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Corporate FAQ2023-06-29T17:12:47+02:00

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Frequently Asked Questions.

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What is PLDD?2023-06-23T21:59:53+02:00

The pldd (percutaneous laser disc decompression) is a not-surgical technique but truly minimal invasive interventional procedure for the treatment of a 70% of the disc hernia and 90% of the disc protrusions (these are small disc hernia that sometimes are very painful and do not respond to the most conservative therapies as pain killers, cortisonic and physical therapies and so on).

How long does the pldd procedure take? Is it a single session?2023-06-23T22:00:31+02:00

Every pldd takes from 30 to 45 minutes and there is only one session.

Does pldd have immediate results?2023-06-23T22:01:03+02:00

In 30% of cases the patient feels immediate improvement of pain that then improves further and gradually in the following 4 to 6 weeks. In 70% of cases often there are “up and down pain” with “old” and “new” pain in the following 4 – 6 weeks and a serious and reliable judgment on the success of pldd is given only after 6 weeks. When the success is positive, the improvements can continue up to 11 months after the procedure.

Does pldd require the long hospital stay?2023-06-23T22:01:36+02:00

The patient will remain at the hospital for 24 hours after the procedure.

Is it a new technique?2023-06-23T22:02:11+02:00

It isn’t a new technique because its inventor, prof. Daniel s. J. Choy of the new york columbia university, has invented it in mid ’80 and the first case on a patient was performed in february 1986 in austria by prof. Choy and prof. Peter asher (director of the department of neurosurgery at the university of graz). The fda (foods and drugs administration) american approved the pldd, after 5 years of deepened scientific investigations, in 1991. The important facts are two about this issue:
1) it is un known not only by patients but also by many doctors. The pldd has over 27 years of scientific background and it is estimate that more than 150,000 patients today have been treated with pldd worldwide .
2) the use of pldd has been strongly adversed in italy but also in other countries of the world because, unfortunately, there are huge economic interests regarding the “disc hernia ” chapter

What are the results?2023-06-23T22:03:06+02:00

Results, in about 100 scientific publications with high scientific impact factor, vary from author to author from 70% up to almost 90%.

Can patients who do not have positive results with pldd be treated with other kinds of surgeries for disc hernia?2023-06-23T22:03:42+02:00

Sure, these other kinds of surgeries can be made according to the state of the art because pldd uses only a tiny needle without cutting skin, without dissection of muscles from bone, without removing, even if in a small amount, of bone from the vertebral laminas and without removing legaments. The pldd aim is only to vaporize 20 – 30 milligrams of nucleus pulposus . Often it is not true the contrary : patients that have had unsuccessful surgical treatment (you can read the most important publications regarding the wide scientific chapter called “failed back surgery syndrome”) with the other techniques (traditional o r endoscopic surgery) cannot always fit pldd.

How does the convalescence come and when can patient go back to work?2023-06-23T22:04:14+02:00

The patient can stand up about 6 – 8 hours after pldd and the recovery of the daily activities must to be very gradually – step by step – in the 3 weeks. The coming back work will vary from 15 to 45 days (depending on the type of patient’s job ). It is mandatory that the patient always respects few rules for those who suffer or suffered for disc hernia:
1 – never make efforts in general;
2- avoid too many and continue flows and / or torsions of the spine ;
3- avoid activities with jumps ;
4- avoid overweight;
5- avoid many sports or some kinds of bad exercises at gym or home that are very dangerous on a medium long time for the spine;
6- avoid incorrect body positions;
7- avoid to seat for long time (it is a gold rule every one hour of sitting to stand up 5 minutes).
Almost all sports are healthy for body but keeping in mind that two structures of our body can suffer in a very harmful manner practicing them : the spine and the knees. To walk is the most healthy physical activity. In 90% of cases also swim (back style and free style) and stretching with spine in axis and unloading are very useful.

What is cryoablation for pain?2023-06-09T20:53:58+02:00
Nerve cryoablation is a minimally invasive procedure in which part of a pain-transmitting nerve is frozen 
to prevent the nerve from sending pain signals to the brain. 
Does ablation relieve pain?2023-06-09T20:38:17+02:00
The destruction (also called ablation) of nerves is a method that may be used to reduce certain kinds of 
chronic pain by preventing transmission of pain signals. It is a safe procedure in which a portion of nerve 
tissue is destroyed or removed to cause an interruption in pain signals and reduce pain in that area.
How does cryotherapy reduce pain?2023-06-09T20:36:45+02:00

Cryotherapy can reduce pain in a number of ways. It can effect the nerve signals and slows down their transmission which may reduce the amount of pain signals to the brain. The levels of norepinephrine increase. This chemical is stimulated when we are under stress and it’s a natural painkiller. 

What is the difference between a nerve block and a nerve ablation?2023-06-09T20:35:18+02:00
Your doctor may also use nerve blocks as a diagnostic tool to determine the source of your pain. 
Radiofrequency ablation of a nerve is sometimes used to provide longer lasting pain relief after a 
diagnostic nerve block. Procedure in which an injection of an anesthetic is delivered to a specific nerve 
to relieve pain. 
What are the side effects of cryotherapy?2023-06-09T20:34:06+02:00
The most common side effects of any type of cryotherapy are numbness, tingling, redness, and irritation 
of the skin. These side effects are almost always temporary. Make an appointment with your doctor if 
they don’t resolve within 24 hours. 
What is cryoablation used for?2023-06-09T20:33:17+02:00
A procedure in which an extremely cold liquid or an instrument called a cryoprobe is used to freeze and 
destroy abnormal tissue.
What is the success rate of cryoablation?2023-06-09T20:32:24+02:00
The overall effectiveness of cryoablation is in the range of 70–80%, but certain baseline characteristics 
can increase or decrease the probability of response to therapy in the specific patient.
How long will my SCS last?2023-06-09T20:25:39+02:00

Boston Scientific SCS systems use powerful, rechargeable battery technology that have a five-year warranty.

Is spinal cord stimulation safe?2023-06-09T20:23:55+02:00

Yes, spinal cord stimulation has been proven safe and effective and has been in use for decades. More than 400,000 people worldwide have been successfully treated with SCS therapy. You should review the risks of SCS with your physician.

How can I order replacement supplies?2023-06-09T20:23:07+02:00

Call us at (866) 360-4747 to order supplies, like a new charger, remote cover, programmer or adhesive patches. Our Patient Care representatives are also happy to help coordinate with your health insurance, Medicare, Medicaid or Workers’ Compensation plan.

How easy is it to recharge the implant battery?2023-06-09T20:22:31+02:00

Recharging the implant battery should be simple. The charger is lightweight, cordless and portable so you can charge on the go. You can use either an adhesive patch or soft cloth belt (included with the charger) to hold the charger in place when you recharge.

Will I feel the implant? Can anyone see it?2023-06-09T20:21:48+02:00

The implant is small and has a contoured oval shape. Your doctor can position it in the most comfortable and convenient location in your body. Some people say that they can feel it if they press on their skin. In most cases, it isn’t visible.

Can I get imaging tests with this system?2023-06-09T20:21:03+02:00

You can have commonly used methods such as X-Rays, CT scans, PET scans and ultrasounds. In addition, the Precision Montage™ MRI System provides access to full-body MRI scans, under specified conditions, for people who meet the eligibility requirements. Other SCS systems have varying limitations related to MRI scans. Talk to your doctor to find out which options are best for you.

Can one SCS system help me with pain in in more than one part of my body?2023-06-09T20:20:22+02:00

Yes, your system is designed to address several areas at the same time. You can use your remote control to adjust the amount of stimulation for each area where you’re having pain.

Can I use my SCS system 24 hours a day?2023-06-09T20:19:43+02:00

It’s up to you. Our systems are designed for 24-hour-a-day use, should you wish. However, there are times when you should not use it. For example, you should not turn on stimulation while driving or charge it while sleeping. Your physician can go over this with you.

Can I control the stimulation therapy?2023-06-09T20:18:49+02:00

Yes, the remote control allows you to turn stimulation on and off, increase and decrease the level of stimulation, and target different areas in your body using settings or programs designed specifically for you.

Will SCS allow me to stop taking pain medications?2023-06-09T20:17:59+02:00

For some people, SCS works well enough that they don’t need pain medication. For others, it can mean taking less pain medication. Always talk with your doctor before changing any medications dosages.

Will I be totally pain-free with SCS?2023-06-09T20:17:03+02:00

People have different amounts of pain relief with SCS therapy. Many people have fewer pain sensations. Your trial procedure will help you find out how much it can help your pain.

When can I go back to my usual activity?2023-06-09T20:15:25+02:00

Getting an SCS system can be a major turning point in your life, and you may be eager to get back to all of the activities you used to enjoy. Still, it’s important to limit your activity for several weeks after your procedure. Always talk to your doctor before doing any activity after having a procedure. For details, please visit the recovery section.

Can you feel the spinal cord stimulator?2023-06-09T18:34:19+02:00

Traditional spinal cord stimulators replace the sensation of pain with light tingling, called paresthesia. For patients who find these paresthesiae uncomfortable, newer devices offer “sub-perception” stimulation that cannot be felt.

How often are batteries replaced in a spinal cord stimulator?2023-06-09T18:33:50+02:00

The average battery life for rechargeable spinal cord stimulators is 7-10 years (compared to 2-5 years for non-rechargeable). Fewer replacements: Many people can go more than ten years before needing a replacement. This means people with a rechargeable battery undergo fewer replacement surgeries.

How long does spinal cord stimulator surgery take?2023-06-09T18:33:18+02:00

The surgery typically takes 1 hour and is performed under anesthesia. The procedure is done in two parts: placing of the lead/electrodes in the epidural space and placing of the pulse generator under the skin in the abdomen or buttocks region.

What are the side effects of a spine stimulator?2023-06-09T18:23:35+02:00

May include: undesirable change in stimulation (uncomfortable, jolting or shocking); hematoma, epidural hemorrhage, paralysis, seroma, infection, erosion, device malfunction or migration, pain at implant site, loss of pain relief, and other surgical risks.

How painful is a spinal cord stimulator implant?2023-06-09T18:22:56+02:00

During the week, you may experience soreness and swelling at the site of the leads. You may also feel some discomfort, but this period is temporary and just to test the treatment. In general, you’ll want to take it easy for the week that your trial leads are in place and note any changes in pain levels.

Can you live a normal life with a spinal cord stimulator?2023-06-09T18:22:15+02:00

It will take a while to get used to living with a spinal cord stimulator, but it can help you live a fully functional life. Your doctor is the best resource for knowing how you can help your body heal. Always follow our instructions and keep all of your scheduled appointments during this recovery period.

What can you not do with a spinal cord stimulator?2023-06-09T18:21:27+02:00

During your spinal cord stimulator trial, you may not swim, take a bath, or otherwise get your back wet

What is the success rate of radiofrequency ablation?2023-05-07T23:01:53+02:00

Radiofrequency ablation is 70-80% effective in people who have successful nerve blocks. The procedure can be repeated if needed.

How long does it take to feel better after radiofrequency ablation?2023-05-07T23:01:21+02:00

Most people have some pain relief after radiofrequency ablation, but the amount varies by cause of pain and location. Pain relief can be immediate in some people, occur within 10 days in other people or may take up to three weeks in others. Pain relief can last from six months to 12 months.

What does it feel like after radiofrequency ablation?2023-05-07T23:00:50+02:00

It’s not uncommon to feel some discomfort, superficial burning pain, or hypersensitivity in the area of the procedure. Some patients describe the feeling as similar to a sunburn. On average, this pain lasts no longer than 1 to 2 weeks after the procedure.

Why am I in so much pain after radiofrequency ablation?2023-05-07T23:00:18+02:00

In fact, it’s normal for some people to experience a tiny bit of increased pain in the first few days after radiofrequency ablation because the nerves may be irritated. Don’t worry, pain will decrease with time, and it may take several days before you start feeling some pain relief.

What are some of the side effects for a radiofrequency ablation?2023-05-07T22:59:48+02:00

However, patients sometimes experience a few radiofrequency ablation side effects that you should be aware of, including:
A superficial burning sensation over the treated area, similar to a sunburn.
Light skin numbness over the same area.
Mild headaches or dizziness.
Soreness at the injection site.

What is the difference between a nerve block and a nerve ablation?2023-05-07T22:59:16+02:00

Your doctor may also use nerve blocks as a diagnostic tool to determine the source of your pain. Radiofrequency ablation of a nerve is sometimes used to provide longer lasting pain relief after a diagnostic nerve block. Procedure in which an injection of an anesthetic is delivered to a specific nerve to relieve pain.

How long does it take for radiofrequency ablation to start working?2023-05-07T22:58:45+02:00

For many people, pain relief will start to kick in around 10 days after having the procedure. However, for some people, it can take up to two or three weeks after the procedure for noticeable relief to begin.

Are steroids used in radiofrequency ablation?2023-05-07T22:58:10+02:00

Steroids are given during an RFA procedure to reduce the amount of inflammation present at the site of the procedure. Inflammation has been observed in nerves at the site of RFA with the levels of many pro-inflammatory cytokines being elevated in and around these nerves.

Can I exercise after radiofrequency ablation?2023-05-07T22:57:39+02:00

For radiofrequency ablation (RFA) or endovenous laser ablation (Laser), exercise is okay as soon as it feels okay to you, usually a couple of days after. Try to postpone intense physical activity such as weight lifting or cycling for a couple of days.

What can you not do after a nerve ablation?2023-05-07T22:57:10+02:00

Do not drive or operate machinery for at least 24 hours after the procedure. You may resume your normal diet. Do not engage in any strenuous activity for the first 24 hours after the procedure. Do not take a bath for one to two days after the procedure; you may shower.

When is radiofrequency ablation used?2023-05-07T22:56:39+02:00

Radiofrequency ablation, or RFA, is a minimally invasive technique that shrinks the size of tumors, nodules or other growths in the body. RFA is used to treat a range of conditions, including benign and malignant tumors, chronic venous insufficiency in the legs, as well as chronic back and neck pain

How is spinal nerve ablation done?2023-05-07T22:56:05+02:00

The physician uses x-ray guidance (fluoroscopy) to direct the RFA needle toward the medial or lateral branch nerves. Medial branch nerves transmit pain from the facet joint(s). Each facet joint is connected to 2 medial branch nerves that carry pain signals away from the spine to the brain.

How painful is radiofrequency ablation?2023-05-07T22:55:11+02:00

It’s not uncommon to feel some discomfort, superficial burning pain, or hypersensitivity in the area of the procedure. Some patients describe the feeling as similar to a sunburn. On average, this pain lasts no longer than 1 to 2 weeks after the procedure.

What are the treatment options?2023-05-07T22:51:11+02:00

The causes of chronic pain can be various. Chronic pain may follow an illness or an injury that appears to have healed, or may develop for no apparent reason. Chronic pain can occur anywhere in the body. Common types of chronic pain include back pain, headaches, arthritis, cancer pain and neuropathic pain.

What is chronic pain?2023-05-07T22:47:39+02:00

Chronic pain is defined as continuous, long-term pain that lasts for more than six months, or that prolongs after the time when healing should normally occur. Chronic pain can also occur without obvious cause. This is thought to occur due to changes in the body’s nervous system.

How many types of chronic pain exist?2023-05-07T22:47:08+02:00

Chronic pain is divided into two categories: nociceptive and neuropathic.
All people will experience nociceptive pain at some point. This category includes pain from incidents such as a cut, a burn or an injury.

Conversely, neuropathic pain is caused by a problem with nerve pathways, which means that the way the nerve sends pain messages to the brain is affected. Neuropathic pain is often described as numbness, tingling, or a sensation similar to an electric shock. It is a debilitating condition and although the exact prevalence is unknown, some European based studies have estimated it from 7% to 37%. It is often under-diagnosed and under-treated.

What causes chronic pain?2023-05-07T22:48:29+02:00

The causes of chronic pain can be various. Chronic pain may follow an illness or an injury that appears to have healed, or may develop for no apparent reason. Chronic pain can occur anywhere in the body. Common types of chronic pain include back pain, headaches, arthritis, cancer pain and neuropathic pain.

How many people suffer from chronic pain in Europe?2023-05-07T22:49:18+02:00

Chronic pain is considered as one of the most common conditions for which people seek medical attention. Results from the Pain in Europe Survey indicate that pain affects one in five adults in Europe. This number equates to 95 million of the adult population (15-64 years) suffering from this debilitating condition, a number greater than those suffering from diabetes (60 million).

How does chronic pain affect patients?2023-05-07T22:50:21+02:00

Chronic pain has a serious impact on quality of life, including impaired physical and social functioning and reduced energy and vitality. Everyday activities become increasingly difficult, particularly when the pain is severe. Many patients are unable to continue working because of their pain. In fact, one in five people living with pain have lost their job as a result of chronic pain and 16% are forced to change their job responsibilities. Being in pain for a long time can have a devastating impact. Most chronic pain patients are prone to depression and drug dependency. The risk of suicide in chronic pain patients is at least doubled.

If the answer to your question is not yet found, we encourage you to get in touch with us.

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