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Ozonucleolysis
Doctor Kares Hospital is the first centre in India to perform Intradiscal Ozone Discectomy (Ozonucleolysis) as a safe and effective alternative to open surgical procedure for prolapsed disc.
Developed in Italy, over 80,000 patients have now been treated successfully using injection of medical ozone with a success rate of 80-90% and a near nil rate of procedure related complications. Chemonucleolysis using percutaneous injection of intradiscal enzyme (chymopapain) was popularized an alternative to surgery in many of cases with lumbar radiculopathy stemming from herniated lumbar intervertebral disc in the 1980s with a reported successful outcome of 82%. The procedure lost much of its flair owing to rare, though severe reported complications like anaphylaxis, transverse myelitis, paraplegia and subarachnoid haemorrhage. There has been a resurgence of interest in using percutaneous intradiscal techniques, substituting medical ozone oxygen mixture as a safe alternative injectate in the place of chymopapain. This least invasive, cost effective technique has all the benefits of chymopapain injection with none of its complications and has the potential of becoming the procedure of choice for many sufferers of sciatica and brachalgia who have failed to respond to conservative measures.
Ozone therapy, thanks to its good results, noninvasiveness and lack of major complications compared to other methods (microsurgery, endoscopic discectomy, percutaneous arthroscopic discectomy, conventional surgery etc) make this therapy the treatment of choice with the potential to change lives of countless sufferers of back and leg pain.
What is Ozone Discectomy (Ozonucleolysis)?
Injection of Ozone-Oxygen mixture into the disc is a new alternative method of treating patients suffering from back and leg pain (sciatica) coming from a disc prolapse.
How does it work?
When ozone-oxygen is injected into the disc, the prolapse shrinks and pressure on the nerve is reduced.
Injections also decrease painful swelling of the nerve that occurs with disc prolapse.
Is Ozone therapy safe?
Ozone injections have been found to be an extremely safe frm of treatment and are currently employedas the first treatment of choice for disc herniation in many countries. This treatment is by and large free from any side effect by the injection of ozone itself.
What are the steps involved?
We follow a Kumar Protocol that comprises of 4 - 6 injections of medical grade ozone oxygen mixture under digital C-Arm imaging in the intradiscal, pararadicular and intraforaminal areas of the prolapsed disc over a 2 - 3 week duration.
Benefits of Ozonucleolysis
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No cutting ! |
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No scarring ! |
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No general anesthesia ! |
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No hospital stay ! |
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Shorter recovery time ! |
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very short absence from work ! |
Who should consider it ?
Patients with :
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Severe back, leg and / or arm pain Pain that has not responded to 6 weeks of conservative treatments (rest, pain medications, physical therapy) |
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Herniated lumbar or cervical discs confirmed by imaging studies (CAT scanning / MRi / myelography) |
Who should not consider it ?
Patients with :
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Low back pain where the disc appears normal by MRI or CT scan |
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Cancer of other spinal tumors |
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TB or other spine infections |
What is the course after treatment ?
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Bed rest advised for the first day |
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10 - 15 minutes walk on day 2 |
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Full activity with exceptions of vigorous sports and lifting allowed from day 5 |
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Most people return to work by day 6 |
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Patients are encouraged to maintain a healthy life style comprising of good nutrition and develop a habit of regular exercise, strengthening and stretching to prevent injury or recurrences. |
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Physiotherapy
Our expert team at Doctor Kares uses a combination of hands-on techniques along with specific physiotherapy "modalities" such ultrasound, electric muscle stimulation, and exercise to reduce pain, restore movement and strengthen weakened muscles.
Modalities provided:
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Soft Laser |
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Ultrasonic Therapy |
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Cryotherapy (hot & cold) |
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Interferential Therapy (IFT) |
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Transcutaneous Electrical Nerve Stimulation (TENS) |
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Shortwave Diathermy |
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Intermittent Traction |
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Exercise Programmes |
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Neuromuscular Reeducation |
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Occupational Therapy |
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Paraffin Bath |
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Shoulder Wheel |
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Bio Feedback |
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Minimally Invasive Orthopaedics
Doctor Kares Hospital has an excellent team of orthopaedic surgeons who perform complete orthopaedics including the following procedures:
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Percutaneous Discectomy |
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Endoscopic Discectomy |
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Vertebroplasty |
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Kyphoplasty |
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Knee, Hip and Shoulder Arthroscopy |
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Total Knee and Hip Replacements |
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High Tibial Osteolomy |
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Partial Knee Replacement |
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Bipolar hip Arthroplasty |
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Hip Resurfacing |
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Including open surgeries. |
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X-Ray
At Doctor Kares Hospital, Gurgaon, we have a Modern X-Ray Facility open from 9 am - 8pm. |
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EMG
At Doctor Kares Clinic, Vasant Vihar, we have a Fully Modern EMG Facility open from 9 am - 8pm. |
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Doctor Kares Pharmacy
At Doctor Kares Hospital, Gurgaon, we have a fully stocked pharmacy open from 9 am - 8pm. |
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