Without Surgery, Treatment Method for Pinch Nerve
For most people, spinal pain is very painful, besides it can cause stress because patients suffer from prolonged pain, limiting movement and activity so that what can be done is just lie down all the time. People will make various efforts to relieve this pain, while the easiest way is to take anti-pain medicines for a long time so as to cause dependence. Even though eating medicine continues there is another big risk waiting.
To reduce and eliminate spinal pain and dependence on painkillers. We always say that there are various methods of approach to relieve pain and this is known as the Interventional Pain Management method as an alternative non-surgical therapy.
This method is carried out without removing the pads (discs), ligaments or joints, parts of the bones related to the spinal cord, so that it can be a reference for the treatment of acute and chronic spinal pain by reducing the frequency and intensity. This action is a One-Day Care Treatment, which is one day treatment for spinal pain disorders with the aim of "turning off" the pain signals sent to the brain.
There are various types of HDI procedures including:
Steroids or Local Anesthetic Injection
Steroids or injections of local anesthesia is the action of inserting drugs into the joints by injection. If the usual medication taken will affect all organs. While injections of steroid drugs only into the joints, so only the joints, not other organs. In addition, drinking drugs can burden the kidneys. While steroids can potentially reduce kidney damage. "This steroid is effective in reducing pain, reducing inflammation, edema and irritation by reducing swelling of the peripheral nerves, blocking c-fibers, and stabilizing nerve membranes," he explained. The benefits of steroids, pain disappear for several months and a maximum of two years. Compared with oral drugs, steroid injections are faster in reducing pain and a more minimal complication. This therapy increases the scope of motion of the joints, minimizes the use of oral pain medications, increases the quality of life and faster healing time.
While Radiofrequency is a procedure used to reduce pain by flowing electricity which is produced by radio waves to ablate certain nerve parts. The nerve endings caused by heated pain use electricity generated by radio waves so that the pain stimuli in the area can be stopped. The advantage of this treatment technique is that it is proven to be safe, fast for only about 30-60 minutes, but does not need to be hospitalized, can cut the delivery of pain stimuli to the nerves around the joints and spine, relieve pain for quite a long time.
Epidural block steroid injection
Injecting corticosteroid drugs into the epidural cavity in the spinal region to relieve inflammation of the nerves and spinal pads (interverterbral disc). The purpose of this procedure is to treat pain and inflammation. The epidural steroid injection procedure usually takes 15-30 minutes. Before the injection is done, local anesthesia is performed. Using an ultrasound guide, C-Arm or with fluoroscopy (live xray) steroids are injected into the epidural space. After the procedure, monitoring will be carried out for 15-20 minutes.
Platelet Rich Plasma (PRP)
After the past few years PRP has become popular for the treatment of injuries such as tennis and elbow golf and knee problems caused by jogging and sports varieties, as in the case of Tiger Woods used for knee surgery, footballer Adam Cooney for degenerative knee problems and the Los Angeles Dodgers' pitcher Takashi Saito to treat an elbow injury. PRP therapy has been used since the 1990s to help cure spinal cord injury and tissue recovery after plastic surgery
Spinal cord stimulation
Spinal stenosis is a narrowing of spinal pain. The spinal canal is a tube system in the bone where the spinal cord and spinal cord are executed. Spinal stenosis can occur anywhere in the spine, but most often occurs in the neck and waist. Low back pain accounts for a large percentage of spinal stenosis. In general, pain is exacerbated by flexing the spine, and a common way to relieve it is by bending / bending the spine forward. The act of eliminating it is by manipulating pain stimuli in cases of chronic pain in the back, arms, or legs, that is by planting a stimulator in the spinal region. Don't hesitate to consult your pain with the Pain and Spine Clinic
Epidural RACZ Catheter
RACZ Catheter is inserting a catheter hose into the epidural cavity that is outside the spinal cord, directing it to the target of a pinched nerve, and injecting painkillers, chronic anti-inflammatory drugs, aka chronic inflammation, and anti-adhesion drugs. This procedure lasts about 30 to 60 minutes. Can be done only once until a maximum of three injections in one year.
At Siloam Surabaya Spine Clinic, you are free to choose and discuss the best solution for your condition. Both non-operating or operating methods all have their advantages and disadvantages. Consult first
Greetings nerves and spine.