If you are suffering from pain or a spinal injury, Dr. Parchuri provides the following treatments and procedures in Tulsa, Oklahoma. Dr. Parchuri will tailor a treatment plan that is designed to fit your goals and help you get back your life. All non-surgical treatment options will be exhausted prior to consideration of more invasive procedures. We are here to help, please give us a call today.
Making An Appointment
Pain Management Options
When Should I Come See an Orthopedic Doctor?
How Severe Does My Pain Need to Be Before I Need to Come See an Orthopedic?
Activity Modification and Proper Lifting
The initial modification is rest, then slowly increasing activity with proper lifting mechanics including bending at the knees and not bending the back.
Losing weight can drastically take the strain off the back. If you gain 10 lbs., your back feels an additional 70 lbs. If you lose 10 lbs., your spine feels 70 lbs. less.
People who smoke have a higher incidence of neck and back pain due to a decreased blood supply to the spine leading to early aging of the spine.
Medications can be a good short term treatment for spinal problems. Here is a list of the most commonly used medications to treat back problems:
1. NSAIDs – Advil, Ibuprofen, Tylenol, Celebrex. These medications work well for mild pain and arthritis. However, medications can cause stomach ulcers, kidney disease, bleeding, heart disease, and liver disease.
2. Steroids – These medications work well for pinched nerves which can cause arm or leg pain. However, these medications are typically used only for a few days. If taken in large doses and for long periods, steroids can cause infections, hair loss, weight gain, ulcers, and osteoporosis (soft bones).
3. Narcotics – pain pills, Lortab, Darvocet, Hydrocodone. These medications take the edge off of pain. Typically, narcotics are used for severe pain and only used for a few weeks. These medications are addictive, nauseating and sedative.
4. Muscle relaxants – Robaxin, Flexaril, Valium, Soma. These medications are used for back spasm and back pain. Muscle relaxants are typically used for only a few weeks. These medications are addictive and sedating.
5. Pain modifiers – Lyrica, Neurontin. These medications help chronic pain and work well on leg and foot pain especially with neuropathy. Lyrica and Neurontin do not help all patients and can be sedative.
These injections can be performed under x-ray. The procedure involves numbing the skin and then injecting the spine with steroids to calm down the inflammation in a specific area of the spine. It typically works well for arm and leg pain, but can only be utilized about three times a year.
Spinal Bracing/Spinal Orthosis
Spinal bracing/support is sometimes used for a short period of time to help an individual develop appropriate body mechanics by limiting potentially harmfull movements. Spinal bracing is also used after certain operations to aid in rehabilitation.
Physical therapy can often be beneficial. The goals should be to improve flexibility, muscular strength, and endurance.
Anterior Cervical Discectomy and Fusion – ACDF (neck fusion)
This procedure is performed when a patient has a pinched nerve in the neck. An incision is made in the front part of the neck. Using a microscope and minimally invasive techniques, the pressure on the spine and nerves is removed and the bones fused together. Patients frequently go home the same day or next morning and return to work in 10-14 days.
This procedure is performed from the back of the neck and requires removing the spinous process and lamina from a vertebra to eliminate pressure on the spinal cord. Often times small screws and rods are then placed to hold the spine in position and for a fusion to occur.
A foraminotomy is for a pinched nerve not requring a fusion. Using minimally invasive techniques, the nerves are unpinched. Sometimes, this procedure can be done without general anesthesia. Patients can frequently go home the evening of surgery.
Lateral Lumbar Interbody Fusion
A minimally invasive fusion accessing the lumbar spine from the side of the patient’s body.
Anterior Lumbar Interbody Fusion
This procedure is approached from the front of the abdomen and is the most reliable way to obtain a fusion in the lumbar spine due to a large bone graft being utilized. Often times, we can eliminate having to make an incision on the back as well.
Posterior Lumbar Laminectomy
This procedure is most commonly used to address spinal stenosis and requires removing bone spurs and ligaments that are compressing the spinal cord and nerves. No rods or screws are involved with this procedure.
Percutaneous Disc Removal
This minimally invasive procedure allows a small incision with very little damage to the muscles and thus a quick recovery. Patient selection is key to this procedure being successful.
Posterior Lumbar Interbody Fusion
This procedure is performed to remove a disc that is the cause of leg and/or back pain. The procedure is approached though an incision on the back. Instrumentation is used to provide space for placing bone grafts that are fused to the spinal vertebra and help stabilize the spine.
Lower Back Pain
Correcting scoliosis involves placing multiple screws and hooks along the length of the curved spine. Instrumentation is always used to decrease the curvature. Bone grafts can be added to fuse the vertebrae in the straighter and less curved spine configuration.
The narrowing of the spinal can cause painful pressure on the spinal cord. This can be caused by a tumor that has spread to the thoracic region of the spine. This procedure removes the lamina from the vertebral bodies and provides access to remove the tumor and take away the pressure on the spinal nerves.Instrumentation can be added to stabilize the vertebrae.
Anterior Thoracic Vertebral Body Replacement
This procedure approaches the spine from the front. It removes a damaged vertebra, replaces it and stabilizes the spine. This can remove painful pressure on the spinal cord and nerves that have resulted from a fractured vertebra. This pressure can always be caused by a tumor that has spread to the front of the spine and resulted in a fractured vertebra.
Kyphoplasty is a procedure designed to stabilize fractures. At the time of surgery, patients are given IV sedation and local anesthesia. A needle is inserted into the bone using x-ray to guide the needle to the fracture. A small balloon in inserted into the bone. This balloon is inflated to make room for the cement. The balloon is then deflated and removed. The cement is then carefully inserted through the needle into the bone under x-ray guidance. The cement sets-up in the bone and becomes hard. When this occurs, it stabilizes the fracture and frequently eliminates the pain from the broken bone. Because the whole surgery is done through a needle, no stitches are needed. A patient can usually go home that same day depending on their other health issues.
For more information about spinal treatments please give us a call today! Dr. Parchuri, Dr. Sparks and their team of medical staff is ready to walk you through from start to finish the details of each treatment and which would be the best choice for you. Call now at 539-664-4448. Allow us to get you back to normal today!