Kraus Back and Neck Institute in Houston, TX spinehealth.com

Relief from Lower Back and Neck Pain

 
surgery optionsavoid surgery
      At the Kraus Back and Neck Institute (KBNI), we specialize
                 in non-surgical as well as surgical treatments
                                of Back and Neck  Pain
     Conservative to Surgical Options: MINIMALLY INVASIVE SPINE SUGERY 
              
 "Applying Science to the Art of Medicine"                                                  
                              .....................................................................
  
                       
                 Dr. Kraus is available for Neurosurgery consultation (surgical and non-surgical) in Houston.
                      Offices:  1) West Houston Medical Center
                                    2) Memorial Hermann Memorial City Hospital
                                    3) Katy
           FILM REVIEW:  send an e mail                                       
                                                         
      To arrange  an appointment, call 281-870-9292,  visit  neurosurgerypa.com
or   send an e mail
              For national and international patients, we can help with  travel arrangements
                                
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                                         top doctors houston texas 2007 top docs united states neurosurgery spine   top doctors houston texas 2008 top docs united states neurosurgery spine  top doctors houston texas 2009 top docs united states neurosurgery spine   best doctors in america, united states neurosurgery spine
                                            Dr. Kraus is honored to be listed in
                                            "Best Doctors in America" (2001-2008) and
                                             "Top Doctors of Houston, Texas" (2007, 2008, 2009)     

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low back pain ache houston texas united states
Low Back Pain, can be very debilitating.  The effects of Low Back Pain in the USA are staggering!!
    
 
   

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   last updated
  June 19, 2009

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spinal cord stimulators (medtronic - mdt)

medtronic (mdt) spinal cord stimulator, houston, texas, west houston, river oaks, neurosurgeon, neurosurgery, surgerySpinal cord stimulation (medtronic) has been used for thirty years (introduced in  1967), to diminish pain in patients.  It is extremely beneficial to patients with certain types of low back and lower extremity pain.  Although it's exact mechanism of operation remains unclear, it appears to work by blocking transmission of pain fibers.

Spinal cord stimulation (medtronic - mdt) is one of the most successful techniques available for the treatment of intractable chronic pain syndromes of benign origin.  It is often as good as reoperation for many patients with failed back syndrome, and for those who have failed reoperation.

The procedure is generally done under local anesthesia.  Either an electrode is inserted through an epidural needle, or a limited laminectomy is done to permit placement of larger epidural (around the spinal cord) electrodes.  Risks of the procedure are very low, with the major risk being infection (occurs in 5% of cases).  medtronic (mdt) spinal cord stimulator, houston, texas, west houston, river oaks, neurosurgeon, neurosurgery, surgery

Several of the images on this site have been provided courtesy of medtronic -  mdt.

Indications for stimulator (medtronic) implantation

  • failed back syndrome (persistent pain in patients who have undergone at least one previous operation;  may involve epidural fibrosis and arachnoiditis)
    • more helpful for lower extremity than low back pain, although both stand to benefit
    • 50-60% success rate 5 years after surgery
  • reflex sympathetic dystrophy (RSD)
    • 70-100% success rate, at 14 to 41 months after surgery
  • post amputation pain (phantom limb pain)
    • 68% success rate in one study
  • post herpetic neuralgia
    • 90% success rate in one study
  • spinal cord injury dysesthesias (pain in lower extremities associated with spinal cord injury)
  • pain associated with multiple sclerosis
  • peripheral vascular disease (insufficient blood flow to the lower extremity, causing pain and placing it at risk for amputation)
    • 80% success at avoiding the need for amputation when the initial implant trial was successful
    • documented improvement in blood flow to the lower extremity when bypass surgery was not indicated
    • improvement in lower extremity pain while walking, in more than 75% of patients with surgically uncorrectable vascular disease

Generally, the more localized in the periphery the pain is, the better the results.  A unilateral extremity will respond best to stimulation, but with the design improvements, and the availability of dual systems and leads with multiple electrodes, it is possible to treat pain over the spine as well as in both extremities.

spinal cord stimulator (medtronic - mdt) implantation technique

Patient education for spinal cord stimulation (medtronic mdt)

 

 

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