NON-SURGICAL TREATMENT
NON-SURGICAL TREATMENT
Hello,
**Let's not forget that not every hernia in the waist or neck causes pain, there are many patients who have many hernias but do not have pain. The decision to operate by looking at MRI films is wrong. The main goal should be to find the source of the pain. The main goal is to find the pain location one by one with manual examination of the patient and to choose the treatment plan accordingly. The duration of a pain examination varies between 40-50 minutes.
*In patients who have had surgery for a herniated disc and whose pain has not gone away,
1. Hip joint diseases,
2. Tailbone diseases,
3. Sciatic nerve compression diseases,
4. Knee diseases (gonarthrosis, pes anserinus bursitis, meniscus tears, etc.)
5. Ankle diseases, etc.
6. Nerve entrapment syndromes
7. Foot diseases (sole collapse, inward and outward pressing problems)
*In patients who have had surgery for a herniated disc and whose pain has not gone away
1. Stress pain, neck flattening syndromes,
2. Shoulder joint diseases, shoulder ligament tears, etc.
3. Nerve entrapment pain
Ulnar, median, radial nerve, etc.
4. Tension pains are detected at the points where muscles connect to joints.
5. Pain around the elbow, (medial and lateral epicondylitis, etc.)
………………………………………………………………………………
**Under the title of non-surgical treatment methods, I would like to share with you the tips I have selected from conferences I have given in many countries and the summary of the study.
IN THE SLIDES AT THE END OF THE ARTICLE, IMAGES BEFORE AND AFTER INJECTION CAN BE COMPARED AND DIFFERENCES AND HERNIA REDUCTION RATES CAN BE CLEARLY SEEN.
**We should know that there is no rule that every discomfort in our back, such as herniated disc, slippage - spondylolisthesis, narrowing - foraminal stenosis, will definitely cause pain or will necessarily require surgery. MANY PATIENTS WHO HAVE AN MRI DUE TO CHECK UP OR PAIN IN OTHER REGIONS ARE DETECTED WITH MANY TYPES OF HERNIA THAT DO NOT PROVIDE ANY SYMPTOMS, EVEN EXTRUDE HERNIA. Most patients state that they have been advised to undergo surgery due to their hernias that look bad. They are afraid that they will be paralyzed, but this is not true. A HERNIA THAT DOES NOT PROVIDE ANY SYMPTOMS DOES NOT NEED TO BE SURGICALLY OPERATED.
**SOMETIMES THERE ARE PATIENTS WITH SMALL HERNIA AND HAVE MUCH PAIN. IN THESE PATIENTS, THE PAIN MAY NOT GO AWAY IF THERE IS MOVEMENT ON THE JOINT SURFACE ABOVE THE NERVE.
…………………………………………………………………………….
** Initially evaluating the patients and clarifying where their pain is is considered the first key to success. MANY DISEASES CAN OCCUR TOGETHER WITH HERNIATED DISC DUE TO THE DISTURBANCE AND CURVATURE OF THE SPINE. (LIKE KNEE PAIN, HIP PAIN, MENTAL TENSION PAIN, SHOULDER JOINT PAIN, DISORDERS OF THE SHOULDER BLANK, KIDNEY DISEASES, RHEUTICAL DISEASES, SOFT TISSUE AND JOINT PAIN).
THE STAGES OF THE TREATMENT ARE AS FOLLOWS.
1. It is important to find where the person's pain is according to the pain maps.
2. Secondly, eliminating the edema on the pain branches, RELAXING THE NERVES.
3. Then, stopping the increase in edema and water retention around the hernia or diseased area (Preventing the neovascularization of macrophages)
4. Increasing the blood flow to the diseased area and placing stem cells there
5. Performing block and freezing procedures in patients with narrowing, displacement, etc.
A BRIEF SUMMARY OF THE PRESENTATION I MADE ABOUT THE TREATMENT IS AS FOLLOWS. HERNIA DISAPPEARANCE RATES CAN BE CLEARLY SEEN IN THE SLIDES AT THE END OF THE SECTION.
January 2008-January 2015 In this study, the clinical effectiveness of the injection technique I applied combined with sural block (with disc herniation, foraminal stenosis and spondylolisthesis) was evaluated in 386 patients. 44 patients were excluded from the study due to connection problems. The patients were informed about the treatment options and results, and consent forms were signed.
The treatment was planned based on the dermatomal map in our body. The distribution of the superficial and deep pain branches and the main nerve branches, where the edema is tried to be resolved, is done with the computer system C arm automatic, artificial intelligence integrated SCOPI device that I applied the treatment. The patient is edematous, rheumatized, and even the damaged bones and soft tissues are identified.
SURAL BLOCK AND DISTRIBUTION OF FOOT NERVES treatment can be applied in combination with below-knee or whole-leg mesotherapy and neural therapy in patients whose numbness does not go away after treatment, who have lifelessness and even drop feet. These methods; It helps to reduce numbness (hypoesthesia) in the related dermatomal area, helps to reduce stinging, burning (hyperesthesia) in the feet of diabetic patients. It also supports the reduction of symptoms in patients with restless leg syndrome
**Jarettt D.cain et all, Revisional peripheral nerve surgery, Clin podiatr med surg 26(2009) 11-22
HOW DOES HERNIA DISAPPEAR
**Many studies have also documented the spontaneous disappearance of intervertebral disc herniations after drug treatment alone.
* Resorption has been found to be associated with rim enhancement around the herniated nucleus pulposus (HNP).
***Autio RA et all, Determinants of spontaneous resorption of intervertebral disc herniation spine (phila pa1976) 2006 may 15;31(11)1247-52
**Round enhancement (rim enhancement) is known to be a neovascularized zone formed by macrophage infiltration. It is known that corticosteroids and some anti-inflammatory substances are effective in spontaneous resorption (LOSS) of disc herniation (HNP) by affecting neovascularization.
** Many researchers have observed that neovascularization in extruded (ruptured) discs is higher than in subligamentous discs. This is why extruded discs have higher resorption rates.
″** Olmarker et all,Inflammatogenec properties of nucleus pulposus
Spine 1995;20:665-9 ″
**Kobayashi S et all,Ultrastructural analysis on lumbar disc herniation using surgical specimens role of neovascularization and macrophages in hernias Spine(phila pa 1976) 2009 Apr1;34(7)655-57
HOW IS THE METHOD APPLIED?
* Under scopy (8 times magnification, rotatable in all directions), the Y (nerve bifurcation) shape is located in the middle part of the pedicular area as the target point. (IN THE MAJORITY OF CASES, THE NERVE DISTRIBUTION IS CLEARLY APPEARED.
* Sural block was performed in all patients. If necessary, sural block is performed once or twice. In necessary cases, neural therapy can be added.
* The cause of the pain should be distinguished from other differential diagnoses (piriformis syndrome, trochanteric bursitis, pain related to the knee, pain related to peripheral entrapment of nerves located below the knee, pain related to the ankle joint and heel, and the pain can be distinguished with neural therapy and mesotherapy.
* VACCINATION IS THE APPLICATION OF A MEDICINE THAT WILL PROVIDE EDEMA DISSOLVING TO THE AREA DEFINED AS THE TARGET POINT AND THE STOPPING OF THE FUNCTION OF CELLS CALLED MACROPHAGE. THIS AREA WHERE STEM CELLS ARE PLANTED FOR HEALING, THE ACTIVATION OF NA-K PUMP IS REVERSED, PROSTAGLANDIN I2 ACTIVATION IS PREVENTED, HEALING IS PROVIDED AND THE HERNIA IS REDUCTION. IMPROVEMENT OF BLOOD FLOW IN THE PROBLEM REGION ALSO REDUCES CALCIFICATION, ETC. **OTHERWISE, IT WOULD BE POSSIBLE TO GET RESULTS BY USING SUCH MEDICATIONS ORALLY AS PILLS OR AS INJECTIONS IN THE HIP, • ALL PATIENTS KNOW THAT USING SUCH MEDICATIONS DOES NOT SOLVE THE PROBLEM
* SURAL BLOCK AND MESOTHERAPY IN DIABETES PATIENTS helps to reduce numbness and burning in the feet. • The theory in diabetic neuropathy is that external nerve compression disrupts axonal blood flow, preventing the restoration of sensation. ** Dellon AL. Diabetic neuropathy: review of surgical approach to restore sensation, relieve pain and prevent ulceratin
Hello,
**Let's not forget that not every hernia in the waist or neck causes pain, there are many patients who have many hernias but do not have pain. The decision to operate by looking at MRI films is wrong. The main goal should be to find the source of the pain. The main goal is to find the pain location one by one with manual examination of the patient and to choose the treatment plan accordingly. The duration of a pain examination varies between 40-50 minutes.
*In patients who have had surgery for a herniated disc and whose pain has not gone away,
1. Hip joint diseases,
2. Tailbone diseases,
3. Sciatic nerve compression diseases,
4. Knee diseases (gonarthrosis, pes anserinus bursitis, meniscus tears, etc.)
5. Ankle diseases, etc.
6. Nerve entrapment syndromes
7. Foot diseases (sole collapse, inward and outward pressing problems)
*In patients who have had surgery for a herniated disc and whose pain has not gone away
1. Stress pain, neck flattening syndromes,
2. Shoulder joint diseases, shoulder ligament tears, etc.
3. Nerve entrapment pain
Ulnar, median, radial nerve, etc.
4. Tension pains are detected at the points where muscles connect to joints.
5. Pain around the elbow, (medial and lateral epicondylitis, etc.)
………………………………………………………………………………
**Under the title of non-surgical treatment methods, I would like to share with you the tips I have selected from conferences I have given in many countries and the summary of the study.
IN THE SLIDES AT THE END OF THE ARTICLE, IMAGES BEFORE AND AFTER INJECTION CAN BE COMPARED AND DIFFERENCES AND HERNIA REDUCTION RATES CAN BE CLEARLY SEEN.
**We should know that there is no rule that every discomfort in our back, such as herniated disc, slippage - spondylolisthesis, narrowing - foraminal stenosis, will definitely cause pain or will necessarily require surgery. MANY PATIENTS WHO HAVE AN MRI DUE TO CHECK UP OR PAIN IN OTHER REGIONS ARE DETECTED WITH MANY TYPES OF HERNIA THAT DO NOT PROVIDE ANY SYMPTOMS, EVEN EXTRUDE HERNIA. Most patients state that they have been advised to undergo surgery due to their hernias that look bad. They are afraid that they will be paralyzed, but this is not true. A HERNIA THAT DOES NOT PROVIDE ANY SYMPTOMS DOES NOT NEED TO BE SURGICALLY OPERATED.
**SOMETIMES THERE ARE PATIENTS WITH SMALL HERNIA AND HAVE MUCH PAIN. IN THESE PATIENTS, THE PAIN MAY NOT GO AWAY IF THERE IS MOVEMENT ON THE JOINT SURFACE ABOVE THE NERVE.
…………………………………………………………………………….
** Initially evaluating the patients and clarifying where their pain is is considered the first key to success. MANY DISEASES CAN OCCUR TOGETHER WITH HERNIATED DISC DUE TO THE DISTURBANCE AND CURVATURE OF THE SPINE. (LIKE KNEE PAIN, HIP PAIN, MENTAL TENSION PAIN, SHOULDER JOINT PAIN, DISORDERS OF THE SHOULDER BLANK, KIDNEY DISEASES, RHEUTICAL DISEASES, SOFT TISSUE AND JOINT PAIN).
THE STAGES OF THE TREATMENT ARE AS FOLLOWS.
1. It is important to find where the person's pain is according to the pain maps.
2. Secondly, eliminating the edema on the pain branches, RELAXING THE NERVES.
3. Then, stopping the increase in edema and water retention around the hernia or diseased area (Preventing the neovascularization of macrophages)
4. Increasing the blood flow to the diseased area and placing stem cells there
5. Performing block and freezing procedures in patients with narrowing, displacement, etc.
A BRIEF SUMMARY OF THE PRESENTATION I MADE ABOUT THE TREATMENT IS AS FOLLOWS. HERNIA DISAPPEARANCE RATES CAN BE CLEARLY SEEN IN THE SLIDES AT THE END OF THE SECTION.
January 2008-January 2015 In this study, the clinical effectiveness of the injection technique I applied combined with sural block (with disc herniation, foraminal stenosis and spondylolisthesis) was evaluated in 386 patients. 44 patients were excluded from the study due to connection problems. The patients were informed about the treatment options and results, and consent forms were signed.
The treatment was planned based on the dermatomal map in our body. The distribution of the superficial and deep pain branches and the main nerve branches, where the edema is tried to be resolved, is done with the computer system C arm automatic, artificial intelligence integrated SCOPI device that I applied the treatment. The patient is edematous, rheumatized, and even the damaged bones and soft tissues are identified.
SURAL BLOCK AND DISTRIBUTION OF FOOT NERVES treatment can be applied in combination with below-knee or whole-leg mesotherapy and neural therapy in patients whose numbness does not go away after treatment, who have lifelessness and even drop feet. These methods; It helps to reduce numbness (hypoesthesia) in the related dermatomal area, helps to reduce stinging, burning (hyperesthesia) in the feet of diabetic patients. It also supports the reduction of symptoms in patients with restless leg syndrome
**Jarettt D.cain et all, Revisional peripheral nerve surgery, Clin podiatr med surg 26(2009) 11-22
HOW DOES HERNIA DISAPPEAR
**Many studies have also documented the spontaneous disappearance of intervertebral disc herniations after drug treatment alone.
* Resorption has been found to be associated with rim enhancement around the herniated nucleus pulposus (HNP).
***Autio RA et all, Determinants of spontaneous resorption of intervertebral disc herniation spine (phila pa1976) 2006 may 15;31(11)1247-52
**Round enhancement (rim enhancement) is known to be a neovascularized zone formed by macrophage infiltration. It is known that corticosteroids and some anti-inflammatory substances are effective in spontaneous resorption (LOSS) of disc herniation (HNP) by affecting neovascularization.
** Many researchers have observed that neovascularization in extruded (ruptured) discs is higher than in subligamentous discs. This is why extruded discs have higher resorption rates.
″** Olmarker et all,Inflammatogenec properties of nucleus pulposus
Spine 1995;20:665-9 ″
**Kobayashi S et all,Ultrastructural analysis on lumbar disc herniation using surgical specimens role of neovascularization and macrophages in hernias Spine(phila pa 1976) 2009 Apr1;34(7)655-57
HOW IS THE METHOD APPLIED?
* Under scopy (8 times magnification, rotatable in all directions), the Y (nerve bifurcation) shape is located in the middle part of the pedicular area as the target point. (IN THE MAJORITY OF CASES, THE NERVE DISTRIBUTION IS CLEARLY APPEARED.
* Sural block was performed in all patients. If necessary, sural block is performed once or twice. In necessary cases, neural therapy can be added.
* The cause of the pain should be distinguished from other differential diagnoses (piriformis syndrome, trochanteric bursitis, pain related to the knee, pain related to peripheral entrapment of nerves located below the knee, pain related to the ankle joint and heel, and the pain can be distinguished with neural therapy and mesotherapy.
* VACCINATION IS THE APPLICATION OF A MEDICINE THAT WILL PROVIDE EDEMA DISSOLVING TO THE AREA DEFINED AS THE TARGET POINT AND THE STOPPING OF THE FUNCTION OF CELLS CALLED MACROPHAGE. THIS AREA WHERE STEM CELLS ARE PLANTED FOR HEALING, THE ACTIVATION OF NA-K PUMP IS REVERSED, PROSTAGLANDIN I2 ACTIVATION IS PREVENTED, HEALING IS PROVIDED AND THE HERNIA IS REDUCTION. IMPROVEMENT OF BLOOD FLOW IN THE PROBLEM REGION ALSO REDUCES CALCIFICATION, ETC. **OTHERWISE, IT WOULD BE POSSIBLE TO GET RESULTS BY USING SUCH MEDICATIONS ORALLY AS PILLS OR AS INJECTIONS IN THE HIP, • ALL PATIENTS KNOW THAT USING SUCH MEDICATIONS DOES NOT SOLVE THE PROBLEM
* SURAL BLOCK AND MESOTHERAPY IN DIABETES PATIENTS helps to reduce numbness and burning in the feet. • The theory in diabetic neuropathy is that external nerve compression disrupts axonal blood flow, preventing the restoration of sensation. ** Dellon AL. Diabetic neuropathy: review of surgical approach to restore sensation, relieve pain and prevent ulceratin