Procedures performed by George Rappard, MD in Los Angeles, CA
Spinal pain management
Spinal pain management consists of x-ray guided injections of the spine in order to alleviate pain. After spinal injections, patients may be able to derive more benefit from physical therapy and chiropractic care. Spinal injections may also be able to alleviate pain long enough for the body to heal on it's own, without surgery.
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Percutaneous cervical discectomy
Percutaneous cervical discectomy is a minimally invasive procedure for the treatment of neck pain or cervical nerve pain due to herniated disk. “Percutaneous” means that the procedure is performed through a tiny skin incision. Through the small incision a needle, wire and then a small metal tube are passed through the skin and then into the disc...
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Percutaneous lumbar discectomy
Percutaneous lumbar discectomy is a minimally invasive procedure for the treatment of back pain due to herniated disk. “Percutaneous” means that the procedure is performed through a tiny skin incision. Through the small incision a needle, wire and then a small metal tube are passed through the skin and then into the disc. Through the tube a smal...
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Percutaneous thoracic discectomy
Percutaneous thoracic discectomy is a minimally invasive procedure for the treatment of upper back pain due to herniated disk. “Percutaneous” means that the procedure is performed through a tiny skin incision. Through the small incision a needle, wire and then a small metal tube are passed through the skin and then into the disc. Through the tub...
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Minimally invasive percutaneous lumbar fusion
In traditional fusion surgery, the surgeon enters the operative site by stripping important stabilizing muscles from the spine, removing bone and cutting through stabilizing ligaments. Inminimally invasive percutaneous spine surgeon, the physician is able to access the diseased disc without dysrupting important structures. A discectomy is carrie...
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Dynamic stabilization
Dynamic stabilization refers to the placement of devices in the spine to treat spinal pain without fusion of the spine. The devices preserve much of the natural mechanics and motion of the spine while limiting painfull motion or decompressing arthritic areas of the spine.
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Spinal cord stimulation
In some cases, surgery or spinal pain management may not be successfull in alleviating a patient's pain. In those cases, spinal cord stimulation may be the answer. A wire is placed through a tiny hole in the skin and placed on the surface of the spinal cord. An electrical current runs through the wire and "tricks" the brain into not sensing pain...
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Spinal rhizotomy
Rhizotomy refers to the targeted and purposefull destruction of nerves that cause painful sensation of degenerated spinal joints. When the painful joints are identified they are temporarily anesthetized, to confirm that they are the cause of pain. Once the causal joints are identified a rhizotomy may be carried out to destroy the nerves carrying...
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Sacral illiac joint fusion
The sacral illiac joint (SIJ) can be the cause of back pain in a significant number of aging individuals. Injections provide transient relief. Burning of the nerve, or rhizotomy, can bring three to six months of relief. In minimally invasive fusion, small rods are placed through a tiny incisionin the skin. The rods pass through the joint, causin...
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