Foraminotomy Introduction The Spine and Spinal Stenosis Last reviewed: 10/16/2015

Size: px
Start display at page:

Download "Foraminotomy Introduction The Spine and Spinal Stenosis Last reviewed: 10/16/2015"

Transcription

1 Foraminotomy Introduction Your spine, or backbone, protects your spinal cord and allows you to stand and bend. Spinal stenosis causes narrowing in your spine. This puts pressure on your nerves and spinal cord and can cause pain. Your health care provider may recommend surgery to treat spinal stenosis. One type of surgery that can help is a foraminotomy. A foraminotomy creates a larger space in your back for the nerves by opening the narrowed part of the spine. If your health care provider recommends surgical treatment for your condition, the decision whether or not to have surgery is also yours. This reference summary will help you understand the benefits and risks of foraminotomy. It discusses spinal stenosis and its alternative treatments, and the benefits and risks of foraminotomy. The reference summary also discusses what to expect after the procedure. The Spine and Spinal Stenosis The spine protects the spinal cord and the nerves that go from the brain to different parts of the body. The spine is formed of solid vertebrae. The vertebrae are separated by softer disks. There are 33 vertebrae in the spine. Nerves passing through the spinal canal leave the spine through windows called foramina. If the nerves get compressed, this causes pain, tingling and numbness in the parts of the body that are controlled by the nerves, such as legs or arms. Disks Vertebra Foramina 1

2 Sometimes the nerves get compressed because of narrowing of the openings they go through. This is known as spinal stenosis. The narrowing, or spinal stenosis, could happen inside the spinal canal. In this case it is called central stenosis. The narrowing of the passages through which nerves pass can also happen in the foramina, the windows through which nerves leave the vertebrae of the spine. This is known as foraminal stenosis. Most cases of spinal stenosis include a combination of central and foraminal stenosis. Causes Changes that happen in the spine as people get older are the most common cause of spinal stenosis. As people get older: Bones and joints may get bigger. The tissues that support the spine may get thick and hard. Bone Spurs Bone spurs may also develop. This is when the vertebrae grow more bone, usually around disks. Arthritis can cause spinal stenosis. Two forms of arthritis may affect the spine: osteoarthritis and rheumatoid arthritis. Osteoarthritis is the most common form of arthritis. It most often happens in middleaged people. It wears away cartilage and may cause bone spurs and problems with joints. Rheumatoid arthritis affects most people at a younger age than osteoarthritis. It can cause joints to swell and can affect internal organs. It is not a common cause of spinal stenosis. Some people are born with conditions that cause spinal stenosis. For instance, some people are born with a small spinal canal. Others are born with a curved spine. Other causes of spinal stenosis are: Calcium deposits on the ligaments that run along the spine. Injuries. Paget's disease, which is a disease that affects the bones. Too much fluoride in the body. Tumors of the spine. 2

3 Symptoms There may be no symptoms of spinal stenosis, or symptoms may appear slowly and get worse over time. In addition, symptoms depend on which part of the spine has the spinal stenosis. Signs of spinal stenosis include: Loss of bladder and bowel control. Numbness, weakness, cramping or pain in the arms or legs. Pain going down the arms or legs. Other signs of spinal stenosis include: Pain in the neck or back. Sexual dysfunction. Weakness of the arms or legs. One serious type of spinal stenosis is called cauda equina syndrome. This happens when there is pressure on nerves in the lower back. Symptoms of cauda equina syndrome may include: Loss of control of the bladder or bowel. Pain, weakness, or loss of feeling in one or both legs. Problems having sex. If you have symptoms of cauda equina syndrome, you should call your health care provider right away. Diagnosis To diagnose spinal stenosis, your health care provider will ask about your medical history and do a physical exam. Your health care provider may also order x-rays. An MRI may be done. MRI stands for magnetic resonance imaging. It is a test that uses a big magnet and radio waves to look at your spine. Your health care provider may order a CT scan. A CT scan is a series of x-rays that give your health care provider a detailed image of your spine. Your health care provider may order a test in which liquid dye is injected into your spinal column and x-ray pictures are taken. This is called a myelogram. 3

4 Alternative Treatments Health care providers always try non-surgical treatments to treat spinal stenosis. When non-surgical treatments fail, surgical ones may be recommended. Examples of non-surgical treatments include: Limiting your activity. Use of a brace to support your back. Physical therapy may also relieve the symptoms of spinal stenosis. Medications can be helpful in decreasing any swelling and inflammation that may be the cause of the nerve compression. Special medications can be injected directly around a specific nerve in the spine to alleviate the pain. When all else fails, your health care provider may recommend surgery known as foraminotomy. The Procedure The operation is known as foraminotomy. It is usually done under general anesthesia. This means you will be asleep during the operation. The procedure usually takes about an hour. Depending on your condition and the surgeon s preference, the operation may either be done in a minimally invasive way or as an open surgery. In the minimally invasive procedure, the surgeon makes a small incision in the skin near the midline of the back. Usually one incision is needed. But if there are many areas to be taken care of, then your surgeon may make more than one incision. Laparoscopic Operation Open Operation A special tube is inserted through the incision all the way to the spine. The surgeon operates through this tube using a surgical microscope. This is called minimally invasive surgery because it has smaller incisions than open surgery. This results in less injury to the muscles and a faster recovery time. 4

5 Once the tube is inserted, the surgeon starts shaving down the bone around the nerves to create more room. The disks are also inspected. Any loose pieces of disk inside the disk space are removed. Sometimes a spinal fusion may also be done. A spinal fusion is surgery that joins, or fuses together, two or more bones in the spine. This can help make the spine more stable after a foraminotomy. Your surgeon may decide during a minimally invasive surgery that it is safer to perform the foraminotomy using open surgery, which requires larger incisions. This is more likely to happen with patients who had previous spine surgery. Your health care provider will tell you how long you are likely to stay in a health care facility. This depends on several factors, such as your age and medical condition. Depending on how well you do, you may go home the day after surgery or within 2 to 3 days. Risks and Complications This operation is safe. But there are several possible risks and complications. These are unlikely. But they are possible. You need to know about them just in case they happen. By being informed you may be able to help your health care provider detect complications early. The risks and complications include those related to anesthesia and those related to any type of surgery. Risks of general anesthesia include: Cut lips and chipped teeth. Headache. Nausea or vomiting. Problems urinating. Sore throat. More serious risks of general anesthesia include: Heart attacks. Lung infections. Strokes. 5

6 Your anesthesiologist will discuss these risks with you and ask if you are allergic to certain medications. Blood clots in the legs can happen due to inactivity during and after the surgery. These usually show up a few days after surgery. They cause the leg to swell and hurt. Blood clots can become dislodged from the leg and go to the lungs where they can cause shortness of breath, chest pain and possibly death. It is extremely important to let your health care provider know if any of these symptoms happen. Sometimes the shortness of breath can happen without warning. Getting out of bed shortly after surgery may help decrease the risk of blood clots in the legs. Some of the risks are seen in any type of surgery. These include: Infection, deep in the disk space, or at the skin level. Bleeding. Skin scars that may be painful or ugly. Other risks and complications are related specifically to this surgery. These are rare. But it is important to know about them. Fluid may leak from around the nerves. This may require another surgery to fix it. If a disk is found to be herniated and is taken out, there is a small chance that the blood vessels may be injured in front of the spine. This may result in bleeding that could be life-threatening. The bowels could also be injured in front of the spine. The nerves themselves could be injured, causing possible: Bowel or bladder problems. Decreased sensation. Paralysis. Weakness. Sexual dysfunction may happen in rare cases. This can be temporary or permanent. A disk could reherniate and scar tissue could form. There is also the possibility that the operation may not decrease pain or improve other symptoms. Rarely, it may even make them worse. 6

7 After the Surgery No repetitive bending, twisting or heavy lifting is allowed in the few weeks following the operation. If you also have a spinal fusion, you may have limited activity for a longer period of time. After this period of relative rest, physical therapy may be needed to allow you to resume your previous activities. During physical therapy, a health care provider will help you exercise your weakened muscles and give you exercises to do at home to strengthen the muscles. Whether or not you will be able to resume all previous activities depends on how well you are doing at the time of your follow-up. Your health care provider will tell you how long it will take before your back is healed and when you can go back to work. This depends on your age, type of work and medical condition, as well as other factors. Summary Your spine, or backbone, protects your spinal cord and allows you to stand and bend. Spinal stenosis causes narrowing in your spine. This puts pressure on your nerves and spinal cord and can cause pain. Your health care provider may recommend surgery to treat spinal stenosis. One type of surgery that can help is a foraminotomy. A foraminotomy creates a larger space in your back for the nerves by opening the narrowed part of the spine. Health care providers always try non-surgical treatments to treat spinal stenosis. When non-surgical treatments fail, surgical ones may be recommended. Depending on your condition and the surgeon s preference, the operation may either be done in a minimally invasive way or as an open surgery. In a foraminotomy, the surgeon makes a small incision in the skin near the midline of the back. Usually one incision is needed. But if there are many areas to be taken care of, then your surgeon may make more than one incision. 7

8 A special tube is inserted through the incision all the way to the spine. The surgeon operates through this tube using a surgical microscope. This is called minimally invasive surgery because it has smaller incisions than open surgery. This results in less injury to the muscles and a faster recovery time. Once the tube is inserted, the surgeon starts shaving down the bone around the nerves to create more room. The disks are also inspected. Any loose pieces of disk inside the disk space are also removed. Your surgeon may decide during a minimally invasive surgery that it is safer to perform the foraminotomy using open surgery, which requires larger incisions. This is more likely to happen with patients who had previous spine surgery. This operation is safe with excellent results. But complications may happen. Knowing about them may help you detect them early if they happen. 8

Lumbar Laminectomy and Interspinous Process Fusion

Lumbar Laminectomy and Interspinous Process Fusion Lumbar Laminectomy and Interspinous Process Fusion Introduction Low back and leg pain caused by pinched nerves in the back is a common condition that limits your ability to move, walk, and work. This condition

More information

Incisional, Ventral Hernia Repair

Incisional, Ventral Hernia Repair Incisional, Ventral Hernia Repair Introduction Hernias are common conditions that affect men and women of all ages. Your doctor may have recommended a hernia operation. The decision whether or not to have

More information

Endoscopic Plantar Fasciotomy

Endoscopic Plantar Fasciotomy Endoscopic Plantar Fasciotomy Introduction Plantar fasciitis is a common condition that causes pain centralized around the heel. It may be severe enough to affect regular activities. Health care providers

More information

X-Plain Abdominal Aortic Aneurysm Vascular Surgery Reference Summary

X-Plain Abdominal Aortic Aneurysm Vascular Surgery Reference Summary X-Plain Abdominal Aortic Aneurysm Vascular Surgery Reference Summary Ballooning of the aorta, also known as an "abdominal aortic aneurysm," can lead to life threatening bleeding. Doctors may recommend

More information

AV Fistula for Dialysis

AV Fistula for Dialysis AV Fistula for Dialysis Introduction Before starting regular hemodialysis sessions, you must first prepare a vascular access. A vascular access is the site on your body where blood is removed and returned

More information

X-Plain Inguinal Hernia Repair Reference Summary

X-Plain Inguinal Hernia Repair Reference Summary X-Plain Inguinal Hernia Repair Reference Summary Introduction Hernias are common conditions that affect men and women of all ages. Your doctor may recommend a hernia operation. The decision whether or

More information

Herniated Disk. This reference summary explains herniated disks. It discusses symptoms and causes of the condition, as well as treatment options.

Herniated Disk. This reference summary explains herniated disks. It discusses symptoms and causes of the condition, as well as treatment options. Herniated Disk Introduction Your backbone, or spine, has 24 moveable vertebrae made of bone. Between the bones are soft disks filled with a jelly-like substance. These disks cushion the vertebrae and keep

More information

Breast Lumpectomy and Sentinel Lymph Node Biopsy

Breast Lumpectomy and Sentinel Lymph Node Biopsy Breast Lumpectomy and Sentinel Lymph Node Biopsy Introduction Breast cancer is a common condition that affects millions of women every year. It usually shows up as a lump that can be felt and/or seen on

More information

Spine University s Guide to Cauda Equina Syndrome

Spine University s Guide to Cauda Equina Syndrome Spine University s Guide to Cauda Equina Syndrome 2 Introduction Your spine is a very complicated part of your body. It s made up of the bones (vertebrae) that keep it aligned, nerves that channel down

More information

.org. Herniated Disk in the Lower Back. Anatomy. Description

.org. Herniated Disk in the Lower Back. Anatomy. Description Herniated Disk in the Lower Back Page ( 1 ) Sometimes called a slipped or ruptured disk, a herniated disk most often occurs in your lower back. It is one of the most common causes of low back pain, as

More information

X-Plain Hip Replacement Surgery - Preventing Post Op Complications Reference Summary

X-Plain Hip Replacement Surgery - Preventing Post Op Complications Reference Summary X-Plain Hip Replacement Surgery - Preventing Post Op Complications Reference Summary Introduction Severe arthritis in the hip can lead to severe pain and inability to walk. To relieve the pain and improve

More information

Plantar Fascia Release

Plantar Fascia Release Plantar Fascia Release Introduction Plantar fasciitis is a common condition that causes pain around the heel. It may be severe enough to affect regular activities. If other treatments are unsuccessful,

More information

X-Plain Trigeminal Neuralgia Reference Summary

X-Plain Trigeminal Neuralgia Reference Summary X-Plain Trigeminal Neuralgia Reference Summary Introduction Trigeminal neuralgia is a condition that affects about 40,000 patients in the US every year. Its treatment mostly involves the usage of oral

More information

Patient Information. Lumbar Spine Segmental Decompression. Royal Devon and Exeter NHS Foundation Trust

Patient Information. Lumbar Spine Segmental Decompression. Royal Devon and Exeter NHS Foundation Trust Lumbar Spine Segmental Decompression Royal Devon and Exeter NHS Foundation Trust Patient Information Lumbar Spine Segmental Decompression Reference Number: TO 05 004 004 (version date: June 2015) Introduction

More information

Posterior Cervical Decompression

Posterior Cervical Decompression Posterior Cervical Decompression Spinal Unit Tel: 01473 702032 or 702097 Issue 2: January 2009 Following your recent MRI scan and consultation with your spinal surgeon, you have been diagnosed with a

More information

Posterior Lumbar Decompression for Spinal Stenosis

Posterior Lumbar Decompression for Spinal Stenosis Posterior Lumbar Decompression for Spinal Stenosis Issue 6: March 2016 Review date: February 2019 Following your recent MRI scan and consultation with your spinal surgeon you have been diagnosed with

More information

Lumbar Spinal Stenosis

Lumbar Spinal Stenosis Nader M. Hebela, MD Fellow of the American Academy of Orthopaedic Surgeons http://orthodoc.aaos.org/hebela Cleveland Clinic Abu Dhabi Cleveland Clinic Abu Dhabi Neurological Institute Al Maryah Island

More information

Lumbar Spinal Stenosis

Lumbar Spinal Stenosis Copyright 2009 American Academy of Orthopaedic Surgeons Lumbar Spinal Stenosis Almost everyone will experience low back pain at some point in their lives. A common cause of low back pain is lumbar spinal

More information

Ureteroscopy with Laser Lithotripsy

Ureteroscopy with Laser Lithotripsy Ureteroscopy with Laser Lithotripsy Introduction Kidney stones are fairly common. Although kidney stones can be very painful, they are treatable, and in many cases preventable. Your doctor may recommend

More information

Consent for Lumbar Spine Discectomy Surgery at

Consent for Lumbar Spine Discectomy Surgery at STEPHEN MARANO, M.D. JAMES COOK PA-C Consent for Lumbar Spine Discectomy Surgery at Patient Name: Patient Diagnosis: o Lumbar Disc Herniation (rupture of the disc) o Lumbar Degenerative Disc Disease (wear

More information

Open Discectomy. North American Spine Society Public Education Series

Open Discectomy. North American Spine Society Public Education Series Open Discectomy North American Spine Society Public Education Series What Is Open Discectomy? Open discectomy is the most common surgical treatment for ruptured or herniated discs of the lumbar spine.

More information

Neck Injuries and Disorders

Neck Injuries and Disorders Neck Injuries and Disorders Introduction Any part of your neck can be affected by neck problems. These affect the muscles, bones, joints, tendons, ligaments or nerves in the neck. There are many common

More information

Surgery for cervical disc prolapse or cervical osteophyte

Surgery for cervical disc prolapse or cervical osteophyte Mr Paul S. D Urso MBBS(Hons), PhD, FRACS Neurosurgeon Provider Nº: 081161DY Epworth Centre Suite 6.1 32 Erin Street Richmond 3121 Tel: 03 9421 5844 Fax: 03 9421 4186 AH: 03 9483 4040 email: paul@pauldurso.com

More information

Posterior Lumbar Decompression for Spinal Stenosis

Posterior Lumbar Decompression for Spinal Stenosis Posterior Lumbar Decompression for Spinal Stenosis Spinal Unit Tel: 01473 702032 or 702097 Issue 5: August 2014 Review date: July 2017 Following your recent MRI scan and consultation with your spinal surgeon

More information

Patient Information. Posterior Cervical Surgery. Here to help. Respond Deliver & Enable

Patient Information. Posterior Cervical Surgery. Here to help. Respond Deliver & Enable Here to help Our Health Information Centre (HIC) provides advice and information on a wide range of health-related topics. We also offer: Services for people with disabilities. Information in large print,

More information

SPINAL STENOSIS Information for Patients WHAT IS SPINAL STENOSIS?

SPINAL STENOSIS Information for Patients WHAT IS SPINAL STENOSIS? SPINAL STENOSIS Information for Patients WHAT IS SPINAL STENOSIS? The spinal canal is best imagined as a bony tube through which nerve fibres pass. The tube is interrupted between each pair of adjacent

More information

Anterior Cervical Discectomy

Anterior Cervical Discectomy Anterior Cervical Discectomy Spinal Unit Tel: 01473 702032 or 702097 Issue 2: January 2009 Page 2 Following your recent MRI scan and consultation with your spinal surgeon, you have been diagnosed with

More information

Fractures of the Thoracic and Lumbar Spine

Fractures of the Thoracic and Lumbar Spine Copyright 2010 American Academy of Orthopaedic Surgeons A spinal fracture is a serious injury. Fractures of the Thoracic and Lumbar Spine The most common fractures of the spine occur in the thoracic (midback)

More information

.org. Fractures of the Thoracic and Lumbar Spine. Cause. Description

.org. Fractures of the Thoracic and Lumbar Spine. Cause. Description Fractures of the Thoracic and Lumbar Spine Page ( 1 ) Spinal fractures can vary widely in severity. While some fractures are very serious injuries that require emergency treatment, other fractures can

More information

Herniated Disk in the Lower Back

Herniated Disk in the Lower Back Nader M. Hebela, MD Fellow of the American Academy of Orthopaedic Surgeons http://orthodoc.aaos.org/hebela Cleveland Clinic Abu Dhabi Cleveland Clinic Abu Dhabi Neurological Institute Al Maryah Island

More information

Temple Physical Therapy

Temple Physical Therapy Temple Physical Therapy A General Overview of Common Neck Injuries For current information on Temple Physical Therapy related news and for a healthy and safe return to work, sport and recreation Like Us

More information

Orthopaedic Spine Center. Anterior Cervical Discectomy and Fusion (ACDF) Normal Discs

Orthopaedic Spine Center. Anterior Cervical Discectomy and Fusion (ACDF) Normal Discs Orthopaedic Spine Center Graham Calvert MD James Woodall MD PhD Anterior Cervical Discectomy and Fusion (ACDF) Normal Discs The cervical spine consists of the bony vertebrae, discs, nerves and other structures.

More information

BRYAN. Cervical Disc System. Patient Information

BRYAN. Cervical Disc System. Patient Information BRYAN Cervical Disc System Patient Information 3 BRYAN Cervical Disc System PATIENT INFORMATION BRYAN Cervical Disc System PATIENT INFORMATION 1 BRYAN Cervical Disc System This patient information brochure

More information

Patient Information. Anterior Cervical Surgery. Here to help. Respond Deliver & Enable

Patient Information. Anterior Cervical Surgery. Here to help. Respond Deliver & Enable Here to help Our Health Information Centre (HIC) provides advice and information on a wide range of health-related topics. We also offer: Services for people with disabilities. Information in large print,

More information

Spinal Fusion. Royal Devon and Exeter NHS Foundation Trust. Patient Information. Spinal Fusion. Respond Deliver & Enable

Spinal Fusion. Royal Devon and Exeter NHS Foundation Trust. Patient Information. Spinal Fusion. Respond Deliver & Enable Spinal Fusion Royal Devon and Exeter NHS Foundation Trust Patient Information Spinal Fusion Respond Deliver & Enable Introduction You have been scheduled for a procedure known as a lumbar spinal fusion.

More information

Low Back Pain Introduction What Are the Parts of the Spine? How Does Your Spine Change With Age?

Low Back Pain Introduction What Are the Parts of the Spine? How Does Your Spine Change With Age? Low Back Pain Introduction Back problems are common, affecting about 80 percent of adults at some time in their lives. Back problems may begin for many reasons including minor strains, sprains or injuries.

More information

Consent for Lumbar Spine Surgery and Fusion at

Consent for Lumbar Spine Surgery and Fusion at STEPHEN MARANO, M.D. JAMES COOK PA-C Consent for Lumbar Spine Surgery and Fusion at Patient Name: Patient Diagnosis: Lumbar Spinal Stenosis (Narrowing of the canal where the spinal cord and nerves are

More information

X-Plain Sinus Surgery Reference Summary

X-Plain Sinus Surgery Reference Summary X-Plain Sinus Surgery Reference Summary Introduction Sinus surgery is a very common and safe operation. Your doctor may recommend that you have sinus surgery. The decision whether or not to have sinus

More information

Herniated Lumbar Disc

Herniated Lumbar Disc Herniated Lumbar Disc North American Spine Society Public Education Series What Is a Herniated Disc? The spine is made up of a series of connected bones called vertebrae. The disc is a combination of strong

More information

Sciatica Yuliya Mutsa PTA 236

Sciatica Yuliya Mutsa PTA 236 Sciatica Yuliya Mutsa PTA 236 Sciatica is a common type of pain affecting the sciatic nerve, which extends from the lower back all the way through the back of the thigh and down through the leg. Depending

More information

.org. Cervical Spondylosis (Arthritis of the Neck) Anatomy. Cause

.org. Cervical Spondylosis (Arthritis of the Neck) Anatomy. Cause Cervical Spondylosis (Arthritis of the Neck) Page ( 1 ) Neck pain can be caused by many things but is most often related to getting older. Like the rest of the body, the disks and joints in the neck (cervical

More information

Consent for Anterior Cervical Discectomy With Fusion and a Metal Plate at

Consent for Anterior Cervical Discectomy With Fusion and a Metal Plate at STEPHEN MARANO, M.D. JAMES COOK PA-C Consent for Anterior Cervical Discectomy With Fusion and a Metal Plate at Patient Name: Patient Diagnosis: Cervical Degenerative Disc Disease (wear and tear on the

More information

Low Back Spinal Surgery. Relieving Symptoms with Decompression and Fusion

Low Back Spinal Surgery. Relieving Symptoms with Decompression and Fusion Low Back Spinal Surgery Relieving Symptoms with Decompression and Fusion Low Back Problems If you have a low back problem, you re not alone. Low back problems are very common. Some are caused by aging

More information

Liposuction. Introduction Liposuction is a surgical procedure to remove fat deposits from under the skin in order to shape the body.

Liposuction. Introduction Liposuction is a surgical procedure to remove fat deposits from under the skin in order to shape the body. Liposuction Introduction Liposuction is a surgical procedure to remove fat deposits from under the skin in order to shape the body. You may be considering having liposuction. The decision to have liposuction

More information

Anterior Cervical Discectomy and Fusion

Anterior Cervical Discectomy and Fusion A Patient s Guide to Anterior Cervical Discectomy and Fusion 651 Old Country Road Plainview, NY 11803 Phone: 5166818822 Fax: 5166813332 p.lettieri@aol.com DISCLAIMER: The information in this booklet is

More information

Anterior cervical discectomy for spinal cord compression. Information for patients Neurosurgery

Anterior cervical discectomy for spinal cord compression. Information for patients Neurosurgery Anterior cervical discectomy for spinal cord compression Information for patients Neurosurgery What is a compression of the spinal cord and how has it been caused? The bones in our back are called vertebrae

More information

Intracranial Hemorrhage

Intracranial Hemorrhage BACKGROUND Intracranial hemorrhage, a type of stroke, is bleeding in the brain from a broken blood vessel. It represents 10-20% of all strokes, effects over 45,000 Americans per year and has a 2/3 mortality

More information

Does the pain radiating down your legs, buttocks or lower back prevent you from walking long distances?

Does the pain radiating down your legs, buttocks or lower back prevent you from walking long distances? Does the pain radiating down your legs, buttocks or lower back prevent you from walking long distances? Do you experience weakness, tingling, numbness, stiffness, or cramping in your legs, buttocks or

More information

Herniated Cervical Disc

Herniated Cervical Disc Herniated Cervical Disc North American Spine Society Public Education Series What Is a Herniated Disc? The backbone, or spine, is composed of a series of connected bones called vertebrae. The vertebrae

More information

Shoulder Replacement Arthroplasty to repair your shoulder

Shoulder Replacement Arthroplasty to repair your shoulder Patient Education Shoulder Replacement Arthroplasty to repair your shoulder When you have arthritis in your shoulder, moving your shoulder becomes painful. You may have trouble with tasks such as lifting

More information

Cervical Spondylosis (Arthritis of the Neck)

Cervical Spondylosis (Arthritis of the Neck) Copyright 2009 American Academy of Orthopaedic Surgeons Cervical Spondylosis (Arthritis of the Neck) Neck pain is extremely common. It can be caused by many things, and is most often related to getting

More information

Treatment Concepts for Degenerative Spinal Diseases PARADIGM SPINE

Treatment Concepts for Degenerative Spinal Diseases PARADIGM SPINE Treatment Concepts for Degenerative Spinal Diseases PARADIGM SPINE What You Need To Know About Your Spine It is important to understand the role of the spine, the changes that occur in your spine as your

More information

X-Plain Heart Valve Replacement Reference Summary

X-Plain Heart Valve Replacement Reference Summary X-Plain Heart Valve Replacement Reference Summary Introduction Sometimes people have serious problems with their heart valves. A heart valve repair or replacement surgery restores or replaces a defective

More information

Lumbar Nerve Root Decompression for Foraminal Stenosis

Lumbar Nerve Root Decompression for Foraminal Stenosis Lumbar Nerve Root Decompression for Foraminal Stenosis Issue 5: March 2016 Review date: February 2019 Following your recent MRI scan and consultation with your spinal surgeon, you have been diagnosed as

More information

.org. Cervical Radiculopathy (Pinched Nerve) Anatomy. Cause

.org. Cervical Radiculopathy (Pinched Nerve) Anatomy. Cause Cervical Radiculopathy (Pinched Nerve) Page ( 1 ) Cervical radiculopathy, commonly called a pinched nerve occurs when a nerve in the neck is compressed or irritated where it branches away from the spinal

More information

Hydrothermal Endometrial Ablation

Hydrothermal Endometrial Ablation Hydrothermal Endometrial Ablation Introduction A hydrothermal endometrial ablation also known as HTA is a procedure that allows doctors to destroy the inner lining of the uterus. It is one way to treat

More information

Carpal Tunnel Release

Carpal Tunnel Release Carpal Tunnel Release Carpal tunnel syndrome is a condition in the hand and wrist caused by excessive pressure on the median nerve in the wrist. Compression of the nerve typically causes numbness and tingling

More information

SPINE ANATOMY AND PROCEDURES. Tulsa Spine & Specialty Hospital 6901 S. Olympia Avenue Tulsa, Oklahoma 74132

SPINE ANATOMY AND PROCEDURES. Tulsa Spine & Specialty Hospital 6901 S. Olympia Avenue Tulsa, Oklahoma 74132 SPINE ANATOMY AND PROCEDURES Tulsa Spine & Specialty Hospital 6901 S. Olympia Avenue Tulsa, Oklahoma 74132 SPINE ANATOMY The spine consists of 33 bones called vertebrae. The top 7 are cervical, or neck

More information

Cervical Disk Surgery

Cervical Disk Surgery Cervical Disk Surgery Relieving Symptoms with Decompression and Fusion CONSIDER CERVICAL DISK SURGERY Do you suffer from nagging neck and arm pain or weakness caused by a disk problem in your upper (cervical)

More information

X Stop Spinal Stenosis Decompression

X Stop Spinal Stenosis Decompression X Stop Spinal Stenosis Decompression Am I a candidate for X Stop spinal surgery? You may be a candidate for the X Stop spinal surgery if you have primarily leg pain rather than mostly back pain and your

More information

X-Plain Prostatectomy Reference Summary

X-Plain Prostatectomy Reference Summary X-Plain Prostatectomy Reference Summary Introduction Prostate cancer is a very common condition that affects men. The rate of occurrence of prostate cancer increases with age. Prostatectomy is a surgery

More information

Hitting a Nerve: The Triggers of Sciatica. Bruce Tranmer MD FRCS FACS

Hitting a Nerve: The Triggers of Sciatica. Bruce Tranmer MD FRCS FACS Hitting a Nerve: The Triggers of Sciatica Bruce Tranmer MD FRCS FACS Disclosures I have no financial disclosures Objectives - Sciatica Historical Perspective What is Sciatica What can cause Sciatica Clinical

More information

CORRECTIVE OSTEOTOMY Information for Patients WHAT IS CORRECTIVE OSTEOTOMY?

CORRECTIVE OSTEOTOMY Information for Patients WHAT IS CORRECTIVE OSTEOTOMY? CORRECTIVE OSTEOTOMY Information for Patients WHAT IS CORRECTIVE OSTEOTOMY? An osteotomy is a surgical procedure that involves dividing a bone at a selected site to create an artificial fracture, and fixing

More information

Information leaflet for patients with suspected metastatic spinal cord compression

Information leaflet for patients with suspected metastatic spinal cord compression Information leaflet for patients with suspected metastatic spinal cord compression This leaflet provides information for patients with malignant spinal cord compression. It will explain what spinal cord

More information

X-Plain Vertebral Compression Fractures Reference Summary

X-Plain Vertebral Compression Fractures Reference Summary X-Plain Vertebral Compression Fractures Reference Summary Introduction Back pain caused by a vertebral compression fracture, or VCF, is a common condition that affects thousands of people every year. A

More information

Tennis Elbow (Lateral Epicondylitis)

Tennis Elbow (Lateral Epicondylitis) Tennis Elbow (Lateral Epicondylitis) Tennis elbow, or lateral epicondylitis, is a painful condition of the elbow caused by overuse. Not surprisingly, playing tennis or other racquet sports can cause this

More information

A Patient s Guide to Diffuse Idiopathic Skeletal Hyperostosis (DISH)

A Patient s Guide to Diffuse Idiopathic Skeletal Hyperostosis (DISH) A Patient s Guide to Diffuse Idiopathic Skeletal Hyperostosis (DISH) Introduction Diffuse Idiopathic Skeletal Hyperostosis (DISH) is a phenomenon that more commonly affects older males. It is associated

More information

Lower Back Pain. Introduction. Anatomy

Lower Back Pain. Introduction. Anatomy Lower Back Pain Introduction Back pain is the number one problem facing the workforce in the United States today. To illustrate just how big a problem low back pain is, consider these facts: Low back pain

More information

Total Abdominal Hysterectomy

Total Abdominal Hysterectomy What is a total abdominal hysterectomy? Is the removal of the uterus and cervix through an abdominal incision (either an up and down or bikini cut). Removal of the ovaries and tubes depends on the patient.

More information

Abdominal Surgery. Surgical removal of a mass or masses from the abdomen through an abdominal incision-either up and down or bikini cut.

Abdominal Surgery. Surgical removal of a mass or masses from the abdomen through an abdominal incision-either up and down or bikini cut. What is an abdominal surgery? Surgical removal of a mass or masses from the abdomen through an abdominal incision-either up and down or bikini cut. Why is this surgery used? To treat disease of the uterus,

More information

Patient Guide to Lower Back Surgery

Patient Guide to Lower Back Surgery The following is a sampling of products offered by Zimmer Spine for use in Open Lumbar Fusion procedures. Patient Guide to Lower Back Surgery Open Lumbar Fusion Dynesys The Dynesys Dynamic Stabilization

More information

Level 1, 131-135 Summer Street ORANGE NSW 2800 Ph: 02 63631688 Fax: 02 63631865

Level 1, 131-135 Summer Street ORANGE NSW 2800 Ph: 02 63631688 Fax: 02 63631865 Write questions or notes here: Level 1, 131-135 Summer Street ORANGE NSW 2800 Ph: 02 63631688 Fax: 02 63631865 Document Title: Total Knee Replacement Further Information and Feedback: Tell us how useful

More information

Lumbar Spinal Stenosis

Lumbar Spinal Stenosis Lumbar Spinal Stenosis North American Spine Society Public Education Series What Is Lumbar Spinal Stenosis? The vertebrae are the bones that make up the lumbar spine (low back). The spinal canal runs through

More information

.org. Tennis Elbow (Lateral Epicondylitis) Anatomy. Cause

.org. Tennis Elbow (Lateral Epicondylitis) Anatomy. Cause Tennis Elbow (Lateral Epicondylitis) Page ( 1 ) Tennis elbow, or lateral epicondylitis, is a painful condition of the elbow caused by overuse. Not surprisingly, playing tennis or other racquet sports can

More information

Diuretics: You may get diuretic medicine to help decrease swelling in your brain. This may help your brain get better blood flow.

Diuretics: You may get diuretic medicine to help decrease swelling in your brain. This may help your brain get better blood flow. Hemorrhagic Stroke GENERAL INFORMATION: What is a hemorrhagic stroke? A hemorrhagic stroke happens when a blood vessel in the brain bursts. This may happen if the blood vessel wall is weak, or sometimes

More information

The Central Nervous System

The Central Nervous System A fact sheet for patients and carers Spinal strokes This fact sheet provides information on spinal strokes. Our fact sheets are designed as general introductions to each subject and are intended to be

More information

Information for the Patient About Surgical

Information for the Patient About Surgical Information for the Patient About Surgical Decompression and Stabilization of the Spine Aging and the Spine Daily wear and tear, along with disc degeneration due to aging and injury, are common causes

More information

Thinking about donating stem cells or bone marrow? Information for potential donors

Thinking about donating stem cells or bone marrow? Information for potential donors Thinking about donating stem cells or bone marrow? Information for potential donors From the Bone Marrow Transplant Team at Hamilton Health Sciences, 2015. Thinking about donating stem cells? Reading this

More information

Neck Pain Overview Causes, Diagnosis and Treatment Options

Neck Pain Overview Causes, Diagnosis and Treatment Options Neck Pain Overview Causes, Diagnosis and Treatment Options Neck pain is one of the most common forms of pain for which people seek treatment. Most individuals experience neck pain at some point during

More information

Patient Information. Anterior Lumbar Interbody Fusion

Patient Information. Anterior Lumbar Interbody Fusion Patient Information Anterior Lumbar Interbody Fusion Table of Contents Anatomy of the Spine 2 The Healthy Spine 3 General Treatment Options 4 General Conditions of the Lumbar Spine 5 What is Spondylolisthesis?

More information

Surgery for Disc Prolapse

Surgery for Disc Prolapse Contact Details Spinal Team Nuffield Orthopaedic Centre Windmill Road Headington Oxford OX3 7LD Surgery for Disc Prolapse Phone: 01865 738051 Fax: 01865 738027 Web Site www.noc.nhs.uk Surgery for disc

More information

Patient Information for Lumbar Spinal Fusion. What is a lumbar spinal fusion? Page 1 of 5

Patient Information for Lumbar Spinal Fusion. What is a lumbar spinal fusion? Page 1 of 5 Patient Information for Lumbar Spinal Fusion What is a lumbar spinal fusion? You have been offered surgery to the lumbar region of your spine, your lower back. The operation is called a lumbar spinal fusion.

More information

.org. Tennis Elbow (Lateral Epicondylitis) Anatomy. Cause

.org. Tennis Elbow (Lateral Epicondylitis) Anatomy. Cause Tennis Elbow (Lateral Epicondylitis) Page ( 1 ) Tennis elbow, or lateral epicondylitis, is a painful condition of the elbow caused by overuse. Not surprisingly, playing tennis or other racquet sports can

More information

If you or a loved one have suffered because of a negligent error during spinal surgery, you will be going through a difficult time.

If you or a loved one have suffered because of a negligent error during spinal surgery, you will be going through a difficult time. If you or a loved one have suffered because of a negligent error during spinal surgery, you will be going through a difficult time. You may be worried about your future, both in respect of finances and

More information

Patient Guide to Neck Surgery

Patient Guide to Neck Surgery The following is a sampling of products offered by Zimmer Spine for use in Anterior Cervical Fusion procedures. Patient Guide to Neck Surgery Anterior Cervical Fusion Trinica Select With the Trinica and

More information

Total Laparoscopic Hysterectomy

Total Laparoscopic Hysterectomy What is a total laparoscopic hysterectomy? Is the removal of the uterus and cervix through four small (1/2-1 ) abdominal incisions. Removal of the ovaries and tubes depends on the patient. Why is this

More information

Electroconvulsive Therapy - ECT

Electroconvulsive Therapy - ECT Electroconvulsive Therapy - ECT Introduction Electroconvulsive therapy, or ECT, is a safe and effective treatment that may reduce symptoms related to depression or mental illness. During ECT, certain parts

More information

Patient information for cervical spinal fusion.

Patient information for cervical spinal fusion. Patient information for cervical spinal fusion. Introduction This booklet has been compiled to help you understand spinal cervical fusion surgery and postoperative rehabilitation. Anatomy The cervical

More information

Further information You can get more information and share your experience at

Further information You can get more information and share your experience at GS23 Laparoscopic Incisional Hernia Repair Further information You can get more information and share your experience at www.aboutmyhealth.org Local information If you have any questions or concerns about

More information

Thymus Cancer. This reference summary will help you better understand what thymus cancer is and what treatment options are available.

Thymus Cancer. This reference summary will help you better understand what thymus cancer is and what treatment options are available. Thymus Cancer Introduction Thymus cancer is a rare cancer. It starts in the small organ that lies in the upper chest under the breastbone. The thymus makes white blood cells that protect the body against

More information

Vertebroplasty Issue 4: March 2016 Review date: February 2019

Vertebroplasty Issue 4: March 2016 Review date: February 2019 Vertebroplasty Issue 4: March 2016 Review date: February 2019 Following your recent investigations and consultation with your spinal surgeon, your scans have revealed that you have one or more fractured

More information

Integra. MCP Joint Replacement PATIENT INFORMATION

Integra. MCP Joint Replacement PATIENT INFORMATION Integra MCP Joint Replacement PATIENT INFORMATION Integra MCP Patient Information This brochure summarizes information about the use, risks, and benefits of the Integra MCP finger implant. Be sure to discuss

More information

ARTHROSCOPIC HIP SURGERY

ARTHROSCOPIC HIP SURGERY ARTHROSCOPIC HIP SURGERY Hip Arthroscopy is a relatively simple procedure whereby common disorders of the hip can be diagnosed and treated using keyhole surgery. Some conditions, which previously were

More information

Spine University s Guide to Back Pain in Teen Athletes

Spine University s Guide to Back Pain in Teen Athletes Spine University s Guide to Back Pain in Teen Athletes 2 Introduction Back pain, especially lower back pain, is one of the most common complaints of pain among people in North America. But, while it's

More information

Total Vaginal Hysterectomy

Total Vaginal Hysterectomy What is a total vaginal hysterectomy? Is the removal of the uterus and cervix through the vagina. Removal of the ovaries and tubes depends on the patient. Why is this surgery used? To treat disease of

More information

Significant nerve damage is uncommonly associated with a general anaesthetic

Significant nerve damage is uncommonly associated with a general anaesthetic Risks associated with your anaesthetic Section 10: Nerve damage associated with an operation under general anaesthetic Section 10: Significant nerve damage is uncommonly associated with a general anaesthetic

More information

X-Plain Preparing For Surgery Reference Summary

X-Plain Preparing For Surgery Reference Summary X-Plain Preparing For Surgery Reference Summary Introduction More than 25 million surgical procedures are performed each year in the US. This reference summary will help you prepare for surgery. By understanding

More information

Low Back Surgery. Remember to bring this handout to the hospital with you.

Low Back Surgery. Remember to bring this handout to the hospital with you. Remember to bring this handout to the hospital with you. Table of contents Page Why do I need low back surgery?... 1 What kinds of low back surgeries are there?... 2 Before your surgery... 3 After your

More information

Cervical Spondylotic Myelopathy

Cervical Spondylotic Myelopathy BACKGROUND (CSM) is the medical condition referring to myelopathy (spinal cord compression) due to narrowing (stenosis) of the spinal canal. Historically, there have been several reported cases of degeneration

More information

What is the function of the spinal column?

What is the function of the spinal column? What is the function of the spinal column? Stability The function of the human spinal column is above all to stabilise the head, the upper body, and walking upright. Primarily responsible for this are

More information