COLUMN AND SLIPPED DISC

The differential in CTIDor is that, right after the appointment, we perform an accurate diagnosis of pain level. Then we work on the X-ray image block guided in the responsible target for the pain, then in the exactly spilled disc or facet, the injection is made. With this, we relieve urgent pain and following the correct treatment, the patient can return to his normal life.

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DIAGNOSIS AND TREATMENTS

Spinal spilled disc

A spinal spilled disc is the migration of the nucleus
with pinching and inflammation of the nerve root
closest to the disc, causing terrible pain at the level of the spine where the disc is located. The three types:


1- Cervical spilled disc causes pain in the spine, going to the arm and sometimes even the hand


2- Dorsal spilled disc is also one more responsible for causing back pain.

3- Lumbar spilled disc causes pain in the lower back and buttock going to the legs and sometimes  even to the foot. This is called sciatica.

The best treatments are: transforaminal and epidural block at the disc level, guided by X-ray image. Thus, immediate pain relief brings well-being to the patient. In cases where this does not resolve definitively, we must do the treatment with radiofrequency nucleoplasty, percutaneous discectomy or intradiscal ozone infiltration.

Treatments:

1: Cervical, dorsal or lumbar transforaminal block


2: Nucleoplasty with cervical, dorsal or lumbar radiofrequency


3: Disc-FX percutaneous discectomy


4: Dorsal root ganglion ablation


5: Interlaminar epidural block


6: Automated percutaneous discectomy


7: Intradiscal ozone infiltration


8: Percutaneous laser disc decompression - PLDD


9: Endoscopic discectomy

Neck pain and cervicobrachialgia

(pain from neck to the arm)

Cervical spine pain, neck pain and nape pain can be very strong and persistent.  When the pain comes from the neck to the arm, it's called cervicobrachialgia. This type of pain must be treated immediately. The solution is to do an invasive pain block procedure.

 

The best are: Cervical facet nerve block, transforaminal block or epidural block guided by X-ray image at the level that causes the pain, with a great result. Thus, immediate pain relief brings well-being back to the patient. In cases where this does not resolve, we have to do the rhizotomy treatment with radiofrequency or nucleoplasty.

Treatments:

1: Cervical facet block


2: Cervical transforaminal block


3: Radiofrequency rhizotomy


4: Cervical Nucleoplasty with radiofrequency


5: Cervical epidural block


6: Percutaneous disc decompression


7: Intradiscal ozone infiltration

Back pain 

In dorsal spine pain, it radiates to the
chest, when it is very strong and persistent,
is called crippling back pain, having to be
treated immediately. Some patients
improve with medication, so we have to do
Invasive procedures to block pain.

The best ones are facet block and block
transforaminal, guided by X-ray image,
so immediate pain relief brings well-being to
patient. In cases where this does not resolve

definitely, we have to do the treatment with radiofrequency rhizotomy or nucleoplasty
dorsal.

Treatments:

1: Dorsal facet block


2: Dorsal transforaminal blocks


3: Dorsal epidural block


4: Blockade of the dorsal sympathetic chain


5: Stellate ganglion block


6: Facet denervation


7: Radiofrequency rhizotomy


8: Dorsal root ganglion ablation


9: Dorsal Nucleoplasty with radiofrequency


10: Percutaneous disc decompression


11: Intradiscal ozone infiltration

Low back pain (pain in the lower

back and buttocks)

Pain in the lumbar spine and buttocks, when it is very strong and persistent, it's called low back pain
disabling. In this case we have to be treated immediately, some patients do not get better with the medication, the solution is to do the invasive pain block procedure.

 

The best are: Lumbar facet nerve block guided by X-ray image at the level that causes the pain, with a great result. Thus, immediate pain relief brings well-being to the patient. In cases where this does not resolve, we must treat the rhizotomy with radiofrequency, percutaneous discectomy or ozone infiltration.

Treatments:

1: Lumbar facet block


2: Radiofrequency rhizotomy


3: Epidural lumbar block


4: Lumbar transforaminal blocks


5: Infiltration of the sacroiliac joint


6: Lumbar facet denervation


7: Denervation of sacroiliac


8: Radio frequency anuloplasty


9: Percutaneous disc decompression


10: Intradiscal ozone infiltration


11: Epidural infiltration of ozone

Lower back pain going to the

buttocks and legs

The pain in the lumbar spine that goes to the leg and foot,
called radiated or sciatica pain. When it's too
strong and persistent, it's called lumbociatalgia
disabling, having to be treated immediately. So we have to do invasive procedures to immediately block the pain. The best are transforaminal and epidural blocks, guided by X-ray images, so immediate pain relief brings well-being to the patient. In cases where this does not resolve definitively, then we must undergo treatment with percutaneous discectomy, radiofrequency nucleoplasty or intradiscal ozone infiltration.

Treatments:

1: Lumbar transforaminal blocks


2: Nucleoplasty with radiofrequency


3: Disc-FX percutaneous discectomy


4: Dorsal root ganglion ablation


5: Interlaminar epidural block


6: Automated percutaneous discectomy


7: Intradiscal ozone infiltration


8: Percutaneous laser disc decompression - PLDD


9: Endoscopic discectomy

Pain after spine surgery, sacroiliac pain,

coccyx and pain from vertebral fracture

When pain after spinal surgery radiates to other limbs, severe and persistent pains, known as post-laminectomy syndrome, can accentuate. In that case we have to be treated immediately, so we have to do invasive procedures to block the pain right away.

The best are: Epidural block or facet block guided by X-ray image, so immediate pain relief brings well-being back to the patient. In cases where the pain persists, we have to do the treatment with epiduroscopy or electrostimulator implant, as appropriate. Pain in the coccyx can be treated with infiltrations, and pain caused by a fracture of the vertebral body must be treated urgently with injection of cement into the vertebra: vertebroplasty or kyphoplasty.

Treatments:

1: Interlaminar epidural block


2: Epiduroscopy via sacral foramen


3: Spinal electrostimulator implant


4: Infiltration of sacroiliac


5: Odd ganglion block


6: Vertebroplasty and kyphoplasty


7: Facet lock


8: Radiofrequency rhizotomy


9: Intrathecal morphine pump implant


10: Odd ganglion block