When the body is disturbed, of course it will have an impact on activity. Moreover, the disorder is known because the nerves are pinched and almost everyone has experienced it.

One that is often complained of is low back pain (LBP). But it must be known that 80 percent of LBP conditions are caused by waist muscle problems, and can be treated conservatively or without surgery. You do this with rest, medication, physiotherapy, acupuncture, and others.

However, what must be understood is related to conservative therapy, that is if there is no improvement in pain within 6-8 weeks, it means having to look for other causes besides muscle problems. Another cause, for example, low back pain, especially in the productive age is a condition called Herniated Nucleus Pulposus (HNP).

Location Of Nerve Nerves

HNP is a condition where the spinal joints protrude, so that it can cause a pinched nerve. In many cases, the most common HNP locations are the lumbar (waist) and cervical (neck). While the most rare is the thoracal or back.

Complaints of those who experience nerve pain vary. Starting from the tingling that spreads to the hands or feet, neck or waist pain, weakness or paralysis of the limbs, to difficult to hold bowel movements or small.

Heal Without Surgery

Those who experience pinched nerves or HNP as much as 15-20 percent of them need surgery. However, as many as 80-85 percent of HNP cases were handled without surgery.

Yes without surgery. That’s because the development of medical technology that currently leads to minimally invasive techniques. Likewise, surgery techniques in cases of the spine such as HNP.

At present the microdisectomy surgery technique for HNP cases remains the gold standard. However, now also developing a technique called Percutaneous Endoscopic Lumbal Discectomy (PELD).

Handling Only Local Anesthetics

PELD is a pinched nerve surgery technique, which can be done with local anesthesia. It’s just that in the process, the doctor needs to make an incision of 8mm, and can be done one day care or without hospitalization.

Interestingly again, the operation time only takes 20-40 minutes, no need to install implants and minimal bleeding. The work was done with the help of lenses and monitors, so that the nerves are clearly visible and can be avoided from injury.

With an incision wound of only 8mm, the PELD technique provides several advantages including that patients will at least experience post-operative pain, be able to immediately mobilize the way after surgery so that patients can more quickly return to their activities or work.

Patients often worry about the risk of paralysis in spinal surgery including the lumbar region. It should be noted that levels are frequently exposed to HNP in the lumbar region at L45 and 5S1.

In the L45 and L5S1 level operations, there are no nerves that move the thigh and knee muscles, so that theoretically it is almost impossible to experience paralysis of the lower half of the body as feared by patients in general. With the right indications and good workmanship techniques, the success rate of PELD operations can reach 98 percent.

If you need consultation and treatment regarding nerve nerve problems, you can visit consult a Consultant Physician Specialist in Orthopedics and Traumatology, dr. Harmantya Mahadhipta, Sp.OT (K) Spine. The doctor practices his practice every Monday and Wednesday at 3:00 to 17:00 at the EMC Hospital, Tangerang.

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