Wear or loss of disc tissue is a normal part of ageing. The volume, thus the height of the disc space, increases. These discs have a tough outer case which surrounds a gel-like substance, and water to keep it moist and flexible. The first gel type, designed for use with patients up to the ages of 40 to 50, is loaded with live human cells, and is suited to those vertebral disks that still have the ability to self-repair to some extent. © www.arthrovision.de, MVZ Gelenk-Klinik Dres Schneider, Ostermeier & Partner Ärzte-Partnerschaft, Knee Replacement | Knee Implant or Prosthesis, Cruciate ligament tear: Surgery, rehabilitation, costs, Flat valgus foot: Surgical procedure, after-care and costs, Mr. L. H. (59), Sweden, knee patient: "This was topclass treatment. Disc function increases again. The discs and facet joints allow the spinal column to bend and be flexible (see Figure 2). This is often exasperating to patients, as no sleeping position provides relief. “The reason we do not routinely operate on these patients is because most disc problems resolve themselves with physiotherapy and exercise. We are compliant with the COVID-19 safety guidelines and offer SAFE and SECURE payment options with FAST delivery anywhere in South Africa. verify here. There are various stages and is distinguished by classification by Modic. Hydrogel as an easy to use injection procedure has been successfully used for disc degeneration for a several years. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. But he said since most slipped discs get better on their own, the procedure may not always be necessary. The gel banishes pain because the alcohol in it absorbs water leaking from the damaged disc. Waterbinding substances are inserted that will increase the spinal disc volume in order to decrease pain and improve function. Discogel aims to speed up this process. It does not require general anaesthesia or stressful medicinal complimentary therapy. glutathione is a company specialising in the latest techniques, procedures and products for skin lightening and problematic skin. It launched in the UK earlier this year. The very high swelling property significantly increases the disc volume. Injections can also be used to help determine the anatomic structure in the spine that could potentially be the source of pain, such as a herniated disc or a compressed nerve. In both cases, the diseased disc was removed and replaced by implants. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. The typical procedure lasts about 10-20 minutes. © www.arthrovision.de. It only requires a small area of local anaesthesia. The Society was founded in 1983 with the aim of promoting continuing medical education for health care professionals and disseminating knowledge on spine related disorders. The inter-vertebral discs are the shock-absorbing cushions between each pair of vertebrae in the spine. The height of the disc space is reduced. Injecting the hydrophylic Hydrogel draws fluid back into the disc. Call 01580 388310 to book an appointment. The most appropriate and least invasive treatment of Scoliosis and Spine Tumors. All doctors are verified by SpineUniverse ", Mrs. D. S. (47), Canada, foot and ankle patient: " I never imagined that I would be able to walk barefoot again on river stone ", Mr. C. (60), Australia, knee patient: "I would highly recommend the staff at Gelenk Klinic. Lundorff et al. The political situation in South Africa has afforded Endomed the opportunity to penetrate the market as ", Mr. S. (28), Romania, ankle patient: "What impressed me, was the high experience of the surgeons", Mr. A, (78), Egypt, knee patient: "Didn’t seek other offers as it was highly recommended by a friend. Vic Hall was one of the first to have a minimally-invasive procedure to treat the problem. ", Mr. H. (44), Egypt, knee and spine patient: "The clinic to me is a comfort zone where I feel pure professionalism and experienced specialists", Mrs. V. (68), Australia, knee patient: "The multilingual doctors each are specialized in various areas and I have been very impressed by their expertise". This was because the injection had gone into the sacral nerve. Gelenk-Klinik Gundelfingen is DIN ISO 9001:2015 certified. Therapeutic injections can provide pain relief and help determine the source of a patient’s pain in the neck or back. This type of treatment is based on two active principles: For one we want to stop the degenerative inflammatory reaction in the disc responsible fro the problems and primarily responsible for the back pain. The correct position inside the disc is also monitored by x-ray. Chronic lower back pain could eventually be treated with hydrogel injections that restore the shock-absorbing properties of damaged intervertebral discs. A needle delivers the treatment directly to the disc, and it reduces the volume within the disc. Sleeping helps regain some, but not all, of the fluid. This effect lasts for years. Back pain can have a number of different causes. Pain which occurs with so-called erosive osteochondrosis can be quite severe. Dr. Eric Arrata ND Eclipse Health Group 6620 Crowchild Trail SW Calgary AB T3E 5R8 Tel: 403-270-9355 Fax: 403-237-0747 WebSite: www.eclipsehealthgroup.com Specialty: Prolozone, Major Ozone Autohemotherapy, Minor Ozone Autohemotherapy, Limb Ozone Bagging, Rectal Ozone Insufflation, UV Therapy, Biological Medicine, Naturopathic Pediatrics, Women's Health, Longevity Medicine. Shop now! A herniated disc in the lower back is a common cause of back and leg pain. This in turn triggers an inflammatory reaction in the vertebrae, described by the technical term osteochondrosis. Using the Hydrogel injection method we’d like to illustrate how we can counteract the loss in height in the degenerated disc: By injecting the highly expansive polymer substance Hydrogel considerably increases water retention in the viscid core of the disc. This causes increasing strain on the vertebral body and the facet joints (vertebral joints), resulting in pain. Prolotherapy is an alternative therapy that may help reduce pain and repair body tissues, for example, with osteoarthritis. 2: LEFT: The Hydrogel sticks a few mm long are inserted into the disc through a hollow needle. You’ll want to know ahead of time, since the shots are expensive. HONcode standard for trustworthy health information:. Please stay up to date with www.joint-surgeon.com: Follow on Facebook, Bijan Ganepour Expert Consultant for Spine and Neurosurgery, Certified Centre for Arthroplasty (Centre for Endoprosthesis), Orthopaedic Gelenk-Klinik is certified Centre for Endoprosthesis (EPZ). The South African Spine Society: The South African Spine Society is an independent professional organisation of medical and complementary health personnel. Some cover the injections, but not all do. It contains active ingredient heparin topical. For most people, symptoms get better over time, with or without treatment. The disc compartment is punctured with a small hollow needle, monitored by x-ray. early in the morning after rising and increasing throughout the day. The highly water-binding, expansive Hydrogel increases the disc diameter in the long term again. Regenexx is the trusted alternative to surgery. This increases the disc volume and reduces strain on the vertebrae. The loss of fluid, loss of protein structure over the course of life cause the disc to change. One study suggests that Hyaluronic Acid is a waste of time, money, and resources. Dr. Richard Grzebyk, DNM,DO, M.P. Patients go home the same day. Medial Branch Blocks are similar to the Facet Injections, except instead of targeting the arthritic joints, the nerve that leads to the joint is injected, usually with only anaesthetic. Patients looking at either the Mayo site or the AAOS site will be misled into thinking that these injections might be worth a try. In severe cases, surgery is needed to release the compressed nerve and remove part of the disc. In between each one is a circular pad of tissue known as a disc. 1: The generated disc has a reduced volume. Find back pain and neck pain treatment in South Africa. Patients are given a local anaesthetic and the gel is injected into the middle of the damaged disc. ", Mr. J, (84), Netherlands, knee patient: "Quality, friendlyness, attention for patients and good information", Mr. C. (39), Mexico, knee patient: "Mrs Ponert helped us with all the travel arrangements", Mrs. P. (49), France, foot and ankle patient: "Thanks to Gelenk-Klinik I can do sports again: I'm grateful to it and can say that I was lucky enough to find it. The very thin synthetic disc stick only a few millimetres long are then inserted through this needle. Key Facts of Hydrogel Injection Therapy. They cite no evidence to back this up. Clinical evaluation of a viscoelastic gel for reduction of adhesions following gynaecological surgery by laparoscopy in Europe. Unfortunately the results of these change in the disc can often be felt. Slipped discs affect about one in 20 people. This can put pressure on a spinal nerve or cause severe swelling and lead to numbness and tingling (sciatica). The spine is made up of 24 vertebrae. Unfortunately, both treatments still posed a fairly high failure rate as symptoms often did not improve or problems of a different nature developed in the same location. A slipped disc is a common cause of back pain and around 10 per cent of patients end up having surgery. The Hydrogel procedure is a very simple surgical procedure. All rights reserved, Please visit the official Government information portal for Coronavirus by clicking HERE. It becomes less and less elastic, fragile and its height decreases. Colin Natali, a consultant spinal surgeon at the Lister Hospital in London, said the gel could benefit some patients. The adult spine loses up to 20 mm (about 3/4 inch) of disc height each day due to loss of fluid from the disc. It usually includes an anaesthetic and a steroid. On principle, however, the subjective alleviation of problems - a decrease in the discogenic back pain - with back pain is the best indication of a successful procedure. Indication: Painful spinal disc degeneration; Strategy: A small tube is inserted into the affected disc. Advanced regenerative orthobiologic injection treatments for injuries, arthritis, athletes & more. The gel is designed to be used at an early stage on patients with severe disc problems, as well as those who fail to get better with physiotherapy - potentially avoiding the need for surgery. However, not all experts recommend it. The gel is made from cellulose, alcohol and tungsten - a metal which makes it show up on X-ray so doctors can tell if is being injected in the right place. The Pain Relief Clinic is a pain management clinic in Singapore that combines traditional pain relief therapy with non-invasive pain treatment solutions available, to specifically help patients who suffer from both acute and persistent pain. First, they can be performed to diagnose the source of back, leg, neck, or arm pain (diagnostic). In addition, it replaces low cell or no-cell disc material with synthetic disc material - the water-binding Hydrogel. This pain characteristically does not decrease at night and with bed rest, so that night-time rest is interrupted by back pain. Most spinal injections are performed as one part of a … In the past, essentially the only available surgical treatment was implanting a disc prosthesis or fusing the disc segment. The Spinal Foundation have been experts in Spinal Stenosis treatment and back pain treatment for over 25 years. In many cases, over several months, a slipped disc will shrink away from the nerve as the water dries up naturally, easing the pain. w e are based in pretoria and are … Slipped disc can occur anywhere in the spine, in the neck, middle or lower back. Oxygen-ozone gas is given via an injection into the herniated disc. The second gel type has no live cells, and instead is made of gellan gum and … [1] That’s why the disc height gradually begins to reduce by age 30, leading to some losses of two inches by the time you reach 60. We also perform procedures on the cervical spine, most commonly anterior decompressions with or without simultaneous instrumented fusion or prosthetic disc … Thrombophob Gel is used for the treatment of superficial thrombophlebitis, the pain of veins, pulmonary embolism, blood clots in the veins, blood clots in lungs, and piles. RIGHT: Hydrogel as a stick (top) and swollen (bottom) after retaining water. The success of the procedure may be reviewed after about a quarter of a year. The cause of the slipped disc is the small tears in the outer ring (annulus fibrosus) that allows the inner gel (nucleus pulposus) to push out and put pressure on the spinal cord or nerve roots. As well as mopping up water, the gel provides structural support that can reduce the risk of the disc collapsing further. Artificial Disk Replacement A newer surgical procedure for relieving low back pain. diZerega et al. Some patients treated with Discogel would probably get better anyway.”, © 2020 Independent Online and affiliated companies. The majority of procedures are performed on the lumbar spine for conditions such as intervertebral disc prolapse, spinal stenosis and spinal instability. Your local online retail pharmacy with a wide range of medication and health care products to keep you and your family healthy. Once they are damaged, the soft gel and water put pressure on nerves in the spine - usually the sciatic nerve which runs from the base of the spine to the knee. I would recommend the clinic to anyone. Buy Lip Glosses online at Zando South Africa. Spinal injections are used in two ways. Disc pain is then worse or less depending on the stage. Inpatient treatment: 3 days Use of temporary implantable biomaterials to reduce leg pain and back pain in patients with sciatica and lumbar disc herniation. Browse our directory of trusted Spine Care Specialists, near South Africa. Thousands of patients have had the treatment, Discogel, in Europe, where the gel has been available for several years. A Facet Injection is an injection of medications into the actual facet joints in the spine. This means that the outer covering of the disc (annulus) is completely torn or damaged and the inner gel squirts out. A 2015 French study, in the journal Orthopaedics And Traumatology, showed the gel could relieve pain by up to 80% in patients who didn’t get better with physiotherapy and painkillers, the usual treatment for a slipped disc. The nerves of the spinal cord, which connect the brain to the rest of the body; run down the hollow centre of the spine. Old European Natural Medicine 7620 Farrell Road, SE Calgary AB T2H 0T8 Tel: 4… Fig. They can be triggered by bending awkwardly, lifting heavy items, sitting for long periods or being severely overweight. By Daily Mail Apr 13, 2018 A gel made with alcohol and injected into the spine could ease the agony of slipped discs. Hydrogel - Filling the degenerated spinal disc with chondroid gel, Fig. 3: Treating disc degeneration with Hydrogel: The water-binding, highly swelling polymer is injected into the inner core of the disc (nucleus pulposus) using a transcutaneous hollow needle. This is due to the oxidation of proteoglycans, which are proteins found within the gel-like center of the disc (called the nucleus pulposus). The management team have a combined total of over 50 years experience in the surgical and healthcare industry. Many people are able to manage their symptoms with things like changes in the way they do their activities, medicines to manage pain, exercise, physical therapy, or steroid injections. Injuries affecting the flexible discs which sit between vertebrae are often to blame, and current treatments involve either long term physiotherapy or risky spinal surgery. Second, spinal injections can be used as a treatment to relieve pain (therapeutic). Disc wear in adjoining vertebrae increase the pressure load. Steroid jabs are often used to dampen inflammation, but the effects wear off after a few months. Water escaping from a disc aggravates nerves in the spinal cord and inflames surrounding tissues. In this case the cause is often the inflammation of the discs and the adjoining vertebrae. Disc prolapse refers to shifting of the gel-like middle part (nucleus) of the disc, out of its normal position. They manifest through load-dependent pain, e.g. A herniated disc is also called a disc extrusion, slipped disc, sequestration, or “HNP” (Herniated Nucleus Pulposis). HONcode standard for trustworthy health information. Materials 3: 3331-3368, 2010. This can occur through injury, but is more commonly caused by ageing, as the discs become less flexible and are more likely to split. Problems arise when the outer casing gets damaged. Data sources include IBM Watson Micromedex (updated 7 Dec 2020), Cerner Multum™ (updated 4 Dec 2020), ASHP (updated 3 … This site complies with the The bones of the spine are connected to one another by the discs at the front and by the facet joints at the back. Endomed is a privately owned South African company which was established in 1997 after South Africa achieved democracy. The first study, lead by the University of California Los Angeles (UCLA) agrees with the current beliefs that Hyaluronic Acid Injections are a treatment best used to help delay inevitable total knee replacement. A gel made with alcohol and injected into the spine could ease the agony of slipped discs. One common cause is degeneration of the disc. The woman fainted and had an epileptic fit that was so violent it resulted in the prolapse of one of the discs in her lower spine. WebMD Medical Reference Reviewed by David Zelman, MD on August 12, 2019 Researchers at Sheffield Hallam University have developed a unique hydrogel delivery system that contains stem cells and chemical factors that may combat degeneration and promote growth of damaged intervertebral discs. 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