Doctor insights on:
How Is A Spinal Tap Procedure Done
Carefully: Generally, the patient is placed on their side, the area in the lumbar region is then sterily cleaned. A local anesthetic is infused in the region of the planned procedure. Finally, a needle is introduced and advanced into the sub-arachnoid space till spinal fluid is encountered. Usually, an opening pressure is measured and spinal fluid is sent for analysis. ...Read more
Microscopic: Microdiscectomy is the removal of disc fragments with assistance of the microscope. It is performed thru small openings. It is now used in association with mis systems. Mis allows the performance of the same procedure thru small tubular opening that does not require the destruction of adjacent muscles & vesselsl, potentially reducing scar tissue formation and leaving the muscle intact. ...Read moreSee 1 more doctor answer
This really depends: On the health & age of the patient, the extent of the surgery in terms of number of levels, stages and reason for the surgery as well as the skill and expertise of the surgeon. If medically stable for this surgery, not obese, not a smoker, not diabetic, not over 60, not a revision surgery, then rates of complications are low but not zero with a very low mortality rate. ...Read more
Carefully :): Lp is typically performed in the office. You will lie on your side curled up into a tight ball. After sterilizing the area, local anesthetic is injected into the skin at the small of the back, and then a spinal needle is advanced between the vertebrae into the spinal canal. Once in the canal, the fluid pressure is measured and fluid is removed for analysis. Total time is typically 20 mins. ...Read moreSee 1 more doctor answer
With you conscious : This is a test that you have to verbally respond to when placed on a table that x-rays pass through & a needle is guided sterilely into the disc under local anesthesia with some light IV sedation & confirmed to be in the right place with contrast injected followed by sterile water to see what response is given as to whether the disc is the cause of pain. A normal disc does not have pain elicited. ...Read moreSee 1 more doctor answer
Depends if it: Is necessary. If you are having motor weakness or instability of the spine, then it is beneficial. If you are not, then follow up on other options as these surgeries, when not indicated, more often then not trade pain at one level for pain at the next level from the fusion. These surgeries can lead to pain if not needed, so make sure it is absolute necessary before moving ahead. ...Read more
The purpose of the : Test is to find the source of your pain by recreating it over the same location with the same quality as the disc is injected. If it is a normal disc you will feel pressure. If a disc that is somewhat abnormal , maybe an ache but a disc or discs that are the source of your pain should be an exact reproduction temporarily. This is done under local anesthesia with occ. Use of some sedation. ...Read moreSee 1 more doctor answer
What is meant by minimal evasive back surgery for degenerative disc. What is done during this procedure?
Variety : There are a variety of things that can be done depending on the diagnosis. Minimally invasive refers to making smaller incisions, sometimes working with a microscope to accomplish the same thing as that done through a large incision. The advantage is less pain and recovery time. Hope this helps! ...Read more
Yes: I would recommend decreased activity and try to lay flat for a few hours if possible. Hydration is key to helping prevent headaches from sitting up and having a slow leak of spinal fluid. Fortunately, the needle to do a spinal tap is very thin, so leak usually close on their own. Sometimes caffeine can help if you do develop a mild headache afterwards. ...Read moreSee 3 more doctor answers
Anything unwanted.: For the patients with periodontal (gum) problem the (pocket) area around the gum and tooth is irrigated out with medicine or sometimes an antibiotic mixtures. For dental surgery (extraction, gingival grafting, or deep teeth cleaning (scaling and root planning) procedure. Dental irrigation is used to flush out and clean the area involved. ...Read moreSee 3 more doctor answers
As often as needed: To diagnose or treat a patient illeness. ...Read more
Is a spinal cord stimulator a permanent procedure? Can the stimulator be removed if needed after the implantation?
Not exactly: A spinal cord stimulator can be removed - of course don't go into it expecting to have it removed. ...Read more
Varies: This varies as to the diagnosis, your age, the extent & location of your surgery, what type of procedure that was done, whether you smoke & if this is your first back surgery. It also depends on how tolerant you are to pain medication in terms of how much & how long you may have been on medication preop. Depression can also magnify pain & if in pain for 6 months or longer, higher risk depression. ...Read moreSee 1 more doctor answer
Invasive test: All invasive tests carry risks, but the conditions they are testing for (and sometimes treating) can be much worse than the test itself. I always make sure the person having the test understands the balance between risk and benefit, and any potential alternatives, if any. ...Read more
Not very dangerous : Performed very safely. At times it's performed with the aid of an imaging machine, but ordinarily in a treatment room. The spinal nerves are missed. Ocassionally a person may experience discomfort, paresthesias, nausea and a post spinal tap headache. ...Read moreSee 3 more doctor answers
Is Trigger finger surgery an outpatient procedure or is it done in Dr office? How long is the recovery period? Any info is appreciated. Thanks!
Yes: Trigger finger surgery is an outpatient procedure, meaning that you are not admitted to the hospital for it. It can be done in a hospital OR, or a surgery center, or a doctors office based primarily on the resources the individual physician has available to him. ...Read moreSee 1 more doctor answer
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