The Orthopedic department at Clinic of Friedrichshafen, led by an experienced Professor Dr. Winter, offers a wide range of treatment methods, including the innovative spinal surgery of disc herniation. A herniated spinal disc (Prolapsus nuclei pulposi) is a spine disorder, in which a portion of the herniated intervertebral disc encroaches on the spinal canal, pinching the nerves of the spinal cord. The fibrous ring of the herniated disc ruptures partially or completely, while the posterior ligament might remain intact. At the Friedrichshafen Clinic in Germany, surgery is always the last resort in the case of spinal injuries.
Causes of herniated discs could be genetic factors, obesity, incorrect lifting of heavy objects, sudden twisting movements, exposure to constant vibrations etc. It is a common problem and often goes unnoticed, because it is not always accompanied by back pain. There were over 29,000 treated cases in Germany in 2012 - slightly more in women than in men. In most cases, the patients were between 45 and 65.
A history of lumbago, a stiff neck or sciatica and a diagnosis of sensory disorders or weakness are basic signs of a herniated disc. At the Friedrichshafen Clinic in Germany, we always exhaust all other options before we resort to surgery of the spine.
A sure diagnosis can only be made with the aid of imaging techniques:
Orthopedics in Germany has achieved high results in herniated disc surgery and back pain elimination. Most cases can be treated conservatively, without resorting to surgery (medication, rest cures, catheter techniques, physical measures).
The treatment of spinal herniation consists of several stages. Initially, conservative treatment is carried out. It consists in using the physiotherapy, massage, acupuncture, medication, intramuscular injections and intravenous infusions, wearing of an orthopedic corset.
If the conservative treatment seems to be ineffective, there is a good reason to think about the herniated disc surgery: microsurgical or endoscopic removal of herniated disc. There are 3 indications for microsurgical removal of a herniated disc (herniated disc surgery).
The sooner the operation is performed in these conditions, the better the results.
It is difficult to calculate the price for a herniated disc surgery in advance. The following prices serve only for general information. The diagnosis of the herniated disc problem would cost about 850-2000 euro. The operation on the intervertebral discs costs about 8000 – 15000 euro. The prosthetic intervertebral disc makes up 15000 – 25000 euro. Spine stabilization: surgery 20000 euro.
Percutaneous nucleotomy: a minimally invasive procedure to remove the source of impingement on the nerve root or spinal cord)
Endoscopic methods, being a minimal invasive kind of therapy, allow soft and efficient treatment of the herniated disc surgery. This is a percutaneous surgery that has revolutionised herniated disc surgery. It is a very gentle approach that is extremely useful in many cases and is often used in the case of chronic back pain. This technique is used more and more frequently in the case of nerve root canal stenosis (abnormal narrowing of the canal). It is important to clear up exactly where the problem lies before proceeding with the operation. At the Beta Clinic of the Friedrichshafen Clinic in Germany, we use MRI for this purpose.
Endoscopic herniated disc surgery is ideal when the problem is situated in the lumbar region. The patient can be treated without injury to the muscles and ligaments. In endoscopic herniated disc surgery the instruments are inserted through the natural openings between the bones. It is possible to do so because the instrument is only 7mm in diameter.
Just two hours after endoscopic herniated disc surgery, the patient can begin to walk around and is usually free of pain. The spine surgeons at the Friedrichshafen Clinic in Germany usually discharge their patients the same day, or in some cases, the next day. The patient can return to work and resume his sporting activities relatively soon after the procedure. Thanks to the gentle lateral approach used at our clinic in Germany, endoscopic herniated disc surgery is also possible in recurring cases because existing scar tissue is not affected. In the case of nerve root canal constriction and extreme wear and tear accompanied by severe back pain, this method can also be used.
Summary of the advantages of endoscopic herniated disc surgery at our clinic in Germany:
If you suffer from regular back pain, loss of muscle strength, sensory disorders, dont't hesitate to ask for professional help. The specialists of our clinic in Fridrichshafen will consult you in detail, help to optimise the medicamentous treatment and physiotherapy to alleviate the primary pain syndrom, and, in case of need, carry out a modern surgery to remove the herniation.
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