Back Pain Treatment| Artificial Disc Replacement| ADR| Disc Replacement Plano| Dr. Richard Guyer

Back Pain Treatment| Artificial Disc Replacement| ADR| Disc Replacement Plano| Dr. Richard Guyer


My name is Dr. Richard Guyer, I’m a spine
surgeon specializing in disk replacement in Plano, Texas. Well artificial disc replacement is probably
one of the neatest technologies to come around for spine surgery. Basically as the name says, we replace the
diseased disc, which is the soft fleshy part between the vertebral bodies, and replace
it with a mechanical disc. As you can see here. This segment of the spine showing a vertebrae
here and a vertebrae on the bottom and inside here is actually an artificial disc. But in the normal spine we have the vertebrae
and we have the disc in between. So with a disc replacement we actually replace
a moving, mechanical joint or disc. Previously our option was to do a fusion. But as we know for many FDA studies basically
there is a much less chance of having additional surgery at the level above than compared to
a fusion. The most common condition we see for disc
replacement in the neck for example are people that have a herniated disc. They come in, they have severe arm pain, they
are not getting better with conservative treatment. In the lumbar spine it is a little bit different. It has been approved for really chronic degenerative
disc disease. These are cases that have chronic low back
pain, what we call the centralized low back pain. Typically what they say is their activity
of daily living has become more and more difficult. They have trouble bending over to tie their
shoes, just simple activities like bending forward to brush your teeth that used to be
simple household chores even recreational activities have now become more and more difficult. Basically what we do, we remove the entire
disc whether in the neck or the low back. We are very, very careful to retrieve any
disc fragments that may be pinching the nerves in the neck and lumbar spine we will remove
all of the disease disc because it is the diseased disc in the low back that stimulates
the nerve fibers causing the pain. And then intra-operatively we take various
trials to get the perfect fit and size for the individual patient. So it is a customized implant for you in particular. Patients typically after a cervical artificial
disc go home the day after surgery and many patients go home the day of surgery, depends
on your area and your hospital. In the lumbar spine, the vase majority of
patients are home the first day after surgery, sometimes the second day. They are driving within a week they can go
back to light duty job in a week or two, depending on how they feel. And their activities are gradually increased
from two weeks up to 12 weeks. If you are interested in disc replacement
go to a spine surgeon, such as myself or one of my partners specializing in disc replacement
to discuss if your a candidate, you may not be and not everybody is but we are finding
that more and more patients are candidates.

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