Herniated Disc

Provocative discogram, also known as discography, is an X-ray procedure used to examine the intervertebral discs of the spine. It helps determine if a specific disc is the source of back pain and guides short term and long treatment decisions. The procedure involves injecting dye into the disc to reproduce patient's familiar pain.

A percutaneous diskectomy, also known as a percutaneous discectomy, is a minimally invasive procedure used to treat pain caused by a herniated disc. The procedure involves inserting a needle through the skin and into the disc, using imaging guidance like fluoroscopy, to remove herniated disc material using "DISKOM" probe. 

Intradiscal glue, specifically fibrin sealant, is a minimally invasive procedure used to treat symptomatic lumbar discogenic low back pain with presence of annular tears noted on MRI or by Discogram.   It involves injecting a fibrin sealant into the damaged disc to seal tears and potentially stimulate healing. Fibrin is a natural protein involved in blood clotting and acts as a tissue sealant. When injected into a damaged disc, it can help seal tears in the outer layer (annulus fibrosus) and potentially promote natural disc healing.  Examples: BIOSTAT BIOLOGX Fibrin, DISCSEEL®

In Intradiscal injection the medication is injected directly into the disc to reduce inflammation pain. It can be used for both diagnosis and treatment of chronic lower back pain. Stem Cells or Platelet Rich Plasma (PRP) can also be injected for long term pain relief and avoid side effects of steroids.

​A percutaneous diskectomy, sometimes referred to as Disc-FX, is a minimally invasive spinal surgery technique used to address herniated discs. The Elliquence Disc-FX System uses a small incision and precise instruments to decompress and remove the herniated disc material, potentially providing long term pain relief. 

Intradiscal biologics involve injecting biologics like platelet-rich plasma (PRP), stem cells (SC), or other regenerative medicine agents directly into a damaged intervertebral disc. Stem Cells/Mesenchymal stem cells (MSCs) are multipotent stem cells found in bone marrow, as well as other tissues like muscle, liver, and adipose tissue, that can differentiate into various cell types, including bone, cartilage, and fat cells.  They can be obtained from patient's bone marrow as a minimally invasive procedure or purchased from a tissue bank with additional cost.