Dr. Mahmoud Elsamanoudy working as a Specialist Orthopaedic Surgeon in the department of Orthopedic Center of Excellence at Emirates Specialty Hospital – DHCC, UAE
Abstract
There are an overwhelming number of patients suffering from low back pain (LBP) resulting from disc pathology. Although several strategies are One option is to use concentrated bone marrow aspirate (cBMA), which may be effective due to its intrinsic stem cell and growth factors .Second option is to use n uscncl ymal culls (m n fat Methods: 10 patients who rccclvud Intradlsc‹1I Injections 4 patient injection of ef cBMA to relieve low back paln and radlcullr pnln.6 patient injection of Mesenchymal stem from fat by I lpog cm In cases of IOW back pain and radilcular pain due to disc bulge and degenerative disc and (acetFollow up based on Glasco pain score Scale6 cases L3-4-5 4 4 males and 2 females used lipogem.4 cases at level of L4-5 treated by bone marrow injection L4-5Follow up study for lipogem patient around 1 year or as a result is satisfactory around 70% improvement in the pain score it is decreased from 6 to 2 range of motion no radicular pain nor night pain which he was interfering with his sleeping cases of bone marrow injection follow up study for 3 months to 6 Months. Improvement around 80% the pain score subsided from 6-2 and the range of movement for the back improved without any radicular pain Conclusions: Intradiscal injections may be effective to reduce pain and improve function. Patients with relatively higher initial pain may have potential for greatest improvement.