Treatment of a herniated disc with a laser
Effective treatment of a herniated disc laser began to use relatively recently. The method was invented in the 80-ies of the last century by the American Professor Daniel Choi. In scientific language this technique is called decompression of a herniated disc with a laser, or PLDD. It was first applied in Austria in early 1986, the staff of the University of Graz at the Department of neurosurgery. The procedure was performed by Professor Peter Asher, together with his colleagues. The official recognition of the treatment of the spine received laser in 1991, and at the end of 2002 Italian neurosurgeon Jean Paolo Tassi was the first to introduce it into medical practice.
In Russia, the USA, Sweden, Ireland, Switzerland, England and Italy over the last 15 years Professor Tassi has performed over 3500 operations. Laser spine treatment has significant advantages over other methods of Troubleshooting. However, there are prohibitions on its use in individual patients. Depending on the stage and nature of the disease have different treatment of the spine: laser treatment for reconstruction of cartilage tissue or to completely remove the hernia. Scientific debate about the effectiveness of PLDD was conducted throughout the research period, and now continues when the method is fully tested and yields positive results.
How to look healthy and diseased intervertebral disc
Treatment of herniated discs with a laser is used as an individual physician or as a component part of the complex of therapeutic measures. The main category of patients who can help this technique, people with manifestations of degenerative disc disease or a serious injury. The numerical advantage of this group belongs to men. Women spine treatment with the laser requires less rarely it is applied to children. Laser treatment of intervertebral hernia is usually prescribed to patients in the age group from 25 to 45 years old who have no contraindications. The treatment allows you to cope with severe forms of osteoarthritis.
The mobility of the person in the main dependent on the specific design of the spine. Certain segments of our support post connected to each other elastic plates. The structure of the intervertebral discs provides the processes of flexion and extension of the torso, the possibility of its tilt to the side. The matter that makes up the intervertebral disk, inhomogeneous cartilaginous tissue, with different density and flexibility in some areas. The Central part of each disk is the so-called purposee -. Due to the gelatinous consistency of the body of the nucleus becomes possible damping of the movements between the links of the spinal chain.
With the fibrous ring core is fixed in the optimum position. Fixing element between the vertebrae and the disc is hyaline cartilage. Intertwined fibrous structure of the annulus provides conditioning loads. Mixed position fiber makes the core strong, resistant to compression, tension, torsion.
In pathology of broken jelly-like consistency of the nucleus, part of it protrudes beyond the vertebrae. The annulus is deformed, the disk is indicated by a gap through which protrudes the gelatinous substance under pressure.
Symptoms and possible consequences of diseases
The initial stage of development of hernia is characterized by:
- the change of the strength of the intervertebral disc;
- the occurrence of dystrophy and degeneration of vertebrate separate zones;
- violation of blood supply;
- the appearance of swelling.
The patient has intense pain, weakness of lower extremities, lack of sensitivity or the feeling of «running ants». During prolonged sitting in an uncomfortable position arise aching pain, like after heavy physical exertion.
You should not self-medicate at an early stage in the development of herniated discs. This poses a serious risk of irreversible complications. At constant pain in the back need to go to the clinic, out-patient or inpatient examination under the supervision of a neurologist. The treatment of the spine with the laser in this step will help prevent progressive functional impairment.
The second stage of development of intervertebral hernia observed pronounced radicular syndrome. Changed disk configuration (protrusion) leads to stablename as the fibrous ring rupture of the fibers, the tension, the compression of the nerve root. A pathological condition is threatened by a possible narrowing of the channel, the further inflammation of the spinal membranes, nerve roots.
The patient appear:
- muscle weakness;
- acute pain;
- the insensitivity zone of the location of the affected spine;
- impaired function of sweating;
- dryness of the skin.
Of particular danger are such consequences of a herniated disc, as a paralysis or paresis of the muscles of the legs, appearance of abnormalities of pelvic organs, loss of sensation of the lower extremities.
Two effective methods of dealing with the pathology
To eliminate pathologies used different spine treatment: laser effects (vaporization) to remove and dermal reconstruction. Both methods give effective results within the first six months after he formed a hernia.
|The size of the formation.||It is advisable to perform the treatment of the spine laser, if the formation does not exceed the diameter of half an inch or 6 millimeters.|
|The symptoms bothering the patient.||Vaporization do, if the patient is spinning and a headache, numb fingers, constantly having burning and tingling in the neck, back, broken sensitivity.|
|The failure of other methods.||When traditional drug therapies, or other therapy has not helped, also prescribed removal.|
Before the procedure the patient passes his urine and blood checked for sugar concentration. Appointed CT of the spine, in order to study his condition. The patient also rents an electrocardiogram and is a consulting examination by a neurosurgeon, an anesthesiologist, internist.
The reconstruction of cartilaginous tissues is carried out by inserting a needle into the intervertebral disc and exposure through it of the affected cartilage. This is the safest for the treatment of injuries of the spine: a laser device (cable with camera microsurgical endoscope) is directed affects the affected area of the disc, and the whole procedure takes less than an hour. The treatment is performed under local anesthesia. X-ray equipment is used to control manipulation. Reconstruction is often prescribed after vaporization with preventive purposes.
The recovery period lasts from 3 to 6 months, depending on the condition of the body.
Contraindications and mechanism of action
Do not use this treatment if:
- detection of the patient with structural anomalies of the vertebrae;
- the presence of a diagnosed herniation sequestered type;
- detection of inflammatory processes in the disks;
- detection of combined stenosis, disruption of the structure of the spinal canal;
- it exceeds the maximum size of the hernia;
- exceeding the age limit of 50 years.
The mechanism of the recovery process is heated to the approximate temperature of 70 degrees. Evaporation of damaged tissue, the size of the nucleus and termination of pressure on the fiber. Immediately lost the pain, but the very structure of the intervertebral disc does not change. Under the influence of laser starts the active cell growth of the cartilage tissues and their regeneration.
Six months after treatment the tissue is fully restored. The result of this procedure becomes reducing the size of hernial formation, partial or complete elimination of the possible severe consequences. But violating the assigned regime of rehabilitation increases the risk of relapse.
Immediately after manipulation using laser the patient’s condition improves, he may in a short time to return to usual activities. No General anaesthetic is beneficial for those who can not tolerate anesthesia. After the procedure on the body leaving no scars. Simultaneous reconstruction in different areas of the spine.
After the laser treatment, it is necessary to perform a special complex of exercises aimed at restoring the firmness and elasticity of the abdominal muscles. Useful to visit the pool regularly to swim on the belly. In the presence of excess weight demonstrates a set of exercises for the correction of body weight.