Patients with low back pain and accompanying leg pain and numbness frequently apply to the physician today. It is a health problem that worsens our daily life and comfort of life. Resting, drug therapy, physical therapy, massage, and surgery are the known treatment options.
Patients to be applied selective root blockade should be chosen with care. The patients should be examined very well, their examinations should be evaluated very well and the area causing pain should be clearly revealed. All treatment methods should be explained to the patient and why it is suitable for selective root blocking should be explained in clear language.
The patient is in the operating room and in the prone position during the application. The operation is carried out with the help of a scopy device, which can be described as an operating room x-ray device and allows us to see the instant films on the monitor immediately. Local anesthesia is first performed percutaneously through the skin. Then, on the condition that it is controlled step by step with the application needle and scopy, the area where the nerve compression causing the complaints is located is found. Contrast material is injected into this area and we are checked by fluoroscopy that we are in the right place. Then, a mixture of anesthetic agent + steroid is injected into this area and the procedure is terminated. With the applied method, the drug is never injected into the nerve root or the spinal cord!
Why the operating room?
Being in a sterile environment is a precaution to prevent complications such as infection, which can be very rare. C-arm fluoroscopy (scopy) device, which is also available in the operating room, is an indispensable tool for this application. Under the two-way scopy image, the area where the procedure will be performed and therefore the compressed nerve root are revealed.
Will I have a lot of pain without anesthesia?
Anesthesia is not required for this procedure. Local anesthetic is injected into the skin to prevent pain during the procedure. In the deep tissues, there is no pain complaint anyway. In addition, the fact that the patient is awake provides direct contact of the physician with the patient during the application. If necessary, some (relaxing) drugs can be administered to the patient.
In which cases this procedure can be applied?
It may cause low back pain and leg pain. Degenerative diseases that will occur are the target group.
- Herniated disc disease ⇒especially in small hernias with contact with the nerve root
- Spinal canal narrowing - spinal stenosis
- Low back slippage- spondylolisthesis
- Cases of adhesion-fibrosis at the surgery site after hernia surgery
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