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Neurosurgery
Lumbar Spine Decompression
Lumbar spinal decompression surgery is a procedure aimed at relieving pressure on nerves in the lower back by creating more space within the spinal canal. This is typically done when non-surgical treatments haven't been successful in alleviating symptoms like pain, numbness, or weakness in the legs or feet caused by nerve compression. Relieves pressure on spinal nerves to reduce pain.
Reasons for Decompression Surgery
Lumbar Canal Stenosis: Narrowing of the spinal canal, putting pressure on the spinal cord and nerves.
Slipped Disc: A damaged disc can press on a nerve.
Spinal Injuries: Fractures or swelling can cause nerve compression.
Metastatic Spinal Cord Compression: Cancer spreading to the spine can compress the spinal cord or nerves.
Goals of Surgery
Reduce nerve compression: Creating more space to relieve pressure on the spinal nerves.
Relieve pain and other symptoms: Improves pain, numbness, tingling, or weakness in the back or legs.
Improve mobility: Allows for easier movement and function.
Spinal Fusion
Fuses two or more vertebrae to stabilize the spine. Spinal fusion surgery involves joining two or more vertebrae (spinal bones) together to prevent movement between them, aiming to relieve pain and stabilize the spine. This procedure is often performed when other treatments, like physical therapy or medication, haven't been successful.
Purpose: Spinal fusion aims to stop painful movement between vertebrae, which can occur due to conditions like arthritis, spinal stenosis, or injuries.
Procedure: During surgery, a surgeon may remove the disc between the vertebrae and place bone grafts (from the patient's own body, a donor, or artificial materials) to stimulate bone growth and fusion.
Types of Fusion: There are various types of spinal fusion, including anterior, posterior, and transforaminal lumbar interbody fusion (TLIF), each with different approaches to accessing the spine.
Benefits: Spinal fusion can significantly reduce pain, improve spinal stability, and correct spinal deformities.
Risks and Recovery: Like any surgery, spinal fusion carries risks such as infection, nerve damage, and non-union (failure of bones to fuse). Recovery time varies, but it generally takes several weeks to months, with full recovery potentially taking up to six months.
Herniated Disc Surgery
Removes or repairs herniated discs in the spine. Herniated disc surgery, often involving a discectomy or microdiscectomy, is a surgical procedure to remove the damaged part of a herniated disc that is pressing on a nerve. This surgery aims to relieve pain, numbness, and weakness caused by the disc's pressure on the spinal nerve.
Types of Herniated Disc Surgery
Discectomy: The most common type, involves removing the damaged portion of the disc that's compressing the nerve. This can be done through an open incision (open discectomy) or a smaller incision with special instruments (microdiscectomy).
Microdiscectomy: A minimally invasive procedure that uses a microscope or loupes to view the spine and small instruments to remove the herniated disc.
Minimally Invasive Procedures: These procedures, such as endoscopic discectomy, use small incisions and specialized tools to access and remove the herniated disc.
Open Discectomy:
This involves a larger incision to access the disc, potentially mobilizing or removing bone, muscle, and other tissues.
When is surgery considered?
Conservative Treatments Fail: Surgery is typically considered when conservative treatments, such as pain medication, physical therapy, and injections, have not provided sufficient relief.
Severe Symptoms: Surgery may be recommended for individuals experiencing severe pain, weakness, numbness, or other symptoms that significantly impact their quality of life.
Progressive Neurological Deficits: In cases of cauda equina syndrome, where there is compression of the nerves at the bottom of the spinal cord, surgery may be performed urgently.
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Our certified team addresses the most frequently asked questions from patients. These answers are designed to ease concerns and reduce the anxiety often associated with plastic surgery.
All surgeries, including plastic surgery, carry some risks. However, when performed by a qualified, board-certified surgeon in a safe, accredited facility, complications are rare. Most patients experience a safe procedure and smooth recovery. It’s important to follow your surgeon’s instructions and discuss any concerns beforehand.
Yes, most patients will receive prescriptions after plastic surgery. These may include pain relievers, antibiotics to prevent infection, and medications to reduce swelling. Your surgeon will explain what medications you need and how to take them.
Recovery from cosmetic surgery varies depending on the procedure. Most patients can expect some swelling, bruising, and discomfort during the first few days. You’ll need to rest and avoid strenuous activities as directed by your surgeon. Most people return to normal activities within 1–2 weeks, but full recovery may take longer.
If you’re traveling from the U.S. to Tijuana, you need a valid passport or passport card. Some travelers may also need a tourist card (FMM) if staying longer than 7 days. Check the latest entry requirements before your trip.
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Cosmetic surgery is a branch of plastic surgery focused on enhancing a person’s appearance. It includes procedures that improve facial features, body shape, or skin texture for aesthetic purposes, rather than medical necessity.
The most popular cosmetic procedures for men include gynecomastia surgery (male breast reduction), liposuction, rhinoplasty (nose surgery), eyelid surgery, and hair transplantation. Non-surgical treatments like Botox and dermal fillers are also increasingly popular among men.
The best time to have a facelift is when you are healthy and have realistic expectations. Many people choose to schedule surgery in the fall or winter, as cooler weather makes it easier to recover discreetly at home. Ultimately, the right time depends on your personal schedule, health, and goals. Discuss your timing with your surgeon for the best results.
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