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A herniated disc, also known as a slipped or ruptured disc, is a common spinal condition that can cause significant pain and discomfort. It occurs when the soft, jelly-like center of an intervertebral disc pushes through the tough outer layer, irritating nearby nerves and causing symptoms such as pain, numbness, tingling, and weakness.

While the initial treatment approach for a herniated disc is typically conservative, surgery may be necessary in some cases. This guide will delve into both nonsurgical and surgical treatment options for herniated discs, helping you understand your choices in order to make informed decisions about your care.

Understanding Herniated Discs

Intervertebral discs act as cushions between the vertebrae in your spine, absorbing shock and allowing for movement. A herniated disc occurs when the inner nucleus pulposus of the disc protrudes through a tear or weakness in the outer annulus fibrosus. This can happen due to aging, wear and tear, or sudden injury.

The most common location for a herniated disc is the lower back (lumbar spine), followed by the neck (cervical spine). Symptoms often depend on the location of the herniation and the severity of nerve compression.

Nonsurgical Treatment Options

In many cases, herniated disc symptoms can be effectively managed with nonsurgical treatments. These options are often the first line of defense and may include:

1. Rest and Activity Modification:Initially, reducing activities that worsen pain and avoiding heavy lifting or strenuous exercise can help alleviate symptoms.
2. Pain Medication:Over-the-counter pain relievers like ibuprofen and naproxen can help reduce pain and inflammation. For more severe pain, your doctor may prescribe stronger medication.
3. Physical Therapy:A physical therapist can design a personalized exercise program to strengthen the muscles supporting your spine, improve flexibility, and promote healing.
4. Epidural Steroid Injections:Injections of corticosteroids into the epidural space around the spinal nerves can help reduce inflammation and provide pain relief.
5. Chiropractic Care:Chiropractic adjustments and manipulations can help relieve pain and improve spinal alignment.

Minimally Invasive Procedures

If conservative treatments don’t provide sufficient relief, minimally invasive procedures may be considered. Several techniques offer less pain and faster recovery compared with traditional open surgery.

1. Microdiscectomy:A small incision is made and a microscope is used to remove the herniated portion of the disc.
2. Endoscopic Discectomy:A tiny camera and instruments are inserted through a small incision to remove the herniated disc material.
3. Percutaneous Disc Decompression:This procedure uses a needle to access the disc and remove a small amount of tissue, reducing pressure on the nerve.

Traditional Open Surgery

In more severe cases or when other treatments have failed, traditional open surgery may be necessary. These procedures involve a larger incision and generally require a longer recovery time:

1. Discectomy:Similar to microdiscectomy but performed through a larger incision.
2. Laminectomy:Removal of a portion of the lamina (back of the vertebra) to create more space for the nerves.
3. Spinal Fusion:Fusing two or more vertebrae together to stabilize the spine; usually performed in combination with a discectomy or laminectomy.

Choosing the Right Treatment Option

The appropriate treatment for a herniated disc depends on several factors, including:

• Severity of symptoms
• Location of the herniation
• Patient’s age and overall health
• Response to previous treatments

Your doctor will carefully evaluate your condition and discuss the risks and benefits of each treatment option to help you make an informed decision.

Recovery and Rehabilitation

Recovery from herniated disc treatment varies depending on the type of procedure. Recovery from nonsurgical treatments may take several weeks, while minimally invasive procedures and open surgery may require a longer recovery period. Physical therapy is often an essential part of the rehabilitation process, helping you regain strength, flexibility, and function.

Your Spine Health Is Our Priority

At Houston Physicians’ Hospital, we understand the debilitating impact of a herniated disc. Our experienced team of spine specialists offers a comprehensive range of herniated disc treatments, including nonsurgical and minimally invasive procedures and traditional open surgery.

If you suffer from a herniated disc, visit our Spine Solutions Center to learn more about your condition and to find an orthopedic spine physician who’s right for you.

We are committed to providing personalized care tailored to your individual needs and goals. Whether you’re seeking pain relief, improved mobility, or a return to an active lifestyle, we are here to help you every step of the way.

We also have expertise in joint pain treatment, hip surgery, knee surgery, medical imaging, physical therapy, neurosurgery in Webster TX and more.

If spine issues are left unaddressed for long, the patient’s condition can exacerbate. The sooner the symptoms are identified and addressed, the better. Here are three common signs that indicate the need to see a spine specialist:

Continue reading “3 COMMON SIGNS YOU NEED TO SEE A SPINE SPECIALIST”

Urological cancers, encompassing cancers of the urinary tract and male reproductive system, are a significant health concern. They include bladder cancer, kidney cancer, prostate cancer, and testicular cancer.

Early detection of these cancers is paramount, as it dramatically increases the chances of successful treatment and survival. In this blog, we will explore why early detection is crucial, the available screening methods, and the potential benefits of timely intervention.

Understanding Urological Cancers

Urological cancers originate in the organs responsible for producing, storing, and eliminating urine, as well as in the male reproductive organs. They can occur in both men and women, but some types, like prostate cancer, are exclusive to men.

While the exact causes of these cancers are often unknown, certain risk factors, such as age, family history, smoking, and exposure to certain chemicals, can increase the likelihood of their development.

The Significance of Early Detection

Early detection means identifying the disease in its early stages, before it has spread to other parts of the body. This is crucial because urological cancers, like many other cancers, are generally easier to treat and have better outcomes when diagnosed early. When caught early, many urological cancers can be effectively treated with minimally invasive procedures, localized therapies, or less-intensive treatments. This often leads to better outcomes, lower risk of complications, and improved quality of life for patients.

Early Detection Methods: Screening and Awareness

1. Regular Checkups and Screenings:Regular checkups with a urologist or primary care physician are essential for maintaining urological health. These checkups often include physical exams and discussions about your health history and any potential risk factors. For individuals with certain risk factors, specific screening tests may be recommended.
2. PSA Test:The PSA test is a blood test that measures the levels of PSA, a protein produced by the prostate gland. Elevated PSA levels may indicate prostate cancer, but further testing is needed for confirmation.
3. Urinalysis and Urine Cytology:Urinalysis is a simple test that examines the urine for blood, protein, or other abnormalities that could suggest kidney or bladder cancer. Urine cytology involves examining urine cells under a microscope to detect cancer.
4. Cystoscopy:A cystoscopy involves inserting a thin, flexible tube with a camera into the bladder through the urethra to visualize the bladder lining. This procedure can help diagnose bladder cancer or other bladder conditions.
5. Imaging Studies:Imaging tests such as ultrasound, CT scans, and MRI scans may be used to visualize the kidneys, bladder, prostate, or other organs in the urinary tract to detect tumors or other abnormalities.

The Importance of Recognizing Symptoms

While routine screenings are essential, it’s equally important to be aware of the potential symptoms of urological cancers. These symptoms can vary depending on the type of cancer but may include:

• Blood in the urine (hematuria)
• Pain or burning sensation during urination
• Frequent urination, especially at night
• Weak or interrupted urine flow
• Pain in the back, side, or lower abdomen
• A lump or swelling in the testicles

If you experience any of these symptoms, consult with a doctor promptly. While these symptoms may not always indicate cancer, early evaluation can lead to timely diagnosis and treatment if necessary.

Houston Physicians’ Hospital: Your Partner in Urological Health

At Houston Physicians Hospital, we understand the importance of early detection and timely intervention with urological cancers. Our team of experienced urologists is dedicated to providing comprehensive care for all types of urological cancers, utilizing the latest diagnostic tools and treatment modalities. We offer a wide range of services, from routine screenings and diagnostic tests to advanced surgical procedures and innovative therapies.

If you think that you are at risk for urological cancer, visit the urology page on our website to learn more and to find a urologist who’s right for you.

We also specialize in joint pain treatment, spine solutions, general surgery, back surgery, hip replacement surgery, knee surgery, neurosurgery, and more.

Parkinson’s disease is a chronic and progressive neurological disorder that affects movement and can present a range of challenges. However, with a comprehensive management plan and the right support, individuals with Parkinson’s can lead fulfilling lives.

This guide explores various strategies and treatment options to help manage symptoms and improve overall well-being.

Understanding Parkinson’s Disease

Parkinson’s disease arises from the degeneration of dopamine-producing neurons in the brain. Dopamine is a neurotransmitter essential for smooth and coordinated movements. As these neurons deteriorate, individuals with Parkinson’s experience motor symptoms such as tremors, stiffness, slowness of movement, and difficulty with balance and coordination.

Managing and Treating Motor Symptoms

1. Medication:Medication is the cornerstone of Parkinson’s treatment, primarily focusing on replenishing or mimicking the effects of dopamine. Levodopa is the most commonly prescribed medication, often combined with other drugs to enhance its effectiveness and reduce side effects.
2. Deep Brain Stimulation (DBS):For those who don’t respond well to medication or experience significant side effects, DBS offers an alternative. It involves implanting electrodes in specific regions of the brain to regulate abnormal impulses and reduce motor symptoms.
3. MR-Focused Ultrasound:This is the newest therapy being used to treat essential tremor and can be used to treat the dominant tremor symptom caused by Parkinson’s disease. It’s a minimally invasive procedure that uses an MRI to focus concentrated ultrasound waves to a targeted area of the brain. Learn more about it here.
4. Physical Therapy:Regular exercise and physical therapy play a crucial role in maintaining mobility, flexibility, and muscle strength. Tailored exercise programs can help improve balance and coordination and reduce the risk of falls.

Addressing Non-Motor Symptoms

Parkinson’s disease can also cause non-motor symptoms such as depression, anxiety, sleep disturbances, constipation, and cognitive impairment. Managing these symptoms is equally important for overall well-being.

1. Medication and Therapy:Depending on the specific non-motor symptom, medication, counseling, and therapy can be helpful. Antidepressants, cognitive behavioral therapy, and support groups are often recommended.
2. Lifestyle Changes:Adopting a healthy lifestyle can positively impact non-motor symptoms. This includes maintaining a balanced diet, getting regular exercise, practicing relaxation techniques, and prioritizing good sleep habits.

Supportive Care and Resources

 

Living with Parkinson’s disease often requires a multidisciplinary approach involving a team of healthcare professionals, including neurologists, physical therapists, occupational therapists, and mental health professionals. Support groups and online resources can also provide valuable information, encouragement, and a sense of community for individuals and their families.

Staying Informed and Proactive

Research on Parkinson’s disease is ongoing, and new treatment options and management strategies are constantly emerging. Staying informed about the latest developments can empower individuals with Parkinson’s to make informed decisions about their care and participate actively in their treatment plans.

How Can Houston Physicians’ Hospital Help?

At Houston Physicians’ Hospital, we understand the complexities of Parkinson’s disease and are committed to providing comprehensive care and Parkinson’s treatment in Houston, for our patients . Our experienced team of neurologists, physical therapists, and other specialists works together to develop personalized treatment plans that address both the motor and non-motor symptoms of Parkinson’s.

If you suffer from Parkinson’s, you may qualify for treatment of your dominant tremor with Insightec, an MR-focused ultrasound treatment. You can learn more and schedule an appointment by visiting our webpage.

Houston Physicians’ Hospital provides patients with a wide range of services, from medication management and physical therapy to surgical interventions like deep brain stimulation. We are dedicated to helping people with Parkinson’s manage their symptoms, improve their quality of life, and live their lives to the fullest.

As a runner, you depend on your feet to carry you across countless miles. But repetitive stress on the tendons in your feet can lead to a painful condition known as tendonitis.

This comprehensive guide will help you understand tendonitis of the foot, its causes, prevention strategies, and rehabilitation options, empowering you to keep your feet healthy and pain free.

Understanding Tendonitis of the Foot

Tendonitis is an inflammation or irritation of a tendon, the fibrous cord that connects muscle to bone. In runners, tendonitis of the foot often affects the Achilles tendon, the posterior tibial tendon, or the tendons on the top of the foot (extensor tendons). The pain typically develops gradually and worsens with activity.

Causes of Tendonitis in Runners

Several factors can contribute to the development of tendonitis in runners, such as:

• Overuse:Too much running, especially without adequate rest, can strain the tendons and lead to inflammation.
• Sudden Increase in Training:Abruptly increasing mileage or intensity or adding hills can overload the tendons.
• Poor Foot Mechanics:Flat feet, high arches, and other biomechanical issues can alter the way your foot moves, increasing stress on certain tendons.
• Improper Footwear:Worn-out shoes or shoes that don’t provide adequate support can contribute to tendonitis.
• Tight Calf Muscles:Tight calf muscles can put extra stress on the Achilles tendon.

Preventing Tendonitis in Runners

Prevention is key when it comes to tendonitis. Here are some tips to keep your tendons healthy:

• Gradual Progression:Gradually increase your mileage and intensity over time to allow your tendons to adapt.
• Proper Warm-Up:Warm up your muscles and tendons before each run with dynamic stretches and light jogging.
• Cross-Training:Include low-impact activities like swimming or cycling in your routine to reduce stress on your feet.
• Strength Training:Strengthen your calf, foot, and core muscles to support your feet and improve biomechanics.
• Wear Proper Footwear:Choose supportive shoes that fit well, and replace them regularly when they start to wear out.
• Listen to Your Body:Rest if you feel pain. Ignoring pain can lead to more severe tendonitis.

Rehabilitating Tendonitis of the Foot

 

Here are some rehabilitation strategies:

• Rest:Reduce or avoid activities that aggravate the pain.
• Ice:Apply ice to the affected area for 15–20 minutes at a time several times a day.
• Compression:Use a compression bandage to reduce swelling.
• Elevation:Elevate your foot to help reduce swelling.
• Physical Therapy:A physical therapist can help you with exercises to stretch and strengthen the affected tendon, as well as improve your foot mechanics.
• Orthotics:Custom orthotics can provide additional support and correct biomechanical issues.
• Medication:Over-the-counter pain relievers or anti-inflammatories may be recommended.

Recommended Read: Common Foot Problems and Their Treatment Options

Advanced Treatments for Tendonitis

In some cases, more advanced treatments may be necessary for tendonitis that doesn’t respond to conservative measures. These include:

• Extracorporeal Shockwave Therapy:This therapy uses shockwaves to stimulate healing in the tendon.
• Platelet-Rich Plasma (PRP) Injections:PRP injections can promote healing by delivering growth factors to the injured tendon.
• Surgery:In rare cases, surgery may be necessary to repair a severely damaged tendon.

How Can Houston Physicians’ Hospital Help?

At Houston Physicians’ Hospital, we understand the importance of keeping runners’ feet healthy. Our experienced podiatrists specialize in the diagnosis and treatment of tendonitis of the foot, offering a range of conservative and advanced treatment options to help you get back on your feet and running pain free.

If you’re suffering from symptoms of foot tendonitis, visit our podiatry page and our Advanced Orthopedic & Spine Center of Excellence page to learn more and to find a doctor who’s right for you.

The orthopedic physicians and podiatrists at Houston Physicians’ Hospital are committed to providing personalized care and working with you to develop a comprehensive treatment plan that meets your individual needs and goals.

We also specialize in joint pain treatment, back surgery, hip replacement surgery, neck pain treatment, neurosurgery, physical therapy, Knee Surgery in Webster TX, and more.

Hip arthritis is a degenerative condition affecting the hip joint that often progresses gradually. Recognizing the early warning signs allows you to seek diagnosis and treatment sooner, which improves the chances of a favorable patient outcome.

Continue reading “7 EARLY WARNING SIGNS OF HIP ARTHRITIS YOU SHOULDN’T IGNORE”