Doctor insights on:
When Is A Fusion Suggested
A fusion gets rid of a joint or disk between to bones, getting the bones to join together with bone between them. If successful, it eliminates almost all the motion between the bones. Sometimes fusion simply occur as a result of disease, rarely from aging. Most of the time ...Read more
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
Depends: Definitely immediately after surgery, most patients will have surgical pain which gradually improves with time. However, if you are still having significant or new/different pains months after the surgery, you should definitely have re-evaluation to assess the hardware, the fusion, other levels in your spine, pinched nerves, etc. ...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
Severe Pain : Vertebroplasty is commonly used following failure of conservative care such as bed rest, bracing, physicial therapy or adverse effect of medication. If the pain intensity is severe following the above care, vertebroplasty is a good alternative. It may be used immediately in those patient whose pain is so intensive that hospitalization is required and in the elderly who cannot tollerate bed rest. ...Read more
Sometimes: It can be related to how you were sutured to developing a collection of fluid under your incision like a hematoma or seroma. Or more occasionally from a spinal fluid leak -sometimes it is do to a remaining adjacent spinous process that is now prominant as the others were removed as part of the laminectomy. ...Read moreSee 2 more doctor answers
Is it possible for the spine to still curve even when one already went through a major surgery for scoliosis?
Yes: Most times with the larger curves, they are not fully corrected based on stiffness and balance issues as well as risk to the spinal cord. The goal of surgery is to have a balanced spine with prevention of further curvature while correcting the curve within the parameters described. The younger one is at the time of surgery, the more flexible the curve tends to be and more correctable ...Read moreSee 1 more doctor answer
Acdf vs disc replacement: which one is better? What is the criteria for a cervical disc replacement. I already have a fusion at c5-7. C4-5 herniated
They are equal good: They are equivalent the decompression that precedes skeletal reconstruction is the effective part of the procedure for arm pain niether treat neck pain well what is you target symptom? Replacement advantages are theoretical in my opinion and comercially exagerated. In my opinion. ...Read moreSee 2 more doctor answers
I had a root canal performed a month ago. I can not touch that tooth at all. Is this a fracture? What is the next step/
Several things: First you should go back to the dentist who performed the rct to have it reevaluated. Several possibilities exist. There may be a fracture in the tooth. The occlusion may have to be adjusted. If a crown was placed there may be a problem the rct may have to be redone if it was not done properly. There may be a large cyst or abscess at the tip of the root in which case you may need an apicoectomy. ...Read moreSee 3 more doctor answers
Definite indications: 2 indications are a disc herniation leading to myleopathy or cauda equina syndrome. A myleopathy is compression of the spinal cord leading to its dysfunction and cauda equina syndome is bowel/bladder control issues due to those nerves being compressed. Otherwise, disc surgery is for those who fail non op care or may be having intractable pain or a progressive deficit in terms of weakness. ...Read moreSee 1 more doctor answer
Facet joint pain after laminectomy 8mos ago. Had 2 nerve blocks. Rfa is next. If the rfa is a success, will it stop the painful spasms in that area?
Is it normal for a surgeon to wait for a previous fusion to fuse before doing a 2nd fusion in the same area? I have the same symptoms as before.
Is it a bad idea to have an open incision greater trochanter bursectomy and an si joint fusion done at the same time?
No: The removal of the bursa is a minor procedure. ...Read more
I was just told that a displacement medial menicus root is not a tear but a antatomical variant. Is this right? Before surgery it wasn't like that?
I have a had a cervical spinal fusion at c5-c6 now the disc above it is protruding & there is bone spurs going to the plate will i need surgery again?
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