Artical
The spine is composed of multiple vertebrae. Between those vertebrae there is a gelatinous disc. The main function of the intervertebral discs is to avoid friction between vertebrae and to provide flexibility and facilitate movements. In some cases when the nucleus of the disc expands it is called disc prolapse. That happen due to shear forces exerted on the spine due to accidents, or physically hectic life style. Disc prolapse usually cause pressure on the nerve roots. Which results in severe back pain and sciatica.
Neck and back pain are very common. Statistics show that more than 80% of the population suffer from neck and back pain.
Diagnosis
Meticulous clinical examination is the most important tool for disc prolapse diagnosis. MRI is considered the gold standard radiological investigation for diagnosis and to provide more information the status of the nerves and the spinal canal.
Disc prolapse stages and management
Medical treatment and physical therapy
Minimally invasive procedure such as Radiofrequency and laser disc decompression
Surgery
Surgical treatment for disc prolapses is limited to severe cases suffering from motor or sensory disability such as foot drop or incontinence. Or in cases of huge sequestrated disc with impeding disability.
Minimally invasive spine procedures.
Using most recent technological advances to treat disc prolapse with total safety, convenience and effectiveness. Follow up of the patient after the procedure is done and the patients is given the instructions to ensure long term if not life long relief from disc prolapse
Selective nerve roots injection and Radiofrequency to treat the nerve root inflammation and to provide adhesiolysis to the nerve. Procedure is done fluoroscopic guided
Prolotherapy PRP is an effective way in treatment of spondylosis in most cases
Laser per cutaneous disc decompression. Which results in nucleus decompression and reducing the pressure on the outer annulus which provides a definitive treatment for disc prolapse
Fluoroscopic guided neuroplasty. Using a RACZ catheter is effective in cases of spinal canal stenosis with excellent results.
Patients are instructed to do regular follow ups after any procedure and to follow the provided general rules to avoid any future hazards that might affect their spine.
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