With modern technology the Percutaneous laser disc decompression (PLDD) makes a gentle recovery possible!

PLLD Treatment in Munich

PLDDis a minimally invasive pain therapy in the treatment of chronic back pain with or without associated radiating to the legs (“sciatica”).

Cause of the complaints are especially wear-related changes in the intervertebral discs small scale as well as small disc herniation which cause no relevant oppression of nerve structures. The PLDD is especially used if conservative treatment measures have already been unsuccessful with analgesic and anti-inflammatory medication and physiotherapy and physical therapy for several weeks.

This minimally invasive procedure is performed under local anesthesia in a light doze. Under fluoroscopic control the affected intervertebral disc is punctured. We now a laser probe is inserted into the nucleus pulposus via a hollow needle. Contrast media will ensure the proper positioning of the needle and documented the same time that the posterior annulus is intact. If faulty and leak contrast, adjacent nerve tissue can be damaged by the laser treatment.

The laser energy is transferred to the disc via an optical fiber core. The local heat generation protein structures of the nucleus pulposus are destroyed. Due to the volume loss achieved and the simultaneous shrinkage of the disc, the pressure on surrounding structures (nerve roots, spinal cord) is reduced. This raises a reduction of the causative pain.

With this minimally invasive procedure the patient a general anesthetic is spared, thus there is only a short hospital stay of 1-2 days, and the recovery time is significantly shortened.