Treatment FAQ

how soon before major surgery can i get a laser treatment for back pain

by Ms. Liliane McDermott II Published 2 years ago Updated 2 years ago
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Full Answer

Does Laser Spine Surgery work for back pain?

Laser spine surgery has a limited role for management of spinal conditions. It may help in the short term with back pain, but involves risks that may lead to more health issues down the road. Laser spine surgery is generally not recommended unless you have exhausted all your other treatment options for low back pain and nerve root compression.

How long does it take to recover from laser back surgery?

Recovery time can vary by individual and the specific procedure performed. Some people may be able to return to normal activities relatively quickly, while others may require more time. How does laser back surgery compare to other types of back surgery?

When should I consider back surgery for back pain?

The decision to consider back surgery should always come after trying nonsurgical or "conservative" options. However, when the pain is persistent and clearly related to a mechanical problem in the spine, you might talk to your doctor about surgery.

Do you have to be sedated for laser back surgery?

You may also be sedated for the procedure. One of the more well-studied methods of laser back surgery is called percutaneous laser disc decompression (PLDD). This procedure uses a laser to remove disc tissue that may be causing nerve compression and pain.

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Is laser treatment good for lower back pain?

In three studies, low-level laser therapy did show benefits in providing pain relief and improving disability in low-back pain patients compared with a sham laser treatment.

How long is recovery from laser back surgery?

The recovery time for laser spine surgery is generally less than 6 weeks, whereas the recovery time for traditional spinal surgeries is around 3-6 months. So while laser alternatives aren't always appropriate, spinal issues where they are applicable can be much more easily treated with this procedure.

What is the success rate of laser spine surgery?

Our patients are routinely sent home the day of surgery with a 90%-95% success rate in the relief of their nerve pain.

When should back surgery be considered?

Back surgery might be an option if conservative treatments haven't worked and your pain is persistent and disabling. Back surgery often more predictably relieves associated pain or numbness that goes down one or both arms or legs. These symptoms often are caused by compressed nerves in your spine.

Can bulging disc fixed with laser surgery?

Surgeons use lasers to remove portions of soft tissue that can compress nerves, such as ligament enlargement or herniated discs. However, lasers are only appropriate for certain conditions. They can help surgeons remove either tumors from the spinal cord or bone and soft tissue from around a nerve.

Can laser spine surgery help degenerative disc disease?

Laser back surgery isn't recommended for some conditions, such as degenerative spine diseases. Additionally, more complex or complicated conditions will often require a more traditional surgical approach. One of the drawbacks to laser back surgery is that you could need an additional surgery for your condition.

What is the latest treatment for severe spinal stenosis?

A wide-reaching innovation, endoscopic spine surgery has the promise to transform the lives of patients with spinal stenosis, degenerative disc disease, and disc herniations. Endoscopic spine surgery has unleashed the new potential for faster, safer, and more effective surgical recoveries.

Can laser spine surgery help degenerative arthritis?

Myth: Laser surgery can cure spine arthritis and remove bone spurs causing stenosis. Fact: Spinal arthritis is a condition that cannot be cured and it cannot be “lasered away”.

Does laser therapy help herniated disc?

Deep Tissue Laser Therapy can dramatically reduce the pain associated with the following: Low Back Strain. Bulging, Herniating or Slipped Discs.

What is considered major back surgery?

The three main types of back surgery include spinal fusion, laminectomy, and discectomy. These surgical procedures can be very effective in correcting the problems causing your pain.

When Is back pain serious?

If your back pain is accompanied by any of the following symptoms, head to your closest emergency room because you could be dealing with a more serious condition or injury: Sudden spike in pain, discomfort, weakness or numbness. Loss of bladder function. High fever.

Is back surgery a major surgery?

Myth #1: All spine surgeries are major surgeries. Yes, the spine is a large part of the body, but that doesn't mean every spinal surgery has to be a major procedure. Several spinal surgeries are minimally invasive -- meaning the surgeon makes a few small cuts, rather than large incisions.

Back surgery: When is it a good idea?

Back pain is extremely common, and surgery often fails to relieve it. Find out why your back hurts and whether surgery might help.

Do you need back surgery?

The rubbery disks that lie between the vertebrae in your spine consist of a soft center (nucleus) surrounded by a tougher exterior (annulus). A herniated disk occurs when a portion of the nucleus pushes through a crack in the annulus. Symptoms may occur if the herniation compresses a nerve.

Consider all options

Before you agree to back surgery, consider getting a second opinion from a qualified spine specialist. Spine surgeons may hold different opinions about when to operate, what type of surgery to perform and whether — for some spine conditions — surgery is warranted at all.

Why does laser surgery cause less pain?

He or she uses a tool to tunnel to the site of the pain. Because the muscles aren’t elevated from the spine, there is less pain after surgery and the recovery time is often shorter, allowing people to return to their day-to-day activities more readily. Laser surgery.

Why do surgeons use lasers?

Surgeons use lasers to remove portions of soft tissue that can compress nerves, such as ligament enlargement or herniated discs. However, lasers are only appropriate for certain conditions. They can help surgeons remove either tumors from the spinal cord or bone and soft tissue from around a nerve.

How does a surgeon work on the spine?

Then, the surgeon dissects the muscles away from the spine so that he or she has a clear pathway to work on the spine.

Can you use a laser for degenerative spine?

Lasers can treat some patients, but only for certain conditions. Experts rarely recommend using a laser for people with degenerative spine disease, for instance. Here’s how it stacks up against other methods. Traditional surgery.

Can lasers cause nerve damage?

Nerve damage: Using a laser during surgery can sometimes limit nerve damage. But in the hands of an inexperienced surgeon, a laser can actually increase the chances of tissue or nerve damage. Advertising Policy.

Where is laser spine surgery performed?

Laser spine surgery, like other minimally invasive procedures, is often performed as an outpatient surgical procedure at either a hospital or outpatient surgical center. You will likely go home the same day of your operation and will not have to stay overnight in the hospital. 4 .

What is laser spine surgery?

Laser spine surgery is a type of minimally invasive spine surgery (MISS) that uses a laser to cut through structures in the spine to reduce nerve compression to help relieve pain. While minimally invasive procedures often result in less pain and tissue damage with a faster recovery time compared with more extensive surgeries, ...

What is the procedure to sterilize the skin around the spine?

The surgical team will sterilize the skin around the area of your spine where an incision will be made. Antiseptic solution will be used to kill bacteria and prevent the risk of infection. Once sanitized, your body will be covered with sterilized linens to keep the surgical site clean.

What is laser beam?

A laser beam is an intense, focused source of heat that is less precise than other surgical tools and requires great mastery and control to avoid permanent damage to the spinal cord and nerve roots. 1 .

How long is a discectomy incision?

For a discectomy, your surgeon will make a small incision less than one inch in length with a scalpel along your spine to access the problematic nerve roots. An endoscope, a surgical tool equipped with a camera, will be inserted into the incision to view your spine from the inside. 2 .

How long after spine surgery can you go home?

You will typically be able to go home one or two hours after the operation once you are stabilized.

How long does it take to recover from a discectomy?

Length of recovery can vary from two to four weeks or less to resume a sedentary job, or up to eight to 12 weeks for more physically demanding roles that require heavy lifting. 5 

What is the procedure for spinal stenosis?

Spinal laminectomy/spinal decompression. This is performed when spinal stenosis causes a narrowing of the spinal canal that results in pain, numbness or weakness. The surgeon removes the bony walls of the vertebrae and any bone spurs, aiming to open up the spinal column to remove pressure on the nerves. Discectomy.

What is the procedure to repair a fractured vertebrae?

Both procedures include the injection of a glue-like bone cement that hardens and strengthens the bone. Spinal laminectomy/spinal decompression.

What is artificial disk replacement?

Artificial disk replacement. This is considered an alternative to spinal fusion for the treatment of people with severely damaged disks. The procedure involves removal of the disk and its replacement by a synthetic disk that helps restore height and movement between the vertebrae.

Why does my back hurt so bad?

In rare cases, back pain is caused by a tumor, an infection, or a nerve root problem called cauda equina syndrome. In these cases, NIAMS advises surgery right away to ease the pain and prevent more problems.

How does a laser fusion work?

The surgeon inserts a needle into the disk. A plasma laser device is then inserted into the needle and the tip is heated , creating a field that vaporizes the tissue in the disk , reducing its size and relieving pressure on the nerves. Spinal fusion.

What happens when you lay face down on a surgical table?

In addition to the usual risks associated with anesthesia, there are risks associated with the patient lying face down on the surgical table. This position changes the body’s hemodynamics — that is, how blood flows through the body. The position also limits the surgical team’s access to the patient’s airway.

How long does it take for a syringe to heal?

Even with a successful surgery, the recovery time can be long. Depending on the type of surgery and your condition before the surgery, healing may take months. And you may lose some flexibility permanently.

How do lasers work in spine surgery?

The Use of Lasers in Spine Surgery. The most common use of lasers spine surgery involves the removal of a disc, a process known as disc ablation. However, surgeons can also use lasers to destroy nerve fibers that carry pain signals from the body to the brain. For example, those who suffer from a pinched nerve or failed back syndrome can sometimes ...

Why do surgeons use lasers?

Simply put, surgeons use a focused beam of light to generate enough heat to slice through tissues, remove tumors, and cauterize blood vessels during surgical procedures to reduce blood loss. Doctors employ several different types of lasers to aid in a variety of procedures.

What size incision is used for spine surgery?

For example, the incision used during some laser spine surgeries is about the size of a quarter. In contrast, surgeons using a small camera known as an endoscope may only need to make an incision the size of a dime.

What is the most common laser surgery?

For example, one of the most commonly known laser surgeries is LASIK eye surgery. Unlike laser spine surgery, LASIK has a successful track record with helping numerous individuals achieve their desired result—in this case, vastly improved vision. Harnessing laser technology, an ophthalmologist precisely changes the shape ...

What is the Advanced Spine Center?

The Advanced Spine Center uses only the safest methods to treat conditions in and around the spine. Our team takes the time to get to know you and the conditions that cause your pain. While surgery can be effective in treating some spinal conditions, we know that conservative approaches can also be beneficial. This is why we use a diverse team of experts that help you find the best care possible for your specific condition. We want to empower you with the information to make the best choices about your health.

Does laser spine surgery work?

As you’ve learned from this article, that is not how lasers work. Laser spine surgery is actually a minimally invasive procedure that requires an incision to reach the affected area.

Do laser spine surgery patients need revision surgery?

In fact, those who underwent laser surgery actually had a 50% likelihood of requiring revision spine surgery. In addition, some smaller retrospective case studies looked at how lasers were used in interbody fusions, discectomies, ...

How to cure back pain?

But don't wait to see a doctor if you have "red flag" symptoms with back pain, such as fever or loss of bowel or bladder control. Apply ice and heat.

How to help a back injury?

Apply ice and heat. In the early or "acute" stage of a bout with back pain, ice can numb the pain and ease swelling (inflammation) of the injured tissues. After a few days, heat may provide more comfort, get the blood flowing in the injured area, and reduce stiffness. Take pain relievers as needed.

What is spinal fusion?

Spinal fusion procedure. In spinal fusion, the surgeon joins two adjacent vertebrae (the large bones of the spine) to form a single unit. A common indication for fusion is spondylolisthesis, a misalignment of the vertebrae. Fusion may involve metal screws and rods to stabilize the spine.

What is the procedure to remove stenosis?

The most common procedure for stenosis is called laminectomy, which involves removing the bony plate (lamina) on the back of a vertebra. This opens up more space for the spinal nerves. "It's a simpler procedure that is just as effective but safer than fusion, with 80% to 90% relief of pain," Dr. Atlas says.

What is the procedure called when a spinal disc is broken?

However, in this case the right repair is not fusion; it is usually a procedure called discectomy. As spinal discs stiffen and start to break down, the sides may protrude outward, pressing on nearby nerves. The walls sometimes split open (herniate), allowing the softer, gelatinous material inside to squeeze outward.

What is the pain in the back of the leg?

The walls sometimes split open (herniate), allowing the softer, gelatinous material inside to squeeze outward. The telltale sign of a disc problem is sciatica—pain that radiates down the buttock, thigh, back of the leg, or calf. For new disc pain, conservative care is the best first step.

Can a fusion be done for spinal stenosis?

Fusion should be considered for spinal stenosis only if a vertebra has slipped forward with respect to its neighbor, a condition called spondylolisthesis. "If you can't see that on an x-ray and you have spinal stenosis, you should be having a laminectomy," Dr. Atlas says. "If your doctor is recommending fusion even though you have no spondylolisthesis, get a second opinion."

How long does it take to recover from laser surgery?

Procedures to treat an enlarged prostate generally require use of a tube (catheter) to drain urine from the bladder after surgery. With laser surgery, a catheter is generally needed for less than 24 hours.

Why do men need follow up after laser ablative surgery?

Some men require follow-up treatment after laser ablative surgery because not all of the tissue is removed or it might grow back over time. Men who have HoLEP generally don't require re-treatment because the entire part of the prostate that can block urine flow is removed.

What is Holmium laser ablation?

Holmium laser ablation of the prostate (HoLAP). This procedure is similar to PVP but uses a different type of laser. Holmium laser enucleation of the prostate ( HoLEP). A laser is used to cut and remove the excess tissue that is blocking the urethra.

What is prostate laser surgery?

Prostate laser surgery is used to relieve moderate to severe urinary symptoms caused by an enlarged prostate — a condition known as benign prostatic hyperplasia ( BPH ). During prostate laser surgery, your doctor inserts a scope through the tip of your penis into the tube that carries urine from your bladder (urethra).

Why do you need laser surgery for urinary tract infections?

Urinary tract infections. Laser surgery might also be done to treat or prevent complications due to blocked urine flow, such as: Recurring urinary tract infections. Kidney or bladder damage. Inability to control urination or an inability to urinate at all.

What is the infection after a prostate surgery?

Urinary tract infection. This type of infection is a possible complication after any prostate procedure. An infection is increasingly likely to occur the longer you have a catheter in place. You will likely need antibiotics to treat the infection. Narrowing (stricture) of the urethra.

What is the purpose of a laser prostate?

The prostate surrounds the urethra. A laser passed through the scope delivers energy that shrinks or removes excess tissue that is preventing urine flow. Lasers use concentrated light to generate precise and intense heat. There are several different types of prostate laser surgery, including:

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