LOW BACK PAIN, HIP PAIN, KNEE PAIN, HEEL PAIN, SCIATICA PAIN - CONSULT "RIGHT DOCTOR AT THE RIGHT TIME FOR RIGHT TREATMENT"
A majority of people suffer from LOW BACK PAIN, HIP PAIN, KNEE PAIN and HEEL PAIN, PAIN along the SCIATIC NERVE and CLAUDICATION (limping on walking some distance).
It is also true that many people do not address their pain at the right time BECAUSE OF FEAR, IGNORANCE OR LACK OF ACCESS TO RIGHT DOCTOR. They talk to friends or relatives and do self-help. However, this may not help in relieving their pain. This instead, over a period of time, further damages the part that is causing the pain. Persistent pain indicates tissue damage that may become irreversible the very nature of the change. THE DELAY IN PROPER DIAGNOSIS MAY DELAY TREATMENT AND MAY THEN RESULT IN NEED FOR SURGERY.
GORE SYSTEM IS BASED ON VERY PRECISE DIAGNOSIS OF PAIN GENERATOR.
They finally do consult a doctor, however the Doctor may not be able to diagnose THE problem with certainty leading to a lot of confusion about treatment for back pain related leg pain, sciatica and claudication. This happens because doctor traditionally diagnoses pain based mainly on what the patient tells, examination in the clinic and imaging (X-Ray, MRI, Scan) studies done to understand the pain. A LOT OF EMPHASIS IS PLACED ON IMAGING STUDIES WHICH CAN NOT “DIAGNOSE” PAIN.
A LOT OF EMPHASIS IS PLACED ON IMAGING STUDIES by others WHICH CAN NOT “DIAGNOSE” PAIN.
The diagnosis of pain, by the traditional way, UNFORTUNATELY stops at imaging studies results in lack of certainty in diagnosis rendering the diagnosis incomplete or improper. The doctor may also ask you to do blood tests like calcium and vitamin B12, D3. The doctor bases his treatment based on these reports, maybe without understanding the root cause of the problem.
In addition as traditional spine surgeries are done under general anesthesia the exact cause of pain CANNOT be corroborated by patient and is not identified, hence this also brings into play guess work on part of the treating doctor. Common example is diagnosis of “Tennis Elbow” where the root cause of pain is not in the elbow, it is in the Cervical Spine. However, the doctor may treat your elbow and not your spine. This leads to improper diagnosis and treatment or no treatment.
The root cause of pain is in the changes happening in the Intervertebral Disc or the Facet Joints in the Spine for Lower back pain, Buttock pain and tingling, Thigh pain, Knee pain, Calf pain, Heel pain, Toe pain, Sole of foot pain.
With the onset of MRI (Magnetic Resonance Imaging) one can pinpoint the exact location of the source of pain.
Why wait till the time when surgery is the only option to eradicate your pain?
Why not get the right treatment at the right time and eliminate the root cause of pain in the earlier stages with just exercises and medication repairing the causative damage and surgery may never be required.
Surgery may be needed if the damage is beyond a certain stage. This staging is possible in Gore System via the Gore Matrix.
Even then, if surgery is the only treatment option available, why go for the traditional method of surgery which is too morbid in today’s technologically and scientifically advanced age. All the surgeon needs to do is target that particular point of pain, without cutting open a large section of the back. This can be done by the Gore System for Stitchless Spine Surgery under Local Anesthesia. This surgery can be done at the early stages of disc degeneration to avoid further damage to the disc and nerves.
On a lighter vein a typical consultation with a traditional surgeon scenario runs like this: FULL OF UNCERTAINTY
Patient (P): I have pain in the back, leg or knee or heel for a long time and have not got any relief worth its name.
Surgeon (S) examines the patient [but most probably without a thorough examination or interview or understanding the symptoms] and shrugging his shoulders: Hmm, I can understand that you have pain but I can’t say anything as of now.
P: What do I do now?
S: You will need an MRI.
[We know for sure that in 28% of patients the MRI does not match the narration or symptoms, this is a gross limitation of MRI]
Patient does MRI and visits Dr. again: This is my MRI scan and the report which says …….
S: Yes, i can see that. I think in view of the suffering you have, you need surgery …….
P: Oh well. I am ready for surgery but I have one question. WILL I BE ALRIGHT IF I UNDERGO SURGERY AS SUGGESTED AND DONE BY YOU?
S: Hmm yes, but i can’t say for sure…you may be ok or may not be ok.
and this continues with added shrugging of shoulders …. THIS UNCERTAINITY HAS BECOME THE NORM but this should NOT be acceptable in today’s scenario.
The GORE SYSTEM OF SURGERY in which the patient is awake and aware during surgery has enriched Dr. Gore’s thinking and understanding about the ORIGIN of PAIN from the back and sciatica and this taken him ahead of MRI imaging.
Dr. Gore diagnoses pain in real time in an awake and aware patient. Information collected from operations under local anesthesia is used to analyse, improve and fine tune his diagnosis.
Dr. Satishchandra Gore has extensively researched on spine related problems and come up with his own diagnostic technique called “GORE SIGN”, “GORE ALGORITHM” and “GORE SYSTEM” for treating these problems.
Dr. Gore has defined the whole gamut of spine surgery in GORE MATRIX defining 6 symptom classes that can be diagnosed precisely namely Back Pain, Knee Pain, Heel Pain, Sciatica and Claudication in a stable and unstable spine.
This is based on his 35 YEARS OF ORTHOPEDIC SURGICAL PRACTICE
out of which he has DEDICATED 17 YEARS TO SPINE ENDOSCOPIC SURGERY AND SPINE RELATED PROBLEMS.
IF PAIN IS NOT DUE TO TRAUMA (injury), INFECTION, OR DUE TO ISCHEMIA (restriction of blood supply to tissues),
THEN THE PAIN IS MORE LIKELY TO BE DUE TO NERVE.