How to treat discogenic neck and lumbar spine pain

Technological advancement: Discogenic cervical and lumbar pain is extremely common clinically. These patients present with long-term neck stiffness and discomfort, dizziness, sometimes with upper limb numbness; or lower back pain, with hip or atypical lower limb distension and discomfort, and the effect of conservative treatment is not obvious, while surgical treatment is not yet appropriate for a more difficult group of patients. In the mid to late 1990s, minimally invasive low-temperature plasma radiofrequency ablation technology has been used to treat discogenic pain in developed countries such as the United States and Europe. For young and middle-aged patients with discogenic pain, the use of plasma radiofrequency ablation myeloplasty before the rupture of the annulus fibrosus can effectively relieve the symptoms of nerve compression, prevent the aggravation of the disease, reduce the possibility of future open surgery for such patients, and improve The quality of life of the patient is improved. According to domestic literature, the efficiency is about 65-90%. The patient is positioned prone, and the needle is punctured to the nucleus pulposus under local anesthesia and connected to a radiofrequency ablation instrument, which vaporizes and crumples the nucleus pulposus under low temperature and reduces the pressure in the disc in real time. Unlike the previous heat contraction technique that causes tissue necrosis through high temperature, the plasma knife can precisely control the temperature at 60-70℃, which not only ensures the contraction of collagen molecular spiral structure, but also maintains the vitality of cells, effectively relieving the nerve root, artery and spinal cord compression of the nucleus pulposus around the protruding disc, while protecting the fibrous ring and nucleus pulposus tissue to prevent accelerated degeneration of the intervertebral disc. Application scope: (1) Cervical discogenic cervical spondylosis with chronic dizziness, nausea, numbness and weakness of the limbs, long-term stiffness and discomfort of the neck and shoulder, etc. (2) Discogenic lumbar pain: conservative treatment is ineffective or the efficacy is poor, and the effect of open surgery cannot be guaranteed; age < 50 years, duration of disease < 5 years, lumbar pain with hip or lower extremity radiating pain after prolonged sitting or standing; disc height > 75%; MRI: mild inclusive disc bulge or herniation.