Tagged: 

Viewing 6 posts - 13 through 18 (of 44 total)
  • Author
    Posts
  • Majid Zohrabi
    Member
    Post count: 1

    Dear Dr.Cornman,

    Thank you for your reply.

    I think a misunderstanding has occurred.

    We use discogel for treatment of disc herniation

    for the patients that have radiculopaty ( as you said).

    I don’t perform discectomy prior to discogel injection.

    Besides, I and my colleagues are preparing

    an article about our result of discogel injection

    in treatment of disc herniation.

    Best Regards

    Majid Zohrabi MD , Neurosurgeon

    Donald Corenman, MD, DC
    Moderator
    Post count: 8409

    Thanks you for your reply. I am still confused somewhat. I now understand now that your indication for discogel is compressive radiculopathy by herniated disc. What I don’t understand is that you do not perform a microdiscectomy prior to placing the discogel but you insert the disogel into the disc space.

    How do you gain access to the disc space? Through the herniation or on the opposite side? If through the herniation side, do you leave the herniation fragment against the nerve root? Do you insert the disogel through the full thickness annular tear that caused the herniation?

    Dr. Corenman

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
     
    Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
    ADR Seeker
    Member
    Post count: 3

    You may want to try watching a video Donald. Your site won’t allow me to put in URLs.

    You may want to try watching a video Donald.

    Keep in mind that the rest of the world is far more advanced in spine than the US.

    Discgel is a radio opaque gelled alcohol.

    There are many alternatives to putting plastic and titanium into people’s spines but as we know spine surgery is very lucrative and most spine surgeons are mobbed up with the medical device companies.

    There are protein and stem cell injections that can rehabilitate disks. There are several methods of nucleoplasty that are safe and more effective than fusion but like I said, in the US it’s not about the patient but rather it is about the money and you know that so don’t act like you don’t understand how Discogel and other types of nucleoplasty work.

    Bottom line Donny, it works and it is far better than fusion. You can believe the independent science or you can believe the US spine industry and companies like J&J, Stryker, Globus, Lanx, Medtronic who all have faced large criminal fines.

    Keep in mind that the rest of the world is far more advanced in spine than the US.

    Discgel is a radio opaque gelled alcohol.

    There are many alternatives to putting plastic and titanium into people’s spines but as we know spine surgery is very lucrative and most spine surgeons are mobbed up with the medical device companies.

    There are protein and stem cell injections that can rehabilitate disks. There are several methods of nucleoplasty that are safe and more effective than fusion but like I said, in the US it’s not about the patient but rather it is about the money and you know that so don’t act like you don’t understand how Discogel and other types of nucleoplasty work.

    Here is more from the NIH

    Bottom line Donny, it works and it is far better than fusion. You can believe the independent science or you can believe the US spine industry and companies like J&J, Stryker, Globus, Lanx, Medtronic who all have faced large criminal fines.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8409

    You note many things in your reply that are simply not accurate. You speculate that the “rest of the world is far more advanced in spine than the US”. From my lectures and travel to other countries, I would dispute that statement. The rest of the world does use some different techniques but unfortunatley these techniques generally are ineffective and and some are injurious.

    Most spine surgeons I know do their best to help the patient and are not in the pockets of any medical device company. There is always a public suspicion that physicians are “bribed” but I can tell you this is not true. There might be some poor surgeons and even some that are misdirected but most surgeons have their patient’s best interest at heart. There is no conspiracy to make money and harm the patient.

    I have been in spine for over thirty years and have seen new techniques come and go. The bottom line is if these techniques do what they say they will do, they will be adopted by the spine community. Many new techniques however are overblown promises that are simply not effective.

    Stem cell injections are the current craze. The inside of the disc is avascular. Cells that survive in this environment work poorly. However, when taken out of the disc and placed on nutrient media, these cells thrive. This indicates the very low oxygen environment is one of the causes of cell demise and disc vulnerability. Please tell me how injecting stem cells into this avascular environment will allow these cells to thrive, let alone how they will morph into an appropriate cell line that will heal the disc.

    Also, how many peer reviewed articles (the gold standard for publication) are out there for discogel? This substance I would love to support but the studies at this point do not support this product.

    Nucleoplasty has been demonstrated not to work in multiple studies. Physiology does not support this technique and it has been proven to be detrimental. Same with IDETT and many other techniques (X-stop).

    You have a bone to pick for some reason with all the large spine companies. That is all well and good but the best way to understand if a technique is effective to look at peer reviewed studies. These companies are in business to supply an effective product but the surgeon needs to determine if the product will ultimately help his or her patient.

    Dr. Corenman

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
     
    Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
    Donald Corenman, MD, DC
    Moderator
    Post count: 8409

    Thank you for your last post. The reason I do not allow links is that identification is not HIPPA guideline appropriate. Also links can carry viruses which leads to other problems.

    You apparently have an axe to grind with the spine industry. You are incorrect in some of your assumptions and you have a jaded outlook on doctor altrusim and patient care. You are certainly welcome to call the office for the reasons why I cannot carry your post but your information is not accurate and misleading.

    Dr. Corenman

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
     
    Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
    Mazi_dg
    Participant
    Post count: 2

    Dear Dr. Corenman,
    I am writing because next week I have planned Discogel injection in Poland. Today I found this topic and I am a little bit scared of it. As I can see you are opposed to Discogel. Your last post was 1,5 year and I want to ask if you change your mind on Discogel or maybe you collect new facts about this injection.
    I will be grateful for any answer.
    Best Regards,
    Mathew

Viewing 6 posts - 13 through 18 (of 44 total)
  • You must be logged in to reply to this topic.