A Novel Combination Technique: Three Points of Epiduroscopic Laser Neural Decompression and Percutaneous Laser Disc Decompression With the Ho:YAG Laser in an MSU Classification 3AB Herniated Disc

Pain Practice ◽  
2020 ◽  
Vol 20 (5) ◽  
pp. 501-509
Author(s):  
Serbülent Gökhan Beyaz ◽  
Ali Metin Ülgen ◽  
Burak Kaya ◽  
Mustafa Erkan İnanmaz ◽  
Tolga Ergönenç ◽  
...  
Keyword(s):  
Herniated Disc ◽  
Ho:Yag Laser ◽  
Combination Technique ◽  
Laser Disc

Percutaneous laser disc decompression: A minimally invasive procedure for the treatment of intervertebral disc prolapse – the Bangladesh perspective/Perkutane Laser-Diskusdekompression: Ein minimal-invasives Verfahren zur Behandlung von Bandscheibenvorfall – Ein Erfahrungsbericht aus Bangladesch

2013 ◽  
Vol 2 (3) ◽  
Author(s):  
Yakub M. Ali ◽  
Jahangir M. Sarwar ◽  
Mohammad S. Hossain ◽  
Manash C. Sarker ◽  
Mohammad N. Kayes ◽  
...  
Keyword(s):  
Pain Relief ◽  
Minimally Invasive ◽  
Intervertebral Disc ◽  
Local Anesthesia ◽  
Invasive Procedure ◽  
Intradiscal Pressure ◽  
Herniated Disc ◽  
Minimally Invasive Procedure ◽  
Laser Disc ◽  
Failed Back Surgery

AbstractThe purpose of this paper is to assess the clinical effectiveness of percutaneous laser disc decompression (PLDD) for patients with radicular pain due to intervertebral disc hernia and to describe our experience in this field in Bangladesh.PLDD is a procedure in which herniated intervertebral discs are treated by the reduction of intradiscal pressure by laser energy. This is introduced by a needle inserted into the nucleus pulposus under local anesthesia and fluoroscopic monitoring. Small volume nucleus vaporization results in a sharp fall in intradiscal pressure, with the consequent migration of herniation away from the nerve root. PLDD has been reported to be a safe, effective, minimally invasive treatment option for patients with a herniated disc.This observational random prospective analysis was carried out during the period from November 2007 to December 2011. PLDD was performed on 4622 herniated discs of 2580 patients (1420, male; 1160, female), whose age ranged between 18 and 85 years. A total of 47 cases were failed back surgery syndrome (FBSS). All patients were followed up (ranging from 1 month to 36 months, with a median of 12 months) and were evaluated according to MacNab criteria.Amongst the 2580 patients, 2296 (89.0%) reported immediate pain relief, 230 (8.9%) patients were uncertain and the remaining 54 (2.1%) did not have immediate pain relief. In the subsequent follow up, according to MacNab criteria a good response was seen in 1935 (75.0%) cases and a fair response in 335 (13.0%) cases. The response to the treatment was poor in 310 patients (12.0%). A second session of PLDD was performed on 292 (11.3%) patients made up of 162 patients (6.3%) due to multi-level (>2 discs) prolapse, 102 patients (3.9%) due to an extensive prolapse of one or two discs and 28 patients (1.0%) because of a relapse. In two cases of a prolapsed dorsal spine (TPLDD is an effective and minimally invasive procedure which has almost no side effects or complications, can be performed under local anesthesia, results in no scarring or spinal instability, and still does not hinder the scope of open surgery in failed cases. PLDD is also effective in cases of FBSS.

The Impact of Psychiatric Comorbidity on Quality of Life in Patients Undergoing Herniated Disc Surgery

2012 ◽  
Vol 137 (S 03) ◽  
Author(s):  
K Stengler ◽  
M Löbner ◽  
M Luppa ◽  
HH König ◽  
SG Riedel-Heller
Keyword(s):  
Quality Of Life ◽  
Psychiatric Comorbidity ◽  
Herniated Disc ◽  
Disc Surgery ◽  
The Impact

Considerations On Kinetotherapy Of Low Lumbar Pain

2019 ◽  
pp. 34-38
Author(s):  
Bogdan Hagiu
Keyword(s):  
Leisure Activities ◽  
Herniated Disc ◽  
Lumbar Pain ◽  
Pathophysiological Mechanism ◽  
Common Condition ◽  
Lumbar Stabilization ◽  
Specific Medication ◽  
Spinal Osteoarthritis ◽  
Work Accidents ◽  
Lower Lumbar

Low lumbar pain is a very common condition that can benefit from kinetotherapy, which can be combined with specific medication and cognitive therapy. Depending on the pathophysiological mechanism of production, some physiotherapy exercises or techniques can be highlighted, because they have an increased efficiency in combating this type of pain. Thus, in the case of lower lumbar pain inherent to fibromyalgia, aerobic exercises appear to be more useful, and in the case of pain that accompany a herniated disc are recommended strenght exercises and lumbar stabilization. Lower lumbar pains due to work accidents are particularly beneficial for aerobic exercise if muscular contractions are present, and those with a sacroiliac joint dysfunction as an etiology can be alleviated by Mulligan mobilizations, Mulligan tapping and ultrasound; for those caused by spinal osteoarthritis are especially useful yoga and stretching exercises. Lower lumbar pain can also be caused by ankylosing spondylitis, in which case they can be improved by gymnastics, hydrotherapy, massage, leisure activities.

A Non-Monotone Line Search Combination Technique for Unconstrained Optimization

2014 ◽  
Vol 8 (1) ◽  
pp. 218-221 ◽  
Author(s):  
Ping Hu ◽  
Zong-yao Wang
Keyword(s):  
Global Convergence ◽  
Unconstrained Optimization ◽  
Numerical Experiments ◽  
Line Search ◽  
Optimization Problems ◽  
Search Algorithm ◽  
New Combination ◽  
Combination Rule ◽  
Combination Technique ◽  
Unconstrained Optimization Problems

We propose a non-monotone line search combination rule for unconstrained optimization problems, the corresponding non-monotone search algorithm is established and its global convergence can be proved. Finally, we use some numerical experiments to illustrate the new combination of non-monotone search algorithm’s effectiveness.

scholarly journals Minimally invasive techniques in spinal surgery: current practice

1998 ◽  
Vol 4 (2) ◽  
pp. E10 ◽  
Author(s):  
Parviz Kambin ◽  
Thomas Gennarelli ◽  
Frank Hermantin
Keyword(s):  
Minimally Invasive ◽  
Spinal Surgery ◽  
Current Practice ◽  
Herniated Disc ◽  
Operative Techniques ◽  
Spinal Motion ◽  
Minimally Invasive Spinal Surgery ◽  
Epidural Steroid ◽  
Visual Diagnosis ◽  
Invasive Techniques

Minimally invasive spinal surgery under arthroscopic or endoscopic magnification and illumination is emerging as an alternative, reliable method of treatment in a variety of spinal disorders. The operative techniques being used for discectomy and retrieval of herniated disc fragments or stabilization of unstable spinal motion segments are being utilized for visual diagnosis and debridement of infectious discitis and osteomyelitis transpedicular and transforaminal vertebral body biopsy, temporary diagnostic fixation of unstable lumbar motion segments, and transforaminal epidural steroid therapy.

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