A female patient age 82 yrs. Suffering from PLID. Shown
by MRI report. compression on Neural roots by Intervertebral
Disc Prolapses. Suggested by Neuro Surgeons and Orthopedics
Surgeon need Laminectomy of that patient to remove Neural
compressions. But patient unfit for General Anesthesia due to her
Cardiac and Nephrological problems, came to me for remedy of
that disease by alternative options.
Common problems due to Disc Prolapses and herniation.
Many patients suffer with back pain, legs pain or weakness of the
lower extremities of muscle are diagnosed with a herniated disc.
Some patients come to physicians for treatment of pain at both
legs and backache with weakness. Some doctors diagnose for
Lumbago Sciatica and some of them for PLID (Figure 1).
Accordingly, patients are treated with Physiotherapy and
Medicine at the primary stage. Due to application of pain killer
Medicines, patients feel pain free at some extent, but it is revived
again when medicine and physiotherapy are stopped. Gradually
the case converted into Paraplegia. Most of neuro surgeons and
orthopedics advised to the patients for Laminectomy to relief the
instant pain (Figure 2).
In between each of the 5 lumbar vertebrae is a disc, a tough
fibrous shock absorbing pad. Endplates line the ends of each
vertebrae and help hold each individual disc in place (Figure 3).
Each disc contains a type like outer band (called the annulus
fibrous) that encases a gel like substance (called the nucleus
pulposus) (Figure 4). When a disc herniation occurs, the cushion
that sits between the spinal vertebrae is pushed outside its normal
position (Figure 5).
A herniated disc would not be a problem if it weren’t for the
spinal nerves that are very close to the edge of these spinal discs.
Disc prolapses, or displacement mainly observed at the vertebra
at the lumbar region. It occurs due to degenerative changes of
bones at the old stage (Figure 6). Also, it may occur due to change
of normal stage of cartilage for shortage of fluids or increase of
protein in bone cells (Figure 7). As a result, then patients search
for specialized doctors for correct diagnosis and after examination
with Myllogram or MRI it ascertained that the cases are of Disc
Prolapses and Herniation problems.
When the herniated disc ruptures and pushes out, the nerves
may become pinched. A herniated disc may occur suddenly in an
event such as a fall or an accident or may occur gradually with
repetitive straining of the spine.
b. Spinal stenosis
Often people who experience a herniated disc already have
spinal stenosis, a problem that causes narrowing of the space
around the spinal cord and spinal nerves. When a herniated
disc occurs, the space for the nerves is further diminished, and
irritation of the nerve results.
Laminectomy: If any bone and ligament is removed, then
proper care to be taken for protection of the spinal nerves.
When the disc herniation is found, the herniated disc fragment
is removed. Depending on the appearance and the condition of
the remaining discs. More disc fragments may be removed in the
event of avoiding another fragment of disc from herniation in
future. Once the disc has been cleaned out from the area around
the nerves, the incision is closed, and bandage is applied.
Endoscopic Microdiscectomy: Recent techniques may
allow a surgeon to perform a procedure called an endoscopic
discectomy. In an endoscopic discectomy a surgeon uses special
instruments and a camera to remove the herniated disc through
very small incisions. Endoscopic Microdiscectomy is a procedure
that accomplishes the same goal as a traditional open discectomy,
to removing the herniated disc, but uses a smaller incision. Instead
of actually looking at the herniated disc fragment and removing it,
a surgeon uses a small camera to find the fragment and special
instruments to remove it.
Laminectomy: Due to this type of surgery patients are lost
muscle power, strengthen less of regional muscles and ligaments.
It causes herniation again due to lack of normal functions of local
herniated substances. Because, Local cells and tissues have the
tendencies to return back to its original functions.
Acupuncture Acts: But, in case of procedures done by
acupuncture needling, the affected cells naturally regain the power
to act by increased cell metabolic agents to normal functions. As
a result, it is caused to reduce inflammation by producing of new
Ultra sound Diathermy acts to reduce local inflammation
and normalize the degeneration due to change of bone. Electro Acupuncture does the vital role for the cases of PLID. Acupuncture
relaxes the superficial and deep muscles by the electrical deep
stimulation through neural path way which helps pulling of
local discs during traction, which may not be possible otherwise.
Similarly, it strengthens weak muscles after traction therapies,
for which, the discs dose not placed again due to strengthening
of local muscles.
Uses of Helpful Medicine during treatment offers muscle
treatment, controls over muscle spasm of suffering areas.
Also, vitamins supply nutrition to neural gate to receive proper
acupuncture stimulation for the muscles, ligaments and nerves.
Such a result would not be obtained from individual use of
other treatments like Electro physiotherapy or Traction except
Integrated medicine is the combination of Acupuncture
Physiotherapy and Medicine. To get the successful result for disc
prolapse and herniation, the integrated system of medicine is
more better then Laminectomy or Micro Surgeries. Treatment
under integrated system also includes Electro physiotherapy,
Acupuncture and medicine.
Integrated Medicine: It is observed that, combined use
of Electro physiotherapy i.e Microwave diathermy, Ultrasound
Diathermy, Digital automatic Traction, Electro acupuncture etc
and Medicines, such as, muscle relaxant, vitamin- B1, B6 and B12,
Vitamin E are highly fruitful in that cases.
Information of Benefits
The process of Integrated System of treatment is dealt with
around 774 patients of PLID comparing the previous and post
treatment MRI films during the period of January 08 to December
11 and observed the result of success is almost 82.08%.
Video 23 days of treatment and patient has complete recovery.