& Neural Decompression (DND)
Pain in the back from the top of the shoulders down into the
area of the waist. The pain is typically near the middle of
the back but can also extend out toward the sides of the torso.
procedure is effective in treating pain that is caused by
pathological discs that are evidenced by disc bulges, herniations
or protrusions of the thoracic discs.
The pain is called discogenic pain. The Thoracic Discectomy
Neural Decompression Procedure is performed in a surgery center
and typically is accomplished over the course of 45 to 90
minutes depending on the anatomy of the patient, the complexity
of the pathology and how many discs are problematic.
After being comfortably positioned on the operating table
in the face-down position, the patient is given oxygen, connected
to appropriate monitors and administered intravenous sedation
to induce sleep. If considered necessary for the safety of
the individual patient, a breathing tube will be inserted
into the trachea after the patient goes to sleep.
A Thulium laser is then used to treat the posterior annulus
of each bulging or herniated disc. This process can both shrink
the disc bulge or herniation as well as relieve the pain caused
by the pathological disc(s). The procedure places sufficient
energy into the annulus to turn off the nociceptors or pain
nerves, char the annulus as well as seal the blood vessels
extending into the annulus. These vessels bring compounds
to the disc that cause further inflammation and pain in the
area. Antibiotics are now injected into each disc that has
been treated and the instruments are removed.
After the procedure is completed, the patient is awakened
and moved to the recovery room until discharged. The average
time spent in the recovery room after the procedure is about
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