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Percutaneous Disc Nucleoplasty

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disc nucleoplasty procedure surgery in india

Intervertebral discs are cushion-like structures located between the bones that make up the spine. Under certain conditions, these discs can bulge and cause back pain. Percutaneous Disc Nucleoplasty is a minimally invasive procedure to reduce the pressure inside a disc to relieve pain. Because no incision is made, the recovery time is shorter than traditional open surgery methods. Intervertebral discs are cushions between the vertebrae that form the spine. The discs are the shock absorbers between the bones, providing stability and easing movement. Nucleoplasty treats pain caused due to herniated discs. An experienced radiologist removes a small portion of disc the tissue using image guidance, to relieve pressure on the nerves. The treatment can alleviate pain and restore mobility. Nucleoplasty is a minimally invasive procedure, which makes smaller incision, has fewer risks of complication, and takes lesser recovery time as compared to traditional surgery. The innovative imaging technology plays a key role in planning and performing each procedure, and on-staff physicists and engineers ensure that the machines are upgraded eventually.
Percutaneous Disc Nucleoplasty is a minimally invasive procedure wherein the doctor utilizes a small needle and advanced radiofrequency technology to reduce the herniated disc. This procedure quickly frees most patients from pain and discomfort. The procedure is generally performed on an outpatient basis using a gentle, relaxing medicine and local anesthetic. The technique is as follows:

  • Cannula  insertion

After the doctor injects some anesthetic to numb the area where the incision is to be made, he inserts a thin needle known as a cannula through the back and into the herniated disc. He uses an X-ray imaging technique to guide the placement of the cannula.

  • Treating Disc Nucleus

A small radiofrequency probe is inserted into the disc through the cannula. The device sends pulses of radio waves to dissolve small portions of disc nucleus. Since the doctor removes enough disc material to reduce the pressure inside the disc, the spine regains stablilty.

  • Relieving from Herniation

The hollow created enables the disc to reabsorb the herniation. The surgeon uses heat to seal the disc.  

  • Post-surgery recovery

After the physician removes the treatment equipment, the insertion area is covered with a small bandage. Since no muscles or bone are cut during the procedure, recovery is fast. The patient may need a day’s bed rest after the procedure and some physical therapy, and is ready to return to normal daily activities within one to six weeks.

Causes of disc herniation

With age, discs lose water content and become narrower, less flexible, and decrease in effectivity as cushions between the vertebrae. As a disc degenerates, the outer layer weakens, bulges, or tears. A herniation occurs when the outer layer ruptures and the inner fluid starts leaking. Disc-related problems are more common among middle-aged people. Older adults are at the greatest risk for herniated discs because of decreased disc water content. Other risk factors are overweight and smoking. Keeping poor body posture when lifting or performing repetitive strenuous activities can also cause discs to bulge or rupture.

Symptoms of disc herniation

Disc problems cause neck or back pain, burning or tingling sensations, numbness, weakness, or pain. Depending on the location of the disc in the spine, the symptoms may spread to your arms or legs.

Diagnosis for disc herniation

disc nucleoplasty treatment in india

The doctor can diagnose a herniated disc by performing a physical examination, reviewing medical images, and conducting nerve studies. The doctor will ask about symptoms and medical history. There are many procedures to treat disc problems. Percutaneous disc nucleoplasty is suitable for discs that have bulged but not ruptured.

During the Percutaneous disc nucleoplasty, the patient will wear a gown and be laid lying face down. The skin in the treatment area will be sterilized and numbed with an anesthetic. The doctor will use X-ray image technique to guide a thin tube-like cannula to the bulging disc. Afterwards, a narrow radiofrequency device is inserted through the cannula. The device transmits radio waves that dissolve small areas of the nucleus pulposus. This creates room for the nucleus contents to spread, reducing pressure on the disc, thus decreasing disc bulge. When the procedure is complete, the cannula and radiofrequency devices are removed. Since a small incision is needed for the procedure, there are no stitches and the insertion point is simply covered with a small bandage.

After the surgery is done and the patient can return home, he/ she should have someone drive him home in case they have received relaxation medication. Most patients need about a day’s bed rest following a percutaneous disc nucleoplasty. Physical therapy is strictly suggested after the procedure. Recovery from percutaneous disc nucleoplasty is individualized.

FAQ - Percutaneous Disc Nucleoplasty

  • What is a herniated disc?
    • The discs between the vertebrae act as shock absorbers. A herniated disc has a defect or weakness in the wall, similar to a blister in the sidewall of a tire, which can lead to pressure on sensitive nerve roots and pain receptors in the back.
  • When should I consider nucleoplasty?
    • Nucleoplasty candidates include men and women who have chronic back pain since at least past six weeks and debilitation due to disc herniation. They often have limited mobility and cannot perform routine daily activities, such as bathing, dressing and walking. Nucleoplasty is usually performed after conservative treatments like bed rest, brace, oral medications have failed. Most patients are elderly, but younger patients with osteoporosis, due to metabolic disorders or long-term steroid treatment, may also benefit from nucleoplasty.
  • What should I expect before nucleoplasty?
    • All patients will be evaluated prior to nucleoplasty. It includes a directed history and physical examination and blood tests. Physicians also need to perform an imaging study prior to treatment to confirm the reports. At the initial evaluation, patient should bring any imaging studies that were performed at other hospitals.
  • What should I expect during nucleoplasty?
    • Nucleoplasty takes nearly an hour to perform. The patient will be given a sedative to relax you and administered local anesthesia. Using live images, the interventional radiologist will place a needle into the disc, followed by a catheter. The doctor will treat the disc, using heat to reduce the size of the disc and relieve the pressure from the disc on the spinal nerve. Patients experience instant relief as pressure is taken off the nerve, with success rates greater than 80%.
  • What to expect after nucleoplasty?
    • After nucleoplasty, pain or weakness can be caused by a disc herniation pushing on a spinal nerve. the You will be kept in the hospital for some hours of observation, and discharged with instructions to gradually re-establish normal activity over the next few days.

If you are really seeking for the Percutaneous Disc Nucleoplasty, kindly fill up the form for a free consultation with our surgeons. You will be provided with thorough analysis and suggestions regarding the Percutaneous Disc Nucleoplasty you are seeking for.

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Van Tron

Hey, this is Van Tron from Lagos, Nigeria. I came to India for my spine surgery, which went simply perfect as promised. I thank my friend who recommended me at the hospital in India and the doctor treating with great care. I highly recommend this place to everyone.
Mchida Soumia

Hey this is MchidaSoumia I am from Kenya, I had been to India for my spine surgery. I am glad I got rid of the back pain and now leading a normal life. Afterall I was treated with one of the best surgeon here. Thanks to the best hospital as well, which gave me a right direction in this regard.
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