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Recover your spine with Microdiscectomy spine surgery


Microdiscectomy spine surgery is commonly known as the slightly invasive therapy, as there is slight interruption with the tissues and the muscles in the lower back

The Microdiscectomy spine surgery is potentially beneficial for addressing legs pain, sciatica. The surgery allows the patients to cope up with their routinely activities soon after


For the Micodiscectomy spine surgery the patient lies face down on the examination table for surgery, local anesthetic is given the surgery takes a couple of hours

The basic steps of microdiscectomy spine surgery include;

An incision of 1or 1 and half inch in the center of the lower spine, then the muscles covering the bone, of lower spine are pulled and retained at a side, since the muscles run vertically so they are not required to be cut off during the surgery, the physician is able to reach the spine by removing thin layer off the spinal cord and with the help of operating microscope nerves can be clearly seen, the nerve root is delicately retained and so the small pieces of  disc material that has, ejected out is removed. The muscles and the nerve roots are put back to the place and the surgical incision is closed and allowed to heal

Post surgical care

Patients are commonly advised to remain at the physicians clinic for a couple of hours, the physician might observe your vital signs before you leave the clinic Soon after the surgery  the sufferer can return to their daily activities, patients are usually advised to go for a walk after a few hours of  Microdiscectomy spine surgery

The other postoperative care instructions might include, instructions for home based care, pain medications and antibiotics to avoid any infections and a follow up check up

Microdiscectomy spine surgery, risks and complications

As in other sorts of spine surgery, there are some potential risks attached to the Microdiscectomy spine surgery

In very rare cases of Microdiscectomy spine surgery a dural tear may occur,  causing Cerebrospinal fluid leakage. However, the CSF leakage might not bring any harm to the effects of the surgery, but the candidate must take several careful steps to allow the leak to seal

Other risks and complications include the following:

  • Nerve root damage
  • Bowel/bladder incontinence
  • Bleeding
  • Infection
  • Possible buildup of fluid in the lungs that may lead to pneumonia
  • Deep vein thrombosis, which occurs when blood clots form in the leg
  • Pain that persists after the surgery
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The best therapy for chronic back pain and sciatic pain; Racz Epidural Nuerolysis

Racz Epidural Neurolysis is a minimally invasive procedure followed by a course of injections into the vertebral column, as the remedy for chronic back pain and sciatic pain, the injection is repeated twice a day for optimum results

Back pain is complicated and can be the reason of several underlying causes, studies have shown that the pain often arises due to the excessive growth of scar tissues that might the reactive process of an injury, disc herniation or preceding back surgery

Racz epidural Neurolysis prevents the necessity of surgery in many sufferers experiencing chronic back pain and sciatica pain

The therapy has the ability to grant instant and noticeable ease from long term pain and irritation in the lumbar spine, without any invasive procedure

Conditions leading to Epidural Neurolysis therapy

  • Disc herniation
  • Spinal disc bump
  • Radiculopathy
  • Scar tissue formations

All the above condition leads to common consequences that is nerve pinching or nerve root irritation causing non tolerable pain

Is the Racz Epidural Infusion treatment right for you?

The therapy is advised if the pain lasts longer than 3 months, you should be a patient for  Racz epidural therapy if you have tried all the traditional treatments and experience no reduction in your  pain

The step by step procedure of Racz epidural  Nuerolysis

The procedure is carried out by giving a local anesthesia is given at the base of the spine, the patient is allowed to lie face down the procedure is performed as an inpatient approach the numbing medicine injected is to ensure that the patient does not feel any discomfort during the entire therapy ,using a blunt edged surgical instrument is used to infuse a catheter in to the epidural space around the spinal cord, the catheter contains a combination of numbing and anti inflammatory medications that grants immediate relief from pain and inflammation, reduces spinal bumps and ease nerve pressure, that leads to sciatica, the medications injected are responsible to dilute the scar tissues and adhesion deposited around the spinal cord, the physician observes the whole procedure by fluoroscopy to maintain precision. It takes 30 to 60 minutes for the Racz Epidural Procedure to be carried out.

In a few cases the treatment is necessary to repeat within a few months if the scar tissues need to be dissolved

Post procedure care

  • Weight and diet control
  • Limited weight lifting
  • Physical therapy and light workout
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Radiofrequency Lesioning and your pain symptoms


Radio frequency is a surgical process in which special needles are used to produce lesions along the certain nerves, the needles are subjected to, give a high temperature up to 80 degrees Celsius, when the heat is given to the nerves from  2 to 3 minutes the nerves become resistant of delivering pain signals, once the nerves are damaged the body works to regenerate the nerves but the process takes a whole year

Who are the candidates for Radio frequency Lesioning?

Radio frequency lesioning procedure, is recommended for the patients who experience a specific type of lower back or neck pain, mainly it treats the pain arising from the facet joints, before the radio frequency lesioning some nerve block injections is given fro diagnostic and therapeutic purpose temporarily, it’s the candidate responds well to the diagnostic local anesthetic, then it may work wonders

Benefits of radio frequency lesioning

The procedure is beneficial breaking the channel for carrying pain signals, which in turn reduce  pain and other symptoms related, the procedure is observed to be beneficial for most patients, it also indicates other painful areas once a certain nerve is blocked

How long does the procedure take?

The procedure can take about 30 minutes to an hour, but it can vary depending upon the area to be treated

The procedure is performed as:

As we know the X-ray cannot display the nerves, but the X-ray guidance is taken to identify the bony landmarks that expose, where the nerves are situated, after the needle infusion, severely low temperature is applied to the needles to examine whether the needles have reached the suitable nerves, after the verification of the needle tip has reached the desired point a local anesthetic is given to numb the nerves, soon after the nerves are appropriately numbed, higher radio frequency heat is applied to the nerves

Is the procedure painful?

The procedure starts by inserting a local anesthetic with a very small needle, which feels like a small pinch and slight burning effect as the anesthesia starts working, the procedure needle seems like exerting a little pressure on the injection site


Broadly, the procedure is safe, however, there are some certain risks, complications and side effects  attached to the procedures in which injections are involved, these risks also depended upon the areas to be treated. The needles pass through the skin and soft tissues that can cause soreness and tissue damage. The radio frequency lesion can also bring the risks of damage of the surrounding nerves

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Spinal cord stimulation for back pain relief


Candidates who have tried all the other traditional treatments and surgery and still experience back pain can have an option to once think of the spinal cord stimulation

Spinal cord stimulation proclaims minimal electrical stimulation to nerves along the vertebral column, altering or blocking the nerve activity in a distinguished manner  to reduce and sometimes eliminate the feeling of pain reaching the brain

The treatment was first used to treat severe back pain in 1967. Later it became medically approved by the FDA. The spinal cord stimulation is used to treat pain in the trunk, arm or legs

Spinal cord stimulation process is also called neuro stimulation, that is managed by gentle electrical vibrations to that interrupt with pain messages and divert them from reaching the brain, a small device is inserted near the vertebral column, the device has the similar function as the cardiac pacemaker, which can be called by some people as the pacemaker device for pain

The chronic pain conditions that respond well to spinal cord stimulation

The spinal cord stimulation is used to treat a number of painful conditions that include;

  • Failed back surgery syndrome
  • Cervical and lumbar radiculitis
  • Neuropathy
  • Complex regional pain syndrome
  • Other painful conditions that respond well to spinal cord stimulation process area;
  • Inflammation and scarring of the outer layers of the spinal nerves
  • Back pain that continues to the legs
  • Neck pain with or without arm pain
  • Complex regional pain syndrome
  • Angina pains

Trial Period

Distinctive of other treatment that requires surgery, spinal cord stimulation can be done as a trial for a few days before a candidate decides for implantation of the device and experience any negative effects, the experimental period is a part of two step verification process  to identify if the candidate is suitable for therapy, if the patient does not decide to continue with the treatment the device is taken out with the help of small incision which is covered with a bandage

The imaging test is necessary to be done because the spinal cord stimulation does not work for every individual, the people who are suitable candidates for the treatment experience almost half reduction in pain, and improved routinely task

Specialists who can perform spinal cord stimulation

The specialist who can well perform  spinal cord stimulation process can be

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Selective nerve root block for diagnosis and back pain management


A selective nerve root block is a slightest invasive procedure that is done for the diagnosis and treatment of cervical pain, thoracic and the lumbar pain and other pain associated with the spine

The procedure involves injecting a local anesthesia directly into a certain targeted nerve of the vertebral column to help indicate the source of patient’s pain causes

When a spinal nerve root become inflamed or pinched it can cause back pain, additionally the, symptom might be felt in the upper or the lower area of the spinal cord

For instance;

  • Cervical spine nerve inflammation may bring pain, numbness and weakness in the neck shoulder and arms
  • Where as the thoracic nerve pinching can cause inflammation in the upper back and the lower back along with the chest wall and the ribs
  • The lumbar nerve root can cause pain and weakness in the lower back, hips, buttock and the legs
  • In some cases the source of patient’s pain cannot be identified even the physical examination and imaging may not be as helpful to identify which nerve is causing pain

The purpose of selective nerve root block is to disengage the nerve root that is the cause of discomfort to the patient, moreover the selective nerve root serves as the remedy to comfort various painful conditions

The Selective nerve root block is carried by injecting a local anesthetic along with steroids in the targeted nerve root. The local anesthetic numbs the nerve and the steroid helps to reduce swelling and discomfort, the medications are specifically directed at the nerve root.

The results of selective nerve root block may vary case to case as some nerve roots are very complex to treat due to their location and surrounding conditions

Conditions that are treated with selective nerve root blocks

The conditions that are commonly well treated with selective nerve root blocks include

  • Cervical pain
  • Lumbar nerve root pain
  • Failed back surgery syndrome
  • Shrinking of the spinal canal
  • Bulging intervertebral disc
  • Herniated disc
  • Arthritis


A selective nerve root block is less invasive therapy that can potentially diagnose and treat many symptoms that result from spinal nerve root inflammation. These procedures are considered safe and beneficial therapy for several chronic pain conditions

The desired results can be observed within days to months, the selective nerve root therapy can be repeated if required

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Symptoms, causes and treatment of musculoskeletal pain

The pain that affects the muscles, ligaments, tendons and bones is referred as musculoskeletal pain.

Causes of musculoskeletal pain

There are several different causes of musculoskeletal pain, muscles and tissues can be damaged with the daily activities. Jerking movements, sudden falls, fractures, spasms, dislocations and direct hit to the muscles can cause musculoskeletal pain. Other causes may include posture strain, repetitive movements, excessive use and continued confinement, poor posture and poor workplace setting may bring vertebral alignment problems and muscle contraction, therefore causing pressure on other muscles and affecting their function causing severe pain, since pain is the most common indication of most musculoskeletal disorders. The pain varies from mild to severe and from acute to chronic and if stays for a long time can diffuse to other organs

Musculoskeletal disorder often causes pain by pinching nerves, these conditions may include carpal tunnel syndrome, the pain causes a burning sensation and diffuse along the nerve path, accompanied by tingling, weakness and numbness

In some cases the muscle pain is often a consequence of dysfunction of other organ systems

What Are the Symptoms of Musculoskeletal Pain?

The symptoms of musculoskeletal pain are accompanied with pain in the whole body as muscles are excessively used or pulled, sometimes the muscles seems to shiver or become inflamed, the symptoms may vary from person to person but the common symptoms are;

  • Pain
  • Fatigues
  • Sleep disorders

How the pain is diagnosed?

Your physician will conduct a thorough physical examination and medical history, additionally the doctor will  conduct a diagnostic study to confirm the diagnosis


  • Blood tests
  • X-rays
  • Magnetic resonance imaging (MRI),
  • CT scans
  • Joint fluid testing


How Is Musculoskeletal Pain Treated?

Several manual therapies and mobilization techniques have been used to treat people with spinal arrangement problems, for the acute musculoskeletal pain these manual techniques have been very effective and showed rapid results

Medications such as NSAID may be used to treat inflammation, sensation and pain

Other treatments may include:

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Botox treatment in a nut shell

Botox treatment has been proved an astonishing mediation for naturally occurring aging signs somehow the early aging signs also occur due to excessive expressions such as forehead frown, smile lines gleaming from the corners of your eye. These wrinkles and lines can be controlled and treated with the help of micro doses of Botox treatment your face can get it youthfulness back. Treating with the expert physician Botox treatment can work wonders

There is a misconception regarding the Botox treatment as it becomes alarming to the individuals, that Botox paralysis the face muscles as it contain Neurotoxin since the last 3 decades Botox treatment have been proven as the best anti aging medicine, working in good faith

How the Botox is done?

Botox treatment is very simple, it will be started by a physical examination of your face by asking you to give some expressions such as frown, looking up, smile, curl your nose, make a sad face, whistle, grind your teeth, and other expressions. After a thorough examination of your facial expressions the physician will acknowledge you about the vital areas that contribute to aging faster. After the examination the physician will draw a personalized treatment plan

Once the treatment plan is outlined skin is cleaned and local anesthesia is applied on the area to be treated. A very thin needle likely to be an insulin needle is injected to deliver the correct amount of dosage in the contracted muscles. The process takes 20 to 40 minutes to be completed

Is the Botox treatment painful?

After the application of anesthesia, most individuals can tolerate with the needle pricks well. Botox medications when injected into the affected area can cause a slight burning sensation and pressure, most candidates interpret as uncomfortable and not painful. For sensitive patients numbing cream with local anesthesia to minimize pain

What are the common side effects?

Side effects with Botox treatment are minor if taken under the guidance of an expert physician. After the procedure the injected might look light scars, which can be cured within 20 to 30 minutes. Other side effects may include risks of bruising, which will last 4 to 5 days. To minimize the chances of bruising it is recommended to avoid blood thinners, vitamin E, green tea, fish oil supplements etc.

If injected in the wrong area Botox can cause the lid to fall off or droopy eyes, moreover injecting in the wrong muscles can cause facial disfigurement

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PRP: A New Treatment for Carpal Tunnel Syndrome

Carpal tunnel syndrome is a nerve ailment indicated by pain and weakness in the hand and weakness. It expands from problems in a nerve and in the wrist, though the exact cause is still not discovered
Platelet rich Plasma therapy is a gifted modern treatment for Carpal tunnel syndrome and other ailments such as arthritis and tennis elbow

Understanding Carpal Tunnel Syndrome

As our wrists are complicated yet flexible joints that allow us to do everything, when these joints become painful our movements become restricted in a way that we cannot accept, even the smallest task as for typing or even holding a steering wheel can be extremely painful

The median nerve controls sensation and mobilization in your thumb and the first three fingers exclusive of the little pinky

Anatomy of median nerve

As other tendons and muscles the median nerve passes from your lower arm into your wrist through the cavity called the carpal tunnel, the carpal tunnels are the space underneath the muscles that links the bones where the palm and wrist meets

A disorder of the ligament can cause swelling, irritation and pushed carpal tunnel. The tissues around the median nerve to get inflamed and causes pain, pinching and increase immobility of the wrist and hand. Early symptoms can be reversible as with time the carpal tunnel syndrome becomes more rigid and causes permanent nerve damage

Carpal tunnel syndrome is more often associated with poor workplace conditions, however, other underlying causes may be associated with medical conditions such as

  • Diabetes
  • Hypothyroidism
  • Osteoarthritis (OA)
  • Rheumatoid arthritis (RA)

PRP as a Carpal Tunnel Treatment

 Platelet plasma therapy is a proven regenerative medicine that uses your own blood to heal the injuries and degenerated tissues

The procedure is carried by taking a small amount of blood from the patient’s body and processing I into a high speed centrifuge in order to multiply the growth factors and make it plasma rich. The process only takes 15 minutes to separate the growth factors from the blood and platelet rich plasma is formed

The PRP is then injected into the affected area that not only heals, but also regenerates the damaged tissues

PRP guarantees the treatment of nerve disorder or pinched nerves specifically in the case of carpal tunnel syndrome. The PRP therapy is efficient in addressing carpal tunnel syndrome even if it is 12 weeks older

Since the PRP is obtained from your own body there are the least chances of allergic reactions and non acceptance of the body. Moreover the patients are exposed to less risks, less recovery time and guaranteed result

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Reasons to consider Stem Cell Therapy for Arm Pain

Types and causes of your arm pain

Rotator cuff injury

Rotator cuff injury can be

  • What causes a rotator cuff injury?
  • Rotator cuff injuries can range from mild to severe. They tend to fall into one of three categories.
  • Tendinitis is an injury caused by overuse of the rotator cuff. This causes it to become inflamed. Tennis players, who use an overhead serve and painters who have to reach upward to do their jobs commonly experience this injury.
  • Bursitis is another common rotator cuff injury. It’s caused by inflammation of the bursa. These are fluid-filled sacs that sit between the rotator cuff tendons and the underlying bone.
  • Rotator cuff strains or tears are caused by overuse or acute injury. The tendons that connect muscles to bones can overstretch (strain) or tear, partially or completely. The rotator cuff can also strain or tear after a fall, a car accident, or another sudden injury. These injuries typically cause intense and immediate pain.

What causes arthritis?

Cartilage is a firm but flexible connective tissue in your joints. It protects the joints by absorbing the pressure and shock created when you move and put stress on them. A reduction in the normal amount of this cartilage tissue cause some forms of arthritis.

Key points

  1. Numbness, tingling, and pain in your thumb and the first three fingers of your hand are common symptoms of carpal tunnel syndrome.
  2. The pain in your carpal tunnel is due to excess pressure in your wrist and on the median nerve.
  3. Carpal tunnel syndrome can be made worse if the wrist is overextended repeatedly.

What is tennis elbow?

Tennis elbow, or lateral epicondylitis, is a painful inflammation of the elbow joint caused by repetitive stress (overuse). The pain is located on the outside (lateral side) of the elbow, but may radiate down the back of your forearm. You’ll likely feel the pain when you straighten or fully extend your arm.

What Is a Dislocation?

A dislocation occurs when a bone slips out of a joint. For example, the top of your arm bone fits into a joint at your shoulder. When it slips or pops out of that joint, you have a dislocated shoulder. You can dislocate almost any joint in your body, including your knee, hip, ankle, or shoulder.

Since a dislocation means your bone is no longer where it should be, you should treat it as an emergency and seek medical attention as soon as possible. An untreated dislocation could cause damage to your ligaments, nerves, or blood vessels.

However, when tissues are injured, the degenerative process exceeds this regenerative process, resulting in structures that become weaker, painful and less functional. While there are several types of stem cells, those that are best at promoting musculoskeletal healing (tendon, ligament, cartilage and bone) are found in bone marrow. These mesenchymal stem cells, or MSCs, are essential to successful patient outcomes

  • The human body keeps a supply of stem cells available to help repair injured and degenerated tissues at all times, making it fairly simple to retrieve them for therapeutic purposes.
  • As stem cells remain in reserve, in the marrow cavity of your bones, we have found the easiest place to harvest these stem cells is from the back of the hip area (iliac bone).
  • Procedure is done in the office, under ultrasound or x-ray precision and guidance.
  • Patients lay face down as the doctor thoroughly cleans the area before numbing the skin and bone.
  • A special needle is inserted into the bone to withdraw marrow blood, which contains the stem cells. Note: This procedure is not like a bone marrow biopsy nor is it at painful as one. This harvesting procedure is well tolerated by patients and not considered difficult as many patients claim it is not painful.
  • After bone marrow blood is drawn, it is taken to our onsite Regenexx laboratory and centrifuged to concentrate and purify the stem cells while other cells that are not needed are removed, leaving a concentrated sample of stem cells used to help heal your injury.
  • The entire process is done by hand to enable customized designing of the stem cell specimen for your particular injury.
  • A preparation of your concentrated platelets are also gathered at this time for injection into the injury site to release growth factors that “turn on” the stem cells that will later be injected.
  • These platelets are injected again 3-5 days later to
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PRP: An improved cure for Carpal Tunnel Syndrome


Carpal tunnel syndrome or CTS is a nerve disorder indicated by severe pain and feebleness in the arm or wrist. It begins from the complication in the nerve of the wrist, though the actual cause is not yet determined

Platelet rich plasma treatment is a gifted modern therapy for CTS and several other causes of joint disorders including osteoarthritis and tennis elbow

What is carpal tunnel syndrome?

Our wrist is complicated yet bendable joints that facilitate us to do everything, when the nerve is damaged, our actions are restricted  even if it is a slightest move

Carpal tunnel syndrome is a wrist pain originator, and is caused by stress on the median nerve in your wrist, the nerve is responsible to control the sensation and feeling in the first three fingers and thumbs however the little pinky is not linked with the median nerve

The Carpal tunnel is a cavity in your lower arm under the tendons that connects the bones of the wrist to palm

Soreness in the tendon may cause inflammation and swelling and which in turn pushes down the carpal tunnel, when the tissues around the nerve swells, it puts pressure on the median nerve thus resulting in restricted movement in the hand

Earlier nerve damage can be treated and overcome, however with time goes on nerve damage can become permanent

Recent research prose that Carpel Tunnel Syndrome are mostly caused by poor working conditions or other causes may include

  • Diabetes
  • Hypothyroidism
  • Osteoarthritis
  • Rhuematoid arthritis

PRP as a Carpal Tunnel Treatment

Platelet-rich plasma therapy, is an approved medication technique that uses one’s own blood to treat any injury or disorder

The therapy includes taking up a small amount of blood and depositing it immediately into a rotating centrifuge. The centrifuge separates the plasma from the blood and produces it platelet rich plasma. The produced element is then injected into the place of injury, as the platelet rich plasma is full of growth factors it facilitates healing process rapidly

PRP shows guarantee in treating carpal tunnel syndrome. Recent findings have shown that it is efficient in regulating median nerve injury within 12 weeks after nerve injury

As in as platelet rich plasma comes from your own blood there are the least chances of rejection or allergic reactions of the body. The PRP brings quick recovery, least risk factors and promising results

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