| Customization: | Available |
|---|---|
| Theory: | Laser |
| Application: | Salon, Home |
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Minimally Invasive Treatment for Contained Lumbar Disc Herniation
In the past, treatment for severe sciatica required invasive lumbar disc surgery. This type of surgery carries more risk, and the recovery time can be long and difficult. Some patients who undergo traditional back surgery can expect a recovery time of 8 to 12 weeks.
Percutaneous laser disc decompression, also referred to as PLDD, is a minimally invasive treatment for contained lumbar disc herniation. Since this procedure is completed percutaneously, or through the skin, the recovery time is much shorter than traditional surgery. Many patients are able to return to work within a few days of the procedure.
WHO SHOULD CONSIDER PLDD?
The PLDD procedure is specifically designed and developed for the cervical and lumbar indications, including:
*Severe leg, arm, neck or lower back pain.
*Pain that has not responded to six weeks of conservative treatments- rest, meds or physical therapy.
*Herniated lumbar discs confirmed by x-ray studies that may include one or more of the following:
Magnetic Resonance Imaging (MRI), CAT Scanning, Myelography, Discography.
Applications- Intra-discal application on cervical spine, thoracic spine, lumbar spine
- Medial branch neurotomy for facet joints
- Lateral branch neurotomy for sacroiliac joints
Treatment Handlepiece:
How Percutaneous Laser Disc Decompression (PLDD) Works
PLDD works by evaporating water in the nucleus pulposus, the inner core of the vertebral disc. This excess fluid presses on the sciatic nerve, causing pain. By removing this fluid, the pressure is lessened on the sciatic nerve, bringing relief.
In this procedure, fluoroscopy is used to identify the herniated disc. A needle is then placed into the intervertebral disc using local anesthesia. The laser fiber is fed through the needle to the affected disc, evaporating the excess fluid. The patient is sent home to recover and is usually back on their feet within just a few short days.
This procedure has been shown to be safe and effective, is performed in an outpatient setting, and results in no scarring or spinal instability. Should future issues arise, the PLDD procedure does not limit the patient's ability to receive other treatments. It can also be used when other surgical procedures have failed.
PLDD: Both fine-needle and fiber are introduced into the diseased disc under fluoroscopy.
Procedure
PLDD procedure is performed using local anesthesia. Optical fiber is inserted in special cannula under fluoroscopic guidance.After applying contrast to the facet it is possible to check cannula's position and the condition of the disc bulge. Starting laser initiates decompression and lowers intradiscal pressure.
The procedure is done from the posterior-lateral approach with no interference to vertebral canal,therefore,there is no possibility of damaging a reparative treatment,but there is no possibility to reinforce annulus fibrosus. DUring PLDD disc volume is minimally decreased,however,disc pressure can be significantly lowered. In case of using laser to disc decomperssion,small amount of nucleus pulposus evaporates.Benefits of the minimally invasive PLDD procedure
- Local anaesthesia allows the treatment of patients at risk.
- Very short operating time compared with open procedures
- Low rate of complications and postoperative inflammation(No soft tissue injury,No risk of epidural fibrosis or scarring)
- Fine-needle with very small puncture site and therefore no need for sutures
- Immediate significant pain relief and mobilization
- Shortened hospital stay and rehabilitation
- Lower costs
Other functions of Clinic Applications
- Vascular lesion therapy(Remove red blood: all kinds of telangiectasia, cherry haemangioma etc.)
- ENT
- Dermatology /Otorhinolaryngology
- Orthopaedics
- Neuro surgey
- Gynaecology
- Urology
- General surgery
- Lipolysis (Laser fat burning )
- EVLT (Endovenous Veins Laser Treatment)
- Skin protrusions: warts, mole, flat warts, compound nevus, junctional nevus, fat particles and other skin problems;
- Dental
Parameter
|
Laser type |
Diode Laser Gallium-Aluminum-Arsenide GaAlAs |
|
Wavelength |
650nm+980nm+1470nm |
|
Power |
1-30W for 980nm, 1-17W for 1470nm |
|
Working Modes |
CW, Pulse and Single |
|
Aiming Beam |
Adjustable Red indicator light 650nm |
|
Fiber type |
Bare fiber |
|
Fiber diameter |
400/600 um fiber |
|
Fiber connector |
SMA905 international standard |
|
Pulse |
0.00s-1.00s |
|
Delay |
0.00s-1.00s |
|
Voltage |
100-240V, 50/60HZ |
|
Size |
48*40*30cm |
|
Weight |
5KG |
FAQ
1: WHAT IS PLDD?
The pldd (percutaneous laser disc decompression) is a not-surgical technique but truly minimal invasive interventional procedure for the treatment of a 70% of the disc hernia and 90% of the disc protrusions (these are small disc hernia that sometimes are very painful and do not respond to the most conservative therapies as pain killers, cortisonic and physical therapies and so on).
2: HOW DOES THE PLDD WORK?
It uses local anesthesia, a tiny needle and a laser optical fiber. It is practicated into the operating room with the patient in the lateral position or prone (for lumbar disk) or supin (for cervical). Firstly the local anesthesia in an exact point of the back (if lumbar) or of the neck (if cervical) is done, then a tiny needle is inserted through the skin and muscles and this, under radiological control, reaches the center of the disc (called nucleus pulposus). At this point the laser optical fiber is inserted inside the tiny needle and i start to delivery the laser energy (heat) that vaporizes a very small amount of the nucleus pulposus.
This determines a decrease of 50-60% of the intra discal pressure and therefore also the pressure that disc hernia or protrusion exercises on the nerve root (cause of pain).
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