Doctor insights on:
Is The Lumbar Facet Rhizotomy A Risky Thing To Do
FACET RHIZOTOMY: A lumbar facet rhizotomy is a minimally invasive procedure that can, when successful, relieve back or neck pain caused by facet joints. Risky? All surgical procedures are risky, especially when done along the spinal nerves. Ask your doctor about the risks you are worried about. Best luck. ...Read moreSee 1 more doctor answer
The lumbar part of the spine is the low back. It is made up of five bones (most of the time) stacked one on top of the other. They are connected by disks, facet joints, and ligaments. These soft parts allow for movement controlled by the spinal muscles; the muscles can also keep it stiff when need be. The lumbar spine also contains and protects nerves to ...Read more
Yes: Major spine surgery has small risk of life changing complication associated and failure to relieve symptoms consider carefully nonunion failed back surgery make sure benifits outweigh risks.And the pain generator is well lidentified by diagnostic injections. ...Read moreSee 2 more doctor answers
It depends: The most common surgical treatment for a disc herniation is a microdiscectomy. Which means that the surgery is done with a small incision under a microscope. And this is quite successful to treat the pain going down the legs. However, if there is severe disc degeneration or instability, then a fusion may need to be performed as well. ...Read moreSee 1 more doctor answer
How is a facet injection done in the neck? And when is it donw? Can a cervical MRI show a root nerve impingement in the neck? Please help
X-Ray Flouroscopy: Facet Joint Injection is done under x-ray guidance with special equipment to help guide the needle. Its done for neck pain due to facet joint arthritis or facet syndrome/whiplash. MRI may show nerve root impingement, however the limitation the MRI has is its a static image and unfortunately your spine and discs move so can't see that movement. Consider Weight-bearing MRI for better clarity. ...Read moreSee 2 more doctor answers
Usually diskectomy: In the majority of cases of low back disk herniation needing surgery, diskectomy is the best approach. In the neck, diskectomy combined with fusion is the best approach most of the time (in select cases neck diskectomy without fusion is a good option). Review your options with your provider. If in doubt, get a second opinion. ...Read moreSee 1 more doctor answer
Lumbar Extrusion: An extruded disc can be thought of as squeezing a jelly donut until the jelly pops out of the doughnut. ...Read more
It Depends: Any surgery has associated risks. Knee arthroplasty is a big procedure. It is very helpful when indicated, however. Risks vary depending upon your overall health, medical conditions, level of fitness. Medical issues such as diabetes and heart disease increase the risk of any surgery. It is best to talk these risks over with your primary care physician as well as your orthopedist. ...Read moreSee 1 more doctor answer
Is there something they will give me for anxiety when i'm doing the transforaminal lumbar interbody fusion?
Anxiety pre surgery: In all likelihood this may require general and/or IV sedation in which case you will probably be given anxiolytics via your IV immediately prior to the procedure. You should have a designated driver and someone to assist you post op. ...Read more
How big is the chance that a cervical facet block injection may go wrong, cause more pain or nerve damage? Worth doing with all the risks?
Cervical injx: Risks are low if doctor uses fluroscopy and contrat to insure needle position he needs to avoid injectate with particulates as well , can lead to a confirmed diagnosis of pain generator and effective treatment it worth doing but go to the cervical experienced and trained. ...Read moreSee 1 more doctor answer
When would a spinal block not be acceptable for a csection? What back problems would make a spinal block not the best choice?
Few: There are actually very few contraindications for using them in a csection. If it is emergent there may not be time, if there is any active infectious process, if the person is on blood thinner, or if the patients vitals are unstable are the main contraindications. The frequency of their use really involves more patient, anesthesia, and surgeon preference. ...Read more
I have had a two-level spinal fusion (l5-s1). What is the best way to avoid (or prolong) adjacent disc disease?
Not much : Accelerated adjacent segment degeneration is relatively common and concerns adverse effects following spinal fusion. It is believed that this accelerated degeneration is due in large part to increased mechanical stress on the adjacent motion segments. Stay in shape, do not gain weight. ...Read moreSee 2 more doctor answers
I have spinal stenosis in both my cervical and lumbar spine, bulging discs, nerve abutment. Do you think surgery is a good option for me?
Not based on this : Female age unknown has age-related spine changes noted on MRI. When MRI first invented "bulging" disks thought to be pain generators. Now, surgeons realize these can be red herrings. Some studies indicate only 10% back pain disorders benefitted by surgery. U.S. leads world in unnecessary back operations. Get second opinion. First try aquatherapy, yoga, massage, acupuncture, biofeedback, & etc. ...Read moreSee 1 more doctor answer
What is success.On a spinal fusion rather then replacement is the procedure same amount risky? I'm scared by I do need one
Botox is safe: Botulinum toxin (dysport, botox, etc) is a very predictable and safe procedure when done by an experienced physician. Any procedure carries risks (just like riding in a car) but those risks are quite small. Seek out a qualified facial plastic surgeon. He/she will be able to discuss the risks of Botox injections and answer all your questions. ...Read moreSee 9 more doctor answers
If I request a microdiscectomy as oppose to conservative treatment for a lumbar bulging disc what are the pros and cons?
Microdiscectomy: There are always inherent risks of surgery (infection, nerve damage, spinal fluid leak, anesthesia risks including heart/lung problems, blood clots, stroke, even death). Although rare, all of these can happen with surgery. Herniated/bulging discs have a good chance of resolving without surgery within 6-8 weeks from onset of symptoms with conservative management ...Read more
Is there something they will give me for anxiety when i'm doing the anterior lumbar interbody fusion?
A rhizotomy is a procedure used to destroy nerve endings to prevent pain signals being sent to the brain. There are a variety of ways to accomplish this. Sometimes a doctor will use heat or chemicals to destroy the nerves. This is used for people who have not responded to more conservative pain treatments such as over the counter ...Read more
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