Spinal hernia

Technique of laser hernia removal and its advantages

Laser treatment of spinal hernia may involve both conservative therapy and complete removal of the hernia with a laser.

These methods are recommended in various cases in the absence of contraindications for the patient and depending on the severity of the disease, but in the early stages (within six months after the formation of a vertebral hernia, when its size is not more than 6 mm).

Laser surgery is addressed when traditional medical treatment has no effect.

Indications and preparation

The operation is performed in such cases:

  • regularly occurring strong pain syndrome,
  • recurrent discomfort (tingling, burning) in the spine,
  • change in sensitivity
  • inefficiency of conservative methods.

Regardless of the method chosen, a standard examination is prescribed: pass tests, undergo a CT scan or MRI, take an electrocardiogram, and also visit a cardiologist, an anesthesiologist, a therapist.

Advantages and disadvantages of laser removal

Despite its seemingly modern and technological, laser removal intervertebral hernia is an extremely situational method of treatment. The relative simplicity of this technique forms both its positive and negative sides.

Benefits include:

  • Low invasiveness intervention. For laser vaporization or reconstruction does not require the implementation of significant incisions with dissection of the muscles and ligaments of the spine. Tissue injury is minimal,
  • Low cost of time. Such an operation and rehabilitation after it together take up to 2 weeks. At the same time, the intervention itself lasts no more than 45–60 minutes, and already in the first hours after it the patient can walk and feels a significant improvement in well-being,
  • No complications. The technique of laser hernia removal eliminates any damage to the spinal cord or spinal nerves.

Disadvantages:

  • Relatively low percentage of favorable outcomes. Stable improvement in well-being is achieved only in 70% of the operated patients, and complete recovery - in 5%. In almost half of the cases, repeated operations are required over time.
  • The impossibility of carrying out laser removal of a hernia with its size more than 6 mm, in advanced cases, the patient is over 50 years old,
  • The high cost of the procedure.

Laser vaporization

After local anesthesia, a special needle-guide is inserted through the skin into the intervertebral disk. Through the channel of this needle a laser is held, with the help of which a temperature of about 70 degrees is created, which leads toevaporation of the liquid part of the disk core. Through a special hole in the needle, steam is sucked away, which creates negative pressure inside the intervertebral cartilage, as a result of which the hernial protrusion retracts inwards.

Percutaneous Laser Reconstruction

A needle with a laser is inserted into the intervertebral disk in the same way as during vaporization. The difference is that the laser heats the tissues to 40 - 50 ° C, causing their minor tissue damage. This damage stimulates the formation of collagen and hardening of the disc core, preventing its subsequent protrusion in the form of intervertebral hernia.

Preparation for the operation

For surgical intervention with the use of laser technology must undergo a series of surveys. Some of them are aimed at clarifying the diagnosis in order to work out the individual nuances of the operation, others are used to identify contraindications.

  • MRI of the spine. It is necessary to accurately determine the localization of the hernial protrusion, its size and density,
  • Consultation neuropathologist, therapist and anesthesiologist.

To clarify the state of health, identify intolerance to drugs and the selection of methods of pain relief are needed the following laboratory and instrumental studies:

  • General analysis of blood, urine,
  • Determination of blood sugar
  • ECG,
  • Blood test for HIV, syphilis.

How is the procedure

After treatment with an antiseptic (Betadine, Yodonat) of the surgical field in the area of ​​the future introduction of the needle guide, layer-by-layer introduction of a local anesthetic to the entire depth of the soft tissue is carried out. Most often used lidocaine, novocaine. If there is an individual intolerance to these drugs and the hernia is located in the lower lumbar region, spinal anesthesia is possible.

In the projection of the intervertebral disc progressively needle guide is inserted with the subsequent penetration into its core. A laser is passed through the needle channel.included on the necessary power after penetration into the intervertebral disk. Under the constant control of computerized radiography vaporization is in progress or reconstruction of the disk core.

At the end of the procedure, the laser and the needle guide are removed, the puncture site is re-treated with an antiseptic and closed with a sterile, airtight dressing.

Note! With successful surgery, the patient, while still on the operating table, has a decrease in symptoms associated with intervertebral hernia.

Rehabilitation after hernia removal by laser

After minimally invasive surgical interventions, the rehabilitation period takes a rather insignificant length of time. In the absence of complications, the recovery period is 10-14 days.

However, to prevent re-formation of the hernia should be for six months to abandon physical exertion, massages, manual therapy.

To strengthen the muscles of the back should resort to the help of medical gymnastics and swimming.

Features of

Under the control of an X-ray apparatus with a minimum radiation load, a puncture needle and a flexible light guide with a quartz fiber are inserted into the core of the intervertebral disk.

Laser radiation acts precisely on the affected area, increasing the temperature inside the disk and evaporating the excess fluid that escapes through the needle. Thermal laser effect occurs:

  • reduction of intradiscal pressure
  • decrease herniation,
  • stimulation of the process of cartilage tissue renewal,
  • the process of scarring (something like “blocking” is being formed for the possible re-release of the hernia).

After vaporization, laser reconstruction is recommended - restoration of cartilage tissue to prevent recurrence of the disease.

This operation is carried out almost the same as the removal of a vertebral hernia: a needle is inserted, a laser cable is inserted, and the energy of small power heats the disk to 60-70 degrees, but the structure of the disk is preserved and, moreover, regenerates over time.

The process of formation of young hyaline cartilage, which takes the place of damaged tissue, requires several months.

Contraindications and possible consequences

Laser surgery is not recommended for the removal of hernial spinal column if the patient has:

  • age over 50 years
  • hernial formation of more than 6 mm,
  • diagnosed sequestered hernia,
  • vertebrae of abnormal structure,
  • there is inflammation of the intervertebral discs,
  • combined stenosis (disrupted spinal canal configuration),
  • inactive or inactive lifestyle.

Normally, the pain disappears 3-4 days after surgery (when the swelling of the nerve roots subsides), but relapses are likely: the patient complains that the pain has not disappeared.

As a rule, most often the problem appears again, if you do not perform medical appointments, and also do not move within reasonable limits. In fact, after some time after treatment, you can begin to do the exercises.

But incorrectly chosen exercises can also lead to deterioration: an exercise therapy should recommend an individually suitable complex.

Postoperative period, rehabilitation

After surgery, to minimize the risk of complications, it is necessary:

  • stay in the hospital for at least a day (sometimes longer),
  • take anti-inflammatory drugs
  • a couple of months not to go in for sports, not to do hard physical work.

During the rehabilitation period, as well as after it, you should pay special attention to your lifestyle: lose weight, eat right, do swimming and therapeutic exercises.

On the recommendation of a doctor who monitors rehabilitation, you can periodically attend massage or physiotherapy sessions - this is possible after complete recovery.

Features of the technique

This method of laser therapy is a polarized light beam (not green, as some believe, but in the red and infrared), in a constant or pulsed mode. It takes 10-15 procedures every other day.

How is the treatment carried out?

  • "With a gap", contact (with the approach of the nozzle apparatus to the skin), with compression,
  • over the hernia or in the zone of the desired segment,
  • in the area of ​​the spine, where there is the greatest pain,
  • in acupuncture points,
  • in the projection of the neurovascular bundles,
  • in the projection of the adrenal glands (the laser stimulates the production of its own glucocorticoid hormones with anti-inflammatory and anti-edematous properties).

The maximum exposure time per zone is 5-10 minutes; the total session lasts no more than half an hour.

Separately, it is worth mentioning laser phoresis, which allows you to enter drugs into the body: the laser excites cell membranes and increases their permeability, and also accelerates the penetration of nutrients into the spine. The technique improves the absorption of drugs without affecting the kidneys and liver.

Denial of responsibility

The information in the articles is intended solely for general information and should not be used for self-diagnosis of health problems or for medical purposes. This article is not a substitute for medical advice from a doctor (neurologist, therapist). Please consult your doctor first to know exactly the cause of your health problem.

Laser reconstruction

This technique is called laser reconstruction, the technique of the procedure is the same as in nucleoplasty, the differences are the selected modes of the light beam. Because laser treatment of vertebral hernia is carried out not only in a destructive, but also in a regenerative mode. When reconstructed, the disc tissue is heated to 70 degrees, which contributes to the start of the regeneration process and leads to the growth of cartilage tissue.

Laser reconstruction is carried out over a period of two to three days; this technique has the same advantages as vaporization. The process of repairing the tissues of a disk after exposure to a laser continues for several months, during which time the overgrown cartilage tissue fills the smallest cracks in the fibrous ring. Laser reconstruction is especially indicated after injuries to prevent the development of hernias.

Treatment of intervertebral hernia with a laser is considered to be quite an effective procedure, but this does not mean that the patient should lead a normal life immediately after discharge. After laser therapy, further tissue regeneration occurs, therefore, during the recovery period, the following recommendations should be observed:

  • During the first months after vaporization during physical work and exercises, the use of a corset is shown. Its application will prevent the displaced disc from moving, will not allow to make unsafe sharp turns and movements. The corset of a certain model should be advised by a doctor, orthopedic bandages for lumbar, thoracic and neck collars are produced.
  • After laser therapy, the doctor prescribes anti-inflammatory drugs for several days.
  • Physical therapy and massage in the area of ​​laser exposure are not carried out until the permission of the attending doctor.
  • It is necessary to perform physical exercises after healing the incision. The complex of occupations is selected by the doctor - the rehabilitation specialist. It must be remembered that sharp movements, twisting of the spine and the appearance of pain are a contraindication to the exercise.
  • It is necessary to change the way of life - exclude hypodynamia, smoking. Excess weight creates a load on the vertebrae, so weight loss is also an important stage of rehabilitation.

Laser removal of a hernia, like any other method of treatment, has its drawbacks, the main ones include:

  • Efficiency only in 75% of cases.
  • Not complete removal of the hernia, but only a reduction in the size of the protrusion.
  • In many cases it is necessary to repeat the laser correction after several months.
  • High cost compared with surgery.

The effectiveness of laser therapy increases several times if the patient goes to the clinic with the minimum size of protrusion and does not resort to the independent use of drugs. It must be remembered that the minimum number of relapses is observed in patients who have fulfilled all the recommendations of the doctor during the recovery period.

Laser treatment for large hernias of the spine can be used in conjunction with surgical intervention. Surgeons perform a discectomy, and a laser beam triggers regeneration processes in the cartilage of the vertebrae.

Treatment of vertebral hernia with a laser can be made without incision of the skin and without direct impact on the disc itself. With this technique, the laser acts directly on the skin, muscles and surrounding tissue hernia. As a result of this laser therapy, the following positive changes in the patient's state of health are achieved:

  • Pain relief.
  • Reducing swelling and inflammation.
  • Improved microcirculation and major metabolic processes.
  • Strengthening local immunity.
  • Restoration of conduction in nerve fibers.

Laser therapy is prescribed in courses from 5 to 15 sessions. It should be borne in mind that in some patients for 2–3 days of laser exposure, an exacerbation of symptoms may occur, this should not be frightened - this process indicates the launch of protective mechanisms. Among the features of the treatment of hernia with a laser, there are several main ones:

  • The short duration of the sessions - from 2 to 25 minutes.
  • Prolonged action, that is, the therapeutic effect is observed for several months after the end of the course.
  • Lack of addiction.
  • Strengthening the immune system.
  • A small number of contraindications.

Intervertebral hernia can occur with different symptoms and disc changes. A complete picture of the changes taking place can be ascertained only after an appropriate examination. It must be remembered that a qualified specialist will be able to suggest the correct treatment regimen; it will not be superfluous to consult with several narrowly specialized doctors.

The effectiveness of this method of treatment

The strength of the external influence of a laser LED on the tissue of the intervertebral disk, the duration of the operation, the power of the beam - all these parameters vary, depending on the wavelength. Hence, the effectiveness in each case will be different.When using this method to restore the support function of the spine (lumbar, cervical, or sacral parts), the following properties are provided:

  • heating fabrics
  • coagulation,
  • photopolymerization
  • splitting up,
  • evaporation.

At the same time, intracellular processes are activated, pain is reduced. Due to vaporization, healing takes place, microcirculation is restored in the affected area. This technique helps to reduce hernial protrusion.

With the help of vaporization, you can achieve the maximum effect - remove half the volume of the gelatinous core. It does not decrease the height of the disk. The desired result is obtained, provided that there is no sequestration when a pulp nucleus falls out.

This process involves the destruction of the hernia capsule, the separation of its sections. If a fibrous ring ruptures, it is impossible to repair the tissue, but it is possible to alleviate the condition by reducing the size of the formation.

The laser-based method is effective provided the hernia has recently developed. This is due to the fact that the gelatinous core is 70% water. If the pathological protrusion occurred a long time ago, then the process of tissue ossification has already started. Then the evaporation method does not provide the desired effect for the reason that the liquid in the disk is practically absent. Vaporization is carried out only in cases when the size of the pathological formation does not exceed 6 mm.

The benefits of laser therapy

The method became widespread due to the following positive properties:

  • lack of blood loss, since at the beginning of surgical procedures a small incision of the external integument is made, in addition, thermal effect contributes to the soldering of damaged blood vessels, which significantly reduces the risk of bleeding,
  • no need to perform general anesthesia, for the procedure, local anesthesia is sufficient,
  • recovery is fast (3-4 days),
  • short period of operation,
  • during surgery, the integrity of healthy tissues of the back is not disturbed, thanks to which rehabilitation does not take much time,
  • stability of the spinal column is maintained,
  • with surgical intervention by this method, simultaneous removal of protrusions on different segments of the spine is allowed,
  • laser vaporization complications develop less frequently than in the case of other methods,
  • The method of removing a hernia by heat exposure can be used simultaneously with other types of surgery.

With laser vaporization of the hernia of the spine, local anesthesia is sufficient.

Indications for

If a hernia is diagnosed with back pain, laser vaporization can be used in the following cases, if:

  • patient age from 20 to 50 years,
  • hernia does not exceed 6 mm,
  • bulging developed recently (for 6 months),
  • conservative therapy did not produce results
  • the desired effect was not achieved during treatment by physiotherapy,
  • diagnosis of osteochondrosis: in this case, due to vaporization, the structure of the affected joints is restored.

In addition, surgery on this method is carried out with the following symptoms:

  • intense back pain
  • dizziness, headaches,
  • movement restriction
  • desensitization
  • burning sensation in the back.

Vaporization can be carried out during the breastfeeding period, during pregnancy. This method is less aggressive than other invasive procedures.

Preparation for the procedure

Surgical intervention is carried out only after a full examination, which will eliminate the likely factors that may contribute to the development of complications. Preparation for laser vaporization:

  • General analysis of blood and urine.
  • Blood test for sugar.
  • CT scan.
  • ECG.

Before surgery, the patient must donate blood and urine for analysis.

It is necessary to choose the composition for anesthesia, for this reason, it is recommended to consult with the anesthesiologist. The therapist determines if there are any contraindications. If a hernia has worsened at the time of going to the doctor, it is recommended to carry out drug therapy using NSAID groups, antispasmodics, analgesics.

Stages of laser vaporization

The sequence of actions during surgical intervention using this method:

  1. Local anesthesia is performed.
  2. After anesthesia, an incision is made in the skin through which a special needle is inserted into the structure of the intervertebral disc tissue.
  3. Through this tool, a quartz filament, which is a laser light guide, is delivered to the affected area. At the same time, the control of actions should be provided, for which the method of computed tomography and X-ray diffraction is used.
  4. The light guide allows you to warm the fabric to a temperature of + 70 ° C.

As a result, the fluid in the intervertebral disc evaporates. The process of protein denaturation is still developing. At the same time there is a decrease in the disk volume. However, the gelatinous core retains its shape. By reducing its size, compression of the nerve roots is reduced, which leads to the elimination of pain.

The light guide allows the tissue to be heated during laser vaporization of the hernia of the spine to a temperature of + 70 ° C.

Possible consequences

Vaporization has a number of features, including:

  • High likelihood of recurrence. Often the symptoms of hernial protrusion reappear within a few months after surgery.
  • The success of treatment is noted not always, but only in 30-70% of cases. This is due to the fact that during surgery there is no restoration of the structure of damaged tissues of the annulus (if there was a rupture). In addition, the intervertebral disk on which the hernia was formed loses its properties.
  • There is a decrease in the spinal support function. This occurs due to the loss of a part of the fluid by the pulpal nucleus.

On the one hand, the laser vaporization method allows to reduce the hernia, facilitates the patient's condition, eliminates unpleasant symptoms, however, on the other hand, it has significant drawbacks: in particular, due to the loss of fluid, a decrease in tissue elasticity occurs. As a result, the spine where the hernia has formed is more exposed to external loads, which increases the risk of developing pathology.

This means that this technique can be applied only under the condition that in the future the patient will exercise caution: limit mobility, support the spine through ancillary measures. Without this, a relapse of pathology will soon happen.

Laser vaporization of the hernia of the spine can be applied only under the condition that the patient supports the spine through ancillary measures.

Recovery after the procedure

If laser vaporization of a herniated disc was performed, some rules should be followed:

  • Although recovery from surgery takes only a few days, it is important to exclude any physical activity in the coming months. Due to this, the achieved effect is fixed, the risk of hernial protrusion recurrence is reduced. Eliminate swimming lessons and on simulators, in sports sections, as well as lifting heavy objects. Allowed to walk, drive a car. You can do household chores.
  • The complex therapy with medicines is carried out. It is mandatory to take anti-inflammatory drugs, in the presence of pain prescribed antispasmodics, analgesics.
  • For 1 month after surgery, you should wear a hard corset. This reduces the load on the damaged disc, and additionally eliminates the likelihood of recurrence of the hernia.
  • During 1 month after vaporization, physiotherapy cannot be performed. It is forbidden to massage, stretching the spine, manual therapy and other techniques. Only laser and magnetic effects are allowed.
  • If the patient is overweight, it is recommended to correct the diet, which will reduce the load on the affected disk.
  • After vaporization should follow a protein diet. Products rich in vitamins A, C, E, D, microelements are introduced into the diet, and the daily intake of liquid is additionally increased - bring it to 2 liters.
  • After vaporization, when the doctor approves, you can proceed to rehabilitation, aimed at restoring physical fitness. In this case, the patient may be recommended therapeutic exercises, a moderate load, it is allowed to lead an active lifestyle. However, in moments of intense load, you must use a bandage.

If laser vaporization of a herniated disc was performed, massage is prohibited.

The patient should closely monitor their health status, because there is a risk of hernia recurrence. If you have back pain or other symptoms of the disease, you need to reduce activity and consult a doctor to examine the spine.

Eugene, 39 years old, Pskov

The operation was done in Moscow, the price is 45,000 rubles. I learned that the cost depends on the size of the hernia, its location. In my case, the loss occurred on the side of the disk, the risk of complications was absent. Only the hernia itself is large (5 mm), for vaporization this value is considered borderline. If I came to the doctor later, I would not have been able to use this method.

Valentina, 31, Orel

After vaporization, the pain disappeared immediately, the procedure only ended, and the discomfort had already disappeared. I liked that the operation did not last for a long time - it all took no more than half an hour. Only a few months later the symptoms returned. The pain was not strong, there was numbness. When she came to the doctor, it turned out that the hernia had developed again in the adjacent site. I had a small hernia (several mm), paid 18,000 rubles.

Marina, 33 years old, Nizhny Novgorod

The drugs did not help, and the symptoms appeared intensely. The doctor recommended different methods of physiotherapy, but I understood that it would take a lot of time, so I considered radical treatment. Taking into account the state of the spine in my case, the specialist recommended vaporization. The result suited me: the hernia disappeared, and at the same time the pain went away. Now I support the spine (exercise therapy, drugs, bandage), the symptoms did not appear.

1 What is laser hernia removal: method description

Under the laser method of treatment is meant the impact on a certain area of ​​the directional beam of photons (light). The power of such a procedure is governed by the photon wavelength settings.

A low-power laser simply enhances the regenerative capabilities of the body in a particular focus, while also increasing blood circulation. A more powerful laser works differently. It simply destroys those tissues to which it is directed (both soft and bone).

Chronic pain - the main indication for hernia vaporization

To remove a hernia of the spinal disc, special laser devices are used. The luminous flux generated by them ignores the soft tissues, passing through them and affecting only the bone structures (the skin itself remains intact).
to menu ↑

1.1 Indications: when can I do?

Can I treat any spinal hernias with a laser? In most cases, the procedure is not required at all, the disease is treated conservatively. But for removal using a laser requires weighty readings.

Indications for laser hernia removal:

  1. The presence of often exacerbating pain.
  2. Constant feeling of discomfort in the back (burning, jerking and tingling, stiffness in movements).
  3. Violations of the sensitivity of the limbs or back, the development of paresthesias (numbness).
  4. Occurrence of recurrent or even more persistent dizziness, headaches (with affection of the cervical region).
  5. The threat of bone infection (usually with a lumbar or thoracic lesion).

1.2 Contraindications

Laser treatment has a number of relative and absolute contraindications. Ignoring them can lead to serious consequences, including disability.

Hernia of the vertebral disc

  • patient age over 50 years
  • the presence of ossification of the pulpal nucleus,
  • the presence of neurological deficit, clinical signs of spinal cord injury,
  • specific violation of the integrity of the fibrous ring with a partial loss of the nucleus into the spinal canal,
  • the presence of acute or chronic inflammatory processes in the pathological focus (relative contraindication, sometimes ignored by doctors),
  • inefficiency or the development of side effects after a previous operation using laser technology.

1.4 Is it effective to remove a hernia with a laser?

With the efficiency of laser hernia removal, everything is not so simple: on the one hand, the procedure is safe and very effective - most patients successfully stop hernia. On the other hand, within a few months a new hernia may develop.

What is the reason? The fact is that laser treatment is not a radical way to remove a hernia (we are talking about vaporization). With it, you can partially, but not completely remove the protrusion of the pulposus nucleus, and this is the problem.

In addition, too much depends on the regenerative capacity of the organism. That is, half of the success of the procedure lies not with the method itself, but with the features of the patient's body. That is why they do not prescribe treatment to people over 50 years of age, since their regenerative mechanisms are too weak.
to menu ↑

1.6 Types of procedure

Laser treatment of hernia is divided into two types: vaporization (in fact, the removal of the hernia itself) and reconstruction. What are the differences between these procedures?

Laser vaporization implies the removal of an intervertebral hernia. That is, it is similar to a classical surgical operation, but at the same time it is low-impact. During the procedure, the tissues of the pulpal nucleus are evaporated to prevent its protrusion through the fibrous ring.

Stages of vertebral hernia formation

Laser reconstruction is used to enhance the body's regenerative capabilities (locally). The goal is simple: due to the ability of the body to "heal" intervertebral hernia. The procedure is extremely safe for the patient, but it is significantly lower in efficiency than vaporization.
to menu ↑

3 Laser hernia removal: how is it done?

Vaporization of the intervertebral hernia does not take much time: on average, the operation lasts 15 minutes (minimum - 5 minutes, maximum - about two hours, which is rare). In most cases, local anesthesia is used.

The course of the operation (in stages):

  1. The patient is placed on a special table-couch and put marks on the area of ​​the back, where pathology is localized.
  2. An anesthetic is administered (during anesthesia during surgery, the anesthesiologist will constantly maintain the optimal amount of the drug in the blood).
  3. With the help of special equipment, a laser beam is directed approximately to the central part of the mark; if necessary, the impact power can be changed during the operation.
  4. After surgery, the patient is transported to the ward for rest (strict bed rest is assigned!).

3.1 Recovery after surgery

After the procedure, the rehabilitation (recovery) period. The goal is to maximize the effectiveness of treatment and reduce the risks of complications, as well as speed up the repair of damaged tissues.

The device for directing photons

For this are assigned:

  1. Nonsteroidal anti-inflammatory drugs (most often "Diclofenac" and "Movalis").
  2. Orthopedic (supporting spinal column) corset.
  3. Restrictions on physical activity: no jumps and axial loads on the spine, weight lifting is prohibited in the first two months.
  4. After the incision has healed, the patient is prescribed exercise (a set of exercises is prepared individually).
  5. The patient is recommended to lose weight (if it was excessive) and to lead an active lifestyle (if there is clearly not enough activity), which will reduce the risk of recurrent intervertebral hernia.

4 Where do hernia repair laser?

Where do back hernias be removed? Procedures for laser removal of vertebral hernia are carried out in both public and private medical institutions. The difference is actually minimal, including in terms of cost: in the public and private clinic the cost of the procedure itself will be approximately equal.

Hernia surgery is performed by several doctors.

However, auxiliary things (medicines, rehabilitation, various nuances) will have to be spent very much in a private clinic. The advantage of public hospitals is that it is possible to undergo a quota operation.
to menu ↑

4.1 How much is it?

How much is the removal of a spinal hernia with a laser? The price of such a procedure depends on the particular clinic, and on the city in which it is located. The highest cost in St. Petersburg and Moscow.

The estimated cost for the middle of 2017 is something like this:

  • preliminary consultation with a doctor - about 800 rubles,
  • vaporization of the hernia of the 1 category of complexity (excluding the cost of anesthesia) - about 28,000 rubles,
  • vaporization of the hernia of 2 category of complexity (excluding the cost of anesthesia) - about 55,000 rubles.

Methods and price of intervertebral hernia removal by laser

Intervertebral hernia causes not only back pain, but also disrupts the functioning of internal organs. Depending on the affected area of ​​the spinal cord and nerve roots, the corresponding symptoms appear. Treatment of the disease should be carried out in specialized clinics that have modern equipment and trained personnel. Removal of an intervertebral hernia with a laser is a great advantage over open surgery.

Removal of intervertebral hernia laser

I have been engaged in the treatment of hernias and diseased joints for many years. I can say with confidence that any hernia can be treated always, even in the deepest old age.

Our center was the first in Russia to receive certified access to the latest drug for the treatment of hernia and pain in the joints. I confess to you when I heard about him for the first time - I just laughed, because I did not believe in its effectiveness. But I was amazed when we completed the testing - 4 567 people were completely cured of their ills, this is more than 94% of all subjects. 5.6% felt significant improvements, and only 0.4% did not notice improvements.

This drug allows in the shortest possible time, literally from 4 days, to forget about hernia and joint pain, and within a couple of months to cure even very difficult cases. Moreover, within the framework of the federal program, every resident of the Russian Federation and the CIS can receive it. IS FREE.

Types of operations

In Russia, the use of laser actively began only 10-15 years ago. Then micro-tools were created that were able to focus the rays at the required point. The advantage of treatment with a laser is the mini-access on the skin, the short postoperative period, and the procedure under local anesthesia. The disadvantage is the treatment of only 5% of patients, the effectiveness does not rise above 75%, the high cost and the need for repeated operations. Neurosurgeons share two techniques for spinal hernia removal with a laser:

During laser vaporization of the intervertebral disc, the pulpal nucleus evaporates. The device works at full capacity, applying the high temperature at which the water part of the cartilage begins to evaporate.Laser reconstruction is carried out at a moderate charge power, which raises the temperature of the tissues to 70 g. Celsius. As a result, the intervertebral disk heats up, accelerates metabolic processes. All this stimulates the growth of cartilage cells, connective tissue.

The main symptom that worries with intervertebral hernia is pain in the affected area. If the lumbar region is affected, then in addition to the discomfort in the back, patients feel lumbago and sensitivity disorders. With the pathology of the cervical spine, severe headaches, dizziness, pressure jumps, changes in sensitivity on the hands may appear. The defeat of the sacral can disrupt urination, sexual function. Doctors distinguish the following indications for laser removal of intervertebral hernia:

  1. persistent and severe pain in the back or neck.
  2. Violation of tactile and temperature sensitivity in the limbs, lower back.
  3. Sciatica - sharp back pain that gives to the back of the thigh.
  4. Violation of urination and defecation.
  5. Restriction of neck movements when its sharp turn is accompanied by dizziness, nausea, vomiting.
  6. Partial loss of movement in the arms or legs due to cervical hernia.
  7. Hernia size up to 6 mm.
  8. The lack of sequestration (broken off part) of the intervertebral disc.
  9. Age from 20 to 55 years.
  10. Lack of degenerative or autoimmune lesions of the discs.

In the case when the size of an intervertebral hernia is more than 6 mm, it cannot be removed with a laser. This method can not achieve a positive effect. The laser can evaporate only 30% of the water in the center of the disk. With greater exposure to high temperature on the connective tissue, the fibrous ring can be damaged. In this case, sequestral hernia occurs, the treatment of which requires open surgery.

Be careful!

Before I read on, I want to warn you. Most of the "treating" hernia that advertise on TV and sell in pharmacies is a complete divorce. At first it may seem that the cream and ointment help, but in reality they only remove the symptoms of the disease.

In simple words, you buy the usual anesthetic, and the disease continues to develop into a more difficult stage.

A common hernia can be a symptom of more serious diseases:

  • Muscular dystrophy of the buttocks, thigh and lower leg,
  • Pinch of the sciatic nerve,
  • Seps - blood poisoning,
  • Violation of the tone of the muscular wall of the blood vessels of the lower extremities,
  • Horsetail syndrome, often resulting in paralysis of the lower limbs.

How to be? - you ask.

We studied a huge amount of materials and most importantly checked in practice the majority of hernia treatments. So, it turned out that the only drug that does not remove the symptoms, but really heals a hernia is Hondrexil.

This drug is not sold in pharmacies and it is not advertised on television and on the Internet, and according to the federal program, every resident of the Russian Federation and the CIS can receive a package. IS FREE!

So that you do not think that you are being sucked in by the next “miracle cream”, I will not describe what kind of effective drug it is. If interested, read all the information about Hondrexil yourself. Here is the link to the article.

  1. cardiovascular failure.
  2. Acute myocardial infarction.
  3. Atrial fibrillation, tachysystolic form.
  4. Stroke in the acute period.
  5. Age after 55 years.
  6. Renal and hepatic failure.
  7. Osteochondrosis of the last degree of severity.
  8. Autoimmune diseases of the spine.
  9. Sequestral hernia.
  10. Pustular processes of the skin at the site of manipulation.

Laser treatment of hernia of the spine requires sufficient skills from the surgeon. The trained personnel carefully examines the patient, will identify associated diseases, determine the indications for surgery.When there are contraindications, the doctor prescribes conservative treatment. After the treatment course, the patient must be re-examined in order to prescribe the final method for the treatment of intervertebral hernia.

Examination before surgery

First of all, it is necessary to undergo an examination by a neurosurgeon. The doctor will collect the history of the disease, conduct neurological tests, assess the state of the reflexes. Then you need to evaluate the laboratory blood counts. Then do instrumental studies. Neurosurgeons before surgery to remove a vertebral hernia will appoint:

  • general blood analysis,
  • general urine analysis,
  • blood chemistry,
  • coagulogram,
  • blood sugar
  • ECG,
  • x-rays of the chest,
  • Spinal CT, if necessary
  • consultation of related professionals,
  • MRI of the lumbar, sacral, cervical or thoracic.

Before the operation, the patient spends about 1 week to carry out the entire amount of diagnostic manipulations. The cost of MRI of one spine in different cities is different: Moscow - about 5 thousand rubles. St. Petersburg - 3500 rubles. Rostov-on-Don - 2800 rubles. Sometimes, an accurate diagnosis requires magnetic resonance imaging of the entire spine. In this case, the cost of the preoperative period is increased by 2-3 times.

Our readers write

Hello! My name is
Lyudmila Petrovna, I want to express my benevolence to you and your site.

Finally, I was able to get rid of a hernia. I lead an active lifestyle, live and enjoy every moment!

At the age of 45 I got a hernia. When I turned 58, complications began, I almost could not walk, and these terrible pains, you just can’t imagine how I was in pain, everything was very bad. What did not try, hospitals, clinics, procedures, expensive ointment. nothing helped.

Everything changed when my daughter gave me an article on the Internet. No idea how grateful I am to her. This article literally lifted me out of bed. Do not believe it, but in just 2 weeks I completely cured a hernia. The last few years have begun to move a lot, in spring and summer I go to the country every day, grow tomatoes and sell them on the market. Aunts wonder how I manage to do it, where all my strength and energy come from, they won’t believe that I am 62 years old.

Who wants to live a long and energetic life without a hernia, take 5 minutes and read this article.

  1. under local anesthesia, a 2-3-needle needle is punctured 2-3 cm from the spine.
  2. Under the control of the fluoroscope, the needle is carried deep into the affected vertebral disc.
  3. Then a light-emitting diode is placed in the lumen of the needle, which is embedded in the disc structure.
  4. The device generates energy that heats the cartilage tissue and pulpal nucleus to 65-70 grams. Celsius.
  5. There is no destruction of the disc tissue, because of the increased temperature in this zone, the blood flow improves, regeneration and metabolism are accelerated, and the cartilage tissue grows.
  6. The operation lasts 20-30 minutes, after which the patient is left under observation for a day.

Treatment of intervertebral hernia with a laser has positive feedback from patients and doctors. Patients point to the ease of the operation, minimal pain after it, a short recovery period. Doctors note the effectiveness of manipulation in patients under 50 years of age, a clear strengthening of the cartilage tissue of the intervertebral zone, an increase in the space between the vertebrae, an increase in the ligamentous apparatus. However, for the course of treatment of the initial stage of intervertebral hernia, 2-3 surgical interventions should be done.

The cost of the operation in different cities varies slightly. In Moscow, the price of manipulation is 45-50 thousand rubles. St. Petersburg - 40-45 thousand rubles. Rostov-on-Don - 30-35 thousand rubles. The equipment is designed for a certain number of operations, therefore the cost is relatively high.After laser reconstruction, the patient does not feel any discomfort in the back and can do the previous work.

Price for laser hernia removal and treatment

Before turning to the treatment of vertebral hernia with a laser, you need to briefly familiarize yourself with the structure of the intervertebral discs and determine the state of the pathology. In order for the body to easily bend and unbend in different directions, nature provides for intervertebral disks, which play an important role in the operation of the spinal column.

Spinal hernia

Cartilaginous fabric of which disks consist. has a different structure inside and outside. The center of the intervertebral disc is the pulpous nucleus, which is characterized by a watery structure and is intended for depreciation during movement. The fibrous ring is located around this nucleus and holds it in the desired position. The composition of the ring includes fibers of elastic structure that make up a powerful weave. A hyaline cartilage is provided for attaching the intervertebral disc to the vertebra.

Intervertebral hernia appears when the structure of the fibrous ring changes due to heavy workloads, after age-related metabolic disturbances in the body and as a result of insufficient cartilage nutrition. Fibrous ring fibers lose their elasticity, are damaged, cannot take heavy loads, and the pulping ring becomes less elastic, bulging through the ring at the point of its rupture. The protrusion forms a herniated disc.

As a result of the formed hernia, a compression of some adjacent nerve processes occurs, responsible for other bodies and parts of the human body. As a result of such changes, the patient may receive temporary disability, narrowing of the spinal canal can lead to inflammation of the spinal cord. The phenomenon is accompanied by severe pain and can cause paralysis of the lower extremities.

Stories of our readers

Cured hernia at home. It's been 2 months since I forgot about my hernia. Oh, how I used to suffer, it was a terrible pain, lately I could not walk properly. How many times I went to the clinics, but there only expensive tablets and ointments were prescribed, from which there was no use at all. And now the 7th week has gone, as the hernia doesn’t bother me a bit, I go to the dacha in a day, and I go 3 km from the bus, so generally I go easily! All thanks to this article. Anyone who has a hernia - be sure to read!

Read the full article >>>

The diagnosis of a hernia of the spine means that treatment should be started as seriously as possible. Symptoms of disease progression is the impossibility of full movement, severe pain, muscle spasm, stiffness, loss of sensitivity of the legs, numbness, burning sensation, heat and tingling in the back and limbs.

Different types of spinal hernias

Depending on whether which part of the spinal column is a hernia. it is given the name:

  • vertebral hernia of the cervical spine manifests itself rapidly increasing pain in the neck, immediately after this pain occurs in the chest and shoulder blade, arm and forearm, the movement of the sore side is limited, the blood supply to the brain is disturbed, which leads to headaches and dizziness,
  • intervertebral hernia of the chest begins with the development of compression compression of the roots of the spinal cord or himself, it causes pain in the chest, in the ribs, in the back, provokes the development of heart, stomach and respiratory diseases, surgical treatment is rare, mainly used by the conservative method,
  • intervertebral hernia in the lumbar region is characterized by constant pain in the back, which increases with the implementation of even simple movements, further disease provokes lowering pain in the thigh, buttocks, knees, legs and feet, weakness in the legs, tingling and numbness.

Spinal hernia removal with laser

Polarized light, which is produced by an electromagnetic radiation generator in the optical range, is called a laser. The impact force on the human body depends on the wavelength, the time interval of the action, the power of the emitted beam and many other parameters. The laser causes tissue heating, coagulation, photopolymerization, evaporation, fragmentation, stimulates healing and triggers biological processes, relieves pain processes. This method is actively used to diagnose and treat diseases in various fields of medicine:

In recent years, the method of laser therapy has found wide application in the treatment of intervertebral hernia. Laser therapy provides two options.. Both doctors use at the beginning of the disease, not later than 6 months after the onset of protrusion. Laser treatment is indicated if drug therapy has not given proper results. The patient should not have certain contraindications.

Contraindications for applying the laser method

Laser treatment or full removal is not assigned. if a number of conditions are present which are contraindications:

  • vertebrae from birth are developed incorrectly, with an anomaly,
  • diagnostics determined that the patient has a sequestered hernia,
  • if the bulging of an intervertebral hernia is aggravated by inflammatory processes,
  • if combined stenoses are present and the integrity and structure of the canal of the spinal cord is violated,
  • the age of the patient is above 50 years
  • hernia has reached a size greater than 6 millimeters,
  • if the vital activity of the patient is associated with sedentary work and sedentary lifestyle.

Positive features of the treatment of vertebral hernia laser

Ways treatment of intervertebral hernia there is a great many. The laser is one of the most effective methods and the youngest. The technique of removing and treating a hernia with a laser has a number of undeniable advantages and a series of disadvantages:

  • the use of the new method allows to reduce the damage to the spine and reduce them to zero, but the destroyed structure of the disc does not allow the vertebrae to merge with each other, and, consequently, the spatial model of the ridge will not fully reproduce
  • as the laser correction is performed without the use of anesthesia, this is good for those patients who experience allergies or during pregnancy, but during the operation a feeling of slight discomfort is possible,
  • pain after laser treatment passes quickly, within 5 days after the manipulation,
  • laser surgery refers to bloodless methods, after it there are no scars and other traces on the skin,
  • You can remove or treat a hernia with a laser in several areas of the spine at the same time, but you should carefully approach the detection of inflammation of cartilage tissue, the application of the method can aggravate the situation,
  • laser surgery or medical therapy takes only one hour, in a hospital the patient lasts 1-3 days,
  • The recovery and rehabilitation period lasts about two months.

The list of complications after treatment with a laser has not been studied. Despite the young age. term use of the method allows to draw conclusions about the exacerbations after the treatment. Some patients complain of relapse. But it is necessary to thoroughly study each individual case, in order to make a conclusion about the causes of the occurrence of complications. It is possible that they arose through the fault of the patient who did not follow the doctor’s instructions after treatment. It is very important to change lifestyle, reduce body weight, strengthen the muscular system, exercise and gymnastics.

What is a laser treatment?

Laser therapy is an expensive procedure. and not every patient can afford it. The intervertebral disk is heated by irradiation to 70ºС. This allows you to evaporate the protruding part of the pulpal nucleus, without destroying the cartilage ring. The nucleus is reduced in size and ceases to put pressure on the nerve endings.The procedure of laser therapy will allow to change the size of the hernia in a smaller direction and reduce the negative impact on health.

Laser stimulates the development and growth of cartilage tissue and restores its destruction. In the course of treatment, which can last for six months, the damaged fibers are replaced by new ones. Sometimes the laser effect is used for the fastest healing of the suture after surgery. The operation involves several stages.

Examination of the patient's condition

Regardless selected treatment. At the initial stage, a standard examination is performed, which includes the procedures:

  • blood and urine tests
  • spinal examination using computed tomography,
  • determination of the state of the cardiac system (electrocardiogram),
  • examination and consultation with a therapist, anesthesiologist, neurosurgeon,
  • The doctor may refer the patient for additional tests or examinations.

Technological features of the operation

Local anesthesia is performed on the area where the operation will be performed, anesthetics are used. The needle of the device is inserted into the deformed disk by the method of skin puncture. To the problem area in the region of the ridge is supplied a light guide intended for the receipt of electrical impulses.

Electric current supply leads to evaporation of fluid protruding pulpous nucleus. steam is removed through the needle. The size of the hernia decreases and the pain goes away. The operation takes place under the control of X-ray radiography, which is performed at a minimum power that is harmless to the patient.

During the operation of percutaneous reconstruction after needle insertion, laser pulses are applied of such power, which do not allow the substance to evaporate, but only heat the disc tissue to 60–70 ºС, while maintaining and regenerating the fibrous structure.

Rehabilitation after laser exposure

All patients are monitored during the day, while in the hospital, if you feel unwell, the doctor extends the period. Patients take anti-inflammatory drugs.

During two months any physical activities are excluded and stop sports activities and training. After rehabilitation, pay attention to excess weight, if such a problem is present, then reconsider the diet in the direction of reducing calories.

After a full recovery, they switch to light sports, for example, swimming, therapeutic exercises are very useful. Physiotherapy and massage treatments are recommended for strengthening the muscles around the spine.

Cost of laser removal of intervertebral hernia

The price is determined by various factors and circumstances. Sometimes Survey requires consultation a number of specialists, among whom may be well-known doctors with decent experience. The cost of their services far exceeds the similar services of young doctors. The cost of consulting a well-known neurosurgeon or surgeon reaches 3 thousand rubles, an orthopedist of the appropriate level in Moscow or St. Petersburg will ask for 1 thousand rubles.

The cost of laser correction or removal depends on the reputation and rating of the clinic in Moscow:

  • in the central railway hospital №1 the cost of two types of laser intervention costs from 15 thousand rubles,
  • in the center of clinical diagnosis of them. Sechenov I.M. the same manipulations will cost from 80 thousand rubles,
  • the central hospital of the Russian Academy will request from 60 thousand rubles,
  • Neurosurgical minimally invasive clinic will take from 50 thousand rubles.

In St. Petersburg laser hernia removal will cost in various clinics from 80 to 100 thousand rubles. These amounts do not include the cost of rehabilitation procedures.Depending on the pathologies and complications that arose in the preoperative period, the cost of the operation of the laser on the spine rises to 100-150 thousand rubles.

Koritsky Vladislav Leonidovich

Efficiency and cost of intervertebral hernia surgery

Surgical treatment of intervertebral hernia is an extreme measure in case of failure of conservative therapy. This situation occurs in no more than 25% of patients.

The main task of the operation to remove an intervertebral hernia is to eliminate the pressure of the prolapsed disc on the spinal cord or its roots. Such treatment is technically difficult, it requires a highly skilled neurosurgeon, and its cost is very decent (from 20,000 to 180,000 rubles).

The effectiveness of surgical treatment is up to 80–90%. The operation is usually well tolerated and does not require a long recovery period.

Who needs surgery and when

Indications for removal of intervertebral hernia:

The ineffectiveness of the conservative treatment of pain is the cause number 1. In 75% of patients, intervertebral hernia disappears after complex conservative treatment. If the pain does not disappear within 2 months - surgery is required.

If the hernia has arisen as a result of spinal injury and is accompanied by severe deformation of the bone structures. With the help of the operation, in this case, two goals are achieved: they decompress (“dissociate”) the spinal cord or its roots and eliminate the consequences of the destruction of the vertebrae.

Combination of pain syndrome with severe neurological symptoms:

  • paresis or paralysis of the lower torso,
  • weakness or atrophy of the leg muscles,
  • paresthesias (tingling, crawling) in the legs or numbness in the lower part of the body,
  • delay or incontinence,
  • fecal incontinence,
  • impotence.

If there are pronounced symptoms of damage to the nervous system, the operation must be performed during the first days after their occurrence. Otherwise, the effects of compression of the nerve trunks may become irreversible.

Contraindications for surgical treatment of intervertebral hernia are the same as for any other surgery:

  • acute infectious processes
  • severe heart, kidney or respiratory failure,
  • acute period of myocardial infarction or stroke,
  • pregnancy.

Herniated discs squeeze the nerve root, causing pain. During surgery, the surgeon removes the protrusion of the disc to repair nerve damage.

1. Open Diskectomy

This is the oldest, most studied and most reliable method, which is hopelessly outdated today. It consists in the fact that the disk is partially or completely removed, and the connection of the vertebrae is made immobile. It is also possible to replace a disk or its core with an artificial prosthesis. Simple and reliable, but not very physiological.

(if the table is not fully visible - scroll it to the right)

Draw conclusions

We conducted an investigation, examined a bunch of materials, and most importantly, we checked the majority of hernia treatments. The verdict is:

All drugs gave only a temporary result, as soon as the treatment was stopped - the pain immediately returned.

Remember! There is NOT ANY MEANS that will help you to cure a hernia if you do not apply a complex treatment: diet, regimen, physical exertion, etc.

Modern means of hernia, which is replete with the entire Internet, also did not produce results. As it turned out - all this is a deception of marketers who earn huge money on the fact that you are led by their advertising.

The only drug that gave significant
the result is chondrexyl

You ask, why does everyone who suffers from a hernia in a moment did not get rid of it?

The answer is simple, Hondreksil is not sold in pharmacies and is not advertised on the Internet. And if they advertise - then this is a FAKE.

There is good news, we went to the manufacturers and share with you a link to the official site Hondreksil.By the way, manufacturers do not try to profit in public with sore joints; according to the promotion, each resident of the Russian Federation and the CIS can receive one package of the drug IS FREE!

Magnetic resonance imaging (MRI)

During surgery, the hard shell of the spinal cord may be damaged. If the doctor is qualified, he notices it and sucks it in during the operation. Otherwise, the postoperative period is complicated by severe headaches. The reason is a decrease in intracranial pressure due to leakage of CSF from the spinal canal. Headache will stop after spontaneous overgrowth of this damage.

Intervertebral hernia

This disease can be treated both conservatively and promptly. When can an operation be assigned? All indications can be divided into absolute and relative. At the first of them, surgical intervention is carried out according to vital reasons, that is, if it is not done the patient will die. These include:

It is ineffective for people whose age is more than 50 years, since the procedure is impossible without the action and natural mechanisms of the human body for the reconstruction of the spinal disc.

Symptoms and treatment of hernia of the thoracic spine

Endoscopic surgery is the treatment of intervertebral hernia in a minimally invasive manner that is performed through punctures, which minimally injures the tissues, muscles and bone structures of the spine. This reduces the risk of cicatricial adhesions and complications that are possible with other types of operations.

Treatment of a hernia of the cervical spine without surgery

Violation of sensitivity in the lower extremities,

Intervertebral hernia of the thoracic

Symptoms and treatment of hernia of the thoracic spine

Endoscopic surgery is the treatment of intervertebral hernia in a minimally invasive manner that is performed through punctures, which minimally injures the tissues, muscles and bone structures of the spine. This reduces the risk of cicatricial adhesions and complications that are possible with other types of operations.

Treatment of intervertebral hernia lumbar

Symptoms and treatment of lumbar spine hernia

The clinic "Union" uses the most advanced surgical technology and uses effective methods of conservative treatment of hernia of the spine. We offer a careful, fast and high-quality treatment that will return you to an active life in a short time.

Treatment of a hernia of the cervical spine without surgery

Necessary to rest the spinal column. Every 2 hours you need to lie down for half an hour.

In the postoperative period, if the instructions of the attending physician are not fulfilled, the following complications may arise:

Treatment methods for spinal hernia

During the operation, the damaged intervertebral disk is irradiated with a directed laser beam. Such a mode of action is chosen that cannot lead to the destruction of the tissue of the disc itself, but only heats it. As a result, the growth of cartilage cells is stimulated. That is, self-drive is stimulated. Presumably, the cartilage will recover in six months, the pain will pass. This technique has the following disadvantages:

The cost of intervertebral hernia surgery

Before the start of the manipulation, local anesthesia is administered to the patient. After she has acted, the surgeon makes a small puncture through which a laser beam is passed through a special needle into the core of the spinal disc.

Non-drug treatment of hernia

Numbness of the feet, tingling, and burning sensation.

Removal of intervertebral hernia by microsurgical method

Surgical intervention takes place under the control of special optics, which gives a multiple increase, a miniature video camera can rotate 360 ​​degrees, allowing you to see a clear picture of the spinal canal. The perfect technique helps the surgeon to better navigate the surgical field and to produce all the necessary manipulations as accurately as possible, which minimizes the occurrence of relapses.

What is a spinal hernia?

To facilitate adaptation it is recommended to wear a special orthopedic corset.

Various purulent-septic local (osteomyelitis or epiduritis) and general (pneumonia, sepsis) complications.

It is impossible to direct the laser beam precisely, therefore nearby tissues are often damaged.

The operation is very traumatic.

Symptoms that indicate the presence of the disease

The underlying disease was complicated by serious disorders of the internal organs, such as the gastrointestinal tract (fecal incontinence) or the urinary system (urinary incontinence).

  • If we talk about the period of recovery and full recovery of the patient, then in order for this to happen as soon as possible, the doctor may advise resorting to such concomitant recovery methods as physical therapy, massages, manual therapy.
  • Further, for some time, what is the essence of the whole process is produced - the laser acts on the damaged tissues.
  • , Then it refers to:
  • Spinal hernia treatment is a process that requires time, patience and professionalism of the attending physician. All treatment can be divided into the following items:

What are the most common treatments?

Since the operation to remove an intervertebral hernia is fast (about an hour), removal takes place under spinal anesthesia, which reduces the time to come out of anesthesia. The recovery period is very short - the patient after his endoscopic surgery gets up in a few hours. Full return to active life occurs in 7-10 days.

  • The most accurate method of diagnosis, which allows not only to identify the hernial formation, but also giving the opportunity to accurately determine the stage of the disease, to see the condition of the vertebrae, the direction of the disc bulging. In addition, with the help of magnetic resonance imaging, we can develop the most accurate ways to treat hernia of intervertebral disks. This safe and painless way today is considered the "gold standard" for diagnosing diseases of the spine.
  • During this period, complex treatment is prescribed, exercise therapy, physiotherapy. Also recommended spa treatment.
  • Perhaps the emergence of thromboembolism.
  • The high cost of the operation.

The postoperative period is long. During this time, the back muscles are weakened. They can not support the spine. The result is a relapse of the disease.

Atrophic changes in the muscular system of the limbs or progressive paralysis.As a rule, such activities are developed individually for a particular patient, taking into account the physiological characteristics of the patient, how the disease has progressed, the age and weight of the patient, the severity of the disease.

  • The placement includes the evaporation of the disk core (steam is removed through a special needle), and the reconstruction includes the stimulation of those parts of the nucleus that are damaged.
  • Physiotherapy such as ultrasound, paraffin therapy, magnetic therapy, diadynamic currents, electrophoresis, and others,
  • Pain relief and reduction of tissue swelling,
  • Intervertebral hernia operation - the cost of surgical intervention in this regard varies from 80 to 130 thousand rubles.
  • It is used if magnetic resonance therapy is contraindicated for the patient (for example, if a pacemaker is installed).

You can call this method and evaporation, but not by evaporation. You about this lack of a method? AiwanRecurrent hernia spinal column. It happens quite often, up to 30% of all surgical interventions.Microsurgery

  • Therefore, such surgical interventions are carried out only for health reasons. In all other cases, resort to more benign methods of treatment.
  • Lowering the vertebrae.
  • As already mentioned, one of the main advantages of this kind of operation is a very short recovery period.

Treatment of hernia of the spine with a laser has many advantages over conventional surgery. Here are the main ones:Reflexology,

Removal of spinal muscle spasm

Preparing the patient for laser removal of hernia

The total cost of endoscopic intervertebral hernia surgery is calculated on consultation and depends on the volume of the upcoming intervention.

  • Allows you to identify the causes that led to the occurrence of hernial protrusion - changes in the vertebrae, their deformation, traumatic changes.
  • Sorry for the spelling, this word is written differently in nete. So if there is no side effect of laser VAPORIZATION, then why spend so much time and money on conservative treatment, when you can fix it in an hour, of course, given the size of the hernia (up to 6mm). Thank! Waiting for your reply. Go
  • A spike or scar may appear in the lumen of the spine, which can damage the nerve endings. As a result - the resumption of pain.
  • With microdiscectomy, with the help of an endoscope and special tools, the hernia itself is removed directly under local anesthesia. At the same time, the disk is left in its place. For surgery, the incision is very small. The doctor monitors the progress of the operation itself on the monitor. What good is this method of treatment?

How does laser removal work?

Relative indications are those in the presence of which the patient can still abandon the operation.

As a rule, after a successful manipulation, within a few hours the patient can get out of bed and stand on his feet, and after five or six days the person who has undergone the operation can freely return to his usual activity if it is not related to physical exertion.

When carrying out this operation nearby takni practically are not damaged,

Advantages and disadvantages of laser treatment

Elimination of all visible signs of the inflammatory process,

  • If you have contraindications for endoscopic surgery, we can offer you the possibility of traditional microsurgical intervention.
  • Intervertebral hernia - a disease that occurs, as a rule, against the background of osteochondrosis or after injury.
  • Any self-respecting surgeon will say that where you can do without surgery, it is better to conduct a conservative treatment. But there are many cases in which surgical treatment is the method of choice, unfortunate healers promise to cure the patient without surgery. Healer's wallets get fat, but the operation still has to be done. Go
  • Allergic reactions to the applied suture material.
  • Low injury rate.

The essence of this method is that a light guide enters a damaged disk, it heats the core of the disk, the liquid evaporates. Consequently, decreases in size and hernia. This operation is used for uncomplicated disease. What are the main advantages of this treatment method:There is pain in the spine, but the patient is able to endure it.Full recovery of the disk and all its physiological functions may take more than one month, and therefore it is very important to gradually return to the usual way of life and physical exercise.

  • The operation is not time consuming,
  • Surgical treatment
  • Restoration of the physiological intervertebral space.

Microsurgical surgery to remove an intervertebral hernia is a common and effective surgical treatment. Through small incisions, miniature manipulators are inserted, by which all necessary actions are performed. The operation takes place under the control of a microscope.

Rehabilitation period

The main functions of the intervertebral discs are to ensure the mobility of the spine and the depreciation of the loads that occur during motor activity. During the development of osteochondrosis or under the influence of negative factors, the disc loses its elasticity and flexibility, and its outer shell collapses. When the inner core of the disk enters the region of the spinal canal, which begins to press on the roots of the spinal cord, this is an intervertebral hernia. Pressure causes pain and various neurological symptoms.

Fedya said (a): ↑ Sorry for spelling, this word is written differently in nete. So if there is no side effect of laser VAPORIZATION, then why spend so much time and money on conservative treatment, when you can fix it in an hour, of course, given the size of the hernia (up to 6mm). Thank! Waiting for your reply. Click to reveal. The operation has efficacy and side effects. The effectiveness of this type of operation, with a disc herniation up to 6 mm and without breaking the fibrous ring, is 60-70% (I do not give the link, on this forum you can, colleagues correct the figure). Side effects, of course, are possible until death. Only with this type of less. Go

A qualitatively performed operation is only the first step on the path to recovery. It is also necessary to properly organize rehabilitation activities in the postoperative period.

You can perform the operation under local anesthesia.

The operation is practically non-traumatic.

A history of minor violations in the work of the lower extremities. An example is paralysis of the foot.

In what cases is shown surgery?

Over the past five years, the incidence of herniated intervertebral discs has increased by more than three times. What is this pathology? Due to the violation of metabolic processes in the structures of the spine, and in particular in the intervertebral discs, the damaged disc is advanced. The main symptom of this disease is pain. It can occur with inadequate physical exertion, prolonged stay in an uncomfortable position. When making such a diagnosis, first of all the question is raised: “Is an operation to remove a hernia of the spine necessary?” Let's determine in what cases such treatment is recommended.

Laser hernia removal is completely safe for the patient,

Appointed in the event that the disease is at the stage when conservative treatment no longer gives any results. Only the attending physician will be able to tell the patient exactly how to get rid of a spinal hernia.

  • Basically, hernia treatment can be divided into: conservative, surgical and rehabilitation treatment.
  • Rehabilitation after surgery has the following objectives:
  • Hernia pussy - treatment this diagnosis requires timely and professional. As a rule, most often in cases of spinal pathology, surgical intervention is required to remove the hernial protrusion. In case of severe destruction of the disk, it is replaced with an implant.
  • Good afternoon Please tell me how long the rehabilitation period after laser vaporization operation lasts? How long should the patient be in the clinic after that? And would it not be harmful for the patient after this period to immediately transport him to another city by car or train? Diagnosis: three hernia of intervertebral discs of 0.4, 0.5 and 0.6 mm in the lumbar spine, in the region of 4-5 vertebrae. The patient is a man, 34 years old. Used Caripazim electrophoresis, did not help Thanks in advance for your reply!

Immediately after surgery, the patient notes improvement in overall health. The pain decreases, the internal organs become better to work, the motor functions of the legs are restored. However, this is not enough. During the postoperative recovery period, we must prepare the spine for performing its main functions. All this is carried out in three stages:

  1. Practically on the second day after surgery, the patient is ready for discharge.
  2. The structure of the spinal disc does not change.
  3. Due to problems with the innervation of the legs, there may be partial atrophy of the muscle tissue.
  4. Spinal hernia removal

Easy and fast period of postoperative rehabilitation,

  1. Before making a decision on the operation, the attending physician will diagnose the effects of an intervertebral hernia, and only after that will he advise the patient on one or another type of operation.
  2. Conservative treatment
  3. Spinal hernia is a fairly common disease today, which in most cases occurs in young people aged 25 to 45 years. Intervertebral hernia is the result of a deformation of the fibrous ring of the intervertebral disk.
  4. In most cases, the disease develops acutely - the pain in the neck increases and in a few hours begins to give to the scapula, chest, shoulder girdle, arm. The motor functions in the neck and arm are limited, the vertebral arteries are suppressed and the cerebral circulation is disturbed, leading to dizziness and headache. When you change the position of pain, as a rule, increased.

Polina, hello! It would be very nice if you opened a separate topic, told us everything in detail, when, how, what happened to your husband. Again, where, how and when it hurts. Would have posted a description of the MRI and the images themselves. To have a substantive conversation on the merits of the problem. Go

Elimination of postoperative pain.

The rehabilitation period is reduced to 3 weeks. All this time the patient retains physical activity. Only be sure to wear a supporting corset.

Diskectomy and laminectomy main methods of radical surgical therapy

Mobility of the spine is preserved.

Conservative treatment, which lasted about 3 months, almost did not bring positive results.

Herniated vertebral column is a rather serious disease. A consequence of the displacement of the intervertebral disc may be a decrease in the lumen of the spinal canal, which leads to prolonged compression of the membrane and roots of the spinal cord. The result is an inflammatory process. The first symptom of this disease is rapid fatigue. Then pain appears. Often very strong. By irradiating it, it is possible to determine the place of formation of a vertebral hernia.

  1. Almost complete absence of surgical scars and scars.
  2. If the patient decides to undergo laser removal of the intervertebral hernia, the attending physician must prescribe an examination of the patient’s body, which includes the following steps:
  3. Includes drug and non-drug therapy, which the experienced specialist will advise to use in combination. The course of drug treatment must include the appointment of such drugs:

In this disease, a gap forms in the fibrous ring, from which a portion of the gelatinous nucleus begins to protrude. It is believed that this disease may be the result of neglected osteochondrosis, and if it is not started to be treated in a timely manner, the person may temporarily lose his ability to work, and in some cases even become disabled.

Laser treatment of intervertebral hernia

The choice of treatment depends on the stage of development of the disease. With timely access to a doctor, treatment can be conservative, very effective in the early stage of the disease. The main therapeutic procedures are massage, exercise therapy, apparatus traction and other techniques. More on this page.

Thank you, well, I will make a separate topic. Only this is not my husband, but the husband of my close friend, who lives in Tver. I will receive all the information, I will write! Go

  1. Return to everyday life.
  2. A small percentage of complications after this type of surgical treatment. Positive results from grateful patients indicate the effectiveness of this technique.
  3. Not a long stay in inpatient treatment (up to 2 days).
  4. These classifications allow you to choose the method of surgical intervention. What operations are offered for the treatment of this disease and how much they cost?
  5. There are a lot of classifications of this process. According to the location, they divide the hernia of the cervical, thoracic and lumbar. The most common vertebral hernia located on the lower back levels. In size:

If we talk about

  1. MRI of the spine
  2. Anti-inflammatory drugs that will relieve inflammation and pain,
  3. If we talk about the danger of a hernia of the spine, it is a rather insidious disease, the main danger of which is the risk that the spinal canal may narrow, resulting in inflammation of the spinal cord.

Vertebral disc reconstruction with a laser

When a hernia in the thoracic region begins to develop compression (compression) of the spinal cord or its roots. This leads to pain in the chest, between the ribs, in the back. A hernia of the thoracic region can trigger the development of diseases of the heart, respiratory, and gastrointestinal organs. Treatment of herniated intervertebral discs of the thoracic region is most often conservative. Surgical treatment methods are used in extreme cases, when there are persistent unbearable pain and neurological disorders. More on this page.

  1. Please explain where you can create your own theme so that they won't ban me? The rules say: "It is not necessary to create several topics for one problem." I'm scared (
  2. Full recovery of the spinal column, prevention of disease recurrence.

Microsurgical treatment of spinal hernia

But, despite the positive aspects, microdiscectomy has its drawbacks. Due to the small area of ​​the operative field, the possibility of not completely removing a hernia appears. Consequently, the result is a relapse.

Not a long period of recovery.

  1. It is worth noting that the cost in Moscow for such operations varies greatly and depends on many factors, it can be in the range of 10,000 rubles. up to 200,000 rubles and more.
  2. Small (1-2 mm for the cervical and 1-5 for the thoracic and lumbar),
  3. Disadvantages of laser treatment of intervertebral hernia
  4. A patient’s blood sugar test
  5. Muscle relaxants that will reduce muscle spasm,

This phenomenon can cause severe pain, which is sometimes accompanied by even paralysis of the muscles of the legs. If the patient is diagnosed with an intervertebral hernia, then it is necessary to start treatment as soon as possible.

Postoperative complications

The main symptoms are constant pain in the back and lower back, aggravated when performing any physical activity.With further development of the disease, the pain begins to spread to the buttocks, thigh, lower leg, foot, weakness appears. If you notice numbness or tingling in the legs, this may also indicate the formation of a herniated disc in the lumbar region.

Good afternoon Go to the section you need. On the left, above the list of topics, there is a blue rectangle labeled

  1. After surgery, the patient leaves the unit the next day or 4 weeks later. It depends on the method of surgery and the complexity of the operation itself. A recovery period can last up to 1 year. The patient is recommended:
  2. When planning a spinal hernia surgery, the patient should be aware of the adverse effects of the operation. They are also called complications. Postoperative complications can occur both during the operation itself and during the recovery period.

In addition to the advantages, there are disadvantages of such an operation:

  1. Let's look at their positive and negative sides.
  2. Medium (3-4 mm - cervical, 6-8 - lumbar and chest),
  3. , They are also available. The main ones are:
  4. Heart electrocardiogram,
  5. Hemorheological agents that can improve blood flow

How should the post-operative rehabilitation period go?

Intervertebral hernia in the early stages may not produce itself. The first symptoms that indicate the presence of the disease appear with its progression. So, here are the main symptoms that you need to pay attention to:

Intervertebral hernia of the lumbar spine, the treatment of which may be limited by conservative methods, requires an appeal to a doctor. In a timely examination and identification of pathology at an early stage of development, often the treatment of hernia of the lumbosacral spine can be carried out using non-invasive puncture methods.

  1. Create topic
  2. Do not sit in the first month after surgery. This position can provoke a relapse of the disease.
  3. Complications that appear during the operation depend on the qualification of the operating team, the type of surgical intervention, and the quality of the equipment. The most common complications are:

As such, the structure of the disk itself is not restored.

  1. Laminectomy
  2. Large (up to 6 mm and up to 12 mm respectively),
  3. The cost of this procedure is rather high compared to conventional surgery,
  4. An anesthesiologist consultation and examination by an experienced therapist.
  5. Necessary anesthetic for spinal hernia,

How a laser treats the spine

Treatment of spinal hernia with a laser is scientifically called laser nucleoplasty. The mechanism of its action is approximately as follows.

Due to the effect of the laser, the intervertebral disk warms up to 700C and partially evaporates, that is, decreases in volume. Due to this, the intradiscal pressure decreases, the hernia retracts, the pressure on the nerve roots decreases, which means that the pain goes away.

After exposure to the laser in the intervertebral disc, the number of receptors decreases, which also contributes to the cessation of pain.

In addition, the symptoms are removed, the laser stimulates the formation and growth of new cartilage cells, improves the functioning of the vessels feeding the cartilage of the intervertebral disc. Thus, both treatment and prevention of relapse occur. The analgesic effect of the operation the patient feels immediately, and the effect of restoration of the cartilage tissue of the discs is formed completely in 6-12 months.

Laser therapy for spinal hernia is used most often when the hernial protrusion is already beginning to put pressure on the nerve processes. At this stage, the person feels soreness in the area of ​​the damaged disc, spinal mobility worsens, problems with the functions of muscles and even some organs may begin.However, the use of this technology is possible at earlier stages. Thus, laser treatment shows the greatest efficiency with a hernia of the intervertebral disc up to 6 mm.

Another area of ​​application of the laser in the treatment of hernia of the spine is the irradiation of tissues during surgical excision of the hernia, because laser treatment of tissues contributes to their rapid healing.

How is the operation?

The operation takes place under local anesthesia. It is considered inexpedient to do general anesthesia, since the volume of intervention is small - this is just a puncture with a special needle. The whole procedure takes about an hour and, as a rule, is well tolerated by people of any age.

Laser removal of the hernia of the spine begins with the percutaneous introduction of the needle, which is fed to the damaged disc.

Through the needle, a cable is introduced that conducts the laser and the camera, which transmits the image to the microsurgical endoscope. The surgeon who performs the operation sees everything that happens at the point of impact, and can clearly and accurately perform the procedure. Laser irradiation of the disk occurs at several points. Hernia decreases, a person gets relief and can continue a normal active life.

Recovery period after laser nucleoplasty surgery

  • On the second day - the opportunity to get up and sit down,
  • 5-6 days - return to work without physical exertion,
  • After 3-4 months - a return to reasonable physical exertion,
  • Within 1 month it may be recommended to wear a semi-rigid corset.

As you can see, the initial recovery is quite fast, there is no painful lying in bed, then the need to re-develop the muscles. The hospital will have to stay only 2-3 days, and with preparatory examinations and analyzes.

The benefits of laser removal

  • Short duration of procedure
  • Short hospitalization
  • The degree of complications is less than 0.1%,
  • The absence of postoperative scars
  • The possibility of repeated use of the method.

Are there any disadvantages of this treatment technology?

Among the shortcomings, some experts call the use of local anesthesia, rather than general anesthesia. Many patients are afraid of any, even a small intervention, and many prefer to be under anesthesia during surgery. It can be said that this is not a lack of a method, but a psychological problem of a particular person, which can be completely overcome.

Another drawback that makes the possibility of carrying out this procedure for an essential group of people unattainable is the cost of laser nucleoplasty. Probably, with the development of technology in the near future, it will become available to everyone who needs it, as well as, for example, ultrasound became available.

The operation ended, what next?

It would be a mistake to think that removing a hernia of the spine with a laser will make a person completely healthy without his efforts. The laser acts on the core of the disease, but does not affect the muscles, ligaments. Meanwhile, for complete recovery, you need to remove muscle spasms, improve blood circulation in the muscular and ligamentous apparatus. Thus, laser treatment is only part of the integrated treatment of hernia of the spine.

What other procedures will help the spine

  • Massage,
  • Manual therapy,
  • Physiotherapy,
  • Acupuncture,
  • Physiotherapy.

These procedures will help to remove the muscular clamp that is formed during the illness, strengthen the ligamentous apparatus. They will also form a good muscular corset that will support the spine and help reduce the load on the intervertebral disks.

Watch the video: Laparoscopic Bilateral Inguinal Hernia Repair (September 2019).