Dr. Harris Zourelidis, an orthopedic specialist at Valiant Clinic & Hospital, explains a procedure to a patient
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Surgery is often a difficult option for many patients because it usually requires a long period of treatment and recovery. However, modern developments in surgery and treatment of some conditions such as chronic back pain, arthritis, and sports injuries, as well as cataracts, are paving the way for patients to speed their recovery and improve their health.
Maintaining healthy bones and joints regardless of age is vital for optimal mobility, especially in places like Dubai where there are many options for an active lifestyle. Disabilities in bones, muscles, and joints can be daunting for people with chronic pain or injuries from exercise. Treating these conditions doesn’t always require surgery, however, and innovative treatments exist that can help them make easier movements.
Valiant Clinic & Hospital has set up a bone and joint center as part of the orthopedic department and sports medicine to meet the complex needs of patients in the region for advanced treatment. These include non-surgical treatments, exercise programs, and minimally invasive surgery.
Daycare center with minimal cut
Knees and shoulders are two of the most common joint problems that Dr. Harris Zourelidis, Orthopedic Specialist at Valiant Clinic & Hospital confirms that they can be treated as part of a minimally invasive day care surgery, where procedures are performed through small openings to limit the impact on soft tissues. The most common knee operations are meniscal reconstruction and anterior cruciate ligament reconstruction. For the shoulders, it includes repairing tendons, rotator cuff, and repairing the labarium for instability.
He explains that these types of problems require a clinical exam, including x-rays, ultrasound, and MRI scans to see the condition of the joints. Before the procedure, the affected nerves are numbed locally to provide long-lasting pain relief and to minimize the use of oral medications. This is known as a nerve block.
“During the operation, a small incision of 5 mm is made and a camera supports us in examining the inside of the joint,” says Dr. Zourelidis. “If ligaments, menisci or other tissues are torn, modern implants are used to repair them so that the patient can move the joint without damaging the repaired tissue. Overall, the technique is a combination of minimally invasive surgery, local nerve blocks and the use of modern implants for strong fixation so that the patient can go home the same day after the operation and return to daily activities such as walking and driving within a week two, depending on the procedure. “
Chronic pain relief
For chronic back pain patients who go back and forth to various specialists for pain relief, Valiant Clinic & Hospital suggests interventional pain management techniques, which the hospital offers with a comprehensive and holistic approach, which can also be non-surgical depending on the patient’s condition.
Dr. Zbiggy J. Brodzinsky, Specialist in Orthopedic Spine Surgery at Valiant, says that interventional pain management, which is multidisciplinary, can provide a full range of treatments and services to patients with the aim of reducing pain or treating it to improve overall quality of life improve the patient. through minimally invasive techniques, especially when patients have exhausted other treatments.
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“Interventional pain therapy techniques can be particularly helpful for back pain patients,” he says. “In addition to a thorough anamnesis and physical examination, doctors in interventional pain therapy at Valiant have a wide range of treatments at their disposal. This often includes other treatments such as physical therapy, occupational therapy, and lifestyle changes to further improve the procedures. “
The range of treatments at Valiant Clinic & Hospital in interventional pain therapy under the direction of Dr. Mohamed El Toukhy, Consultant Pain Medicine, and Dr. Brodzinsky includes epidural injections that use anesthetics and steroid drugs. Determination of the source of pain is done by a variety of means, such as the nerve, root, and medial branch blocks, which are injections, to determine if a particular spinal nerve root is the source of pain. It can also be used to relieve inflammation and pain. Other options include facet joint injections and discography, both of which help identify and investigate the source of pain.
There are now pain blockers like pulsed radio frequency neurotomy (PRFN), which can be used as a minimally invasive procedure that paralyzes spinal nerves and prevents them from relaying pain signals to the brain. Other options include rhizotomy, a procedure that uses heated electrodes to turn off pain signals to the brain and is applied to specific nerves that carry pain signals, and spinal cord stimulation, which uses electrical impulses to block the perception of pain in the brain .
Finally, intrathecal pumps may be an option that involves surgically implanting a pump that delivers pain medication to the exact spot in the spine where the pain is localized. Another procedure is percutaneous discectomy, or nucleoplasty, in which tissue is removed from the disc to decompress and relieve pressure.
Ankle and foot care
For ankle and foot care, Dr. Nathalie Bouffioux, senior orthopedic surgeon at Valiant, who has more than 20 years of experience in ankle and foot surgery, believes that a balance between conservative therapies and surgery is important in order to achieve optimal healing. She offers a tailored approach to treatment for each patient and places great emphasis on the patient-doctor relationship in the nursing process to ensure the most accurate care that is needed.
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“Minimally invasive surgery is well documented and offers an evidence-based treatment approach for foot and ankle disorders that shows faster recovery time, minimal scarring and less post-operative pain medication use,” says Dr. Bouffioux. “Small surgical incisions are very much preferred by specialists these days because they reduce the traumatic effects on the muscles.”
Valiant Clinic & Hospital treats various conditions such as bunions, hammer toes and arthritis of the big toe. Foot surgeons today avoid sacrificing a joint by fusion during surgery. In Europe, Dr. Bouffioux uses pyro-carbon prostheses to replace the big toe instead of fixing the joint in painful arthritis of the big toe (arthrodesis). This unique procedure is now part of their practice here in Dubai.
Sports therapy for pain relief
Resident sports therapist at Valiant Clinic & Hospital, Danielle Donnelly, identifies shoulder impingement syndrome as the most common cause of shoulder pain, which occurs when tendons or bursae protrude from the bones, often caused by repetitive overhead movements of the shoulder. Common symptoms include difficulty reaching up on your back or pain when stretching your arm up, as well as weakness in the shoulder muscles.
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She says conservative treatment can reduce pain and cites studies showing how this approach improved shoulder function and avoided the need for surgery. “As a sports therapist, I focus on relieving pain and improving joint function through a combination of manual therapy and rehabilitation exercises. A good exercise program would include stretches and controlled joint rotations (CARs), which are carefully controlled, focused joint circles. During a CAR, you focus on moving only the joint you are moving and nothing else. You have to improve and wake up the receptors in the weak and malfunctioning areas of the joint in order to ensure optimal flexibility over the long term. “
She also recommends ways to strengthen the shoulder muscles such as the rotator cuff and postural muscles. Bad posture restricts shoulder movement and is therefore implicated in a number of shoulder disorders. Donnelly is also committed to providing sport-specific exercise and modifying current exercise programs to get patients back to their normal activity or sport of choice.
Gold standard surgery for cataract treatment
As part of Valiant Clinic & Hospital’s ongoing efforts to provide advanced surgical procedures, the hospital now also offers the gold standard technique in cataract extraction, phacoemulsification. It is a procedure that involves the use of ultrasound energy to dissolve and extract the cataract and has proven successful in millions of patients around the world.
Dr. However, Luisa M. Sastre, senior ophthalmologist at Valiant, notes that the femtosecond laser is also an effective approach as part of cataract surgery, which includes incisions, capsulotomy, and core softening. However, due to the cost of the technology, which is still unaffordable for many insurance companies to include in their medical coverage, it is not currently widely used.
“Cataract prevention involves simple habits and practices like wearing sunglasses when exposed to the heat of the sun, as excessive exposure can damage your cornea and retina, which can lead to cataracts,” she says. “Good metabolic control of diabetes is also important, and avoiding steroids is the best way to protect the eyes from cataracts.”
Valiant Clinic & Hospital accepts the following insurances: Bupa Oman Insurance, NAS, Mednet, Neuron, Saada, MetLife, NextCare, AXA, Almadallah, Saico Health, Daman, Aetna, MSH International and Inayah TPA.
To book appointments, call 8008254268, email [email protected], or visit www.valiantclinic.com
This content is from Reach by Gulf News, the branded content team at GN Media.