This ESP disc has restored my quality of life dramatically. I have 4 back surgeries in a year. L5-S1 November 2019 Microdiscectomy (failed), L5-S1 June 2020 fusion, L4-L5 September 2020 Microdiscectomy failed, L4-L5 November 2020 ESP ADR. The change in pain levels the next day I was in tears of happiness. No pain anymore and was able to walk as normal again
@@gtrdk8205 I found what that building up your core muscles helped me out with the pain and recovering and loosing weight as I was overweight. All helped alleviate extra pain I had. Also how long since your fusion surgery? It takes about 1yr for your body to adjust
@@ryanb1938 2017 was surgery I’m fit athletic It took me 1,5 rear to recover I lost 20 of my mobility to Can even change my socks If I try I get some kind of electric shock in my back so painful. Now is approximately 4 years but I still have pain in my legs can bending over or sitting to long I think fusion was a bad choice is why I thinking go to Germany for esp ard
@user-hw2wq4xx5b Thank you for your comment. You are welcome to enquire with us directly regarding Disc Replacement Surgery at spineconnection.org/contact-us/
I really don't get why they don't use screws for primary fixation on the rims like in the ALIF cages for instance. I understand that it is a "press fit" technology but still the patients risk a dislodge in the primary stage as nothing holds the disc in place other than vertebrae pressure and those little pegs
Went to Barcelona Spine Center, Dr Clavel Neurosurgeon and had Spinal Kinetics M6L Lumbar in 2016 paid $28k and double level neck ESP discs in 2018 paid $35k USD. Bad pain stopped almost immediately. Lumbar, no problems except from an old fusion. Cervical has a bit more recovery - tight shoulders. Acupuncture and PT works well. BTW, seek out specialist in artificial disc implants - which may require a trip to a large city to see a surgeon that has performed thousands. Not all patients are good candidates, but only the specialist is qualified to tell you. The problem is many surgeons were trained in fusion only and are still comfortable performing fusion procedures. There is a catch, fusions often burn out the disc above the fusion level, called Adjacent Segment Degeneration or ASD. This may take 6 to 12 years and requires another surgery. The artificial disc was invented in Germany and it’s the epicenter of best practices and knowledge for Europe. I went to Europe because the US did not offer a disc with a compression and rotational tension features to emulate a human disc. In a nut shell, the cushion compression helps prevent ASD. Further, your body does like like restrictions so the muscles want full range. I see the Spine as a one way street. The only option is do it right the first time and the basis for a unreimbursed medical cost deduction.
Dear JR Chicago, it's fantastic to hear of your experience and outcome from cervical and lumbar disc replacement with the ESP & M6 Prosthesis. Our German Spine Specialists also use both implants to match individual patient anatomy and circumstance. We support what you say. A fusion is a last line of defense, however sometime's a patient is not suitable for a motion-preserving spine surgery. So on a case by case basis we support patients to receive and compare multiple independent surgeon opinions. Wishing you a lifetime of activities and happiness! Spine Connection Team.
@@SpineConnection LONG TERM - ARE FACET PAIN PATIENTS BETTER OFF WITH IMPLANTS...? For those patients that are deemed not suitable for a motion preserving implant due to arthritic facet pain - along with impingement from a collapsed, word or bulging disc, a surgeon may recommend fusion so the facets are locked in place and wont rub. The counter question to that would be... In these cases, would an otherwise healthy active patient be better off with a motion preserving cushion effect implant that provides impact absorbing energy, is the patient better off by helping to avoid ASD (Adjacent Segment Disease) on the next level that would lead to more fusions and spinal pain complications down the line, if they are willing to put up with the facet pain - at least as a choice? The longer the fusion exists, the greater the occurrence of ASD. As I had been a very long term ASD suffering patient with MF pain, I see any fusion of a healthy person as the more "barbaric" long term choice. I am not talking about elderly, inactive or sick individuals. I am speaking about fit active people under 60 or 70 if the bone density is in good condition.
@@jrchicago9216 It's a good question - There is no definite answer because every patient case is different. Even treating surgeon training and philosophy can be different. With the new-generation implants (ESP & M6) and TOPS/NEXUX Facet Replacement Systems, we prefer this to a fusion, only if it's safe and the patient is a suitable candidate. Sometimes a patient may not be suitable for a motion-preserving spine surgery and they require a more reconstructive surgery such as a fusion. New spine fusion techniques such as percutaneous OLIF and TLIF allows a "keyhole" fusion with minimal bleeding, no muscle cutting and 50% reduced recovery time, and so in modern times there are now better options for fusion patients. In fact our specialists offer all these surgeries, including robotic surgery, and so we can guide a patient through an evaluation process and help them receive the spine treatment they research and chose for themselves. Take care and we wish you a speedy recovery from your surgery! :-) (Team SC)
JR Chicago I am also from Chicago (South Side) and I am in need of surgery in the Lumbar S1 region. It seems like there are more and more Surgeons in the states that are now doing DRS such as the back institute in Plano Tx and Dr. Lanman in Ca. wondering if it would make a difference if I went to the states to have it done or go all the way to Germany to have it done. Lastly what is the best implant on the market?
This looks amazing! C5&6 needed for my neck pain and referral pain! After my next fight on March 6, I will ask the UFC about this. What would this cost me??
How common is it to have issues with these implants following surgery? (such as osteolysis, metal allergy issues or bacterial infection, degeneration of the artificial disc itself?)
Hi Derick, most patients who receive disc replacement also have a degree of nerve compression, caused by bulging/herniated disc or by narrowing of foraminal pathways as the diseased disc loses height. Please enquire with us directly and we will arrange for out top German specialists to evaluate your case: spineconnection.org/contact-us/
I am in need of surgery in the Lumbar S1 region most likely a multi level DRS It seems like there are more and more Surgeons in the states that are now doing DRS such as the back institute in Plano Tx and Dr. Lanman in Ca. wondering if it would make a difference if I went to the states to have it done or go all the way to Germany to have it done. Thank you
I'm a 27 year old female. I have DDD in my L5 L4 and S1 my S1 Disc is the worse one. I'm just wondering if I could qualify for the artificial Disc replacement. I live in New Zealand.
Dear Stacey, we are pleased for our top specialists in Germany to provide an extra opinion. We will also connect you with our large support network of NZ patients. Please contact us directly: spineconnection.org/contact-us/
Hi Mohammed Majd, Just write your case to Dr Pablo Clavel (Barcelona Spine Center in Spain, don't mind the fake crap-site about him which will likely also pop up), or Dr Schmitz (Bel Etage Clinic in Germany), or Dr Bierstedt/Dr Illerhaus (ONZ Germany, I went there), or Dr Berg (Stockholm Spine Center), or Dr Rischke (Switzerland), or Dr Anad Naik in New Delhi if you're closer to India. Those are the best surgeons that do this. Avoid Dr Ritter-Lang because we've heard tons of extremely bad post-op care in case of trouble. If reality is allowed, this post will stay. If this channel is fishy, my post will disappear after some time.. :-) Good luck and sorry to read you have spine trouble too.. It's a bad place to be.....
HELP HELP i got 3 times herniated surgery bud it come back efter 4-6 mont. the 4th surgery was fusion with scew and some bone cage. it help 60% but i have no stability can even take my shoes on. is possible to remove the fusion and make new M6L Lumbar surgey in replace????????
is 70-75 better... no pain in lower back or my legs. i have lost stability approx. 20% i still got some small nerve chock if i twist to fast....@@Spacecat683
Dear Parvesh, we cannot say one disc is better than another, because they are different, just like each patient is different. Both the M6 and ESP Discs are considered new-generation discs with movement in 6 directions including vertical compression. They have different anchoring (keels vs spikes), different rigidity, and come in different sizes. Even while our surgeons have a philosophy toward new-generation discs, there are some patient cases where the Prodisc-L is required in the Lumbar spine, or the recently updated Prodisc VIVO in the Cervical Spine. To answer your question, the best disc is the one that matches the patient's condition and anatomy. This is the advantage of our top German Surgeons having all implants available, alongside 20+ years experience in disc replacement surgery. For more information or an evaluation please contact us directly at the link below: spineconnection.org/contact-us/spineconnection.org/contact-us/
Not sure how you mean "support" but an Artificial Disc Replacement (ADR) done with a good disc (in my mechanical engineering opinion the ESP disc by FH-Ortho is the mechanically best disc that you could possibly ever get, I have 3 of them in my lumbar spine from L3-S1, this study shows why it's so good: www.ncbi.nlm.nih.gov/pmc/articles/PMC3567327/ ) is simply the only sensible solution for a bad spine if your discs are bad. Intervertebral discs are like teeth: You get them once and once you've worn them out it's over. Degraded discs lead to loss of disc height. Dehydrated discs become tough like shoe soles. Which leads to damage to your bones, damage to your facet joints, inflammation from irritation or nerve agitation and excessive bone growth all over as a natural response of the body to try to fuse the site (as the only solution that the body can create itself). It's a waste of time and your body to try injections, micro-discectomy and endless PT if you can see (on an MRI) that your discs are gone..
@@kayazukifiles brother my l5-s1 disc is recently diagnosed as degenerative. I’m only 24 years old. I’m suffering and scared, I think I see ADR in my future. I just had an epidural and a following microdiscectomy if that does work. Is this a safe path?
@@andyl9900 Hi! I'm sorry to hear you went for micro discectomy. For some it may work, but I've heard too many ppl that said it was only a short term patch and just caused needless damage. Are you asking if ADR is a safe party forwards? I chose for 3 LP-ESP discs L3-S1, which i got on March 27th 2018 (so over 3 years ago) and i went from wheelchair and crutches back to completely normal walking again. Best decision i ever made. Zero pain since the recovery after the surgery (recovery took 2 months). After comparing everything there was/is out there, i personally concluded that the only real solution for a failing (too low) disc is replacing it with something that is at least high enough to free the nerve roots. And nothing better than a flexible disc (not a ball socket!!) to follow the natural movements of the spine. From a mechanical point of view i feel the ESP is the most failsafe disc. I have three, more than 3 years now, and I'm even too big for those things (I'm 6'5.55"/197cm). Still i definitely didn't want the risky M6. And the ESPs are working flawlessly. Gave me back my life. I can do everything again. Pain free. Get informed and make your own decision! Good luck!
@@kayazukifiles Hi and thank you for your encouraging words. Means a lot in this dark period. Is ADR still available to me if the microdiscectomy doesn’t work? Also, what is this ‘needles damage’ you speak of? Sounds painful. Is adr something to be done sooner rather than later if I’m trying to avoid permanent nerve damage?
@@andyl9900 LOL, that was a weird typo, i fixed it up here. I didn't means needles, but needless! :-D The medical world believes that you should delay any kind of surgery *as long as possible*, until there is no other way out anymore. This may be true for other parts in your body, but i feel the spine is a little different. Our spine is the only spine of all creatures with vertebrae that has a lordosis (hollow shape) right above the pelvis. All other animals have a kyphosis there (round shape). We literally bent or lower spine in a 'bad shape' to be able to walk up right. The forces are terribly high on especially those lower discs. And that curvature does not help. Now, the intervertebral discs have a really very simple function: They need to be flexible yet strong and THICK. flexible because you want to be able to move in all directions. But thick, because they serve to keep your foramen (those tunnels on the sides between each pair of vertebrae) open enough so that your nerves can pass freely (incl their thick layer of a sort of fatty protective tissue). Now, most of us don't walk all day for miles to hunt for food or find water, so we're all not really maintaining our discs very well (by the fluid pumping/replenishing action that you create in your discs when walking). So we sit, or stand, for hours, compressing the fluids out our discs. Making them hard and dry. Like an old tire? And they get thinner from that dehydration. So instead of nice thick juicy and flexible discs, you end up with dried up, thin, tough shoe soles at some point. Thin discs cause your nerve roots to get squeezed in the foramen and... They cause your your facet joints to sink deeper into each other, grinding those to pieces (arthrosis, wearing out your cartilage, which doesn't grow back once worn out!). And as a result of that, grinding bones also cause inflammation and bone to grow where it shouldn't (bone spurs etc), because the first reaction of the body to spine trouble is: "let's naturally fuse that whole place so nerve damage is prevented!". That's why people get excessive bone growth at irritated places there.. So in my mind, i think it's logical to NOT wait until everything has churned to mush and gets damaged needlessly, but rather to have it fixed while there hasn't been caused any extra damage. If the discs are failing, then that is a big deal. If they are getting very thin, then more bad stuff happens than just generate some irritating pain. I feel not all medical professionals look at it that way from a mechanical point of view. I had one totally torn L5S1, the nucleus came out and rammed my left nerve root there, giving me insane suicidal pain. But my 2 discs above that were totally dehydrated and building too. I wanted one good treatment, not come back later for more surgery. So i had all 3 replaced and after 3 years i definitely don't regret that. I've got a good strong back now. Those things simply work good. But don't pick ANY disc!! Get super informed about the different mechanics! Ball socket discs are good for hip joints, but NOT for the spine if you want to axially rotate your spine without damaging your facet joints!
This ESP disc has restored my quality of life dramatically. I have 4 back surgeries in a year. L5-S1 November 2019 Microdiscectomy (failed), L5-S1 June 2020 fusion, L4-L5 September 2020 Microdiscectomy failed, L4-L5 November 2020 ESP ADR. The change in pain levels the next day I was in tears of happiness. No pain anymore and was able to walk as normal again
If you have fusion is still possible to do a esp surgery?
I have 3 failed surgery at l5 and 5 th was fusion but I’m still have issues
@@gtrdk8205 it's rare to have a reversal fusion. It's hard. Why are you having problems?
@@gtrdk8205 I found what that building up your core muscles helped me out with the pain and recovering and loosing weight as I was overweight. All helped alleviate extra pain I had.
Also how long since your fusion surgery? It takes about 1yr for your body to adjust
@@ryanb1938 2017 was surgery
I’m fit athletic
It took me 1,5 rear to recover
I lost 20 of my mobility to
Can even change my socks
If I try I get some kind of electric shock in my back so painful. Now is approximately 4 years but I still have pain in my legs can bending over or sitting to long
I think fusion was a bad choice is why I thinking go to Germany for esp ard
Do you stretch daily?
This disk looks promising,compared to the other disks !
@user-hw2wq4xx5b Thank you for your comment. You are welcome to enquire with us directly regarding Disc Replacement Surgery at spineconnection.org/contact-us/
I really don't get why they don't use screws for primary fixation on the rims like in the ALIF cages for instance. I understand that it is a "press fit" technology but still the patients risk a dislodge in the primary stage as nothing holds the disc in place other than vertebrae pressure and those little pegs
Went to Barcelona Spine Center, Dr Clavel Neurosurgeon and had Spinal Kinetics M6L Lumbar in 2016 paid $28k and double level neck ESP discs in 2018 paid $35k USD. Bad pain stopped almost immediately. Lumbar, no problems except from an old fusion. Cervical has a bit more recovery - tight shoulders. Acupuncture and PT works well. BTW, seek out specialist in artificial disc implants - which may require a trip to a large city to see a surgeon that has performed thousands. Not all patients are good candidates, but only the specialist is qualified to tell you. The problem is many surgeons were trained in fusion only and are still comfortable performing fusion procedures. There is a catch, fusions often burn out the disc above the fusion level, called Adjacent Segment Degeneration or ASD. This may take 6 to 12 years and requires another surgery. The artificial disc was invented in Germany and it’s the epicenter of best practices and knowledge for Europe. I went to Europe because the US did not offer a disc with a compression and rotational tension features to emulate a human disc. In a nut shell, the cushion compression helps prevent ASD. Further, your body does like like restrictions so the muscles want full range.
I see the Spine as a one way street. The only option is do it right the first time and the basis for a unreimbursed medical cost deduction.
Dear JR Chicago, it's fantastic to hear of your experience and outcome from cervical and lumbar disc replacement with the ESP & M6 Prosthesis. Our German Spine Specialists also use both implants to match individual patient anatomy and circumstance. We support what you say. A fusion is a last line of defense, however sometime's a patient is not suitable for a motion-preserving spine surgery. So on a case by case basis we support patients to receive and compare multiple independent surgeon opinions. Wishing you a lifetime of activities and happiness! Spine Connection Team.
@@SpineConnection LONG TERM - ARE FACET PAIN PATIENTS BETTER OFF WITH IMPLANTS...? For those patients that are deemed not suitable for a motion preserving implant due to arthritic facet pain - along with impingement from a collapsed, word or bulging disc, a surgeon may recommend fusion so the facets are locked in place and wont rub. The counter question to that would be... In these cases, would an otherwise healthy active patient be better off with a motion preserving cushion effect implant that provides impact absorbing energy, is the patient better off by helping to avoid ASD (Adjacent Segment Disease) on the next level that would lead to more fusions and spinal pain complications down the line, if they are willing to put up with the facet pain - at least as a choice? The longer the fusion exists, the greater the occurrence of ASD. As I had been a very long term ASD suffering patient with MF pain, I see any fusion of a healthy person as the more "barbaric" long term choice. I am not talking about elderly, inactive or sick individuals. I am speaking about fit active people under 60 or 70 if the bone density is in good condition.
@@jrchicago9216 It's a good question - There is no definite answer because every patient case is different. Even treating surgeon training and philosophy can be different. With the new-generation implants (ESP & M6) and TOPS/NEXUX Facet Replacement Systems, we prefer this to a fusion, only if it's safe and the patient is a suitable candidate. Sometimes a patient may not be suitable for a motion-preserving spine surgery and they require a more reconstructive surgery such as a fusion. New spine fusion techniques such as percutaneous OLIF and TLIF allows a "keyhole" fusion with minimal bleeding, no muscle cutting and 50% reduced recovery time, and so in modern times there are now better options for fusion patients. In fact our specialists offer all these surgeries, including robotic surgery, and so we can guide a patient through an evaluation process and help them receive the spine treatment they research and chose for themselves. Take care and we wish you a speedy recovery from your surgery! :-) (Team SC)
Hey sir . I suffer from cervical disc bulge . And i am willing to have an artifical disc . What do u recommend afted u had used one ?
JR Chicago I am also from Chicago (South Side) and I am in need of surgery in the Lumbar S1 region. It seems like there are more and more Surgeons in the states that are now doing DRS such as the back institute in Plano Tx and Dr. Lanman in Ca. wondering if it would make a difference if I went to the states to have it done or go all the way to Germany to have it done. Lastly what is the best implant on the market?
Art masterpiece
This looks amazing! C5&6 needed for my neck pain and referral pain! After my next fight on March 6, I will ask the UFC about this. What would this cost me??
Dear FunkMasterMMA, please email us at enquiries@spineconnection.org and our group of specialists are pleased to assist. Enjoy your weekend! (Team SC)
$180000
Is it available in the U.S.?
How common is it to have issues with these implants following surgery? (such as osteolysis, metal allergy issues or bacterial infection, degeneration of the artificial disc itself?)
Dear Noel, please email our team directly and we will assist with your various questions: spineconnection.org/contact-us/
Hi is it possible to put one of these when having spinal stenosis??
Hi Derick, most patients who receive disc replacement also have a degree of nerve compression, caused by bulging/herniated disc or by narrowing of foraminal pathways as the diseased disc loses height. Please enquire with us directly and we will arrange for out top German specialists to evaluate your case: spineconnection.org/contact-us/
I am in need of surgery in the Lumbar S1 region most likely a multi level DRS It seems like there are more and more Surgeons in the states that are now doing DRS such as the back institute in Plano Tx and Dr. Lanman in Ca. wondering if it would make a difference if I went to the states to have it done or go all the way to Germany to have it done. Thank you
Hey did you ever get your disc replaced?
I'm a 27 year old female. I have DDD in my L5 L4 and S1 my S1 Disc is the worse one. I'm just wondering if I could qualify for the artificial Disc replacement. I live in New Zealand.
Dear Stacey, we are pleased for our top specialists in Germany to provide an extra opinion. We will also connect you with our large support network of NZ patients. Please contact us directly: spineconnection.org/contact-us/
How much does this great surgery cost? I realy need it
Dear Mohammed, please contact us directly at enquiries@spineconnection.org and we are pleased to assist with your case. Kind regards, Team SC
Hi Mohammed Majd,
Just write your case to Dr Pablo Clavel (Barcelona Spine Center in Spain, don't mind the fake crap-site about him which will likely also pop up), or Dr Schmitz (Bel Etage Clinic in Germany), or Dr Bierstedt/Dr Illerhaus (ONZ Germany, I went there), or Dr Berg (Stockholm Spine Center), or Dr Rischke (Switzerland), or Dr Anad Naik in New Delhi if you're closer to India. Those are the best surgeons that do this. Avoid Dr Ritter-Lang because we've heard tons of extremely bad post-op care in case of trouble. If reality is allowed, this post will stay. If this channel is fishy, my post will disappear after some time.. :-)
Good luck and sorry to read you have spine trouble too.. It's a bad place to be.....
@@SpineConnection hello my L5S1 burst backwards please could you help
@@tinacollins9213 Dear Tina, please email us at enquiries@spineconnection.org and one of our team will gladly assist you. Kind regards, Team SC
@@SpineConnection thankyou so much
Buenas tardes el costo de los implantes cada uno
I’m desperate to get my back done how much for L5S1 please reply
@@peace4267 thankyou
Did you get one?
@@realtruth97 no love
@@realtruth97no love
HELP HELP i got 3 times herniated surgery bud it come back efter 4-6 mont. the 4th surgery was fusion with scew and some bone cage. it help 60% but i have no stability can even take my shoes on. is possible to remove the fusion and make new M6L Lumbar surgey in replace????????
Hey how are you doing now?
is 70-75 better... no pain in lower back or my legs. i have lost stability approx. 20% i still got some small nerve chock if i twist to fast....@@Spacecat683
Which is better M6 or ESP.
Dear Parvesh, we cannot say one disc is better than another, because they are different, just like each patient is different. Both the M6 and ESP Discs are considered new-generation discs with movement in 6 directions including vertical compression. They have different anchoring (keels vs spikes), different rigidity, and come in different sizes. Even while our surgeons have a philosophy toward new-generation discs, there are some patient cases where the Prodisc-L is required in the Lumbar spine, or the recently updated Prodisc VIVO in the Cervical Spine. To answer your question, the best disc is the one that matches the patient's condition and anatomy. This is the advantage of our top German Surgeons having all implants available, alongside 20+ years experience in disc replacement surgery. For more information or an evaluation please contact us directly at the link below: spineconnection.org/contact-us/spineconnection.org/contact-us/
Who much kost diskreplasment serguri in Germany thanks
Dear Ali, we have replied to your enquiry privately. Thank you and enjoy your weekend. (SC Team)
Would you like to share your findings? Thanks!
ile kosztuje operacje l4/l5 ?
can it support decompression?
Not sure how you mean "support" but an Artificial Disc Replacement (ADR) done with a good disc (in my mechanical engineering opinion the ESP disc by FH-Ortho is the mechanically best disc that you could possibly ever get, I have 3 of them in my lumbar spine from L3-S1, this study shows why it's so good: www.ncbi.nlm.nih.gov/pmc/articles/PMC3567327/ ) is simply the only sensible solution for a bad spine if your discs are bad. Intervertebral discs are like teeth: You get them once and once you've worn them out it's over. Degraded discs lead to loss of disc height. Dehydrated discs become tough like shoe soles. Which leads to damage to your bones, damage to your facet joints, inflammation from irritation or nerve agitation and excessive bone growth all over as a natural response of the body to try to fuse the site (as the only solution that the body can create itself).
It's a waste of time and your body to try injections, micro-discectomy and endless PT if you can see (on an MRI) that your discs are gone..
@@kayazukifiles brother my l5-s1 disc is recently diagnosed as degenerative. I’m only 24 years old. I’m suffering and scared, I think I see ADR in my future. I just had an epidural and a following microdiscectomy if that does work. Is this a safe path?
@@andyl9900 Hi!
I'm sorry to hear you went for micro discectomy. For some it may work, but I've heard too many ppl that said it was only a short term patch and just caused needless damage.
Are you asking if ADR is a safe party forwards?
I chose for 3 LP-ESP discs L3-S1, which i got on March 27th 2018 (so over 3 years ago) and i went from wheelchair and crutches back to completely normal walking again.
Best decision i ever made. Zero pain since the recovery after the surgery (recovery took 2 months).
After comparing everything there was/is out there, i personally concluded that the only real solution for a failing (too low) disc is replacing it with something that is at least high enough to free the nerve roots.
And nothing better than a flexible disc (not a ball socket!!) to follow the natural movements of the spine.
From a mechanical point of view i feel the ESP is the most failsafe disc.
I have three, more than 3 years now, and I'm even too big for those things (I'm 6'5.55"/197cm).
Still i definitely didn't want the risky M6. And the ESPs are working flawlessly. Gave me back my life.
I can do everything again. Pain free.
Get informed and make your own decision! Good luck!
@@kayazukifiles Hi and thank you for your encouraging words. Means a lot in this dark period. Is ADR still available to me if the microdiscectomy doesn’t work? Also, what is this ‘needles damage’ you speak of? Sounds painful. Is adr something to be done sooner rather than later if I’m trying to avoid permanent nerve damage?
@@andyl9900 LOL, that was a weird typo, i fixed it up here. I didn't means needles, but needless! :-D
The medical world believes that you should delay any kind of surgery *as long as possible*, until there is no other way out anymore.
This may be true for other parts in your body, but i feel the spine is a little different.
Our spine is the only spine of all creatures with vertebrae that has a lordosis (hollow shape) right above the pelvis. All other animals have a kyphosis there (round shape). We literally bent or lower spine in a 'bad shape' to be able to walk up right. The forces are terribly high on especially those lower discs. And that curvature does not help.
Now, the intervertebral discs have a really very simple function:
They need to be flexible yet strong and THICK.
flexible because you want to be able to move in all directions.
But thick, because they serve to keep your foramen (those tunnels on the sides between each pair of vertebrae) open enough so that your nerves can pass freely (incl their thick layer of a sort of fatty protective tissue).
Now, most of us don't walk all day for miles to hunt for food or find water, so we're all not really maintaining our discs very well (by the fluid pumping/replenishing action that you create in your discs when walking).
So we sit, or stand, for hours, compressing the fluids out our discs. Making them hard and dry. Like an old tire? And they get thinner from that dehydration.
So instead of nice thick juicy and flexible discs, you end up with dried up, thin, tough shoe soles at some point.
Thin discs cause your nerve roots to get squeezed in the foramen and... They cause your your facet joints to sink deeper into each other, grinding those to pieces (arthrosis, wearing out your cartilage, which doesn't grow back once worn out!). And as a result of that, grinding bones also cause inflammation and bone to grow where it shouldn't (bone spurs etc), because the first reaction of the body to spine trouble is: "let's naturally fuse that whole place so nerve damage is prevented!".
That's why people get excessive bone growth at irritated places there..
So in my mind, i think it's logical to NOT wait until everything has churned to mush and gets damaged needlessly, but rather to have it fixed while there hasn't been caused any extra damage.
If the discs are failing, then that is a big deal. If they are getting very thin, then more bad stuff happens than just generate some irritating pain.
I feel not all medical professionals look at it that way from a mechanical point of view.
I had one totally torn L5S1, the nucleus came out and rammed my left nerve root there, giving me insane suicidal pain. But my 2 discs above that were totally dehydrated and building too.
I wanted one good treatment, not come back later for more surgery.
So i had all 3 replaced and after 3 years i definitely don't regret that.
I've got a good strong back now.
Those things simply work good.
But don't pick ANY disc!! Get super informed about the different mechanics!
Ball socket discs are good for hip joints, but NOT for the spine if you want to axially rotate your spine without damaging your facet joints!
Não tenho dinheiro
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