Retail Executive decides between radiofrequency ablation (RFA) and Fusion for his low back pain

Описание: 0:36 Microdiscectomy surgery is often needed after a herniated disc due to sports injuries
1:07 Low back pain, worse with driving and now standing
01:47 The 4 causes of low back pain
01:57 PRP injection delivers growth factors from your own blood into facet joints to encourage healing.
02:21 Epidural injection is good for temporary relief of sciatica caused by a herniated disc.
02:53 Stenosis is narrowing of the spinal canal.
03:10 Sciatica is pain down the leg, often with associated weakness and numbness.
03:20 Facet joint pain is mostly in the back, feels like the hip, and burns along the outer thigh.
03:50 The big toe is innervated by the L5 nerve root.
04:44 Magnetic resonance imaging is the most sensitive type of imaging for most low back problems.
05:22 Stenosis is caused by a combination of disc bulge (or herniated), facet joint enlargement, and ligament thickening.
05:52 MRI shows facet joint enlargement as well as swelling.
06:35 High signal (white) on certain MRI sequences is due to water, and is a sign of swelling.
07:48 Standard treatment of facet joint pain begins with rest, ice (fore sore muscles) and nonsteroidal anti-inflammatory drugs when safe.
08:19 The medial branches are the pain fibers to the spinal facet joints.
08:36 Radiofrequency ablation is the standard treatment for low back pain due to facet joint arthritis.
09:04 In diagnostic medial branch block low back pain from a facet joint is relieved only as long as the numbing lasts.
09:32 The expected outcome with radiofrequency ablation is 80-60-10.
09:50 Fusion is indicated for the treatment of end stage facet disease causing instability with stenosis.
10:30 Lumbar fusion vs RFA
11:10 Back problems that cannot be cured must be managed.
11:30 Pain management doctors should be board certified anesthesiologists or physiatrists who specialize in pain management.

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