Inpatient Care services include the following:
1. Surgical treatment
2. Conservative (non-surgical) treatment
(For information on surgical treatments and methods, please see the sections entitled Spinal Surgery and General Orthopedics.)
Conservative (non-surgical) treatment
Non-surgical treatment has been an integral part of the National Center for Spinal Disorders ever since its inception in 1995. The patient evaluations, examinations and conservative treatments follow the institution's own diagnostic and therapeutic patient care guidelines.
The Purpose of Evaluation:
- Evaluation is necessary for diagnosing spinal diseases related to physical activity (i.e., of mechanical origin) in order to:
- require patients, who have been designated for surgery (but not emergency) on the basis of their symptoms, X-rays and MRI or CT scans, to take part in a pre-rehabilitation and physical therapy program for building up muscle strength for the post-operation phase;
- decide, at the end of the five-day hospital stay and after evaluation of the radiological results, symptoms and condition, whether a borderline surgical Patient might be capable of improving with conservative therapy;
- measure and properly document the Patient's pain intensity level, the quality of life index, the upper body muscle strength and endurance, the lower extremity strength and check the functional condition of the spine with specific questionnaires to help evaluate the results of conservative treatment or surgery.
- Condition evaluation is the basis of a complex planning program for surgical as well as conservative treatment
The Purpose of Conservative Treatment:
- To decrease the pain level associated with a spine disease.
- Help to normalize the daily activities and return the capacity to work.
- Increase the spine's functional capacity and, thus, its weight bearing capacity.
Countless conservative treatment methods exist for treating disorders of the spine, differing from institution to institution according to their needs and experiences. The conservative therapies offered by us include: various pain relief treatments such as infusions, injections, block injections administered into joints, nerve roots and the spinal canal, physiotherapy treatments (emphasizing personal exercise programs), packs, psychotherapy and a spine school for teaching and training patients.
The Purposes of Examinations:
- Should X-rays show several diseased intervertebral discs as the possible source of pain, a discography examination, an in-hospital procedure, will help to precisely pinpoint the source of pain The diagnostic nerve root or facet joint block injection serves this same purpose.
- The in-hospital examinations help us rule out or confirm other possible differential diagnostic clinical picture(s) or psychosocial factors, such as symptoms imitating pain of spinal origin, as the cause of back or extremity pain.
The patients are admitted to the hospital based on the physician's opinion following examination in the out-patient clinic. Laboratory and radiological examinations, evaluation by a physiotherapist, screening by our pain research group as well as other required angiological and neurological examinations pertaining to the diagnostic guidelines precede the actual admission.
Patient Groups Admitted to the Hospital for Conservative Treatment:
- Intervertebral disc degeneration;
- Herniated discs not needing surgery;
- Spinal canal compression symptoms;
- Patients previously operated (principally, at this institution) who continue to be symptomatic;
- Patients suffering from osteoporosis and are awaiting a decision on surgery;Postoperative rehabilitation for Patients who underwent surgery at this institution.
The Conservative Department includes a rheumatologists, physiatrists, spine specialists, orthopedic-spine specialists, neurologists, psychologists and physiotherapists as well as massage therapists.