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The latest method of lumbar disc treatment
مقاله تخصصی

The latest method of lumbar disc treatment

3 months ago
432 بازدید
Dr. Mahmoud Yazdan Panahi

Dr. Mahmoud Yazdan Panahi

Tehran

Neurosurgeon and spine and disc surgeon

Non-surgical methods of lumbar disc treatment As mentioned, lumbar disc treatment is divided into two general categories: non-surgical and surgical methods. Non-surgical methods are usually used for mild to moderate cases and include physical therapy to strengthen the muscles and reduce pressure on the disc, transcutaneous electrical nerve stimulation (TENS) to reduce pain, and focused ultrasound therapy to improve circulation and the use of anti-inflammatory, anti-inflammatory, and pain-relieving medications. Muscle relaxants play an important role in reducing symptoms. have.. Ozone therapy is also a lumbar disc treatment method that reduces inflammation and accelerates recovery by injecting ozone gas into the disc. In more severe cases where non-surgical methods are not effective, surgical methods such as discectomy or spinal fusion are used to remove pressure from the nerves and correct 5% of the structural problem of the disc. Successfully managed **without surgery** with a combination of physical therapy, targeted drug therapy, and lifestyle modification. Surgery is only a last resort in It is considered that the patient has persistent neurological deficits or severe uncontrollable pain.. ### Physiotherapy Physiotherapy is one of the most effective and newest methods of lumbar disc treatment, which helps reduce pain, increase muscle strength, and improve spine mobility. In this method, special exercises are designed to strengthen the muscles around the spine and reduce pressure on the damaged discs. In addition, some modern devices such as stretching are used to reduce pressure on the disc... Transcutaneous electrical nerve stimulation (TENS) is one of the non-invasive and effective methods to reduce pain caused by lumbar disc. In this method, a weak electric current is transmitted to the nerves through small electrodes that are placed on the skin. The use of medication is one of the newest methods of lumbar disc treatment, which is mostly for managing the pain and inflammation caused by the lumbar disc. Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen help reduce inflammation and relieve pain.. Also, muscle relaxants are effective for patients who have muscle spasms. In severe pain, the doctor may prescribe stronger painkillers or steroid drugs that help reduce swelling and pressure on the nerve. In addition, nerve agents such as gabapentin are used to reduce pain caused by nerve stimulation. Ozone therapy is one of the newest methods of lumbar disc treatment, which is performed using ozone gas... In this method, ozone gas is injected around the damaged disc... Ozone reduces pain and improves the function of the disc by reducing inflammation, increasing oxygen supply to the tissues, and accelerating the healing process... How many sessions are performed? The advantages of this method include the rapid reduction of pain during the short recovery period and no need for long-term medication... although this method is not suitable for all patients, it can have a significant effect in mild to moderate lumbar disc cases... consultation with a specialist doctor is necessary to check the effectiveness of this method... ### Focused ultrasound therapy Focused ultrasound is one of the lumbar disc treatment methods that uses high-frequency sound waves. These waves penetrate deep into the damaged tissues and by producing heat, they increase blood circulation, reduce inflammation and accelerate the healing process. Pain, ultrasound helps to improve muscle spasms and increase the flexibility of the tissues around the spine. Injection of therapeutic drugs is one of the newest methods of lumbar disc treatment that is performed directly in the damaged area. Common methods in which steroid medicine is injected into the epidural space of the spine... Epidural injections are similar but focus on rapid pain relief. It is injected directly into the damaged disc. Chymopapain destroys the internal material of the disc, which leads to a reduction in pressure on the adjacent nerves and relieves pain.. This procedure is usually suitable for patients who have mild to moderate lumbar disc herniation and do not require lumbar disc surgery. And it is performed on an outpatient basis.... The advantage of this method is to reduce the recovery period and reduce the risks of surgery.... ### Chemonucleolysis with collagenase Chemonucleolysis with collagenase is one of the new treatment methods to reduce the pain caused by the lumbar disc, in which the collagenase enzyme is used.... This enzyme, by injecting into the disc, decomposes its internal structure and reduces the volume of the disc... Reducing the volume of the disc reduces the pressure on the nerves and relieves pain... Mentioned... Chemonucleolysis with ethanol gel is a non-surgical and minimally invasive method for the treatment of the lumbar disc, which contains gel Ethanol is used.. This gel is injected into the disc and reduces its volume by destroying the internal material of the disc.. Reducing the volume of the disc takes the pressure off the nerves and reduces the appropriate pain for patients who suffer from it. The required ethanol does not require anesthesia and is performed on an outpatient basis. The advantages of this method include a short recovery period, rapid pain reduction and no need for surgery. Treatment with stem cells is one of the lumbar disc treatment methods that focuses on the regeneration of damaged tissues. In this method, stem cells are extracted from the patient's own body (such as bone marrow or fat) and injected into the damaged area. Stem cells are especially suitable for patients who suffer from chronic or severe injuries and do not want lumbar disc surgery. Surgery is one of the lumbar disc treatment methods for patients who have not responded to non-surgical methods or They have severe pain.. The newest methods of lumbar disc treatment include techniques to remove pressure from the nerves and correct structural damage.. Surgery varies depending on the severity of the problem and the location of the injury... Surgery is usually performed using advanced tools and minimally invasive techniques that reduce recovery time and accelerate recovery.. The goal of these surgeries is to relieve pain, restore spinal function, and prevent further damage... Microdiscectomy is one of the newest lumbar disc treatment methods, which is performed to remove the lumbar disc and reduce the pressure on the nerves.. This procedure is usually suitable for patients who have sciatica pain or numbness caused by a herniated disc. In microdiscectomy, the surgeon removes a small part of the damaged disc using a surgical microscope. Daily activities in a few days after the operation. Lumbar laminectomy is a new lumbar disc treatment method that is performed to reduce pressure on the spinal nerves... This surgery is usually recommended for patients who have severe pain or movement problems due to disc herniation or spinal canal stenosis... It is performed under general anesthesia and requires several weeks of rest. It is done.. This method involves joining two or more vertebrae together using screws, metal plates or bone grafts.. The main purpose of this spine stabilization surgery is to reduce the movement of the vertebrae and prevent pressure on the nerves.. Fusion is usually recommended for patients with severe disc problems.. It heals but has lasting and significant results in reducing pain and improving the patient's quality of life... ### Endoscopic Lumbar Disc Surgery Endoscopic surgery is one of the newest methods of lumbar disc treatment, and in this method, the surgeon uses a small endoscope to access the damaged area through a small incision in the skin. This technique has a shorter recovery period due to high accuracy and minimal damage to the surrounding tissues, and the patient can quickly return to his daily activities. artificial Artificial disc replacement is an advanced surgical procedure to replace a damaged or worn out disc with an artificial disc. This method is especially suitable for patients who experience severe pain in the back or neck due to a herniated or worn disc. The artificial disc is made of materials such as metal and polymer and is designed to mimic the natural function of the disc.. Faster... Endoscopic foraminoplasty is a minimally invasive surgical procedure to treat foramen stenosis that causes pressure on spinal nerves. In this lumbar disc treatment, the surgeon uses an endoscope to access the hole area through a small incision and removes the extra tissues or bones that have pressed the nerves, and the previous nerves do not require surgery and do not require large contractions.. from healthy tissues... Endoscopy is a good option for patients with pain caused by spinal canal stenosis or disc herniation... ### Lumbar disc surgery with laser Lumbar disc surgery with laser is one of the minimally invasive and advanced methods for the treatment of disc herniation that is performed using laser energy... In this method, the laser is directly irradiated on the damaged area of ​​the disc to evaporate the excess disc tissue and reduce the pressure on the nerves. It is done that provides the best results for the patient. Expertise... This method is a very good option, especially for patients who avoid traditional surgeries. One of the common questions of patients with lumbar disc disease is whether this disease can be definitively cured or not. As a doctor who has closely followed the stages of diagnosis, treatment, and decision-making regarding surgery in various patients, I must emphasize that the answer to this question depends on several factors, including the type of disc damage, the type of damage, and the type of disc damage of the patient. The body responds to initial treatments. This is the updated information in this field: Are home remedies useful for lumbar disc treatment? Home treatments can be effective in the early stages or together with medical treatments to reduce chronic back pain caused by problems such as intervertebral disc protrusion or even lumbar disc rupture... but it should be noted that these methods are not a substitute for expert diagnosis with tools such as spinal MRI or nerve and muscle tape.. A consultation with a neurosurgeon and a neurologist or pain specialist is essential, especially when the patient experiences symptoms such as lower limb numbness, leg muscle weakness, or radiating pain related to sciatica. Here are some relatively effective home remedies for managing lumbar disc pain: - Using hot and cold compresses to reduce inflammation and improve blood flow in the affected area of ​​the lumbar spine... - short-term rest (not absolute). Simple stretching and strengthening exercises can help stabilize the spine, especially in combination with postoperative physical therapy... - Non-steroidal anti-inflammatory drugs (NSAIDs); They are useful for reducing inflammation and pain in mild to moderate periods. Excess weight puts more pressure on the lumbar spine and increases the possibility of lumbar disc stenosis or surgery.. But in case of insufficient response to these methods or progress of symptoms, the need for more specialized methods such as epidural injection, microdiscectomy, laminectomy or even the use of an artificial disc may be suggested.. Are more methods suitable for lumbar disc treatment? In order to choose the best method **in lumbar disc treatment**, it is necessary to examine the condition of each patient carefully and separately... the type and severity of the lumbar disc rupture, its location in the spine and the amount of pressure on the nerves, all play a role in the decision... Tools such as spine MRI help the doctor make an accurate diagnosis and make the right choice between non-surgical treatments such as physiotherapy and drug therapy or surgical options.. *2025* conducted by Harvard Medical University has been reported, in over *76%* of patients with mild to moderate lumbar disc herniation, non-surgical treatments have improved in cases where advanced motor symptoms have improved in *6* months.. or persistent pain, lumbar disc surgery may be a more effective solution... recommended....
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