Cure Laser disc herniation

Effect of laser on disc herniated disease

Laser was used to cure disk herniation for the first time in 1987 two US doctors, Choy and Ascher. It is thought that after using a laser to burn part of the disk, the pressure in the disk decreases, making the hernia smaller, no longer pressing to cause pain.

This method is called PLDD, (short for English phrase Percutaneous Laser Disc Decompression , which means reducing the pressure of the laser disc through the skin). In the 90s of the 20th century, PLDD grew widely around the world, especially in advanced countries. Recently, due to the strong development of endoscopic methods, especially the endoscopic method of Yeung, the preference of PLDD has decreased in the United States and some other developed countries.

Many studies of famous doctors around the world prove that PLDD is a very good treatment method. However, deciding which patients can be cured with PLDD and especially the technology that makes PLDD decide the likelihood of success. The back of the disc has a ligament called the posterior ligament. If the herniated disc has not yet torn the ligament along the back, PLDD is effective, and if your posterior ligament is torn, it is best to find another cure. Whether or not the hernia has torn the longitudinal ligament is not easy. This requires doctors who are experienced in the treatment of disc herniation and experience with PLDD.

Treating disc herniation with PLDD is simple, less painful, requires no anesthesia, the patient saves a lot of time, especially without being hospitalized. Compared to open surgery, PLDD's complications are much less common and often not severe. Common complications for all types of procedures such as reactions to anesthesia, bleeding or needle puncture infection are rare, the same rate as other injectable procedures. Sometimes the patient's pain increases suddenly during PLDD because when the disc is burned, the smoke has not been released yet, making the extra hernia cause more compression. If choosing the right patient to do PLDD and the technique is good, this rate is only about 1 in 1,000 cases.

LPDD methods and limitations

However, PLDD also has certain disadvantages. This is a patient-selective method and in fact many cases of PLDD treatment are still treatable with drugs and physiotherapy. In these cases, PLDD helps to shorten the duration of treatment, increase the ability to cure the disease and especially reduce the amount of medicine given to your body, which helps you reduce the toxins in your body. PLDD's ability to cure the disease despite being much higher than medication and physical therapy is lower than open surgery or endoscopy. Many patients choose PLDD instead of taking drugs and practicing long-term physical therapy. Some people suffer from PLDD and avoid open surgery. In addition, some patients choose PLDD although they know that for the type of disc herniation they have, the ability to cure the disease with PLDD is very low but they still hope that if they are lucky they will not have to open it. Moreover, after making PLDD, open surgery (if necessary) will be easier and the likelihood of complications will be less.

On the operating table, the patient is lying on his side if he makes PLDD on his back or on his back if he makes PLDD in his neck. After antiseptic, the doctor will determine where to get the needle on the X-ray projector. After anesthesia is completed, a needle will be injected from the skin into the disc. A glass wire connected to the laser transmitter is threaded through the needle to the disc. Laser will burn a portion of the disk. When burning, the patient will feel hot and mild in the burning place, near the end will feel hot running along hands or feet . The whole time doing PLDD about 15 minutes for a disc. After finishing, the patient rests for about 1-2 hours and goes home the same day. From day 3 to day 5 after doing PLDD, some patients suffer from pain caused by inflammation, after the medication is exhausted. Usually after one week the patient can go back to work, but it will take 3 months to accurately assess the results of PLDD.

Many patients are afraid of lasers and X-rays from X-ray projectors when causing PLDD to harm the body. If the laser is used properly and has good coverage for the eyes, it is considered harmless. X-rays are really harmful, but please rest assured, even though the armor is covered by the armor, but those who directly do PLDD for you after a while will receive a much higher amount of X-rays that you have to absorb. after once lying on the operating table. And if they are still able to do PLDD for you, it means that the amount of X-rays you receive is not enough to cause anything.

Doctor VU XUAN SON