured preoperatively (before surgery) are combined with images procured while the patient is in surgery, giving real-time images of the anatomical position and alignment of the operative site while the patient is undergoing surgery. Preoperative computed tomography (CT) and intraoperative fluoroscopy (real-time x-ray) are usually used, as these allow surgeons to operate with a superior level of precision and safety.

Not all patients are ideal candidates for MISS procedures. There needs to be virtualconfidence that the same or improved results can be achieved through MISS techniques as with an open procedure.

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Spine surgery approaches

Be it open surgery or minimally invasive spine surgery, the spine can be revealed from different directions. These are regarded as surgical approaches and are given below:

  • Anterior approach: As the name indicates, the surgeon gets the spine from the front of the body, through the abdomen.
  • Posterior approach: An incision is created in the back.
  • Lateral approach: The path to your spine is made through the side.

Common surgical procedures

There are various conditions that may ask for spine surgery. Common procedures include:

  • Discectomy or Microdiscectomy: Elimination of a herniated intervertebral disc. Thus, removing compression from the compressed nerve. Microdiscectomy is a MISS procedure.
  • Laminectomy: Detachment of the thin bony plate on the back of the vertebra known as the laminae to augment space within the spinal canal and ease pressure.
  • Laminotomy: Elimination of a part of the vertebral arch (lamina) that covers the spinal cord. A laminotomyextracts less bone as compared to a laminectomy.
  • Both laminectomy and laminotomy are decompression procedures. “Decompression” generally means tissue compressing a spinal nerve is eliminated.
  • Foraminotomy: Removal of bone or tissue at/in the passageway (known as the neuroforamen) where nerve roots branch off the spinal cord and leave the spinal column.
  • Disc replacement: As a substitute to fusion, the injured disc is swapped with an artificial one.
  • Spinal fusion: A surgical technique used to join two vertebrae. Spinal fusion may include the use of bone graft with or without instrumentation (eg, rods, screws). There are different types of bone graft, such as your own bone (autograft) and donor bone (allograft). A fusion can be accomplished by different approaches:

ALIF, PLIF, TLIF, LIF: All cater to lumbar interbody fusion meant to soothe the spinal vertebrae and stopabrasion between the bones.

  • Anterior Lumbar Interbody Fusion
  • Posterior Lumbar Interbody Fusion
  • Transforaminal Lumbar Interbody Fusion indicates a surgical approach through the foramen.
  • Lateral Interbody Fusion in which the minimally invasive approach is from the side of the body.

Spinal instrumentation

Instances of spinal instrumentation include plates, bone screws, rods, and interbody devices; though, there are other kinds of devices a surgeon may suggest in order treating the spinal problem. The primary objective of instrumentation is to alleviate or rectify the spine in position until the fusion solidifies.

An interbody cage is an enduring prosthesis left in place to upkeep the foraminal height (eg, space between two vertebral bodies) and decompression post surgery.

Interspinous process devices (ISP) diminish the pressure on the facet joints, regainforaminal height, and give stability in order to enhance the clinical outcome of surgery. An advantage of an ISP is that it needs less exposure to place within the spine and thus is known a MISS procedure.

Pedicle screws help to hold the vertebral body in place until the fusion is finished.

Some patients are at higher risk for their fusion not to settle properly or completely. A spine hospital in India may refer to this as a non-fusion, pseudarthrosis or anunsuccessful fusion. To help avert fusion issues, the surgeon may suggestbone growth stimulation. There are different kinds of stimulators; those entrenched internally and others that are worn about the body region, such as the neck or low back.

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