Artificial Disc Surgery Info
When a disc within the spine
is damaged, the pain that results can be
devastating.
It’s a problem that’s affected many
people over the years, and recently, medical advancements have
been made that can help to alleviate the problem. Approved by
the Food and Drug Administration of the United States in
October of 2004, artificial disc surgery has been shown to be
an effective way of helping those with damaged discs.
In this article, we’ll discuss the
surgery in order to help you to understand the
process.
In the past, those who have damaged discs in the back have
had to undergo a surgery known as spinal fusion. Discs are
located between the vertebrae of the back, allowing cushioning
and shock support. When a disc is damaged, doctors often remove
the disc and fuse the two vertebrae together. While it can help
the sufferer, not all spinal fusion surgeries are successful.
Studies have shown that the success rates for the spinal fusion
surgery sit at around 75 percent. Also, the recovery time for
the surgery can be extensive, requiring up to 24 months to
fully take hold. The new surgical process that has been
approved involves the installation of an artificial disc where
the damaged disc was located. This type of surgery can help the
patient to keep their range of motion, as spinal fusion surgery
may result in a loss of flexibility. There are many different
artificial discs available for installation, but in the United
States, only one has been approved. Known as the Charite
artificial disc, the device is made of three pieces. There is a
sliding core that is made out of plastic, along with two
endplates that are made out of a cobalt chromium alloy. The
sliding core allows the flexibility of the back to be
successfully maintained, providing ample relief to the
afflicted individual. The device is made out of the same
materials that have been used in knee replacement implants, so
it has been shown to be generally well-accepted by the human
body.
In order to perform the surgery, the patient needs to be
lying on their backs. By making an incision near the belly
button, the physician will be able to remove the damaged disc,
replacing it with the new artificial one. The surgery is
performed primarily to offer a similar level of pain relief as
spinal fusion surgery, while still allowing the range of motion
of the spine to be unaffected.
Artificial disc surgery takes an average of four days in the
hospital before the patient is allowed to go home. In some
cases, the use of a back brace is recommended post-surgery in
order to allow support for the abdominal muscles. The
artificial discs have been thoroughly tested, and the implants
have shown to be effective for at least seventeen years given
the current research.
Now that you know more about artificial disc surgery, you’ll
be better able to make an informed decision regarding how you
want to deal with your damaged disc.
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Failed Back
Syndrome
The condition
of failed back syndrome is not
one single factor that causes
back pain but potentially a
bunch of symptoms that occur
after surgery, or sometimes
following other types of
treatments, all of which have
long lasting effects.
This may not be
what you want to hear after
recovering from a surgical
procedure, hopefully one that
otherwise has been a success,
but nonetheless this is not
good news. The most common pain
related to failed back syndrome
includes hip or thigh pain and
back or leg pain. Sometimes
it’s a stabbing pain while
other times it is a dull aching
pain. Either way it can be
blamed on something that was
done, accidentally, during
surgery.
One possible
answer to these back pains is
that during a surgical
procedure nerves were cut that
should not have been. This
could very easily be the cause
of the pain in the back. It
would be classified as
neuropathic path. If on the
other hand the pain were more
likely caused by scarring of
the nerves this would be called
radiculopathy. This term refers
to the pain radiating and in
this case it would be radiating
from a nerve root that is
sending out too many messages.
Unfortunately there are more
surgical errors that can cause
back pain. What if during
surgery somehow the person’s
posture was affected, perhaps
enough to make them walk
different. This could cause an
inflammation of the joints and
that could be very painful.
Another mistake can upset the
way the muscles are supposed to
lie to allow for better
functionality. This would make
back muscles very sore and
painful.
Back surgery is
a very delicate operation and
too often little things go
wrong along the way. Sometimes
its during the surgery and
sometimes if during the process
of healing. This can happen
because of what the surgeon is
going to do to the patient’s
back or because of what was
done. Surgery as delicate as
that done on the back is just
as likely to develop new
problems, as it is to fix the
old ones. This is one type of
operation where the surgeon
guarantees nothing.
The
acknowledgement of failed back
syndrome only goes to convince
those with back problems that
surgery may not be the answer.
Less invasive treatments are
available to try first and
surgery should only be done as
a last resort not as a starting
point. Even doctors are less
likely to suggest surgery as a
starting point now since they
have learned more about what
causes back pain and where it
begins. This leaves many
options for the standard back
treatments of gentle
exercises,antiinflammatories
and hot or cold packs to
physiotherapy.
If you have
been diagnosed with failed back
syndrome do not give up. A
fresh look at your problem many
bring a fresh solution. Trying
to find what will help to
diminish the pain while
increasing mobility, strength
and flexibility are the place
to start. Then treat the
pain.
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Nerve Block Can
Help Back Pain
There are many
treatments available for back
pain that can be tried, but
what can be done when the pain
is so intense that you don’t
feel able to do your
physiotherapy exercises because
of it.
While the
option to take stronger
mediation is always there more
people are reluctant to take
strong pain relievers for fear
of becoming addicted to
them.
How many times
have we seen articles about
this person or that who after a
back injury wound up on heavy
pain relievers and became
addicted to them for years? No
one wants that scenario for his
or her lives, yet the issue
still remains; what can be done
about the intense back
pain?
One alternative
is a nerve block. A nerve block
is not something done lightly
at the request of the patient
who has some back pain and
wants tot get on with their
lives. This treatment was
originally designed as a
surgical technique but now is
used for pain; often back pain
that is persistent, very
painful and can be traced
accurately to a nerve.
Sometimes based
on the back pain the specific
nerve cannot be found and so
instead a block that needn’t be
specific, an epidural steroid
injection, is used. Basically
the block used is a type of
anesthetic or
anti-inflammatory, which by
going into the nerves can
diminish the pain while
allowing a better range of
movement. If too much is used
the pain will disappear, but
paralysis could set in, even if
only temporarily. The
medication will actually leave
a person’s body within hours to
days but its effects last much
longer.
Another type of
block is the facet block. This
works because it is often the
facet joints that cause back
pain. So if an injection is
made into the facet joints the
pain in a person’s back will be
helped. The facet joints often
cause not only pain in a
certain area, like the lower
back, but they often are the
cause of radiating pain into
the legs, arms or even a
person’s bum.
There are other
types of nerve blocks that are
not only pain relievers but
that may destroy the nerve
endings or nerve tissue in the
painful area to try to stop the
chronic back pain from
returning. If your health care
provider is considering a nerve
block you should understand
that this alone would not stop
the back pain. While the pain
is diminished it is important
to follow though with an
exercise program designed by
your doctor or physiotherapist
to enable you to build up
strength in the lower back,
where you are suffering the
pain, as well as to increase
freedom of movement and
flexibility.
Nerve blocks
are not the answer for
everyone. Sometimes the pain
can be so bad that a drastic
solution is needed. Be certain
to discuss with your physician
any dangers they see in the use
of a nerve block and if the
cessation of pain outweighs
those concerns.
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