Become Pain Free, Pain, Back Pain, Spine Pain, Spine Surgery, Chronic Pain

The Blog of www.becomepainfree.com a National Pain Publication

Archive for the ‘Laser Spine Surgery’ Category

A new hope for back pain sufferers?

leave a comment »

Become Pain Free | Pain Specialist in Texas

(CBS News) Back pain is one of the most common of human complaints, which is why new treatments in the works are raising so many hopes. Our Sunday Morning Cover Story is reported now by Martha Teichner:

 

Consider the human spine, in all its glory.

 

The 24 vertebrae, cushioned by gelatinous discs . . . the little facet joints that help make your back flexible . . . all the ligaments and muscles and nerves.

 

The spine’s elegant complexity is a miracle of engineering, or a curse when something goes wrong.

 

Eight out of ten Americans will experience debilitating back pain sometime in their lives.

 

“My pain was very excruciating,” said Lenda. “I couldn’t walk, I couldn’t bend over. I couldn’t lie down.”

 

“I’d say, ‘Oh Lord, can’t you help my back, it does hurt bad’ – he didn’t help me a bit,” said Leila.

 

And the most common culprit?

 

“I think most people would think it’s the inter-vertebral discs, whether it’s herniated or whether it’s just worn and arthritic and associated with pain,” said Dr. Augustus White, a professor at Harvard Medical School. He has literally written the book on lower back pain.

 

He says the easiest way to understand a herniated disc is to think of a jelly doughnut: When what Dr. White calls “the jelly” gets squeezed out, it presses on nerves, which can mean excruciating pain. Barring serious illness, the first line of treatment may not be what the patient (who only wants a quick fix) wants to hear.

 

“You need to make sure the patient doesn’t have tumor or infection,” said Dr. White, “but once you rule those out, you can be confident that you’re not going to harm the patient by saying, ‘OK, give yourself four to six weeks.'”

 

Believe it or not, 90 percent of disc injuries heal themselves after a few weeks, especially with physical therapy. But waiting it out can be torture, and not everybody gets better. So that’s where surgery comes in.

 

More than 1.2 million Americans undergo spinal surgery each year. That’s more than TRIPLE the number of coronary by-pass surgeries (415,000), and nearly FOUR TIMES the number of hip replacements (327,000).

 

Approximately 300,000 of those back surgeries were spinal fusions, where vertebrae are joined surgically so they can’t move. They’re often held in place, permanently, with metal screws or rods.

 

For many patients, surgery is the only answer – salvation. But for all too many others, it can be a nightmare.

 

Which brings us to Dr. Kevin Pauza, a founder of the Texas Spine and Joint Hospital in Tyler, Texas.

 

“I spent decades treating patients who’ve had surgery, the surgery was fusions,” Dr. pauza said. “Patients would do well for a year or two, and they’d always come to me and need more help.”

 

In his experience, fusion was usually the wrong answer: “The spine’s made to be a structure that bends with every movement we make, and if we immobilize a segment of the spine, the adjacent segment breaks down. That’s known as the domino effect.

 

“So my thought was, can we do something to that disc so that we don’t have to fuse it? Can we bring the disc back to life?”

 

And that’s the headline of this story. Just imagine: A procedure that repairs and re-grows discs, that doesn’t involve spinal fusion, that’s no more than minimally invasive, outpatient surgery.

 

The inspiration came to him when he thought about something as basic as how an ordinary cut heals.

 

“I realized what heals a cut is something that’s very simple: It’s two products that are in you and I, they’re in everybody.”

 

In our blood plasma – they’re called thrombin and fibrinogen. For the cut to heal, the two components come together, and they make a substance called fibrin.

 

When the two components, in concentrated form, are injected into the disc through a kind of squirt gun Pauza invented, just like epoxy glue, they combine and become fibrin.

 

Injected into the damaged disc, the compound acts like a sealant, filling cracks and crevices, and eventually allowing the disc to re-grow. “It allows our degenerated disc to turn into a young, healthy, normal disc,” said Dr. Pauza.

 

Rusty Templeton is typical of Dr. Pauza’s failed fusion patients. He had his surgery in 2008, but the pain came back and was agonizing.

 

“I’ve kind of damaged the disc above and below my fusion, and of course that fusion disc is also in pretty bad disrepair,” said Templeton.

 

Templeton is given a local anesthetic. The procedure takes about five minutes…there’s no incision..no hardware…

 

Typically, at first, patients feel discomfort. “Some patients even say, ‘Gosh, I wish I never had this done,'” said Dr. Pauza. “And then several weeks later, the patients just turn a corner. We tell them that they can expect that there will be one day where they have pain, and the next day, it’ll just stop.”

 

Dr. Pauza is hoping for Food and Drug Administration approval of the procedure by 2015, and to make it available to the public shortly thereafter. Phase III clinical trials are underway now at 20 sites around the U.S.

 

Dr. Pauza has successfully treated more than a thousand patients in his private practice. “We started treating the first patients approximately five or six years ago, and the success rate is approximately 86 percent,” he said.

 

So how did Rusty Templeton do? “My pain before was at least a ten,” he said. And two months after the procedure? “It’s still around a five, because I have underlying issues. But I can lay down now. I can, you know, walk around. I can drive where I couldn’t drive before.

 

“The pain level I had before the procedure was probably around anywhere from about a six to worse, eight,” he said.

 

Christopher Joseph is a home restorer who was in a car accident. How was his pain two months after the procedure? “Right now, it’s at zero.”

 

Dr. Michael DePalma is a spine specialist in Richmond, Va. The North American Spine Society has just published his paper on the latest experimental therapies involving disc restoration.

 

“Stem cells are something that’s being investigated to replenish cells within the disc directly, injecting growth factors, which are proteins, to try to stimulate repair in a disc have also been evaluated,” said Dr. DePalma.

 

He is involved in 4 different FDA trials of the new procedures and believes these so-called biologics are the future of back treatment. Based on the results so far, he thinks Dr. Pauza’s fibrin sealant offers the most promise.

 

If the treatment, asked Tecihner, is even 50% successful with someone, is that significant? Dr. DePalma replied, “It’d be huge.”

 

And then there’s the cost. Compare spinal fusion and fibrin treatment: “The treatment for a fusion – and this is the hospital fee – typically is in the $100,000 range, not including the physician’s fee,” he said. “We don’t have a set cost for [fibrin] treatment yet, but it’s approximately 95 percent less than the cost of a fusion.”

 

Dr. Pauza expects it to be widely available within five years.

 

“It’s the first time in history that we’ve been able to cause new tissue to grow within the spine. This procedure is the procedure that really the world has been waiting for,” he said.

 

Is it? The procedure is only for back pain sufferers with specific disc problems, but there are a lot of those . . . and Dr. Kevin Pauza is absolutely sure he’s found a better, safer, cheaper way of improving their lives.

 

 

Become Pain Free | Pain Specialist in Texas

BecomePainFree.com Treats

with one comment

Written by becomepainfree

January 31, 2013 at 4:01 pm

Posted in Laser Back Surgery, laser spine procedures, Laser Spine Surgery, Low back pain, Lumbar and Cervical Radiofrequency, Lumbar Microdiscectomy, M.D., Mayo Clinic, Mayo Clinic Spine Surgeon, Mayo Clinic Trained Surgeons, Medical Education, MINIMALLY INVASIVE, minimally invasive disc healing, Minimally Invasive Laser Spine Surgery | Spine Surgeons | Dallas, minimally invasive procedures, Minimally Invasive Spine, minimally invasive spine procedures, Minimally Invasive Spine Surgery, Minimally Invasive Stabilization, Minimally Invasive Surgery, MIS, Myofascial pain syndrome, Neck pain, Neck Pain Treatment Texas, Neuropathic Pain, non-invasive procedures, North American Spine Society, Open Surgery and Minimally Invasive Surgery, Overuse Injuries, Pain, pain disorders, Pain Doctor, Pain Doctor Dallas, Pain Doctor Fort Worth, Pain Doctor Irving, Pain Doctor Plano, Pain Doctor Texas, Pain Doctors, Pain Dr, pain management, Pain Medicine, Painful nerve injuries, Painful osteoarthritis, patients’ own stem cells, Pelvic pain/Genital pain, Pinnacle Pain, Pinnacle Pain Group, Positive Side Effects, posterior spinal fusion, Presbaterian Pain, Proven Results, PRP, Radicular Syndrome, Radiofrequency Ablation and Lesioning, Regenerative Medicine, Robotic Guided Spine Surgery, Robotic Spine Surgery, Rockwall Back Doctor, spinal cases from children, Spinal cord injury spasticity and pain, Spinal Cord Stimulator Trial, Spinal Fusion, Spinal Stenosis, Spine Microdiscectomy, Spine Pain Plano, Spine Surgery, Spine Surgery Addison, Spine Surgery Coppell, Spine Surgery Dallas, Spine Surgery Doctor, Spine Surgery Houston, Spine Surgery McKinney, Spine Surgery Mesquite, Spine Surgery Plano, Spine Surgery Robot, sports injuries, Stem Cell Therapy, stem cells, surgical treatment of spinal disorders, Texas, Texas Back Institute, Texas Health Pain, Texas Spine Consultants, Transforaminal Endoscopic Discectomy, True minimally invasive procedures, Work Comp Injury, Workers Compensation Injury

Tagged with , , , , , , , , , , , , , , , , , , , , , , , , ,

Minimally Invasive Spine Surgery

leave a comment »

Minimally Invasive Surgery:

Recent surgical advancements have focused on performing surgery through smaller incisions, with less disruption to surrounding soft-tissues. The idea behind minimally invasive surgery is to perform the same treatment without damage to normal surrounding tissues. The drawback of minimally invasive surgery is that sometimes the underlying problem may not be adequately addressed because of an inability to get to the problem. Whenever a new minimally invasive procedure is introduced, there is almost always controversy as to whether or not the procedure is as good as traditional surgery.

Endoscopic Spine Surgery:

Endoscopic spine surgery uses specialized video equipment inserted through small incisions to see the structures of the spine. Similar to arthroscopic surgery of a joint, endoscopic surgery has advanced over the past decade from merely being able to look to the area of interest, to the ability to repair and reconstruct a variety of complex problems.The benefit of endoscopic spine surgery is the potential to address problems through very small incisions. By not damaging the muscles around the spine, recovery can often be much faster than with a larger surgical exposure.

Microdiscectomy, Microlaminectomy and Microforamenotomy:

All of these micro-surgeries are variations of standard surgeries used to take pressure off of the nerves around the spinal cord. Traditionally done through larger incisions, the micro procedures use smaller incisions and specialized surgical instruments to accomplish the same goals of traditional surgery.There is no rule on where the line between traditional surgery and micro surgery is drawn. To some doctors this means a smaller incision, to others it means the use of special surgical instruments. Many variations of a procedure could be considered micro surgery.

Laser Spine Surgery:

Laser spine surgery is a technique that uses a laser to remove damaged tissues. Because a laser can be inserted through small incisions, it can be used to cut away damaged tissues (such as disc fragments) without having to make a large incision.There is significant controversy about laser spine surgery as this technique has not been shown to have significant benefits, despite advertising that may make you think otherwise. Often marketed in magazines and the Internet, laser spine surgery has become the focus of some lawsuits formisleading patients about expected results from surgery.

Is It Better?:

Is minimally invasive surgery better? There are many ways to answer this question. The bottom line is that we simply do not know. There are theoretic advantages, and there are possible downsides. But there are very few studies that compare the possible risks with the potential benefits of minimally invasive surgery.The bottom line I suggest is to find a surgeon who, above all, is interested in fixing your problem, not someone who is selling you on a smaller incision. If the same benefit can be achieved without damage to normal tissues, then minimally invasive surgery may be a good option.

Sources:

Mathews HH and Long BH “Minimally Invasive Techniques for the Treatment of Intervertebral Disk Herniation” J. Am. Acad. Orthop. Surg., March/April 2002; 10: 80 – 85.

Become Pain Free | Pain Specialist in Texas

Laser Spine Surgery Does it Work?, Laser Spine Institute, LSI, Laser Back Surgery, Laser Spine Work

leave a comment »

Here’s the real answer: www.becomepainfree.com can help!

A board certified typically does spine surgery and or fellowship trained spine surgeon to relieve pain and other symptoms by decreasing the pressure on a compressed nerve or by stabilizing the spine.  In the case of a herniated or ruptured disc area, a discectomy may be done to remove the damaged portion of a disc in the spine; or a laminectomy may be done to remove bone spurs or other spinal growths. In cases where the spine is very unstable, a spinal fusion can be performed to secure together two or more of the vertebral bones so that they “fuse” together.  These surgeries are now often performed using minimally invasive techniques that minimize damage to the surrounding tissue and allow for a faster recovery with much less blood loss. Laser spine surgery is often promoted as being minimally or even noninvasive and risk-free.  However, these laser spine procedures do require incisions and the laser itself can result in many serious complications.

LAser SPine

Laser

Laser spine surgery or Laser Back Surgery has never been studied in a controlled clinical trial to determine its effectiveness. Marketing pitches for spine surgery performed with a laser often make bold major promises of pain relief for chronic neck and back pain and a quick return to normal life; sometimes in a matter of days. What is often not clear from marketing hype is that laser spine surgery or laser back surgery done at such places as the laser spine institute does actually involve surgery.  An incision is required to allow access to the spine area in need of care.  A focused beam of light (laser) is then used only to remove the soft tissues over the spine.   Bone and ligament are then removed in order to free the nerve from compression using small instruments.  The laser in laser spine surgery or laser back surgery actually plays a very minor role in the total surgical procedure of the spine.

Lasers are certainly not new technology by any means.  Lasers have been available for use in medicine since 1973.  However, they have not been widely adopted as a tool to be used in spinal surgery ever.  The fact is that most neurosurgeons do not use or recommend the use of lasers for any spine surgery because there are no clear benefits and there are other well-established and documented studies proving the effectiveness of more modern and established spine surgery techniques.

The Importance of a Proper Diagnosis of you Condition

It is important to have a proper diagnosis of your problem before deciding to undergo spine major surgery.  Most cases of back and neck pain are muscular in origin and do not require or benefit from surgery. Unless severe pain or muscle weakness is making walking or performing daily activities extremely difficult, surgery is rarely the first line of treatment ever. Anti-inflammatory medication, physical therapy and exercise, lifestyle changes and other noninvasive treatment modalities such as therapeutic massage are often successful at resolving back and neck pain.

If conservative treatments fail to reduce back pain, then surgery may be necessary, depending on your current diagnosis. For example, if you have a herniated disk with leg or arm pain as a major symptom that hasn’t been relieved with other treatments, discectomy may be appropriate. If surgery is recommended, get a clear explanation of your diagnosis and how the surgery will help relieve your symptoms.

Traditional spine surgery has been tested in numerous clinical trials.  The major vast majority of patients who undergo discectomy for treatment of a herniated disc experienced relief from pain and other symptoms.  In elderly patients diagnosed with spinal stenosis, laminectomy is also a highly effectively procedure. Very few neurosurgeons regard laser spine surgery as a viable alternative to conventional spine surgery techniques. BecomePainFree spine surgeons do not use or recommend laser spine surgery or laser back surgery such as the ones done at the laser spine institute.

Mayo Clinic Opinion on Laser Spine Surgery

 https://www.becomepainfree.com/ can Help!

Become Pain Free | Pain Specialist in Texas

 

 

THE REAL EXPERTS IN MINIMALLY INVASIVE SPINE TREATMENTS, MIS, MINIMALLY INVASIVE SPINE, Dallas, Coppell, Fort Worth, Addison, Plano Texas, TX

leave a comment »

BecomePainFree.com compared to traditional open spine surgery, utilizes the knowledge of important anatomy, along with cutting-edge technology, to treat your spinal condition without causing undue injury to the surrounding soft tissues. Computer-assisted technology (such as computer navigation, nerve monitoring, and pain mapping) and highly specialized tools and instrumentation provide for the safe and effective treatment of your pain. Nearly all chronic neck and back pain that cam be treated openly (the most invasive), can be performed minimally invasively at MINIMALLY INVASIVE BECOMEPAINFREE.COM. These modern and advanced minimally invasive techniques are used to treat common back and neck degenerative conditions like herniated disc and spinal stenosis, as well as bone spurs, bulging discs, and sciatica to name a few.

MINIMALLY INVASIVE BECOMEPAINFREE.COM doctors are trained spine specialists who never use the typical expandable retractors. Our innovative and cutting edge minimally invasive spine equipment allows us to go between the muscle, often through an incision as small as 3 mm (the size of a large piece of rice), to avoid cutting the muscle altogether, this resulting in the most patient focused procedures which benefits include the smallest incisions you can possibly achieve, less blood loss, and considerably faster recovery times.


A few of the advantages of
MINIMALLY INVASIVE BECOMEPAINFREE.COM:

 Laser-Spine-Surgery1-300x243 (1)

Unlike other practices, MINIMALLY INVASIVE BECOMEPAINFREE.COM surgeons are trained spine specialists, more specifically, fellowship-trained and educated in the most innovative, minimally invasive technologies on the medical market. As leaders and innovators in their field, the MINIMALLY INVASIVE BECOMEPAINFREE.COM doctors are advisers to many international spine technology companies and have helped design many groundbreaking tools for the spine surgery industry.

Call Us: (214) 396-3647 | (888) 373-3720  Fax #:  (888 )238-9155 | E-mail Us https://www.becomepainfree.com/

 

Written by becomepainfree

January 25, 2013 at 5:44 pm

Posted in About Laser Spine Surgery, Comprehensive list of advanced minimally invasive procedures, fellowship in Disorders of the Spine, fellowship trained Orthopaedic Spine Surgeon, Fellowship-trained spine surgeons, Fort Worth Orthopedic Surgeon, Innovative pain mapping process, Laser Back Surgery, laser spine procedures, Laser Spine Surgery, Low back pain, MINIMALLY INVASIVE, minimally invasive disc healing, Minimally Invasive Laser Spine Surgery | Spine Surgeons | Dallas, minimally invasive procedures, Minimally Invasive Spine, Minimally Invasive Spine Surgery, Minimally Invasive Stabilization, Minimally Invasive Surgery, MIS, Open Surgery and Minimally Invasive Surgery, spinal cases from children, Spinal cord injury spasticity and pain, Spinal Cord Stimulator Trial, Spinal Stenosis, Spine Microdiscectomy, Spine Pain Plano, Spine Surgery, Spine Surgery Addison, Spine Surgery Coppell, Spine Surgery Dallas, Spine Surgery Doctor, Spine Surgery McKinney, Spine Surgery Mesquite, Spine Surgery Plano, Spine Surgery Robot, surgical treatment of spinal disorders, True minimally invasive procedures

Tagged with , , , , , , , , , , , , , , , , , , , ,

Minimally Invasive Stabilization (MIS), Cervical Spine Anterior Cervical Discectomy and Stabilization (ACDS)

leave a comment »

Anterior Cervical Discectomy and Stabilization (ACDS) is a type of minimally invasive fusion surgery that may be helpful in treating the following conditions within the cervical (neck) spine presented by BecomePainFree:

Laser-Spine-Surgery1-300x243 (1)

About ACDS

The ACDS procedure is designed to relieve neck pain by removing your painful disc material and bone spurs. During the ACDS procedure, the damaged disc is removed and implants are inserted to help stabilize your bones.

Like the other types of minimally invasive surgery at BecomePainFree.com, ACDS is performed through a small incision with the use of a surgical telescope. This approach eliminates the need to cut through muscle and involves minimal soft tissue damage, resulting in a quicker recovery for most patients.

Through a small incision, the surgeon will make a tunnel to the spine through the front area of the neck by moving aside muscles so that the bony vertebrae and discs can be seen. With the aid of a fluoroscope (a special X-ray), the surgeon will remove the disc and the remaining disc material. Next, open disc space is prepared for the bone graft stabilization or the artificial disc replacement. Allograft bone, or bone taken from your hip area, is used to complete the reconstruction and is then stabilized with a small titanium plate. Once that is complete, the incision is closed and the patient is on their way to postoperative recovery.

Call our group today  Call Us: (214) 396-3647 | (888) 373-3720  Fax #:  (888 )238-9155 | E-mail Us

https://www.becomepainfree.com/

 

Laser Spine Surgery, Laser Spine, Laser Back Surgery, New Back Surgery Procedure

leave a comment »

What is Laser Spine Surgery from BecomePainFree.com

Laser Back Surgery or Laser Spine Surgery is the perfect new alternative to conventional open spinal operations. In this new process, a laser is used for the removal of bone spurs so that no injury is caused to the soft tissues in the surrounding spine areas. The use of cutting-edge technology such as nerve monitoring and computerized navigation ensure the surgery is executed in a safe and smooth manner. Unlike traditional spinal surgeries, with laser surgery the patient is not made unconscious. On the contrary, a local anesthesia is done coupled with IV sedation which means the patient remains awake and totally comfortable when the surgery is performed. Moreover, since it involves the use of laser, the need for large incisions can be clearly avoided.

With our laser back surgery or laser spine surgery procedure, you do not need to stay in the hospital for a prolonged period of time from this Laser Surgery Procedure. The laser surgery is completed, in many cases, within an hour and the patient can even return home within hours after the operation.

There are a number of factors that work in favor of Laser Back Surgery or Laser Spine Surgery from https://www.becomepainfree.com/:

Call Us: (214) 396-3647 | (888) 373-3720  Fax #:  (888 )238-9155 | E-mail Us https://www.becomepainfree.com/

%d bloggers like this: