Disc Replacement Surgery In Frisco, TX

by Administrator 19. December 2014 13:48

The spine consists of several vertebrae stacked on top of one another that provide support to the body and help it move. Discs are the small cushions that act as shock absorbers and spacers between two vertebrae. However, certain factors such as aging or injuries, can cause these discs to damage or bulge, break out, deform or wear out, thus, putting pressure on the adjoining nerves. Over time, these nerves can get sore, causing extreme pain and discomfort.

Disc replacement surgery is an arthroscopic procedure in which the worn out intervertebral discs in the spine are replaced with prosthetics in the cervical or thoracic spine. The surgery is an effective treatment option for intense and chronic back pain caused due to Degenerative Disc Disease (DDD). The goal of disc replacement surgery is to reduce or eliminate pain and, at the same time, allowing the spine to regain its normal range of motion.

Some of the cases in which disc replacement surgery is recommended are:

  • If the patient is experiencing chronic pain in the upper or lower back
  • The pain and other symptoms are proving as a hindrance in daily activities
  • If the pain has not subsided for at least 6 months after having completed a prescribed course of medications
  • The patient is in good general health and free from any allergies or infections

Benefits of Disc Replacement Surgery

  • Allows Greater Range of Motion
  • No bone graft required
  • Less pain
  • Fewer physical limitations
  • Less impact on daily activities
  • Reduced stress on the nearby discs
  • Shorter recovery time

Procedure

Disc replacement surgery is usually performed under the effect of general anesthesia. During the procedure, the spine surgeon removes the degenerated disc from the spinal column. After that, the artificial device is carefully positioned in the disc space. Special instruments, such as fluoroscopes and endoscopes, are used to confirm that the device is in its correct position.

Recovery

Most patients return to their daily activities after 6 to 8 weeks of a disc replacement surgery. The spine surgeon may prescribe certain rehab exercises, such as minor stretching or walking, for the first few weeks after the procedure. Following this, a strengthening program may also be advised. However, the patient must not resume playing sports or other rigorous activities without the doctor’s permission.

For more information about disc replacement surgery, consult Dr. Burg in Frisco, TX. To schedule an appointment with the spine specialist, you can call at (214) 618-5502.

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Spinal Stenosis Surgery In Plano, TX

by Administrator 12. December 2014 13:23

Spinal Stenosis is a condition in which the nerves in the spine get compressed which results in the narrowing of the spinal canal. This puts pressure on the spinal cord as well as the nerves passing through it. Spinal Stenosis mostly occurs in the lower back (lumbar) and neck (thoracic) area of the spine.

Majority of the patients with Spinal Stenosis recover well with non-invasive treatment options such as anti-inflammatory medications, injections and physical therapy. However, in severe conditions the patient may need to undergo surgical treatment.
Some of the cases in which surgical treatment is prescribed is:

  • If all the non-surgical treatment methods have not been successful
  • If the patient is experiencing numbness, pain and tingling sensation in the arms and legs
  • If the patient has lost sensation in the arms and legs
  • If the patient is in extreme pain for an extensive time period
  • If the patient has lost bladder or bowel control
  • If the motor strength of the arms and legs has considerably decreased

Minimally Invasive Spinal Stenosis Surgery

The orthopedic surgeon mainly performs two types of surgical techniques, namely decompression and stabilization of the spinal cord, to treat Spinal Stenosis.

Decompression Surgery

This is aimed to remove the tissue that is putting pressure on the spinal nerves. Decompression surgery for spinal stenosis may be performed in one of the below given ways:

  • Foraminotomy: If a bony growth or disc is putting stress on a nerve from where it leaves the foramen, the orthopedic surgeon may perform Foraminotomy procedure. This involves opening up of the foramen to ease the passing of nerves through it.
  • Laminotomy: This procedure involves making an opening in the bony plate and in the lamina to decompress the spinal cord and make room for the spinal nerves.
  • Laminectomy: When Laminotomy Spinal Stenosis is not treated by Laminotomy, the orthopedic surgeon may need to remove all or part of the lamina, a procedure known as Laminectomy. Some bony growths and ligaments may also be removed during the procedure.

Stabilization Surgery

Also known as spinal fusion, this procedure is recommended by the orthopedic surgeon only in extreme cases of Spinal Stenosis. It involves using bone grafts and screws to hold the bones together and provide stability to the spine. It may be performed in combination with Laminectomy.

For more information about Spinal Stenosis surgery, consult Dr. Burg in Plano, TX. To schedule an appointment with the spine surgeon, you can call at (972) 985-1072.

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Laser Spine Surgery In McKinney, TX

by Administrator 5. December 2014 07:53

Laser spine surgery is used to describe various surgical procedures that are performed on the spine with the help of a laser, a concentrated beam of light. The surgery is intended to treat various medical conditions of the cervical thoracic as well as the lumbar spine.

Here are some of the spinal conditions that can be successfully treated with a laser surgery:

  • Spinal Stenosis
  • Herniated Discs
  • Sciatica
  • Bulging Discs
  • Spinal Arthritis
  • Bone Spurs
  • Spondylolisthesis
  • Pinched Nerves
  • Degenerative Disc Disease (DDD)
  • Facet Disease

The Procedure

There are two main approaches to a laser spine surgery. The first one involves inserting an endoscope through the back into the spinal canal. This is done by way of sacrum openings and drying up of disc bulges. The second approach involves making a small incision or placing a needle hole alongside the spine. The spine surgeon, then, accesses the disc and makes small openings with the help of a laser. The incisions made in a laser spine surgery are much smaller, approximately 7mm in size, which helps in blood loss reduction and less scars.

Techniques Used in Laser Spine Surgery

A laser spine surgery may involve one or more of the following techniques:

  • Laser Facet Joint Nerve Ablation: Also known as Rhizotomy, this procedure is performed to destruct the small nerves in the spine that send pain signals to the facet joint. It helps to reduce pain, in conditions like Spinal Osteoarthritis, which causes pain that is confined to the back and neck.
  • Percutaneous Laser Disc Decompression (PLDD): This procedure is effective in treating neck pain caused due to Spinal Stenosis, Disc Herniation and Bulging Discs. PLDD involves removing the disc material to release compression from the nerves, thus, reducing pain.
  • Laser Annuloplasty: In this, the spine surgeon uses the laser technique to treat the tears in the annulus, or the disc wall, to relieve the patient of back and neck pain.

Benefits of Laser Spine Surgery

  • Effective to treat a number of spinal conditions
  • Less risk of infections
  • Less post-operative complications
  • Smaller incisions
  • Less blood loss
  • Smaller scars
  • Reduced risk of internal bleeding
  • No damage to adjoining nerves
  • Shorter hospital stay
  • Shorter recovery time
  • Less damage to adjoining muscles and tissues

To know more about the effectiveness of laser spine surgery to treat various spinal conditions, consult Dr. Burg in McKinney, TX. To schedule an appointment with the spine specialist, you can call at (972) 727-9995.

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Sports Injuries To The Cervical Spine

by Administrator 18. November 2014 06:49

Most of the cervical spine injuries are related to sports activities. They usually occur due to acute strains and sprains to the muscles of the neck or the contusion of the soft-tissue in the neck. Physical examination and proper management of the condition are paramount in the successful treatment of the injured sportsperson. There are many types of sports injuries to the cervical spine and taking decision regarding the type of cervical spine injury becomes a challenge making it crucial to seek advice from a spine surgeon.

Injuries relates to cervical spine:

There are four types of injuries that can be caused to the cervical spine:

  • Nerve Root Injuries: It is the most common form of cervical spine injury and usually occurs while playing football. The main symptom of this injury is loss of function combined with pain, in one arm, following a collision. These injuries are also known as stingers or burners.
  • Acute Cervical Sprains/Strains: A sprain is a stretch or tear to the ligament whereas strain is injury to the muscles or the tendons. An athlete can suffer from strain and sprain in the neck which jams the neck and the pain remains localized to the cervical spine.
  • Cervical Fracture: These are very painful and occur when a great force is applied to the neck while playing sports or a sudden fall during sports activities. It stops the mobility of the neck and reduces its stability.
  • Cervical Spinal Stenosis: It is defined as the diminution of the diameter of the Spinal Canal near the neck followed by disc herniation. It is common to the players due to wrong exercises and postures during sports.

Causes:

Cervical spine injuries can occur as a result of a number of factors:

  • Wrong postures while playing
  • Incorrect exercise
  • Lack of attention while performing exercises
  • Improper warming up
  • Traumatic injuries while playing
  • Sudden fall
  • The cervical injuries are very common in sports like ice hockey, soccer and horse riding.

Symptoms:

Some of the common symptoms are:

  • Loss of sensation
  • Inability to move arms
  • Acute pain in the cervical spine
  • Movement enhances the pain
  • Instability in the neck

Treatment:

Cervical injuries require immediate and intensive care by an orthopedic surgeon. The treatment includes:

  • Medication: The patient suffering from cervical injuries should consult a back surgeon before taking any medication for the same as medication differs from patient to patient.
  • Stability: The doctors can also recommend traction to stabilize the spine and bring it back into order. Neck collar may also be required in some cases.
  • Surgery: A surgery is performed in acute cases where other methods of treatment fail to provide relief.

Dr. Burg is a Frisco, TX based spine surgeon providing diagnosis and treatment for all sports related injuries to the spine. For details, call at (214) 618-5502 or visit 5757 Warren Parkway, Suite 180, Frisco, TX 75034.

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Minimally Invasive Spine Surgery McKinney, TX

by Administrator 11. November 2014 08:27

Minimally invasive spine surgery is a general term used to describe a set of procedures performed using the most advanced technology to treat various medical conditions of the Cervical, Thoracic and Lumbar Spine.  The surgery involves making small incisions to access the spine, through a camera or other small devices, to have a clear view of the spine anatomy.

Types of Minimally Invasive Spine Surgery

The spine surgeon uses a number of techniques to perform minimally invasive spine surgery. Some of them are:

  • Microdiskectomy: In this procedure, the surgeon makes small incisions in the back, at the location of herniated discs, to remove the affected part and relieve the patient from the distressing symptoms.
  • Kyphoplasty: This surgery is mainly performed to treat spinal fractures and other injuries. In this, a fluoroscope is used to provide clear images of the spine to treat the affected area.
  • Laminotomy: This minimally invasive procedure helps to reduce pressure from the compressed nerve roots. This surgery can be performed to treat a wide range of spinal conditions including pinched nerves, herniated discs, bone spurs, Spinal Stenosis and bulging discs.
  • Laminectomy: This procedure is performed to reduce pressure on the spine by removing some part or all of the Lamina - a thin, bony layer covering the upper portion of the spinal cord.

Conditions Treated with Minimally Invasive Spine Surgery

  • Herniated Discs
  • Spinal Injuries
  • Spinal Fractures
  • Spinal Instability
  • Spinal Stenosis
  • Degenerative Disc Disease
  • Scoliosis
  • Sciatica
  • Spinal Tumors

Benefits of Minimally Invasive Spine Surgery

  • Shorter hospital stay: Most minimally invasive spine surgical procedures take just a few hours to be performed and the patient doesn’t need to stay for weeks in the hospital.
  • Minimal pain and blood loss: Minimally invasive procedures involve making very small incisions to treat the condition. Thus, there are lesser chances of scars and post-operative pain.
  • Less chances of muscle and soft tissue damage: With the smaller incisions made during minimally invasive spine surgery, the tissues and muscles nearby the affected area are less likely to be damaged.
  • High success rate: Advanced imaging techniques allow the surgeon to place the surgical instruments precisely at the affected area without the need of having to cut open the skin.

For complete diagnosis and treatment of spinal problems you can visit Dr. Burg. The spine surgeon specializes in performing minimally invasive spine surgery to treat various spinal conditions. To schedule an appointment with the spine specialist, call at (214) 618 – 5502.

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Spinal Decompression Surgery In Allen, TX

by Administrator 4. November 2014 05:18

Spinal decompression can be defined as the surgical procedures performed to relieve back problems caused due to the compression and pressure on the spinal cord or nerve roots. Thickened joints, bony growths, collapsed or bulged discs and bony growths can constrict the spinal nerve openings as well as spinal canal, thus, causing pain and inflammation. Symptoms of spinal compression may include:

  • Pain
  • Numbness
  • Weakness
  • Tingling
  • Instability
  • Paralysis, in severe cases

Types of Spinal Decompression Surgery

  • Laminectomy: In this, the spine surgeon will remove a portion of the bony arches, known as lamina, to expand the spinal canal and release pressure.
  • Discectomy: It involves removal of a part of the disc to eliminate the pressure from the nerves.
  • Osteophyte Removal: In this surgery, the doctor removes the bony growths that are causing the problem.
  • Foraminotomy: This is performed to expand the nerve root openings from where it exits the spinal cord.
  • Corpectomy: This involves removing the disc from the vertebrae.

Who can benefit from Spinal Decompression Surgery?

Spinal decompression can help people with:

  • Disc Herniation: A condition in which the inner portion of the discs penetrate through the exterior layers. This results in pressure and inflammation in the spinal nerves.
  • Protruding or bulging discs: A condition in which the outer disc layers put stress on the nerves in the spine.
  • Stenosis: It is a condition caused due to narrowing of the spinal canal causing pain and discomfort.
  • Sciatica: It refers to pain radiating through the leg due to pressure on the nerves in the spine. 
  • Facet Joint Syndrome: A condition causing dysfunction in the spinal joints.

Apart from these, the procedure can also be helpful for people who have not got pain relief from conservative treatment options.

Advantages of Spinal Decompression Surgery

  • Relieves compressed disc
  • Smaller incisions and minimum formation of scar tissue
  • Quicker recovery and faster return to daily activities
  • Reduced blood loss
  • Shorter hospital stay
  • Decreased pain and use of anti-inflammatory medications
  • Shorter recovery period
  • Minimum side effects and complications
  • Less damage to adjoining tissues and muscles
  • Reduced risk of post-surgical infection

For more details about spinal decompression surgery for various medical conditions of the back, consult Dr. Burg in Allen, TX. To schedule an appointment with the spine specialist, feel free to call at (972) 727 – 9995.

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Orthopedic Treatment For Upper Back Pain

by Administrator 20. October 2014 11:45

Upper back pain is a common health issue and results due to injury to the ligaments or muscles that are attached to vertebrae. Though upper back pain is not as common as lower back pain; however, being a common sports injury, it requires immediate medical attention.

Causes

Some of the common causes of upper back pain include

  • Twisting movement
  • Poor posture
  • An injury to disc, muscles due to fall or a motor accident
  • Fracture of any vertebrae
  • Overuse of muscles
  • Muscle sprain
  • Bending
  • Carrying heavy objects
  • Throwing
  • Vigorous coughing and sneezing
  • Scoliosis and herniated disc
  • Osteoarthritis

Symptoms

  • Severe pain
  • Muscle stiffness or tightness
  • Burning sensation
  • Arms and leg weakness
  • Loss of bladder and bowel control
  • Numbness
  • Pain on taking deep breath

Diagnosis

The orthopedic physician examines the patient and enquires about the past health and medical history. The physician may need to know about the work and physical activities the patient in involved in to determine the cause of upper back pain. The physicians often recommend imaging tests such as x-ray, MRI, CT scan to find if the pain is due to any fracture, herniated disc or any other issue.

Treatment

To treat the patient, the spine surgeon often prescribes anti-inflammatory drugs to reduce swelling and offer relief to the patient. Other non-surgical methods that are used to treat upper back pain include heat or ice therapy and exercises. Heat therapy helps in reducing pain and stiffness and ice helps in decreasing swelling. The patient might be asked to take complete rest and reduce the routine activity. Some stretching and muscle strengthening exercises also help in reducing the chances of injury, improving the posture and reducing pain. It is, however, important that the patient should perform exercises only as instructed by a trainer and if recommended by the physician.

In certain situations, the orthopedic physician may also recommend the patient to reduce weight as it is also a reason of pain in the back. The physician can prescribe surgery but it is mostly required in cases of Sciatica or Spinal Stenosis. Usually upper back pain can be successfully treated with non-surgical measures however for certain serious cases surgery might be the only option.

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Rehab After Minimally Invasive Spine Surgery

by Administrator 13. October 2014 11:43

Minimally Invasive Spine Surgery is usually performed to stabilize the vertebral bones, spinal joints and alleviate the pressure being applied to the spinal nerves. Most of the pressure on the spinal curve is due to conditions such as degenerative disc, herniated disc, Lumbar Spine Stenosis, spinal instability and spinal deformities.

The Minimally Invasive Surgical approach is a faster and safer way to spine care. It comes with a set of potential benefits and the most prominent being the less recovery time required as compared to open spine surgery.

Here are a few points regarding the rehabilitation of the patient after the Minimal Invasive Spine Surgery:

Recovery Time:

The recovery time may differ from one patient to another depending upon the severity of the condition and the type of surgery performed. On an average a patient may return to activity in a period of 6 weeks however the time may vary in some patients due to many factors like age, weight, eating habits and flexibility. Mild exercise and physical therapy is usually encouraged for enhancing the recovery process but it should be done safely and only if recommended by the back surgeon.

Going Back to Work:

The decision of getting back to work for patients having undergone Minimally Invasive Spine Surgery usually depends upon the severity of surgery. It usually differs in individuals due to the nature of their job or occupation. Therefore the decision to return to work should be based upon the patient’s health and the nature of work. Patients with office jobs usually return to their job 1-2 weeks post surgery and after taking an advice from the physician. However for a patient with a more serious surgery or physically intensive job, returning to work might take longer.

How long will the pain last?

There is no golden rule to answer the question as the pain also differs from person to person. The rate of recovery for each patient differs depending on the age of the patient and the other health factors including the ability to fight against diseases, general health and healing capacity. However continual advise and treatment from the back surgeon can help in fastening the process of rehabilitation.

Following the spine surgeon’s advice accurately could result in rapid recovery after the surgery. The patient must include proper diet to fasten the recovery process. Physical Therapy or exercise can be prescribed to improve the functioning of the muscle. This can gradually result in maximizing recovery and minimizing further pain.

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Conservative Treatment Options For Back Pain

by Administrator 6. October 2014 10:47

Back pain is one of the most common problems faced by people. Back pain ranges from mild to severe and sometimes the pain suffered is so severe that it becomes difficult to carry out routine activities. Back pain may occur due to repeated actions, bending, lifting heavy objects or due to an injury. It is essential to immediately consult a spine surgeon to get the injury diagnosed and a treatment plan devised.

Conservative treatments are available for back pain which is non-invasive or less invasive. Patients often prefer conservative treatments options such as physical therapies, medicines, heat therapy and exercises to surgery for treating their back pain. Here are some details about some conservative treatment options available for treating back pain.

  • Medicines: Medication is the first resort that helps in providing relief from the pain. Various types of medicines are available like muscle relaxants and non-steroidal anti-inflammatory medicines which can be prescribed by a spine surgeon after proper diagnosis. These medicines are taken orally, applied on skin or are injected to provide relief from the pain.
  • Heat therapy: Heat therapy is quite effective in treating back pain. The patient is asked to apply heat pads or heat wrap over the targeted area. Heat bottles are most cost-effective way to offer relief from pain and hot baths are known to offer relief from back spasms.
  • Physical therapy: The therapy helps in strengthening and stretching of muscles of the spine. It also helps in alleviating the back pain.
  • Exercises: One can get relief from back pain with the help of exercises. Certain stretching exercises can relax the muscles, nerve cells and ligaments. Fitness trainers often provide programs that address your back problem and offer full body workout. 

These treatment options offer relief from pain and are least invasive options.

 To know more about the conservative treatment options for back pain, visit Dr. Burg at 7300 Eldorado Parkway, Suites 165/165A, McKinney, TX 75070 or call at (972) 727-9995.

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Common Lumbar Spine Injuries

by Administrator 18. September 2014 11:31

The spine of the lower back, known as lumbar spine, has to withstand a great deal of pressure during strenuous activities.  Hence, it is prone to get injured easily as a result of heavy weight lifting, a sudden jerk, playing contact sports, car accidents, falls etc.

Here is a list of the common lumbar spine Injuries:

Inter vertebral disc degeneration

Inter vertebral disc degeneration refers to a condition in which a compromised disc causes back pain. Also known as Sciatica, this injury concerns with the inter-vertebral discs which are filled with a gel like substance called the Nucleus Pulposus. As a result of an accident or age related degeneration, this fluid weakens or thins out. This results in putting abnormal pressure on the spinal nerves during heavy tasks and leads to pain and injury.

Non specific low back pain
    
This is caused when the structures of the lumbar spine are either too tight or loose. The structures here refer to the vertebra, the facet joints, inter-vertebral disc, nerves and ligaments.

Spinal Canal Stenosis

Spinal Canal Stenosis is caused as a result of degeneration of spine due to arthritis, particularly in the elderly people.  In this injury, the facet joints, the vertebra and the ligaments around the spinal nerves expand in size. Thus, it puts pressure on the spinal nerves resulting in pain and numbness in the legs.

Prevention

Lumbar spine injuries can be prevented by following an active lifestyle along with plenty of exercise. The back is a sensitive part of the body that is prone to injury and can cause pain and discomfort. Injuries to the lumbar spine can be prevented by following some important tips:

  • Warming up and cooling down before and after training
  •  Undergoing physical therapy
  • Wearing an orthopedic belt if prescribed by the spine surgeon
  • Getting appropriate therapeutic massages
  • Avoiding unnatural and unpleasant movements like jerks and lifting heavy objects without proper support

If you suffer from lower back pain, consult a spine surgeon for proper diagnosis to determine the extent of the injury. The surgeon may prescribe certain imaging tests like an X-ray and a few physical tests to diagnose the type of injury and devise a treatment plan accordingly. The spine surgeon may recommend bed rest, prescribe medication or suggest surgical treatment depending on your condition, injury and other related factors.

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