How many patients were treated surgically after non-surgical treatment for thoracic disc herniations?4 answersA total of 23 patients were surgically treated for thoracic disc herniations after non-surgical management. Among these patients, various surgical approaches were employed, including costotransversectomy, transthoracic extrapleural approach, and posterior transdural discectomy. The surgical techniques utilized in these cases aimed to achieve decompression of the affected nerve roots or spinal cord, resulting in improved outcomes. The procedures led to a reduction in disability, with some patients experiencing complete recovery of neurological function. Overall, the surgical interventions were successful in addressing the symptoms associated with thoracic disc herniations, highlighting the importance of timely surgical management in cases where non-surgical treatments are ineffective.
What treatments are effective for healing lumbar disk herniation?5 answersEffective treatments for healing lumbar disc herniation include conservative approaches like medicine, rest, and physical therapy, with surgery as an option if conservative methods fail. Western medicine treatments focus on surgery and drug therapy, while traditional Chinese medicine offers acupuncture, moxibustion, and bone setting. Nonsurgical treatments are preferred by about 80% of patients, but 10-15% may still require traditional open surgery. Acupuncture, electroacupuncture, and massage therapy have shown positive clinical effects in improving blood circulation, relieving muscle spasm, and promoting recovery in patients with lumbar disc herniation. Additionally, a combination of radiofrequency ozone therapy, anti-inflammatory analgesic injections, and traditional Chinese medicine hook operation has demonstrated good short-term and medium-term effects in treating lumbar disc herniation, providing a safe and effective minimally invasive treatment option.
What are the most common non-surgical treatments for paraosteoarthropathy?5 answersNon-surgical treatments for paraosteoarthropathy include offloading in a total contact cast, fitting of orthopedic depth insoles, orthopedic shoes, or ankle-foot orthosis, and surgical arthrolysis. Conservative treatment aims to retain a stable, plantigrade, and ulcer-free foot, or to prevent progression of an already existing deformity. Offloading in a total contact cast is used as long as paraosteoarthropathy activity is present, and transition to inactive paraosteoarthropathy is monitored by resolution of clinical activity signs and bony edema in MRI. Surgical arthrolysis is an effective treatment for neurogenic osteomas of the elbow. It involves the removal of ectopic ossifications near the joints and can improve elbow range of motion. Suropodalic orthosis may also be used as an alternative therapy in cases where surgical treatment is not possible.
What are the different treatments for sciatic pain?4 answersThe different treatments for sciatic pain include surgery, non-surgical treatment, epidural steroid injections, placebo or sham surgery, topical and oral analgesics, ultrasound-guided regional anesthesia, ultrasound-guided peripheral nerve hydrodissection, epidural injections of novocaine, medical interventions, physiotherapy treatment, and neural flossing technique. Surgery, such as discectomy, has been shown to reduce leg pain and disability in people with sciatica, but the benefits decline over time. Ultrasound-guided transgluteal sciatic nerve hydrodissection has been used successfully to treat severe acute sciatica. Epidural injections of novocaine have shown success in reducing sciatic pain. Physiotherapy treatment, including physical therapy and neural flossing technique, has been found to be effective in reducing pain, disability, and improving range of motion in patients with sciatica.
What are surgical treatments for sportman's hernia?5 answersSurgical treatments for sports hernia include a combination of mini-open incision and preperitoneal placement of a three-dimensional bilayer permanent mesh (PHS). Open minimal suture repair and totally extraperitoneal repair are also used as surgical techniques. These procedures aim to relieve pain and allow athletes to return to physical activities. The mini-open incision PHS repair has shown to be a safe and effective method with few complications and a low recurrence rate. Both open minimal suture repair and totally extraperitoneal repair have been found to be similarly effective in treating chronic pain due to sports hernia, with relief of pain achieved within 4 weeks after surgery. Laparoscopic transabdominal pre-peritoneal (TAPP) and total extraperitoneal (TEP) techniques with a mesh behind the injured groin are minimally invasive options for treatment. These surgical approaches have shown good to excellent results in the majority of patients, allowing for quick recovery and early return to sports.
Can hernia be operated by laser?8 answers