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Minimally invasive disc decompression procedure for treating contained herniated disc. Radiowave signals are sent into the soft spongy jelly like nucleus of the herniated disc, through the transmitter. Low temperature ionized gas is produced by the radiowaves that breaks the molecular bonds of the jelly like nucleus, reducing tissue volume.The pressure on the annulus fibrosus protective tissue is relieved as a result of removal of the jelly like nucleus tissue. The adjacent nerve roots are no longer irritated as the bulge has now receded.
Q1 What is meant by herniated disc?
A1 The small bones or vertebrae that form the spine are separated by cushion like discs that functions as shock absorbers and protect the vertebrae against damage during movement. Spinal disc consists of two parts. Outer thick and strong ring shaped protective part called Annulus fibrosus which is a fibrous cartilage surrounding the inner gelly like soft spongy substance called Nucleus Polposus.Hernia is the bulging of an organ or a part of it beyond the cavity or the place which normally accommodates it. Herniated disc refers to the bulging or protrusion of the spinal disc beyond the space between the vertebrae, which usually contains it. This condition is referred to as "Slipped disc or ruptured disc" in layman's terms.
Q2 What are the causes of herniated or slipped disc?
A2 The thick and strong ring like protective part of the disc(Annulus Fibrosus) may get damaged or weakened due to
This leads to the pressure from the spongy gel like inner portion of the disc(Nucleus Pulposus) to bulge outwards or break the outer protective shell with compromised structure, causing a condition called herniated Disc. This abnormal bulging or herniated disc puts pressure on the nerve roots in the spine, irritates them and causes symptoms.
Q3. What are the symptoms associated with herniated discs?
A3 Herniated disc mostly affects lumbar region (lower back) and is characterized by the following symptoms:
Excruciating pain in the lower back, overlying the herniated disc, surrounding area and radiating Leg pain(one or both legs)
Loss of reflexes
Q4. What is done in Disc nucleoplasty?
A4 Disc Nucleoplasty is a minimally invasive procedure that involves decompression of the nucleus of the herniated disc.It is an advanced and clinically proven treatment method for disc herniation.It involves the usage of a minimally invasive thin catheter to create an exactly1mm passage in the nucleus of the disc. A microengineered alloy transmitter is advanced into the disc. Radiowave signals are sent into the soft spongy jelly like nucleus of the herniated disc, through the transmitter. Low temperature ionized gas is produced by the radiowaves that breaks the molecular bonds of the jelly like nucleus, reducing tissue volume. When the injection process is done, the transmitter is taken out. Now, the pressure on the annulus fibrosus protective tissue is relieved as a result of removal of the jelly like nucleus tissue. The adjacent nerve roots are no longer irritated as the bulge has now receded.
Q5 What are the types of disc herniation?
A5 There are normally 3 types of disc herniation namely:
Q6 What are the usual locations of disc herniation?
A6 Usual locations of disc herniation are:
2.Posterolateral(to the posterior on the side)
Q7 How much time does Disc Nucleoplasty take?
A7 Disc Nucleoplasty takes around 25 to 30 minutes.
Q8 What kind of anesthesia is given for Disc Nucleoplasty procedure?
A8 No general anesthesia is required. Local or topical anesthesia along with light sedation will do. Patient is usually awake during the entire procedure.
Q9 What are the benefits of Disc Nucleoplasty?
A9 The benefits that disc nucleoplasty offers, are the following:
No hospital stay required
25 to 30 minutes procedure
Rapid acting in relieving symptoms,as compared to drug therapy
Minimally invasive procedure
No general anesthesia required.
Makes use of FDA approved device
Clinically proven treatment method
Early resumption of activities
Most advanced Spine surgery at the most affordable cost.
Minimally invasive and endoscopic spine surgery techniques are being carried out to give maximum benefit to the patient such as quick recovery,short or no hospital stay,minimal scar formation which is aesthetically good and early resumption of activities.
Globally trained and highly experienced spine surgeons
High success rate
Compassionate staff to look after
Hospitals accredited with international organizations such as JCI(Joint commission International) for quality standards.
FDA approved device is used.
Language no barrier. English speaking people and if required, translators are available for your convenience.
Most economical accommodation available at a walking distance from the hospital. Wide range of options starting from guest house, service apartments to five star hotels, best suited to your budget and choice.
Dr K.S Narang
M.B.B.S,M.S(GeneralSurgery), M.Ch (Neurosurgery)
IGASS Spine Fellow Klinikum rechts der Isar Department of Neurosurgery, Technical University of Munich, Germany
Minimally Invasive Spine Surgery,Wooridul Spine Hospital, Seoul, Korea
Consultant – Neurosurgeon, Institute of Neurosciences
Medanta – The Medicity,Gurgaon,Delhi-NCR
Dr Sudhir Dubey
MBBS, M.S, MCh(Neurosurgery)
Fellowship in Endoscopic Skull Base Surgery UPMC, Pittsburgh, USA
Institute of Neurosciences
Medanta – The Medicity,Gurgaon,Delhi-NCR
Dr Bipin Swarn Walia
MBBS,MS(General Surgery), M.Ch(Neurosurgery)
Director – Neurosurgery & Head - Unit 1 & Neuro Spine Program
Max Super Speciality Hospital, Saket, Delhi
Dr (Maj Gen) Prakash Singh
MBBS, MS(Surgery), Mch(Neurosurgery)
Director & Sr. Consultant Neurosurgery
Max Smart Super Specialty Hospital,Saket,New Delhi
Dr Puneet Girdhar
Director Orthopedics Spine Surgery
BLK Orthopedics centre for Orthopedics, Joint reconstruction and Spine Surgery
BLK Super Specialty Hospital, New Delhi.
Dr P.K Sachdeva
Director & Head, Neurosurgery
Saket, New Delhi
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Mr Kwasi (Ghana)
08 Jan , 2017
I had been suffering from excruciating low back ache since last few years. Several sessions of physiotherapy, pain medications and frequent visits to the consultant all went futile. I was no longer able to carry out the normal daily activities. I was advised to undergo spine surgery by my doctor. I am glad I found HealthcaretripIndia. They got me comprehensive medical opionion from best spine