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SPINE PAIN

Spine pain is a common condition that can affect people of all ages. It can be caused by a variety of factors, including: Degenerative changes: As we age, our spine naturally degenerates, making it more susceptible to injury and pain. Herniated discs: A herniated disc occurs when the soft, gel-like center of a spinal disc pushes through a tear in its outer ring. This can compress the spinal nerves and cause pain, numbness, and tingling. Spinal stenosis: Spinal stenosis is a narrowing of the spinal canal, which can put pressure on the spinal cord and nerves. Spondylolisthesis: This condition occurs when one vertebra slips out of place over the vertebra below it. Scoliosis: Scoliosis is a curvature of the spine. Injuries: Spine injuries can occur due to falls, accidents, and sports injuries. Infections: Infections of the spine are rare, but can cause severe pain and inflammation. Symptoms of spine pain can vary depending on the underlying cause. Some common symptoms include: Back pain Neck pain Pain that radiates down the legs or arms Numbness or tingling in the legs or arms Weakness in the legs or arms Difficulty walking or standing Loss of balance Minimally invasive spine interventions (MIS) are a group of procedures that are used to treat spine pain. MIS procedures are less invasive than traditional open spine surgery, and they typically involve smaller incisions and less muscle dissection. This can result in shorter recovery times and less pain. Some of the most common MIS procedures for spine pain include: Epidural steroid injections: These injections deliver steroids to the epidural space, which is the area around the spinal cord. Steroids can help to reduce inflammation and pain. Facet joint injections: These injections deliver medication to the facet joints, which are small joints that connect the vertebrae. Facet joint injections can help to relieve pain and stiffness in the back and neck. Selective nerve root blocks: These injections deliver medication to a specific nerve root. Selective nerve root blocks can be used to diagnose and treat nerve pain. Percutaneous discectomy: This procedure is used to remove a herniated disc. A small needle is inserted into the disc and the herniated material is removed. Kyphoplasty and vertebroplasty: These procedures are used to treat spinal fractures. A small needle is inserted into the vertebra and a cement-like material is injected to stabilize the fracture. MIS procedures can be very effective in relieving spine pain. However, it is important to note that they are not always a cure for spine pain. Some patients may need to have repeated MIS procedures or other treatments, such as open spine surgery. If you are experiencing spine pain, it is important to see a doctor to determine the underlying cause and discuss your treatment options. MIS procedures may be a good option for you if you are looking for a less invasive way to relieve your pain.

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If your doctor permits, the long term solution is to go for regular walks and exercises. Depending on the type of symptoms and whether nerve compression is involved, pain specialist will prescribe medications and may suggest for some minimally invasive spine Intervention, which usually gives long term relief.

RFA is done with local anesthesia and takes about 30 minutes per joint. You lie on your stomach while a doctor guides a needle to the target nerve and applies heat.

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Ozonucleolysis or Ozone discectomy for Slip disc

Ozone Discectomy

Ozone Discectomy for Slipped and Bulging Discs in the Cervical and Lumbar Spine

Success rate is about 88% which is comparable to surgical discectomy (50% to 90%) IPSC India has been pioneer in Ozone Discectomy or Ozonucleolysis for Slipped disc or Prolapsed Disc. We have treated thousands of Patients not only from across India but also International patients from USA, UK, Nigeria, Afghanistan, Iraq, Bangladesh, Nepal and Saudi Arabia. We have the Original , closed circuit-Self calibration Ozone Machine, imported from Italy. Ozone in PIVD/Slipped disc In case of prolapsed inter-vertebral disc (or, slipped disc) different other mechanism acts. Inter-vertebral disc is filled with nucleus pulposus which is a jelly like material which holds water (90% of disc material is water). When ozone is injected into the disc the proteo-glycan bridges in the jelly-like material are broken down and they no longer capable of holding water. As a result disc shrinks and mummified which is equivalent to surgical discectomy and so the procedure is called ozone discectomy or ozonucleolysis. It has been published in ANESTHESIA AND PAIN journals that up to 85% of disc operation can be avoided with these non-surgical interventions. Success rate is about 88% which is comparable to surgical discectomy (50% to 90%). Complications are remarkably low and much less than surgery. OZONE THERAPY 1. Most Of the Interventional Pain Procedures are done in Local Anaesthesia under Fluoroscopy Guidance in Procedure room as Day care (3 to 4 Hours stay). 2. Usually One to Two Procedures at an interval of 2-4 weeks are required but in Resistant cases additional procedure may be required. Ozone discectomy is a safe and effective treatment for back pain, neck pain, and sciatica caused by herniated and bulging discs. It is a minimally invasive procedure with a short recovery time. Most patients are able to go home the same day as the procedure.

FAQS

Know more about Ozone therapy for slipped disc and if you are right candidate for this minimally invasive therapy

Starting from Conservative treatment in the form of physiotherapy under qualified doctor’s order, to surgical management, many solutions are available. But the most exciting are the minimally invasive spine interventions, which gives the best solution for back pain. More than 70% of spine surgeries can be avoided now with spine interventions.

Ozonucleolysis is a minimally invasive procedure wherein a mixture of ozone and oxygen is injected into the herniated disc. This process reduces the volume of the disc, thereby relieving pressure on surrounding nerves. Ozone discectomy is another name for this procedure and is often used interchangeably with ozonucleolysis.

When a disc slips (often referred to as a slipped disc), it can press on the surrounding nerves, causing pain and discomfort. Ozone discectomy helps by shrinking the disc material, which reduces the pressure on the nerves and alleviates symptoms.

Individuals suffering from back pain, sciatica, or other symptoms associated with a herniated or slipped disc, and who have not found relief from conservative treatments, may benefit from ozonucleolysis. If the disc material is still surrounded with the outer covering and the jelly material is still there inside, these are the ideal discs which respond to Ozonucleolysis.

Many patients report significant relief from back pain and sciatica after undergoing ozone discectomy. However, the effectiveness can vary depending on the individual and the severity of the condition.

As with any medical procedure, there are potential risks. However, since ozonucleolysis is minimally invasive, the risks are considerably lower than more invasive surgeries. Some potential side effects include infection, allergic reaction, or no improvement in symptoms. It's essential to consult with a qualified medical professional to discuss potential risks and benefits.

The recovery period is relatively short compared to more invasive procedures. Many patients can resume normal activities within a few days. However, it's crucial to follow post-procedure guidelines provided by the medical professional to ensure optimal healing and results.

While ozone discectomy can be highly effective in treating symptoms associated with a slipped disc, it may not address other underlying causes of sciatica and back pain. It's essential to get a thorough diagnosis to ensure the right treatment approach.

Ozonucleolysis offers a minimally invasive alternative to traditional surgical methods. This means shorter recovery times, less post-procedure pain, and fewer potential complications. This procedure is done under local anaesthesia.

Many patients experience long-term relief from their symptoms after undergoing ozonucleolysis. However, the outcome can vary depending on individual factors, including the severity of the herniation and overall health of the patient.

IPSC Pain and Spine Hospitals are pioneer to offer ozonucleolysis as a treatment option. We have best of the ozone generator machine in India.

Spine Endoscopy

Minimally Invasive Endoscopic Spine Surgery for Slipped Disc, Bulging Disc, and Sciatica

Spine Endoscopy: Endoscopic Discectomy for slipped disc and sciatica Endoscopic Discectomy is a minimally invasive spine interventional technique that utilizes an endoscope to treat herniated disc, protruded disc or disc bulge, extruded, or degenerative discs that are a contributing factor to leg and back pain. Since we don’t have to cut the muscles and bones to open the entire spine, spine endoscopy has shown to be a boon for patients with spine problems. With the advancement in technology using 3 Chip camera and 4K monitors, now we can see each and every structure inside with more clarity and thus can avoid injury to important structures. At IPSC, we have best of the equipment’s for your safety and efficacy of the procedure. Endoscopic spine procedure uses a thin, flexible tube with a camera on the end (endoscope) to visualize the spine and perform surgery. The endoscope is inserted through a small incision in the back, and the pain specialist uses specialized instruments to remove the herniated disc material or relieve pressure on the nerve root. Endoscopic spine surgery is a safe and effective procedure for the treatment of slipped disc, bulging disc, and sciatica. It offers a number of advantages over traditional open spine surgery, including: Smaller incisions Less muscle disruption Less blood loss Less pain Quicker recovery time Endoscopic spine surgery is typically performed under Local Anesthesia at IPSC Hospital. The patient is positioned on their stomach on the operating table. The surgeon makes a small incision in the back, near the affected disc. The endoscope is inserted through the incision and guided to the disc. The surgeon then uses specialized instruments to remove the herniated disc material or relieve pressure on the nerve root. Once the surgery is complete, the endoscope and instruments are removed, and the incision is closed. The patient is usually discharged from the hospital the same day or the next day. Endoscopic spine surgery has a high success rate in relieving pain and improving function in patients with slipped disc, bulging disc, and sciatica. Most patients experience significant pain relief within a few days of surgery. Most patients are able to return to their normal activities within a few weeks.

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FAQS

Know more about Spine Endoscopy procedure for Bulging disc and Pinched Nerves

Depends on the pathology. Many minimally invasive and target specific spine interventional techniques are now available and can prevent more than 70% of spine surgeries. Surgery at times is required to prevent a permanent damage to the nerves. Severity of pain is not directly related to severity of the problem. B. Biacuplasty or cooled Radiofrequency or Annuloplasty are the proven procedures for disc repair. Vertebroplasty for spine compression fractures and metastases of spine. Endoscopic discectomy for slipped disc or disc bulge which causes sciatica and radiating leg pain.

Medications are required in acute phase to prevent you from landing into chronic pain states. Prevention is always better than cure. But once back pain develops, follow the pain and spine specialist advise on medications. B. Medicines are not dangerous. Their misuse or overuse of drugs without doctors consultation may lead to side effects. Medicines are approved for clinical use only after their research on efficacy and safety profiles.

Endoscopic Discectomy is a minimally invasive spine surgery technique that utilizes an endoscope to treat herniated, protruded, extruded, or degenerative discs that are a contributing factor to leg and back pain. Spine endoscopy or Endoscopic discectomy is required for cases of slipped disc or disc bulge where your protruded disc is compressing the nerves.

Our lower back has multiple bones called vertebrae and in between two vertebrae, there is a cushion called intervertebral disc. Around the disc, there are nerves which start from the spinal cord and goes down to the legs. When the disc ruptures or bulges out, it compresses the nerve and your pain starts going down to your legs which is called radiculopathy or sciatica.

The cost of the procedure varies from Centre to centre. At specialized centre like IPSC India in New Delhi, it cost 1.5 Lac INR. Advantages are: By selectively removing that bulging part, we relieve the nerve off the pressure. Patients are awake throughout the procedure and this adds safety to the procedure as we can detect any touching to the nerve while removing the disc.

More than 70% of the patients usually don’t need any additional procedure. In some cases even after removing the disc, there may be some swelling on the nerves left which can be dealt with a minor procedure after 2 weeks. Although reherniation is rare, but it is possible if we don't take proper precautions after endoscopic discectomy. IPSC protocol usually advise 4 weeks of lumbar support belt after the procedure, along with some restriction of activities like prolonged sitting, forward bending, and weight lifting.

It takes 4-6 weeks for the disc to become normal. From the skin, you won’t feel anything but the inside tissue takes time to heal. Although, we encourage patients to start walking after 1-2 days of rest, but certain precautions like forward bending, lifting heavy weights, pushing heavy objects, sudden twisting movements, are must.

The purpose is to remove the pressure off the nerve which have compressed the nerves because of disc herniation and bulge. Prolonged compression of the nerve may lead to permanent loss of the functions of the nerve.

You may feel pain and paraesthesia, pins and needles. There may be loss of sensation in some part of the leg and at times, even weakness in the lower limbs.

We make a small hole on the skin under local anaesthesia and infiltrate the entire track up to the disc with local anaesthesia. Patients are awake throughout the procedure and this adds safety to the procedure as we can detect any touching to the nerve while removing the disc. Through this small hole we insert the spine endoscope which is fitted with camera. Through this camera we can see inside, on our screen. Once we reach the herniated material or the bulging part of the disc, we start removing it without disturbing the normal disc and other tissues.

Since we don’t cut the bones and other important tissues of the spine to reach the bulging part of the disc, no rods and screw and fixation is required after endoscopic discectomy.

No Interventional procedures are 100% safe. Though the chances of complications are rare but the chances of infection, bleeding and nerve trauma are there. All these complications can be managed, if they do happen. As compared to open surgery, endoscopic spine procedure is much safer for slipped disc and sciatica.

No! Spine endoscopy or Endoscopic discectomy is required for cases of slipped disc or disc bulge where your protruded disc is compressing the nerves. When the disc compresses the nerve, your pain will start going down to your legs which is called radiculopathy or sciatica.

Usually we advise conservative treatment in the form of medications, physiotherapy in selected cases and some exercises after examining the patient. If the condition is not urgent, we usually wait for 2-4 weeks. But, in cases where the disc herniation is large and compressing the nerves, it is advised to get it removed as soon as possible. Compression of the nerves for longer duration, may lead to irreversible damage to the nerve. In these cases, patient may develop foot drop or muscle weakness or some neurological deficit.

If there is a major loss of function like loss of bladder and bowel control, loss of limb movements, sense less leg, in such cases we do open surgical discectomy. In patients with some numbness or tingling, we can safely go for endoscopic discectomy.

No. We only remove the protruded part of the disc. By selectively removing that bulging part, we relieve the nerve off the pressure.

Although rare, but it is possible if we don't take proper precautions after endoscopic discectomy. We usually advise 4 weeks of lumbar support belt after the procedure, along with some restriction of activities like prolonged sitting, forward bending, and weight lifting.

No. That is not required in the endoscopic procedure. In fact, we preserve even the normal disc which is close to protruded disc. This prevents the collapse of the disc in future.

Yes. We make a small hole on the skin under local anaesthesia and infiltrate the entire track up to the disc with local anaesthesia. Patients are awake throughout the procedure and this adds safety to the procedure as we can detect any touching to the nerve while removing the disc.

Complications are possible but rare with this technique as compared to open surgery. The possibility of nerve injury, bleeding, and infection at the site are there and in most cases are manageable.

Yes, it is covered but one day admission is required for insurance purpose. At IPSC, for non-insurance patients we do this procedure as a day care and we discharge them after 4-6 hours of observation.

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Epidural Procedures

Minimally Invasive Interventional Techniques: Epidural Injection for Slipped Disc and Sciatica

Epidural neuroplasty are the injections administered to relieve pain in the neck, shoulders and arms caused by a pinched nerve or inflamed nerve(s) in the cervical spine. A cervical epidural is an injection of anti-inflammatory pain medications like cortison into the cervical region of the spine. This injection is not given in bone or spinal cord. A patient may need an epidural for one of many reasons. The procedure can be performed as a diagnostic tool in uncovering the exact site and nature of neck pain, or it can be used to treat chronic pain, inflammation, and stiffness in the neck and shoulders. Cervical epidural is typically reserved for cases where significant nerve damage around the spine is responsible for pain. Before the procedure, a patient is given a shot of local anesthetic to numb the area. Procedure is done under fluoroscopic(Special X-Ray) guidance and local Anesthesia. After confirmation of nerve roots involved, by injecting contrast as seen in this video, solution is injected. Procedure is done in OT and takes 25-30 minutes. After procedure patient is shifted to recover room for observation. Patients are usually discharged after 2 hours.

FAQS

Safety, Efficacy of Epidural Steroid Injection and Minimally Invasive Interventional Techniques

Back pain may come from Disc, facet joints which are small joints in spine, muscles around spine, bones of spine and nerves coming from spine. You pain specialist after physical examination makes a provisional diagnosis and may order MRI/ CT Scan or X ray to confirm the diagnosis.

Vertebroplasty

Vertebroplasty and Kyphoplasty for Osteoporotic spine fracture and spine metastasis Advanced age, asthma, diabetes, emphysema, menopause, chronic steroid use and rheumatoid arthritis are all risk factors for osteoporosis. The resultant weakening of bones can lead to compression fractures of the spine causing severe pain, deformity, loss of height, immobilization, and in some cases, failure to thrive. Historically, vertebral compression fractures have been treated either with conservative methods of cast or brace immobilization with long term bed resting or with major surgery. This surgery requires a long incision, screws and rods for fixation and is done under general Anaesthesia. These treatments are limited by long recovery times and disruption of daily life. Now, these painful spine fractures can be treated with a Minimally Invasive, Non Surgical procedure known as VERTEBROPLASTY, an innovative alternative to traditional treatments which stabilizes fractures of the spine safely and effectively, often providing immediate pain relief.

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FAQS

Vertebroplasty or targeted cementoplasty is one of the most advanced procedure for immediate and significant pain relief in patients with spine fracture or compression fracture due to osteoporosis. Osteoporosis is a condition where the bones becomes porous and fragile and leads to fracture with even minor trauma or jerk.

The procedure is very safe in experienced hands. There are costly options available but they have not proved to be more safer than vertebroplasty. This procedure is done in Local anaesthesia, so we can even avoid the effects of general anaesthesia and patient can be discharged same day. IPSC India is pioneer in performing this procedure.

The goal of a vertebroplasty procedure is to stabilize the vertebral compression fracture to stop its painful movements. Vertebroplasty is considered a minimally invasive surgery because it is done through a small puncture in the skin instead of an open incision.

Vertebroplasty and Kyphoplasty, both the procedures are done to fix the compression fracture of spine vertebrae. In Kyphoplasty, we use balloon to create some space inside the vertebrae and then fill that space with cement. But this makes kyphoplasty a difficult procedure as compared to Vertebroplasty and requires general anesthesia. Most of the recent studies have shown that there is no difference in outcome between the two procedures. Cost of the procedure is also less as compared to Kyphoplasty which is done under general anesthesia and may require hospital admission.

Vertebroplasty has several advantages: Do not require general anaesthesia. No need to open spine. No need to put rods and screws. No need of prolonged hospitalization. All these reduces the risk of complications.

Most people are able to walk after the procedure, but you may need to restrict yourself to home for 24 hours afterward to rest. Then you can slowly resume normal activity. Some patients, but not all, feel pain relief soon after vertebroplasty. These patients report that their pain is gone or is much better within 48 hours. At times, due to involvement of other nearby structures, pain relief is not complete after the procedures. In such cases, your pain specialist may advise another procedure like facet joint block or facet denervation, or myofascial trigger point injection.

Yes! percutaneous vertebroplasty can be performed in spinal vertebrae that are not suitable for surgical fixation, for instance because of osteoporosis or because general anaesthesia may not be advised in patients who are very sick. This procedure can also be performed in spine fractures due to spinal metastasis. Some cancers at some stages of cancer, spread to other areas like spine. These spinal pathologies are very painful and at times lead to fracture of spine.

The beauty of this procedure is its simplicity. “A small needle is advanced into the fracture using only local anaesthetic followed by the placement of bone cement into the fractured area. The cement hardens in about 10-15 minutes and remarkably the pain is gone.” “After performing good number of vertebroplasties, I can confirm that this is one of the most significant procedures for the treatment for vertebral compression fractures,”

The calcium phosphate cement flows into the spongy inside portion of the bone, filling in microfractures and other damaged areas, and it hardens in about 10 minutes' time.

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spinal cord stimulator

SPINAL CORD STIMULATOR

IPSC Hospital: Advanvced centre for Spinal Cord Stimulators and Implantable Neuromodulation devices for Chronic Pain, Neuropathic Pain, and Failed Back Surgery:

A spinal cord stimulator is a medical device that is implanted under the skin to deliver electrical impulses to the spinal cord. These impulses help to block pain signals from reaching the brain. Spinal cord stimulators can be used to treat a variety of pain conditions, including: Chronic back pain Chronic neck pain Chronic leg pain Neuropathic pain Failed back surgery syndrome A spinal cord stimulator consists of two main parts: a generator and one or more leads. The generator is a small, battery-powered device that is implanted under the skin, usually near the abdomen or buttocks. The leads are thin wires that are inserted through the skin and into the epidural space, which is the space between the spinal cord and the vertebrae. The generator sends electrical impulses to the leads, which then deliver the impulses to the spinal cord. The impulses help to block pain signals from reaching the brain. Patients can use a remote control to adjust the intensity and frequency of the stimulation. Spinal cord stimulators offer a number of benefits for patients with chronic pain, including: Long-term pain relief Improved quality of life Reduced need for pain medication Fewer side effects than pain medications Minimally invasive surgery Reversible procedure Spinal cord stimulators are a good option for patients with chronic pain who have not responded to other treatments, such as physical therapy, medication, and injections. Spinal cord stimulators are also a good option for patients who have failed back surgery. Most patients recover from spinal cord stimulator implantation within a few days. However, it is important to avoid strenuous activity for several weeks. Patients will need to follow up with their doctor regularly to adjust the stimulation settings and monitor their progress.

SPINE SURGERY

Spine Surgery at IPSC Hospital: Minimally Invasive and Percutaneous Spine Fixation Surgery

At IPSC India, we believe in managing our chronic spinal pain patients with minimally invasive technique. But, there are conditions where we prefer to go for open spinal surgical procedures over less invasive techniques. At times, we do have patients who need urgent surgeries to prevent them from going into permanent damage. There are multiple myths about spine surgeries and decision to have spinal surgery can be difficult specially when we have multiple “free of cost advises” flouting around us. Spine fixation surgery is a type of spine surgery that uses screws, rods, and other implants to stabilize the spine. It is often used to treat conditions that cause instability of the spine, such as spondylolisthesis and fractures. Spine fixation surgery can also be used to treat conditions that cause pain and nerve compression, such as herniated discs and spinal stenosis.

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FAQS

Spine Surgery: Indications, Types, and Benefits

We cannot avoid working but we can modify our lifestyle to prevent and manage our back pain. More commonly seen with prolonged sittings. We just need to stretch and get out of our chair after every 30-40 min, just a min or two to avoid constant loading on spine. B. Workouts depends on the type of back disorder. Rest is not advisable for most of the back problems. Infact, in some cases, rest aggravates the spine problem specially lower back and neck pains. C. Rest is only indicated in severe conditions like sciatica, pinched nerves, severe disc bulge, spine fractures. D. Your spine doctor or spine specialist will advise you stretching or strengthening exercises depending on the type of spine pain.

Fact: At IPSC India, we advise open surgical procedures only in selected cases where it is required. After discussing other options with patients, we advise surgery where surgery has a definite advantage over other treatment options.

Fact: Most of the spine surgeries are successful but at times some patients develop secondary problems which are not directly related to surgery. Infact, the medical authorities have withdrawn this terminology.

Fact: Some surgeries where we have to put implants to fix the spine, do take long time to recovery as bones need some time to fix the implant. Restriction in some activities are required after spine fixation surgery but usually patients are able to perform routine activities within weeks’ time.

Fact: Repeat surgery is extremely rare now with advancement of other techniques. Some secondary sources of pain after spine surgery can be managed effectively with minimally invasive techniques.

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Coolief Biacuplasty

Percutaneous Disc Annuloplasty or Biacuplasty

Cooled RF: A Minimally Invasive Treatment for Discogenic Pain

Percutaneous disc annuloplasty or biacuplasty cooled RF is a minimally invasive treatment for discogenic pain. Discogenic pain is a type of back pain that is caused by a problem with the intervertebral discs. The intervertebral discs are cushions that sit between the vertebrae in the spine. They act as shock absorbers and help to keep the spine flexible. With age and wear and tear, the intervertebral discs can degenerate. This can lead to tears in the annulus fibrosus, the outer ring of the disc. Annular tears can cause pain and inflammation. Percutaneous disc annuloplasty or biacuplasty cooled RF uses radiofrequency energy to heat the annulus fibrosus. This heat helps to shrink the tears and reduce inflammation. The procedure is done through a small needle that is inserted into the disc.

FAQS

Know how to manage Chronic Back pain with minimally invasive US FAD Approved Advanced Technology

Discogenic pain is the pain coming from the disc itself. Bulging disc and slipped disc causes compression of nerves but in discogenic pain, there is a tear in the disc, with or without any bulge. That means the protective covering of the disc, annular fibrosus, becomes weak and it leads to tear or break in the continuity.

Usually, this kind of pain from the disc happens when you sit or stand at one place for a long time. Depending on the amount of tear, the pain starts after a particular time. In minor tear, it usually comes after 45 min to 1 hour, in moderate tears, 30-40 min and in major tear, even with 5-10 min of sitting. It becomes difficult to get up after rest. Back becomes very stiff. Forward bending aggravates the back pain. At times, when the back pain becomes severe, it is felt in the hips and thighs also. Early morning stiff back is another feature.

In biacuplasty we repair the annular tear or the damaged part of the disc which is causing pain. This is done with cooled RF sysytem. This not only reduces pain but also strengthens the disc and makes the disc strong to bear forces.

Percutaneous disc annuloplasty or biacuplasty cooled RF is a minimally invasive procedure, which means that it is less risky and has a shorter recovery time than surgery. It is also a non-surgical treatment, which means that there are no incisions or scars.

Percutaneous disc annuloplasty or biacuplasty cooled RF is a good candidate for people with discogenic pain that has not responded to other treatments, such as physical therapy and medication.

The risks and side effects of percutaneous disc annuloplasty or biacuplasty cooled RF are minimal. Some people may experience temporary pain, numbness, or tingling at the injection site.

Percutaneous disc annuloplasty or biacuplasty cooled RF is a relatively quick procedure, typically taking about 30 minutes to complete.

Most people are able to go home the same day as their procedure. Recovery time varies from person to person, but most people are able to return to their normal activities within a few days. At IPSC, we encourage patients to start regular walks of 20-30 min, morning and evening, with a lumbar support belt for 4 weeks. Repair typically takes 4-6 weeks time but the patients start experiencing a reduction in pain and stiffness within 7-10 days.

Radiofrequency Ablation for Facet Joint Pain: Finding Lasting Relief in Your Neck and Back

Cervical and Lumbar Pain Relief Without Surgery

Struggling with chronic neck or back pain from facet joints? Radiofrequency ablation (RFA) could be your answer. This minimally invasive procedure uses radio waves to target and disable nerves that send pain signals, offering long-lasting relief without surgery.

FAQS

RFA uses radio waves to heat and disable nerves that transmit pain signals from facet joints in your neck or back.

If conservative treatments like physical therapy and medication haven't helped your facet joint pain, RFA might be an option.

RFA can offer long-lasting pain relief (often 6 months or more) with minimal downtime and risks.

You may experience some soreness and numbness in the treated area, but most people resume normal activities within a few days.

As with any procedure, there are potential risks like bleeding, infection, and nerve damage. However, these are rare with RFA.