
Disc replacement surgery is an option for patients with degenerative disc disease who do not respond to conservative treatments, discectomy, or spinal fusions, and patients who have complications after surgery.
Even though spinal fusion has been the preferred approach to treat spinal deformities for many years because of its high success rate, this type of surgery may have significant short-term and long-term complications. As a result, artificial intervertebral disc replacement becomes a necessary alternative.
Using innovative technology and based on extensive research, artificial intervertebral disc replacement treatment produces effective outcomes for degenerative disc disease. The advantages of this treatment are not only that it treats the direct underlying cause, but also that it causes less pain, fewer complications, and a faster recovery.
The durability of an artificial disc is more than 20 years. Although the failure rate of artificial discs is low, some patients may need revision. If the revision is needed, the procedure must be performed by spine surgeons who have experience in artificial disc replacement.
A patient who underwent surgery for a herniated disc compressing the nerve.
Mr. Narathorn Srisakon – Interview
“Before the surgery I was in a lot of pain. But when I opened my eyes after the operation, the pain was gone immediately. The numbness in my leg was gone as well. I could clearly feel that it had disappeared. It felt like a dream—truly amazing.”
A Swift Recovery
Niwet Sathiranun, a 63-year-old from Chonburi, shared his remarkable recovery story. Just 48 hours after spinal surgery for a fracture, he was able to get up and walk to the bathroom independently.
Mr. Sathiranun's injury occurred when he fell nearly two meters from a ladder while pruning a tree. Despite no one witnessing the fall, he managed to get up and drive himself the 200 meters back home. He then explained the situation to his wife, who promptly called for an ambulance from Ramkhamhaeng Hospital.
Upon arrival at the hospital, he was unable to urinate. A detailed medical history and an MRI revealed a broken vertebra from the impact, leading doctors to recommend immediate corrective surgery.
He suffered an accident while lifting heavy objects, which resulted in lower back pain radiating down his left leg. The pain gradually became more severe, yet he endured it for over a year. During that time, he sought treatment at several hospitals, but there was no significant improvement.
One contributing factor may have been his genetic predisposition, as his intervertebral discs were thinner than average, making the condition more difficult to resolve despite multiple treatment approaches.
Eventually, he was advised to consult a physician at Ramkhamhaeng Hospital. Dr. Surasak Inthachuen explained that the patient’s pain was caused by a herniated disc compressing a nerve. Although he had previously undergone various treatments—such as medication, physical therapy, and acupuncture—he did not respond to these methods.
The physician therefore recommended treatment with nucleoplasty, a minimally invasive procedure in which a small needle is inserted into the affected disc. Radiofrequency energy is then delivered through the needle, generating heat at its tip to remove the portion of the disc that has herniated. This reduces nerve compression, resulting in relief from back pain.
She had endured knee pain for more than three years before deciding to seek medical care. Initially, the symptoms were caused by the nature of her job, which required prolonged standing, leading to tendon inflammation, combined with pre-existing knee osteoarthritis. As a result, the pain did not subside.
Moreover, over the past 5–6 months, the symptoms progressively worsened to the point where she was unable to walk. Following a recommendation from a colleague, she consulted a physician at Ramkhamhaeng Hospital, where she was diagnosed with knee osteoarthritis.
Common symptoms in such patients include severe knee pain, leg deformities such as bowlegs or knock-knees, difficulty walking, and an increased risk of falls. After careful consideration, the physician determined that the patient was still relatively young and not yet suitable for knee replacement surgery.
Instead, the doctor recommended corrective osteotomy, a surgical procedure to realign the bones and redistribute weight-bearing forces. This involved placing a metal fixation device in the leg to correct the bowing and restore normal alignment. At the same time, this treatment helps delay the need for knee replacement, as proper leg alignment reduces uneven stress on the knee joint and slows the progression of degeneration to some extent.
A patient who underwent surgery for a herniated disc compressing the nerve.
Mr. Narathorn Srisakon – Interview
“Before the surgery I was in a lot of pain. But when I opened my eyes after the operation, the pain was gone immediately. The numbness in my leg was gone as well. I could clearly feel that it had disappeared. It felt like a dream—truly amazing.”
A Swift Recovery
Niwet Sathiranun, a 63-year-old from Chonburi, shared his remarkable recovery story. Just 48 hours after spinal surgery for a fracture, he was able to get up and walk to the bathroom independently.
Mr. Sathiranun's injury occurred when he fell nearly two meters from a ladder while pruning a tree. Despite no one witnessing the fall, he managed to get up and drive himself the 200 meters back home. He then explained the situation to his wife, who promptly called for an ambulance from Ramkhamhaeng Hospital.
Upon arrival at the hospital, he was unable to urinate. A detailed medical history and an MRI revealed a broken vertebra from the impact, leading doctors to recommend immediate corrective surgery.
He suffered an accident while lifting heavy objects, which resulted in lower back pain radiating down his left leg. The pain gradually became more severe, yet he endured it for over a year. During that time, he sought treatment at several hospitals, but there was no significant improvement.
One contributing factor may have been his genetic predisposition, as his intervertebral discs were thinner than average, making the condition more difficult to resolve despite multiple treatment approaches.
Eventually, he was advised to consult a physician at Ramkhamhaeng Hospital. Dr. Surasak Inthachuen explained that the patient’s pain was caused by a herniated disc compressing a nerve. Although he had previously undergone various treatments—such as medication, physical therapy, and acupuncture—he did not respond to these methods.
The physician therefore recommended treatment with nucleoplasty, a minimally invasive procedure in which a small needle is inserted into the affected disc. Radiofrequency energy is then delivered through the needle, generating heat at its tip to remove the portion of the disc that has herniated. This reduces nerve compression, resulting in relief from back pain.
She had endured knee pain for more than three years before deciding to seek medical care. Initially, the symptoms were caused by the nature of her job, which required prolonged standing, leading to tendon inflammation, combined with pre-existing knee osteoarthritis. As a result, the pain did not subside.
Moreover, over the past 5–6 months, the symptoms progressively worsened to the point where she was unable to walk. Following a recommendation from a colleague, she consulted a physician at Ramkhamhaeng Hospital, where she was diagnosed with knee osteoarthritis.
Common symptoms in such patients include severe knee pain, leg deformities such as bowlegs or knock-knees, difficulty walking, and an increased risk of falls. After careful consideration, the physician determined that the patient was still relatively young and not yet suitable for knee replacement surgery.
Instead, the doctor recommended corrective osteotomy, a surgical procedure to realign the bones and redistribute weight-bearing forces. This involved placing a metal fixation device in the leg to correct the bowing and restore normal alignment. At the same time, this treatment helps delay the need for knee replacement, as proper leg alignment reduces uneven stress on the knee joint and slows the progression of degeneration to some extent.