Professor Izar Flumanhead of the Israeli Spine Surgery Center
The multidisciplinary Ichilov clinic offers patients with osteochondrosis advanced treatment methods based on the latest achievements in global medicine. Innovative endoscopic spinal surgery technologies are used here to relieve nerve root compression through minimal incisions. Comprehensive diagnostics include high-precision MRI and CT myelography, providing detailed visualization of pathological changes. A personalized approach to each patient guarantees the selection of the optimal treatment strategy considering the individual characteristics of the disease.
The effectiveness of treatment at the Ichilov clinic is confirmed by high rates of spinal function restoration and significant improvement in patients' conditions. A multidisciplinary team of specialists works according to protocols that meet international standards of medical care. Modern methods of neuromodulation and regenerative therapy allow for long-term results without the need for repeated interventions.
About the Disease
Osteochondrosis is a degenerative-dystrophic disease of the spine characterized by the destruction of intervertebral discs and adjacent vertebrae, as well as the formation of bone growths and inflammatory changes in surrounding tissues. This definition encompasses the main pathomorphological processes; however, to fully understand the disease, it is necessary to consider the mechanisms of its development.
The main causes of osteochondrosis include age-related changes in the cartilage tissue of intervertebral discs, leading to a decrease in their elasticity and shock-absorbing properties, as well as excessive physical loads, a sedentary lifestyle, and metabolic disorders in the body. These factors create a vicious circle of pathological changes, as disc degeneration increases the load on adjacent spinal structures, contributing to disease progression.
Clinical manifestations of osteochondrosis are characterized by chronic pain in the affected area of the spine, which may radiate to the limbs, as well as limited mobility and muscle tension in the corresponding zones. These symptoms significantly reduce the functional capabilities of the patient, as pain intensifies with movement and physical exertion, forcing the individual to limit their activity and leading to further weakening of the spinal muscle corset.
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Treatment Methods for Osteochondrosis
The choice of treatment methods for osteochondrosis is based on the stage of the disease, the location of the lesion, the severity of the pain syndrome, and the presence of neurological complications.
Medication Therapy
Medication treatment for osteochondrosis is based on accurate diagnostics and the selection of a regimen considering the individual characteristics of the patient. Injections under ultrasound or CT control are used for targeted delivery of medications to the affected area. Modern forms of muscle relaxants, chondroprotectors, and vascular agents are utilized, as well as B vitamins in neurotropic dosages. This approach allows for rapid pain relief, reduction of inflammation, and achievement of stable remission.
Physiotherapy
Physiotherapeutic treatment is conducted using state-of-the-art equipment. Electrophoresis with a combination of medications allows for high concentrations of the active substance in tissues. Low-frequency magnetic therapy, laser devices with adjustable penetration depth, and focused ultrasound are also used to promote cartilage tissue recovery. These methods enhance regeneration, improve microcirculation, and accelerate recovery.
Therapeutic Exercise
Therapeutic exercise programs at the clinic are developed individually and implemented under the supervision of experienced rehabilitation specialists. Techniques from Israeli protocols of restorative medicine are used, including exercises for neuromuscular activation and breathing techniques that improve tissue oxygenation. Special attention is given to water therapy in pools with adjustable temperatures, which reduces axial load on the spine and allows for safe strengthening of the muscle corset.
Traction Therapy
Ichilov employs computerized spinal traction, allowing precise regulation of the force and vector of traction based on CT data. Both dry and underwater techniques are used, as well as inversion and autogravity systems. Modern equipment eliminates overload and enhances the safety of the procedure. These technologies are particularly effective in radicular syndrome, providing decompression and relief of neurological symptoms.
Endoscopic Discectomy
This minimally invasive surgery is performed through small punctures using endoscopic equipment. The surgeon removes the herniated intervertebral disc under video monitoring, minimizing trauma to surrounding tissues. The procedure is characterized by rapid rehabilitation and a low risk of complications, allowing the patient to return to an active life in the shortest possible time.
Laser Nucleoplasty
A modern technique that allows for the elimination of herniated protrusions without incisions. A needle is inserted into the affected disc, through which laser radiation is delivered. Part of the gelatinous nucleus is vaporized, reducing pressure inside the disc and on the nerve roots. The procedure is performed under CT or fluoroscopy control to ensure precision and safety of the intervention.
Radiofrequency Ablation (Denervation)
This method aims to eliminate chronic pain syndrome by destroying pain receptors using radiofrequency radiation. The procedure is performed under local anesthesia and ultrasound guidance. Ichilov clinic uses highly adjustable devices, allowing for precise targeting of affected areas while preserving healthy tissues.
Spinal Fusion (Stabilization of Spinal Segment)
Used in cases of significant instability or severe destruction of intervertebral structures. During the operation, spinal segments are fixed using titanium constructs and grafts. 3D modeling and intraoperative neuronavigation are employed in planning the intervention, enhancing the accuracy of implant placement and reducing the risk of repeated interventions.
Read more about spine treatment methods at Top Ichilov
- Endoscopic spinal correction
- Physiotherapy
Diagnostic Methods for the Disease
All diagnostic procedures at the Ichilov clinic for the treatment of osteochondrosis are planned in advance and conducted within an average of three days, allowing for a quick understanding of the disease and immediate commencement of effective treatment without wasting precious time.
First Day
Upon arrival at the clinic, the patient meets with the treating orthopedic surgeon or neurosurgeon, who collects a detailed medical and life history. The specialist conducts a thorough physical examination, including neurological testing and assessment of the functional state of the spine. Based on the obtained data, the doctor formulates an individual diagnostic research plan that will help to see the complete picture of the patient's condition and determine the optimal treatment strategy.
Second Day
On the second day, the patient undergoes a comprehensive set of modern diagnostic studies prescribed by the treating physician:
- Laboratory blood tests
- Spinal MRI with contrast
- CT Myelography
- X-ray in functional tests
- Electroneuromyography
- Doppler ultrasound of neck and head vessels
- Densitometry
Third Day
On the third day, the results of all studies are analyzed by a multidisciplinary team of specialists, including a neurosurgeon, orthopedic surgeon, neurologist, anesthesiologist, and rehabilitation physician. Joint case discussion allows for the creation of a personalized therapeutic plan that considers all aspects of the disease and comorbid pathology. A multidisciplinary approach ensures the patient receives the most effective treatment, as each specialist contributes their expert input into the overall therapy strategy, significantly increasing the chances of successful recovery.
Read more about precise diagnostic methods at Top Ichilov
- Computed Tomography
- Magnetic Resonance Imaging (MRI)
- X-ray
How much does treatment cost in Israel
The cost of treating osteochondrosis at the Ichilov clinic is calculated individually and depends on the stage of the disease, the volume of necessary diagnostic procedures, the chosen treatment method, and the duration of hospitalization. The price is also determined by the complexity of the clinical case, the need for specialists, and the planned rehabilitation program.
To obtain an accurate cost estimate for a specific case, it is necessary to contact a medical consultant at the phone number provided on the clinic's website. The consultant will provide a detailed estimate of expenses and inform about all organizational matters related to staying in Israel.
Advantages of Treatment in Israel
- A multidisciplinary approach that unites leading specialists from various fields into a single team developing a personalized treatment strategy.
- Innovative surgical technologies, including endoscopic and robotic methods, ensuring minimal invasiveness of interventions.
- Modern diagnostic equipment of expert class, allowing for the most accurate visualization of pathological changes in the spine.
- Comprehensive rehabilitation programs developed according to international protocols of restorative medicine and adapted to the individual needs of the patient.
- Organizational support, including assistance with document processing, transfers, and support from Russian-speaking coordinators at all stages of treatment.
Even before arriving at the Israeli clinic, the patient can order an online consultation with the necessary specialist for a preliminary analysis of medical documents and assessment of the clinical situation. As a result of such a consultation, the patient will receive professional recommendations for further treatment tactics, answers to all questions of interest, and confidence in the correctness of the chosen direction.