DREZ Lesion Surgeon in Kolkata

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Overview

DREZ lesioning, also known as DREZ rhizotomy, is a surgical procedure targeting the spinal cord’s Dorsal Root Entry Zone (DREZ). This area plays a crucial role in transmitting pain signals to the brain. The procedure aims to disrupt these pain signals, offering relief for specific chronic pain conditions. It is a highly specialised procedure typically considered when other treatments have failed. In Kolkata, Dr. Rohit Mishra is a specialised surgeon who deals with DREZ lesioning treatment. Book an appointment to consult him.

DREZ Lesion | Dr Rohit Mishra

Signs that you need a DREZ Lesion

sharp back pain
Burning or shooting pain that does not go away
sharp back pain
Burning or shooting pain that does not go away
Pain radiating to the arm
Pain that worsens despite medication
Pain radiating to the arm
Pain that worsens despite medication
Difficulty sleeping or working due to constant discomfort | Dr Rohit Mishra

Difficulty sleeping or working due to constant discomfort

Difficulty sleeping or working due to constant discomfort | Dr Rohit Mishra

Difficulty sleeping or working due to constant discomfort

Muscle spasms/cramps
Phantom limb pain
Muscle spasms/cramps
Phantom limb pain
Difficulty standing straight
Burning, stabbing or electric shock-like sensations
Difficulty standing straight
Burning, stabbing or electric shock-like sensations
Pain that worsens after sitting
Chronic pain during movement or touch
Pain that worsens after sitting
Chronic pain during movement or touch
Numbness or tingling sensation
Increased sensitivity in affected areas
Numbness or tingling sensation
Increased sensitivity in affected areas
Fatigue | Dr Rohit Mishra

Fatigue

Fatigue | Dr Rohit Mishra

Fatigue

Poor concentration | Dr Rohit Mishra

Poor concentration

Poor concentration | Dr Rohit Mishra

Poor concentration

Pain that worsens after sitting
Neuropathic pain that severely impacts daily life
Pain that worsens after sitting
Neuropathic pain that severely impacts daily life

Personal Details :

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    DREZ Lesioning Procedure

    The DREZ procedure typically takes 3-5 hours, depending on the number of nerve root treatments, which involves:

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    Anaesthesia

    The doctor applies general anaesthesia to ensure the patient is completely asleep during the procedure.

    R

    Access

    The surgeon makes an incision over the appropriate area of your spine. The specific location depends on which nerve roots are causing your pain.

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    Laminectomy

    A portion of the vertebra is removed to access the spinal cord and dorsal nerve roots.

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    Identifying the target

    The surgeon identifies the specific dorsal root entry zones causing your pain.

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    Creating lesions:

    Using a precise instrument (typically radiofrequency, laser or microsurgical techniques), the surgeon carefully creates tiny lesions in the difficult dorsal root entry zones.

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    Closure

    The surgical site is closed in layers with sutures.

    DREZ Lesioning Procedure | Dr Rohit Mishra

    Recovery & Aftercare

    Recovery after DREZ lesioning surgery varies depending on individual health and the procedure time. Here is what you can generally expect:
    Pain Management | Dr Rohit Mishra

    Pain Management

    You will receive medication for postoperative pain management.

    Pain Management | Dr Rohit Mishra

    Pain Management

    You will receive medication for postoperative pain management.

    Wound Care | Dr Rohit Mishra

    Wound Care

    You will receive instructions on how to care for your wound.

    Wound Care | Dr Rohit Mishra

    Wound Care

    You will receive instructions on how to care for your wound.

    Physical Therapy | Dr Rohit Mishra

    Physical Therapy

    Physical therapy may be recommended to help you regain strength and mobility.

    Physical Therapy | Dr Rohit Mishra

    Physical Therapy

    Physical therapy may be recommended to help you regain strength and mobility.

    Follow-up Appointments | Dr Rohit Mishra

    Follow-up Appointments

    You must follow up with your neurosurgeon to monitor your recovery progress.

    Physical examination to assess posture-icon

    Follow-up Appointments

    You must follow up with your neurosurgeon to monitor your recovery progress.

    Gradual Return to Activity | Dr Rohit Mishra

    Gradual Return to Activity

    You can slowly return to your normal activities as you recover.

    Gradual Return to Activity | Dr Rohit Mishra

    Gradual Return to Activity

    You can slowly return to your normal activities as you recover.

    Potential side effects | Dr Rohit Mishra

    Potential side effects

    Some patients experience numbness, weakness or changes in sensation, usually temporary.

    Potential side effects | Dr Rohit Mishra

    Potential side effects

    Some patients experience numbness, weakness or changes in sensation, usually temporary.

    Frequently Asked Questions

    Who can get DREZ lesioning?

    Patients with chronic pain due to brachial plexus avulsion, spinal cord injury pain, or post-herpetic neuralgia that do not respond to medication may benefit from the DREZ lesion procedure.

    How effective is DREZ lesioning for neuropathic pain?

    DREZ lesioning has a very high success rate. Many patients experience notable pain relief, which may vary depending on individual conditions. The procedure is particularly effective for pain from phantom limbs and spinal cord injuries.

    Is DREZ rhizotomy the same as DREZ lesioning?

    DREZ rhizotomy is a similar procedure to lesioning but focuses on cutting nerve roots, while DREZ lesioning targets the nerve entry zone for particular pain relief.

    Are there any alternative treatments for DREZ Lesioning?

    Yes. During the consultation, your doctor may recommend other treatment options, including nerve blocks, spinal cord stimulation, and medication. Your doctor will discuss all options with you.

    Is DREZ lesioning a cure for chronic pain?

    DREZ lesioning can significantly reduce pain, but it is not always a cure. This treatment process is most effective for specific types of neuropathic pain.