Orthopedic Surgery

Orthopedics

นพ. นันทวัฒน์ อุตตโม

<p style="font-size: 18px; color: #008080;" align="center">“When we treat patients like relatives, siblings, acquaintances or our own family, the best thing will pursue”</p>
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<h2 style="font-size: 20px; color: #008080;">In every treatment…It’s to return quality of life to patients.</h2>
<p style="font-size: 16px;">Dr. Nantawat Uttamo, Doctor of Medicine (MD) from Chiangmai University, Specialist in Orthopedic Spine Disease Treatment with experiences and trainings from abroad, says that Spinal Disease comprehends from the neck (cervical) down to the coccyx and was frequently encountered in both Thais and foreigners. It’s a special disease not only treated as bone disease but also got nerves involved. The difficulty and complexity of spinal disease treatment is challenging and interesting for him.</p>
<p style="font-size: 16px;">“I’ve seen most of patients with spinal disease suffer a lot, particularly with Herniated disc which affects their daily life. If we succeed in spine surgery for this patient group, it will bring back their quality of life especially for the elderly to go back to stay happily with their children. ”</p>
<h2 style="font-size: 20px; color: #008080;">Spine Disease…problem that can happen to everybody</h2>
<p style="font-size: 16px;">Dr. Nantawat says that normally an orthopedic doctor can diagnose and treat every symptom. However, spine is a complicated core organ so patients come to see us with various symptoms.</p>
<p style="font-size: 16px;">“There are different types of treatment for each spine disease which require many techniques to diagnose and plan treatment process. Most of young people suffer from Herniated disc. or Herniated nucleus pulposus as their working behavior of sitting consistently in front of computer causes Spondylosis and potentially becomes Herniated disc. For the elderly, they have Degenerative Disc Disease (DDD) as aged which makes the spinal cord narrowed down and causes nerve compression which makes them pain and numbness. ”</p>
<h2 style="font-size: 20px; color: #008080;">MRI in standing position can generate more accurate results.</h2>
<p style="font-size: 16px;">In the past, patients with spine disease were examined external by checking muscles, nerves, numbness and pain whether it happened along the nerve tube. Patients might be given a contrast agents injection into the spinal cord to see whether any fluid showed. Nowadays, MRI or Magnetic resonance imaging does not require patients to take risk with any contrast agents anymore and it also generates more accurate results of nerves and spine.</p>
<p style="font-size: 16px;">“There are many advances in MRI Technology nowadays. We usually use MRI to scan in the lay-down position but from some doctors’ experiences, pain often finds in a standing or sitting position. At present, Phyathai 2 Hospital uses Upright MRI scanners to find the position of pain precisely. ”</p>
<h2 style="font-size: 20px; color: #008080;">Teamwork makes a quality outcome!</h2>
<p style="font-size: 16px;">Dr. Nantawat says that our achievement comes from good treatment plan. At Phyathai 2 Hospital, Orthopedic doctors will work as a team so each can help double check symptoms and plan together to choose the best of both treatment and safety for patients.</p>
<p style="font-size: 16px;">“I believe that every doctor has the similar concept to treat patients like their own relatives and they can feel it. If we wish patients well, we will do our best to provide them the best option. Ultimately, the decision depends on patients, we have only the duty to be their best consultant. ”.</p>


Dr. Nantawat Uttamo

医学文章

spinal disc herniation

spine problem

ผ่าตัดรักษาโรคหมอนรองกระดูกผ่านกล้อง

<h2><span style="color: #00826a;">椎间盘疾病的症状等级</span></h2>
<ul>
<li>初期症状 椎间盘突出..但未压迫神经，主要表现为背痛</li>
<li>如果突出的椎间盘压迫神经或引起刺激，会开始出现沿着该神经支配区域向下放射的疼痛，如大腿、外侧小腿、脚底、脚背等部位</li>
<li>如果伴有麻木、无力症状，可能表示病情较重；此外，如果椎间盘突出压迫控制排便的神经，患者可能会出现排便异常的情况。<span style="background-color: rgb(255 255 255/var(--tw-bg-opacity)); font-family: ui-sans-serif, system-ui, -apple-system, BlinkMacSystemFont, 'segoe ui', Roboto, 'helvetica neue', Arial, 'noto sans', sans-serif, 'apple color emoji', 'segoe ui emoji', 'segoe ui symbol', 'noto color emoji'; font-size: 1rem;"><strong>这是紧急情况，需要立即手术治疗，拖延时间会导致神经损伤加重</strong></span></li>
</ul>
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<h2><span style="color: #00826a;">显微镜下椎间盘手术..更好的新选择</span></h2>
<p>目前有通过显微镜进行椎间盘手术的方法，可以放大视野，使图像更清晰，因此可以通过小管道进行手术，无需开放式切开肌肉，治愈率高达90-95%</p>
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<h2><span style="color: #00826a;">无需开放手术..患者获得的好处！</span></h2>
<ul>
<li>减少肌肉损伤</li>
<li>失血较少</li>
<li>恢复时间快，仅需2-3天</li>
<li>切口小，降低感染风险</li>
<li>手术时间仅需1-1.5小时</li>
</ul>
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<p>虽然骨骼会随着年龄退化，但我们可以通过锻炼增强背部肌肉力量，避免体重过重，调整日常生活习惯，不长时间保持同一姿势，并戒烟，仅此即可降低椎间盘疾病的风险。</p>
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慢性背痛...背痛放射至腿部，椎间盘疾病的警示信号。我们随时准备在您生命的每个阶段为您提供护理，采用新型手术技术进行治疗，让您恢复正常生活。

关节镜下椎间盘疾病手术治疗

椎间盘疾病的症状等级

显微镜下椎间盘手术..更好的新选择

无需开放手术..患者获得的好处！

关节镜下椎间盘疾病手术治疗