Spine-related pain is felt mostly in the waist area, but also in the neck and back area. While these pains may begin suddenly and severely (or within the last six weeks), they may continue at moderate intensity for years and impair the person's quality of life. Pain in the waist and neck area can often be due to muscle spasms in these areas, calcification of various joints (facet joint) and herniation of the disc material. These pains may start after an activity or trauma, or they may occur without an obvious cause. Especially people with weak waist and abdominal muscles due to mental and emotional tension, sedentary work and lifestyle are at risk for waist and neck pain. If sudden onset or long-lasting persistent waist and neck pain does not decrease despite physical therapy or if surgical correction is not deemed necessary, interventional pain treatment options come to the fore. Injection (cortisone) and radiofrequency treatment can be applied to the facet joint that causes pain in the waist and neck area or to the nerve roots affected by herniation. In recent years, radiofrequency treatment applied to the waist and neck nerve roots (pulsed radiofrequency current application) is more effective than injection treatment, provides longer-term pain relief (at least 2 years) and provides tissue healing. It is preferred because it does not cause any damage.
Another important patient group is those whose pain does not go away despite having undergone more than one waist and neck surgery. After lumbar and cervical disc herniation surgeries, some patients experience severe leg and waist pain due to some adhesions in the spinal canal. These patients have to undergo repeated back surgery as their pain does not go away after the herniated disc surgery. Each herniated disc surgery creates a new adhesion and subsequently causes further increase in pain. In these patients, treatments for pain, physical therapy, medication, etc. If some treatment methods do not help, the treatment method that should be applied is spinal cord stimulation. In this method, also called spinal pain battery, an electrode is placed in the patient's spinal canal and its tip is connected to a generator that produces current (pain battery). gets angry. The current produced by the battery is transmitted to the spinal cord via the electrode, preventing the pain from being transmitted to the brain. With this highly effective method, patients can self-control their back and neck pain by activating the battery.
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