Modern methods of treatment
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Neuromodulation
Soft interruption of the transmission of pain impulses from the lower back and legs to the brain
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Nucleoplasty in the lumbar and cervical spine
Minimally invasive method for treating protrusions or herniations in the lumbar and cervical spine
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Trigeminal neuralgia
Minimally invasive method of treatment for facial pain
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Vertebroplasty
This procedure is performed for compression fractures of vertebral bodies or for hemangiomas
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Carpal tunnel syndrome and cubital tunnel syndrome
Minimal invasive release of the medial and ulnar nerve ligament for pain and numbness in the fingers of the hand
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Microdiscectomy
Minimally invasive removal of large spinal herniations and treatment of spinal stenosis
Advantages of our methods
Why choose us
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Incision-free
Our procedures do not require open surgical intervention, so there is no recovery period or scarring
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Without anesthesia
Our procedures are performed under local anesthesia (novocaine, lidocaine) - no intubation is required
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Same-day procedure
Patients can often return home on the same day since the effect is noticeable even during the procedure
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Our procedures
provide a result that is guaranteed without the need for pills or injections. We ask patients not to take any pills before the procedure for an objective assessment of the results
Nucleoplasty
Cold plasma nucleoplasty is a minimally invasive surgery that is performed under local anesthesia through a puncture needle inserted into the cavity of the intervertebral disc.
During nucleoplasty, the tissue of the disc is treated with cold plasma. The procedure is performed under local anesthesia using a puncture needle inserted into the cavity between the intervertebral discs. Continuous X-ray control is carried out during the operation using fluoroscopy. The undoubted advantage is the high-precision effect on the tissues without a burning effect. The operation is performed without general anesthesia and incisions.
When is the procedure recommended?
*To determine the cause of pain, a consultation with a specialist and MRI examination are necessary
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Intervertebral disc protrusion
This is a bulging of the intervertebral disk without a rupture of the fibrous ring.
If you have already had an MRI of the lumbar or cervical spine and have been diagnosed with a herniated disc, you can send the MRI to our doctor via Viber or Telegram for a free consultation.
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Spinal disc herniation
This is the protrusion of the contents of the intervertebral disc into the spinal canal. An MRI is necessary to detect a herniated disc.
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Back pain radiating to the leg (in the absence of a diagnosis).
Why is the problem in the back, but the leg also hurts?
What is compression of the sciatic nerve?
The sciatic nerve is formed by the lumbar spinal roots, which then interweave with each other to form the main trunk of the sciatic nerve, which is why pain is felt in the lower back and radiates down the leg.
- Cold plasma nucleoplasty
- — is a minimally invasive procedure that involves "evaporating" the "excess" substance of the disc with plasma. As a result of the decompression of the disc, the protrusion disappears, along with all the symptoms of the disease.
The surgeon inserts a puncture needle with an electrode into the damaged disc solely under X-ray control, which guarantees the safety of the procedure.
The procedure is painless, does not require postoperative rehabilitation, and has no age-related contraindications. Complications are rare.
Relief usually occurs immediately after the procedure, but complete elimination of all symptoms takes place two months after the operation. This period is necessary for the inflammation associated with the protrusion to subside, as well as for the damaged nerve tissue to regenerate.
Nucleoplasty has been the most popular procedure for protrusions and hernias for over 25 years and is performed in leading clinics in Europe and the USA.
The main advantages of nucleoplasty
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The speed of pain relief in the back
In most cases, pain relief in the back occurs immediately after the operation. In other cases, it may take a few days.
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Duration - 15 minutes
Thanks to high-tech equipment and the simplicity of the procedure, the average time of its execution is 10-15 minutes. It does not require general anesthesia, but is performed under local anesthesia.
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Safety and controllability
Every millimeter of electrode insertion is controlled through an X-ray machine, which makes damage to nerve structures impossible, ensuring safety and controllability.
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Short rehabilitation period
As the spine retains its natural biomechanics, patients can return to their normal activities as soon as 30 minutes after nucleoplasty. Most patients are able to return to work the next day.
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Absence of complications and scars
Low risk of complications — less than 0.1%. Absence of scars or incisions, as the surgery is performed without any cuts or openings.
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Ambulatory procedure
On average, the nuclearplasty procedure is considered an outpatient or ambulatory procedure, meaning the patient can typically go home on the same day as the surgery. Because the procedure is minimally invasive and does not cause significant trauma to the tissues and organs, hospitalization is generally not required. This also means that the recovery period is usually shorter compared to more invasive surgical procedures.
The procedure involves the following steps
The electrode is inserted into the intervertebral disc under the control of the X-ray machine. As the electrode passes into the disc, the intradiscal pressure is lowered, thus providing an immediate effect. Then, sequential coagulation and ablation of the contents of the intervertebral disc are performed, thereby reducing the pressure zone on the nerve root (the "herniation recedes"). The entire procedure takes 10-15 minutes.
Computer modeling of cold plasma nucleoplasty procedure.
Before the procedure, it is necessary to undergo an examination by a doctor
Since for certain diagnoses, such as stenosis or vertebral displacement, nucleoplasty is not recommended.
To schedule an examinationStages of relieving back pain in case of herniated or protruded disc
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Online consultation
Please provide your contact information to receive an online consultation with a doctor. They will advise you if nucleoplasty is the optimal solution for your case.
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MRI
An essential step is an MRI of the lumbar or cervical spine to ensure there are no contraindications in your case.
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Final examination
Upon receiving the results of all tests, it is necessary to come to our clinic for a final examination.
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The nucleoplasty procedure
Performing a minimally invasive surgery under local anesthesia. The procedure takes 10-15 minutes to complete.
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2 hours of rest
After the operation, it is recommended to remain in a state of rest for several hours and avoid putting any strain on the spine. If desired, you can stay under the supervision of doctors for one day.
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The absence of back pain
In 80% of cases, the result is felt immediately after the procedure. In other cases, it may take several days.
Patient reviews
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1. Patient: 74 years old
Complaints: Pain in the lower back that radiates to both legs.
Has been ill for a long time.
Diagnosis: Herniated disc at the level of L4-L5.
Procedure: Cold plasma nucleoplasty.
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2. Patient: 63 years old
Complaints: Pain in the lower back that radiates to the right leg.
Has been ill for one week.
Diagnosis: Herniated disc at the level of L5-S1 on the right side.
Procedure: Cold plasma nucleoplasty.
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3. Patient:
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Herniated cervical spine manifests itself as neck pain with radiation of pain to the shoulder, scapula, arm, and numbness of the 4th-5th fingers of the hand.
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For herniated discs in the cervical spine, a modern laser vaporization method - nucleoplasty - is also used. In the video, the patient is shown after this procedure.
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Instead of an open surgical procedure with an incision and anesthesia, and mandatory implant placement - for her, it was all done with a small puncture in the skin and the insertion of an electrode followed by vaporization of the intervertebral hernia.
Neuromodulation
The essence of the method is to block the conduction of unpleasant pain impulses from the spine and lower limbs to the brain. During the procedure, the patient experiences a feeling of massage above the site of pain. The procedure is performed under local anesthesia (like an injection in the buttock) without incision or general anesthesia.
Patient reviews
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1. Patient: 74 years old
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Complaints: pain in the lower back with radiation to both legs.
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Suffering for several years.
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Diagnosis: Multilevel spinal canal stenosis.
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Procedure: Neuromodulation.
Carpal tunnel syndrome
Carpal tunnel syndrome is a condition that arises due to compression of the median nerve by the thickened carpal ligament in the wrist and palm area. This pathology has the following manifestations: feeling of numbness, pain, and burning sensation in the thumb, index, middle, and half of the ring fingers; progressive weakness in the wrist; people who suffer from this disease find it difficult to perform simple tasks such as holding a mobile phone for a long time, writing, cleaning, buttoning up, peeling potatoes, and others. Also, significantly disturbed sleep, patients wake up at night due to pain and numbness in the wrist, and feel the need to shake it. After some time, the muscles in the area of the thumb base become atrophied and the fingers and wrist become significantly limited, leading to a borderline disability state.
Patient reviews
Cubital tunnel syndrome
Cubital (elbow) tunnel syndrome is the second most common tunnel neuropathy of the upper limb, with carpal (wrist) tunnel syndrome being the most common. The most common cause of this syndrome is repetitive microtrauma to the ulnar nerve as it passes through the area of the elbow joint. This can occur due to prolonged pressure on the joint while maintaining a static posture, such as during prolonged phone conversations, resting the arm on a table top, or the habit of drivers to rest their arm on the window while driving.
Trigeminal neuralgia
Trigeminal neuralgia is a pathological condition characterized by the sudden onset of severe burning pain. The pain typically occurs on one side of the lower jaw or on a particular cheek. The nasal, frontal, and ocular areas can also be affected. The painful sensations are related to damage to the trigeminal nerve system, the branches of which innervate these areas. The pain lasts from a few seconds to one or two minutes. The periods during which attacks occur can last for a day, a week, or in some cases, months and years. The pain is provoked by the slightest touch or manipulation of the facial skin, such as shaving, makeup application, etc. Brushing teeth and chewing can also cause pain. Factors that affect the trigeminal nerve include natural narrowing of the openings, pressure on the nerve from tumors, aneurysms, and injuries. Neuralgia can occur when the cause of the disease is not identified. Women are twice as likely to be affected than men. There are no age restrictions, although people under 40 are more commonly affected.
Patient reviews
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1. Patient: 72 years old
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Complaints: of pain in the forehead area and upper jaw.
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Has been suffering for a long time.
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Diagnosis: Neuralgia of the first and second branches of the trigeminal nerve.
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Procedure: Radiofrequency ablation.
Vertebroplasty
Vertebroplasty is a minimally invasive surgery aimed at stabilizing a vertebral fracture and relieving pain caused by the fracture. The procedure is performed through a skin puncture (as opposed to an open incision). A special needle is inserted into the fractured vertebra, and bone cement is injected into the vertebra through the needle, filling the fracture and hardening within 10 minutes.
Microdiscectomy
The operation is performed under spinal anesthesia (the patient is conscious but does not feel pain). The procedure usually takes about 30 minutes. The incision is approximately 3 cm long and results in a cosmetically appealing scar. There is no rehabilitation period required! Patients are allowed to sit, stand, and walk around. Patients can be active the next day. Discharge is possible on the following day (if desired by the patient).
Patient reviews
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1. Patient: 32 years old
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Complaints: Pain in the lower back radiating to the left leg.
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Duration of illness: Several weeks.
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Diagnosis: Herniated disc at the L4-L5 level on the left.
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Procedure: Microdiscectomy.