Neck, Back and Joint Pain Treatment by Orthopedic Doctors
Spinalogy Clinic provides Orthopedic Consultations from the best orthopedic doctors in pune for all musculoskeletal problems such as neck, back, joint and bone pains. There are many spine and joint conditions which need detailed diagnosis and then proper treatment plan to cure the condition
In case of Spine and Joint problems, we perform following comprehensive assessment:
- Thorough History to find out early warning signals about deteriorating back and joint condition
- Postural assessment to detect any abnormality so that it can be corrected in time before it becomes fixed and irreversible
- Movement assessment of each spinal segment to find out early locking and stiffness due to mal-rotation or sub-luxation of vertebrae
- Trigger point identification to tackle them early
- Thorough neurological assessment of the limbs to detect any sensory or motor deficit
- X-ray of either low back or neck region depending upon need
- Consultation with Orthopedic Surgeon
- If any treatment is required - Guidance about the same
- If u need preventive plan guidance
The treatment plan is decided as per your condition and the findings of the spine and joint check and diagnosis. Our Orthopedic surgeon would design the right treatment plan for your condition as per the Spinalogy Approach. The treatment plan is individually customized but follows general guidelines of our standardized treatment plans. These standards have been developed through scientific research studies and are evidence based. They cater to a set of findings that develop in these cases. The basic standardized plans offered are:
- Back 2 work:For early postural back, neck or joints pain.
- Spinacure: For with little advanced fixed structural spinal abnormalities.
- SpinaRehab: For those with neurological symptoms such as radiating pain.
- SpinaFit: For maintenance and prevention.
There are several types of spinal injections, often referred to as nerve blocks or root blocks and facet blocks. They may be used for both pain relief and diagnostic purposes. Spinal injections are usually performed using a live x-ray (fluoroscopy / Image Intensifier) for guidance. Common spinal injections include:
- Epidural Steroid Injection
- Facet Joint Injections
- Selective Nerve Root Block
- Caudal Blocks
- Medial Nerve to Facet Blocks
Spinal injections are a brief procedure and would not require any hospital stay. The procedure does not take more than 15-20 minutes followed by a recovery period of around one hour. We usually do this procedure in nearby hospitals. Its a daycare procedure. The steps that the patient would undergo for a spinal injection are:
- Step 1: Prepare the patient
Patient can remain awake throughout the procedure. To reduce the anxiety level and make the patient comfortable, sedative drug may be used. He then receives a local anaesthetic with his face upside down. This position helps to make the skin numb before the injection is given to the patient. During this procedure sometimes IV sedation is used and in elder patients , the blood pressure, heart rate and breathing of the patients is monitored.
- Step 2: Insert the needle
Using an image intensifier, considered to be a special X-ray, the doctor penetrates a hollow needle through the skin and your back muscles to the sensory nerves that are located in the epidural space/facet joints. The doctor can watch the needle through the Fluoroscopy on the X-ray monitorto ensure that the needle reaches to a particular intended area as required. To comfort the entry, contrast can be injected into the space. This may cause some discomfortto the patients and they could feel more pressure than pain.
- Step 3: Inject the medication
When the doctor ensures that the needle has reached the correct position, he injects corticosteroid and/or anaesthetic and/or other medication in the patient's facet joint capsule/ epidural space. Later on, the needle is removed. Depending on the location of the pain, needle can be injected at one or more places.
In case of radiofrequency blocks instead of injecting local anesthetic, radiofrequency probe is placed near to the intended area of block and then the probe is heated with RF generator.
Most patients can walk around immediately after the procedure. After being monitored for a short time (approximately an hour), you can usually leave the clinic. Someone must drive you home. Typically patients resume full activity the next day. Soreness around the injection site may be relieved by using ice and taking a mild analgesic that would be prescribed to you.
Follow up appointments would be scheduled after the injection – usually after seven days. You would be reevaluated and the progress would be noted. The follow up session would depend on your condition, treatment plan and progress. You will need different sessions such as physiotherapy or complementary therapy based on the diagnosis and treatment plan. Care Manager would guide you about the same.
Medical Ozone is produced from medical grade oxygen with the use of high voltage electrical discharge. When comparing with surgical dissectomy, success rates of medical ozone can be estimated to 88% according to the research. Nucleus pulposus fills 50-60% of intervertebral discs, which is a jelly like material. As a result disc starts shrinking and mummified which is equivalent to surgical dissectomy and hence the procedure named as “Ozone Dissectomy” or Ozonucleolysis.
In case of prolapsed slipped disc- ozonucleosis procedure can be carried away by injecting Ozone in to intervertebral disc-proteoglycan in that ozone bridges and they were broken down results in shrinking of discs and finally they are no longer capable of holding water. The cost of ozonuclosis is less compared to surgical dissectomy. These non surgical interventions enhance speedy recovery than surgical interventions.
Ozone for interventional Pain management:
Ozone therapy shows remarkable recovery in various conditions like rheumatoid arthritis, systemic lupus erythemoatosis, scleroderma, polymyositis/fibromyositis and also in disc prolapse. Ozone can be administered through different modalities like inhalation of ozone/air mixture, treating ulcers, dressing wounds depending on nature of existing conditions. Molecular ozone is not safe. Ozone therapy is contraindicated in pregnancy, any active bleeding, and active hyper-thyroidism.
Patients can move around immediately after the procedure. Ozone therapy enhances speedy recovery process. Resuming to work considered to be easier on administration of ozone therapy. This cost effective procedure minimize process of prolonged recovery.