International-Standard Pain Therapies
Stiff necks and spinal injuries have become common with today's sedentary lifestyles, and the accompanying long-term pain, numbing sensations, and spasms in the arms, hands, shoulders and lower buttocks can lead to a number of injuries that may limit body movement and even be fatal. The most common complaints among patients are:
- Lower back pain with accompanying leg pain from a herniated (slipped) disc
- Lumbar spinal stenosis
- Neck pain that radiates down the arm caused by cervical nerve root compression
- Spinal deformities such as scoliosis in young children and adolescents
- Back pain among the elderly due to osteoporosis or an arthritic spine
The Spine Clinic at Bangkok Hospital Chiang Mai is devoted to every facet of spinal care. Our team of neurosurgical and orthopedic spine surgeons, neurologists, physiatrists, anesthesiologists, rehabilitation therapists, and nurses have all the latest advances in technology at their disposal. They are also supported by Bangkok Spine Academy's research and clinical programs which are esteemed around the world. The spine is the pillar that supports the body's weight and protects the spinal cord, a column of nerve fibers that controls every movement and function of the body, and Bangkok Hospital Chiang Mai’s Spine Clinic is here to assure that it is cared for properly.
Herniated Discs - a Common Cause of Back Pain
Herniated discs, also referred to as ruptured or slipped discs, are becoming increasingly prevalent. Whereas a bulging disc is usually considered part of the normal aging process, a herniated disc results when a crack in the tough outer layer of cartilage allows some of the softer inner cartilage to protrude out of the disc, irritating nearby nerves and resulting in numbness or weakness in an arm or leg as well as pain that often begins in the lower back and spreads to other parts of the body.
Pinched Nerves - the Root of the Pain
For patients with arm or leg pain, it is not only the herniated disc that is pinching the nerve, but often the tiny extra bone spur or ligament as well. In these cases, it is critical that a spine specialist accurately diagnose the underlying cause of the pain and other symptoms, because the diagnosis dictates the treatment options. In most cases, non-surgical treatments like pain medications, injections, physical therapy and exercise can treat the problem, but if these fail to provide adequate pain relief, surgery may be recommended.
Diagnostic Imaging with MRI
Magnetic Resonance Imaging (MRI) is still the best imaging tool for looking inside the human body and can reveal abnormalities and problems that cannot be seen with other methods. If the MRI reveals the cause of the pain, surgery may be the right course of treatment. At Bangkok Hospital Chiang Mai’s Spine Academy, our MRI machine encompass all the hardware and software required to obtain the highest-resolution pictures of a pathological spinal condition.
Interventional Spine and Pain Management (ISPM)
ISPM is a non-surgical approach to reducing pain in the spine. This technique is very effective for conditions such as small herniated discs and sciatica, and can often offer immediate pain relief. The procedure is performed with an injection, such as an epidural neurolysis, and has been shown to significantly reduce pain in patients where previous surgeries have failed.
Minimally Invasive Surgery
A discectomy is a surgical procedure to remove the herniated disc material that is pressing on a nerve root or the spinal cord, while a laminectomy is performed to decompress the spinal canal. The standard practice for these procedures, as well as spinal fusion surgery to treat such conditions as spondylolisthesis (slipped vertebrae) and scoliosis, is 'open' - that is, the traditional method involving a long incision through which the surgeon inserts the instruments and visualizes the procedure.
These procedures have long been accepted worldwide as the standard in open surgery. At the clinic, however, we perform minimally invasive spine surgeries using a special microscope to view the disc and nerves, which allows the surgeon to make smaller incisions and results in less tissue damage and blood loss, hospital stays of only one or two nights, better outcomes and faster recoveries with advanced biotech like bone morphogenetic proteins, a group of growth factors that aid in the formation of bone and cartilage. For qualified patients, a smaller incision using a technique called endoscopic discectomy is also performed.
Other specialties at the clinic are spinal surgical treatment for seniors with very poor bone quality, and minimally invasive surgery for the treatment of painful vertebral fractures in very fragile patients that involves the injection of a small amount of cement into the affected vertebrae, a procedure that eliminates the need for open surgery and has resulted in a dramatic reduction of back pain for our patients. For lumbar fusion surgery, the academy applies an innovative method called direct lateral interbody fusion (DLIF), which allows access to the area to be treated while potentially minimizing disruption of the surrounding soft tissues and anatomical structures.
1st Floor, Bangkok Hospital Chiang Mai
- Monday: 09:00 – 17:00
- Tuesday: 09:00 – 17:00
- Wednesday: 09:00 – 17:00
- Thursday: 09:00 – 17:00
- Friday: 09:00 – 17:00
- Saturday: 09:00 – 17:00
- Sunday: 09:00 – 17:00
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