How to Treat Lumbar Spine Issues?
Across the United States, one of the most common pain issues amongst men, women, and even teens is lower back pain within the lumbar spine. This condition is often known as lumbar spinal stenosis, a condition in which patients will suffer from chronic lower back pain, due to the compression of the spinal nerve roots within the lower back otherwise known as the lumbar spine area. According to Dr. Evan Baird, of Comprehensive Spine Care, considered to be the best orthopedic spine surgeon New Jersey has to offer, if you think back to different points in your life, no matter how young or old you might be, chances are you have suffered from lower back pain in one way or another – whether it be moderate or severe, the lower back is one of the areas that is most susceptible to suffering such problems. As mentioned, this issue is a product of compression of the spinal nerve roots – in order to treat such issues, and help patients to reduce the presence of pain and other symptoms, some form of decompression is vital – which in most cases, leads to the need for some form of decompression surgery. According to most spine doctors NJ patients who experience symptomatic stenosis in specific areas, localized to a few spots, modern minimally invasive spinal surgery techniques can be used to perform a focused decompression of the specific areas of stenosis.Learn more about the processes involved with providing patients with the decompression they need.
Fairly similar to the process of a lumbar discectomy, fluoroscopic guidance can be used to localize the area of stenosis. According to Dr. Baird,the best orthopedic spine surgeon New Jersey has in practice, the minimally invasive method begins by the use of small retractors, tubular retractors, and magnification, the surgeon can precisely remove the bone spurs and hypertrophic, or enlarged, ligaments causing the stenosis with minimal disruption of other spine structures. The point of such surgical maneuvers is to help prevent the remove or disruption of too much soft tissue. While the long-term effects of reducing the dissection of soft tissue may not be completely understood, for the most part, surgeons are hopeful that this will reduce the chances of developing spinal instability problems that commonly occur as a result of laminectomy surgery. The fact of the matter is, just as most spine doctors NJ surgeon Evan Baird recommend outpatient lumbar decompression techniques over traditional techniques, as it reduces patient’ surgical exposure quite a bit. This outpatient method of removing the structure causing spinal stenosis is known to provide patients with highest level of satisfaction, with minimal amount of risk involved.
Just as many other spine doctors NJ surgeon Dr. Evan Baird will generally offer lumbar interspinous/intralaminar spacer devices to indirectly decompress and relieve foraminal and central canal stenosis or to augment a decompression procedure for stability. Using similar targeting and dissection techniques as lumbar discectomy, the goal is to minimize trauma to the other tissues in the area. However, according to Dr. Baird, the best orthopedic spine surgeon New Jersey has to offer, on thing patients need to understand is that there are a number of different factors that allow a surgical procedure to be done in an outpatient, minimally invasive manner. For instance, in order to have this procedure as an outpatient, the surgery should be limited to one or two levels of the spine. Appropriate use of local anesthetic agents minimize the initial incisional pain, and the patient can go home aftersurgery. In addition to the size of the area in question, there are certain other factors that must also be adhered to – as well as certain other risk factors that can drastically increase the likelihood of complications developing during or after a lumbar laminectomy surgery. Some of these risk factors include:
· Smoking – Smoking is discouraged for most surgical procedures. If you are a smoker, its important that you try to abstain for atleast a few weeks to months before your surgical procedure occurs. Smoking can increase the chances of post-surgical infections, decrease your ability to heal quickly, would cause issues with fusion (if fusion is needed within the procedure), and more.
· Osteoporosis – Osteoporosis is a bone condition that causes weak and brittle bones. This condition may cause easy fractures and breakage of bony tissue and may be a risk for laminectomy patients.
· Other Physical Systemic Issues – Those with heart disease or diabetes will likely experience a far longer, and less efficient recovery period. In addition, for someone with arthritis, the back-pain issues may persist long after surgery.
· Mental Health Issues – Things like anxiety or depression can lower a patient’s pain tolerance, or cause them to experience poor surgical results, as they may not be willing to adhere to certain pre or post-surgical measures.
Such surgical procedures are vital to helping patients with spinal issues or spinal instability, and therefore in order for patients to experience the best overall results it is vital that educate ourselves as much as possible on such procedures. For more information on such procedures, or to schedule your own consult, be sure to contact Comprehensive Spine Care today.