Value

For the majority of spinal column patients with herniated disc and protrusions, open surgery can be avoided through this method of treatment. Through this method of treatment, patients with chronic back pain following disc surgery or a stiffening operation of the lumbar spinal column with postoperative scars can hope for a drastic soothing of or even complete alleviation of pain. Through the implementation of the two-catheter-technique, a second additional (transforaminal nerve root canal) access point can overcome extensive scarring or an anatomical obstruction, and precise placement of the medication combination exactly on the affected site can be achieved.

Advantage

The procedure is implemented with the use of local anesthetic and light narcosis (Analgesia). Full narcosis is not necessary. The specially developed catheter has a stainless steel spring tip, which enables gentle, pain-free placement. Compared to conventional operating procedures, merely the protruding disc tissue shrinks; the disc itself remains unharmed. The inpatient treatment lasts only three to four days. Following the discharge from inpatient treatment, light physical activity, such as desk work, can already be executed again.

Follow-up

Patients receive a specially-made, comfortable corset upon discharge, which relieves pressure on the spine for four weeks. It need only be worn during the daytime while sitting or standing for long periods. Overnight it isn't necessary. A specialized physiotherapy program should begin two weeks after the procedure. Special attention is given to isometric muscle-building, as well as posture and mobility training. After four more weeks, the normal sports or fitness program can gradually be reintroduced.

Ability to work

Light physical activity, such as office work, can begin within one to two weeks. Physically strenuous activity should be restricted in the first four weeks, after which it can be gradually increased.

Sports

Swimming and bicycling (in an upright position) are allowed after three weeks; jogging on soft ground after four weeks. Depending upon their intensity, all other types of sport can begin after the fifth week and gradually increased.

Results

A success rate of over 85 percent is quoted in international publications.

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