Kraus Back and Neck Institute in Houston, TX spinehealth.com

Relief from Lower Back and Neck Pain

 
surgery optionsavoid surgery
      At the Kraus Back and Neck Institute (KBNI), we specialize
                 in non-surgical as well as surgical treatments
                                of Back and Neck  Pain
     Conservative to Surgical Options: MINIMALLY INVASIVE SPINE SUGERY 
              
 "Applying Science to the Art of Medicine"                                                  
                              .....................................................................
  
                       
                 Dr. Kraus is available for Neurosurgery consultation (surgical and non-surgical) in Houston.
                      Offices:  1) West Houston Medical Center
                                    2) Memorial Hermann Memorial City Hospital
                                    3) Katy
           FILM REVIEW:  send an e mail                                       
                                                         
      To arrange  an appointment, call 281-870-9292,  visit  neurosurgerypa.com
or   send an e mail
              For national and international patients, we can help with  travel arrangements
                                
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                                         top doctors houston texas 2007 top docs united states neurosurgery spine   top doctors houston texas 2008 top docs united states neurosurgery spine  top doctors houston texas 2009 top docs united states neurosurgery spine   best doctors in america, united states neurosurgery spine
                                            Dr. Kraus is honored to be listed in
                                            "Best Doctors in America" (2001-2008) and
                                             "Top Doctors of Houston, Texas" (2007, 2008, 2009)     

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Low Back Pain, can be very debilitating.  The effects of Low Back Pain in the USA are staggering!!
    
 
   

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   last updated
  June 19, 2009

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When is surgery needed?

 

Although much low back and lower extremity pain can be treated conservatively, there are times at which surgical intervention is required on an elective, urgent, or emergent basis.

Elective:
When pain radiating from the back down the lower extremities persists for more than 6 weeks, and when the pain is in the characteristic distribution of a nerve, if imaging studies confirm a herniated disk pressing on the appropriate nerve, then a discectomy may be indicated. 

In addition, there are cases in which the herniated fragments of disk are very large, and if conservative measures are felt to unlikely to result in pain improvement, the patient and physician may jointly elect to proceed with surgery.

Urgent:
When a progressive motor deficit is present, such as a progressive foot drop, then an urgent decompression is indicated to attempt to halt the progression of the weakness.

Emergent:
Cauda equina syndrome,  caused by severe pressure on the nerves in the lumbar spine, may result in severe low back pain as well as retention of urine, numbness around the rectal and genital region, lower extremity weakness, and sexual dysfunction.  If caused by mechanical pressure, such as a large herniated disk, then urgent/emergent decompression is indicated to try to arrest the progression of symptoms, and hopefully reverse them.
 

 

 

 

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