Dr Shantanu Mallick is the first Pain Physician in Navi Mumbai as well as in the whole Konkan belt of Maharashtra to get the FIPP Degree from World Institute of Pain, Texas, USA. It is one of the highest milestones in the field of pain management.
DISC-FX � SYSTEM OVERVIEW
The Disc-FX� System is an innovative, minimal access spine system designed to efficiently access the damaged disc without injury to surrounding disc anatomy.In addition to manual decompression, Disc-FX� is specifically designed to help clean the disc and seal tears in the annulus. Unlike any other surgical energy source, the patented Radiowave energy pioneered by Dr. Irving Ellman, produces specific tissue effects to help eliminate the predetermined 'pain generating' aspect(s) of the disc.
DISC ANATOMY AND CONTAINED DISC HERNIATIONS
The spine is composed of a series of bones called the vertebrae. Each of these bones is connected by a disc, made of a tough outer layer, called the annulus, and a gel-like center called the nucleus. If the annulus of the disc is damaged by injury or weakened by age, a portion of the outer layer can give way to pressure causing the gel-like nucleus to either bulge or leak out. This may also be referred to as a herniated disc. A herniated disc can press on the nerves and cause pain, numbness, tingling or weakness in the back and/or leg.
TREATING CONTAINED DISC HERNIATIONS
In the past, patients with contained disc herniations have been treated with conservative care including rest, medications, injections and/or physical therapy. Unfortunately, this does not always provide relief. In the past, people who did not respond to conservative care were forced to live with the symptoms or consider major spine surgery. If they underwent surgery, it could take weeks or months to recover, causing a major disruption in their daily lives. With Disc-FX�, this is not the case.
Disc-FX� provides an option for those people who have failed conservative care, and are not yet ready for major surgery. It is a minimal access procedure performed on an out-patient basis whereby the patient will go home the same day as the procedure with only a small bandage on their back. Following manual removal of the offending herniation, the patented Disc-FX� device is activated to help clean the disc and seal tears in the annulus. As a result, pressure in the disc is reduced, which eases symptoms.
WHO IS A CANDIDATE FOR THE PROCEDURE?
Patients with symptomatic, contained lumbar disc herniations that have not responded to conservative treatment may experience relief from the use of Disc-FX�. Typical signs of a contained lumbar disc herniation are lower back pain or pain radiating down the leg accompanied by some lower back pain. Disc-FX� may not be beneficial for advanced degenerative disc disease or spinal fractures.
POTENTIAL BENEFITS OF THE PROCEDURE:
Smaller skin incision than traditional surgery
Short procedure time
Under Local anesthesia
Targeted access to damaged (diseased) area
Quick relief of symptoms
Earlier return to normal activities
Minimal tissue damage
Preserves all additional surgical options, should they be needed
PRIOR TO THE PROCEDURE
Medical evaluation includes a physical exam. Diagnostic tests such as MRI (magnetic resonance imaging), steroid injection, or discography may be conducted to diagnose and locate the symptomatic disc herniation and determine if the procedure is appropriate.
DURING THE PROCEDURE (PUT VIDEO BESIDE THIS)
The Disc-FX� System requires the patient to lie on their stomach throughout the procedure. Minimal anesthesia requirements are typically necessary. A needle is inserted into the skin near the affected disc level, followed by an incision through which a working �tube� is placed. Graspers are used to manually remove and decompress the offending herniation. The patented Trigger-Flex� can then be used to help clean the disc and seal tears in the annulus. At the conclusion of the procedure, the �tube� is removed and a small bandage is applied over the sutures.
AFTER THE PROCEDURE
Patients are required to remain at the hospital after the procedure for observation which is typically one to two hours. Upon release, patients are then informed to rest for three to seven days with limited sitting or walking. In most cases, symptoms caused by the disc herniation are gone or diminished within two weeks. A patient may experience some discomfort or bruising where the incision was created. After about one week, patients participate in physical therapy which is important for a full recovery. They are typically allowed to engage in some physical activity and return to work.
ARE THERE ANY COMPLICATIONS WITH THE PROCEDURE?
As with any other minimally invasive disc treatments, side effects of Disc-FX� are relatively rare.
CLINICAL REFERENCES :A PROVEN APPROACH TO MINIMALLY INVASIVE DISCECTOMY
Disc-FX� - A New Combination Procedure for Minimally Invasive Disc Surgery - Spinal News, September 2007, Issue 4. - S. Hellinger
Disc-FX� - Combination of Radio High Frequency Disc Ablation, Annulus Modulation, and Manual Nucleotomy /Decompression in One Single Intervention - Wirbelsaulen-Intervention, Chapter 38, - S. Hellinger
Thermal Effect of RF on Intervertebral Discs - World Congress of Minimally Invasive Spine Surgery, May 2010 - J.A. Barreto, J.E. Ramirez
Treatment of contained lumbar disc herniations using radiofrequency assisted microtubular decompression and nucleotomy: four year prospective study results. Stefan Hellinger, MD. Volume 8 Article 24 - Endoscopic & Percutaneous Special Issue doi:10.14444/1024
Manual discectomy is being done by Dr Shantanu Mallick
Radiofrequency assisted nucleus ablation and annulus modulation is being done
For more detail visit www.elliquence.com
Pain Care Clinic
Monday to Saturday
6.00 PM to 8.00 PM
Sadguru Pride, Shop no. 10, Sector-42A, Plot no 6, Beside Don Bosco School, Seawoods (w), Navi Mumbai.