For many patients, surgery is usually a difficult option because it usually requires extensive treatment and a recovery period. However, the development of modern surgery and treatment of chronic back pain, arthritis and sports injuries, and cataracts are paving the way for patients to accelerate recovery and improve their health.
Regardless of age, maintaining healthy bones and joints is essential to enjoy optimal mobility, especially in places such as Dubai where there is ample opportunity to lead an active lifestyle. For people who suffer from chronic pain or injury due to physical activity, the disability of bones, muscles, and joints can be frustrating. However, the treatment of these diseases does not always require surgery, and there are innovative treatments that can help them experience easier exercise.
Valiant Clinic & Hospital established the Bone and Joint Center as part of its Department of Orthopaedics and Sports Medicine to meet the complex needs of patients in the region for advanced treatments. These include non-surgical treatments, exercise programs, and minimally invasive surgery.
Nursery with minimal incision
Knees and shoulders are the two most common joint problems. Dr. Harris Zourelidis, an orthopedic specialist at Valiant Clinic & Hospital, confirmed that it can be treated under daycare minimally invasive surgery, which is done through a small opening to limit the impact on soft tissues. organization. The most common knee surgery is meniscus repair and anterior cruciate ligament reconstruction. For the shoulder, it involves repair of tendons, rotator cuff, and repair of labrum instability.
He explained that these types of problems require clinical examinations, including X-rays, ultrasound and MRI scans, to understand the condition of the joints. Before surgery, local anesthesia will be applied to the relevant nerves to achieve lasting pain relief and to minimize the intake of oral medications. This is called a nerve block.
“During the operation, a small 5mm incision was made, and the camera helped us inspect the inside of the joint,” said Dr. Zourelidis. “For torn ligaments, meniscus, or other tissues, modern implants are used to repair them, allowing the patient to start moving the joints without the risk of damaging the repaired tissue. Overall, the technology combines minimally invasive surgery, partial Nerve blocks and the use of modern implants for strong fixation allow the patient to go home the day after the operation and resume daily activities such as walking and driving within a week. Or both, depending on the procedure.”
Relieve chronic pain
Valiant Clinic & Hospital seeks various experts for chronic back pain patients to get rid of the pain. It is recommended to adopt the comprehensive and holistic interventional pain management technology provided by the hospital, which can also be non-surgical, depending on the patient’s condition.
Dr. Zbiggy J. Brodzinsky, consultant orthopedic spine surgeon at Valiant, said that multidisciplinary interventional pain management can provide patients with a full range of treatments and services. The goal is to reduce or control pain and improve the overall quality of life of patients through minimally invasive techniques. Especially when the patient has exhausted other treatments.
“For patients with back pain, interventional pain management techniques may be particularly useful,” he said. “In addition to a comprehensive medical history and physical examination, Valiant’s interventional pain management doctors can use a variety of treatments. These often include other treatments such as physical therapy, occupational therapy, and lifestyle changes to further strengthen the procedure.”
The scope of interventional pain management at Valiant Clinic & Hospital is led by Dr. Mohamed El Toukhy, Pain Medicine consultant, and Dr. Brodzinsky, and includes epidural injections of anesthetics and steroids. The source of pain is determined by nerve block, nerve root block, medial branch block, etc., and injection is used to determine whether a specific spinal nerve root is the source of pain. It can also be used to reduce inflammation and pain. Other options are facet joint injections and discography, both of which help to identify and check the source of pain.
At the same time, there are some pain blockers, such as pulsed radiofrequency neurotomy (PRFN), which can be performed as a minimally invasive surgery to disable spinal nerves and prevent them from transmitting pain signals to the brain. More options include rhizotomy, a procedure that uses heated electrodes to turn off pain signals transmitted to the brain and applies them to specific nerves that carry pain signals, and spinal cord stimulation that uses electrical impulses to prevent pain from being sensed in the brain.
Finally, an intrathecal pump can be an option, which involves the surgical implantation of the pump to deliver the painkiller to the precise location of the pain in the spine. Another type of surgery is percutaneous discectomy or nucleoplasty, in which tissue is removed from the intervertebral disc to decompress and reduce pressure.
Ankle and foot care
For ankle and foot care, Valiant orthopedic consultant Dr. Nathalie Bouffioux, who has more than 20 years of experience in ankle and foot surgery, said that the balance between conservative treatment and surgery is very important to achieve optimal healing. She provides customized treatment methods for each patient, and gives value to the doctor-patient relationship in the nursing process to fully provide the most accurate care needed.
“Minimally invasive surgery has been fully proven and provides an evidence-based treatment for foot and ankle diseases, showing faster recovery time, minimal scarring, and reduced use of painkillers after surgery,” Dr. Bouffioux Say. “Small surgical incisions are now highly favored by experts because they can reduce the traumatic effects on muscles.”
Valiant Clinic & Hospital treats various diseases such as bunions, mallettoe and big toe arthritis. Today’s foot surgeons avoid sacrificing joints through fusion during surgery. In Europe, Dr. Bouffioux practiced using a coke prosthesis to replace the big toe instead of fixing the joint (arthrodesis) to treat painful arthritis of the big toe. This unique procedure is now part of her practice in Dubai.
Exercise therapy to relieve pain
Danielle Donnelly, a residential exercise therapist at Valiant Clinic & Hospital, identified shoulder impingement syndrome as the most common cause of shoulder pain. When a tendon or skeletal bursa impinges, it is usually caused by repeated overhead movements of the shoulder. Common symptoms are difficulty in reaching the back or pain when the arms are extended upwards, and weakness in the shoulder muscles.
She said conservative treatment can reduce pain and cited research that proves how this approach can improve shoulder function and avoid the need for surgery. “As a sports therapist, I focus on reducing pain and improving joint function through a combination of manual therapy and rehabilitation exercises. A good exercise plan will include stretching and controlling joint rotation (CAR), which is a careful control, Concentrated joint circle. During CAR, you only focus on moving the joint you are moving, and nothing else. You need to improve and awaken the weak and dysfunctional receptors in the joint area to ensure the best permanent flexibility sex.”
She also recommended ways to strengthen the shoulder muscles, such as the rotator cuff and posture muscles. Poor posture can lead to reduced shoulder movement and is therefore related to many shoulder conditions. Donnelly is also committed to providing exercises for specific sports and revising current exercise plans to enable patients to return to normal activities or selected sports.
The gold standard surgery for cataract treatment
As part of Valiant Clinic & Hospital’s continuous efforts to provide advanced surgical procedures, the hospital now also provides the gold standard technology in the field of cataract extraction, namely phacoemulsification. This is an operation that uses ultrasonic energy to dissolve and remove cataracts and has been proven in millions of patients worldwide.
However, Valiant’s consultant ophthalmologist, Dr. Luisa M. Sastre, pointed out that femtosecond lasers are also an effective method as part of cataract surgery, including incisions, capsulotomy, and nucleus softening. However, due to the cost of this technology, it has not yet been widely used, which still prevents many insurance companies from being included in their medical insurance coverage.
“Cataract prevention involves simple habits and practices, such as wearing sunglasses when exposed to the sun, because overexposure can damage the cornea and retina, leading to cataracts,” she said. “Good metabolic control of diabetes is also very important. Avoiding the use of steroids is the best way to protect the eyes from cataract infection.”
Valiant Clinic & Hospital accepts the following insurances: Bupa Oman Insurance, NAS, Mednet, Neuron, Saada, MetLife, NextCare, AXA, Almadallah, Saico Health, Daman, Aetna, MSH International and Inayah TPA.
To make an appointment, please call 8008254268, send an email to email@example.com or visit www.valiantclinic.com
This content comes from Reach of Gulf News, the brand content team of GN Media.