Almost everyone has experienced low back pain (LBP). This situation can certainly hinder daily activities and work productivity. It should be noted that 80% of LBP conditions are caused by problems in the lumbar muscles and can be treated conservatively/without surgery, which includes rest, medication, physiotherapy, acupuncture, etc. We have to give a time limit for conservative therapy, but if there is no improvement in pain within 6-8 weeks, other problems must be looked for besides muscle problems. Another cause of low back pain, especially in productive age, is a condition called HNP.
HNP ( Herniated Nucleus Pulposus ) or herniated disc is a condition when one of the discs or discs of cartilage protrudes from the spine and pinched nerve. The most common locations for HNP to occur are the waist (lumbar), neck (cervical), and lastly, the least common area is the back (thoracic). Patient complaints include tingling that radiates to the hands or feet, neck or waist pain, weakness/paralysis of the limbs, or difficulty holding bowel movements or urination.
THE PERCUTANEOUS ENDOSCOPIC LUMBAR DISCECTOMY (PELD) TECHNIQUE IS ONE OF THE OPTIONS
80-85% of HNP cases can be treated without surgery, but 15-20% of them require surgery. The development of medical technology in almost all lines is currently leading to minimally invasive techniques. Likewise surgical techniques in spinal cases such as HNP. Although the microdiscectomy surgical technique for HNP cases remains the gold standard, a technique is currently being developed called Percutaneous Endoscopic Lumbar Discectomy (PELD).
PELD is a pinched nerve surgery technique, which can be performed under local anesthesia, only requires an 8mm incision, can be done in one daycare / without hospitalization, operating time is 20-40 minutes, there is no need to install implants and the bleeding caused is very minimal. The work is done with the help of a lens and a monitor so that the nerves are clearly visible and injury can be avoided.
With an incision of only 8mm, the PELD technique provides several advantages, including that the patient will feel minimal postoperative pain, and can immediately go off after the surgery, and the patient can return to normal activities or work more quickly.
Patients are often concerned about the risk of paralysis in spinal surgery including the lumbar region. It should be noted that the levels that are often affected by HNP in the lumbar region are the L45 and L5S1 levels. At the L45 and L5S1 level operations, there were no nerves that move the thigh and knee muscles, so theoretically it is almost impossible for paralysis of the lower half of the body to occur as is generally feared by patients. With proper indications and good working techniques, the PELD operation success rate can reach 98%.
Currently, the EMC Tangerang Hospital has successfully handled around 1,500 spinal surgeries and has served patients from within and outside the country.
Our competent specialist doctors and a professional medical team work together to provide the best results for each patient.
If you have spinal problems and have questions about how to treat them, you can consult by visiting Dr. Harmantya Mahadhipta Sp.OT (K) Spine at Tangerang EMC Hospital. For information, consultation and appointment, kindly please contact Ekha (+62 878 8989 0102) Call/SMS/WhatsApp