WHAT IS THE NONSURGICAL LUMBAR HERNIA TREATMENT METHOD WITH RF (RADIOFREQUENCY)

It starts with anesthetizing the area to be treated for herniated disc with radiofrequency, and the pain nerves that provide chronic pain transmission are rendered insensitive with the help of a device called a probe under X-ray. The entire treatment takes 20 to 30 minutes. You will be able to return to a largely pain-free life immediately after the treatment. You can take a bath on the same day and continue your daily life.

Radiofrequency ablation, also called rhizotomy, is a non-surgical, minimally invasive procedure that uses heat to reduce or stop pain transmission. Radiofrequency waves cut or "burn" the nerve causing the pain, essentially eliminating the transmission of pain signals to the brain.

Treatment of lumbar hernia with radiofrequency is recommended for the treatment of non-surgical lumbar hernia at the initial level. It is the treatment performed with radiofrequency without anesthesia (without general anesthesia) and without anesthesia and surgery. During the treatment, the patient does not feel any pain or pain as the treated area is anesthetized.

Radio Frequency Hernia treatment is recommended if you are in the appropriate patient group after MR images and physical examination. It is recommended to be applied in low back and neck hernias at the beginning level.

It starts with anesthetizing the area to be treated for herniated disc with radiofrequency, and the pain nerves that provide chronic pain transmission are rendered insensitive with the help of a device called a probe under X-ray. The entire treatment takes 20 to 30 minutes.

Reduction or even complete elimination of the need for muscle relaxant painkillers used for lumbar hernia.

Faster return to daily life and work thanks to rapid recovery.

You will be able to return to a largely pain-free life immediately after the treatment. You can take a bath on the same day and continue your daily life.

Among the advantages of radiofrequency ablation and hernia treatment, we can list the following.

It is a non-surgical treatment. If you have a fear of surgery, you can choose it.

Instant pain relief

The recovery process is very fast, and the recovery occurs immediately after the procedure.

Reduction or even complete elimination of the need for muscle relaxant painkillers used for lumbar hernia.

Faster return to daily life and work thanks to rapid recovery.

Lumbar Hernia - Slipped Disc radiofrequency FAQ

I have been suffering from low back pain for a long time, can I be treated with radiofrequency?
After determining the cause of your low back pain, it is necessary to decide on the treatment to be applied. Whether the cause of your low back pain is a newly formed hernia, an old hernia or a problem with spinal adhesions, all of the radio frequency, ozone therapy, microsurgery or surgical treatments are applied in our hospital after the diagnosis of these questions is made by your doctor.
When will my pain go away after radiofrequency hernia treatment?
Since the pain nerves are blocked after radiofrequency is applied in your hernia treatment, your pain will go away immediately.
Can lumbar hernia recur after radiofrequency treatment?
Hernia and pain nerves blocked by radiofrequency will not be active again, but it would not be correct to say anything definitive about whether new hernias will occur in the treatment area or nearby areas in the post-treatment period.
Is there any other method used in the treatment of pain other than radiofrequency?
Although epiduroscopy is used as a similar non-surgical method for pain in the spine, apart from radiofrequency, the target patient group of the two treatments is different.

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    What is a herniated disc?

    There are 5 spinal bones in the waist, and there are cushions called discs between them.

    While the outside of the discs is like a hard capsule, the inside is composed of soft texture. If the outer texture is torn and the inner soft texture comes out, compression occurs in the surrounding nerves, this situation is called Lumbar Hernia.

    There is no standard lumbar hernia treatment for every patient. The treatment of herniated disc should be planned individually. The treatment diers according to the severity of the patient's complaints, duration, examination findings, radiological findings, age of the patient, occupation, overweight problem or lifestyle.

    Lumbar Hernia Stages

    Herniated disc begins with the deterioration of the structure of the disc. In the deformed disc, the outer capsule (annulus) weakens and tiny tears begin to form. With this process, the nucleus inside the disc dries up and loses its ability to stretch, bend, and absorb impacts. This stage is the beginning level of herniated disc and is called Disc Wear, Disc Degeneration, Degenerated Disc. Normally, on MRI, the color of the disc appears white, close to water. However, when disc degeneration develops, the amount of water in the nucleus decreases, so the disc appears blacker than it normally would. For this reason, these discs are also called Brown Discs. In the initial stage, herniated disc may not cause any symptoms or may only cause low back pain with strain.
    Tears increase on the damaged outer layer (annulus) of the spine and the soft texture inside begins to bulge outward. Since it is at the beginning, the dishedness is more vague. At this stage, the hernia may not cause any symptoms or may only cause low back pain.
    Over time, the amount of tiny tears in the annulus increases, thus weakening the annulus. This dishedness is called Protrusion and the dished disc is called Protruded disc. Depending on the dished area, it may cause only severe low back pain or severe back and leg pain, as well as numbness and weakness in the leg.
    The same process happens in the fourth stage; dierently, the protruding fragment breaks o and remains as an independent piece in the spinal canal. This event is called Sequestration and the fragment is called Sequestrated Disc Fragment or Free Fragment. All other features, symptoms, and treatment of a Stage Five hernia are the same as for Stage Four hernias.

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      GOLD STANDARD MICRODISCECTOMY (LUMBAR HERNIA SURGERY)

      Microdiscectomy is the most common treatment method used in herniated disc surgery. It is applied to relieve the pressure on the nerve root and relieve pain by removing herniated disc parts.

      HOW IS MICRODISCECTOMY PERFORMED?

      It is a surgical method that is mostly performed under general anesthesia (the patient is put to sleep with drugs and is unconscious). In microdiscectomy, a smaller skin incision (1.5-2 cm) is made and the operation is started. By using special retractors, very little muscle texture is stripped. With the help of imaging methods (Scopy), a smaller bone window is opened. Since these procedures are performed using microsurgical instruments and methods under a special operating microscope, the possibility of nerve and nerve membrane

      damage is very low. The hernia texture pressing on the nerve root is cleaned. There is no need to use any substance to replace the removed disc texture. After the surgery, patients have the chance to return to their work or daily life more quickly.

      MICRODISCECTOMY (LUMBAR HERNIA SURGERY)

      In which patients can microdiscectomy be applied?
      It can be applied with high success rates to all patients with lumbar hernia who received conservative treatments such as rest, physical therapy, analgesic-anti-inflammatory therapy and epidural injections, but did not respond to the treatments, developed drop foot or had a cauda equina picture.
      What is foot drop? Is it an emergency?
      Under normal conditions, we can move our feet up and down from our ankles, but the sudden inability to move our feet from the ankle up (towards our face) is called drop foot. The patient walks by dragging his foot. If this is due to herniated disc, it means that we need to have an emergency operation. It is very important to have surgery within the first 8 hours. Otherwise, or if it is late, the probability of recovery of ankle strength will decrease.
      What is the Cauda Equina painting? Do you need surgery urgently?
      Complaints and findings in cauda equina syndrome due to herniated disc; It manifests as sciatica-style leg pain (pain radiating from the waist to the leg), severe loss of muscle strength, marked numbness or inability to feel pain, loss of urine and stool control (defects in the sphincters), and sexual dysfunctions. There is sudden numbness around the breech. When this picture occurs, the patient should have an emergency operation. If surgery is not performed, these findings will continue permanently in the patient.
      How many days do patients stay in the hospital?
      One day of hospitalization is sufficient, they can return to their homes and normal daily lives after one day. Generally, after 6 hours, patients can stand up and walk around and eat. The patient is given training for lying down and getting up to protect the back health. 1 week of rest is usually sufficient after surgery. With the microdisketomy method, patients can start their business life more quickly.
      What sports can be done after scoliosis surgery?
      The sports you can do after the surgery and when you can return to sports vary according to the level of fusion applied. Therefore, it is important to discuss the issue with your doctor. In general, it is not recommended to start a certain sport in the first 3 months. However, swimming and running sports can be done after the 3rd month. Contact sports (basketball, football, karate, etc.) and sports with risk of falling such as horse riding can be started after the first year.
      What should I expect from fusion surgery for scoliosis?
      The most important goal in scoliosis surgeries is to prevent the progression of the curvature, to prevent future heart, lung and pain problems, and to keep the quality of life at the highest level throughout life. The secondary aim is to make the fusion process to contain as few vertebrae as possible to prevent progression. In this way, spinal mobility is tried to be preserved.

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        Instrumented Posterior Spinal Fusion Surgery

        What does fusion mean? How is it done?

        Fusion is the joining, fixing, knitting and freezing of two spinal bones. Additional hardware (instrumentation) such as rods, screws, and cages may or may not be used to achieve fusion. The instruments used are both helpful in correcting the deformity and act as an internal support that will hold the vertebrae together while bone union occurs.

        It is important to use bone or bone-like materials as grafts to fuse the vertebrae for both instrumented and non-instrumented fusion. The most commonly used graft materials are:

        Autograft: It is the graft material taken from the patient himself. Today, it is considered the gold standard graft material for fusion. It can be taken from the surgical site or from other bones of the body.

        Allograft: It is prepared from cadaver bone. Although the healing and fusion rates are slightly less than autograft bone, bone removal with another incision is not required for the allograft, thus causing less pain.

        Synthetic grafts: They are usually products containing calcium. Especially in childhood and adolescence, union rates are comparable to autograft and allograft, due to the high potential of the patient's own union.

        Details of Instrumented Posterior Spinal Fusion Surgery

        When is spinal fusion surgery required?
        There are many possible reasons for your doctor to recommend spinal fusion surgery to you. Deciding to apply or not to perform intervertebral fusion and at which levels to apply fusion is a very complex process. The fusion decision depends on many factors, such as the patient's age, factors related to the disease to be treated, and the individual's expectation of post-surgical activity. Therefore, you should discuss everything about spinal fusion surgery with your surgeon and be very careful when deciding on surgery. Fusion surgery can be applied to correct fractures, spinal deformities such as scoliosis, kyphosis and dislocations.
        What is the recovery process like after spinal fusion?
        It is recommended to spend the first week with rest at home. The frequency and duration of walking in the house should be increased. As long as the pain can be tolerated, there is no limitation in walking time and distance. The sitting time should also be increased gradually. Painkillers given by your doctor should be used regularly in the first week, and then gradually reduced and almost completely stopped at the end of 2-3 weeks, depending on the pain tolerance of the person. With the new applications, the healing process after scoliosis surgery has become more comfortable and faster.
        How should the movements be after spinal fusion?
        In-bed movements are free during the recovery period after the surgery. It can be laid on your back, side or face down. Excessive bending forward, excessive rotation of the body left and right and bending should not be done, it is inconvenient. Leaning forward should only be enough to wash face in the sink. Leaning forward to tie shoes is excessive bending and should not be done.
        When should be back to school after scoliosis surgery?
        School can usually start at the end of the third week, except in some cases. If you can sit or stand for at least 3-4 hours a day, it means it's time to start school. It may be inconvenient to attend physical education classes for a year.

        Maintaining spinal mobility is more important than cosmetic improvement. It is an important factor affecting the quality of life. Cosmetic improvement is of course very important, but it comes after two purposes. Cosmetic correction is best attempted, but it is not a good idea to forego safe surgery and a mobile spine for a perfect cosmetic correction. The movable spine is very important for your future quality of life. It is expected to have a balanced spine after the operation.

        If we consider the cosmetic problems of scoliosis as hump on the back, waist asymmetry and difference in shoulder height, the most difficult finding is the hump on the back. Although significant improvement can be achieved in the hump finding, there may be a slight asymmetry between the two sides in bending forward. Complete correction of this asymmetry can be achieved by cutting the ribs. However, you should discuss the advantages and disadvantages of this with your doctor.

        The gold standard treatment of scoliosis is fusion, that is, fixation of the scoliotic part of the spine. Fixing the lumbar vertebrae in particular may cause limitation of movement. Although your doctor aims to operate on as few spines as possible in the lumbar region, in some cases, he may have to perform the fusion procedure up to the lower waist. In this case, it is expected that there will be some limitation in bending forward and sideways. Individuals get used to this limitation over time after surgery. Still, it is a good approach to protect the entire lumbar spine, or at least the lower lumbar vertebrae, from surgery, and your doctor will do his best to do so.

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