Pletal (Cilostazol)
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50 mg | ||||
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100mg | ||||
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100 mg | ||||
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SURGERY FOR BACK PAIN TREATMENT
If the basic treatment plan is not effective or gives only partial relief, surgery may be a useful consideration for acute back pain. The good news is that most people, even those with ruptured lumbar disc, improve without surgery. Researchers have shown that 80 to 90 percent of people with acute back pain can improve with medical treatment and can return to work without surgery.
A ruptured disc is the most common condition requiring surgery for back pain. If the pain is intolerable and does not respond to treatment, or if muscle weakness or problems with the bladder or bowels occur, then surgery should be considered. Your doctor can arrange to get an opinion from an orthopedic surgeon or a neurosurgeon who can tell you your chances for success and relief of pain with surgery. Ask about the chances that your pain might not be relieved, and about the risks of the surgery.
Gather as many facts as possible, to be able to make the best decision for yourself. Ask for more than one consulting doctor’s opinion, until you are confident that you have enough information. You should not feel rushed or allow yourself to be pressured about having back surgery.
The following different types of surgery are used to correct ruptured (herniated) lumbar disc:
Ђў Laminectomy and discectomy remove a portion of the bone around the herniated disc and then remove the disc material.
Ђў Microsurgical discectomy, which requires a smaller incision and microscope techniques, attempts to deal with a smaller area, risking less injury to surrounding tissues in the back.
Ђў Percutaneous discectomy begins with a small incision that allows placement of an instrument into the disc space for removal of the disc.
Ђў Chemonucleolysis is the injection of an enzyme (chymopapain) into a disc by a surgeon. The enzyme is supposed to dissolve the abnormal disc material. The potential side effects, such as reactions to the medication, and questions about its effectiveness in the treatment of a ruptured disc have made it less popular recently.
Each procedure may have an advantage for certain patients and may have less chance of response in others. Your surgeon is in the best position to choose the appropriate type of surgery. The factors that must be taken into account include your specific problem, the cost, and which procedure will best accomplish the goal.
When surgery is considered, you should discuss the planned type of surgery with your surgeon until you fully understand it and agree with the choice. You should feel comfortable that you have made the best arrangements for a favorable result.
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