Laser Treatment for Bone Spurs: Is It Safe for Elderly Patients?

Bone spur laser treatment

Dr.
Li: Good day.
My father is 81 years old and has suffered several falls recently, resulting in a coccyx injury and the formation of bone spurs (which have swollen).
He needs to use a cane to walk.
The doctor has suggested laser treatment for a permanent solution.
However, my father has severe arrhythmia and mitral valve insufficiency.
Is laser treatment suitable for his condition? If it is, is there a risk of recurrence after the treatment? Thank you for your assistance.

Ms. Wu, 50~59 year old female. Ask Date: 2018/10/02

Dr. Li Yongheng reply Orthopedics

Hello, it is uncommon for a coccyx injury to result in bone spurs that require laser treatment.
Therefore, it is advisable to consult with other physicians for their opinions before making a decision.

Reply Date: 2018/10/02

More Info

Laser treatment for bone spurs, particularly in elderly patients, is a topic that requires careful consideration of various factors, including the patient's overall health, the specific condition being treated, and the potential risks and benefits of the procedure. In the case of your father, who is 81 years old and has a history of severe cardiac issues, including arrhythmia and heart valve insufficiency, it is crucial to assess whether laser treatment is appropriate for him.

Firstly, laser treatment for bone spurs, also known as osteophytes, is generally considered a minimally invasive option that can help alleviate pain and improve mobility. The procedure typically involves using focused laser energy to remove or reduce the size of the bone spur, which can relieve pressure on surrounding tissues and nerves. However, the suitability of this treatment for elderly patients, especially those with significant comorbidities, must be evaluated on a case-by-case basis.

In your father's situation, his age and existing heart conditions raise concerns about the safety of undergoing any surgical procedure, including laser treatment. Elderly patients often have a higher risk of complications during and after surgery due to factors such as decreased physiological reserve, potential for prolonged recovery, and the presence of multiple health issues. Therefore, it is essential for the treating physician to conduct a thorough preoperative assessment, including a review of your father's cardiac status and any other relevant medical history.

Moreover, while laser treatment can provide relief from symptoms, it is important to understand that it may not necessarily prevent the recurrence of bone spurs. Bone spurs can develop as a result of various factors, including degenerative changes in the spine, arthritis, and mechanical stress on the joints. If the underlying causes are not addressed, there is a possibility that new bone spurs may form over time, leading to a return of symptoms. Therefore, it is crucial to discuss with the physician not only the immediate benefits of laser treatment but also the long-term management plan for your father's condition.

In addition to laser treatment, other non-invasive options, such as physical therapy, pain management strategies, and lifestyle modifications, should be considered as part of a comprehensive treatment plan. These approaches can help improve mobility and reduce pain without the risks associated with surgical interventions.

Ultimately, the decision regarding whether to proceed with laser treatment should involve a collaborative discussion between your father, his healthcare provider, and possibly a cardiologist to ensure that all aspects of his health are taken into account. It may also be beneficial to seek a second opinion from another orthopedic specialist or a pain management expert who can provide additional insights into the best course of action for your father's specific situation.

In conclusion, while laser treatment for bone spurs can be effective, its safety and appropriateness for elderly patients with significant comorbidities, such as your father, require careful evaluation. A thorough assessment of his overall health, potential risks, and the likelihood of recurrence should guide the decision-making process. Always prioritize open communication with healthcare providers to ensure that the chosen treatment aligns with your father's health goals and needs.

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