Low Back Pain and Sciatica
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Low Back Pain and Sciatica and Nucleoplasty

Written by sshowalter.

Nucleoplasty is one of the newer, less-invasive surgical procedures. This procedure typically uses radio waves to treat patients with low back pain caused by a contained or mildly-herniated disc.

Effect of Nucleoplasty on Low Back Pain and Sciatica

In nucleoplasty, the surgeon inserts a wand-like transmitter into the disc while the patient is awake but lightly sedated. Guided by x-ray imaging, the surgeon sends radiofrequency pulses into the nucleus or center of the disc. The radiofrequency energy heats and shrinks the gel-like tissue, resulting in less volume and thus relieving pressure on the nerve impacted by the bulging disc. The entire procedure lasts about 30 minutes.

Read more details about Nucleoplasty.

References

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Cohen SP. Williams S. Kurihara C. Griffith S. Larkin TM. Nucleoplasty with or without intradiscal electrothermal therapy (IDET) as a treatment for lumbar herniated disc. Journal of Spinal Disorders & Techniques . 18 Suppl:S119-24, 2005 Feb.

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Updated Disketomy section on 6/7/2007 according to the following study, as cited by http://www.ebscohost.com/dynamed/what.php : Peul WC, van Houwelingen HC, van den Hout WB, et al. Surgery versus prolonged conservative treatment for sciatica. N Engl J Med. 2007;356:2245-2256.

Weinstein JN, Tosteson TD, Lurie JD, et al. Surgical vs nonoperative treatment for lumbar disk herniation: the Spine Patient Outcomes Research Trial (SPORT): a randomized trial. JAMA . 2006;296:2441–50.

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