Nucleoplasty therapy is a recently developed technique for the treatment of pain coming from a spinal disc. A special probe is inserted into the spinal disc and is used to remove a small amount of disc tissue from the disc nucleus and then to applied controlled thermal energy or heat to the disc. This causes the pressure within the disc wall to decrease and allows the disc to bulge or protrude less.
Comprehensive Spine Surgery and Treatment at Super Speciality Hospitals in India:
- Dedicated team of International trained and vastly experienced Spine Surgeons, Rheumatologists, Neurologist, Physicians and Physiotherapist.
- Latest Generation Diagnostic and Imaging facilities including dynamic digital X rays, Spiral CT scanning , MRI and Electrophysiology unit all under one roof.
- Use of most advanced Surgical techniques for treatment of spinal ailments with focus on Minimal Access Micro Endoscopic spine surgeries, Functional spine preservation techniques and Spinal Arthroplasty for all( disc diseases) as well as instrumentation. Minimally Invasive Surgery ensures quicker recovery and return to active life.
- Physiotherapy and Rehabilitation by experts after the surgery help you regain functional abilities quickly helping in vastly improved overall results.
Nucleoplasty- A new advancement for incision free treatment of herniated or slipped disc, chronic lower back pain, Sciatica
Cervical disc is a piece of specialized tissue that separates the It is an advanced minimally invasive procedure used to reduce disc pressure in patients suffering from discogenic (disc related) backache. During the procedure, an instrument is introduced through a needle and placed into the center of the disc where a series of channels are created to remove tissue from the nucleus. As pressure is relieved, pain is reduced, consistent with the clinical results of earlier percutaneous discectomy procedures. There is little tissue trauma and recovery times may be improved in many patients. A herniated disc may occur suddenly in an event such as a fall or an accident, or may occur gradually with repetitive straining of the spine.
Benefits of Disc Nucleoplasty for herniated or slipped disc, chronic lower back pain, Sciatica
- Its an Outpatient Procedure which is done in less than one hour and under local anaesthesia. Less anxiety to the patient and no risks associated with general anesthesia.
- Minimally Invasive, Scarless , Minimal Pain & discomfort to the patient
- Quick recovery and return back to active work life
- Minimal Tissue trauma and no risk of complications that may result from open surgery
- Quick Symptom relief within two weeks of undergoing the Nucleoplasty Surgery.
Who is the best candidate for Nucleoplasty ?
- People having chronic back pain, back fatigue and who have not responded to rest, medical intervention (including steroid injection), and/or physical therapy
- Person having a disc herniation i.e. the cushion that sits between the spinal vertebras is pushed outside its normal position.
- One who suffers from contained spinal disc herniation i.e. pain radiating down the leg or arm accompanied by some back pain, which has not responded to conservative care
- Inflammation and severe chronic pain, particularly in cases where the nerve roots are pinched or irritated.
How is Nucleoplasty performed?
The procedure is performed in an advanced surgical center with fluoroscopic (x-ray) guidance. Nucleoplasty is done with the patient lying on the stomach. Intravenous sedation is given to help with comfort and relaxation. The skin is cleaned with an antiseptic solution and the back is numbed with a local anesthetic before the procedure is performed. The patient is monitored with an electrocardiogram, blood pressure cuff and blood oxygen-monitoring device.
Treatment before procedure
Medical evaluation includes a physical exam. Diagnostic tests such as MRI (magnetic resonance imaging), steroid injection or discography may be conducted to diagnose and locate the symptomatic disc herniation and determine if the procedure is appropriate.
Treatment during the procedure
Nucleoplasty requires the patient to lie on his/her stomach for the lumbar procedure or back for the cervical procedure. This is typically performed with minimal anesthesia requirements. A small nick is made in the skin near the spine, and a needle is inserted. The decompression device, called a SpineWand, is then inserted through the needle into the disc and activated to remove tissue. The device and the needle are removed and the small nick is covered with a bandage.
Treatment after procedure
Patients are required to remain for observation for one to two hours after the procedure. Often patients are then released to rest for one to three days with limited sitting or walking.
- People having chronic back pain, back fatigue and who have not responded to rest, medical intervention (including steroid injection), and/or physical therapy
- Person having a disc herniation i.e. the cushion that sits between the spinal vertebras is pushed outside its normal position.
- One who suffers from contained spinal disc herniation i.e. pain radiating down the leg or arm accompanied by some back pain, which has not responded to conservative care
- Inflammation and severe chronic pain, particularly in cases where the nerve roots are pinched or irritated.
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