Advanced Treatment for Back Pain
The purpose of nucleoplasty is to disintegrate and remove disc material
that causes nerve irritation. This is a preferred treatment for back pain
among patients and doctors as the procedure is minimally invasive and
does not require any incisions. At Colorado Clinic, we can help you determine
if nucleoplasty is a viable treatment option for your back pain.
Who needs a nucleoplasty?
The nucleoplasty procedure is used for patients with:
- Nerve root irritation due to small disc bulges or ruptures
- Discogenic low back pain from degenerative disc disease
- Lumbar disc bulges that causes radiculopathy
How will I know if the nucleoplasty is right for me?
Undergoing disc or spine surgery is a major step. The minimally-invasive
nucleoplasty procedure is used before having open back surgery. This less
invasive technique has a high satisfaction rate and a shorter recover
timey than traditional surgery. The procedure is considered for people
who are in relatively good health, who have pain related to disc problems,
and who are willing to delay surgical intervention.
What happens before the procedure?
You first meet with the pain management specialist to discuss your back
problem. After a physical exam and medical history review, the doctor
may wish to obtain imaging studies of your spine. Be sure to tell the
doctor about all medicines you take, as you may need to refrain from taking
them before your operation.
You cannot eat or drink for 8 hours before your appointment, and should
arrange to have someone drive you home. When you arrive at the medical
center, a nurse has you fill out paperwork, and you must change into a
procedure gown. Monitoring devices are attached to your arms, and the
nurse places an intravenous catheter in your hand.
How is the nucleoplasty procedure done?
Nucleoplasty is done as an outpatient procedure. Mild sedation is used
to relieve anxiety and reduce discomfort. After being positioned face-down
on the procedure table, the nurse cleans the skin with antimicrobial solution,
and the doctor numbs the area with a local anesthetic. Using real-time
x-ray, the procedure needle is inserted into the affected disc. A special
catheter is introduced through the needle. The doctor uses a plasma field
to disintegrate the disc material. The thermal treatment creates channels
in the disc, which reduces pressure.
How does the nucleoplasty procedure feel?
The procedure only takes around 45 minutes, though you should set aside
at least two hours that day for paperwork and postoperative recovery.
You may feel a slight burning when the skin is numb, and pressure is felt
when the needle goes into the disc. After your procedure, some patients
report soreness and tenderness over the injection site. We advise you
to use an ice pack for 20-minute intervals.
What medications are used during the nucleoplasty?
The solutions and medicines used include:
- Bupivacaine or lidocaine – Local anesthetics
- Betadine – Antiseptic agent
- Triamcinolone or betamethasone – Corticosteroid agents
What can I expect after the nucleoplasty procedure?
After the procedure, a nurse monitors you for around 45-75 minutes in the
recovery area. You cannot lift or perform rigorous activities for 2-4
days, and should rest for a couple of days.
Is the nucleoplasty beneficial?
In a procedure involving patients with chronic disc herniations and radicular
leg pain, researchers evaluated the efficacy of nucleoplasty and patient
satisfaction at 1, 6, 12, and 24 months. According to the report, the
success rate was 66%, with patient reporting good or excellent satisfaction.
Regarding pain scores, the efficacy rate was 88%, with many patients enjoying
long-term pain relief.