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What Is Kyphoplasty And How The Procedure Is Performed?

This is a slightly invasive procedure for the treatment of painful vertebral compression fractures, which are fractures relating the vertebral bodies that make up the spinal column. At the point when a vertebral body fractures, the typical rectangular shape of the bone ends up compressed, as a result, triggers the pain.

These compression fractures may include the breakdown of one or more vertebrae in the spine and are a common aftereffect of osteoporosis. Osteoporosis is a disorder that outcomes in a loss of normal bone density, mass and strength, driving towards a condition in which bones turn out to be more and more porous, and helpless against breaking easily.

In order to perform kyphoplasty treatment, doctors utilize image guidance, in most cases fluoroscopy, in order to inject a blend of cement into the cracked bone through a hollow needle.

Kyphoplasty Treatment Before and During the Procedure

Preparation for the Procedure:

Based on the fact that kyphoplasty treatment is a surgical procedure, the doctor will most likely require some blood tests prior to the day of the procedure. Furthermore, X-Ray or MRI will enable the doctor to see the area or areas that need repair.

In the process of preparation, an intravenous line will be set in a vein in order to deliver anesthesia. You may likewise get pain and anti-nausea medications, as well as antibiotics,  to avoid infection. The patient most likely additionally be connected to the heart, pulse, and blood pressure monitors.

Kyphoplasty Treatment Procedure:

In these sort of procedures, patients are required to lie down on the stomach. The area in which the needle will be inserted is shaved on the off chance that obligatory and afterwards cleaned and sterilized.

Following Are The Steps Performed By The Surgeon:

  • A hollow needle is inserted into the skin with the guidance of fluoroscopy, this is a kind of X-Ray. They guide the needle through the muscles and into the right position in the bone.
  • In the next step, an inflatable balloon is inserted into the trocar.
  • After that, the balloon is inflated in order to make the space required for the bone cement.
  • As soon as space has opened up, the blend is injected in order to fill it. In this case, imaging tests work in a way to assist the surgeon to confirm that the blend is distributed appropriately.
  • As soon as the mixture is set up, the needle is taken out.
  • After that, the area is bandaged. In this case, stitches won’t be required.
  • IV and monitoring equipment are removed.


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Microdiscectomy Spine Surgery’s Purpose of Procedure and Success Rate

In the case of microdiscectomy spine surgery, an exceptionally specialized procedure is performed on the spine, yet it is essentially utilized to decrease pain in another part of the body altogether. It is a fact that the spine is consists of a chain of bones each cushioned by an elastic disc that supports in both shock absorption and flexibility. On the off chance that a disc in the lower back turns out to be herniated and as a result, pushes on a spinal nerve, consequently, pain can radiate down a patient’s leg.

The procedure of microdiscectomy spine surgery is slightly invasive executed on the spine that works in a way to help most individuals feel prompt relief and return home the same or next day. The procedure is executed through a small incision, generally, one to one and-a-half – inches length, the objective of the procedure is to relieve the pressure on the affected spinal nerve by taking out a part of the bone or disc resulting in the pressure and pain.

During the microdiscectomy spine surgery, the spine’s structure remains intact, in light of the fact that this phenomenal surgery doesn’t require the cutting of joints, ligaments, or muscles. Patients who go through the procedure return to their normal life earlier, without leg pain, offering improved comfort and quality of life.

The Purpose of Microdiscectomy Spine Surgery

The key motive of this procedure is to surgically take out a part of the disc that is pushing on the nerve and hence, causing the pain. The objective is to take the pressure off the nerve yet at the same time retain as much of the disc as could be possible. The whole disc isn’t taken out, only the herniated part. The process usually takes on an average l around 60 minutes.

A timely return to normal routine is depicted with three exceptions. Heavy lifting, bending from the waist and delayed sitting are discouraged for the initial six weeks after surgery. Most patients can go up and down stairs when they return home from the hospital.

Success Rate of Microdiscectomy Spine Surgery

As per the statistics, the success rate of the procedure is commonly high, one extensive medical study presenting good or astounding outcomes generally for 84% of individuals who have gone through the strategy.

The report additionally indicates a few advantages for surgery, when contrasted with nonsurgical treatment, however, the distinction diminishes after some time in specific cases. One vast examination found that individuals who had surgery for a lumbar herniated disc had more noteworthy improvement in symptoms for as long as two years than the individuals who did not have surgery.

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Racz Epidural Neurolysis Benefits and Suitable Candidate

In the case of RACZ epidural neurolysis, a series of injections or an injection utilized in the area of the spine. This method is utilized as a treatment for chronic back pain. The repeated injections are utilized four times during the two days in house treatment. It is a fact that the back pain most of the times is complex and has numerous causes. Going through interventional pain treatment for chronic back pain has demonstrated that the pain frequently takes place because of scar tissue that is either from injury, disc herniation, or past back surgical procedure.

In most cases, RACZ epidural neurolysis can work in a way to avoid the requirement for spinal surgery with chronic back pain and sciatic pain. Based on the fact that the treatment can possibly give prompt and vital long term ease from chronic pain and uneasiness in the lumbar spine, without the requirement for spinal surgery. Furthermore, this treatment is also successful in easing lower back pain and transmitting sciatic pain.

How Can The Doctor Determine, In Case, The Racz Epidural Neurolysis Treatment Is Feasible For You?

The treatment is only suggested in conditions of extreme, chronic pain. Patients are required to have somewhere around three months history of unsuccessful, conventional treatment, for back or sciatic pain in order to be a suitable candidate for RACZ epidural neurolysis. In most conditions, RACZ epidural neurolysis can likewise turn out to be effective after a successful micro-surgical nerve decompression, as this surgical procedure can leave the spine with agonizing surgical scarring, or annoyance in the region of the spinal cord.

Nerve root irritation can be determined through MRI-imaging. Around six weeks ought to be allowed in the middle of the recent epidural injection and the RACZ catheter for security reasons.

Advantages of Racz Epidural Neurolysis

The procedure totally maintains a strategic distance from tissue injury. The procedure utilizes the natural openings in the spine so as to get to the epidural space. Thus it turns out to be the least invasive type of surgical pain therapy accessible. The treatment is mainly useful after unsatisfactory outcomes from micro-surgical treatment (open spine surgery). Contingent upon conditions, up to 50% of patients feel no adequate relief from pain following micro-surgery, despite the fact that the essential issue ought to have been addressed.

The zone around the spine is especially weak for surgical procedures because of its high density of nerve tissue. Scar formation after open spinal surgery can potentially drive towards chronic irritation and loss of function, in this way making a secondary issue.

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The Radiofrequency Lesioning Procedure and Benefits

Briefly, the procedure of radiofrequency lesioning is a slightly invasive, outpatient method that utilizes radiofrequency energy with an objective to terminate damaged nerves or nervous tissue that work in a way to send pain signals to the mind. In most cases, the specialists recommend radiofrequency lesioning treatment for individuals who have not reacted well to other interventional pain management treatments, for example:

  • Epidural Steroid Injections
  • Or Nerve Blocks

Prior to performing radiofrequency lesioning, patients usually go through a process of a diagnostic nerve block with an objective to decide whether the treatment will be fruitful.

Who Gets Advantages From Radiofrequency Lesioning Treatment?

In most cases, the experts perform the procedure on individuals with chronic pain resulted from damaged peripheral nerves (sensory nerves) or nervous tissue surrounding the central nervous system (brain and spinal cord). Particular conditions that come under this type for the most part include:

  • Trigeminal neuralgia (chronic facial pain)
  • Occipital nerve neuralgia
  • Degenerative disc disorder
  • Post-herpetic neuralgia
  • Complex Regional Pain Disorder
  • Peripheral neuropathies
  • Coccydynia
  • Neck or back pain because of facet joint arthropathy

Who Is The Candidate For Radiofrequency Lesioning Treatment?

Radiofrequency lesioning treatment is recommended to individuals with specific sorts of low back or neck pain. To begin with the procedure, you are required to respond well to diagnostic local anesthetic blocks to be a suitable candidate for radiofrequency lesioning treatment. The effectiveness of the treatment will be dependent upon how well you react to the “temporary” or diagnostic block.

How Radiofrequency Lesioning Performed?

Based on the fact that nerves can’t be seen on x-ray, the needles are situated utilizing bony landmarks that work in a way to show where the nerves typically are. Fluoroscopy is utilized to distinguish those bony landmarks. After needle placement, very low voltages are applied to the needle in order to test for appropriate placement. Once it is confirmed that the needle is in the correct place, a little measure of local anesthetic is injected. Once the nerve is appropriately numbed, higher voltages of radiofrequency are applied and the nerve, as a result, nerve heats to the required temperature.

How Painful Is The Radiofrequency Lesioning Treatment?

The majority of the procedures start by injecting a little measure of local anesthetic through an extremely small needle. It senses similar to a pinch and after that, a slight burning as the local anesthetic begins numbing the skin. Once the skin is numb, the needle feels like a touch of weight at the injection area. A great number of individuals decide to be drowsy or more vigorously sedated for these procedures.

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Spinal Cord Stimulation Patient Criteria and Potential Benefits

Chronic pain is termed as long-lasting pain that keeps going than the standard recuperation time frame or that goes with a chronic health condition. Since this pain isn’t protective and isn’t an aftereffect of current injury, it is indicated to as “pathological” and is consequently treated as a condition, not as a symptom. Chronic pain may keep individuals away from working, eating appropriately, taking part in physical activity or enjoying life.

In the procedure of spinal cord stimulation, the technique is utilized to relieve pain that delivers a low-voltage electrical current constantly to the spinal cord in order to block the sensation of pain. Spinal cord stimulation is the most generally utilized implantable neurostimulation innovation for management of pain syndromes.

As per the research, around 50,000 neurostimulators are implanted worldwide every year. Furthermore, the procedure of spinal cord stimulation is broadly recognized, and also FDA- approved medical treatment in order to treat chronic pain of the trunk and limbs, that include:

  • Back
  • Legs
  • Arms

Moreover, there are three spinal cord stimulation devices types:

  • In the case of conventional systems, this needs minor effort on the patient’s end for maintenance. Yet, a slight surgery is needed to replace the power source when it runs out.
  • The second one is the radiofrequency. In this procedure, the system is intended to support therapy over long periods at the highest output level. On account of its powerful abilities, this system is appropriate for the most difficult cases in which there is complex, multi-extremity pain. With the radiofrequency system, the patient is required to wear an outer power source to trigger stimulation.
  • The recent advancement in the spinal cord stimulation is the rechargeable system. In this case, the patient is required for recharging the power source in case it runs low. As per the fact, a rechargeable system commonly keeps going longer than a customary system.

The Criteria of Patient Selection for Spinal Cord Stimulation:

  • Pain isn’t related with malignancy
  • Unsatisfactory reaction to conventional treatment for at least six months
  • Revision surgical procedure is impossible or would have a low possibility of success
  • No pacemaker or other medical contraindications
  • No critical psychiatric complications, including somatization
  • Readiness to stop unsuitable medication use before implantation
  • No related litigation
  • Capability to give informed consent for the technique

What Are the Potential Advantages of Spinal Cord Stimulation?

This technique is a type of neuromodulation that works in a way of blocking pain signals in nerves from getting the brain. Furthermore lessening pain, and other vital advantages are as follows:

  • Enhanced functioning
  • Better activity and mobility
  • Lessened opioid [narcotic] use
  • Less requirement for other pain medications
  • Less reliance on bracing
  • Better sleep

The results differ from individual to individual, and it is critical to comprehend that spinal cord stimulation may work in a way to help decrease pain, yet not dispose of it.

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What Is Selective Nerve Root Block And What Are The Risks And Complications?

Selective nerve root block is another standard injection is fundamentally utilized to analyze the particular source of nerve root pain and, secondarily, for therapeutic help of low back pain and additionally leg pain.

At the point when a nerve root ends up compressed and inflamed, as a result, it can create back or leg pain. At times, an imaging study may not obviously demonstrate which nerve is triggering the pain and selective nerve root block is performed with an objective to help with disconnecting the cause of pain. Additional to its analytic function, this sort of injection for pain management can likewise be utilized as a treatment for a far lateral disc herniation.

The Experience during Selective Nerve Root Block 

The procedure is carried out by a specialist with the patient requiring lying on the stomach on an X-Ray table. The doctor utilizes fluoroscopy with an objective to find the particular nerve root. Moving forward with the procedure, the doctor inserts a needle into the area, then the medication and an anesthetic are inserted. This step requires only a couple of minutes.

After the injection, the patient is observed for around 15-20 minutes and after that discharged. Most individuals begin observing relief after the third to seventh day, which can endure weeks or months. On the off chance that the initial injection does not produce fruitful results within one to two weeks, the specialist may prescribe another injection. In most cases, specialists limit in injections to three in a year time.

Selective Nerve Root Block Outcomes

Instantly after the injection, the patient may feel legs or arms, along with that particular nerve root, getting slightly heavy or numb. The patient may observe that the pain might be gone or significantly less. This is because of the impact of the local anesthetic and keeps going just for a couple of hours. The pain may return and the patient may have some soreness at the injection site for a day or so.

The patients are usually advised to relax for a day or so after the selective nerve root block. Execute the activities as endured by them. The recuperation room nurse will recommend applying ice to the site.

Risks and Complications after Selective Nerve Root Block 

Comparatively, the selective nerve root block does not have many risks. Though, similarly as with any procedure, there are a few risks and complications. Most observed adverse effects are enhanced pain from the injection (normally short term), hardly ever inadvertent puncture of the “sack” containing spinal fluid (may result in headaches). Further complications include:

  • Infection
  • Bleeding
  • Nerve damage
  • Or no easiness from usual pain
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What Is Sympathetic Nerve Block And For What Reason Is It Useful?

In the case of sympathetic nerve block, numbing medicine is injected nearby the sympathetic nerves in the area of low back or neck. The purpose of the sympathetic nerve block procedure is to turn off that area for the time being with an objective to diminish or eliminate the pain. On the off chance that pain is considerably improved after the procedure, at that point, a diagnosis of sympathetically mediated pain is built up.

The therapeutic impacts of the anesthetic can take place, it sometimes can be time-consuming than would be typically anticipated. The objective is to reset the sympathetic tone to an average condition. On the off chance that the initial block is effective, at that point more sympathetic nerve block might be repeated if the pain keeps on to successively lessen.

When Can A Sympathetic Nerve Block Be Utilized?

A sympathetic nerve block can be utilized to analyze or treat pain linking the nerves of the sympathetic system. Instances of circumstances for which a sympathetic nerve block may be utilized include:

  • Pain Taking Place from Spasms in the Blood Vessels
  • Complex Regional Pain Syndrome, Formerly Named Reflex Sympathetic Dystrophy and Causalgia
  • Raynaud’s Disorder
  • Some Kinds of Chronic Stomach Pain
  • Unnecessary Sweating

What Will Happen During The Procedure?

As a security measure, an IV will begin, thus relaxation medicine can be given if necessary. When lying on an X-Ray table, the skin over the region to be injected will be thoroughly cleaned. Moving forward with the procedure, the doctor will numb a little region of skin with numbing medicine (anesthetic) which stings for a couple of seconds.

The doctor will utilize X-Ray direction in order to guide a needle to the sympathetic plexus of nerves. After that, the doctor will insert a contrast dye to make sure that the medicine only goes over the targeted area. When this happens, numbing medicine (anesthetic) will be gradually inserted.

What Happens After The Sympathetic Nerve Block Procedure?

This is comparatively a protected procedure. Patients are usually allowed to go home after the procedure and return to normal doings after a day of rest. On the off chance that the patient had IV sedation, they’ll most likely need somebody drive them home.

The treatment could include physical therapy, talk therapy, and pain medication. In some circumstances, patients will be given a series of bocks to get the most ideal response.

However, this is to take in the notice that the sympathetic nerve block doesn’t turn out to be effective for everybody. Additionally, the help with discomfort they give may decrease after some time. In some cases, a sympathetic nerve block may give weeks or months of ease of pain.

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Anatomy of Cervical Dystonia, Cervical Dystonia Causes and Treatment

Spasmodic torticollis is another name of cervical dystonia. It is an uncommon neurological disorder that takes place in the brain. It is the most widely recognized type of focal dystonia in an office setting. Cervical dystonia can be categorized by uncontrolled muscle contractions in the neck that result in irregular movements and postures of the neck and head. However, in the case of some individuals these strange contractions might be sustained or consistent, in some cases, they might be available as spasms that can look like a tremor.

On the other hand, in the case of cervical dystonia, the seriousness can differ, yet the disorder can result in critical pain and discomfort along with trouble because of the irregular postures. As a result, it can disturb the quality of life and doings of day by day living including employment. Cervical dystonia ordinarily starts in middle age and hardly starts in adolescence. Though, the reason is obscure, in spite of the fact that genetic vulnerability is thought to underlie a few cases. On the off chance that cervical dystonia starts in early stages or early childhood, secondary causes ought to be examined.

Causes of Cervical Dystonia

In most cases, there is no particular cause. It appears to be associated with an issue in the basal ganglia. That is the part of the brain that is in charge of starting muscle contractions. The issue includes the manner in which the nerve cells communicate.

The basal ganglia become the cause of acquired dystonia. The damage could be the consequence of:

  • Brain trauma
  • Stroke
  • Tumor
  • Oxygen deprivation
  • Infection
  • Drug responses
  • Poisoning due to lead or carbon monoxide

Idiopathic or primary dystonia is frequently transferred from a parent. A few carriers of the condition may never build up dystonia themselves. Moreover, the indications may differ broadly amongst individuals from a similar family.

Cervical Dystonia Treatment

The most common Cervical Dystonia treatments are listed below:

  • Physical procedures
  • Injections of botulinum toxin
  • At times drugs taken by mouth

Some physical procedures can at times briefly ease spasms. Physical therapy may work in a way to help by enhancing adaptability. Therapists may likewise enable individuals to distinguish which movements work in a way to worsen spasms and which ones work in a way to ease them. Biofeedback (utilizing relaxation procedures in order to control unconscious body processes, for example, heart rate and muscle tension) or massage may work in a way to help a few people.

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The framework of Spinal Disc and How the Spinal Disc Herniation Occurs?

In the case of spinal disc herniation, the indications, for the most part, incorporate pain that moves into one or both arms or legs, numbness or tingling in parts of extremities, muscle weakness, and loss of the reflexes in extremities.

This transpires due to increased pressure and irritation of the nerves. Numerous individuals may not suffer from neck or back pain in the case of a herniated disc. The symptoms of spinal disc herniation rely upon where the herniation took place. The area of the symptoms helps determine the analysis as nerves generally travel in specific patterns.

The framework of Spinal Disc

The spine consists of 24 bones, named vertebrae that are set over each other. The way these bones link, as a result, make a canal that secures the spinal cord. A total of five vertebrae frame the lower back and this part is known as the lumbar spine.

The Spine Also Includes Other Parts:

This includes spinal cord and nerves that are categorized as the “electrical cables”. They move through the spinal canal carrying messages between your brain and muscles. Nerve roots branch out from the spinal string through openings in the vertebrae.

Further parts include intervertebral discs. In the middle of vertebrae, these are flexible discs. These are flat and round in shape, and about a half inch thick. These discs have a purpose to absorb shocks at the time when you walk or run. They are based on two segments:

Annulus Fibrosus

This is a sturdy, flexible external ring of the disc.

Nucleus Pulposus

This component is the soft, jelly-like center of the disc.

How the Spinal Disc Herniation Occurs?

A disc starts to herniate in the event that its jelly-like nucleus drives against its external ring because of wear and tear or unexpected damage. The lower back pain can take place due to this pressure against the external ring.

In the event that the pressure lasts, as a result, the jelly-like core may extend out through disc’s external ring or cause the ring to swell. Consequently, this causes pressure on the spinal cord and neighboring nerve roots. Likewise, the disc material discharges chemical annoyances that add to nerve inflammation. At the point when a nerve root is disturbed, there might be pain, numbness, and faintness in either of the legs, a condition termed as “sciatica.”

Causes of Spinal Disc Herniation

A herniated disc is frequently the consequence of natural, age-related wear and tear on the spine. This procedure is known as disc degeneration. In the case of children and young adults, discs contain high water content. As individuals age, the water content in the discs diminishes and the discs turn out to be less flexible.

Furthermore, these discs start to shrink and the spaces in the middle of the vertebrae get smaller. This usual aging process creates the discs increasingly inclined to herniation. On the other hand, a distressing mishap, for example, a fall, can likewise cause a herniated disc.

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Explore Non-Surgical Hip Pain Treatment Relief Alternatives

As per the fact, hip pain can turn out to be restricting mobility and functioning of everyday routine. Regardless of the fact that the pain is related to sports injury, a fracture, or osteoarthritis, however, hip pain treatment relief will be a top priority. One of the options to deal with hip pain is the physical therapy, yet there are other non-surgical treatment alternatives available that can work in a way to help limit the uneasiness and increment range of movement to make it stress-free and increasingly lovely to move. Pain Management Institute possesses significant expertise in helping patients regain their dynamic ways of life through non-surgical treatments.

Hip Pain Treatment Alternatives

Hip injuries include the loss of essential cartilage in the joint, which work in a way to cushion the moving pieces of the hip. Without sufficient cartilage, individuals suffer from pain and stiffness with each movement and when carrying weight. These disorders generally turned out to be more terrible after some time as the cartilage wears out more.

Over-the-counter medications, for example, acetaminophen and ibuprofen is a common treatment in order to deal with hip pain, and these medicines can likewise help decrease some amount of inflammation. Steroid hip injections can likewise be suggested by a doctor, which can work in a way to help decrease pain and inflammation while additionally adding lubrication to the joint. However, this treatment has a tendency to last for a short time, the symptoms will return inside a few days or weeks. Moreover, some individuals don’t feel any relief whatsoever after this procedure.

Furthermore, low impact exercises can likewise turn out to be helpful in the case of hip pain. Physical therapy normally includes a therapist overseeing and helping with rehabilitative stretches and exercises. Many individuals find it conceivable to engage in moderate stationary biking or swimming, which enables the hips to move smoothly with minimal effect.

Regenerative Medicine for Hip Pain Treatment

Most of the people opt for regenerative treatments when they require non-surgical treatments for hip pain. In this case, the viable options are:

  • Stem Cell Therapy
  • Platelet-Rich Plasma (PRP)

These two are innovative regenerative medicine alternatives that include utilizing a patient’s own tissues or blood for recuperating. The reason behind it is that stem cells have the ability to renew themselves and really turn into any other cell as per the requirements that are successful for fixing the damage and regenerating tissues in the body. On the other hand, platelets in the blood likewise contain growth factors. At the point when these platelets are injected in the hip, they can work in a way to help repair of the joints.

Explore Viable Regenerative Treatment Options with Pain Management Institute

Dr Zaki Anwar, MD is a reputable pain management specialist for acute and chronic pain. Whether you are suffering from hip injury or an illness, for example, arthritis, he offers regenerative non-surgical recuperating treatments that can ease pain and increase mobility. Just fill in the contact form to get an appointment with Dr Zaki Anwar.

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