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01/20/2014

Carson Health usa novo procedimento terápico em joelho…sem cirurgia (The Daily News)

CARSON CITY - uma nova técnica de terapia projetada para aliviar a dor no joelho sem cirurgia agora está sendo executada no Hospital da cidade de Carson. O novo procedimento, que implementa maciços de refrigeração de rádio-freqüência e tem sido usado para aliviar a dor nas costas por muitos anos, só recentemente começou sendo usado para fazer o mesmo em relação à dor no joelho.

Dr. Parut Bhimalli de Carson saúde vem realizando o procedimento no Hospital de Carson City por cerca de dois meses. Após realizá-lo em dois pacientes, ele diz que os resultados foram positivos.

"Estamos muito animados sobre este procedimento," disse Bhimalli. "Não vai substituir a cirurgia, mas pode por-lhes tempo. Eles provavelmente será capazes de andar melhor."

De acordo com Bhimalli, o procedimento, que envolve a aplicação de calor para os nervos para bloquear a transmissão da dor, efetivamente "queima" os nervos para cancelar seus sinais de dor, destina-se para aqueles que não são candidatos ideais para a cirurgia, quer seja devido a problemas de saúde ou idade.

"Nós podemos oferecer este procedimento para obtê-los de alívio da dor até que eles estão aptos para a cirurgia," ele disse. "Esta é uma boa opção para quem tem uma doença degenerativa do joelho, mas não querem fazer cirurgia por causa de problemas de saúde."

An X-ray machine is used to help Dr. Parut Bhimalli of Carson Health guide a needle into a patient’s knee. The needle is used to “burn” away nerves that send pain signals to the brain, thus reduces pain in the patient’s knee.

According to Ted Timmis of Halyard Pain Management, patients usually receive relief from their pain that typically lasts between six to nine months. Timmis said Bhimalli is the only pain specialist in Mid-Michigan who has been trained on cooled radio-frequency lesioning and is the first physician in the state to perform the procedure on the knee.

“This is a significant advance in the non-surgical treatment of knee pain and is a great option for patients who are not candidates for knee replacement,” Timmis said. “These patients don’t have to go to the University of Michigan or the Cleveland Clinic now to get this done, and they can’t go to Sparrow or Spectrum, but they do it at Carson and they are getting great results.”

Timmis added the the process is an outpatient procedure, meaning that there is no overnight stay in the hospital. The process is performed in a matter of hours with the patient leaving the hospital the same day they entered.

Dr. Ami Mac of the Rehabilitation Institute of Michigan has also been performing the procedure in the Detroit and Flint areas, and said her results are also very favorable.

“Right now this process is being performed on the spine and we’ve been doing it for decades,” Mac said. “We’ve now taken it and moved it to the knee. One of the things that’s been interesting with this procedure, the preliminary results have been fabulous.”

An X-ray scan shows a needle being used to “burn” away nerves around a patient’s knee during a cooled radio-frequency lesioning procedure at Carson City Hospital.

Mac said she recently had a patient who needed assistance walking and was not a candidate for knee surgery because she was in her late 90s.

“Surgery is a big deal,” she said. “Once you have a knee replacement, you’re putting in a fake knee. You can’t go back from that.”

Mac said the woman’s pain level, on a scale of 0 to 10, with 10 being the worst, went from a 10 to a 2 after the cooled radio-frequency lesioning procedure.

“For people who are considering having a knee replacement, going in for an initial block may be worth while just to see if trying this procedure will ultimately will provide some relief.

For Bhimalli, the new procedure is something he is glad he is now able to offer to his patients.

“They are happy to hear that we are offering something to help them,” he said. “We have done it on two patients so far and they are doing very well. We are going to do two more patients next month, so we are moving forward with success.”

For more information about the procedure, contact the Carson Health Pain Management Center at (989) 584-3131 ext. 182.

 

Note: Article from thedailynews.cc