Archive for the ‘Texas’ Category
Regenerative Medicine
Administering undifferentiated stem cells to an injured disc has made adult stem cell regenerative medicine in spine a reality. Adult stem cell regenerative medicine holds the promise of stabilizing or even reversing the degenerative changes associated with aging or following traumatic injury. Current clinical use of stem cells is very limited, in part by the cumbersome approval process. The use of concentrated bone marrow aspirate (BMC) as a “stem cell” preparation is currently the simplest and safest way of utilizing the regenerative potential for mesenchymal stem cells (MSCs) to promote tissue regeneration. In fact, stem cells concentrated from bone marrow have been shown to stimulate the formation of bone, cartilage, ligament and tendon, and dermal tissues.
Conservative treatment options for lumbar and cervical pain associated with discogenic disc disease (Pfirrmann Grades 3-6) are limited. Treatment options include pain medication, steroids, physical therapy, and chiropractic care. Reversal of disc pathology has not been achieved with current available treatment modalities. Failure of these nonoperative treatments may leave surgical intervention as a treatment option.
The goal of utilizing MSCs is to not only potentially provide pain relief from the painful degenerative disc, but to reverse the degenerative process. There are three methods for placing MSCs into the painful nucleus pulposus.
The use of allogeneic mesenchymal precursor cells (MPCs) is currently being evaluated as a part of an FDA Phase I clinical trial. Extracted from donors and expanded in number by tissue culture, this process isolates and grows the stem cells into pure MPCs which are injected into the nucleus pulposus. This technology does not have FDA approval.
Utilizing expanded, autologous MSCs for injection into the painful disc is the second method. Federal regulations require the approval of an Investigational New Drug application supported by prospective, randomized clinical trials for the use of expanded autologous MSCs. The FDA has not approved this technology.
The third method involves autologous point of care therapy. This technology does not require FDA approval. The patient’s own MSCs are directly injected into the nucleus pulposus of the symptomatic degenerated disc(s) using standardized two needle discography technique. This requires fluoroscopic visualization and 2-3cc of MSCs are slowly injected into the symptomatic nucleus pulposus.
There have been no complications associated with the iliac crest aspiration or disc injection. Thus far no patient in the study has undergone spine surgery following treatment. Results obtained with this technique suggest its potential clinical efficacy in the treatment of moderate to severe degenerative disc disease. These results require verification with longer follow-up and randomized prospective studies.
For more information regarding treatment options please visit our websites at http://www.becomepainfree.com
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Minimally Invasive Spinal Surgery, MISS, Spine Surgery, Back Surgery, Pain Help, Neck Help, New Back Surgery, Back Surgeries
Description of Spinal Surgery
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Minimally invasive spinal surgery or MISS in Texas does not apply to any one particular type of surgery. The goal of this type of spinal surgery is to achieve the same effect as with traditional surgery process, but to do so through very small tiny incisions. This also involves less trauma to muscles. Surgery is sometimes done through very small tubes like test tubes. There are minimally invasive techniques or MIT for several spinal surgeries, including discectomy and fusion. However, this method cannot be applied to all patients. Often, a minimally invasive method or MIM of placing pedicle type screws and rods is combined with a traditional fusion.
What to Expect Before a Spinal Surgery
Once you have decided to have spinal surgery which is exciting, the following events may take place:
- A full medical examination from head to toe.
- A chest x-ray, EKG and full blood work.
- You may also be asked to have a neurological or psychological examination.
- If taking aspirin medication or anti-inflammatory medications daily, a doctor may ask you to stop these medications at least one week before surgery.
- If you take prescription medications or meds and other drugs, including herbal stuff, ask your doctor how soon before surgery you should stop taking these.
- Do not have anything to eat or drink for 6 to 8 hours before surgery as directed by your doctor.
- You will check into the hospital the morning of surgery sometimes the day before.
- Prior to any surgery, you will be asked to sign permits for surgery, anesthesia, blood and blood products.
What to Expect During a Spinal Surgery
- Several small incisions are made in the low back.
- Fluoroscopy x-ray, a method used to make images, is used to determine the correct level(s) to be operated.
- A tube is gently passed through the muscles toward the spine area.
- Pedicle screws are placed through the tube and into the vertebral body.The screws are connected with a rod sometimes.
- This process is repeated until all the screws (usually two or three on one side of the spine) are placed.
- The screw placement and rod placement procedure will be completed on the other side of the spine area.
- Surgery takes approximately 1-5 hours.
What to Expect After Spinal Surgery
- You will be in the recovery room from 1 to 1½ hours in most cases.
- The surgeon will contact your family while you are in recovery.
- After going to a hospital room, you will be able to use a PCA pump to get medication for pain control. This machine controls the amount of medication that can be received.
- Staff will usually get you out of bed shortly after surgery.
- The hospital stay is usually 1-3 days sometimes you can go home the next day (tends to be 1-2 days if only a minimally invasive procedure is done).
- A brace of some sort or corset is usually prescribed.
- You will be given any needed prescriptions and discharge instructions from the hospital.
- A set of exercises that you can do at home may be provided.
- You will be able to ride in a car or plane upon leaving the hospital in most cases.
- Physical therapy or PT is usually initiated after the first office visit with your doctor following surgery.
Your recovery from minimally invasive spinal surgery process in Texas varies greatly among all patients and is dependent on the exact type of spinal surgery as well as the age and health and condition of the individual. Return to work also varies greatly among patients and is related to overall health and the type of work you do.
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Minimally Invasive Laser Spine Surgery | Spine Surgeons | Dallas, Texas, No More Back Pain, Minimally Invasive Spine Surgery, Pain Free Fast, Fellowship-Trained Spine Surgeons,
Minimally Invasive Laser Spine Surgery | Spine Surgeons | Dallas, Texas
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Because the minimally invasive industry has become extremely competitive in nature, multiple misconceptions have resulted from varias procedures. And while many doctors board certified and not as well as fellowship trained and not claim to perform minimally invasive procedures, few actually are trained to do so properly, making it more important than ever for patients to not only interview doctors, but to know the right questions to ask and to be educated on the correct answers they get.
Become Pain Free | Pain Specialist in Texas
Call Us: (214) 396-3647 | (888) 373-3720
Fax #: (888)238-9155 | E-mail Us
Our physicians specialize in numerous medical specialties, including, but not limited to: Orthopedics- spine and extremities, OB/GYN, Interventional Radiology, Oncology, Physical medicine and rehabilitation, Pain Management/Anesthesia, Surgical Anesthesia, Electro Diagnostic Testing, Autonomic Nervous System Testing, General Surgery/Bariatric Surgery, Hand/Plastic Surgery and Wound Care.