Neurosurgery Dr. Stoforou

LUMBAGO

What is Lumbago?

Lumbago (back pain, pain in the waist, lumbosciatica, minimally invasive spine surgery, MI spinal) is a symptom that concerns any pain in the lumbar spine (in the waist), regardless of the cause of it.

 

Pain in the waist that may be accompanied by leg pain (hip) is called Lumbosciatica.

What is Lumbago or back pain due to?

Pain in the waist or back pain is often due to a muscle strain, our well-known lumbago.

 

This is something that, in 90% of cases, retreats with conservative treatment within a maximum of 6-8 weeks.

 

It may also be due to other pathologies, the most frequent among them being intervertebral disc herniation.

 

Other causes of back pain or pain in the waist, are pressure of neural structures from tumors in the lumbar region, either benign (neuroma, meningioma) or malignant (metastatic tumors, multiple myeloma, lymphoma etc.)

What should I do if I have back pain?

Since a persistent back pain or pain in the waist, is not always innocuous, it is advisable to visit the neurosurgeon to examine the patient on one hand and recommend if necessary laboratory investigation depending on the symptoms.

What Exams Should I Do?

Depending on the clinical findings of back pain or pain in the waist, the neurosurgeon may recommend:

 

  • Simple lumbar X-ray
  • Computed Tomography
  • Magnetic Resonance Imaging
  • Electromyography
  • General and specific blood tests

How is back pain or pain in the waist treated?

The treatment of back pain depends on the causative factor, that is, what causes it.
In 90% of cases, conservative treatment is sufficient.

 

However, in cases where there is a pathology that causes either severe pressure on nervous structures (nerves, spinal cord, medullary cone) with neurological deficits, or marked pain that does not retreat within a reasonable time with conservative treatment, treatment is surgical.

What kind of surgery is done for back pain or pain in the waist?

Depending on the causative agent, lumbar surgery may be from a minimally invasive operation of the type of transdermal techniques (DiscoGel ), Application of RF radiofrequency RF, either a microdiscectomy or endoscopic discectomy (in cases of intervertebral disc herniation or laminectomy in) cases of lumbar stenosis or tumors in the area requiring wider decompression. Disc fusion is now indicated only in very few cases of severe lumbar instability or spondylolisthesis, but dynamic stabilization techniques with an intermediary prefix are gaining ground.

 

Lumbago (back pain, pain in the waist, lumbosciatica, minimally invasive spine surgery, MI spinal).

What Do I Need To Ask For?

The Neurosurgeon is specialized in microsurgery interventions in sensitive structures that are the nervous system (central, brain and spinal cord and peripheral, nerves). It is therefore obvious that familiarity with the microscope / endoscope, which is its everyday “tool” and its expertise in these interventions, makes it the most suited for performing these so delicate interventions.