Fear him as a result of misinformation traded unjustified
Severe herniated ... Delayed surgery may lead to permanent paralysis
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Fear when many patients make these surgeries may be the cause of serious effects
Prepared by: Dr. Yasser bin Mohammed Al-buheiri consultant, joints and spine surgery
Will
remind you two stories of two patients, the first in the fourth decade
of life came to clinic for a second opinion (second opinion) on the
status and history of patients suffering from a herniated disc for a
long time been treated with palliative medicine and physiotherapy and
even acupuncture and moxibustion and medicine and his condition had not
improved and had offered him a wizard elsewhere surgery removal of
Herniated and raise pressure on the nerve, but the patient was reluctant
and reject the process and then had weakness in muscles that Move
the ankle twist this weakness to paralysis in muscles around the ankle,
causing what is known as the fall of the foot (foot drop). Although
the pain felt by the patient improved somewhat but the fall League has
become disheartened and heckling and hampered by when walking and has
come to take another view on how to deal with the fall. Either
the patient, is the sixth decade of patient age was suffering from
chronic pain come and go in the lower back and also diagnosed as a
herniated disc and was treated with protective methods and has been
advised to perform the surgery but was reluctant and scared and did not
accept the surgery. One day the nation
intensified significantly and suffers from screen and paresthesia,
weakness of the lower limbs with difficulty in controlling the exits and
were taken to a government hospital in Jeddah where it was diagnosed
that the increase in the size of the slide aladarovi with severe
pressure on the nerves and it needs urgent surgery in this period
another view was taken so we advised him not to hesitate in surgery but
surgery urgently and had got it with surgery in The following day to eradicate herniated. But
unfortunately the delays in treating the situation of the original led
to significant damage to nerves where I need this patient to months to
get rid of the symptoms of weakness in legs and the control exits.
In herniated lumbar
In
the herniated lumbar spine (Lumbar disc herniation) is a disease that
occurs when the gelatinous substance located between paragraphs and
highlight back and press on nerves that feed the legs and exits. The
article the gelatinous and pressure on nerves, causing pain and severe
and paresthesia and cover and muscle weakness (Sciatica). And
when cases in the beginning and her pain and there is no severe
neurological deficiencies, conservative treatment is optimized by
following the instructions on the safety back and physiotherapy sessions
to remove tension in the muscles and also to strengthen the muscles
surrounding the lower back and also through the take for arthritis,
muscle and nerve and muscle relaxing agents drugs and palliative pain
medication. Also in some cases can give an
aldibomdrol containing material with particularly anti-inflammatory to
reduce inflammation around the nerve and reduce pain (Epidural
injection). But if this fails, therapeutic
patient or patient continued to feel pain and if the effects of
neurological deficiencies (Neurological deficit) increases with the
passage of time, the surgical intervention becomes necessary, it is the
perfect solution. I usually recommend that you give the interim treatment plan period ranging from four to six weeks. After
this period, if the patient improved and returned to its previous state
and become healthy, this is evidence of the success of conservative
treatment. If the patient continues to feel pain
as we mentioned earlier the surgical intervention at this stage is
becoming the perfect solution.
Surgical intervention for the treatment of herniated or CD
That fear when many patients make these surgeries may be the cause of serious effects as mentioned in the previous two cases. And
fear of these patients is the result of accumulation of previous tests
failed for other people or false information are traded. Indeed,
the herniated eradication operations are most spinal surgery and there
is more than one way to do it, whether through an open wound or by using
macroscopic or by endoscopic regardless of surgery, that are designed
to remove the slider from cartilage and that presses on nerves and lead
to severe pain and crippling effects on the nerves. And
these processes usually take approximately to one and a half hours and
is performed under full anesthesia is light to wake up the patient after
surgery pain has been directly felt by leg. The patient can God do and walk on the same day and gets out of the hospital after a day or two of surgery. And
their success over 90 percent when they are made in a timely manner and
by consultant well versed in these processes and by permanent paralysis
effects on nerves to press the sliding parts of the cartilage. Prior
to the patient is examined by a consultant anaesthetist and ensure
appropriate patient for surgery and is controlled in any other chronic
diseases such as pressure or diabetes, etc. As
for anesthesia, anesthesia nowadays become secure substantially, God
willing, as we mentioned earlier the patient wake up after surgery in
minutes. For possible complications after such
operations and that is why people are afraid of the great advances in
medicine to make these complications with a very slight. For example, the possibility of bacterial infections after surgery is cancelled, by using antibiotics before and after surgery. The risk of post-operative venous clots be cancelled by giving the patient or patient Ed
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