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Vertebrology

Vertebrology is a branch of medicine that specializes in the diagnosis, treatment and prevention of diseases of the spine, especially the spinal column and its structures, such as vertebrae, intervertebral discs, ligaments and muscles. A vertebrologist identifies the causes of back pain and abnormalities in the spinal structure, and develops a treatment plan that may include medications, physiotherapy, massage, orthopedic correctors, rehabilitation exercises, and other methods. Vertebrology is also focused on preventing spinal diseases and maintaining back health. The vertebrologist who sees us has a specialization in neurosurgery. This means that, if indicated, he will also perform surgical treatment of spinal diseases.

Specialists

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Symptoms and complaints when you should visit a vertebrologist:

Discomfort, pain in the neck, back, and lower back.

Posture disorders.

Numbness, impaired sensitivity in the arms or legs, and a feeling of “goosebumps.”

Pain in the upper and lower extremities and pelvis, weakness in the upper and lower extremities.

A consultation with a vertebrologist begins with anamnesis, familiarization with previous examinations (if any), and physical examination.

Diseases treated by a vertebrologist:

Osteochondrosis of the thoracic, cervical and lumbar spine
Undifferentiated pain in the lower back (lowback pain)
Herniated intervertebral discs
Spondyloarthritis
Degenerative spinal stenosis
Pathological fractures of vertebral bodies
Tumors of the spinal cord

Diagnosis of vertebral diseases
To make and clarify the diagnosis, a vertebrologist can refer to one of the instrumental diagnostic methods: MRI, CT or X-ray. It is important to undergo these examinations only as directed by a doctor, not to prescribe them yourself. These are the methods that carry radiation risks and their appointment should be targeted and justified. The vertebrologist of our center refers to diagnostics according to indications.

Treatment by a vertebrologist in Med-Atlant

Depending on the diagnosis and stage of the disease, the vertebrologist prescribes one of the methods or a combination of them:

1. Conservative treatment.

2. Pain Management (pain relief) using minimally invasive techniques: – medication blocks (epidural steroid injections)
– nucleoplasty;
– epidural adhesiolysis;
– radiofrequency denervation for chronic back pain that cannot be relieved by conservative treatment.

3. Surgical treatment.

Methods of treatment by a vertebrologist

Radiofrequency denervation

under the control of the operating electronic optical transducer, the spine surgeon brings the needle to the medial branche of the posterior branch of the spinal nerve (i.e., to the nerve that innervates the facet joint). A special electrode is inserted along the needle and heated to a temperature of 90 degrees for 2 minutes. Due to this, the nerve is demyelinated and cannot conduct painful stimuli. The method is used for chronic back pain that cannot be relieved by conservative treatment.

Drug blockades

is an effective method in which medicinal substances are injected directly into the affected area (spasmodic muscles, pinched nerve root, joint bag). The advantages of this treatment are a quick effect in localized relief of the inflammatory process and minimization of side effects for the whole body due to direct action on the inflamed area.

Nucleoplasty

effective treatment for chronically progressive protrusion and herniation of the intervertebral disc. Nucleoplasty is an outpatient procedure in which a needle with an electrode is inserted into the affected intervertebral disc, heating occurs and, as a result, the hernia is reduced, a kind of “evaporation”. The procedure is painless and does not require special rehabilitation.

Epidural adhesiolysis

according to this method, a catheter is inserted into the epidural space to the affected intervertebral disc and within 3 days, medications and a 10% sodium chloride solution are injected through the catheter, which dehydrates the hernia (in simple words, “hernia drying”).

Conservative treatment prescribed by a vertebrologist

is a course of intramuscular or intravenous medication. It is combined with blockades and surgical treatment.

Surgical treatment of spinal diseases

is advisable for those conditions and pathologies when other therapy is not effective. In Med-Atlant, you will be consulted by a neurosurgeon, which is the key to the correct treatment tactics.

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Appointment to a vertebrologist

You will receive an individual consultation, a referral for diagnostics, recommendations for treatment and its implementation during an in-person visit to a vertebrologist (neurosurgeon).

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PRICES FOR CONSULTATION AND TREATMENT BY A VERTEBROLOGIST AT MED-ATLANT IN IVANO-FRANKIVSK

Service	Price (UAH)
Spinal neurosurgery
Consultation of a vertebrologist (neurosurgeon)	600
Repeated consultation with a vertebrologist (neurosurgeon)	400
Peridural blockade on Casellin	from 1400
Paravertebral blocks	from 1200
Blockage of the carpal tunnel	from 1200
Blockage of the supraclavicular nerve	from 1200
Transforaminal epidural steroid injection	from 3500
Blockade of the facet joints of the spine under EOP control	from 3500
Radiofrequency denervation of PVC, PVC, PVC (depending on the number of levels)	from 12000
Interlaminar epidural steroid injection	from 3500
Caudal epidural steroid injection	from 3500
Blockade of the sacroiliac joint under EOP control	from 3500
Epidural adhesiolysis (hernia drying)	from 20000
* A repeat consultation is considered to be a consultation held within a month of the previous consultation

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Reviews

Ольга Литвин

October 19, 2019

Хочу щиро подякувати лікарю вертибрологу, Балану Володимиру Сергійовичу за якісну консультацію та операцію. Нехай Бог вам завжди допомагає у вашій нелегкій роботі. Щира подяка!!!

Med-Atlant Response:

Ольго, дякуємо Вам за відгук!
Бажаємо здоровʼя!

Леся Горін

September 1, 2020

Хочу подякувати лікарю-вертебрологу Балану Володимиру Сергійович у за його добре серце та чуйність.Він справді професіонал у своїй справі.Нехай Бог Вам допомагає у Вашій не легкій роботі.Щира подяка Вам Лікарю.

Med-Atlant Response:

Лесе, щиро дякуємо Вам за відгук!
І Вам бажаємо всього найкращого та міцного здоровʼя!

Надія Кузнецова

April 14, 2024

Величезна подяка Ковалишину Тарасу Михайловичу та Балану Володимиру Сергійовичу. Їх чіткий діагноз і лікування повернули мені можливість вправлятися правою рукою, оскільки був сильний больовий синдром, який унеможливлював рухи.

Med-Atlant Response:

Надіє, щиро раді, що допомогли, це найбільша цінність для нас! Здоров'я Вам, нехай все буде добре і надалі!

QUESTION-ANSWER

When should you visit a vertebrologist?

Pain or discomfort in the back, neck, or lower back, as well as impaired sensation in the arms or legs.

How does an appointment with a vertebrologist go?

Consultation of a vertebrologist includes:

– taking anamnesis,
– review of previous examinations (if any),
– physical examination,
– referral for additional examinations (if necessary),
– confirmation or clarification of the diagnosis,
– referral to related specialists (if necessary),
– recommendations for treatment.

What does a vertebrologist treat?

Vertebrology is a field related to neurology and orthopedics. A vertebrologist specializes in the diagnosis of spinal pathologies and their treatment.