Pain therapy for herniated discs and back pain

A new, safe catheter therapy

A new and safe catheter therapy was further developed in the spine center apex spine. This "safe catheter" therapy has proven to be very effective for minor herniated discs with very severe leg or back pain, for scarring after disc surgery that has already been performed and for spinal canal stenoses that are not very pronounced (narrowing due to wear and tear).

Here, under local anesthetic and image intensifier control, a very thin, curved tube is inserted directly into the area where the disc or scar is causing nerve irritation. An enzyme preparation is then administered through this tube to loosen scars. Finally, a targeted corticoid preparation is left behind to prevent inflammation and avoid scarring. A catheter is then placed at this point. The next day, a depot corticoid preparation is injected through the catheter and the catheter is removed. Two hours later, the patient can be discharged home.
The "Safe Catheter" should not be confused with the "Racz Catheter"! The catheter therapy according to Professor Racz has recently been used frequently for herniated discs and back pain, where minimally invasive endoscopic surgery always offers better results and more safety.

This technique is developed by Dr. Schubert has been used since 2002.

The "safe catheter" therapy should not be confused with the facet joint blockade

facet blockage

A facet joint blockade is performed on patients in whom magnetic resonance imaging or X-rays can be used to show that the back pain is caused by wear and tear on the vertebral joints (facet joints). Under image intensifier control, irritated, pain-causing vertebral joints are punctured and anti-irritant medication is introduced directly inside the joint. In order to achieve the same desired effect of pain reduction as compared to conventional injection treatment on the spine - due to the exact local administration - only minimal amounts of medication are required.

nerve root blockage

In patients with severe, radiating pain due to irritation or swelling of the spinal nerve root, which can be detected in most cases with an MRI, just one or two targeted injections of cortisone can work wonders. Under image intensifier control, a thin needle is guided directly to the affected nerve root under local anesthesia. By flushing the nerve root with 2cc cortisone, there is immediate pain relief. In rare cases, this treatment must be repeated a second time.

Neurostimulation - nerve stimulation

This is a new type of treatment method for patients with chronic back pain, for whom all other conservative and, above all, surgical treatment methods have usually failed.

In this procedure, a probe is placed directly at the point where the pain arises and is transmitted. That means exactly where you feel the pain, i.e. perceive it. Through electrical stimulation of nerves, pain relief is sometimes even achieved without pain. The actual electrical stimulation is achieved with the help of a medical device (battery-powered neurostimulator, similar to a pacemaker). As a rule, after successful testing, the neurostimulator is then placed under the skin in a small operation and the connected probes are placed directly on the spinal cord (spinal cord stimulation) or peripheral nerves (peripheral nerve stimulation).

The usual pain medication, including its side effects, can sometimes even be dispensed with entirely or at least significantly reduced.

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