alexa Percutaneous Intradiscal Interventions
ISSN: 2161-1076

Surgery: Current Research
Open Access

Like us on:
OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations

700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Share This Page

Additional Info

Loading Please wait..

3rd International Conference on Surgery and Anesthesia
November 17-19, 2014 Chicago, USA

Farnad Imani
ScientificTracks Abstracts: Surgery Curr Res
DOI: 10.4172/2161-1076.S1.016
Discogenic low back pain resulting from internal disc disruption can be severely disabling, clinically challenging, and expensive to treat. Previously, when conservative care had been exhausted, open surgical interventions such as spinal fusion or artificial disc replacement was the only treatment option for these patients. Early percutaneous procedures showed conclusively that these interventions effectively relieve pain for appropriate patients, but had some limitations, and so over the years a variety of more advanced techniques have been developed. Fluoroscopic guided percutaneous intradiscal procedures such as disc decompression, nucleotomy, intra-discalelectrothermal therapy (IDET), nucleoplasty, intradiscal radiofrequency (RF), and biaculoplastyare interventionally and minimally-invasive techniques performed in the outpatient setting, offers an intermediate intervention between conservative care and surgery. For appropriately selected patients, these percutaneous interventions can help relieve back and leg pain symptoms, including sciatica and radiculopathy and even pure axial pain caused by a central focal protrusion or central bulge of the disc. This group of patients has failed conservative therapy consisting of a trial of simple analgesics, NSAIDs, bed rest and epidural steroids. Some pain specialists also recommend that a trial of transforaminal epidural steroid nerve blocks should be attempted before these percutaneous intradiscal interventions. To optimize patient selection, the ideal candidate for these procedures should has magnetic resonance imaging (MRI), diskography, and electromyographic (EMG) changes that correlate with the patient?s radicular pain pattern. During all these procedures, an instrument is introduced under fluoroscopic guidance through a needle and placed into the center of the disc where a series of channels are created to remove tissue from the nucleus or to shrinkage it. Both tissue removal from the nucleus and volume reduction of nucleus act to decompress the disc and relieve the pressure exerted by the disc on the nearby nerve root. As pressure is relieved, pain is reduced, consistent with the clinical results of earlier percutaneous intradiscal interventions. There is little tissue trauma and recovery times may be improved in many patients. Complications of percutaneous intradiscal interventions directly related to using the device are generally self-limited.
Farnad Imani is Associate Professor of Anesthesiology, and Chairman of Department of Anesthesiology and Pain Medicine in Iran University of Medical Sciences (IUMS). He is Founder of Academic Pain Fellowship in Iran at 2006, and also, Founder and President of the Iranian Society of Regional Anesthesia and Pain Medicine (ISRAPM) from 2007 until now, and was Chairman of some International Congresses of Interventional Pain Medicine. He is Founder, and Editor in Chief of Anesthesiology and Pain Medicine, which is the official Journal of ISRAPM. Furthermore, he is the Secretary at World Institute of Pain (WIP), Iran section.
image PDF   |   image HTML

Relevant Topics

Peer Reviewed Journals
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version