Professor Izar FlyumanHead of the Israeli Spine Surgery Center
The multidisciplinary clinic Ichilov offers patients with osteochondrosis advanced treatment methods based on the latest achievements in global medicine. Innovative technologies in endoscopic spine surgery are used here, allowing for the elimination of 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 ensures the selection of optimal treatment tactics considering the individual characteristics of the disease.
The effectiveness of treatment at Ichilov clinic is confirmed by high rates of recovery of spinal function 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, which lead 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 structures of the spine, contributing to the progression of the disease.
Clinical manifestations of osteochondrosis are characterized by chronic pain sensations 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 movements and physical loads, forcing a person to limit their activity and leading to further weakening of the spinal muscle corset.
In Ichilov, Mikhail got rid of back pain in just a few days (video)
Treatment Methods for Osteochondrosis
The choice of treatment methods for osteochondrosis is based on the stage of the disease, the localization of the lesion, the severity of the pain syndrome, and the presence of neurological complications.
Medication Therapy
Medication treatment of osteochondrosis is based on accurate diagnostics and the selection of a scheme 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, as well as B vitamins in neurotropic dosages, are utilized. 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 the tissues. Low-frequency magnetotherapy, laser devices with adjustable penetration depth, and focused ultrasound are also used to promote the recovery of cartilage tissue. These methods enhance regeneration, improve microcirculation, and accelerate recovery.
Therapeutic Physical Education
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 for precise regulation of the force and vector of traction based on CT data. Both dry and underwater techniques, as well as inversion and autogravity systems, are used. Modern equipment eliminates overload and increases the safety of the procedure. These technologies are especially effective in root 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 surveillance, minimizing trauma to surrounding tissues. The procedure is characterized by rapid rehabilitation and 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 protrusion without incisions. A needle is inserted into the affected disc, through which laser radiation is delivered. Part of the nucleus pulposus is vaporized, reducing pressure inside the disc and on the nerve roots. The procedure is performed under CT or fluoroscopy control to ensure accuracy 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. At Ichilov clinic, highly adjustable devices are used, allowing for precise targeting of affected areas while preserving healthy tissues.
Spinal Fusion (Stabilization of the Spinal Segment)
This is used in cases of significant instability or substantial destruction of intervertebral structures. During the operation, spinal segments are fixed using titanium constructs and transplants. 3D modeling and intraoperative neuronavigation are used in planning the intervention, which increases the accuracy of implant placement and reduces the risk of repeated interventions.
Read more about spine treatment methods at Ichilov
- Endoscopic spine correction
- Physiotherapy
Diagnostic Methods for the Disease
All diagnostic procedures at Ichilov clinic for the treatment of osteochondrosis are planned in advance and conducted on average within three days, allowing for a quick full picture 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 plan for diagnostic studies 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
- Spine MRI with contrast
- CT myelography
- Radiography in functional tests
- Electroneuromyography
- Ultrasound Doppler 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 discussion of the case allows for the creation of a personalized therapeutic plan that considers all aspects of the disease and accompanying pathology. The multidisciplinary approach ensures the patient receives the most effective treatment, as each specialist contributes their expert input to the overall therapy strategy, significantly increasing the chances of successful recovery.
Read more about precise diagnostic methods at Ichilov
- Computed Tomography
- Magnetic Resonance Imaging (MRI)
- X-ray
How much does treatment cost in Israel
The cost of osteochondrosis treatment at 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 to involve narrow specialists, and the planned rehabilitation program.
To obtain an accurate calculation of the treatment cost 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 issues related to staying in Israel.
Advantages of Treatment in Israel
- A multidisciplinary approach that brings together leading specialists from various fields into a single team to develop 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 maximum accurate visualization of pathological changes in the spine.
- Comprehensive rehabilitation programs developed in accordance with international protocols of restorative medicine and adapted to the individual needs of the patient.
- Organizational support, including assistance in document processing, transfer, and accompaniment by 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 on further treatment tactics, answers to all questions of interest, and confidence in the correctness of the chosen direction.