Treatment of a hernia of a backbone by the laser

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Content

  • 1The price of services for the removal of protrusion of the spine and the treatment of intervertebral hernia laser
    • 1.1Different types of herniation of the spine
    • 1.2Removal of a herniated spine with a laser
    • 1.3Laser vaporization (removal) of the hernia of the spine
    • 1.4Laser reconstruction (treatment method)
    • 1.5Contraindications for the application of the laser method
    • 1.6Positive features of treatment of vertebral hernia laser
    • 1.7What is a laser treatment?
    • 1.8Examination of the patient's condition
    • 1.9Technological features of the operation
    • 1.10Rehabilitation after laser exposure
    • 1.11The cost of laser removal of the intervertebral hernia
  • 2Effective removal of a herniated spine with a laser
    • 2.1The basic principle of laser treatment
    • 2.2How does the laser hernia cure?
    • 2.3Other methods of treatment with laser therapy
    • 2.4Advantages and disadvantages of laser surgery
  • 3Removal of the intervertebral hernia laser: prices
    • 3.1Types of operations
    • 3.2Indications
    • 3.3Contraindications
    • 3.4Examination before surgery
    • 3.5Laser vaporization
    • 3.6Laser reconstruction
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  • 4Treatment of a herniated spine with a laser: the types and characteristics of therapy
    • 4.1The concept of laser therapy
    • 4.2The advantages and disadvantages of the method
    • 4.3Indications for laser treatment
    • 4.4Contraindications
    • 4.5Preparing for the operation
    • 4.6Types of treatment
    • 4.7Carrying out vaporization
    • 4.8Using laser reconstruction
    • 4.9What happens during the session?
    • 4.10Stages of the operation
    • 4.11Recommendations for rehabilitation and prognosis for the patient
  • 5Treatment of a hernia of a backbone by the laser
    • 5.1General information about the methods of treatment
    • 5.2What is laser intervertebral hernia therapy
    • 5.3Advantages of laser therapy of intervertebral hernia

The price of services for the removal of protrusion of the spine and the treatment of intervertebral hernia laser

Before turning to the treatment of vertebral hernia with a laser, you need to briefly familiarize yourself with the structure of intervertebral discs and determine the condition of the pathology.

In order for the body to easily bend and unbend in different directions, nature provides intervertebral disks, which play an important role in the work of the spinal column.

Cartilaginousthe fabric of which the discs are made up, has a different structure inside and out.

The center of the intervertebral disc is a pulpous nucleus, which is characterized by a watery structure and is intended for depreciation during movement. Fibrous ring is located around this nucleus and keeps it in the desired position.

The composition of the ring includes the fibers of the elastic structure, which constitute a powerful interlacing. To fix the intervertebral disc to the vertebra, hyaline cartilage is provided.

Intervertebral hernia appears whenchanges the structure of the fibrous ringdue to heavy loads in work, after an age-related disturbance of metabolic processes in the body and as a result of insufficient supply of cartilage.

The fibers of the fibrous ring lose elasticity, are damaged, can not absorb heavy loads, and the pulpous ring becomes less elastic, protrude through the ring at the point of its rupture. The protrusion forms a herniated intervertebral disk.

As a result of the formed hernia there is a squeezing of some neural processes located side by side,responsible for other bodiesand parts of the human body.

As a result of such changes, the patient may get temporary disability, narrowing of the spinal canal can lead to inflammation of the spinal cord.

The phenomenon is accompanied by severe pain and can cause paralysis of the lower extremities.

Diagnosis of a spinal hernia indicates that treatment should be started with all seriousness and as soon as possible.

Symptoms of disease progressionis the impossibility of full movement, severe pain, muscle spasm, stiffness, a violation of the sensation of the legs, numbness, burning sensation, heat and tingling in the back and limbs.

Different types of herniation of the spine

Depending on thewhich part of the spinal column is the hernia, it is given the name:

  • the vertebral hernia of the cervical region manifests itself as a rapidly growing pain in the neck, immediately after that painful sensations arise in the chest and scapula, arm and forearm, the movement of the affected side is limited, the blood supply of the brain is impaired, which leads to headaches and dizziness;
  • intervertebral hernia of the thoracic region begins with the development of compression compression of the roots of the spinal cord or itself, it causes chest pain, in the region ribs, in the back, provokes the development of cardiac, gastric and respiratory diseases, surgical treatment is rarely done, mainly conservative method;
  • the intervertebral hernia in the lumbar region is characterized by constant pain sensations in the back, which increase when performing even simple movements, the further disease provokes lowering of pain in the thigh, buttocks, knees, lower legs and feet, there is weakness in the legs, a feeling of tingling and numbness.

Removal of a herniated spine with a laser

Polarized light, which is produced by the generator of electromagnetic radiation in the optical range, is called a laser.

The force of influence on the human bodydepends on the wavelength, the time span, the power of the beam emitted and many other parameters.

The laser causes tissue heating, coagulation, photopolymerization, evaporation, crushing, stimulates healing and triggers biological processes, removes painful processes. This method is actively used to diagnose and treat diseases in various areas of medicine:

  • dentistry;
  • cosmetology;
  • ophthalmology;
  • gynecology;
  • oncology.

In recent years, the method of laser therapy has found wide application in the treatment of intervertebral hernias.Laser therapy provides two options.

Both doctors use at the beginning of the disease, no later than 6 months after the appearance of protrusion. Laser treatment is indicated in case the drug therapy did not give proper results.

The patient should not have certain contraindications.

Laser vaporization (removal) of the hernia of the spine

Indications for laser treatment in the following situations:

  • severe pain of a persistent nature;
  • violation of the sensitivity of the lower extremities;
  • lack of result when treated by other means;
  • burning and tingling in the cervical region, back;
  • frequent dizziness, headache, numb fingers on the hands;
  • it is necessary to get rid of the hernia for the period of gestation and feeding.

Laser reconstruction (treatment method)

Applicablefor repairing cartilage fibersand is used in the following cases:

  • after removal of intervertebral hernia laser vaporization to prevent the occurrence of relapses;
  • if the MRI showed that the pains arise due to a change in the composition of the cartilage, the beginning of its destruction, laser reconstruction can restore the structure.

Contraindications for the application of the laser method

Laser treatment orcomplete removal is not assigned, if there are a number of conditions that are contraindications:

  • vertebrae from birth are not properly developed, with anomaly;
  • Diagnosis determined that the patient had a sequestered hernia;
  • if protrusion of the intervertebral hernia is exacerbated by inflammatory processes;
  • if combined stenoses are present and the integrity and structure of the canal of the vertebral spinal cord is impaired;
  • the patient's age is more than 50 years;
  • hernia reached a size of more than 6 millimeters;
  • if the life of the patient is associated with sedentary work and a sedentary lifestyle.

Positive features of treatment of vertebral hernia laser

Methodstreatment of intervertebral herniathere is a great variety. The laser is one of the most effective methods and the youngest. The technique of removal and treatment of a hernia with a laser has a number of undeniable advantages and a series of shortcomings:

  • the application of the new method allows to reduce spinal injuries and reduce them to zero, but the disrupted structure of the disk will not allow vertebrae to coalesce with each other, and, consequently, the spatial model of the ridge is not completely reproduced;
  • Since laser correction is performed without the use of anesthesia, it is good for those patients who I experience allergies or during pregnancy, but during the operation, a feeling of a small discomfort;
  • pain after laser treatment is rapid, within 5 days after the manipulation;
  • Operation by the laser concerns to bloodless methods, after it on a skin there are no cicatrixes and other traces;
  • to remove or treat a hernia with a laser can be done in several parts of the spine at the same time, but one should carefully approach the detection of inflammation of the cartilaginous tissue, the application of the method can aggravate the situation;
  • laser surgery or time-based therapy takes only one hour, under steady-state conditions, the patient lies for 1-3 days;
  • the rehabilitation and rehabilitation period lasts approximately two months.

The list of complications after laser treatment has not been studied.Despite the young age, the period of use of the method allows to draw conclusions about exacerbations after the treatment.

Some patients complain of relapses. But it is necessary to study thoroughly every single case to draw a conclusion about the causes of complications.

It is possible that they arose because of a patient who did not follow the doctor's instructions after the treatment.

It is very important to change the lifestyle, reduce body weight, strengthen the muscle corset, exercise and gymnastics.

What is a laser treatment?

Laser therapyis not an expensive procedure, and not everyone can afford it. The intervertebral disc is heated by irradiation up to 70 ° C.

This allows to evaporate the protruding part of the pulpous core, without destroying the cartilaginous ring. The nucleus decreases in size and ceases to press on the nerve endings.

The procedure of laser therapy will allow you to change the size of the hernia in a smaller direction and reduce the negative impact on well-being.

Laserstimulates the development and growth of cartilaginous tissueand restores its destruction.

In the process of treatment, which can last six months, the damaged fibers are replaced by new ones.

Sometimes laser treatment is used for the fastest healing of the joint after surgery. The operation involves several stages.

Examination of the patient's condition

Regardlesschosen method of treatment, at the initial stage, a standard examination is performed, which includes the following procedures:

  • examination of blood and urine;
  • carrying out spinal column examinations using computed tomography;
  • determination of the state of the cardiac system (electrocardiogram);
  • examination and consultation with a therapist, anesthesiologist, neurosurgeon;
  • the doctor may refer the patient to additional tests or examinations.
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Technological features of the operation

Local anesthesia is carried out at the site where the operation will be performed,anesthetics are used.

The needle of the device is inserted into the deformed disc by the skin puncture method.

To the problem zone in the region of the ridge, a light guide is introduced, intended for the arrival of electrical impulses.

Electric current supplyleads to evaporation of the liquid of the protruding pulposal nucleus, the steam is removed through the needle.

The size of the hernia decreases and the pain passes.

The operation is controlled by X-ray radiography, which is performed at a minimum power, harmless to the patient.

In the transcutaneous reconstruction operationAfter insertion of the needle, laser pulses are appliedsuch a power that does not allow the substance to evaporate, but only heats the disc tissue to 60-70 ° C, while retaining and regenerating the fibrous structure.

Rehabilitation after laser exposure

All patients are under observation during the day, while in the hospital, with poor health, the doctor prolongs the period. Patients take anti-inflammatory medications.

During two monthsexclude any physical activityand the sports classes and trainings stop. After the termination of rehabilitation pay attention to excess weight, if such a problem is present, then they revise the diet in the direction of calorie reduction.

The cost of laser removal of the intervertebral hernia

The price is determined by various factors and circumstances. SometimesThe operation requires inspection and consultationa number of specialists, among whom may be well-known doctors with decent work experience.

The cost of their services significantly exceeds the similar services of young doctors. The price of consultation of the known neurosurgeon or the surgeon reaches up to 3 thousand. rubles, an orthopedist at the appropriate level in Moscow or St. Petersburg will ask for 1 thousand.

rubles.

The cost of laser correction or removal depends on the reputation and rating of the clinic in Moscow:

  • in the central railway hospital # 1 the cost of two types of laser intervention costs from 15 thousand. rubles;
  • in the center of clinical diagnostics. Sechenova I.M. the same manipulations will cost from 80 thousand. rubles;
  • the central hospital of the Russian Academy will ask from 60 thousand. rubles;
  • neurosurgical minimally invasive clinic will take from 50 thousand. rubles.

In St. PetersburgLaser hernia removalwill cost in various clinics from 80 to 100 thousand. rubles.

These amounts do not include the cost of rehabilitation procedures.

Depending on the pathologies and complications that arose in the preoperative period, the cost of surgery by the laser on the spine increases to 100-150 thousand. rubles.

A source: http://artrit.guru/bolezni-spiny-i-sustavov/gryzhi/cena-za-udalenie-gryzhi-pozvonochnika-lazerom-i-lechenie.html

Effective removal of a herniated spine with a laser

Treatment of intervertebral hernia laser began to be used since the late 90s of the twentieth century in Western Europe, then this technology was actively used in the territory of the post-Soviet space.

The basic principle of laser treatment

The effectiveness of treatment, according to reviews of patients and doctors, can be different.

In some cases, laser therapy with hernia in different parts of the lower back helps, in others not very much.

Each case is individual, because the symptomatology, as well as the course of the disease for each patient, have their own characteristic features.

Laser vaporization of the intervertebral hernia is based on inserting the needle through the skin, i. E. make a puncture in the disk, and there to hold a laser LED.

The energy is dosed through it, which must turn the liquid in the disk into steam, which will exit through the needle, which helps reduce the internal pressure in the disk.

The lower it is, the less pressure will be applied to the nerve endings. Due to this, the number of nerve receptors in intervertebral discs is reduced.

How does the laser hernia cure?

How is laser treatment of the spinal cord? Before the beginning of therapy of a hernia of a lumbar department of a backbone or a sacrum the patient goes on delivery of analyzes, diagnostic research is carried out to confirm the diagnosis.

If there are no contraindications for manipulation, then a laser operation will be prescribed. The patient should enter the hospital 12 hours before the surgery to get a doctor conducted additional consultations, explained the behavior after anesthesia, the peculiarities of nutrition before and after treatment.

10 hours before the needle is inserted, it is forbidden to eat or drink.

Laser vaporization of the hernia is performed only under local anesthesia, since getting rid of a hernia of the lumbar region does not require the use of general anesthesia.

After the operation, the patient must stay in the hospital for 24 hours under constant medical supervision.

Only in the evening after laser therapy, hernia of the waist or sacral spine can be walked, before this the patient must lie.

The doctor after examining the patient will decide whether or not to let the patient go home. If all is well, then 24 hours after the intervention a person leaves home.

Postoperative rehabilitation involves the passage of a drug course.

Within 2 weeks, the patient is treated with anti-inflammatory non-steroid drugs (Movalis, Celebrex, Nimesil).

The schedule and dosage of the appointment is prescribed by the doctor, it is forbidden to change the prescriptions independently.

For a whole month, you can not visit the phlyotherapeutic procedures room. Prohibited:

  • massage;
  • electroprocedures;
  • balneotherapy.

Sometimes magnetotherapy and laser therapy are used to enhance the effect of the operation.

You can not visit the swimming pool or gym, there is no physical exercise, which can cause injuries to any department of the spine. It is strictly prohibited to work at the dacha or move furniture.

It is worth to walk a lot, do household chores, walk on foot. Long driving is prohibited. A day at the wheel can be spent no more than 40 minutes. It takes a whole month to wear a semi-rigid corset to relieve the strain on the operated spine.

To estimate or appreciate completely efficiency of a herniation of a hernia by means of laser therapy it is possible only in 2 months though some simplification comes at once.

It is impossible to violate the doctor's recommendations, so that the scarring of the fibrous ring proceeds normally, the pressure within the discs normalized.

After 2 months, the patient undergoes a comprehensive examination to adjust the treatment.

If laser therapy does not help, then the hernia can be treated in other ways. Most often, surgical intervention is prescribed to completely remove the hernia.

After carrying out such operations, a person must change his way of life, adjust his diet, care for the spine, to carry out preventive measures to exclude herniation.

Other methods of treatment with laser therapy

The removal of the intervertebral hernia laser demonstrates high effectiveness in the treatment of young people.

Also, laser nucleoplasty of the lumbar or other spine is coping well with protrusions of the disc up to 6 mm, it is effective even in cases when the fragments of the disc are not separated from each other friend.

Treatment of a hernia of a backbone by the laser is applied and at necessity of carrying out of a special endoscopic discectomy.

The essence of the procedure is to introduce an endoscope and instruments through a small incision.

The doctor monitors his actions through the monitor, thanks to which the hernia is gradually removed. Special harm to healthy tissues such operation does not cause.

Laser discectomy does not cause complications, therefore scars, hematomas and adhesions are not formed. The low invasiveness of the method makes it possible to use it to remove hernias of very different sizes.

Often the laser is used in intraoperative vessel coagulation, which allows to avoid tissue heating, and the operation does not cause injuries, so the nerve structures are not damaged.

The patient can move independently within a few hours after the operation. The feedback of patients who underwent such an operation was mostly positive. People note that the procedure was successful without complications, and the treatment was effective.

Advantages and disadvantages of laser surgery

Treatment of a hernia in the sacral, lumbar, thoracic or cervical spine has certain advantages over other methods of combating such a disease:

  1. Almost to a minimum, the risk of development of instability in the segment that has been operated is reduced.
  2. There is no scarring on the skin.
  3. Neural structures are not damaged.
  4. You can perform an operation several times.
  5. Rehabilitation does not take much time, it takes only a month to get rid of the consequences of the intervention.
  6. The likelihood of complications is low.
  7. The operation lasts from 40 minutes to 1 hour.
  8. In a hospital it is necessary to lie for 2 to 3 days.

Disadvantages for which doctors criticize the method of laser removal of a hernia:

  1. The volume of the disc is not completely reduced. Because of this, the procedure must be repeated again.
  2. The need to apply local anesthesia, which in many patients causes discomfort during surgery.
  3. It is worth the laser therapy is not cheap, especially if the treatment requires several courses of hernia removal. Completely get rid of the pathology can only be in the early stages of the disease. In neglected cases, the removal through evaporation of liquid from the discs may be ineffective.

For people older than 50 years, such an operation is not appointed because of the lack of resources in the body for the restoration of vertebral discs.

Removal of a hernia with a laser does not always bring a positive effect, and before choosing this method, you need to weigh everything carefully and only then make a decision.

A source: https://OrtoCure.ru/pozvonochnik/gryzha/lazernoe-lechenie.html

Removal of the intervertebral hernia laser: prices

The intervertebral hernia causes not only pain in the back, but also disrupts the internal organs. Depending on the area affected by the spinal cord and nerve roots, there is a corresponding symptomatology.

Treatment of the disease should be carried out in specialized clinics that have modern equipment and trained personnel.

Removal of the intervertebral hernia laser is a big advantage over open surgical interventions.

Removal of the intervertebral hernia laser

Types of operations

In Russia, the use of the laser began actively only 10-15 years ago. Then, micro-tools were created, capable of focusing the rays to the desired point.

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The advantage of laser treatment is the mini-access on the skin, a short post-operative period, the procedure under local anesthesia.

The disadvantage is the cure of only 5% of patients, the effectiveness does not rise above 75%, high cost and the need for repeated operations. Neurosurgeons share two methods of removing the hernia of the spine with a laser:

  1. vaporization.
  2. Reconstruction.

During laser vaporization of the intervertebral disc, the pulp nucleus evaporates. The apparatus works at full power, applying a high temperature, at which the aqueous part of the cartilage begins to evaporate.

Laser reconstruction is carried out at moderate charge power, which raises the temperature of tissues to 70 g. Celsius. As a result, the intervertebral disc heats up, the metabolic processes are accelerated.

All this stimulates the growth of cartilaginous cells, connective tissue.

Indications

The main symptom that disturbs the intervertebral hernia is pain in the affected area. If the lumbar region is affected, then in addition to discomfort in the back, patients feel lumbago in the leg, a violation of sensitivity.

With the pathology of the cervical department, severe headaches, dizziness, pressure jumps, changes in sensitivity on the hands may appear. The defeat of the sacral region can disrupt urination, sexual function.

Doctors distinguish the following indications for the removal of the intervertebral hernia laser:

  1. persistent and severe pain in the back or neck.
  2. Violation of tactile and temperature sensitivity in the limbs, lower back.
  3. Sciatica - sharp pains in a loin which give in a back surface of a femur.
  4. Violation of urination and defecation.
  5. Restriction of neck movements, when a sharp turn of her neck is accompanied by dizziness, nausea, vomiting.
  6. Partial loss of movement in the hands or feet, associated with the hernia of the cervical region.
  7. The size of the hernia is up to 6 mm.
  8. Absence of sequestration (broken section) of the intervertebral disc.
  9. Age from 20 to 55 years.
  10. Absence of degenerative or autoimmune lesions of the discs.
In the case when the size of the intervertebral hernia is more than 6 mm, it can not be removed with a laser. This method can not achieve a positive effect. The laser can only evaporate 30% of the water in the center of the disc.

With a higher exposure to heat, connective tissue can damage the fibrous ring. In this case, there is a sequential hernia, the treatment of which requires open surgical intervention.

Contraindications

The patient should clearly understand that any operation, even minimally invasive, has its own indications and contraindications. To prevent unpleasant consequences, it is necessary to examine the patient in all cases.

If there is the slightest deviation from the norm in a patient associated with concomitant pathology, one must refrain from surgery.

Neurosurgeons determined the list of contraindications to the treatment of intervertebral hernia laser:

  1. cardiovascular insufficiency.
  2. Acute myocardial infarction.
  3. Atrial fibrillation, tachysystolic form.
  4. Stroke in acute period.
  5. Age after 55 years.
  6. Renal and hepatic insufficiency.
  7. Osteochondrosis of the last degree of severity.
  8. Autoimmune diseases of the spine.
  9. Sequential hernia.
  10. Pustular skin processes in the place of manipulation.

Examination before surgery

First of all, you need to undergo an examination with a neurosurgeon. The doctor will collect an anamnesis of the disease, conduct neurological tests, assess the state of reflexes.

Then you need to evaluate the laboratory blood indicators. Then they do instrumental research.

Neurosurgeons before the operation to remove the vertebral hernia will appoint:

  • general blood analysis;
  • general urine analysis;
  • blood chemistry;
  • coagulogram;
  • blood sugar;
  • ECG;
  • X-ray of the thoracic cavity;
  • SCT of the spine, if necessary;
  • consultation of related specialists;
  • MRI of the lumbar, sacral, cervical or thoracic areas.

Before the operation, the patient spends about 1 week to conduct the entire volume of diagnostic manipulation. The cost of MRI of one department of the spine in different cities varies: Moscow - about 5 thousand. rubles, St. Petersburg - 3500 rubles., Rostov-on-Don - 2800 rubles. Sometimes, in order to make an accurate diagnosis, a magnetic resonance imaging of the entire spine is required.

In this case, the cost of the preoperative period is increased by 2-3 times.

Laser vaporization

Laser treatment of a herniated spine with the method of vaporization provides for the removal of up to 30% of the fluid from the intervertebral disc.

As a result, the pressure in the pulpous nucleus decreases, the protrusion is drawn into the cartilage body. At the same time, the internal structure of the disk is destroyed by means of a high temperature.

Neurosurgeons perform the operation according to the following scheme:

  1. under local anesthesia, a special needle, up to 12 cm in length, is inserted into the nucleus of the affected disc.
  2. All manipulation is controlled by a fluoroscope on the monitor screen.
  3. A quartz flexible light guide is inserted through the needle to the intervertebral hernia. There is a supply of powerful energy, which causes the liquid of the core of the disk to boil. Thus, the cartilage decreases in size.
  4. Directly the laser exposure lasts 5-10 minutes.
  5. Steam, due to evaporation, is removed through the lumen of the needle.
  6. After this, a control X-ray and MRI of the affected area are performed.
  7. The patient is assigned bed rest for 12 hours.

The patient feels relief immediately after the removal of the vertebral hernia. On 2-3 days after the end of the operation the patient indicates a sharp decrease in the pain syndrome, sensitivity in the extremities returns.

If the procedure is successful, the next day the patient is discharged from the clinic. Doctors recommend wearing a supporting bandage for the lumbar region for 1-2 months, avoiding loads, sitting for a maximum of 5-10 minutes.

For 1-2 weeks patients should take anti-inflammatory drugs (Nimesil) once a day after meals.

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Endoscopic removal of the hernia of the spine. Interpositions

The operation received good patient feedback. The painlessness of the procedure, a short postoperative period is especially appreciated. The cost of vaporization of the hernia of the lumbosacral spine in Moscow ranges from 60 to 80 thousand. rubles, in St. Petersburg the price is 50-75 thousand. rub. It is necessary to remember that in 4-6 months the recurrence of the disease may occur because of the failure of the doctor's recommendations, trauma, progression of the pathology.

In this case, repeated removal of the hernia of the spine with a laser.

Laser reconstruction

Reconstruction of the vertebral hernia is used to restore the structure of the cartilage of the disc. The method is based on the influence of moderate energy.

After the operation, during 2-3 months, metabolic processes in the cartilage are sharply accelerated, microdamages are overgrown, the connective tissue around the disc is strengthened.

The procedure must be repeated several times in order to achieve the maximum effect. To remove intervertebral hernia, the following steps are carried out:

  1. under local anesthesia, they inject a skin with a long needle 2-3 cm from the spine.
  2. Under the control of a fluoroscope, the needle is held deep into the affected vertebral disc.
  3. Then a light-emitting diode is inserted into the lumen of the needle, which is embedded in the structure of the disk.
  4. The device generates energy that heats the cartilage tissue and pulpous core to 65-70 gr. Celsius.
  5. There is no destruction of the disc tissue, because of the increased temperature in this zone, blood flow improves, regeneration and metabolic processes are accelerated, cartilaginous tissue grows.
  6. The operation lasts 20-30 minutes, after which the patient is left for a day under observation.

Treatment of the intervertebral hernia laser has positive reviews of patients and doctors. Patients indicate ease of surgery, minimal pain after it, a short recovery period.

Doctors note the effectiveness of manipulation in patients under 50, the apparent strengthening of the cartilaginous tissue of the intervertebral zone, the increase in the space between the vertebrae, and the strengthening of the ligament apparatus.

However, for the course of treatment of the initial stage of the intervertebral hernia, 2-3 surgical interventions are needed.

The cost of the operation varies from city to city. In Moscow, the price of manipulation is 45-50 thousand. rubles, St. Petersburg - 40-45 thousand. rubles, Rostov-on-Don - 30-35 thousand rubles. rub.

The equipment is designed for a certain number of operations, so the cost is relatively high.

After laser reconstruction, the patient does not feel discomfort in the back, can perform the previous work.

A source: http://kakiebolezni.ru/kosti-i-myishtsyi/gryizha-pozvonochnika/udalenie-mezhpozvonochnoj-gryzhi-lazerom.html

Treatment of a herniated spine with a laser: the types and characteristics of therapy

Treatment of the hernia of the spine with a laser is a modern method of combating with the help of special equipment that provides the maximum effect with minimal complications.

Several methods of laser therapy are used to remove the hernias of the spine, which are selected by the doctor in depending on the size of the hernia, the severity of the pathology, the side of the protrusion of the disc and other features disease.

The concept of laser therapy

Laser therapy is the use of light rays of varying length and intensity. Such rays are called impulses. The effect of using rays depends on their magnitude.

Small impulses provide healing of damaged parts of the body, adjustment of blood circulation and lymph flow.

More intense rays are used to destroy diseased disks and to remove them.

The safety of the procedure ensures that the laser affects solely the hard tissues, the soft shells pass light, the skin and muscle tissue do not collapse.

The advantages and disadvantages of the method

Laser removal of the hernia of the spine is a new method that has won the trust of many doctors and patients. Compared with conservative therapy and surgical treatment, the use of a laser has several advantages:

  • fast effect;
  • the session takes no more than half an hour;
  • short-term rehabilitation period;
  • excluding the risk of wound infection;
  • no bleeding;
  • the laser leaves no scars;
  • Light rays do not damage surrounding healthy tissues;
  • rapid recovery of motor activity.

In addition to the advantages, the treatment of the intervertebral hernia with a laser has its drawbacks.

When using light rays, the damaged intervertebral disc is partially reduced, so there is a risk of relapse in the future.

The session is conducted under local anesthesia, during the procedure the patient often experiences unpleasant sensations.

Another major drawback of laser therapy is the high cost of treatment. Specialists do not recommend using the laser for elderly patients, since the success of treatment depends on the start of the natural process of restoration of the intervertebral disc, which is difficult to achieve after 50 years.

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Indications for laser treatment

Laser therapy is indicated for patients with small hernia. The greatest effectiveness is achieved among patients whose protrusion diameter is not more than 6 mm.

A feature of the method is the possibility of its use among pregnant women and nursing mothers.

Laser removal of the intervertebral hernia is prescribed in the presence of the following symptoms:

  • the patient often has a lower back or other back parts;
  • feeling of cold, numbness of hands, feet, limitation of the amplitude of motion;
  • decreased sensitivity of the back, upper and lower extremities;
  • headaches, dizziness;
  • disturbance of normal sleep, general well-being.

Before the session, the patient undergoes thorough preparation in a hospital setting.

Contraindications

Treatment of the lumbar spine and other parts of the spine with a laser is well tolerated by patients, but there are a number of limitations in which the use of light pulses is contraindicated.

Laser therapy is not performed in the elderly. To treat a hernia is inadvisable when ossification of the pulpous nucleus. The method is ineffective when a part of the fibrous ring falls into the spinal canal. If there is a serious infringement and a lesion of a spinal cord, therapy also is not spent.

Preparing for the operation

For the treatment, the patient must undergo a thorough examination, including the use of methods of instrumental diagnosis. To determine the location of the damaged cartilage, the side of protrusion of the disc, the size of the formation, apply:

  1. Computer tomography.
  2. X-ray.
  3. Magnetic resonance imaging.
  4. Electrocardiogram of the heart.
  5. The laboratory analysis of blood for sugar.

Computed tomography is performed before the choice of the hernia cure technique

Without fail, a person undergoes examination from a neurosurgeon, a cardiologist, an anesthesiologist. Before the procedure, the patient is forbidden to take food and water.

Types of treatment

Removal of a hernia of the spine with a laser is performed by several methods. For this, laser vaporization and reconstruction are used. Each of them has its own characteristics.

Carrying out vaporization

Vaporization is a relatively safe way to remove a hernia with a laser. The essence of the procedure is to evaporate the core of the intervertebral disc, which goes beyond the vertebra. This happens with the help of a special needle, through which a ray of light is directed into the region of the nucleus.

The surgeon adjusts the intensity of the pulses in such a way that some part of the liquid of the nucleus evaporates. During this procedure, the nucleus decreases, which helps to reduce the diameter of the protrusion of the fibrous ring.

Using laser reconstruction

The operation to remove the intervertebral hernia by this method is carried out by launching the natural process of disc restoration.

Here the surgeon uses impulses that help warm up the damaged tissues.

Thanks to this, it is possible to achieve the establishment of blood circulation, the normalization of lymph flow, the restoration of cartilaginous tissue.

Treatment of disc herniation with a laser

Reconstruction is carried out in several stages. The method is popular both in the form of independent treatment, and in the role of auxiliary therapy after surgery with a scalpel.

What happens during the session?

Laser therapy has an instant effect. Many patients notice a significant improvement already on the first day after the treatment. The use of a laser has the following effect on the body:

  • acceleration of blood circulation;
  • establishment of exchange processes;
  • reduction of inflammation;
  • elimination of edema;
  • decreased soreness;
  • the launch of natural tissue repair;
  • complete cartilage regeneration.

Removal of the intervertebral hernia laser gives not only an excellent curative, but also a preventive effect.

With the timely treatment of pathology, destructive processes in the tissues of the spine stop, which allows for further treatment of the disease with the help of conservative methods.

Stages of the operation

Laser treatment of hernia of the spine is carried out with the help of special equipment by a neurosurgeon. The vaporization session lasts about half an hour, includes the following stages:

  1. Conduction of anesthesia of the operated site. The drug for anesthesia is selected in advance.
  2. Through a puncture in the skin, a needle is introduced, which allows treating the affected area with laser pulses.
  3. The effect of light pulses on the pulpous nucleus, as a result of which part of the gelatinous contents evaporates. Steam is removed through the needle, the core decreases in size.
  4. Tracking of all manipulations occurs with the help of an X-ray, which has a minimal radiation load on the body.

A few hours after the session, the patient can get up, move. With a successful operation, patients notice a significant improvement in overall well-being.

Recommendations for rehabilitation and prognosis for the patient

Wearing a bandage is recommended after removal of a disc herniation

The operation is only part of the treatment.

In the next few months there is a process of restoration of the intervertebral disc. Success here depends on the efforts of the patient himself.

To achieve the best effect, the patient is recommended:

  • timely reception of prescribed anti-inflammatory drugs;
  • wearing a supporting bandage or corset;
  • regular physical therapy, appointed by the attending physician;
  • refusal of intensive loads on the spine area, it is recommended to avoid sudden movements and turns;
  • if there is excess weight, it is important to normalize the body weight;
  • exclusion of bad habits;
  • adherence to proper nutrition;
  • quality conditions of sleep and rest.

With all the prescriptions and recommendations of the doctor, most patients manage to return to normal life. The prognosis for recovery is favorable. Complications are encountered in the case of negligent attitude to their health and non-compliance with the recommendations of specialists.

A source: https://proods.org/pozvonochnaya/lechenie-gryzhi-pozvonochnika-lazerom.html

Treatment of a hernia of a backbone by the laser

General information about the methods of treatment

Intervertebral hernia - a disease that occurs due to osteochondrosis or as a result of trauma to the spine.

Between separate vertebrae there is an interlayer - an intervertebral disk formed by fibrous and cartilaginous tissues. The interlayer provides mobility to the spine.

With the intervertebral hernia, the integrity of the connective tissue is broken, the center of the interlayer is displaced. One of the leading methods of therapy is called the treatment of a spinal hernia with a laser.

It is localized mainly in the lumbar region and the sacrum. For degenerative changes of the spine are characterized by pain localized in the area of ​​the lesion, which are aggravated by physical exertion.

There are violations of the function of the intestines and urinary tract, weakness of the legs. With intervertebral protrusions in the neck - dizziness, high blood pressure.

When placed in the thoracic department - compression, pain, violation of posture.

Hernia of the spine is characterized by the presence of a stage of remission, which can occur without surgery.

Conservative treatment initiates the use of non-steroidal anti-inflammatory drugs. Results are given by sessions of traction of the spine - treatment by stretching, reducing the size of the hernia.

Microcurrent therapy - physiotherapy treatment of the disease by currents of low frequency.

The operation is indicated to patients, with the proven ineffectiveness of other therapies. Surgical removal of the hernia is used in extreme cases, requiring urgent care for the patient.

These include unbearable pain, persistent violations of the pelvic organs. The anesthesiologist enters the patient into general anesthesia. The procedure gives a quick result, often leads to complications.

What is laser intervertebral hernia therapy

Laser treatment of hernia is carried out in three ways:

  • vaporization,
  • removal of a hernia by a surgical laser,
  • laser reconstruction of the spinal discs.

Use a surgical laser instead of a scalpel for surgical removal of the intervertebral hernia. Applied with hernias, which can not be cured by evaporation or conservative methods, because of their large size. A surgical laser is preferable to a conventional scalpel.

In an operation without a laser, complications often occur, since the affected area is exposed. The laser coagulates the vessels by cauterization. Its use guarantees increased accuracy of the operation. Local homeostasis is better than when using a scalpel.

Laser vaporization is used for small protrusions, without disruption of connective tissue membranes. Eliminates pathological changes in the intervertebral area, evaporating them, reducing the size of the lesion.

It is conducted in an outpatient clinic, does not require hospitalization. Laser exposure takes 30 minutes. It is used in the procedure, local anesthesia. The disk is irradiated with a laser tuned for destruction.

After surgery, the probability of further development of the intervertebral hernia decreases.

Reconstruction of discs using a therapeutic laser is laser therapy in a sparing mode, without destruction of the intervertebral tissue structure.

Applied to consolidate the effect of the operation and as an independent laser treatment. The tissues in the irradiation region are heated, the growth of chondrocytes, cartilage cells, is stimulated.

The structure of the discs of the spine is restored. The procedure lasts three days.

Advantages of laser therapy of intervertebral hernia

The doctor decides which treatment to apply in a particular case. Laser treatment is a relatively new method of therapy, giving an effective result.

The advantage of using is the possibility of simultaneous treatment of several hernias, without compromising the patient's health.

It certainly should be used until the disease has progressed to a condition requiring surgery.

Treatment of the intervertebral hernia with a laser has undoubted advantages over a simple operation to remove, irrespective of whether the vaporization is performed, surgical laser excision or reconstruction of intervertebral disks.

Laser therapy, advantages:

  1. Sterility is provided by using a laser at the time of intervention.
  2. Absence of post-operative scars on the skin
  3. Using local anesthesia is better than local anesthesia for the patient's body
  4. Minimizing the risk of damage to nerve structures
  5. Maximum integrity of tissues
  6. Rapid recovery of operability

There are many discussions on the use of laser in treatment. Reviews about the laser treatment of the patients themselves are positive.

Individual negative responses are likely to be left by people who are faced with the unprofessionalism of the employees of the medical institution.

It should be responsive to the choice of the attending physician and the location of the procedure.

A source: http://MoiSustavy.ru/gryzha/lazernaya-terapiya-pri-lechenii-mezhpozvonochnoj-gryzhi.html

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