“Hoogland-Safe-Catheter”- Therapy for small slipped disc and back-pain
A safe new, safe catheter-therapy has been developed at the Dr. Hoogland Spine Center.The “Hoogland-Safe-Catheter”- therapy has proven a highly effective treatment of small herniated disc accompanied by severe back- and leg-pain, for cases with scarring following back-surgery and in cases of a less distinctive spinal stenosis (stricture due to wear-out). Under a local anaesthetic, monitored by means of x-ray, a fine, flexural tube is inserted up to where the disc or scarring irritates the nerve. Through this tube a scar-tissue dissolving enzyme is admitted. Subsequently a corticoid-compound is consigned, preventing inflammation and scarring. Finally the catheter is deposited. On the following day a depot-corticoid-compound is injected through the catheter and the catheter is removed. The patient can be released two hours later.
This technique has been applied at the Dr. Hoogland Spine Center since 1999.
The “Hoogland-Safe-Catheter” shall not be mistaken for the “Racz-catheter”! Catheter-therapy according to Professor Racz has been applied frequently in the recent years, as treatment for herniated disc and back-pain. This therapy form, however, may result in serious complications in relation with injuries of the dura, or infections. Furthermore, the Racz-therapy is often applied in cases, in which a better outcome and higher safety-level could be achieved with the minimally invasive endoscopic treatment.
The “Hoogland-Safe-Catheter”-therapy shall not be mistaken with a facet-block:
Patients suffering from back-pain who – by means of X-ray and MRI – have been diagnosed with degenerated vertebra joints (facet-joints), are treated with a facet-block.
Monitored by X-ray, the irritated, pain-triggering vertebrae are punctured and contra-irritants are introduced directly within the joint. Minimal quantities of medication are necessary in order to achieve the same level of pain-reduction as after conventional injection-treatment, due to selected local placement.
Nerve-block
For patients with severe radiating pain, caused by irritation or swelling of the spinal nerve-root, one or two injections of cortisone can do “miracle work”. The swelling and irritation can, in the majority of cases, be substantiated by means of MRI.
Monitored by X-ray, a fine needle is introduced up to the affected nerve-root, where 2 cc of cortisone are injected, irrigating the root and immediately relieving pain.
In rare cases the treatment has to be repeated to bring permanent pain-relieve.
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