Doctor insights on:
Do you think cervical nucleoplasty using coblation technique is helpful in c-hnp? I received such procedure 4 weeks ago but no effect yet...
Ask questions: There are many "minimally invasive" spine procedures that sound great on paper and even have some +ve studies. B4 doing any procedure, ask how # your surgeon has done. If it's not covered by insurance ask why not- if a procedure costs less than usual surgery and has "wonderful" results, they will jump at covering it. Lastly, for hnp, these procedures should be done for arm pain, not neck pain. ...Read more
Currently being considered for coblation nucleoplasty trial (cervical). Contained herniation. I'm in early 20's. Possible long term complications?
Coblation: Understand, these treatments are low (not zero) risk, but for what purpose? Contained herniation means that there is no pressure on the nerves, and the disc is simply not in a "normal" location within the disc space. Study? Fine. These haven't worked except temporarily in the lumbar spine. I would be pessimistic. Maximize mckenzie pt. Not heat/us/tens as they are useless. If no other option, fine. ...Read more
Nucleoplasty for herniated neck discs. How long will effect last? How long is recovery time after that? Can make spine unstable? Complication? Risk?
Experimental: It is not really among the accepted treatments for disc herniations in the neck and as such the long term affects are not really known. It could work, but it would be fairly experimental compared to more conventional approaches (operative and nonoperative) for cervical disc herniations. ...Read more
I have stiff neck for 10 years now and i always feel some pinch feeling at left side occipital . I did nucleoplasty in jan 2010 but i still have some pinch at occipital. How to cure it ?
First find a cause:
There are many reasons that a person can suffer from a stiff neck that is not necessarily from greater occipital neuralgia. A MRI can be useful in determining whether you have cervical spondylosis, chiari malformation, or other structural cause.
If not make sure it is not due to a head tilt as is seen in cervical dystonia. Here Botox can be quite useful. Good luck to your recovery. ...Read more
What is the current consensus on cervical nucleoplasty after failed conservative cares including racz catheter and epidurals? How effective could it b
Level 1c- good: Large group studies have shown favorable results if patient selection is strict. Disc displacement cannot be > 6mm, must be contained, no prior surgery, >75% disc height, no spinal stenosis or instability. 12 month follow-up shows sustained benefit. Risks include infection (discitis), neural injury, and device failure. ...Read more
Cervical nucleoplasty done c 5-6 6-7 6weeks ago due to hnp. Hand and forearm dullness and numbness got excruciating also pain.Why?! now what do I do?
Need repeat MRI: You need to call the surgeon or pain management person who did the procedure. They might need to repeat an MRI to check for an irritated nerve from the procedure. Less likely to be from infection or bleeding. Sounds most like C6 or C7 that's affected. Hopefully, pain will subside within a short period of time. ...Read more
How often does a discitis or other infection occur when you do a discogram or nucleoplasty in cervical intervertebral disc?
Very rarely: Very rarely.Get a more detailed answer ›
Can nucleoplasty be done for cervical discs? After conservative treatments fail, is this an option before total disc replacement for C5-C6, C6-C7?
Yes,for small bulges: Nucleoplasty is an effective minimally invasive procedure for treating pain caused by symptomatic disc herniation that doesn't improve w/conservative therapy.A catheter is inserted into the intervertebral disc under fluoroscopy.The catheter has low-temperature resister probe to disintegrate & evacuate disc material causing disc decompression.It helps most w/small disc bulges or contained ruptures. ...Read more
Nucleoplasty done in c5-6 due to cervical hnp 6 weeks ago. Numbness and arm pain continue my doctor wants do a racz catheter.Sounds good? So scared.
Epidural Neurolysis: The above is the medical term for the racz procedure named after the doctor. It is used to release scar tissue from around nerves in the epidural space of the spine . It is a natural event following surgery. Under a flouroscope a local anesthetic, corticosteroid are put in and a concentrated salt solution is used to soften the scar tissue. Do not be scared, it should give relief. ...Read more
How long to be able to get back to physical training after spinal neucleoplasty operation on l3/4 and l4/5?
Your DR should answe: Your DR who performed the op should give you that answer. ...Read more