Chemonucleolysis should not be performed on patients allergic to chymopapain or papaya. It also should not be done: when the patient is pregnant, if the disk is sequestered, if the patient has had several failed back operations.
Chemonucleolysis is effective on protruded and extruded disks, but not on sequestered disk injuries.
Chemonucleolysis uses chymopapain, an enzyme derived from papyrus, to dissolve the disk material that has been displaced because of injury.
A small gauge needle is placed in the center of the affected disk. Chymopapain is introduced into the disk. The patient needs to remain still.
The greatest risk is that the patient may be allergic to chymopapain. The death rate for chemonucleolysis is only 0.02%. Complications overall are five to 10 times less than with conventional surgery.
For mild symptons, an effective treatment option is consulting with your physician about the use of drug therapy. This often depends on your dominant bowel symptom. For severe symptons, an effective treatment option is seeking referral to a pain treatment center. These specialty centers are usually connected with universities.
a medical procedure that involves the dissolving of the gelatinous cushioning material in an intervertebral disk by the injection of an enzyme such as chymopapain.
Bone marrow transplantation
it is usually not considered as a treatment option until the patient's pain cannot be managed any longer by more conservative nonsurgical treatment.
Yes. If they believe that is the best treatment option they can.
Many patients feel immediate relief from pain, but, in about 30% of patients, maximal relief takes six weeks
A new treatment option for patients with lymphoma is known as "peripheral stem cell transplantation."
steroids are the best option for the treatment of any inflammation in the body.