Dr Kulkarni's Pain Clinic
for Back, Neck, Shoulder & Cancer Pain

                                          



This is the procedure as an alternative to the surgical operation for the slipped disc. This procedure can be combined with the Ozone therapy to get maximum benefit without operation. This procedure is also called percutaneous disc decompression or nucleoplasty and is usually done on a contained prolapsed intervertebral disc where the outer portion of the disc is not broken.


How does it cause pain relief?

The prolapse of the disc is because of the rise of the internal disc pressure. This causes disc to bulge or slip compressing the nearby nerve root. A deformed disc itself can cause back pain.
In this procedure the part of the inner material of the disc (nucleus pulposes) is taken out without operation. This causes reduction of the internal pressure of the disc and causes the disc to regress.

How is it done?

A device known as Disc Dekompressor is introduced into the prolapsed disc under local anaesthesia and switch made ‘on’.

What is Dekompressor?

It is an outer and inner needle only. First, the outer needle is passed into the disc and then inner needle is passed through the outer needle. The inner needle has got a battery connection and as the switch is made on, the inner needle rotates inside and the disc material comes out through the space in between the two needles.


Dekompressor in disc:



What is the recovery of the patient like?

Immediate. Patient is discharged within 4 hours.

Is it effective?

Overall there is more than 90% success rate which is comparable to or better than surgery. Moreover, the pain relief is good in the long term, and lasts usually for a long time.

What are the advantages of it over surgical procedures?

  • It is done as a day care procedure.
  • There is no need of general anaesthetic.
  • There is no need of admission in hospital.
  • It can be done in a relatively unfit patient, and also in old age.
  • Complications are almost nil.
  • In the long run there are no adhesions like surgery, so doing the procedure again in future is easy compared to surgery.


  • Does it or can it cause spinal unstability?

    The risk of this is nil in this procedure, like surgery. As the structures are not dissected and only a needle is used, there are no chances of adhesions or spinal unstability.

    Is it cost effective?

    Yes, compared to surgical methods, it is very cost effective.






     

     

     




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