What is sciatica Laser Spine Institute
My name is Stefan Prada. I'm one ofthe orthopedic spine surgeons at Laser Spine Institute. At this time, I'd like to talkto you about sciatica. Sciatica, by definition, is pain down the back of one's leg. The symptoms of sciatica can frequently becaused by a pinched nerve in low back, or lumbar spine. Pinched nerves in the back cancause pain, tingling, numbness or weakness in the leg. If you have tried conservativetreatment such as antiinflammatories, physical therapy, chiropractor, steroid shots, andyou continue to experience sciatica and an MRI has shown some type of source for a pinchednerve, then the minimally invasive techniques
at Laser Spine Institute can help alleviatethese symptoms. These techniques are muscle sparing, withâ€¦ through an incision of an inch or smaller, we get down to the offending area. By splittingthe muscle and not cutting it, the patient has less pain and less bleeding and a quickerrecovery. Through this small incision technique, we can remove the agent that is pinching thenerveâ€”the herniated disc, the facet cyst, the facet spur, the thickened ligament. Allof these can easily be removed, freeing up the nerve and removing the symptoms of sciaticaor leg pain.
Discectomy Laser Spine Institute
An endoscopic discectomy is a procedure inwhich we treat and take care of herniated, or protruding or bulging disc that is pressingon a nerve. We do it two ways, and I'll show you on the model. Herniated discs canoccur both in the center area here in the back or out in the side, or in an area wecall the foramen. The treatment to those requires removal of disc material that is pinchingnerves. To actually get down to the disc, you have to perform a laminotomy. And, ifwe look at the model here, the center area here is the spinous process. And the laminaare these parts of the bones here. We don't remove the entire lamina. We just create asmall window, or opening, in that, and that's
called laminotomy. That allows visualizationof the ligament, which sits on top of the spinal canal and on top of the nerve and thenerve roots. We're able to release that ligament, and then it allows us to go in andaccess the disc area, where the herniation is. The other procedure that we perform aswell opens the area or the foramen, where the nerve exits from that area. And we'reable to use instruments that are able to create a larger opening and removing small amountsof bone and performing a foraminotomy. By doing that, again, we're able to safelyaccess the disc. We're able to safely keep the nerve roots and the sensitive structuresafely out of the way. And then do the procedure
that provides the pain relief and the benefitto the patient. What you look at on your skin afterwards are some bandages, a little butterflytape over a 1inch â€” at most â€” incision. And then the sutures dissolve on their own.The incision itself heals in a week or two, and patients are able to get on with theirlives.