Herniated Disc Treatment

Back pain (also known as dorsalgia) is pain felt in the back that usually originates from the muscles, nerves, bones, joints or other structures in the spine.

Back pain is one of humanity's most frequent complaints. In the U.S., acute low back pain (also called lumbago) is the fifth most common reason for physician visits. About nine out of ten adults experience back pain at some point in their life, and five out of ten working adults have back pain every year.

Disc Herniation as a Cause of Back-Pain and Nerve Irritation
Disc herniations are common. Only in 5 % of all cases, however, is a disc prolapse the cause for the patient’s complaints. Of those cases, only a small number has to undergo surgical treatment (cauda equine-syndrome, rapidly progressive paralysis). The majority can be treated conservatively (with physiotherapy etc.) or with minimally-invasive micro-therapy.

Therapy of Disc Herniation with Discogel
The latest development in this area is the intra-discal micro-therapy with “Discogel”. This treatment method, which as developed by French researchers, utilises a congealed alcohol mixed with a contrast agent, which is injected through a thin canula directly into the intervertebral disc. The compound results in a loss of the water storage capacity of the intervertebral disc by denaturation the proteo-glycan matrix of the nucleus pulposus. This in turn results in a decompression of the effected spinal nerves within hours to a few days.
The interventional procedure can be carried out on an out-patient basis in local anaesthesia and without pain. The success rates are high: 80 – 90 % of all patients are without symptoms and free of complaints after treatment.

Discogel
A: Disc herniation with nerve root compression.
B: Discogel injection into the nucleus pulposus of the prolapsed disc.
C: Beginning contraction of nucleus pulposus and disc herniation with partial relief of nerve root and pain relief.
D: Complete retraction of disc prolaps with complete relief of nerve root.

Diagnostic and MicroTherapeutic Procedure for Disc Herniation
To assure optimal treatment results, diagnostic work-up, indication for treatment and actual therapy are carried out in an interdisciplinary fashion by a team of Radiologist, Orthopaedic Surgeons, Neurologists and Anaesthetists who do the following:
1.Medical history-taking and re-view of medical records from other institutions (patients should bring all already existing medical records with them).
2.Special MRI-diagnostics, which also requires an axial load Neurological diagnostic work-up, if necessary, a Diagnostic micro-therapy with local anesthesia of the irritated nerve root for precise identification of the source of the complaints.
3.A Treatment with Discogel in combination with a series of Ozone therapy. Follow-up MRI is done postop after the procedure.

The treatment with Discogel takes between 20 to 40 minutes and is carried out under local anesthesia. Additional general relaxation of the patient during the treatment is effected by medication that causes mild sedation and analgesia (pain relief).
After treatment a two hour period under medical observation in one of the private patient lounges is recommended. A longer stay as an in-patient is not necessary. You will then return to the hotel to relax.
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