Colloid Cysts. Cushing's Disease. Deformational Plagiocephaly. Epilepsy in Adults. Epilepsy in Children. Essential Tremor. Facet Syndrome. Germ Cell Tumors Brain. Glioblastoma Multiforme GBM.
Gliomatosis Cerebri. Hemifacial Spasm. Intracerebral Hemorrhage. Ischemia, Cerebral. Juvenile Pilocytic Astrocytomas.
Kyphosis Hyperkyphosis. Lower Back Pain. Metastatic Brain and Spine Tumors. Moyamoya Disease. Neurofibromatosis NF1 and NF2. Orbital Tumors. Pediatric Seizure Disorders. Pineal Region Tumors. Pituitary Tumors. Post-Concussion Syndrome. Pseudotumor Cerebri. Pulsatile Tinnitus. Our up-to-date surgery video library provides a listing of all of our surgery-related videos. Visit: Back Surgery Video Library. Many years ago, neurosurgeons were primarily responsible for spine surgery, but in the past 20 to 25 years spine surgery has evolved so that both neurosurgeons and orthopedic surgeons specialize in spine surgery, and for most of the typical spine operations both types of surgeons are equally well qualified.
In both specialties, the surgeons may subspecialize, such as in the case of surgeons who specialize in pediatrics, cervical spine, lumbar spine, hand and wrist surgery, plastic surgery, or in other areas or procedures. See Getting a Referral to a Spine Surgeon. Neurosurgeons may be Medical Doctors or Doctors of Osteopathic Medicine, and complete a five to six year residency focused on the surgical treatment of neurological conditions.
Neurosurgeons are trained in the diagnosis and treatment of disorders involving:. Transnasal endoscopic procedure, Spine reconstruction, Pituitary tumor surgery, Nerve decompression, Spine decompressio Scoliosis surgery, Spinal deformity correction surgery, Spondylolisthesis surgery, Spine procedure, Laminectomy, Diskec This content does not have an English version. This content does not have an Arabic version. Departments and specialties Mayo Clinic has one of the largest and most experienced practices in the United States, with campuses in Arizona, Florida and Minnesota.
Jacksonville, FL. Displaying out of 12 doctors available Mohamad Bydon, M. Bradford L. Currier, M. An epidural steroid injection may be performed utilizing a spinal needle under X-ray guidance to direct the medication to the exact level of the disc herniation. The doctor may recommend physical therapy. The therapist will perform an in-depth evaluation, which, combined with the doctor's diagnosis, dictates a treatment specifically designed for patients with herniated discs.
Therapy may include pelvic traction, gentle massage, ice and heat therapy, ultrasound, electrical muscle stimulation and stretching exercises. Pain medication and muscle relaxants may also be beneficial in conjunction with physical therapy. A doctor may recommend surgery if conservative treatment options, such as physical therapy and medications, do not reduce or end the pain altogether.
Doctors discuss surgical options with patients to determine the proper procedure. As with any surgery, a patient's age, overall health and other issues are taken into consideration. The benefits of surgery should be weighed carefully against its risks. Although a large percentage of patients with herniated discs report significant pain relief after surgery, there is no guarantee that surgery will help.
Lumbar laminotomy is a procedure often utilized to relieve leg pain and sciatica caused by a herniated disc. It is performed through a small incision down the center of the back over the area of the herniated disc. During this procedure, a portion of the lamina may be removed.
Once the incision is made through the skin, the muscles are moved to the side so that the surgeon can see the back of the vertebrae. A small opening is made between the two vertebrae to gain access to the herniated disc. After the disc is removed through a discectomy, the spine may need to be stabilized. Spinal fusion often is performed in conjunction with a laminotomy.
In more involved cases, a laminectomy may be performed. In artificial disc surgery, an incision is made through the abdomen, and the affected disc is removed and replaced.
Only a small percentage of patients are candidates for artificial disc surgery.
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