WHAT IS VIA DISC NP?

VIA Disc NP is intended for use as an allograft to supplement nucleus pulposus tissue loss in degenerated intervertebral discs. An allograft is tissue recovered from a human donor that is transferred to a human recipient.

VIA Disc NP consists of dehydrated nucleus pulposus particulate derived from the intervertebral disc region of the donor.

The nucleus pulposus particulate is mixed together with saline and delivered into your intervertebral disc during a non-surgical spinal procedure.

HOW DOES VIA DISC NP WORK?

1 Age-related wear and tear of the

intervertebral disc can cause loss of hydration and degeneration.

2 VIA Disc NP is delivered into the degenerated

intervertebral disc through a 20G spine needle.

3 After delivery, VIA Disc NP replaces tissue loss in the degenerated intervertebral disc.

Epidural Steroid Injections (ESIs) are an integral part of a non-surgical management of low back, sciatica and neck pain. The goal of the injection is to relieve pain often temporarily and sometimes completely. The steroid injection works by reducing pain and inflammation of the spinal nerve. Although most physicians agree that the pain relief provided by the injection tend to be temporary, providing one week or up to one year of pain relief is very beneficial for a patient during an acute episode of back or neck pain. A successful injection can provide enough relief for the patient to enter rehabilitation, physical therapy and begin to stretch and strengthen their body and possibly eliminate the back or neck pain entirely.

What Conditions Does ESI Treat:

• Radicular pain originating from the spinal cord traveling down your arms or legs
• Compressed nerve in the neck or back
• Discogenic Back Pain or Degenerative Disc Disease
• Spinal or Foraminal Stenosis
• Sciatica
• Herniated Disc
• Spondylolisthesis

Often referred as a radiofrequency ablation or neurotomy is an interventional procedure that reduces or eliminates back or neck pain and spasms caused by damaged or degenerative facet or sacroiliac joints. The procedure introduces a needle under X-Ray to damaged facet and targets the medial branch nerve that carries the pain signal. Once the needle is positioned, a radiofrequency probe is inserted and heated to ablate the nerve.

The advantages of the radiofrequency ablation are relief of back or neck pain and spasm for up to 18 months. Most patients receive pain relief on average between 6 to 12 months. The procedure is done with only a needle stick and with the patient awake and local skin anesthetic. Patients have very little post-procedure pain and can return to work or their lifestyle immediately.

What Conditions Does Radiofrequency Ablation Treat:

• Chronic Axial Back Pain
• Facet Syndrome
• Spinal Stenosis
• Spasms
• Spinal Arthritis

Spinal cord stimulation is an electrical current used to treat chronic pain. There are two types of stimulator devices: Peripheral Nerve Stimulation (PNS) and Spinal Cord Stimulation (SCS). Both of the devices use a small pulse generator that sends electrical pulses to the nerve. These pulses interfere with nerve impulses that allow you to feel pain.

Patients that are candidates for nerve or spinal cord stimulator would go through two steps. First, the physician will insert a temporary electrode percutaneous through the skin for a treatment trial run. The electrode is connected to a stimulator that the patient can control. If the trial is successful, the physician will implant the permanent stimulator under your skin. This procedure can be done with local anesthetic and a sedative to make sure the patient is alert but comfortable. After the procedure is done you and your physician will determine what is the best pulse strength for you.

What Conditions Does Spinal Cord Stimulator Treat:

• Failed Spine Surgery Syndrome
• Severe Nerve-Related
• Chronic Pain Syndrome or Complex Regional Pain Syndrome